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
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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
(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
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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