HomeMy WebLinkAboutPermit M13-172 - ROMERO RESIDENCE - REPLACE FURNACEROMERO RESIDENCE
13791 34 AV S
M13-172
City of *ukwila
I
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-43 1-3670
Inspection Request Line: 206-431-2451
Web site: http://www.TukwilaWA.gov
MECHANICAL PERMIT
Parcel No.: 8864000520
Address: 13791 34 AV TUKW
Project Name: ROMERO RESIDENCE
Permit Number: M13-172
Issue Date: 09/05/2013
Permit Expires On: 03/04/2014
Owner:
Name: ROMERO MARY
Address: 2214 SW 104TH ST , SEATTLE WA 98146
Contact Person:
Name: KEVIN KEMPER
Address: 3616 S GENESEE , SEATTLE WA 98118
Email:
Contractor:
Name: GENESEE FUEL & HTG CO INC
Address: PO BOX 18206 , SEATTLE WA 98118
Contractor License No: GENESFH37006
Phone: 206 722-1545
Phone: 206-722-1545
Expiration Date: 12/16/2014
DESCRIPTION OF WORK:
REPLACE 38,000 BTU GAS FURNACE
Value of Mechanical: $3,000.00
Type of Fire Protection: UNKNOWN
Electrical Service Provided by:
Fees Collected: $179.90
International Mechanical Code Edition: 2012
Permit Center Authorized Signature: j Date:
I hereby certify that I have read and er amined this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied \'th,)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:
Date:
This permit shall become null and void if t e 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.
11114, 1-1.1
19.4..4e.1• AA AC 01111
PERMIT CONDITIONS
Permit No. M13-172
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: 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.
doc: IMC -4/10
M13-172 Printed: 09-05-2013
CITY OF TUKWILA'
Community Development artment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Mechanical Per
Project No.
Date Application Accepted:
Date ApplicationExpires:
(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 accepl:ed through the mail or by fax.
**please print**
SITE LOCATION
Site Address:
Tenant Name:
7 9 3--e\
(1\. f.O
g Co Assessor's Tax No.:
SinS4244 ��kC�"J [%V
Suite Number: Floor:
New Tenant: ❑ Yes ❑.. No
PROPERTY. OWNER
receiving all project
-
Name: sp)
Name:-
Ov\
y�Qn7
Addres
Phone: Fax:
Email:
City:
ij `PState:
ZipG%Oii fX
A De
�'
CONTACT PERSON = person
communication
receiving all project
-
Name: sp)
` �
City: State: 1 , �_ Zip:1 (C
Address.
C sky
1 *lir
City: State: ip:
Phone: Fax:
Email:
°MECHANICAL CONTRACTOR INFORMATION
Company Name:Q, r'—"' 0) (`f/
Address^�
6_ew
` �
City: State: 1 , �_ Zip:1 (C
PhonnoCQ��IcT
Contr Reg NNo./' F it),F.11 ', • : •,, a_ pPI I 1
Tukwila Business License No.: cAALT , 02,49012 i
f
0i1��� Cp
22D 19
Valuation of project (contractor's bid price): $
8m0 06
Describe the sco s e of work in detail:
Use:
Fuel Type:
r
Residential: New
Commercial: New
Electric El Gas
Replacement
Replacement
Other:
H:\Applications\Forms-Applications On Lme\201 I Applications\Mechanical Permit Application Revised 8-9-1 I.docx
Revised: August 2011
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Page 1 of 2
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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/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 T S PERMIT.
BUILDING OWNER 4 iUUTHORIZED AGENT:
Signature: i%` A _
Print Name: t - —./AL
i P ay Telephon
�''
Mailing Address: �4 _-.. -a --_ A►Llit
City
FI:1Applications\Forms-Applications On Line \2011 Applications\Mechanical Permit Application Revised 8-9-I I.docx
Revised: August 2011
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Date:
State Zip
Page 2 of 2
•
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.Oov
RECEIPT
Parcel No.: 8864000520 Permit Number: M13-172
Address: 13791 34 AV S TUKW Status: PENDING
Suite No: Applied Date: 09/05/2013
Applicant: ROMERO RESIDENCE Issue Date:
Receipt No.: R13-02550
Initials: JEM
User ID: 1165
Payment Amount: $179.90
Payment Date: 09/05/2013 10:41 AM
Balance: $0.00
Payee: LORI REYNOLDS
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 045285
ACCOUNT ITEM LIST:
Description
179.90
Account Code Current Pmts
MECHANICAL - RES
000.322.102.00.00 179.90
Total: $179.90
, Rercint_!1R
Printarl n9 -n5-9(113
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INSPECTION RECORD
Retain a copy with permit (' 13-17
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
Project:
* r
Type of Inspection:
1-1 IQ A i -
Address: —
4 -\Special
Date Called:
Instructions:
1
_
Date Wanted:---z
anted:�a.z
I ( -_ I per`
> equester:
Phone No:
70(0-8Sv-9LIO5
. pproved per applicable codes. OCorrections required prior to approval. 3
COMMENTS:
0 ►nnc-t �,.� We, 14-----:;) lyra---,
Spector; Date:
�D-z3-r
n Rt -I0• PECTION FEE REQU RED. Prior to n xt inspection, fee must be
pal4 at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
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
Mt 3 -122,
Pr9iect:
j�/� {�
C JE Jk--t��- I V 0 D iui'ANLS L V -e44
L.. —r �ssA-6e __. Na ONE ,k1
Type Inspectign:
p Li(6 f.. e S ,cJ•1 e.)- J (t____ J r-
Address:
;t
Date Called:
Special Instructions:
f?,_p p(a. GR._ 3
`7
r -,.J rn.n-z(
5.--
1 j
Date Wanted:
n ��
— 21
--
' (3
aarp„
p.m.
Requester:
Phone No:
Approved per applicable codes. 12Co rr ections required prior to approval.
COMMENTS:
j�/� {�
C JE Jk--t��- I V 0 D iui'ANLS L V -e44
L.. —r �ssA-6e __. Na ONE ,k1
10 uu A}g_J 6-4-'4 6_6 3 - Ck. e* •; AA: cd4,'fl
p Li(6 f.. e S ,cJ•1 e.)- J (t____ J r-
ctor:
Date:„
I 1 REINSPECTION FEE R QU ED. Pric?)o next inspection, fee must be
paid at 6300 Southcente? Lvd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Prin r Friendly Page
I
General/Specialty Contractor
A business registered as a construction contractor with LEI 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 GENESEE FUEL&NTNG CO INC UBI No. 578049915
Phone 2067221545 Status Active
Address Po Box 18206 License No. GENESFH37006
Suite/Apt. License Type Construction Contractor
City Seattle Effective Date 9/26/1963
State WA Expiration Date 9/18/2015
Zip 981180206 Suspend Date
County King Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company
Business Owner Information
Name
Role
Effective Date
Expiration Date
CLARK, STEVEN TODD
President
1Q/06/2011
Bond Amount
CLARK, STEVEN T
President
01/01/1980
10/06/2011
CLARK, ANITA J
Secretary
01/01/1980
10/06/2011
HERRMANN, GAIL
09/17/2007
01/01/1980
01/01/1980
CLARK, DONALD S
09/01/2004
01/01/1980
01/01/1980
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
4
DEVELOPERS SURETY
Et INDEM CO
573549C
09/07/2007
Until Cancelled
$12,000.00
09/17/2007
3
DEVELOPERS SURETY
Et INDEM CO
573549C
09/01/2004
09/07/2007
$6,000.00
08/04/2004
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
22
Continental
Western Ins Co
CDP2976081
05/04/2013
05/04/2014
$1,000,000.00
05/08/2013
21
BERKLEY INS CO
CDP2976081
05/04/2012
05/04/2013
$1,000,000.00
05/11/2012
20
AMTRUST INS
WPP101894600
09/01/2010
09/01/2012
$1,000,000.00
08/02/2011
19
FEDERATED
MUTUAL INS
9363080
09/01/2004
09/01/2011
09/14/2010
$1,000,000.0008/05/2010
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
https://fortress.wa.gov/lni/bbip/Print.aspx
09/05/2013