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HomeMy WebLinkAboutPermit M13-184 - GOV / IR RESIDENCE - INSTALL FURNACEGOV & IR RESIDENCE 4809 S 162 ST M13-184 wq City oftukwila \sy 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 Parcel No.: 5379800430 Address: 4809 S 162 ST TUKW Project Name: GOV & IR RESIDENCE MECHANICAL PERMIT Permit Number: M13-184 Issue Date: 09/23/2013 Permit Expires On: 03/22/2014 Owner: Name: Address: Contact Person: Name: Address: Email: GOV TEA H+ENG YOU IR 4809 S 162ND ST , TUKWILA WA 98188 TASHA COLSON 10733 47 PL W , MUKILTEO WA 98275 TCOLSON@BELRED.COM Contractor: Name: BEL -RED ENERGY SOLUTIONS LLC Address: 10733 47 PL W , MUKILTEO WA 98275 Contractor License No: BELREES888OE Phone: 425 493-5353 Phone: 425-493-5353 Expiration Date: 09/11/2014 DESCRIPTION OF WORK: INSTALLATION OF GAS FURNACE. Value of Mechanical: $4,960.00 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: $199.20 International Mechanical Code Edition: 2012 Date: 3 ed this permit and know the same to be true and correct. All provisions of law and ordinances hether 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: ,q, S� Print Name: Z�mJv,'— Date: �� 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. ..J..... IRA?' All fl M12_114A Printers• 09-73-9013 PERMIT CONDITIONS Permit No. M13-184 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. doc: IMC -4/10 M13-184 Printed: 09-23-2013 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.Tukwila\VA.2ov Mechanical Permit No. J\J\\'Y aL\ Project No. Date Application Accepted: 09042 t� 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 Q King Co Assessor's Tax No.: 5 3'1 `t? 3 ` 6 430 Site Address: 4 8 oct '3 1 a' n d E.. Suite Number: Floor: Tenant Name: �'C t Ck I * Teo., 6\/ New Tenant: ❑ Yes ..No PROPERTY OWNER /� Name: --"r<S�C` a0VSOYN Address: 109'33 4,1}1' ? 1 w Name: .E il� r COIR A T�e0L cl Uy Address: qzu t 5 I ba nd 5 - City: -"...5 y_L.,›;1 ck State: w A Zip: ct81$g CONTACT PERSON — person receiving all project communication /� Name: --"r<S�C` a0VSOYN Address: 109'33 4,1}1' ? 1 w City: R ulr -\ l� co State: W A Zip: g32, 5 Phone: (425)4 t3-5351_3 Fax: ( 42AT-6-5354 5� Email: �colso rJelved . c-Orv\ MECHANICAL CONTRACTOR INFORMATION Company Name: Address: 10,3_5 4,, +>, l City: M Ukit I+ State: W A Zlp:g8215 Phone: (425)083-5353 Fax: (`2.5)443- 5.6 54 Contr Reg No.: 3ELRu58883EExp Date: q I t, i t 4 Tukwila Business License No.: j v5 _ 0 q 4a33 Valuation of project (contractor's bid price): $ 4q1.420,-(30 Describe the scope of work in detail: o o. 30LScoo.. -er- reoc\-e,r CL - T\er c6nvex-k -tri gas ck-P- U3.rces . Use: Residential: New ❑ Replacement Commercial: New ❑ Replacement ❑ Fuel Type: Electric ❑ Gas ❑ Other: e' ear 1 C W 80,S Conversion H:\Applications\Forms-Applications On Line\2011 Applications\Mechanical Permit Application Revised 8-9-11.docx Revised: August 2011 bh ko/9- Page 1 of 2 Indicate type of mechanical work being installed and the quantity below: Unit Type Qty Furnace <100k btu Furnace >100k btu 1 Floor furnace Suspended/walUfloor 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 THIS PERMIT. BUILDING OWNER OR AUTHORIZ D AGENT: Signature: kr-71' Print Name: 0./0\01.1 Mailing Address: tb `33 4 1 . Date: Iq0) an1-7) Day Telephone: (4qe2)— 49e6- 5353 N1 1G 4 -do A c1315 City H:\Applications\Forms-Applications On Line\201I Applications\Mechanical Permit Application Revised 8.9-11.docx Revised: August 2011 bh State Zip Page 2 of 2 • �J�'��"!° w 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.: 5379800430 Address: 4809 S 162 ST TUKW Suite No: Applicant: GOV & IR RESIDENCE RECEIPT Permit Number: M13-184 Status: PENDING Applied Date: 09/23/2013 Issue Date: Receipt No.: R13-02704 Initials: User ID: JEM 1165 Payment Amount: $199.20 Payment Date: 09/23/2013 10:54 AM Balance: $0.00 Payee: BELRED ENERGY SOLUTIONS TRANSACTION LIST: Type Method Descriptio Amount Payment Check 67270 199.20 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts MECHANICAL - RES 000.322.102.00.00 199.20 Total: $199.20 Printarl• nO_21_7n1l *vv INSPECTION RECORD Retain a copy with'permit Mi 3 -18'4 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: \ > /) J /2J Type of I pectin M - h dA --I- - A d"r"ess: 809 Rt2 2. Date Called: Special frfstructibns: Date Wanted: / I '-(E---..1. a.m. .��� e.r: 2 6 Ai ivrA.46P Requester: Phone No: Approved per applicable codes. • OCorrections required prior to approval. COMMENTS: r-AA'`r eD itn(P,J E YC V .J a R r A nspect Al DateI ( i / t.> -- /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 Py ter Friendly Page 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 BEL -RED ENERGY SOLUTIONS LLC UBI No. 603074001 Phone 4254935353 Status Active Address 10733 47Th Pl W License No. BELREES8880E Suite/Apt. License Type Construction Contractor City Mukilteo Effective Date 9/11/2012 State WA Expiration Date 9/11/2014 Zip 98275 Suspend Date County Snohomish Specialty 1 General Business Type Limited Liability Company Specialty 2 Unused Parent Company Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status BELREHA101DK BEL RED HEATING & A/C INC Construction Contractor General Unused 3/12/1990 2/7/2015 Active Business Owner Information Name Role Effective Date Expiration Date MILLARD, DONALD WESLEY Manager 09/11/2012 Bond Information Page 1 of 1 Bond 1 Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date Wesco Insurance Co 46WB002262 08/06/2012 Until Cancelled $12,000.00 09/04/2012 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 2 American Economy 01 -CH -748238- 01/21/2013 01/21/2014 $1,000,000.00 01/07/2013 Insurance Co 6 American 1 Economy 01CH7482385 01/21/2012 01/21/2013 $1,000,000.0009/04/2012 Insurance Co 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 09/23/2013