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Home My WebLink AboutPermit M15-0079 - GILLEN RESIDENC - HEAT PUMP AND FURNACEGII.I.EN RESIDENCE 4900 S 161 ST M15-0079 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 MECHANICAL OTC PERMIT 5379800228 4900 S 161ST ST Issue Date: Permit Expires On: GILLEN RESIDENC Permit Number: M15-0079 6/22/2015 12/19/2015 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: RUSSO GUY 4900 S 161ST , SEATTLE, WA, 98188 GREEN CITY HTG & A/C INC 18131 85TH ST E , BONNEY LAKE, WA, 98391 GREEN CITY HTG & A/C INC 18131 85TH ST E , BONNEY LAKE, WA, 98391 GREENCH866B2 Phone: (206) 227-6616 Phone: (206) 227-6616 Expiration Date: 1/22/2016 DESCRIPTION OF WORK: ADD HEAT PUMP AND FURNACE Valuation of Work: $10,795.00 Type of Work: NEW Fuel type: GAS Fees Collected: $272.48 Electrical Service Provided by: PUGET SOUND ENERGY Water District: HIGHLINE 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: 2012 2012 2012 2012 2012 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2014 2014 2014 2012 Permit Center Authorized Signature: 01014/6.I Date: 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 re:ulating construction or the performance of work. I am authorized to sign and obtain this development perm and agr- • to the conditions attached to this permit. Signatu Date: C' /2 z4 Print Name: / 4In€I )/ f'16f1SO 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 TUKWJ Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Mechanical Permit No. Iv ► \t' W lC1 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: 46100. S. Raj j ST King Co Assessor's Tax No.: 63 /'9 o 0 O Z ZA? Suite Number: Floor: Tenant Name: New Tenant: ❑ Yes ❑ ..No PROPERTY OWNER ` / Name j,nnv G1 I(CIV Address:Lod. . s . I lD / i s+ State: to A City: I U iL LU I l k Zip: qgl sg CONTACT PERSON — person receiving all project communication Name: Address: City: State: Zip: Phone: Fax: Email: MECHANICAL CONTRACTOR INFORMATION Company Name Yee r\ ei h/ pea fi #1,3 l n< Address:gqg llUusTCl �(l,. ''77 1 U (/� City. 1w, nQ SteWA Zipnglgg Phone: �n� , 22J-7,. t,& I /Fax: sRee[g�No �' Contr Exp Date: dEEEUCH8,b8Z I-22•(to Tukwila Business License No.: Valuation of project (contractor's bid price): $ /O, 7 ? y• 5/ Describe the scope of work in detail: Use: Residential: New Replacement ❑ Commercial: New ❑ Replacement ❑ Fuel Type: Electric Gas V Other: \-1ea4- Pump --F'u r nacre, H:Wpplications\Forms-Applications On Line\2011 Applications\Mechanical Permit Application Revised 8-9-I I.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 1 Floor furnace Suspended/wall/floor mounted heater Appliance vent Repair or addition to heat/refrig/cool ing 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 H ca4- I Pump 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). 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 0 AUTHORIZED AGENT: S ignatur Print Nam ' 4'1')' 1 Y1Q ,SvioflSfr\ Mailing Address: IgI3I - 8 ' ST E Date: Day Telephone: 201a ZZ7- to le I lo 3anf LAIL_ IOA 983R1 City State Zip H:\Applications\Forms-Applications On Line \2011 Applications\Mechanical Permit Application Revised 8.9-1 I.docx Revised: August 2011 bh Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $272.48 M15-0079 Address: 4900 S 161ST ST Apn: 5379800228 $272.48 MECHANICAL $259.50 PERMIT FEE R000.322.100.00.00 0.00 $227.00 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $32.50 TECHNOLOGY FEE $12.98 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R5586 R000.322.900.04.00 0.00 $12.98 $272.48 Date Paid: Monday, June 22, 2015 Paid By: GREEN CITY Pay Method: CHECK 5876 Printed: Monday, June 22, 2015 10:11 AM 1 of 1 CSYSTEMS R INSPECTION RECORD Retain a copy with permit INON NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Ars=dO7c1 Permit Inspection Request Line (206) 438-9350f0 (4._ Project: 6 ( ((e Gk MA Type of Inspection: , M - 1 Pt tk / Ad,dress: ti to®Sat(6(1rSi" Date Called: Special Instructions: p.M Date Wanted: - 1 _ IS- a.m. p.m. Requester: Phone No: Approved per applicable codes. El Corrections required prior to approval. OMMENTS: 64r-Tf ‘(49( Inspector: Date:.,. REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. t‘c 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 Project: 6( (kk (�e� Type of Inspe ion: /� ?�r l Address: s'.r��D Called: Special Instructions: aa,Nl Date Wanate g•_ CS a.m. p.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: r �C / R K - I �v U( %). 5 ( 1-f-cu^si kAt ) do fur t_r2 +oz., cif c Gut"' r`� '( s /e fr (Elf- / qpitt e - ` i ( deJ; aGi Inspector Dat ( 5 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. ' Green City HTG & A/C INC Page 1 of 2 Home Inicio en Espanol Contact. Search L&I [,tF A-Z Index Help My Secure 1,&I Safety Claims & Insurance Workplace Rights Trades & Licensing Washington State Department of Labor & Industries Green City HTG & A/C INC Owner or tradesperson Principals Simonson„ Jeffrey Orvold, PRESIDENT Simonson, Katrina Marie, SECRETARY Doing business as Green City HTG & A/C INC WA UBI No. 603 363 739 18131 85TH ST E BONNEY LAKE, WA98391-7149 206-227-6616 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 Heating/Vent/Air-Conditioning and Refrig (HVAC/R) License no. GREENCH866B2 Effective — expiration 01/22/2014— 01 /22/2016 Bond ........... American Contractors Indem CO Bond account no. 100180935 Active. Meets current requirements. $6,000.00 Received by L&I Effective date 01/22/2014 01/22/2014 Expiration date Until Canceled Insurance ............................. Developers Surety & Indem Co Policy no. BIS00012057-04 $1,000,000.00 Received by L&I Effective date 11/24/2014 11/18/2014 Expiration date 11/18/2015 Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts ............... No L&I tax debts are recorded for this contractor license during the previous 6 year period, but some debts may be recorded by other agencies. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603363739&LIC=GREENCH866B2&SAW= 6/22/2015