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HomeMy WebLinkAboutPermit M10-053 - CROWLEY RESIDENCECROWLEY RESIDENCE 5101 S 163 PL M10 -053 Parcel No.: 8700500130 Address: Suite No: City.f Tukwila 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: / /wwwci.tukwila.wa.us 5101 S 163 PL TUKW MECHANICAL PERMIT Permit Number: Issue Date: Permit Expires On: M10 -053 04/20/2010 10/17/2010 Tenant: Name: CROWLEY RESIDENCE Address: 5101 S 163 PL , TUKWILA WA Owner: Name: CROWLEY WILLIAM J Address: 5101 S 163RD PL , SEATTLE WA Contact Person: Name: DEBRA COON Address: 12462 DES MOINES MEMORIAL DR , SEATTLE WA Contractor: Name: GLENDALE HEATING & A/C Address: 12462 DES MOINES WY S , SEATTLE, WA Contractor License No: GLENDHA053Q2 Phone: Phone: 206 - 660 -2681 Phone: 206 - 243 -7700 Expiration Date: 11/02/2011 DESCRIPTION OF WORK: REPLACE EXISTING HEAT PUMP SYSTEM WITH SAME Value of Mechanical: $9,729.34 Type of Fire Protection: UNKNOWN Fees Collected: $241.25 International Mechanical Code Edition: 2006 EQUIPMENT TYPE AND QUANTITY Furnace: <100K BTU >100K BTU Floor Furnace Suspended/Wall/Floor Mounted Heater Appliance Vent Repair or Addition to Heat /Refrig /Cooling System.... Air Handling Unit <10,000 CFM >10,000 CFM Evaporator Cooler Ventilation Fan connected to single duct Ventilation System Hood and Duct Incinerator: Domestic Commercial/Industrial 0 0 0 0 0 0 0 1 0 0 0 0 0 0 Boiler Compressor: 0 -3 HP /100,000 BTU 0 3 -15 HP /500,000 BTU 0 15 -30 HP /1,000,000 BTU.. 0 30 -50 HP /1,750,000 BTU.. 0 50+ HP /1,750,000 BTU 0 Fire Damper 0 Diffuser 0 Thermostat 0 Wood/Gas Stove 0 Water Heater 0 Emergency Generator 0 Other Mechanical Equipment0 * *continued on next page ** doc: IMC -10/06 M10-053 Printed: 04 -20 -2010 • City of Tukwila 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: / /wwwci.tukwila.wa.us Permit Number: M10 -053 Issue Date: 04/20/2010 Permit Expires On: 10/17/2010 Permit Center Authorized Signature: Date: Lt--;-0-1 D 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. Signature: C /llf1 1 Date: 44/c)-0// 0 Print Name: 2a,Valk -11,urifIty 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 -10/06 M10 -053 Printed: 04 -20 -2010 Parcel No.: 8700500130 Address: Suite No: Tenant: • • 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.ci.tukwila.wa.us 5 101 S 163 PL TUKW CROWLEY RESIDENCE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: M10-053 ISSUED 04/20/2010 04/20/2010 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 Cityof Tukwila Permit Center. 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. * *continued on next page ** doc: Cond -10/06 M10 -053 Printed: 04 -20 -2010 • • 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.ci.tukwila.wa.us I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and 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 provision of any other work construction or the performance of work. Signature: Print Name: Maj ra. 1.1,E LAJW Date: L1/4-0/(0 ordinances governing or local laws regulating doc: Cond -10/06 M10 -053 Printed: 04 -20 -2010 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us SITE LOCATION Site Address: Mechanical Permit No. VI, IQ- D S3' Project No. 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 ** 6101 D. \) Pi Tenant Name: Property Owners Name: A 11} 1 Ci r 1/1� 1 )/ Mailing Address: 510i .SD - 1(03 r r L. King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: ❑ Yes ❑ ..No S700500) 30 City U AI State CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: ,elp Cor0� n Mailing Address:I ),` bA.- ' l (",>O1 y11� ji yrlprloJ Or E -Mail Address: G1 u°>7 h �' i�r itI61 I t eats � . Col" MECHANICAL CONTRACTOR INFORMATION City Fax Number: zob - 660 , zb$► 14-) 5e(-1 3 3 4 ztlf Company Name: V I Q Mailing Address: 1)4A- I Contact Person: Df rti f a- I 0 0 IOv 00 )112 E -Mail Address: Co0h6 - IC al- Contractor Registration Number: G I..I✓ N VID' 0 a City Day Telephone: Fax Number: Via C12 10' State Zip )06— L13 Expiration Date: 11'0 e2. —10 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: City Contact Person: Day Telephone: E -Mail Address: Fax Number: State Zip Ht\Applications\Forms- Applications On Line\2009 Applications \1 -2009 - Mechanical Permit Application.doc Revised: 1.2009 bh Page 1 of 2 Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): Use: Residential: New Commercial: New Fuel Type: Electric Gas Replacement Replacement 0 Other: Indicate type of mechanical work being installed and the quantity below: Unit Type: Qty Unit Type: Qty Unit Type: Qty Boiler /Compressor: Qty Furnace <100K BTU 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 Incinerator — Domestic Other Mechanically Equipment H in pjlynp Air Handling Unit <10,000 CFM Incinerator — Comm/Ind 1 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 180 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 writing and justifiable cause demonstrated. Section 105.3.2 International Building 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 � �1UT�ZED AGEN��� �U1i�' Signature: \J Print Name: Date: Mailing Address: City State Zip Date Application Accepted: Date Application Expires: Staff Initials: I H:\Applications\Forms- Applications On Line\2009 Applications \I -2009 - Mechanical Permit Application.doc Revised: 1.2009 bh Page 2 of 2 • 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.ci.tukwila.wa.us Parcel No.: 8700500130 Address: 5101 S 163 PL TUKW Suite No: Applicant: CROWLEY RESIDENCE RECEIPT Permit Number: M10 -053 Status: PENDING Applied Date: 04/20/2010 Issue Date: Receipt No.: R10 -00671 Payment Amount: $241.25 Initials: WER Payment Date: 04/20/2010 11:54 AM User ID: 1655 Balance: $0.00 Payee: GLENDALE HEATING TRANSACTION LIST: Type Method Descriptio Amount Payment Check 63374 241.25 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts MECHANICAL - RES 000.322.102.00.00 241.25 Total: $241.25 PAYMENT RECEIVED doc: Receiot -06 Printed: 04 -20 -2010 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 -36 C Project: Type of Inspecti n: otiteji \ Address: ' / 43 Date Called r--0" Special Instructions: (ASP P >. ,. Pt) /ti r • ''- Date Wanted ) _I, r 0 a. p.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: eXAk 60 gyp( tor: $60.00 REINSPECTION EE REQUI D. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Inspe Date: Receipt No.: Date: 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 Glendale Heating & A/C Inc 2062437700 12462 Des Moines Wy S Seattle Wa 981682266 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 600003167 Active GLENDHA053Q2 Construction Contractor 11/22/1995 11/2/2011 General Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status GLENDH0110PU Glendale Heating &Amp; Oil Co Inc Construction Contractor General Unused 10/31/198911/2/1995 01/01/1980 Archived GLENDO`237DM Glendale Oil Co Inc Construction Contractor Boiler /Steam Fit /Proc Piping Air Heat,Ventilation,Evaporat 3/14/1977 11/2/1989 Archived Business Owner Information Name Role Effective Date Expiration Date Hoefer, Arthur A &Nbsp; 01/01/1980 Received Date Hoefer, Gerald A &Nbsp; 01/01/1980 Until Released Fulton, David C &Nbsp; 01/01/1980 10/15/2001 Atwood, Stanley Agent 01/01/1980 Until Released Bond Information No records found for the previous 6 year period Assignment of Savings Information Page 1 of 1 Savings Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 3 CD499991236613 10/15/2001 Until Released Bond 11/02/2010 $12,000.00 10/15/2001 2 2070117755 10/11/1983 Until Released Bond 11/02/2002 $6,000.00 10/19/2001 1 08 101775 3/11/1977 Until Released Bond $1,000.00 1/20/2009 Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 10 FEDERATED MUTUAL INS CO 715288 11/02/2004 11/02/2010 $1,000,000.00 09/18/2009 9 FEDERATED MUTUAL INS CO 715288 11/02/2002 11/02/2004 $1,000,000.00 09/23/2003 Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 04/20/2010