HomeMy WebLinkAboutPermit M13-0201 - VAN UYEN RESIDENCE - INSTALL FURNACEVAN UYEN RESIDENCE
14658 46 AV S
M13-0201
•
City of Tukwila
•
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-438-9350
Web site: http://www.TukwilaWA.gov
Parcel No: 0040000699
MECHANICAL OTC PERMIT
Permit Number: M13-0201
Address: 14658 46 AVE S Issue Date: 11/6/2013
Permit Expires On: 5/5/2014
Project Name: VAN UYEN RESIDENCE
Owner:
Name: VAN UYEN-NHI
Address: 14658 46TH AVE S, TUKWILA, WA,
98168
Contact Person:
Name: EDWIN TRIGGS
Address: 6424 S 143 PL , TUKWILA, WA, 98168
Contractor:
Name: CO-OP A/C & HEATING LLC
Address: 6424 S 143 PL , TUKWILA, WA, 98168
License No: COOPAHL024QP
Lender:
Name:
Address:
Phone: (206) 241-1535
Phone: (206) 241-1535
Expiration Date: 12/5/2015
DESCRIPTION OF WORK:
INSTALL HIGH EFFICIENCY GAS FURNACE .
Valuation of Work: $4,376.00
Type of Work: REPLACEMENT
Fuel type: GAS
Fees Collected: $199.20
Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: 125
Sewer Distric: VALLEY VIEW
Current Codes adopted by the City of Tukwila:
Internations Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
2012 International Fuel Gas Code:
2012 WA Cities Electrical Code:
2012 WA State Energy Code:
2012
2012
2012
2012
Permit Center Authorized Signature:
Date:
• •
I hearby 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 .truction or the performance of work. I am authorized to sign and obtain this
development perm' and o the conte - . - • • ..is permit.
Signature:
Print Name: t �t
Date:
This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or
if the work is suspended or abandoned for a period of 180 days from the last inspection.
PERMIT CONDITIONS:
1: ***MECHANICAL PERMIT 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 record card and approved construction documents shall be kept at the site of work
and shall be open to inspection by the Building Inspector 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.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
1800 MECHANICAL FINAL
0701 ROUGH -IN MECHANICAL
• •
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Mechanical Permit No.AA.1-02-0\
Project No. 1 '
Date Application Accepted: ( Oh{ [?j
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
King Co Assessor's Tax No.: 004000-0699
Site Address: 14658 46th Ave S. Tukwila WA 98168 Suite Number: -- -- Floor:
Tenant Name: (homeowner occupied) New Tenant: ❑ Yes ❑..No
PROPERTY OWNER
Name: Edwin Triggs
Address: 6424 S. 143rd Place
Name: Nih Van Uyen
Phone: (206) 241-1535 Fax: (206) 439-6432
Email: edwin@coachnw.com
Address: 14658 46th Ave S
City: Tukwila State: WA
Zip:
98168
CONTACT PERSON — person receiving all project
communication
Name: Edwin Triggs
Address: 6424 S. 143rd Place
City: Tukwila State: WA Zip: 98168
Phone: (206) 241-1535 Fax: (206) 439-6432
Email: edwin@coachnw.com
MECHANICAL CONTRACTOR INFORMATION
Company Name: Co -Op Air Conditioning & Heating, 1.
Address: 6424 S. 143rd Place
City: Tukwila State: WA Zip: 98168
Phone: (206) 241-1535 Fax: (206) 439-6432
Contr Reg No.: COOPAHL024QP Exp Date: 12/05/2015
Tukwila Business License No.: BUS -0100776
Valuation of project (contractor's bid price): $ 4,376 fj �� $1
Describe the scope of work in detail:
Install High Efficiency Gas Furnace and Gas Pipe from new meter.
Use: Residential: New ® Replacement ❑
Commercial: New ❑ Replacement ❑
Fuel Type: Electric ❑ Gas
Other:
H:\Applications\Forms-Applications On Line\201 I Applications\Mechanical Permit Application Revised 8-9-11.docx
Revised: August 2011
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Page I of 2
Indicate type of mechanical work being installed and the quantity below:
Unit Type
Qty
Furnace <100k btu
1
Furnace >100k btu
Floor furnace
1
Suspended/wall/floor
mounted heater
Appliance vent
Repair or addition to
heatlrefrig/cooling
system
Air handling unit
<10,000 cfm
1
Unit Type
Qty
Air handling unit
>10,000 cfm
Evaporator cooler
1
Ventilation fan
connected to single duct
Ventilation system
Hood and duct
Incinerator — domestic
Incinerator —
comm/industrial
Unit Type
Qty
Fire damper
Diffuser
Thermostat
1
Wood/gas stove
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 — 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
Signature
e W AUT liJ Z s AGENT:
.4..
/rte' IIIP
Print Name: E win Triggs Day Telephone: (206) 643-9350
Date: 11/06/2013
Mailing Address: 6424 S. 143rd Place
H:\Applications\Forms-Applications On Line\201 I Applications\Mechanical Permit Application Revised 8-9-1 l.docx
Revised: August 2011
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Tukwila WA 98168
City State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
( ACCOUNT I QUANTITY
I PAID
$296.70
M13-0201 Address: 1465846 AVE S
Apn: 0040000699
$199.20;,
MECHANICAL
$199.20
PERMIT FEE
000.322.100.00.00
$166.70
PERMIT ISSUANCE BASE FEE
000.322.100.00.00
$32.50
PG13-0151 Address: 14658 46 AVE S
Apn: 0040000699
$97.50
GAS
$97.50
PERMIT ISSUANCE BASE FEE
000.322.100.00.00
$32.50
PERMIT FEE
TOTAL FEES PAID BY RECEIPT: R5
000.322.100.00.00
$65.00
$296.70
Date Paid: Wednesday, November 06, 2013
Paid By: EDWIN TRIGGS, COACH LLC
Pay Method: CREDIT CARD 05048g
Printed: Wednesday, November 06, 2013 8:02 AM 1 of 1
CRWSYSTEMS
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
M -&7A
ERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
63.00 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431=3670 7
Permit Inspection Request Line (206) 431-2451 /
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Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
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Inspector:
Date: t (-C. /3
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople linter Friendly Page
General/Specialty Contractor
A business registered as a construction contractor with Lai 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
Phone
Address
Suite/Apt.
City
State
Zip
County
Business Type
Parent Company
CO-OP A/C ft HEATING LLC
2062411535
6424 S 143Rd Place
Tukwila
WA
981684606
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601891053
Active
COOPAHL024QP
Construction Contractor
11/17/1998
12/5/2015
Metal Fabrication
Unused
Business Owner Information
Name
Role
Effective Date
Expiration Date
PERRY, ALLEN DALE
Member
01/01/1980
Amount
WAGNER, JAY MATTHEW
Member
11/17/2011
BKW53761571
Bond Information
Page 1 of 1
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
2
CBIC
SB7688
11/12/2001
Until Cancelled
$6,000.00
11/15/2001
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
10
WEST
AMERICAN INS
CO
BKW53761571
11/12/2010
11/12/2014
$1,000,000.0010/07/2013
9
OHIO CAS INS
BKA53761571
11/12/2008
11/12/2010
$1,000,000.00
11/04/2009
8
FARMERS INS
EXCHANGE
79 601802862
11/12/2008
11/12/2009
$2,000,000.00
11/06/2008
7
FARMERS INS
EXCHANGE
79601802862
11/12/2003
11/12/2008
$2,000,000.00
10/23/2007
Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period
Warrant Information No unsatisfied warrants on file within prior 6 year period
Infractions/Citations Information No records found for the previous 6 year period
httns://fortress.wa.gov/lni/bbip/Print.aspx 11/06/2013