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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 bh 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 bh 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: , /14( _6/6 . i ie Type of Inspection: An£dA � & if L-,-- Address: t-47...5 .._5>> ve Date Called: R OL - Special Instructions: �) /n C e Date Wanted: " '/a.m ID!4P-- . Cp.m. Requester: Phonee/ No: YY 1/ Approved per applicable codes. Corrections required prior to approval. COMMENTS: df. /�t71140 (~ 1� yO-PI,� f ,1 _ j Ati, i / 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