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":
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Name:
- r (Ark
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Email:
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Address:
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Na":
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Address: 3c9 i a 5 n1 fit.j cc. -
City: State: Zi
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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
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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
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Page 1 of 2 clD
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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
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Day Telephone:
Date: /a- 7— /1
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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