The URL can be used to link to this page

Home My WebLink AboutPermit M10-172 - JOHNSON RESIDENCEThis record contains information which is exempt from public disclosure pursuant to the Washington State Public Records Act, Chapter 42.56 RCW as identified on the Digital Records Exemption Log shown below. M10 -172 Johnson Residence 16427 51St Avenue South RECORDS DIGITAL D- ) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION F,age # Code Exemption � � �� Brief Explsnatoty Description, Statute /Rule The Privacy Act of 1974 evinces Congress' intent that social security numbers are a private concern. As such, individuals' social security Personal Information — numbers are redacted to protect those Social Security Numbers individuals' privacy pursuant to 5 U.S.C. sec. 5 U.S.C. sec. DR1 Generally — 5 U.S.C. sec. 552(a), and are also exempt from disclosure 552(a); RCW 552(a); RCW under section 42.56.070(1) of the Washington 42.56.070(1) 42.56.070(1) State Public Records Act, which exempts under the PRA records or information exempt or prohibited from disclosure under any other statute. Redactions contain Credit card numbers, debit card numbers, electronic check numbers, credit Personal Information — expiration dates, or bank or other financial RCW 9 DR2 Financial Information — account numbers, which are exempt from 42.56.230(5) RCW 42.56.230(4 5) disclosure pursuant to RCW 42.56.230(5), except when disclosure is expressly required by or governed by other law. JOHNSON RESIDENCE 16427 51 AV S M10 -172 City oOrukwila • 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.: 5379802748 Address: 16427 51 AV S TUKW Project Name: JOHNSON RESIDENCE Permit Number: M10 -172 Issue Date: 12/08/2010 Permit Expires On: 06/06/2011 Owner: Name: JOHNSON DANIEL Address: 16427 51ST AVE S , SEATTLE WA 98188 Contact Person: Name: JOE CEDERNA Address: 9410 DELRIDGE WY SW , SEATTLE WA 98106 Email: JCEDERNA @SYSTEMHEATING.COM Contractor: Name: SYSTEM HEATING & AIR CONDITIONING CO INC Address: 9410 DELRIDGE WY SW , SEATTLE WA 98106 Contractor License No: SYSTEHA19OBT Phone: 206 - 715 -8532 Phone: 206 - 762 -4249 Expiration Date: 10/02/2012 DESCRIPTION OF WORK: REPLACE EXISTING OIL FURNACE WITH NEW GAS FURNACE. INSTALL NEW GAS PIPING FROM GAS METER SET BY OTHERS TO NEW FURNACE. INSTALL NEW PROGRAMMABLE THERMOSTAT. Value of Mechanical: $5,600.00 Fees Collected: $205.65 Type of Fire Protection: UNKNOWN International Mechanical Code Edition: 2009 Permit Center Authorized Signature: Loa Date: l'f)— v w 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. Signature: l Print Name: !V l GI: Cjr 1M P 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. Date: k �4 Icy doc: IMC -4/10 M10 -172 Printed: 12 -08 -2010 • • PERMIT CONDITIONS Permit No. M10-172 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 m, 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 M10-172 Printed: 12 -08 -2010 elk 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. VtO -17.� 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.: V )% Ci 8-6 - 2.77 1S Site Address: 16427 51st Avenue South Tenant Name: Suite Number: Property Owners Name: Dan Johnson New Tenant: Mailing Address: 16427 51st Avenue South Tukwila Floor: ❑ Yes ❑ ..No WA 98188 Zip City State CONTACT PERSON — who do we contact when your permit is ready to be issued Name: Joe Cederna Mailing Address: 9410 Delridge Way SW Day Telephone: (206) 715 -8532 Seattle WA 98106 E -Mail Address: jcederna @systemheating.com City State Fax Number: (206) 763 -6995 Zip MECHANICAL CONTRACTOR INFORMATION Company Name: System Heating & Air Conditioning Co., Inc. Mailing Address: 9410 Delridge Way SW WA 98106 Contact Person: Joe Cederna E -Mail Address: Jcederna @systemheating.com Contractor Registration Number: SYSTEHA1906T City State Day Telephone: (206) 715 -8532 Fax Number: (206) 763 -6995 Expiration Date: 10/02/2012 Zip ARCHITECT OF RECORD — All plans must be stamped by architect of record Company Name: na Mailing Address: Contact Person: E -Mail Address: City Day Telephone: Fax Number: State Zip ENGINEER OF RECORD — All plans must be stamped by engineer of record Company Name: na Mailing Address: Contact Person: E -Mail Address: HAApplications \Forms - Applications On LineV2010 Apphcattons\7 -2010 - Mechanical Permit Application.doc Revised: 7 -2010 bh City Day Telephone: Fax Number: State Zip Page I of 2 • • Valuation of project (contractor's bid price): $ 5,600.00 Scope of work (please provide detailed information): Replace existing oil furnace with new gas furnace. Install new gas piping from gas meter set by others to new furnace. Install new programmable thermostat. Use: Residential: New ❑ Replacement Commercial: New ❑ Replacement ❑ Fuel Type: Electric ❑ Gas m Other: Indicate type of mechanical work being installed and the quant'ty 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 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 e mechanical eqgher uipment 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 OW ER OR AUTHORIZED AGENT: Signature: n — Print Name: /Z1( Cr Mailing Address: 1/1,1.Joe Ce•erna 9410 Delridge Way SW Date: 12/07/2010 Day Telephone: (206) 715 -8532 Seattle City WA 98106 State Zip Date Application Accepted: Date Application Expires: Staff Initials: H:\Applications \Forms - Applications On Line \2010 Applications 17-2010 - Mechanical Permit Application.doc Revised. 7 -2010 bh Page 2 of 2 • r"-- "'� 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.: 5379802748 Address: 16427 51 AV S TUKW Suite No: Applicant: JOHNSON RESIDENCE RECEIPT Permit Number: M10 -172 Status: PENDING Applied Date: 12/08/2010 Issue Date: Receipt No.: R10 -02456 Initials: WER User ID: 1655 Payment Amount: $205.65 Payment Date: 12/08/2010 12:06 PM Balance: $0.00 Payee: SYSTEM HEATING & AIR CONDITIONING CO TRANSACTION LIST: Type Method Descriptio Amount Payment Check 27661 205.65 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts MECHANICAL - RES 000.322.102.00.00 205.65 Total: $205.65 doc: Receiot -06 Printed: 12 -08 -2010 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION R 6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Pr / S A Type ,Qf In ' eau i. ;. : f J „ J Address: tO1L1 S( . Date Calle • : 1 ) Special Instructions: Date Wanted: /2/..---1-1 —' t / m. p.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspec (Date: C9 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be • paid at 6300 Southcenter Blvd:: Suite 100. Call to schedule reinspection. Contractors or Tradespeople Pf ter Friendly Page • 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 SYSTEM HTNG & AIR COND CO INC UBI No. 600383522 Phone 2067624249 Address 9410 Delridge Way Sw License No. SYSTEHA19OBT Suite /Apt. License Type Construction Contractor City Seattle Effective Date 1/30/1981 State WA Expiration Date 10/2/2012 Zip 98106 Suspend Date County King Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Status Active Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status CRIMPHV340NAHERBERT CRIMP, VOICE Construction Contractor Air Conditioning Air Heat,Ventilation,Evaporat 8/1/1966 12/1/1981 Archived Business Owner Information Name Role Effective Date Expiration Date CRIMP, HERBERT V JR President 01/30/1981 Bond Amount CRIMP, JANINE L Secretary 09/28/2001 9901095 BROWN, RYAN LEONARD Vice President 09/27/2010 11/17/2000 CRIMP, MAXINE F Secretary 01/30/1981 09/27/2010 Bond Information Page 1 of 2 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 3 FEDERATED MUTUAL INS CO 9901095 10/06/2005 Until Cancelled $6,000.00 11/17/2000 $12,000.00 10/10/2005 2 TRAVELERS CAS & SURETY CO 081103356722 10/02/2001 Until Cancelled 10/03/2005 3 $12,000.00 09/18 /2001 Assignment of Savings Information Savings Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 5 1/16/1981 Until Released Bond Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 15 FEDERATED MUTUAL INS CO 9215081 10/02/2005 10/02/2011 $1,000,000.00 08/24/2010 14 FEDERATED MUTUAL INS CO 5030235 10/01/2004 10/01/2005 $2,000,000.00 10/01/2004 https://fortress.wa.gov/lni/bbip/Print.aspx 12/08/2010