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Permit M14-0206 - CURTIS RESIDENCE - HEATING SYSTEM
CURTIS RESIDENCE 4004 S 152' ST M14-0206 Parcel No: Address: Project Name: 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 0041000630 4004 S 152ND ST CURTIS RESIDENCE MECHANICAL OTC PERMIT Permit Number: M14-0206 Issue Date: 11/12/2014 Permit Expires On: 5/11/2015 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: MILLIKEN CURTIS D 24502 26TH AVE S , DES MOINES, WA, 98198 DON ATWOOD 5616 CALIFORNIA AVE SW , SEATTLE, WA, 98136 FED'S HEATING AND A/C 10225 31ST AVE SE , EVERETT, WA, 98208 FEDSHHA961PE /11 Phone: (206) 948-8548 Phone: (425) 337-9574 Expiration Date: 11/7/2016 DESCRIPTION OF WORK: INSTALL HEATING SYSTSEM Valuation of Work: $7,500.00 Type of Work: REPLACEMENT Fuel type: GAS Fees Collected: $240.82 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: 2012 2012 2012 2012 International Fuel Gas Code: WA Cities Electrical Code: WA State Energy Code: 2012 2014 2012 / /N ,�i�i(�l� Date: ff (4 /` V Permit Center Authorized Signature:9 v 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 athe conditions attached to this permit. Signature: / %"' / Date:// Print Name: 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 TUKH 4 Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Mechanical Per nit No. (Y I - ©dv° (° Project No. Date Application Accepted: Date Application Expires: (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 LOCATION Site Address: DES 75-2 Tenant Name: / r / l l / is Ke-11 Cir ri King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: El Yes ❑.. No PROPERTY OWNER Name: ! v) i (1 x_eo C o r n, 5 Address: 2cfcoz 2.6 '19(/P S City:pQ� mO 1 e 5 State:,mt....Zip: CONTACT PERSON — person receiving all project communication �j+ Name: 'i ?"'iced /7n/ pDO/i , Address: 6(6 410 Cbf Q 7lf ge glii". q City: sec27it�e 1 State: / 4 Zip_l Q/36 p / U Phone: gam._ Gjw3 !- 8 Email: MECHANICAL CONTRACTOR INFORMATION Company Name:,,rf5 (2ee t / / 1 � C-�%s: V 5 � �/ Address: ( 22S ,/ 7Ge. rE // City: 7e re e State: f� Zip: 4 i L Phone:42 3 c/ Fax: Contr Reg NoFeo 64176/ xp Date: /( 7—/i Tukwila Business License No.: Valuation of project (contractor's bid price): $ / SVC /VU %-.g- � Ae� r f Z/7 _C:y-S re t Describe the scope of work in detail: Use: Residential: New ❑ Replacement7:11- Commercial: New ❑ Replacement ❑ Fuel Type: Electric ❑ Gas Other: H:'Applications\Porms-Applications 0n 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 Furnace >100k btu Floor furnace Suspended/wall/floor mounted heater Appliance vent Repair or addition to heatirefrig/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 4 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). 1 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 O)4YiT#IORIZED_AGFi T: Signature: Print Name: Mailing Address: Date: //.-72-79. Day Telephone: City State Zip H:Wpplications\Forms-Applications 0n Line\2011 Applications\Mechanical 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 $240.82 M14-0206 Address: 4004 S 152ND ST n: 0041000630 240.82 MECHANICAL $229.35 PERMIT FEE R000.322.100.00.00 0.00 $196.85 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $32.50 TECHNOLOGY FEE $11.47 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R3537 R000.322.900.04.00 0.00 $11.47 $240.82 Date Paid: Wednesday, November 12, 2014 Paid By: FEDOR MINCHUK Pay Method: CASH Printed: Wednesday, November 12, 2014 12:38 1 of 1 PM CirliPWSYSTEMS rtI INSPECTION RECORD Retain a copy with permit ON NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 y-0 2_04, PERMIT NO. (206) 431-367 Project ‘ LW III A-Q-i Type of In ..._ , r7PtC4 / Address: 4004' 1-, rs--2)-dif . Date Called: Special Instructions: ept Date Wanted: 11—/ 1/ —(5— a,m. P.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. OMMENT : Inspector: Datei-f REINSP CTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100, Calt to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO, PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd,, #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 M t 16 Project:„ --, t (L/ f 1 i S / ec, JeAa„ Type of InspectIon: P.-DJ A- j--kj Address: Xi 4 0 04 I 'S-2.----57-- Date Cakiled: .-- Special Instructions: / Date Wanted: ela,ow' i1- ---C7 (4- P.m. 'Requester: one No: C4S" [El Approved per applicable codes. El Corrections required prior to approval. COMMENTS: inspectOr: : P REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100 Catt to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTIO NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 MA--ou(o Project: s ges'oeiNa. Type f inspection: /A vi o K_D u 6 tat -1--11-1 t tlil, Addr s: -'4D 64 AI I S Z. Sr -- Date Called: Special Instructions: Date Wanted: / 2-- / 'Requester: Phone No: I:Approved per applicable codes. Corrections required prior to approval. COMMENTS: „a ip Ili tt ) c -r -; ,‘ ., \I 1E71: ) 10 —VqA11 n P ( __17- . by 1 S„ /-->K1— A i cri- --r),,,s1-S A,A 1<-7 hP /A A -(-PA 1---)I --r-- t% , jr_ c 14) r 0 n-c-- - ) L---- ° e—r: 44 ,— ,....„ Ins c Da E REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. FED'S HEATING AND A/C Page 1 of 2 0 Washington State Department of Labor & Industries FED'S HEATING AND A/C Owner or tradesperson MINCHUK, FEDOR Principals MINCHUK, FEDOR, OWNER WA UBI No. 602 427 805 10225 31ST AVE SE EVERETT, WA98208 425-337-9574 SNOHOMISH County Business type Individual License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Construction Contractor Active. Meets current requirements. License specialties Heating/Vent/Air-Conditioning and Refrig (HVAC/R) License no. FEDSHHA961 PE Effective — expiration 10/05/2004-11/07/2016 Bond RLI INS CO $6,000.00 Bond account no. LSM0195192 Received by L&I Effective date 10/04/2010 10/05/2010 Expiration date Until Canceled Bond history Insurance Contractors Bonding & Insuranc $500,000.00 Policy no. C11 SI4301 Received by L&I Effective date 08/25/2014 10/05/2014 Expiration date 10/05/2015 Insurance history Savings No savings accounts during the previous 6 year period. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602427805&LIC=FEDSHHA961PE&SAW= 11/12/2014 FED'S HEATING AND A/C Page 1 of 2 Washington State Department of Labor & Industries FED'S HEATING AND A/C Owner or tradesperson MINCHUK, FEDOR Principals MINCHUK, FEDOR, OWNER WA UBI No. 602 427 805 10225 31ST AVE SE EVERETT, WA98208 425-337-9574 SNOHOMISH County Business type Individual License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Construction Contractor License specialties HeatingNent/Air-Conditioning and Refrig (HVAC/R) License no. FEDSHHA961 PE Effective — expiration 10/05/2004— 11/07/2016 Bond Active. Meets current requirements. RLI INS CO $6,000.00 Bond account no. LSM0195192 Received by L&I Effective date 10/04/2010 10/05/2010 Expiration date Until Canceled Bond history Insurance Contractors Bonding & Insuranc $500,000.00 Policy no. C11 SI4301 Received by L&I Effective date 08/25/2014 10/05/2014 Expiration date 10/05/2015 Insurance history Savings No savings accounts during the previous 6 year period. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602427805&LIC=FEDSHHA961PE&SAW= 11/12/2014