HomeMy WebLinkAboutPermit M11-171 - LAYACAN RESIDENCELAYACAN RESIDENCE
14205 53 AV S
Mi 1 -171
City oikukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Inspection Request Line: 206- 431 -2451
Web site: http: / /www.TukwilaWA.gov
MECHANICAL PERMIT
Parcel No.: 7255200256
Address: 14205 53 AV S TUKW
Project Name: LAYACAN RESIDENCE
Permit Number: M11 -171
Issue Date: 12/02/2011
Permit Expires On: 05/30/2012
Owner:
Name: CONSEGO SINAMON +LAYACAN CHR
Address: 14205 53RD AVE S , TUKWILA WA 98168
Contact Person:
Name: GARY HEATH
Address: 18103 NE 68 ST, SUITE C -200 , REDMOND WA 98052
Email: NOT PROVIDED
Contractor:
Name: M M COMFORT SYSTEMS
Address: 18103 NE 68 C -200 , REDMOND WA 98052
Contractor License No: MMCOMMC934B4
Phone: 425 - 881 -7920
Phone: 425 881 -7920
Expiration Date: 01/24/2013
DESCRIPTION OF WORK:
90% TO 95% GAS FURNACE REPLACEMENT WITH A HEAT PUMP ADD ON. LENNOX 70,000 BTU'S
Value of Mechanical: $9,000.00
Type of Fire Protection: UNKNOWN
Electrical Service Provided by:
Permit Center Authorized Signature:
Fees Collected:
$235.05
International Mechanical Code Edition: 2009
Date:
I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied with, whether specified herein or not.
The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the performance of work. I am authorized to sign and obtain this mechanical permit and agree to the conditions on the
back of this permi
Signature:
Print Name:
AuL �Vt`ia5
Date: f
This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended
or abandoned for a period of 180 days from the last inspection.
doc: IMC -4/10
M11-171 Printed: 12 -02 -2011
• •
PERMIT CONDITIONS
Permit No. M1 1-171
1: ** *BUILDING DEPARTMENT CONDITIONS * **
2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the
Building Official.
3: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to
start of any construction. These documents shall be maintained and made available until final inspection approval is
granted.
4: Manufacturers installation instructions shall be available on the job site at the time of inspection.
5: Except for direct -vent appliances that obtain all combustion air directly from the outdoors; fuel -fired appliances
shall not be located in, or obtain combustion air from, any of the following rooms or spaces: Sleeping rooms,
bathrooms, toilet rooms, storage closets, surgical rooms.
6: Equipment and appliances having an ignition source and located in hazardous locations and public garages, PRIVATE
GARAGES, repair garages, automotive motor -fuel dispensing facilities and parking garages shall be elevated such that
the source of ignition is not less than 18 inches above the floor surface on which the equipment or appliance rests.
7: Water heaters shall be anchored or strapped to resist horizontal displacement due to earthquake motion. Strapping shall
be at points within the upper one -third and lower one -third of the water heater's vertical dimension. A minimum
distance of 4- inches shall be maintained above the controls with the strapping.
8: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the City of Tukwila
Building Department (206- 431 - 3670).
9: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building
Department (206- 431 - 3670).
10: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of,
any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits
presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila
shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the
Building Official from requiring the correction of errors in the construction documents and other data.
doc: IMC -4/10
M11-171 Printed: 12 -02 -2011
CITY OF TUKWILA"
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htlp :/ i'ww. ci. IIlIfwila. N'Cl. us
Building Pertnit go.
Mechanical Permit No. rittl ` I' I
Plumbing /Gas Permit No.
Public Works Permit No.
Project No.
(For office use only)
Applications and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mail or by fax.
* *Please Print **
SITE LOCATION
Site Address:
Tenant Name:
142 °5- 5 },.�
King Co Assessor's Tax No.: % Z-
S
Property Owners Name: C f , S
Mailing Address: 1q 14)c--
° c rJ
Suite Number:
New Tenant:
City
Floor:
111 Yes ❑ ..No
State
Zip
CONTACT PERSON:- who do we contact when your permit is ready to be issued
Name: Gory eitA- L m.A4
Mailing Address: i to /1/4) 6 S% 6200
E -Mail Address:
Day Telep Zone: 442--C.— U g /-1 9 Z C7
City State Zip
Fax Number: 4-124--- Sr -- Pcdz_
GENERAL CONTRACTOR INFORMATION —
(Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5))
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Contractor Registration Number: pArt 0,0 I^"rtCO °{
1.910 a b e-h s r eZt
6“- v ILK
City
Day Telephone:
Fax Number:
Expiration Date:
Teo
State Zip
4 2 — ' - - t — 741 L
412-5'%, 5•Cit - asEz-
/-2ce-/ 3
ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
City
Day Telephone:
Fax Number:
State
Zip
ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Q:\Applications\Forms- Applications On LineU -2006 - Pertnit Application doc
Revised: 9-2006
bit
City
Day Telephone:
Fax Number:
State
Zip
Page 1 of 6
• 1
City of Tukwila
Steven M. Mullet, Mayor
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206- 431 -3665
Web site: http: / /www.ci.tukwila.wa.us
Steve Lancaster, Director
MECHANICAL — Residential Structures
DOCUMENTS REQUIRED FOR PERMIT APPLICATION
❑ Complete Permit Application Form.
❑ Plan Review Fee— contact Permit Center for fee estimate 206 - 431 -3670
❑ Submit two (2) complete sets of drawings and documentation. Minimum sheet size 11" x 17 ", maximum
sheet size 24" x 36 ".
❑ Copy of the Contractor's current registration card licensed in the State of Washington. A copy of this
license will be required before the permit is issued.
Other submittal information:
❑ New Single Family Residence
X Residential Heating and Ventilation Compliance Form
X Equipment specifications
❑ Change -out or replacement of existing mechanical equipment
X Narrative of work to be done, including modification to duct work.
lS Copy of specification/installation instructions to verify listing.
❑ Installation of Gas Fireplace
3S Narrative of work to be done, including specification of equipment and chimney type.
X If using existing chimney, provide a letter by a certified chimney sweep stating that the chimney is in
safe condition.
NOTE: Water Heaters utilizing fuel -gas shall be installed and inspected under a mechanical permit.
\applications\forms- applications on Ime\mechamcal— residential structures
Created: 8-2004
Revised: 2 -16 -2005
MECHANICAL PERMIT INFO ATION — 206 - 431 -3670
•
MECHANICAL CONTRACTOR INFORMATION
t ° 5 a e, &��L 5 r
Company Name:
Mailing Address:
- ^?o 5-z
City fate Zip
k °'i/ c[ 9 `"tLo
Contact Person: Day Telephone:
E -Mail Address: Fax Number: L( '2..4"`• • cS S8 OSnZ__
Contractor Registration Number: 1',■ Co ".0-1. Oai 3 41 4 "t Expiration Date: (- 2-01-i 3
Valuation of Mechanical work (contractor's bid price): $ (O"
Scope of Work (please provide detailed information): c) 7v -/o gsro C1j
tr��r•� c tedlec-
Use: Residential: New ....[R. Replacement ....
Commercial: New .... ❑ Replacement .... ❑
Fuel Type: Electric Ili Gas...( Other:
Indicate type of mechanical work being installed and the quantity below:
Ati
Unit Type:'
Qty
: Unit Type:
Qty
Unit Type:
Qty
Boiler /Compressor:
Qty
Furnace <100K BTU
1
l
Air Handling Unit >10,000
CFM
Fire Damper
0 -3 HP /100,000 BTU
Furnace >100K BTU
Evaporator Cooler
Diffuser
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan Connected
to Single Duct
Thermostat
15 -30 HP /1,000,000 BTU
Suspended /Wall /Floor
Mounted Heater
Ventilation System
Wood /Gas Stove
30 -50 HP /1,750,000 BTU
Appliance Vent
Hood and Duct
Emergency
Generator
50+ HP /1,750,000 BTU
Repair or Addition to
Heat/Refrig/Cooling
System
1
Incinerator - Domestic
146,4- Pif-e
Other Mechanical
Equipment
0
Air Handling Unit
<10,000 CFM
Incinerator — Comm/Ind
-N 7v, op()
1-.(Co noX
Q:Npplications'Forms- Applications On Line' -2006 - Permit Application.doc
Revised: 9 -2006
hit
Page 4 of 6
PLUMBING AND GAS PIPING RMIT INFORMATION - 206 - 431 -3*
PLUMBING AND GAS PIPING CONTRACTOR INFORMATION
Company Name:
Mailing Address:
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
Valuation of Plumbing work (contractor's bid price): $
Valuation of Gas Piping work (contractor's bid price): $
Scope of Work (please provide detailed information):
Building Use (per Int'I Building Code):
Occupancy (per Int'l Building Code):
Utility Purveyor: Water:
Sewer:
Indicate type of plumbing fixtures and /or gas piping outlets being installed and the quantity below:
Fixture Type:.
. Qty
Fixture Type:
Qty
Fixture Type:
Qty
Fixture Type:
. Qty
Bathtub or combination
bath/shower
Drinking fountain or water
cooler (per head)
Wash fountain
Gas piping outlets
Bidet
Food -waste grinder,
commercial
Receptor, indirect
waste
Clothes washer, domestic
Floor drain
Sinks
Dental unit, cuspidor
Shower, single head trap
Urinals
Dishwasher, domestic,
with independent drain
Lavatory
Water Closet
Building sewer or trailer
park sewer
Rain water system — per
drain (inside building)
Water heater and /or
vent
Additional medical gas
inlets /outlets — six or more
Industrial waste
pretreatment interceptor,
including its trap and vent,
except for kitchen type
grease interceptors
Repair or alteration of water
piping and /or water treating
equipment
Repair or alteration
of drainage or vent
piping
Medical gas piping system
serving one to five
inlets /outlets for specific gas
QSAppl ications'\Forms- Applications On Li ne13 -2006 - Fermit A ppl i cation.doc
Revised: 9.2006
bh
Page 5 of 6
• •
PERMIT APPLICATION NOTES — Applicable to all permits in this application
Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
Building and Mechanical Permit
The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be
requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition).
Plumbing Permit
The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested
in writing and justifiable cause demonstrated. Section 103.4.3 Uniform Plumbing Code (current edition).
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OP4UTHORIZED AGENT:
Signature: K J
Print Name:
Mailing Address:
v(�
I f3/ 6e+, 0-67,,,4
Day Telephone:
City
Date:
11 -,) —/l
11,2€- 8 e( 712-
/A- Nos
State Zip
Date Application Accepted: Date Application Expires: Staff Initials:
Q:\Applications\Forms- Applications On Linen -2006 - Permit Application.doc
Revised: 9 -2006
bh
Page 6 of 6
Cif of Tukwila.
•
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206-431-3665
Web site: http: //www. ci. tukwila. wa. us
SET RECEIPT
RECEIPT NO: R11 -02611
Initials: WER
Payment Date: 12/02/2011
User ID: 1655 Total Payment: 534.15
Payee: M M COMFORT SYSTEMS
SET ID: 120211 SET NAME: MM COMFORT
SET TRANSACTIONS:
Set Member Amount
EL11 -1075 93.45
M11 -171 235.05
M11 -172 205.65
TOTAL: 93.45
TRANSACTION LIST:
Type Method Description Amount
Payment Check 11351 534.15
TOTAL: 534.15
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - RES 000.322.101.00.0
MECHANICAL - RES 000.322.102.00.0
93.45
440.70
TOTAL: 534.15
INSPECTION RECORD
Retain a copy with permit
•.• INSPECTION NO.' PERMIT NO.
CITY OF' TUKWILA BUILDING DIVISION
•6300 Southcenter Blvd., #100, Tukwila. WA 98188 �, (206) 431 -3670
•
-
•
•
(-'f-) A
REINSPECTION FEE REQUIRED. Prio t, next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspectioh.
:
•
•
•
'; •
•
•
•
•
1r
•
.INSPECTION RECORD"
Retain a copy with-Permit
INSPECTION Na , PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION T2-
• 6300 southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Pertnit Irispettion Request Line (206) 431-2451
MI( -
. .. .. .
PrO'ect:
.4-L:.44..
. .
pc J..
Type of Inspection:
f id AA Me--4A .
.
Addtess:. ••
• i 4 /4.5
rip
-CT—Ai/is.
Date Called:
5 pedal Instructions:
•
•
•
Date Wanted:. ----,a.m.-
i .1 —7-4) '-11 p.m.
Requester:
Phone No:
LlAppro-ved per applicable codes.
ElCorrections required prior to approval.
COMMENTS:
EINSPECTION FEE REQUI ED. Prior to ext inspection. fee must be
p id at 6300 Southcenter Blv Suite 10 . Call to schedule reinspection.
Contractors or Tradespeople Peer Friendly Page
•
General /Specialty Contractor
A business registered as a construction contractor with L &I to perform construction work within the scope of
its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of
account and carry general liability insurance.
Business and Licensing Information
Name M M COMFORT SYSTEMS UBI No. 602682815
Phone 4258817920 Status Active
Address 18103 Ne 68Th C -200 License No. MMCOMMC934B4
Suite /Apt. License Type Construction Contractor
City Redmond Effective Date 1/24/2007
State WA Expiration Date 1/24/2013
Zip 98052 Suspend Date
County King Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company WILLIAMSON ACQUISITION CORP
Business Owner Information
Name
Role
Effective Date
Expiration Date
WILLIAMSON, CRAIG
President
01/24/2007
Bond Information
Page 1 of 1
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
1
AMERICAN STATES INS
CO
6470956
01/24/2007
Until Cancelled
$12,000.00
01/24/2007
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information
Insurance
Company Name
Policy Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Amount
Received Date
5
Continental
Western Ins Co
CWP2916265
02/01/2011
02/01/2012
$1,000,000.0001
/28/2011
4
FIRST MERCURY
INS CO
FMWA001075
02/01/2010
02/01/2011
$1,000,000.00
01/28/2010
3
CENTURY
SURETY CO
(CENS)
CCP583791
02/01/2009
02/01/2010
$1,000,000.0002
/02/2009
2
FIRST MERCURY
INS CO
FMMA001124
02/01/2007
02/01/2009
$1,000,000.0001
/15/2008
1
FIRST MERCURY
INS CO
FMMA0001302
01/24/2007
01/24/2008
$1,000,000.00
01/24/2007
Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period
Warrant Information No unsatisfied warrants on file within prior 6 year period
https://fortress.wa.gov/lni/bbip/Print.aspx
12/02/2011