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.
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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
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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
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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