HomeMy WebLinkAboutPermit M15-0107 - SANDBERG RESIDENCE - DUCTLESS HEAT PUMPJAMES SANDBERG
4928 S 113 ST
EXPIRED
02/22/16
M15-0107
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
3348401741 Permit Number: M15-0107
4928 S 113TH ST
JAMES SANDBERG
Issue Date: 8/26/2015
Permit Expires On: 2/22/2016
Owner:
Name:
Address:
Contact Person:
Name:
SANDBERG JAMES A
4928 S 113TH ST, TUKWILA, WA,
98178
JOHN DAY
Address: PO BOX 59717, RENTON, WA, 98058
Contractor:
Name: FURNACE DOCTORS INC
Address: 18501 SE 216TH ST, RENTON, WA,
98058
License No: FURNAD1931QL
Lender:
Name:
Address:
Phone: (206) 856-6445
Phone:
Expiration Date:
DESCRIPTION OF WORK:
ADD DICTLESS HEATPUMP
Valuation of Work: $1,000.00
Type of Work: NEW
Fuel type:
Fees Collected: $168.63
Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: TUKWILA
Sewer District: NONE
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
Signature:
Permit Center Authorized Sign
apti,fj
Pa
Date:
5f/*[
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 it do s not pr
state oriocal laws regulating
eVelopment permit a
Pri • .N-. e:
e authority to violate or cancel the provisions of any other
performance of work. I am authorized to sign and obt,Ain this
attached to this permit.
Date:
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
e .�
CITY OF TUKW 1
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
littp://www.TukwilaWA.gov
Mechanical Permit No.
Project No.
Date Application Accepted:
Date Application Expires:
Mi5 010�
(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:
Tenant Name:
6, 113 6-1-
0/4
PROPERTY OWNER
Name:
�p
f%L S0fi2 P _.,
6
Address) Jl
of ,�+ `]J 3
City: / U•L (L7 % i ��-�JState: (t /Q
p -7�
Zip G el <7S
CONTACT PERSON — person receiving all project
communication
Name:
Cd%n I, r--
Gftk‘
L
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes ❑.. No
V
MECHANICAL CONTRACTOR INFORMATION
Company Name: ,�„n� �Q
C
Address: pr ( 717
City: p__ / State:/ ,4 Zip:? j�6-
CIJfT
Phon&06 - -F Fax:
'V
Contr Reg No.F ti 4-8 Exp Date: j /
11,162E /C
/
Tukwila Business License No.:
Valuation of project (contractor's bid price): $
Describe the scope of work in detail:
Use:
Fuel Type:
Residential: New ❑ Replacement ❑
Commercial: New ❑ Replacement ❑
Electric...,..,
Gas
Other:
H:\Applications\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
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
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 CERTIFAT=1 READ AND EX INED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
OF P Y BY THE LA S OF TH
PEN
ALTY
BU
Print Name:
Mailing Address:
F WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
•
t
Date:
may Telephone:(' e 644(
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
I ACCOUNT I QUANTITY
I PAID
$168.63
M15-0107 Address: 4928 S 113TH ST
Apn: 3348401741
$168.63
MECHANICAL
$160.60
PERMIT FEE
R000.322.100.00.00
0.00
$128.10
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$32.50
TECHNOLOGY FEE
$8.03
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R6016
R000.322.900.04.00 0.00
$8.03
$168.63
Date Paid: Wednesday, August 26, 2015
Paid By: FURNACE DOCTORS INC
Pay Method: CHECK 1568
Printed: Wednesday, August 26, 2015 4:20 PM 1 of 1
SYSTEMS
City of Tukwila
Department of Community Development
1/4/2016
JOHN DAY
PO BOX 59717
RENTON, WA 98058
RE: Permit No. M15-0107
JAMES SANDBERG
4928 S 113TH ST
Dear Permit Holder:
Jim Haggerton, Mayor
Jack Pace, Director
In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building
Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric
Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null
and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if
the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 2/22/2016.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for the next or final inspection. Each
inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire.
Address your extension request to the Building Official and state your reason(s) for the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your
extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 2/22/2016, your permit will become null and void
and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
Bill Rambo
Permit Technician
File No: M15-0107
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
FURNACE DOCTORS INC
Page 1 of 2
Home Inicio en Espaiiol Contact.
Search L&I
A-Z Index Help My Secure I.,&I
Safety Claims & Insurance Workplace Rights Trades & Licensing
Washington State Department of
AP Labor & Industries
FURNACE DOCTORS INC
Owner or tradesperson
Principals
Day, Johnathan Timothy, PRESIDENT
Day, Geraldine Suzanne, VICE PRESIDENT
Day, Johnathan Timothy, AGENT
Doing business as
FURNACE DOCTORS INC
WA UBI No.
602 682 733
POB 59717
RENTON, WA
206-622-5018
KING County
Business type
Corporation
Governing persons
GERALDINE
SUZANNE
DAY
JOHNATHAN TIMOTHY DAY;
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Construction Contractor Active.
Meets current requirements.
License specialties
HeatingNent/Air-Conditioning and Refrig
(HVAC/R)
License no.
FURNADI931 QL
Effective — expiration
11/13/2007-11/13/2015
Bond
Wesco Insurance Co
Bond account no.
46WB056713
$6,000.00
Received by L&I Effective date
11/14/2014 11/14/2014
Expiration date
Until Canceled
Bond history
Insurance
.............................
Ohio Security Ins Co
Policy no.
BKS5582135
$1,000,000.00
Received by L&I Effective date
05/14/2015 05/01/2015
Expiration date
05/01 /2016
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602682733&LIC=FURNADI931 QL&SAW= 8/26/2015