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Permit M15-0019 - GENDREAU RESIDENCE - GAS FIREPLACE
GENDREAU RESIDENCE 3702 S 138T ST M15-0019 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 8864000880 Permit Number: M15-0019 3702 S 138TH ST Project Name: GENDREAU RESIDENCE Issue Date: 2/25/2015 Permit Expires On: 8/24/2015 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: GENDREAU WILMER O+NANCY M 3702 S 138TH ST, SEATTLE, WA, 98168 JENNIFER COVELLO 9808 31ST AVE SE , EVERETT, WA, 98208 WASHINGTON ENERGY SERVICES CO Address: 3909 196TH ST SW , LYNNWOOD, WA, 98036 License No: WASHIES9710B Lender: Name: Address: Phone: (206) 774-9499 Phone: Expiration Date: DESCRIPTION OF WORK: INSTALL 40K GAS FIREPLACE Valuation of Work: $0.00 Type of Work: NEW Fuel type: ELECT Fees Collected: $102.38 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: International Fuel Gas Code: Permit Center Authorized Signature: 2012 2012 2012 2012 2012 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2014 2014 2014 2012 Date: Qaa itc 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: 'v` Date:>5/(5— Print Name: ��4� /�A1✓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 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 littp://www.ci.lukwila.wa.us Building Permit No. MI5- 00/ Mechanical Permit No. Plumbing/Gas Permit No. 04d-5/LC Public Works Permit No. Ogiol 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** SITE LOCATION Site Address: 3702 S 138TH ST Tenant Name: Property Owners Name: WILMER GENDREAU Mailing Address: 3702 S 138TH ST King Co Assessor's Tax No.: 33659008864000880756 Suite Number: Floor: New Tenant: ❑ Yes ❑ ..No TUKWILA City WA 98168 State Zip CONTACT PERSON — who do we contact when your permit is ready to be issued Name: Jennifer Covello/Northwest Permit Inc Day Telephone: 206-774-9499 Mailing Address: 9808 31 st Ave SE E-Mail Address: Jennifer@nwpermit.com EVERETT WA 98208 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: City Day Telephone: Fax Number: Expiration Date: Contact Person: E-Mail Address: Contractor Registration Number: State Zip ARCHITECT OF RECORD — All plans must be wet stamped by Architect of Record Company Name: Mailing Address: City Day Telephone: Fax Number: Contact Person: E-Mail Address: State Zip ENGINEER OF RECORD — All plans must be wet stamped by Engineer of Record Company Name: Mailing Address: City Day Telephone: Fax Number: Contact Person: E-Mail Address: State Zip Q:\Applications\Fonns-Applications On Line\3.2006 - Permit Application.doc Revised: 9-2006 bh Page 1 of 6 MECHANICAL PERMIT INFORMATION — 206-431-3670 MECHANICAL CONTRACTOR INFORMATION Company Name: Washington Energy Services Mailing Address: 3909 196th St SW Lynnwood City State Zip Contact Person: Candice Hendrickson Day Telephone: 800-398-4663 E-Mail Address: Fax Number: Contractor Registration Number: WAS H I ES 971 O B Expiration Date: 09/02/13 WA 98036 Valuation of Mechanical work (contractor's bid price): $ 4721.07 Scope of Work (please provide detailed information): INSTALL 40K GAS FIREPLACE Use: Residential: New .... Replacement .... ❑ Commercial: New .... ❑ Replacement .... ❑ Fuel Type: Electric LZ1 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 Fumace<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/I,000,000 BTU Suspended/Wall/Floor Mounted Heater Ventilation System Wood/Gas Stove 1 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:\Applications\Forms-Applications On linel3-2006 - 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. BUILDING OWNi' AUT`ORI� GENT: Signature: Date�5' Print N ame:6st /AALet". /Northwest Pero it Inc. Day Telephone: 360-940-2787 Mailing Address: 9808 31 st Ave SE Everett City WA 98208 State Zip Date Application Accepted: Date Application Expires: Staff Initials: Q:Wpplications\Forms-Applications On lanel3-2006 - Permit Application.doc Revised: 9-2006 bh Page 6 of 6 DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY I PAID $74.28 M15-0019 Address: 3702 S 138TH ST Apn: 8864000880 $74.28 MECHANICAL $69.20 PERMIT FEE R000.322.100.00.00 0.00 $69.20 TECHNOLOGY FEE $5.08 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R4701 R000.322.900.04.00 0.00 $5.08 $74.28 Date Paid: Friday, February 27, 2015 Paid By: WINNIE NG Pay Method: CREDIT CARD 01666G Printed: Friday, February 27, 2015 11:07 AM 1 of 1 (STEMS Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT QUANTITY PAID PermitTRAK $262.09 EL15-0184 Address: 3702 5 138TH ST Apn: 8864000880 $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 M15-0019 Address: 3702 S 138TH ST Apn: 8864000880 $102.38 MECHANICAL $97.50 PERMIT FEE R000.322.100.00.00 0.00 $65.00 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $32.50 TECHNOLOGY FEE $4.88 TECHNOLOGY FEE R000.322.900.04.00 0.00 $4.88 PG15-0020 Address: 3702 S 138TH ST Apn: 8864000880 $102.38 GAS $97.50 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $32.50 PERMIT FEE R000.322.100.00.00 0.00 $65.00 TECHNOLOGY FEE $4.88 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R4664 R000.322.900.04.00 0.00 $4.88 $262.09 Date Paid: Wednesday, February 25, 2015 Paid By: WASHINGTON ENERGY SERVICES COM Pay Method: CHECK 2054 Printed: Wednesday, February 25, 2015 12:35 PM 1 of 1 CRW YSTEM S (ce INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 670 Permit Inspection Request Line (206) 436-9350 &45 1 uf_" 15-- coda( Project, -e-Pidrea( -Type e ofInspection: w‘ /of`'1 (".q f Iress.`Date 7Se, (o ). clia Special Instructions: &It( r« r . [ Pht Date Wanted: a.m. Request ar W (e. 04)V ( i _p Phone No: , 2--06 - 77y- E3.6. ei © Approved per applicable codes. Corrections required prior to approval. COMMENTS: -Ft k �KC ` �I/al a� h Inspector:/ c-, Date:y_G—/_ REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. WASHINGTON ENERGY SERVICE'S CO Page 1 of 7 Horne Inicio en Espanol Contact Search L&I A-7, Index Help My Secure I,&I Safety Claims & Insurance Workplace Rights Trades & Licensing Washington State Department of Labor & Industries WASHINGTON ENERGY SERVICES CO Owner or tradesperson OLSON, VERN ALLEN Principals OLSON, VERN ALLEN, PRESIDENT HEAGLE, RANDELL S, VICE PRESIDENT CHRISTIANSON, STEVEN ROY, SECRETARY OLSON, CRAIG EVAN, DIRECTOR OLSON, CRAIG EVAN, PRESIDENT (End: 11/20/2013) OLSON, VERN, VICE PRESIDENT (End: 11/20/2013) HEAGLE, RANDELL S, SECRETARY (End: 11/20/2013) CHRISTIANSON, STEVE, TREASURER (End: 11/20/2013) Doing business as WASHINGTON ENERGY SERVICES CO WA UBI No. 602 320 560 3909 196TH ST SW LYNNWOOD, WA98036 206-282-4700 SNOHOMISH 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. WASHIES971OB Effective — expiration 09/02/2003— 09/02/2015 Bond ........_....... DEVELOPERS SURETY & INDEM CO Bond account no. 571389C Active. Meets current requirements. $12,000.00 Received by L&I Effective date 09/02/2003 08/29/2003 Expiration date Until Canceled Insurance ............................. United Specialty Insurance Com $1,000,000.00 Policy no. BV01452757 https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602320560&LIC=WASHIES971 OB&SAW= 02/25/2015