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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 bh 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 bh 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