HomeMy WebLinkAboutPermit M12-030 - MEYER RESIDENCEMYER RESIDENCE
4905 S 107 ST
M12 -030
City APT ukwila
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.: 5476800130
Address: 4905 S 107 ST TUKW
Project Name: MEYER RESIDENCE
Permit Number: M12 -030
Issue Date: 02/27/2012
Permit Expires On: 08/25/2012
Owner:
Name: MEYER DEBORAH M
Address: 31802 24TH AVE SW , FEDERAL WAY WA 98023
Contact Person:
Name:
Address:
Email:
Contractor:
Name:
Address:
Contractor
YVONNE LIZOTTE Phone: 425 - 746 -3077
17527 NE 67 CT , REDMOND WA 98052
ALL CLIMATE HEATING & A/C
17527 NE 67 CT , REDMOND WA 98052
License No: ALLCLCH966C6
Phone: 425 - 746 -3077
Expiration Date: 02/26/2014
DESCRIPTION OF WORK:
REPLACE OIL FURNACE WITH GAS FURNACE
Value of Mechanical: $5,000.00
Type of Fire Protection: UNKNOWN
Electrical Service Provided by:
Permit Center Authorized Signature:
LL-A-
Fees Collected: $195.90
International Mechanical Code Edition: 2009
Date: � 7— L)
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: Nc--)3-1/(--&-'\._ Y),(ZU:dM
Print Name:
Date:
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
M12 -030 Printed: 02 -27 -2012
• •
PERMIT CONDITIONS
Permit No. M12-030
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
M12 -030 Printed: 02 -27 -2012
r
CITY OF TUKWILA
CoinmunitP Development Department
Permit Center
6300 Soutlicenter Blvd., Suite 100
Tukwila, IJ'.4 98188
http://wv■ laWA.gov
Mechanical Permit No. V( (,- -0 -31)
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 •
Site Address: c(o S S i 0? S I
Tenant Name: d g� t E. "'I l: J r P
PROPERTY :OWNER
Name:
L O lzi
0...svi �Cp 2.
Name:
De130i 6
Address:
m e y 6 2
Address: 9 R O'S
S
i 0 7 *iL
sr
CityTv.Kw( L A
Phone:
State: vu 19
Zip:
IZIiK
:CONTACT' PERSON — person receiving all project
communication " .
Name:
L O lzi
0...svi �Cp 2.
Phone: 4 '2-s - Fax 1-4 �5 -
7�Jt' -3077 Sol - /SS.S
Address:
Tukwila Business License No.:
City:
State:
Zip:
Phone:
Fax:
Email:
King Co Assessor's Tax No.: S t-( b b) 3 b
Suite Number: Floor:
New Tenant: EJ Yes p..No
1VIECHANICAL CONTRACTOR INFORMATION
Company Name: 1011L I- C L (in N-i� H TG A C..
Address:
\`l5'2 -% )L1 6 b7-a -. e0tt2i
City: 6 D M 0 o_. State: /
WR Zip:, K Z
Phone: 4 '2-s - Fax 1-4 �5 -
7�Jt' -3077 Sol - /SS.S
Contr Reg No.: ( LL CL G Ex Date:
Tukwila Business License No.:
Valuation of project (contractor's bid price): $ Sbbit
Describe the scope of work in detail:
Use:
Fuel Type:
Residential:
Commercial:
Electric
New ❑ Replacement •
New ❑ Replacement ❑
Gas
Other:
H:Wpplications\F'orms- Applications On Line\2011 Applications'Mechanical Permit Application Revised 8 -9 -1 I.docx
Revised: August 2011
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Page 1 of 2
Indicate type of mechanical work being installed and the quantity below:
Unit Type :
Qty..
Furnace <100k btu
I
Furnace >100k btu
Floor fumace
Suspended /wall /floor
mounted heater
Appliance vent
Repair or addition to
heat/refrig/cooling
system
Air handling unit
<10,000 cfm
Unit Type
Qty;
Air handling unit
>10,000 cfm
Evaporator cooler
Ventilation fan
connected to single duct
Ventilation system
Hood and duct
Incinerator — domestic
Incinerator —
comm/industrial
Unit Type
Qty,
Fire damper
Diffuser
Thermostat
Wood /gas stove
Emergency generator
Other mechanical
equipment
Boiler /Compressor
Qt':
0 -3 hp /100,000 btu
3 -15 hp /500,000 btu
15 -30 hp /1,000,000 btu
30 -50 hp /1,750,000 btu
50+ hp /1,750,000 btu
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 AUTHORIZED AGENT:
Signature: o��>
Print Name: 7 k t'31'7 L t 6T1
Mailing Address: I ? S 'Z- '7
/V -V
H:\ Applications \Forms- Applications On Line \2011 Applications \Mechanical Permit Application Revised 8- 9.11.docx
Revised: August 2011
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Date: 2 — 7 -- ( Z
Day Telephone: LI �S `.) ((n.— 317 7 7
RFI>moty tiJA %g1?
City State Zip
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.TukwilaWA.gov
Parcel No.: 5476800130
Address: 4905 S 107 ST TUKW
Suite No:
Applicant: MEYER RESIDENCE
RECEIPT
Permit Number: M12 -030
Status: PENDING
Applied Date: 02/27/2012
Issue Date:
Receipt No.: R12 -00810 Payment Amount: $195.90
Initials: WER Payment Date: 02/27/2012 11:03 AM
User ID: 1655 Balance: $0.00
Payee: ALL CLIMATE INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 20964 195.90
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
MECHANICAL - RES
000.322.102.00.00 195.90
Total: $195.90
doc: Receiot -06 Printed: 02 -27 -2012
INSPEC ION NO.
INSPECTION RECORD
Retain a copy with permit
Ot
M 0=030
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
(206) 431 -3670
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 431 -2451
Pro' e tt e Q _ Cl` (1j a_
Type rlspectio '(A
Addsc s �t � ®
71,
109 -sr-
Date Cod: 4O
_
_...---.
Special Instructions:
O t ( ,
t
(
Rj C
/.
? i✓ 4.A
Date Wante
'�3
wvre-�
- %Z— p.m.
Requester: r /
�jp
Phone No
Approved per applicable codes. 11 Corrections required prior to approval.
COMMENTS:
677
Inspector:
au1/4...e • ik )1
Date7,_„��
❑ REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
07 -02 -2012
City of Tukwila Jim Haggerton, Mayor
Department of Community Development Jack Pace,. Director
YVONNE LIZOTTE
17527 NE 67 CT
REDMOND WA 98052
RE: Permit No. M12 -030
MEYER RESIDENCE
4905 S 107 ST TUKW
Dear Permit Holder:
In reviewing our current records, the above noted permit has not received a fmal inspection by the City of Tukwila Building
Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National
Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and
become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date
of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has
begun for a period of 180 days. Your permit will expire on 08/25/2012.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or fmal inspection.
Each inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to
expire. Address your extension request to the Building Official and state your reason(s) for the need to extend
your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your
extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 08/25/2012, your permit will become null
and void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
Bill Rambo
Permit Technician
File: Permit File No. M12 -030
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206-431 -3670 • Fax 206 - 431 -3665
Contractors or Tradespeople Piter 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 ALL CLIMATE HEATING Et A/C UBI No. 602284037
Phone 4257463077 Status Active
Address 17527 Ne 67Th Ct License No. ALLCLCH966C6
Suite /Apt. License Type Construction Contractor
City Redmond Effective Date 2/26/2004
State WA Expiration Date 2/26/2014
Zip 98052 Suspend Date
County King Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company ALL CLIMATE INC
Other Associated Licenses
License
Name
Type
Specialty 1
Specialty 2
Effective
Date
Expiration
Date
Status
ALLCLCI933N7
ALL
CLIMATE
INC
Electrical
Contractor
General
Unused
8/27/2007
8/27/2013
Active
ALLCLHA000CB
ALL
CLIMATE
HEATING
a A/C
LLC
Construction
Contractor
General
Unused
2/24/2000
2/24/2004
Archived
ALLCLHA055P0
ALL
CLIMATE
HEATING
£t A/C
Construction
Contractor
Air
Conditioning
Commercial /Industrial /Refrig
10/20/1995
2/17/2000
Archived
Business Owner Information
Name
Role
Effective Date
Expiration Date
BROWN, RUSSELL
President
02/26/2004
Bond Amount
BROWN, JAMES
Vice President
02/26/2004
02/09/2012
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
2
AM STATES INS
6472892
02/17/2007
Until Cancelled
$12,000.0002/21
/2007
1
DEVELOPERS SURETY
a INDEM CO
851697C
01/01/2004
Until Cancelled
03/13/2007
$12,000.00
01/20/2004
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
6
AMERICAN
STATES INS CO
01CG4379198
11/01/2010
11/01/2012
$1,000,000.00
10/06/2011
5
AMERICAN
STATES INS CO
01CG4379597
11/01/2008
11/01/2010
$1,000,000.00
10/16/2008
4
ALLSTATE O S INS
01CG4379495
11/01/2007
11/01/2008
$1,000,000.00
10/11/2007
3
AMERICAN
STATES INS CO
01CG4379494
11/01/2005
11/01/2007
$1,000,000.00
10/03/2006
https: // fortress .wa.gov /lni/bbip /Print.aspx
02/27/2012