HomeMy WebLinkAboutPermit M12-102 - BRINES RESIDENCEBRINES RESIDENCE
3728 S 141 ST
M12 -102
City oiliTukwila
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.: 1610000036
Address: 3728 S 141 ST TUKW
Project Name: BRINES RESIDENCE
Permit Number: M12 -102
Issue Date: 06/22/2012
Permit Expires On: 12/19/2012
Owner:
Name: BRINES LILLIAN
Address: 3728 S 141ST ST , TUKWILA WA 98168
Contact Person:
Name: JIM LEAIR
Address: 101 23 ST SE , PUYALLUP WA 98372
Email: JIMLEAIR @COMCAST.NET
Contractor:
Name: NORTHWEST CLIMATE CONTROLS INC
Address: 101 23 STREET STE B2 , PUYALLUP WA 98372 -4156
Contractor License No: NORTHCC990P4
Phone: 253 - 435 -8834
Phone:
Expiration Date: 01/04/2014
DESCRIPTION OF WORK:
REPLACE FURNACE AND ADD HEAT PUMP.
TRANE M/N TDD2A040A9242A, 40,000 BTU'S.
Value of Mechanical: $2,535.00
Type of Fire Protection: UNKNOWN
Electrical Service Provided by:
Permit Center Authorized Signature:
\AN\
Fees Collected: $177.10
International Mechanical Code Edition: 2009
Date:
2
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 complie with4 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:
Print Name:
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: 4, —ZS —/ Z-'
doc: IMC -4/10
M12 -102 Printed: 06 -25 -2012
PERMIT CONDITIONS
Permit No. M12-102
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 mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center
(206/431 - 3670).
4: 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.
5: Manufacturers installation instructions shall be available on the job site at the time of inspection.
6: 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.
7: 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.
8: 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.
9: 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).
10: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building
Department (206- 431- 3670).
11: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of,
arty 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 -102 Printed: 06 -25 -2012
•
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd.. Suite 100
Tukwila, WA 98188
http://wwvv.TukwilaWA.gov
Mechanical Permit No. Y� (.. tD
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: 3728 - S. 141St. St.
Tenant Name:'
Lillian Brines
PROPERTY OWNER
Name: Jim LeAir
Name: Lillian Brines
Address: 101 -23rd St SE
Address: 3728 - S. 141St. St.
City: PUYALLUP State: WA
City: Tukwila State: wa
Zip: 98168
CONTACT PERSON — person receiving all project
communication
Name: Jim LeAir
Address: 101 -23rd St. S.E. B -2
Address: 101 -23rd St SE
Phone: (253) 435 -8834 Fax: (253) 435 -8958
City: PUYALLUP State: WA
Zip: 98372
Phone: (253) 435 -8834 Fax: (253)
435 -8958
Email: JIMLEAIR @COMCAST.NET
King Co Assessor's Tax No.: 1610000036
Suite Number: Floor:
New Tenant: ❑ Yes ®..No
MECHANICAL CONTRACTOR INFORMATION
Company Name: Northwest Climate Controls, Inc.
Address: 101 -23rd St. S.E. B -2
City: puyallup State: wa Zip: 98372
Phone: (253) 435 -8834 Fax: (253) 435 -8958
Contr Reg No.: northcc990p4 Exp Date: 12/15/2012
Tukwila Business License No.: e t wb[ -p,,1 lc
Valuation of project (contractor's bid price): $ 2,535
Describe the scope of work in detail:
/°&7i ,2 ✓ ,¢oo 44 £o.
134..a5L4ee tup 1-44 2.1-640 ,f 9zyz4. Of DO aids
Use: Residential: New ❑ Replacement
Commercial: New ❑ Replacement ❑
Fuel Type: Electric ❑
Gas
Other:
H: \Applications \Forms - Applications On Line \2011 Applications \Mechanical Permit Application Revised 8 -9 -I I.docs
Revised: August 201
bh
Page 1 of 2
Indicate type of mechanical work being installed and the quantity below:
Unit Type
Qty
Furnace <I00k btu
Furnace >100k btu
1
Floor furnace
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
Qty
0 -3 hp/I00,000 btu
3 -15 hp /500,000 btu
15 -30 hp/I,000,000 btu
30 -50 hp /1,750,000 btu
50+ hp /1,750,000 btu
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 0T'4'HE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING R AUT , ORIZED AGENT:
Signature:
Date: 06/22/2012
Print Name: JIM E AIR Day Telephone: (253) 435 -8834
Mailing Address: 101 -23RD ST SE B -2
H:\ Applications \Forma- Applications On Line \2011 Applications \Mechanical Permit Application Revised 8 -9 -I I.docx
Revised: August 2011
bh
PUYALLUP WA 98372
City State Zip
Page 2 of 2
•
City of Tukwila
Department of Conrnumity Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -43 1 -3670
Fax: 206 -431 -3665
Web site: http: / /www.TukwilaWA. &ov
Parcel No.: 1610000036
Address: 3728 S 141 ST TUKW
Suite No:
Applicant: BRINES RESIDENCE
RECEIPT
Permit Number: M12 -102
Status: APPROVED
Applied Date: 06/22/2012
Issue Date: 06/22/2012
Receipt No.: R12 -01970
Payment Amount: $177.10
Initials: LAW Payment Date: 06/25/2012 09:50 AM
User ID: 1632 Balance: $0.00
Payee: NORTHWEST CLIMATE CONTROLS INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 11325 177.10
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
MECHANICAL - RES
000.322.102.00.00 177.10
Total: $177.10
doc: Receiot -06 Printed: 06 -25 -2012
INSPECTIONNO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670.
Permit Inspection Request Line (206) 431 -2451
INSPECTION RECORD (Z - 10`Z-
Retain a copy with permit
PERMIT NO.
Pro}e4t.
fr_s
11cigssis:7
Type ofJnsp�tioru �
l
Ad
/4
( -c�
Date Called:
Special Instructions:
/
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Date Wanted:
_ i' a.m..
" ( ! p.m.
Requester:
Phone No:
i 211 4 c S?
Approved per applicable codes.
ElCorrections required prior to approval. �p
COMMENTS:
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I I REINSPECTION FEE REQUIRED Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. S1 ite 100. Call to schedule reinspection.
Iri\ pector:
Date: --°~? r (I . /
Contractors or Tradespeople *ter 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 NORTHWEST CLIMATE
CONTROLS INC
UBI No. 602121177
Phone Status Active
Address 101 23Rd Street Ste B2 License No. NORTHCC990P4
Suite /Apt. License Type Construction Contractor
City Puyallup Effective 12/18/2001
Date
State WA
Zip 983724156
County Pierce
Business Type Corporation
Parent
Company
Expiration
Date
Suspend Date
Specialty 1
1/3/2014
Heating /Vent /Air - Conditioning And Ref rig
(Hvac /R)
Specialty 2 Unused
Other Associated Licenses
License
Name
Type
Specialty 1
Specialty 2
EffDate
Daective Expiration te
Status
LAWBESM905JK
LAWBER & SONS
MECHANICAL
Construction
Contractor
Heating /Vent /Air-
Conditioning And
Ref rig (Hvac /R)
Unused
4/10/2010
4/10/2014
Active
NORTHCC994BE
NORTHWEST
CLIMATE
CONTROLS
Construction
Contractor
Air Conditioning
Metal
Fabrication
1/5/2001
12/8/2001
Archived
NWCLIC "011QQ
N W CLIMATE
CONTROLS
Construction
Contractor
Air Conditioning
Metal
Fabrication
11/18/1999
10/20 /2001
Archived
LAWBESC926JS
LAWBER a SONS
CONSTRUCTION
Construction
Contractor
General
Unused
4/10/2008
4/10/2010
Inactive
Business Owner Information
Name
Role
Effective Date
Expiration Date
PAINTER, DONALD MATHEW
President
04/28/2010
Bond Amount
LAWBER, CHRIS
Vice President
12/18/2001
04/28/2010
LAWBER, STEVE
President
12/18/2001
10/15/2008
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
7
RLI INS CO
LSM0200154
01 /20/2011
Until Cancelled
$6,000.00
02/01/2011
6
AM STATES INS
6620170
12/10/2008
Until Cancelled
02/15/2011
$6,000.00
12/23/2008
5
DEVELOPERS SURETY
& INDEM CO
796609C
11/08/2008
Until Cancelled
01/07/2009
$6,000.0009/25/2008
4
DEVELOPERS SURETY
e INDEM CO
749341C
11/08/2007
Until Cancelled
11/13/2008
$6,000.0011/13/2007
3
FEDERATED MUTUAL
INS CO
9900545
10/03/2006
11/08/2007
$6,000.0009/13/2006
2
DEVELOPERS STY &
INDEMNITY CO
571811C
10/30/2003
Until Cancelled
02/09/2007
$6,000.00
11/17/2003
Assignment of Savings Information No records found for the previous 6 year period
https://fortress.wa.gov/Ini/bbip/Print.aspx
06/22/2012