HomeMy WebLinkAboutPermit M12-190 - ROWE RESIDENCEROWS RESIDENCE
13782 34 AV S
M12 -190
City oPi'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.: 8864000605
Address: 13782 34 AV S TIIKW
Project Name: ROWE RESIDENCE
Permit Number:
Issue Date:
Permit Expires On:
M12 -190
12/06/2012
06/04/2013
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Email:
ROWE JENNIFER
13782 34TH AVE S , TUKWILA WA 98168
KEN HAMBLEN
7409 68 AV NE , MARYSVILLE WA 98270
HAMB LEN. S ONS @ G MAIL. C OM
Contractor:
Name: HAMBLEN & SONS HEATING
Address: 7409 68 AV NE , MARYSVIT•T.E WA 98270
Contractor License No: HAMBLSH922DE
Phone: 425 - 501 -0123
Phone: 360 - 658 -0123
Expiration Date: 02/13/2014
DESCRIPTION OF WORK:
INSTALL CUSTOMER PROVIDED FIREPLACE INSERT
Value of Mechanical: $250.00
Type of Fire Protection: UNKNOWN
Electrical Service Provided by:
Permit Center Authorized Signature:
Fees Collected:
$96.60
International Mechanical Code Edition: 2009
Date: 1 e'--
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:
Print Name:
rinr.
7TH ;ylotei.FA✓
Date: 12 'a •/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.
nor.-4/1n
M12 -14n PrintAri• 17 -11R -9019
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PERMIT CONDITIONS
Permit No. M12 -190
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.
rinr.• IMC -4/1(1
M17 -190 Printprl• 17 41R -2019
CITY OF TUKWIkeil
Community Developme. lepurtment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
Intp://www.Tukw i laW A. gov
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 **
/ ,(� King Co Assessor's Tax No.:
Site Address: 13722 2 �Y'� ,4' E Suite Number: Floor:
i„ New Tenant: ❑ Yes
Tenant Name:
Name:
e4.1
Address: 137g7_ 34 ti s
City I t lx, State: vVk Zip:' '48
�p° +� std ua aet k�, vaa crr�,1e
l�is
Name? /40,,/iT 6 /
Address 7tD9 /r' i "Z.
CityAay�sy //4 v,
State: ., Zip�y7
Phone: / 0/.0/73 Fax:
Email : l etizog....045 a adfie / .L,
Valuation of project (contractor's bid price): $
Describe the scope of work in detail:
❑.. No
Company Name:
***RAJ 45/VS /4154PWq
Address:7 18 'r£ AIL
cityi A7A/i //e
State:
2444 Zip y QQ 72�
Phone:4- 1- rsot.4/23 Fax:
Contr Reg No./.44.4d 72Z xp Date :�', /• %3
Tukwila Business License No.:
Use: Residential: New ❑ Replacement ❑
Commercial: New ❑ Replacement ❑
Fuel Type: Electric ❑
Gas ❑
Other:
H: \Applications \Forms - Applications On Line \2011 Applications\Mechanical Permit Application Revised 8-9-11 docx
Revised. August 2011
bh
Page 1 of 2
Indicate type of mechanical work being installed and the quantity below:
Unit Type
Qty .•
Furnace <100k btu
Furnace >100k btu
Floor furnace
Suspended /wall /floor
mounted heater
1
Appliance vent
Repair or addition to
heat/refrig/cooling
system
Air handling unit
<10,000 cfm
nit Type
Qty,
Air handling unit
>10,000 cfm
Evaporator cooler
Ventilation fan
connected to single duct
1
Ventilation system
Hood and duct
Incinerator — domestic
Incinerator —
comm/industrial
nifty' e
Qty
Fire damper
Diffuser
Thermostat
Wood /gas stove
1
Emergency generator
Other mechanical
equipment
Boiler /Compressor
Qty
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
;,PERMIT APPLICATION NOTES -:
Value of construction Tin 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 A O AGENT:
Signatur
Print Name:/ • ,4• ,1 J44L
Day Telephone:
• Date:
Mailing Address:
•City
H:Wpplications\Forms- Applications On Line \2011 Applications\Mechanical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
bh
State - • •• Zip, .
Page 2 of 2
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City of Tukwila
�I )
De P artment 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
RECEIPT
Parcel No.: 8864000605 Permit Number: M12 -190
Address: 13782 34 AV S TUKW Status: PENDING
Suite No: Applied Date: 12/06/2012
Applicant: ROWE RESIDENCE Issue Date:
Receipt No.: R12 -03266
Payment Amount: $96.60
Initials: WER Payment Date: 12/06/2012 09:32 AM
User ID: 1655 Balance: $0.00
Payee: TIMOTHY HAMBLEN
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 032517
ACCOUNT ITEM LIST:
Description
96.60
Account Code Current Pmts
MECHANICAL - RES
000.322.102.00.00 96.60
Total: $96.60
drier RPrain} -nR
Printpri. 12_nR -7M 7
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit Y►'t 12 - I`
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 r� (206),431 -3670
Permit Inspection Request Line (206) 431 -2451
Pr9ject:
t'. o u..) VA,PS
Type of Inspection:
\--1 v..N fl i,r
Address:
Date Called:
Special Instructions:
_
Date Wanted:
‘ 2 11'Z h2
41-m:
41-m:
.P.m.
Requester:
Phone No:
pproved per applicable codes:— El Corrections required prior to"approval.
COMMENTS:
A
1 . . ) co-tor in - i w.)
�'1-1/
Inspe tot':
Date:
1 2 I-iz -
EINSPECTION FEE REQUIRED. Pgior to next inspection, fee must be
4aid at 6300 Southcenter Blvd., Suite 100. Call to schedule` reinspection:'.
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 HAMBLEN & SONS HEATING UBI No. 601481968
Phone 3606580124 Status Active
Address 7409 68Th Ave Ne License No. HAMBLSH922DE
Suite /Apt. License Type Construction Contractor
City Marysville Effective Date 2/13/2008
State WA Expiration Date 2/13/2014
Zip 98270 Suspend Date
County Snohomish Specialty 1 General
Business Type Individual Specialty 2 Unused
Parent Company
icenses
License
Name
Type
Specialty 1
Specialty
2
Effective
Date
Expiration
Date
Status
HAMBLHS077ND
HAMBLEN
HEATING
SYSTEMS
Construction
Contractor
General
Unused
8/4/1993
7/31/1995
Archived
HAMBLSH052N3
HAMBLEN &
SONS
HEATING
Construction
Contractor
Appliances /Equipment
Asbestos
And Lead
8/23/1995
12/8/2007
Re-
Licensed
Business Owner Information
Name
Role
Effective Date
Expiration Date
HAMBLEN, TIMOTHY (TIM) A
Owner
03/05/2008
Bond Amount
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
4
Navigators Ins Co
46BCO27038
07/01/2012
Until Cancelled
$12,000.0005/21
/2012
3
American Contractors
Indem CO
100131107
07/01/2010
Until Cancelled
08/17/2012
$12,000.00
07/01/2010
2
COLONIAL AM CAS &
SURETY OF
MARYLAND
LMP4062149
02/11/2010
Until Cancelled
07/06/2010
$12,000.0002/12
/2010
1
COLONIAL AM CAS &
SURETY OF
MARYLAND
LPM4062149
01/28/2008
02/12/2010
$6,000.00
02/19/2008
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
4
Ohio Security
Ins Co
BKS54849287
08/14/2011
08/14/2013
$500,000.0007/13
/2012
3
CLOLSTATE INS
50004991
08/14/2010
08/14/2011
$500,000.0007/19
/2010
2
CO STATE INS
50004991
08/14/2008
08/14/2010
$500,000.0007/07
/2009
1
CO ALLSTATE INS
50004991
08/14/2007
08/14/2008
$500,000.0002/19
/2008
Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period
https://fortress.wa.gov/lni/bbip/Print.aspx
12/06/2012