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HomeMy WebLinkAboutPermit M11-174 - SEUBERR RESIDENCESEUBERR RESIDENCE 14759 62 AV S Mi 1-174 City oilkukwila • 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.: 3597000087 Address: 14759 62 AV S TUKW Project Name: SEUBERR RESIDENCE Permit Number: M11 -174 Issue Date: 12/07/2011 Permit Expires On: 06/04/2012 Owner: Name: TUKWILA 6 LLC Address: 19541 183RD WAY SE , RENTON WA 98058 Contact Person: Name: JOHN BASSETT Address: 23912 75 AV SE , WOODINVILLE WA 98072 Email: BASSETTHOM AOL.COM Contractor: Name: BASSETT HOME HEATING INC Address: 23912 75 AV SE , WOODINVILLE WA 98072 Contractor License No: BASSEHH044RS Phone: 425 - 398 -1666 Phone: 425 - 398 -1666 Expiration Date: 11/22/2013 DESCRIPTION OF WORK: INSTALL NEW GAS FURNACE, CHIMNEY LINER. AMERICAN STANDARD #ALLD 1B080BA9361A, 80,000 BTU'S Value of Mechanical: $3,500.00 Type of Fire Protection: UNKNOWN Electrical Service Provided by: Permit Center Authorized Signature: Fees Collected: $186.50 International Mechanical Code Edition: 2009 'Pi- Date: i I - l f 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 permit. Date: /0 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 -174 Printed: 12 -07 -2011 • • PERMIT CONDITIONS Permit No. M1 1-174 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 -174 Printed: 12 -07 -2011 ti CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenier Blvd., Suite 100 Tukwila, WA 98188 httrJ /www.TukwilaWA.gov Mechanical Permit No. 1 11- 171-i Project No. Date Application Accepted: Date Application Expires: (For office use only) MECHANICAL PERMIT APPLICATION 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 King Co Assessor's Tax No.: 35 9 7 ()DO G i Site Address: / Y _7 5 C( t'r ncl A V' . 6 Suite Number: Floor: Tenant Name: PROPERTY OWNER Na": t0 VV \ NS S.t,-V-A- Name: - r (Ark -e-v be CT- Email: Q (N 5 5 e -I- -1- 14 o (P J L. CUrr Address: City: State: Zip: CONTACT PERSON — person receiving all project communication Na": t0 VV \ NS S.t,-V-A- Address: 3c9 i a 5 n1 fit.j cc. - City: State: Zi 1^/Qua' q v ‘ 14 Vv/1 p: `iss.F> Phone: s1Z 5- 3qg-- %Glo Lax: yZS- r,R---i(7 10 Email: Q (N 5 5 e -I- -1- 14 o (P J L. CUrr New Tenant: ❑ Yes ®..No MECHANICAL CONTRACTOR. INFORMATION Company Name: P`•S A-A- 1 ` re\L R.ix_71W^ Address: 29 1 a ,,, s-1\ rat 5 c_ City: State: Lr Zi p f�7a lk.. UCC1Vi+l.t Phone: '/ L5.39 S'/ te(oG. Fax: Y t 5 •-391 -/(070 Conti Reg No.: 8 P 1/4 . s 5 e t • 1 C Lig Exp Date: 1 L i .N i I I Tukwila Business License No.: Valuation of project (contractor's bid price): $ Describe the scope of work in detail: n rU tw S 00 Use: Residential: New ❑ Commercial: New ...... ❑ ) )iiVecI ,tir,fve 4-7Ur. 5741°4 -� Replacement ........ [ 7/9 t f / 393 /9 T3649 Replacement ...... ..❑ Fuel Type: Electric ..... ❑ Gas Other: H: Applicalidss.Po -Appliealims On Une12011 Applications \Mechanical Permit Application Revis. -d 11.9- 11.doct Revised August 2011 bh 9'd OL91-96C-9Zi7 Page 1 of 2 clD out '6ugeeH ewoH Messes e09:01. L L LO Deis Indicate type of mechanical work being installed and the quantity below: Unit Type Qty Furnace <100k btu J Furnace >100k btu Floor furnace Suspended/wall /floor mounted heater Appliance vent Repair or addition to hcat/refrig/ cooling system Air handling unit <10,000 cfin Unit Type Qty Air handling unit >10,000 cfin Evaporator cooler Ventilation fan connected to single duct Ventilation system Hood and duct Incinerator — domestic Incinerator — commJindustrial Unit Type Qty Fire damper Diffuser Thermostat Wood/gas stove Emergency generator Other mechanical equipment Boiler /Compressor Qty 0 -3 hpi 100,000 btu 3 -15 hp /500,000 btu 15 -30 hp /1,000,000 btu 30 -50 hp /I,750,000 btu 50+ hp/1,750,000 btu PERMIT APPLICATION NOTES - 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 I &0 days following the date of application shall expire by limitation. The building official may grant one extension of time for additional periods not to exceed 90 days each. The extension shall be requested in %%riling and justifiable cause demonstrated. Section 1053.2 International Building Code (current edition). 1 EIEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF TEIE STATE OF WASHINGTON, AND 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OI IJ.THORIZED AGENT: Signature: Print Name: -J v f v a 5„ -14 Mailing Address: 3 / a -1 Sh PA) (C- SE 11;1Apmip;ines1Penns- Appticmims On Line120I 1 Applicalions`MOCF.orical Permit AppLealion Re.,sed y4-I :.does Revised: Augus12011 bh L'd OL91- 96£-9Z17 Day Telephone: Date: /a- 7— /1 LA jgc)ci� r1 v r 1C2_ L A P-o 7 Z City State Zip out 'BuileeH ewoH ;lessee Page 2of2 e09 :01 11 LO oe0 City 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.TukwilaWA.gov Parcel No.: 3597000087 Address: 14759 62 AV S TUKW Suite No: Applicant: SEUBERR RESIDENCE RECEIPT Permit Number: M11 -174 Status: PENDING Applied Date: 12/07/2011 Issue Date: Receipt No.: R11 -02652 Initials: User ID: WER 1655 Payment Amount: $186.50 Payment Date: 12/07/2011 12:01 PM Balance: $0.00 Payee: JOHN BASSETT TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 004336 ACCOUNT ITEM LIST: Description 186.50 Account Code Current Pmts MECHANICAL - RES 000.322.102.00.00 186.50 Total: $186.50 doc: Receiot -06 Printed: 12 -07 -2011 INSPECTION 0. INSPECTION RECORD Retain a copy with permit L,fl4. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 R� (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 �^ Proje t: 5e J &tr Type of Inspection: (eaJ(�f(• `J1/4r itk&& -\ Address: �•� 1-47 -s cc2—A -(4. Date Called: .^J 4-i_ ,u°. A Special Instruc ions: 6 AS fJ ,-� ' ate° 1 LTV Date Wanted:. / Z - �'/ I p.m. Requester: P 7)(c.' 4V- -13 10. pproved per applicable codes. 1 Corrections required prior to approval. COMMENTS: f'1(J M., / A. A_:• t r) \ 9,\ d / C _ ��/ i n REINSPECTION FEE REQUIRED.'. rior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. 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 Phone Address Suite /Apt. City State Zip County Business Type Parent Company BASSETT HOME HEATING INC 4253981666 23912 75Th Ave Se Woodinville WA 98072 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601753465 Active BASSEHH044R5 Construction Contractor 12/10/1996 11/22/2013 Metal Fabrication Unused Business Owner Information Name Role Effective Date Expiration Date BASSETT, JOHN JAY President 12/10/1996 Amount BASSETT, DEBRA LINN Vice President 12/10/1996 1N5SA6183 Bond Information Page 1 of 1 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount 2 CBIC 5A6183 12/09/2001 Until Cancelled $6,000.00 Received Date 11/15/2001 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 4 Contractors Bonding & Insuranc 1N5SA6183 12/09/2010 12/09/2012 $1,000,000.00 11/14/2011 3 CBIC INSSA6183 12/09/2002 12/09/2010 $1,000,000.00 12/01/2009 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 12/07/2011