HomeMy WebLinkAboutPermit M14-0182 - MALBRAIN RESIDENCE - GAS FURNACE REPLACEMENTMALBRAIN RESIDENCE
14255 53 AVE S
M14-0182
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
7255200220
14255 53RD AVE S
Project Name: MALBRAIN RESIDENCE
MECHANICAL OTC PERMIT
Permit Number: M14-0182
Issue Date: 9/23/2014
Permit Expires On: 3/22/2015
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
MALBRAIN SHEILA JEANNE
14255 53RD AVE S , TUKWILA, WA,
98168
DAVE ROSS
910 VALLEY AVE NW #104-2 ,
PUYALLUP, WA, 98371
ADVANCED FILTER & MECH INC
516 VALLEY AV NE , PUYALLUP, WA,
98372
ADVANFM044RD
Phone: (253) 770-2440
Phone: (253) 770-2440
Expiration Date: 12/29/2014
DESCRIPTION OF WORK:
REPLACE GAS FURNACE
Valuation of Work: $0.00
Type of Work:
Fuel type:
Fees Collected: $188.90
Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: TUKWILA
Sewer District: TUKWILA 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:
2012
2012
2012
2012
International Fuel Gas Code:
WA Cities Electrical Code:
WA State Energy Code:
2012
2014
2012
Permit Center Authorized Signature:
Date: 01\22? I Li
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 permittiand agree to the conditions attached to this permit.
Signature:
Print Name:
LLr�
Date: v/ C e)3` J 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: 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.
2: ***MECHANICAL PERMIT CONDITIONS***
3: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila
Permit Center (206/431-3670).
4: 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.
5: Manufacturers installation instructions shall be available on the job site at the time of inspection.
6: 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.
7: 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.
8: 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 TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Mechanical
Project No.
Date Application Accepted: O� �2'22'J
Date Application Expires: A 7t
(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 LOCATI,O
King Co Assessor's Tax No.: 7255200220
Site Address: 14255 53rd Ave S Tukwila, WA 98188 Suite Number: Floor:
Tenant Name:
Sheila Malbrain
PROPERTY OWNER
Name: Sheila Malbrain
Address: 14255 53rd Ave S
City: Tukwila State: WA
Zip: 98188
CONTACT PERSON — person receiving all project
communication
Name: Dave Ross -Advanced Filter and Mechanical
Address: 910 Valley Ave NW #104-2
City: Puyallup State: WA Zip: 98371
Phone: (253) 770-2440 Fax: (253) 770-2443
Email: Dave@AdvancedFilter.com
New Tenant: ❑ Yes O..No
MECHANICAL CONTRACTOR INFORMATION
Company Name: Advanced Filter and Mechanical
Address: 910 Valley Ave NW #104-2
City: Puyallup State: WA Zip: 98371
Phone: (253) 770-2440 Fax: (253) 770-2443
Contr Reg No.: ADVANFM044RD Exp Date: 1 ,2_120H
Tukwila Business License No.: r,, tAnS-� W t k S Z
()A ROSH
Valuation of project (contractor's bid price): $ 2, 14 J 1, S
Describe the scope of work in detail:
Replace gas furnace.
Use: Residential: New ❑ Replacement
Commercial: New ❑ Replacement ❑
Fuel Type: Electric ❑
Gas 0
Other:
H:Wpplications\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 <100k btu
0
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
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
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 wilt 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 AUTHORIZED AGENT:
Signature: Date: 09/19/2014
Print Name: Tayler Miller Day Telephone: (253) 770-2440
Mailing Address: 910 Valley Ave NW #104-2 Puyallup WA 98371
City State Zip
H:Wpplications\Forms-Applications On Line\2011 ApplicationsNechanical Permit Application Revised 8-9-11.docx
Revised: August 2011
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Page 2 of 2
DESCRIPTIONS
PermitTRAK
Cash Register Receipt
City of Tukwila
ACCOUNT
QUANTITY
PAID
188.90
M14-0182 Address: 14255 53RD AVE S Apn: 7255200220
$188.90
MECHANICAL
$179.90
PERMIT FEE
R000.322.100.00.00
0.00
$147.40
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$32.50
TECHNOLOGY FEE
$9.00
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R3135
R000.322.900.04.00
0.00
$9.00
$188.90
Date Paid: Tuesday, September 23, 2014
Paid By: ADVANCED FILTER & MECHANICAL I
Pay Method: CHECK 4463
Printed: Tuesday, September 23, 2014 3:12 PM 1 of 1
CRWSYSTEMS
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 431-2451
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
(206) 431-3670
MI4-DI V
Project: ,
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Type of Inspection:
An£dA � & if L-,--
Address:
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Date Called:
R OL -
Special Instructions:
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Date Wanted: " '/a.m
ID!4P-- .
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Requester:
Phonee/ No:
YY
1/ Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
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Inspec
tor:
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300`Southcenter Blvd., Suite 100. Call to schedule reinspection.
Date, 0 — 14
ADVANCED FILTER & MECH IT"'
Page 1 of 2
Washington State (Department of
Labor & Industries
ADVANCED FILTER & MECH INC
Owner or tradesperson
ROSS, DAVID A
Principals
ROSS, DAVID A
Doing business as
ADVANCED FILTER & MECH INC
WA UBI No.
600 394 704
910 VALLEY AVE NW
PUYALLUP, WA98371-2538
253-770-2440
PIERCE County
Business type
Corporation
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Construction Contractor
License specialties
GENERAL
License no.
ADVANFM044RD
Effective — expiration
12/04/1996-12/29/2014
Bond
Lexon Ins Co
Bond account no.
9806811
Received by L&I
07/27/2011
Bond history
Insurance
American Fire & Casualty Co
Policy no.
BKA53449218
Received by L&I
01/28/2014
Insurance history
Active.
Meets current requirements.
$12,000.00
Effective date
07/26/2011
Expiration date
Until Canceled
$1,000,000.00
Effective date
02/02/2011
Expiration date
02/01/2015
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600394704&LIC=ADVANFM044RD&SAW= 09/23/2014