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Home My WebLink AboutPermit M10-170 - SARGENT RESIDENCESARGENT RESIDENCE 5126 S 164 ST M10 -170 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.: 6818400020 Address: 5126 S 164 ST TUKW Project Name: SARGENT RESIDENCE Permit Number: M10 -170 Issue Date: 12/06/2010 Permit Expires On: 06/04/2011 Owner: Name: SARGENT PAUL Address: 5126 S 164TH ST , SEATTLE WA 98188 Contact Person: Name: GREG ANDRADA Address: 22641 83 AV S , KENT WA 98032 Email: GREG.ANDRADA @GMAIL.COM Contractor: Name: AAA HTG REFRIGERATION INC Address: 11921 SE 212TH PL , KENT WA 98031 Contractor License No: AAAHTRI971LW Phone: 206 795 -2785 Phone: 253 630 -9224 Expiration Date: 06/19/2011 DESCRIPTION OF WORK: REPLACE GAS FURNACE Value of Mechanical: $7,800.00 Type of Fire Protection: SMOKE DETECTORS Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complie Fees Collected: $225.25 International Mechanical Code Edition: 2009 Date: � (As L o ed t permit and know the same to be true and correct. All provisions of law and ordinances 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. f2--- Signature: Date: r,- f r ` (( v Print Name: Rol kM. 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 -170 Printed: 12 -06 -2010 • �I PERMIT CONDITIONS Permit No. M10-170 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 M10-170 Printed: 12 -06 -2010 CITY OF TUK Community Dever; Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa. us Mechanical Iiit No. J'.J ` `0 -- \1 0 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 King Co Assessor's Tax No.: 6S I 5{O -Dv2 () Site Address: 5 [ ?,. S 1 V-1 Tenant Name: Suite Number: Property Owners Name: A-t) Sp,. Mailing Address: Floor: New Tenant: ❑ Yes ❑ .. No City State Zip CONTACT PERSON - who do we contact when your permit is ready to be issued Name: G: Mailing Address: E -Mail Address: 2a(D l 33rd kv-e- Day Telephone: 20C ' 74S = c -'78 f cAna- go City State Zip Fax Number: .D-6.-3 C so .5 MECHANICAL CONTRACTOR INFORMATION Company Name. Mailing Address: 4 77RG, C /c (3) 6q7 cr$ Ud 4 S Contact Person: g / „ �-- Contractor Registration Number: 4-4--4-64M / 7 (L�% E -Mail Address: City State Zip Day Telephone: 26 C. - /15- 2 ?c Fax Number: -2-S3 YO 357J-1/ Expiration Date: 6 /3 / ARCHITECT OF RECORD - All plans must be stamped by architect of record Company Name: Mailing Address: City Contact Person: Day Telephone: Fax Number: State Zip E -Mail Address: ENGINEER OF RECORD - All plans must be stamped by engineer of record Company Name: Mailing Address: City Day Telephone: Fax Number: Contact Person: E -Mail Address: H:\Applications \Forms - Applications On Line\2010 Applications \7 -2010 - Mechanical Permit Application.doc Revised: 7 -2010 bh State Zip Page 1 of 2 Valuation of project (contractor's bid price $ 1240 • e54) Scope of work (please provide detailed information): 129 )6- 2-k)t' rcin y� Gaz v Use: Residential: New ❑ Replacement ❑� Commercial: New ❑ Replacement ❑ Fuel Type: Electric ❑ Gas 0— 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 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 Incinerator - domestic other mechanical 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. BUILDING OWNER OR AU ORIZED AGENT: Signature: Date: /2/671) a Print Name: Day Telephone: 2-0e- 7f 9 Mailing Address: 2- 83'E? UnP, 5 Fo 3.2 State Zip IDate Application Accepted: 0(1 loo City Date Application Expires: Staff Initials: H:1Applicationaorms- Applications On Line\2010 Applications17 -2010 - Mechanical Permit Application.doc Revised: 7-2010 bh Page 2 of 2 • City of Tukwila `AZ 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 RECEIPT Parcel No.: 6818400020 Permit Number: M10 -170 Address: 5126 S 164 ST TUKW Status: PENDING Suite No: Applied Date: 12/06/2010 Applicant: SARGENT RESIDENCE Issue Date: Receipt No.: R10 -02441 Initials: User ID: JEM 1165 Payment Amount: $225.25 Payment Date: 12/06/2010 03:52 PM Balance: $0.00 Payee: AAA HEATING & AC INC. TRANSACTION LIST: Type Method Descriptio Amount Payment Check 5004 225.25 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts MECHANICAL - RES 000.322.102.00.00 225.25 Total: $225.25 doc: Receiot -06 Printed: 12 -06 -2010 • INSPECTION RECORD Retain a copy with permit INSPECTION NO. ' PERMIT NO. CITY OF TUKWILA BUILDING DIVISION lzg, 6300 Southcenter Blvd., #100, Tukwila. WA 98188 • 1206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Mi - r7 Pro et: ,/• EAT- rT'�G7 �'� "' Type o In,�stect'on: j p /,�,� i 1U; (�"1" 'm . Address Date alle�i: a rte. `z-�-_ / J� GT c�fv ''�! J�• � �� sir- Special In tructions: (b.!„r �rAa ' - • _ Date Wanted -/(40 -r0 a.m. 1 Requester: Phone No: _24 6 -244-304)? U;Approved per applicablecodes. COMMENTS: ❑•Corrections required prior to approval. 4 : n REINSPECTION FEE RE P UItE ' . Prior to next inspection, fee must be paid at 6300 Southcenter B yd., Suite 100. Call o schedule reinspection. • f - • � • � -.,� Contractors or Tradespeople ter Friendly Page 1 General /Specialty Contractor A business registered as a construction contractor with LEI 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 AAA HTG REFRIGERATION INC UBI No. 601882148 Phone 2536309224 Status Active Address 22653 83Rd Ave S License No. AAAHTRI971 LW Suite /Apt. License Type Construction Contractor City Kent Effective Date 6/16/2003 State WA Expiration Date 6/19/2011 Zip 980321990 Suspend Date County King Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date KOWALENKO, VICTOR President 06/16/2003 Bond Amount KOWALENKO, JAN A Secretary 06/16/2003 2062945 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 2 FEDERATED MUTUAL INS CO 2062945 05/20/2009 Until Cancelled $12,000.00 06/01/2009 1 CBIC SF0095 05/23/2003 Until Cancelled 05/20/2009 $12,000.0006/17 /2003 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 8 FEDERATED MUTUAL INS CO 9434591 01/15/2010 01/15/2011 $1,000,000.0001 /28/2010 7 FEDERATED MUTUAL INS CO 5143722 01/15/2009 01/15/2010 $1,000,000.00 01/23/2009 6 FEDERATED MUTUAL INS CO 9434591 01/15/2008 01/15/2009 $1,000,000.00 12/11/2007 5 MUTUAL INS CO 5095274 01/15/2007 01/15/2008 $1,000,000.00 02/06/2007 4 TRUCK INS EXCHANGE 79602158976 04/15/2006 04/15/2007 $1,000,000.0004 /13/2006 3 TRUCK INS EXCHANGE 79602158976 04/15/2005 04/15/2006 $1,000,000.00 05/27/2005 2 CBIC INS009502 05/23/2004 05/23/2005 $1,000,000.0005 /19/2004 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 12/06/2010