HomeMy WebLinkAboutPermit M12-140 - PICARD RESIDENCEPICARD RESIDENCE
5210 S 164 ST
M12 -140
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.TukwilaWA.gov
MECHANICAL PERMIT
Parcel No.: 5379200202
Address: 5210 S 164 ST TUKW
Project Name: PICARD RESIDENCE
Permit Number:
Issue Date:
Permit Expires On:
M12 -140
09/12/2012
03/11/2013
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Email:
FEDERAL HOME LOAN MORTGAGE
5000 PLANO PKWY , CARROLLTON TX 75010
CHRISTINIANA FLAJOLE
13633 NE 126 PL #350 , KIRKLAND WA 98034
C FLAJOLE @BOBSHEATING. C OM
Contractor:
Name: BOB'S HEATING & A/C INC
Address: 2800 THORNDYKE AVE W , SEATTLE WA 98199
Contractor License No: BOBSHHA979OB
Phone: 800 840 -3346
Phone: 425 474 -1630
Expiration Date: 09/02/2013
DESCRIPTION OF WORK:
LIKE FOR LIKE GAS FURNACE REPLACEMENT
YORK, TG9S060Al2, 60K BTUS
Value of Mechanical: $3,600.00
Type of Fire Protection: UNKNOWN
Electrical Service Provided by:
Permit Center Authorized Signature:
Fees Collected: $186.50
International Mechanical Code Edition: 2009
Date: 01 12 IL
I hereby certify that I have read and e1- ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied with, hether 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:
*1..
fl%/�6�sM
Date: 9 /dZ/2
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 -140 Printed: 09 -12 -2012
•
PERMIT CONDITIONS
Permit No. M12-140
1: ** *BUILDING DEPARTMENT CONDITIONS * **
2: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center
(206/431- 3670).
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: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap the sanitary
sewer connections, and properly fill or otherwise protect all basements, cellars, septic tanks, wells, and other
excavations. Final inspection approval will be determined by the building inspector based on satisfactory completion of
this requirement.
5: Manufacturers installation instructions shall be available on the job site at the time of inspection.
6: All construction noise to be in compliance with Chapter 8.22 of the City of Tukwila Municipal Code. A copy can be
obtained at City Hall in the office of the City Clerk.
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 -140 Printed: 09 -12 -2012
CITY OF TUKWILA •
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.TukwilaWA.dov
Mechanical Permit No. AA t 2_ ` t`1 V
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.: 537920 -0202
Site Address: 5210 S 164th St
Tenant Name:
Suite Number:
New Tenant:
Property Owners Name: Drew Picard
Mailing Address: 5210 S 164th St
Floor:
❑ Yes ❑..No
Tukwila
WA 98188
Zip
City
State
CONTACT PERSON — who do we contact when your permit is ready to be issued
Name: Christiana Flajole
Day Telephone: (800) 840 -3345
Mailing Address:
E -Mail Address: cflajole @bobsheating.com
City State
Fax Number: (425) 889 -9345
Zip
MECHANICAL CONTRACTOR INFORMATION
Chi Ltetel ed ottki.tiL
Company Name: Bobs Heating and Air Conditioning
Mailing Address: 13633 NE 126th PI, #350
Contact Person:
E -Mail Address:
Contractor Registration Number: BOBSHHA979OB
City
Day Telephone:
Fax Number:
Expiration Date: 09/02/2013
WA
State
98034
Zip
ARCHITECT OF RECORD - All plans must be stamped by architect of record
Company Name:
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:
Mailing Address:
Contact Person:
E -Mail Address:
II: \Applicatiuns \ Forms-Applkations On Line 2010 Applications \7 -2010 - Mu hdnical P rmit Appl icatiun.doc
Revised: 7 -2010
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City
Day Telephone:
Fax Number:
State
Zip
Page 1 of 2
• •
Valuation of project (contractor's bid price): $ 3600.00
Scope of work (please provide detailed information): like for like gas furnace replacement.
'I brie— ; CGS Olob l-IZ, W)1,O1)1) 45TL4 .
Use: Residential: New ❑ Replacement
Commercial: New ❑ Replacement ❑
Fuel Type: Electric ❑
Gas
Other:
Tndicate 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
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 1 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING 0 1 • • UvH 1 RIZED AG
!AK Ail
Print Name: ristiana Flajole Day Telephone: (800) 840 -3346
Mailing Address: 13633 NE 126th PI #350 Kirkland Wa 98034
Signature:
Date:
09/12/2012
IDate Application Accepted: oGj' I 1 /III L
City
State Zip
Date Application Expires:
Staff Initials:
11:\Applications \Forms- Appliwdmu 00 Linc\2010 Appl iwtiuns \7 -2010 - Mc..hani..al Pcrmit Appli..ation.doc
Revised: 7-2010
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Page 2 of 2
Cat 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
SET RECEIPT
Copy Reprinted on 09 -12 -2012 at 11:58:40 09/12/2012
RECEIPT NO: R12 -02584
Initials: JEM
Payment Date: 09/12/2012
User ID: 1165 Total Payment: 246.35
Payee: BOB'S HEATING AND AIR CONDITIONING
SET ID: S000001795 SET NAME: Temporary Set
SET TRANSACTIONS:
Set Member Amount
EL12 -0854 59.85
M12 -140 186.50
TOTAL: 59.85
TRANSACTION LIST:
Type Method Description Amount
Payment Check 903548 246.35
TOTAL: 246.35
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - RES 000.322.101.00.0
MECHANICAL - RES 000.322.102.00.0
59.85
186.50
TOTAL: 246.35
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
Permit Inspection Request Line (206) 431 -2451
M(2-1O
Pr pet• t
i f CANI (3 x---e -)‘ 4_
Type t Inspection:
---.. iu A- k M e Cfil - ,
Address. /
,S°-.2-1 0 1 COI �
Date alled: !
-(
;% ou1011
Special Instructions: J i
` /�yqq � /
/
Date Wanted:
a':m.
Requester:
N o : (0 -' Z-. 1 3
3/ 3 K
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
,NI Kf
~ %mac% AA/PIP
rtt ,•/
A
Inspectdr:
Date.
F-7 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100.,Call to schedule reinspection.
•d
02 -01 -2013
yep rtnient of �Co zniurrity rDe d114'L ent
I..f` k:e F x.-
CHRISTINIANA FLAJOLE
13633 NE 126 PL #350
KIRKLAND WA 98034
RE: Permit No. M12 -140
PICARD RESIDENCE
5210 S 164 ST TUKW
Dear Permit Holder:
�Jrm�;H„�dgger�ton;�Mayor
JaekaPaee;11hiector •
•
In reviewing our current records, the above noted permit has not received a fmal inspection by the City of Tukwila Building
Division. Per the Intemational 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 03/11/2013.
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 03/11/2013, 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 -140
6300'Sou`thcerifer Boulem�ard, Suite #100: 'Tukwila W4slimgton 981 Y8 Phone 206 431 3670 • Fax 2 "06`431, 3665
Contractors or Tradespeople Per 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 BOB'S HEATING & A/C INC UBI No. 602320558
Phone 4254741630 Status Active
Address 2800 Thorndyke Ave W License No. BOBSHHA9790B
Suite /Apt. License Type Construction Contractor
City Seattle Effective Date 9/2/2003
State WA Expiration Date 9/2/2013
Zip 98199 Suspend Date
County King Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company
License
Name
Type
Specialty 1
Specialty
2
Effective
Date
Expiration
Date
Status
PLUMBWE888L0
PLUMBWORKS
BY WA
ENERGY
SRVCS
Construction
Contractor
General
Unused
6/20/2012
6/20/2014
Active
BOBSFCR153CH
BOB'S
FURNACE
CLEANG E&
REPAIR
Construction
Contractor
Air
Heat,Ventilation,Evaporat
Metal
Fabrication
2/8/1985
12/2/1996
Archived
BOBSFCR201RD
BOB'S
FURNACE
CLEANING &
RPR
Construction
Contractor
Air
Heat,Ventilation,Evaporat
Metal
Fabrication
12/4/198012/3/1981
05/01/2010
Archived
Business Owner Information
Name
Role
Effective Date
Expiration Date
FREIDBERG, DAN
Agent
09/02/2003
Amount
OLSON, CRAIG
President
09/02/2003
VGL1131637
HEAGLE, RANDY
Secretary
09/02/2003
CHRISTANSON, STEVE
Treasurer
09/02/2003
COMPANION
SPECIALTY
INSURANCE
OLSON, VERN
Vice President
09/02/2003
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
1
DEVELOPERS SURETY
& INDEM CO
571393C
08/29/2003
Until Cancelled
$12,000.00
09/02/2003
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 DatelImpaired
Date
Amount
Received Date
10
Companion
Specialty Ins Co
VGL1131637
05/01/2012
05/01/2013
$1,000,000.0004
/30/2012
9
COMPANION
SPECIALTY
INSURANCE
VGL1021215
05/01/2011
05/01/2012
$1,000,000.0004
/29/2011
8
IRONSHORE
SPECIALTY INS
CO
000259901
05/01/2010
05/01/2011
$1,000,000.0004
/30/2010
https: // fortress .wa.gov /lni/bbip /Print.aspx
09/12/2012