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Permit M14-0166 - ROBERTS RESIDENCE - HEAT PUMP
ROBERTS RESIDENCE 3807 S 128 ST M14-0166 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.Rov 2384200006 3807 S 128TH ST Project Name: ROBERTS RESIDENCE MECHANICAL OTC PERMIT Permit Number: M14-0166 Issue Date: 8/18/2014 Permit Expires On: 2/14/2015 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: ROBERTS BERNARD+MENDI S 3807 S 128TH ST, TUKWILA, WA, 98168 JENNIFER COVELLO 9808 31 AVE SE , EVERETT, WA, 98208 WASHINGTON ENERGY SERVICES CO 3909 196TH ST SW , LYNNWOOD, WA, 98036 License No: WASHIES9710B Lender: Name: Address: Phone: (206) 774-9499 Phone: Expiration Date: DESCRIPTION OF WORK: INSTALL 24,000 BTU HEAT PUMP Valuation of Work: $0.00 Type of Work: REPLACEMENT Fuel type: ELECT Fees Collected: $219.71 Electrical Service Provided by: SEATTLE CITY LIGHT Water District: 125 Sewer District: VALLEY VIEW SEWER SERVICE Current Codes adopted by the City of Tukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: Permit Center Authorized Signature: 2012 2012 2012 2012 International Fuel Gas Code: WA Cities Electrical Code: WA State Energy Code: 2012 2012 2012 Date: lT l V 1 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: ✓-� 6161,"L1 /b1 cAlC;c 1 Date: 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 flight 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 TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htip://www.ci.tukwila.wa.us Building Permit No. Mechanical Permit No. V1, l u G 1 Plumbing/Gas Permit No. Public Works Permit No. Project No. (For office use only) 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** King Co Assessor's Tax No.: 2384200006 Site Address: 3807 S 128TH ST Tenant Name: Suite Number: Property Owners Name: BERNARD & MENDI ROBERTS Mailing Address: 3807 S 128TH ST TUKWI.LA City Floor: New Tenant: ❑ Yes ❑..No WA 98178 State Zip CONTACT PERSON — who do we contact when your permit is ready to be issued Name: Jennifer Covello/Northwest Permit Inc Mailing Address: 9808 31 st Ave SE Day Telephone: EVERETT 206-774-9499 WA 98208 E-Mail Address: jennifer@nwpermit.com City State Fax Number: 888-400-0383 Zip GENERAL CONTRACTOR INFORMATION — (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) Company Name: Mailing Address: Contact Person: E-Mail Address: Contractor Registration Number: City Day Telephone: Fax Number: State Zip Expiration Date: ARCHITECT OF RECORD — All plans must be wet stamped by Architect of Record Company Name: Mailing Address: Contact Person: E-Mail Address: City Day Telephone: Fax Number: State Zip ENGINEER OF RECORD — All plans must be wet stamped by Engineer of Record Company Name: Mailing Address: Contact Person: E-Mail Address: Q:Wpplications\Forms-Applications On Linel3-2006 - Permit Application.doc Revised: 9-2006 bh City Day Telephone: Fax Number: Page 1 of 6 State Zip MECHANICAL PERMITINFORMATION 206-431-3670 MECHANICAL CONTRACTOR INFORMATION Company Name: Washington Energy Services Mailing Address: 3909 196th St SW Lynnwood WA 98036 City State Zip Contact Person: Candice Hendrickson Day Telephone: 800-398-4663 E-Mail Address: Fax Number: Contractor Registration Number: WASH I ES971 OB Expiration Date: 09/02/13 Valuation of Mechanical work (contractor's bid price): $ 5334.75 Scope of Work (please provide detailed information): INSTALL 24K BTU HEAT PUMP Use: Residential: New .... ❑ Replacement .... IZI Commercial: New .... ❑ Replacement .... ❑ Fuel Type: Electric 1 Gas....❑ Other: Indicate type of mechanical work being installed and the quantity below: Unit Type: Qty Unit Type: Qty Unit Type: Qty Boiler/Compressor: Qty Furnace<100K BTU Air Handling Unit>10,000 CFM Fire Damper 0-3 HP/100,000 BTU Furnace>100K BTU Evaporator Cooler Diffuser 3-15 HP/500,000 BTU Floor Furnace Ventilation Fan Connected to Single Duct Thermostat 15-30 HP/1,000,000 BTU Suspended/Wall/Floor Mounted Heater Ventilation System Wood/Gas Stove 30-50 HP/1,750,000 BTU Appliance Vent Hood and Duct Emergency Generator 50+ HP/1,750,000 BTU Repair or Addition to Heat/Refrig/Cooling System Incinerator - Domestic Other Mechanical Equipment Air Handling Unit <10,000 CFM Incinerator — Comm/Ind Q:' pplications\Forms-Applications On Line\3-2006 - Permit Application.doc Revised: 9-2006 bh Page 4 of 6 PERMIT APPLICATION NOTES = Applicable to all permits in this application 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. Building and Mechanical Permit The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition). Plumbing Permit The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 Uniform Plumbing 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. Print Name: /Northwest Permit Inc. Mailing Address: 9808 31 st Ave SE Date: Day Telephone: 360-945-2787 Everett City WA State 98208 Zip Date Application Accepted: Date Application Expires: Staff Initials: Q:Wpplications\Forms-Applications On Line\3-2006 - Permit Application.doc Revised: 9-2006 bh Page 6 of 6 DESCRIPTIONS PermitTRAK Cash Register Receipt City of Tukwila ACCOUNT ( QUANTITY PAID $277.04 EL14-0803 Address: 3807 S 128TH'ST pn: 238420000 57.33 ELECTRICAL $54.60 PERMIT FEE SINGLE FAMILY R000.322.101.00.00 0.00 $54.60 TECHNOLOGY FEE $2.73 TECHNOLOGY FEE R000.322.900.04.00 0.00 $2.73 M 14-0166! Address: 3807 S 128TH ST Apn: 2384200006 $219.71 MECHANICAL $209.25 PERMIT FEE R000.322.100.00.00 0.00 $176.75 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $32.50 TECHNOLOGY FEE $10.46 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R2876 R000.322.900.04.00 0.00 $10.46 $277.04 Date Paid: Monday, August 18, 2014 Paid By: NORTHWEST PERMIT INC Pay Method: CHECK 1654 Printed: Monday, August 18, 2014 8:47 AM 1 of 1 ?SYSTEMS INSPECTION NO. INSPECTION RECORD Retain a copy with permit (V )I} —Olio% PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36 Permit Inspection Request Line (206) 431-2451 0 Project: 1 !›.b e1 i 3 Ai-3 TAeik 6f--- Type of Inspection: M e (.1k, . E. M A L_ Address: 71 3 3 0 . % 12.k'-- Sr Date. Called: K, o 3 G `�i_al\f Special Instructions: 0 v -. IP i- i u2- 2-q 22 /" o+J(n Date Wanted: 5- 2,5 - /4 a.m. R . , Re uester: Phone No: q .a q 5 Ripproved per applicable codes. Corrections required prior to approval. COMMENTS: r -e f AA'T toNAoZP P � i,..„ Inspector: Dater, 2 ; _ /4 c' \ REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. WASHINGTON ENERGY SERVIC's CO Page 1 of 8 Washington State Department of / Lab©r & Industries WASHINGTON ENERGY SERVICES CO Owner or tradesperson OLSON, VERN ALLEN Principals OLSON, VERN ALLEN, PRESIDENT HEAGLE, RANDELL S, VICE PRESIDENT 3909 196TH ST SW LYNNWOOD, WA98036 206-282-4700 SNOHOMISH County License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Construction Contractor Active. Meets current requirements. License specialties GENERAL License no. WASHIES971OB Effective — expiration 09/02/2003— 09/02/2015 Bond DEVELOPERS SURETY & INDEM CO Bond account no. 571389C Received by L&I 09/02/2003 Insurance United Specialty Insurance Com Policy no. BV01452757 Received by L&I 04/30/2014 Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings $12,000.00 Effective date 08/29/2003 Expiration date Until Canceled $1, 000, 000.00 Effective date 05/01/2014 Expiration date 05/01/2015 Cause no. Open https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602320560&LIC=WASHIES971 OB&SAW= 08/18/2014