HomeMy WebLinkAboutPermit M10-113 - SZLUK RESIDENCESZLUK RESIDENCE
3922 S 113 ST
M10 -113
City 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: / /www.ci.tukwila.wa.us
MECHANICAL PERMIT
Parcel No.: 3351400220
Address: 3922 S 113 ST TUKW
Project Name: SZLUK RESIDENCE
Permit Number: M10 -113
Issue Date: 08/10/2010
Permit Expires On: 02/06/2011
Owner:
Name: SZLUK MICHAEL D
Address: 3922 S 113TH ST , TUKWILA WA 98168
Contact Person:
Name:
Address:
Email:
Contractor:
Name:
Address:
Contractor
ABLE AIR LLC
PO BOX 521 , BLACK DIAMOND WA 98010
ABLE_AIR @MSN.COM
ABLE AIR LLC
PO BOX 521 , BLACK DIAMOND WA 98010
License No: ABLEAAL926KL
Phone: 360 802 -2253
Phone: 360 802 -2253
Expiration Date: 05/13/2012
DESCRIPTION OF WORK:
REMOVE AND REPLACE GAS FURNACE
Value of Mechanical: $4,200.00
Type of Fire Protection:
Permit Center Authorized Signature
I hereby certify that I have read and
governing this work will be complie
The
co
gr.. mg of thi
ruction or t
exaxnl
ii with
Fees Collected:
$195.90
International Mechanical Code Edition: 2009
Date: Ott 1o[t�%
ed this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
permit does not pre
performance of wo
ite to gi -e
I :m au or
uthority to violate or cancel the provisions of any other state or local laws regulating
ed to sign and obtain this mechanical permit.
Signatur
Print Name: JS5C
Date: U r 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
M10 -113 Printed: 08 -10 -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
Parcel No.: 3351400220
Address: 3922 S 113 ST TUKW
Suite No:
Tenant: SZLUK RESIDENCE
PERMIT CONDITIONS
Permit Number: M10 -113
Status: PENDING
Applied Date: 08/10/2010
Issue Date:
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.
* *continued on next page **
doc: Cond -10/06
M10 -113 Printed: 08 -10 -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 ordinances governing
this work will be complied with, whether specified herein or not.
The granting o p-rmit does not presume give authority to violate or cancel the provision of any other work or local laws regulating
construe ' • or th= p= ormance of wor
Signa
Print Name.
Date: g/0-
-
doc: Cond -10/06
M10 -113 Printed: 08 -10 -2010
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Mechanical Permit No.
Project No.
(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
Site Address: 3922 South 113th Street
Tenant Name: Michael Szluk
Property Owners Name: Michael Szluk
Mailing Address: 3922 S 113th St
King Co Assessor's Tax No.: 335140 -0220
Suite Number: Floor:
New Tenant: ❑ Yes ❑ ..No
Tukwila
Wa 98168
City
State
Zip
CONTACT PERSON — who do we contact when your permit is ready to be issued
Name: Able Air LLC
Mailing Address: PO Box 521
Day Telephone: (360) 802 -2253
Black Diamond Wa
98010
E -Mail Address: able_air @msn.com
City
State
Zip
Fax Number:
MECHANICAL CONTRACTOR INFORMATION
Company Name: Able Air LLC
Mailing Address: PO Box 521
Contact Person: Russ
E -Mail Address: able_air @msn.com
Contractor Registration Number: ABLEAAL946MC
(3 / &cK l7iwe.r1cJ Wa
City State Zip
Day Telephone: (360) 802 -2253
Fax Number:
Expiration Date: 07/03/2012
98010
ARCHITECT OF RECORD — All plans must be stamped by architect of record
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
Fax Number:
E -Mail Address:
State
Zip
ENGINEER OF RECORD — All plans must be stamped by engineer of record
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
H: \Applications \Forms - Applications On t.ine\2010 Applications \7 -2010 - Mechanical Permit Application.doc
Revised: 7 -2010
bh
City
Day Telephone:
Fax Number:
State
Zip
Page 1 of 2
• •
Valuation of project (contractor's bid price): $ 4200.
Scope of work (please provide detailed information): Remove and replace gas fumace
Use: Residential: New ❑ Replacement
Commercial: New ❑ Replacement ❑
Fuel Type: Electric ❑
Gas m
Other:
Indicate type of mechanical work being installed and the quantity below:
Unit Type:
Qty
Unit Type:
Qty
Unit Type:
Qty
Bioler /Compressor
Qty
furnace <100k btu
1
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
)
1
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 menhanical
equipment
air handling unit <10,000
cfm
incinerator – comm/ind
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.
Print Name:
Mailing Address:
Russ Trussell
PO Box 521
Date:
ol
Day Telephone: (360) 802 -2253
Black Diamond Wa 98010
Date Application Accepted: /t
City
State
Zip
Date Application Expires:
H Applitations\Fonns- Applications On Iind2010 Applimtions\7 -201 0 - Mechanical Permit Applicatioadoc
Revised: 7 -2010
bh
Staff Initials: &—
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.: 3351400220
Address: 3922 S 113 ST TUKW
Suite No:
Applicant: SZLUK RESIDENCE
RECEIPT
Permit Number: M10 -113
Status: PENDING
Applied Date: 08/10/2010
Issue Date:
Receipt No.: R10 -01535
Initials:
User ID:
JEM
1165
Payment Amount: $195.90
Payment Date: 08/10/2010 08:57 AM
Balance: $0.00
Payee: ABLE AIR
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 1804 195.90
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
MECHANICAL - RES
000.322.102.00.00 195.90
Total: $195.90
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 08 -10 -2010
INSPECTION RECORD
Retain a copy with permit
/1.4 /c) 413
INSPECTION NO. PERMIT 1i0.
CITY OF TUKWILA BUILDING DIVISION r'
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Pct: f
2•1_J �eJ.�f��t�
Type of lr�specn: ,1
.
Address: '
3922 S. /i3 Sr
Date Called:
Special Instructions:
0 In { T di `X rl w q - d t`X
Cp/4//ti
Date Wanted:
l
' /Co - /cam
p.m.
Requester:
Phone No
14 Approved per applicable codes. 0 Corrections required prior to approval. J
COMMENTS:
IAN-rt 0A-vvt?
Date:
$ • 0.00 REI • PECTION FEE RE ' IRED. for to inspection, fee must be
p: id at 63 Southcenter Blvd., Suite 10 . Call to schedule reinspection.
(Date:
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
Project:
; , W 1` R.-ei i X A Ghat
Type 5/\ t4' ,/
r
Address: ! .—
392_2_ S. 1 /3 Sr---
Date Called:
Special Instructions:
Date Wanted:
ar- -- f I •
/ m
-- ," p.m.
Requester:
Phone No
3-
_7 so 9
ElApproved per applicable codes. Corrections required prior to approval. 62
COMMENTS:
pJ c7 A <• S 1? hak e
1
Date:
LI $6 .00 INSPECTION FEE REQJJIRED. Prio f to inspection, fee must be
p1 d at 300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt Yo.:
Date:
Contractors or Tradespeople *ter Friendly Page
• Page l of l
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 ABLE AIR LLC UBI No. 602619429
Phone 3608022253 Status Active
Address Po Box 521 License No. ABLEAAL926KL
Suite /Apt. License Type Construction Contractor
City Black Diamond Effective Date 5/13/2008
State WA Expiration Date 5/13/2012
Zip 98010 Suspend Date
County King Specialty 1 General
Business Type Limited Liability Company Specialty 2 Unused
Parent Company
Business Owner Information
Name
Role
Effective Date
Expiration Date
TRUSSELL, RUSSELL
Partner /Member
05/13/2008
Bond Information
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
CBIC
SH8572
05/01/2008
Until Cancelled
$12,000.00
05/13/2008
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
2
CBIC
C11SG7852
06/27/2010
06/27/2011
$1,000,000.00
05/27/2010
1
CBIC
C11SG7852
06/27/2007
06/27/2010
$1,000,000.00
05/21/2009
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 08/10/2010