HomeMy WebLinkAboutPermit M13-081 - ROSS RESIDENCE - REPLACE FURNACEROSS RESIDENCE
13608 MILITARY RD S
M13-081
City ainukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-431-2451
Web site: htto://www.TukwilaWA.gov
MECHANICAL PERMIT
Parcel No.: 1623049160
Address: 13608 MILITARY RD S TUKW
Project Name: ROSS RESIDENCE
Permit Number: M13-081
Issue Date: 04/30/2013
Permit Expires On: 10/27/2013
Owner:
Name: ROSS THEODORE C
Address: 13608 MILITARY RD S , SEATTLE WA 98168
Contact Person:
Name: KEVIN KEMPER
Address: 3616 GENESEE ST , SEATTLE WA 98118
Email: KEVIN@GENESSEHEAT.COM
Contractor:
Name: GENESEE FUEL & HTG CO INC
Address: PO BOX 18206 , SEATTLE WA 98118
Contractor License No: GENESFH37006
Phone: 206 767-5750
Phone: 206-722-1545
Expiration Date: 12/16/2014
DESCRIPTION OF WORK:
REPLACE 70,000 BTU OIL FURNACE
Value of Mechanical: $3,000.00
Type of Fire Protection: UNKNOWN
Electrical Service Provided by:
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complie
xami
with
Fees Collected: $177.10
International Mechanical Code Edition: 2009
Date: v th)(1( 7
Led this permit and know the same to be true and correct. All provisions of law and ordinances
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 c ditions on the
back of this permit.
Signature: 4 l/
ri Date:
Print Name: pp! /71s2lik,
This permit shall become 1 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.
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PERMIT CONDITIONS
Permit No. M13-081
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: Ventilation is required for all new rooms and spaces of new or existing buildings and shall be in conformance with the
International Building Code and the Washington State Ventilation and Indoor Air Quality Code.
8: 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.
9: 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.
10: 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).
11: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building
Department (206-431-3670).
12: 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.
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M13 -O81 Printed: 04-30-2013
CITY OF TUKWI„
Community Developmi )epartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.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**
SITE LOCATION
Site Address:
Tenant Name:
King Co Assessor's Tax No.:
5 Suite Number: Floor:
PROPERTY OW
Ros
Address: _
Stated 1
l,l� ►
Name:
Zip: vigilk
r
C
COrlttlt, CAtkOFI
Name:
o_c/v\\,,ztvvvr___
Address: </W\Q Gt` rUl.0`4
City: State: Zip:
PhoneC" %2-7(0-- 75-76 et ,
/ered
Id- Emai11 Tt ( m
tit
New Tenant: El Yes ❑.. No
MECHANICAL WAN CO iTRACTOR INFORMATION
Company Name: /'r ,,
Address:.
��..t_46 rr
City: StateW�._ ZiPg,k1(
((
1/V
Phone:, — —Fax:
Contr TZei .
Q g 4 1 &7,W. Date: 12
l IV �1-_"J� /
11r'y
Tukwila Business License No.: C 12 2 ( Li
1
p 9I''
Valuation of project (contractor's bid price): $3C)7 !
Describe the scope ofwork in detail:
�� rr‘"20)Coo
Use: Residential: New ❑ Replacement •f ----
Commercial: New ❑ Replacement ❑
Fuel Type: Electric ❑ Gas ❑ Other: 9J /
H.\Applications\Forms-Applications On Line\2011 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
Furnace >100k btu
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/100,000 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 NOT
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).
1 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
Signature:
Print Name: 0;4111•
Mailing Address:
Date: /.73_,
Day Telephone ) 0(17 a 1
City
N.\Applications\Forms-Applications On Line \2011 Applications\Mechanical Permit Application Revised 8-9-11 docx
Revised August 2011
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State Zip
Page 2 of 2
wq� City 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.TukwilaWA.gov
Parcel No.: 1623049160
Address: 13608 MILITARY RD S TUKW
Suite No:
Applicant: ROSS RESIDENCE
RECEIPT
Permit Number: M13-081
Status: APPROVED
Applied Date: 04/30/2013
Issue Date:
Receipt No.: R13-01472
Payment Amount: $177.10
Initials: JEM Payment Date: 04/30/2013 11:29 AM
User ID: 1165 Balance: $0.00
Payee: LORI REYNOLDS
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 025968
ACCOUNT ITEM LIST:
Description
177.10
Account Code Current Pmts
MECHANICAL - RES
000.322.102.00.00 177.10
Total: $177.10
Drin}n.4•
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 t (206) 431-3670
Permit Inspection Request Line (206) 431-2451
INSPECTION RECORD` x13 --O
Retain a copy with permit '4`��' `01,"
PERMIT NO.
Project:
S c...5LAL.I
Type of Inspection:
Address:
13(:0 ,
MIL -LTA -2c/
D to Called:
t N
Special Instructions:
Date anted:
" .
1 0 _' ` "
a.m
P.m.
Requester:
Phone No:
WCO-
.- S-763
7
® Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
Po I
w"—
rhT�7
or:
D,aacce,:
El SPECTION FEE REUIRED. Priorito next inspection. fee must be
ai • at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
09-03-2013
KEVIN KEMPER
3616 GENESEE ST
SEATTLE WA 98118
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
RE: Permit No. M13-081
ROSS RESIDENCE
13608 MILITARY RD S TUKW
Dear Permit Holder:
In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building
Division. Per the International 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 10/27/2013.
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 final 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 10/27/2013, 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. M13-081
6300 Southcenier Boulevard, Susie # 100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fccx 206-431-3665
Contractors or Tradespeople P'nter Friendly Page
oli
Page 1 of 2
Electrical Contractor
A business licensed by LEtI to contract electrical work within the scope of its specialty. Electrical
Contractors must maintain a surety bond or assignment of savings account. They also must have a
designated Electrical Administrator or Master Electrician who is a member of the firm or a full-time
supervisory employee.
Business and Licensing Information
Name
Phone
Address
Suite/Apt.
City
State
Zip
County
Business Type
Parent Company
GENESEE FUEL it HEATING CO, INC
2067221545
3616 S Genesee St
Seattle
WA
98118
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
578049915
Active
GENESI`001 L6
Electrical Contractor
10/20/2000
12/16/2014
Hvac/Rfrg Ltd Energy
Unused
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
GENESI*940KQGENESEE
FUEL Et
HEATING CO INC
Electrical
Contractor
General
Unused
5/18/2006
5/18/2010
Expired
Electrical Administrator INFORMATION
License CLARKST982L8
Name CLARK, STEVEN T
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
CLARK, STEVEN T
01/01/1980
Bond Information
Bond
Bond Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
2
DEVELOPERS
SURETY Et INDEM
CO
573550C
07/31/2004
Until
Cancelled
$4,000.00
08/04/2004
Assignment of Savings Information No records found for the previous 6 year period
httos://fortress.wa.gov/lni/bbin/Print.aspx
04/30/2013