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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 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 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 bh 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 ..f 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