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HomeMy WebLinkAboutPermit M13-187 - KING COUNTY HOUSING AUTHORITY - ALTERATIONKING COUNTY HOUSING AUTHORITY 600 ANDOVER PK W M13-187 City o0I'ukwila S 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 MECHANICAL PERMIT Parcel No.: 2623049123 Address: 600 ANDOVER PK W TUKW Project Name: KING COUNTY HOUSING AUTHORITY Permit Number: M13-187 Issue Date: 10/07/2013 Permit Expires On: 04/05/2014 Owner: Name: KC HOUSING AUTHORITY Address: 600 ANDOVER PARK W , TUKWILA WA 98188 Contact Person: Name: Address: Email: DAVID BODMER 2100 196 ST SW , LYNNWOOD WA 98036 DAVID @DBSOLUTIONSNW.NET Contractor: Name: D/B SOLUTIONS LLC Address: 10627 90 ST NE , LAKE STEVENS WA 98258 Contractor License No: DBSOLSL934BK Phone: 425 744-6300 Phone: 425 737-4042 Expiration Date: 01/29/2015 DESCRIPTION OF WORK: RELOCATE (6) DIFFUSERS AND (2) THERMOSTATS Value of Mechanical: $5,457.00 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 The granting of this permit does not pr construction or the performance of work. back of this permit. Signature: Print Nar 4 r 1_6. Ld.6 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. Fees Collected: $261.56 International Mechanical Code Edition: 2012 Date: 0 ned this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. me to give authority to violate or cancel the provisions of any other state or local laws regulating I am authorized to sign and obtain this mechanical permit and agree to the conditions on the Date: 1.0/1 /.3 RA47 407 Print rl• 1n_n7_2n13 • PERMIT CONDITIONS Permit No. M13-187 1: ***BUILDING DEPARTMENT CONDITIONS*** 2: 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. 3: All construction shall be done in conformance with the approved plans and the requirements of the International Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code. 4: Structrual Observations in accordance with I.B.C. Section 1709 is required. At the conclusion of the work included in the permit, the structural observer shall submit to the Building Official a written statement that the site visits have been made and identify any reported deficiencies which, to the best of the structural observer's knowledge, have not been resolved. 5: 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. 6: Manufacturers installation instructions shall be available on the job site,at the time of inspection. 7: 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. 8: 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. 9: 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. 10: 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. 11: 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). 12: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206-431-3670). 13: 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. don: IMC -4/10 M13-187 Printed: 10-07-2013 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Mechanical Permit Project No Date Application Accepted: l 01 Date Application;E'xpires: (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 Site Address: %i0Co lN.)bDV= Tre1e�t J Tenant Name: 1<1 )--ous1•'G 4orioelri New Tenant: ❑ Yes ..No King Co Assessor's Tax No.: Z. 6 Z S O et1 Z 3 Suite Number: Floor: PROPERTY'OWNER Name: �Kis 1N—go p.Mc�- Name: Kta� tau.i i hdosIs) 1, kyHoelly Address:/� µJ L i N1Ctly� �r1 1� City: % LW W t 1,. q State: v., Zip: CAS 1'0 % CONTACT PERSON — person receiving all project communication 1 Name: �Kis 1N—go p.Mc�- Address: z ii,t. 1 ti bill .. 51A) City: (..yµ0 v1/40e,oA State: 14 Zip: cl $ D31, Phone:4Z514 4. 630 t7 Fax: 1z5 • i44 , b311 Email: 1"4"5 e 10.01 „-1-►o., If/i„., , Ae_i MECHANICAL CONTRACTOR INFORMATION Company Name: b13 S 4,...1.0t o'OS Address: Z l i. 0 1`1 to STtAi City: 1.1i n) a w 19 o k. State: ,w� Zip: el B03 Phone: 4Z5 144 17300 Fax: 4 i5 .144 ./,34 ( Contr Reg No.: D6 Sot -SL. 4114 3 E p Date: 1 it -41/15— Tukwila B.iLsiness License No.: _rStlS ~ogel'2.'11 pt., 024SI l Z Ied 40 ol It z Valuation of project (contractor's bid price): $`1 S Describe the scope of work in detail: &"Tis Use: Residential: New 1:1 Replacement ❑ Commercial: New 1:1 Replacement Fuel Type: Electric ❑ Gas • (z� )1+%-a-- — -; Other: H:\Applications\Forms-Applications On Line\2011 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 (p Floor furnace Z 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 (p Evaporator cooler Z Ventilation fan connected to single duct Ventilation system Hood and duct Incinerator — domestic Incinerator — comm/industrial Unit Type Qty Fire damper Diffuser (p Thermostat Z 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 A THORIZE),&GENT: Signature: Pri ame: - ► t J r� �� ''NZ Mailing Address: 2-10 n 14i 67 S; s LA.) JI.t t r t - H:\Applications\Forrns-Applications On Line\2011 Applications\Mechanical Permit Application Revised 8-9-I l.docx Revised: August 2011 bh Day Telephone: Date: )0)111'S '4ZS- -7'4'4.L'3vp ]ZZ Ll/kimt /v*J- (City 1114 el?7C7 State Zip Page 2 of 2 A City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-43 1-3670 Fax: 206-431-3665 Web site: htto://www.TukwilaWA.gov RECEIPT Parcel No.: 2623049123 Permit Number: M13-187 Address: 600 ANDOVER PK W TUKW Status: APPROVED Suite No: Applied Date: 10/07/2013 Applicant: KING COUNTY HOUSING AUTHORITY Issue Date: Receipt No.: R13-02823 Initials: User ID: JEM 1165 Payment Amount: $209.25 Payment Date: 10/07/2013 12:00 PM Balance: $0.00 Payee: DAVID BODNER, DB SOLUTIONS INC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 317095 ACCOUNT ITEM LIST: Description 209.25 Account Code Current Pmts MECHANICAL - NONRES 000.322.102.00.00 209.25 Total: $209.25 Drinfnrl• 9 n_n7_9!N INSPECTION RECORD Retain a copy with permit ,A413 -LEO E PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Proj ct: Type4f Inspection: Address: Date Called: r Special Instructions: Date Wanted: 1vt . IS' _I 3 P.m. Requester: . Phone No: Approved per applicable codes. Corrections required prior to approval. ': COMMENTS: V K tPfA-, 1() Insp'ctor: Dater: ^ _13 n REINSPECTION FE REQUIR rior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite "00. Call to schedule reinspection. Contractors or Tradespeople Per Friendly Page General/Specialty Contractor A business registered as a construction contractor with LEtI 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 D/B SOLUTIONS LLC UBI No. 602667064 Phone 4257446300 Status Active Address 2100 196Th St Sw, Ste 122 License No. DBSOLSL934BK Suite/Apt. License Type Construction Contractor City Lynnwood Effective Date 1/29/2007 State WA Expiration Date 1/29/2015 Zip 98036 Suspend Date County Snohomish Specialty 1 General Business Type Limited Liability Company Specialty 2 Unused Parent Company D/B SOLUTIONS NORTHWEST, LLC Business Owner Information Name Role Effective Date Expiration Date D/B SOLUTIONS, LLC Partner/Member 01/12/2007 Bond Amount BODMER, DAVID HENRY Partner/Member 10/05/2009 SG7910 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 2 CBIC SG7910 01/10/2008 Until Cancelled $12,000.00 10/05/2009 1 CBIC SG7910 01/10/2007 10/05/2009 $6,000.00 01/29/2007 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 7 Ohio Security Ins Co BLS54875900 01/10/2013 01/10/2014 $1,000,000.0001/09/2013 6 CenturySuretyCCP733008 o 01/10/2012 01/10/2013 $1,000,000.00 01/09/2012 5 CENTURY SURETY CO CCP679163 01/10/2011 01/10/2012 $1,000,000.0001/10/2011 4 FIRST MERCURY INS CO FMWA001022 01/10/2010 01/10/2011 $1,000,000.00 01/07/2010 3 FIRST MERCURY INS CO FMWA0000042 01/10/2009 01/10/2010 $1,000,000.00 01/09/2009 2 FIRST MERCURY INS CO FMWA000004 01/10/2008 01/10/2009 $1,000,000.0001/14/2008 1 CAPITOL SPECIALTY INS CORP CS00335826 01/10/2007 01/10/2008 $1,000,000.00 01/29/2007 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 httns .//fnrtress_wa. gov/lni/bbin/Print.asnx 10/07/2013