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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 • 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 • 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