HomeMy WebLinkAboutPermit M14-0069 - ROMERO RESIDENCE - DUCTLESS HEAT SYSTEMROMERO RESIDENCE
15156 65 AVE S
EXPIRED
09/23/2014
M14-0069
Parcel No:
Address:
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-438-9350
Web site: http://www.TukwilaWA.gov
MECHANICAL OTC PERMIT
1332501690
15156 65 AVE S 101001
Project Name: ROMERO RESIDENCE
Permit Number: M14-0069
Issue Date: 3/27/2014
Permit Expires On: 9/23/2014
Owner:
Name:
Address:
Contact Person:
Name:
ROMERO REGINA DA CONCEICAO
15156 65TH AVE S #1001 , TUKWILA,
WA, 98188
BEN USKOSKI
Address: PO BOX 1205 , BATTLE GROUND, WA,
98604
Contractor:
Name: ENERGY CONSERVATION COMPANY
Address: PO BOX 1205 , BATTLE GROUND, WA,
98604
License No: ENERGCC888JW
Lender:
Name:
Address:
Phone: (360) 608-2269
Phone: (360) 608-2269
Expiration Date:
DESCRIPTION OF WORK:
INSTALL DUCTLESS HEAT SYSTEM
Valuation of Work: $2,500.00
Type of Work: NEW
Fuel type: ELECT
Fees Collected: $179.90
Electrical Service Provided by:
Water District:
Sewer Distric:
Current Codes adopted by the City of Tukwila:
Internations Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
2012
2012
2012
2012
International Fuel Gas Code:
WA Cities Electrical Code:
WA State Energy Code:
2012
2012
2012
Permit Center Authorized Signature:
Date:
cq)zi
I hearby certify that I have read and examined this permit and know the same to be true and correct. All
provisions of law and ordinances governing this work will be complied with, 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
development permit and agree to the conditions attached to this permit.
Signature:
Print Name:
•
Date:(3Z7\%-1
This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or
if the work is suspended or abandoned for a period of 180 days from the last inspection.
PERMIT CONDITIONS:
1: ***MECHANICAL PERMIT 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 record card and approved construction documents shall be kept at the site of work
and shall be open to inspection by the Building Inspector 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: Type 1 Hoods, the required grease duct leakage test and (light test shall be performed by a special
inspection and testing agency in accordance with I.M.C. Chapter 5.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
1800 MECHANICAL FINAL
0701 ROUGH -IN MECHANICAL
CITY OF TUKW '
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htii://www.TukwilaW A. gov
Mechanical Perinit No.
Project No.
Date Application Accepted: V Z'
Date Application Expires:
(For office use only)
AA - OLfP`I
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
King Co Assessor's Tax No.: %�' V M"
Site Address: \ S 1 Scv Suite Number: \ O( Floor:
Tenant Name:
PROPERTY OWNER
Name: A.,�
Address: \S \ S C0
c
T‘‘, iv._
City: 70 \K W &,
State: W
Zip: ��,
�
CONTACT PERSON — person receiving all project
communication
Name:
Address:
City: State:
Zip:,
Phone:.., Fax:
3c,c.) �- C.v zi..Cc r—
Email: b O
esi. � ecL� v>r,,cow.
New Tenant: ❑ Yes M.. No
MECHANICAL CONTRACTOR INFORMATION
Company Name: —
Address: ,j �� \Z U S
City: -\?.c,, CV C_`� State: W Zip: cic?7A A
Phone: Fax:
Contr Reg No.: Exp Date:
�� i.2c_-.C_C_-�t3� w 0
16
Tukwila Business License No.: t7A I r
UnCi4 Ain
n
Valuation of project (contractor's bid price): $ O .00
Describe the scope of work in detail: \ ..-\SV..\\
Use: Residential: New [ Replacement ❑
Commercial: New ❑ Replacement ❑
Fuel Type: Electric t"
Gas ❑
Other:
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 <I OOk 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 I
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
Ht c,c, R�v..,@ Nz
x
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 AUT ORIZED AGENT:
Signature:
Print Name: �c,.c_ceC -%e\\A,b�.
Mailing Address: OX \2 z S
Date:)Z-7 I \`-\
Day Telephone: 3 &
�L C� Co\-)``` C\?;.coL\
City State Zip
H:Wpplications\Forms-Applications 0n Line\2011 Applications\Mechanical Permit Application Revised 8-9-11.docx
Revised: August 2011
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Page 2of2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
ACCOUNT
QUANTITY
PAID
PermitTRAK
$179.90
M14-0069 Address: 15156 65 AVE S 101001 Apn: 1332501690
$179.90
MECHANICAL
$179.90
PERMIT FEE
PERMIT ISSUANCE BASE FEE
TOTAL FEES PAID BY RECEIPT: R1608
R000.322.100.00.00
R000.322.100.00.00
$147.40
$32.50
$179.90
Date Paid: Thursday, March 27, 2014
Paid By: GARRETT BELLIKKA, ENERGY CONSE
Pay Method: CREDIT CARD 094414
Printed: Thursday, March 27, 2014 11:45 AM 1 of 1
SYSTEMS
City of Tukwila
Department of Community Development
8/4/2014
BEN USKOSKI
PO BOX 1205
BATTLE GROUND, WA 98604
RE: Permit No. M14-0069
ROMERO RESIDENCE
15156 65 AVE S
Dear Permit Holder:
Jim Haggerton, Mayor
Jack Pace, Director
In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building
Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric
Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null
and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if
the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 9/23/2014.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for the next or final inspection. Each
inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire. Address
your extension request to the Building Official and state your reason(s) for the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your
extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 9/23/2014, your permit will become null and void
and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
`- P
Bill Rambo
Permit Technician
File No: M14-0069
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
ENERGY CONSERVATION COMD ANY
Page 1 of 2
0 Washington State Deparlmmrent of
Labor & Industries
ENERGY CONSERVATION COMPANY
Owner or tradesperson
USKOSKI, BEN A
Principals
USKOSKI, BEN A
USKOSKI, KYLE N
USKOSKI, BEN A
Doing business as
ENERGY CONSERVATION COMPANY
WA UBI No.
603 176 470
PO BOX 1205
BATTLE GROUND, WA98604
360-608-2269
CLARK County
Business type
Corporation
Governing persons
BEN AAUSKOSKI
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor Active.
Meets current requirements.
License specialties
GENERAL
License no.
ENERGCC888JW
Effective — expiration
04/16/2012 — 04/16/2016
Designated administrator
Uskoski, Ben
License type
Electrical Administrator
Bond
Travelers Cas and Surety Co of America
Bond account no.
105958845
Received by L&I
06/27/2013
Insurance
No insurance accounts during the previous 6 year period.
Savings
No savings accounts during the previous 6 year period.
License Violations
ACTIVE
License no.
USKOSB" 911 N4
$4,000.00
Effective date
06/27/2013
No license violations during the previous 6 year period.
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603176470&LIC=ENERGCC888JW&SAW= 03/27/2014