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HomeMy WebLinkAboutPermit M15-0109 - MORGAN RESIDENCE - GAS FIREPLACEMORGAN RESIDENCE 5190 S 166T ST M15-0109 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 5379200185 Permit Number: M15-0109 5190 S 166TH ST Project Name: MORGAN RESIDENCE Issue Date: 8/28/2015 Permit Expires On: 2/24/2016 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: MORGAN NADINE CHASE PO BOX 88101, TUKWILA, WA, 98138 NADINE MORGAN 5190 S 166 ST, TUKWILA, WA, 98188 ADVANCED INSTALLATION INC 16504 HWY 99 STE 101, LYNNWOOD, WA, 98037 ADVAN11033DU Phone: (206) 243-0900 Phone: Expiration Date: 3/13/2016 DESCRIPTION OF WORK: INSTALL GAS FIREPLACE INSERT IN EXISTING WOOD BURNING FIREPLACE (UPSTAIRS). LOPI 31-DVI, 31,000 BTU'S Valuation of Work: $2,400.00 Type of Work: NEW Fuel type: GAS Fees Collected: $188.90 Electrical Service Provided by: PUGET SOUND ENERGY Water District: HIGHLINE 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: 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: 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 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: ' , Date: 5172,,c, l r� Print Name: ,dr'te c,,.‘ 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 llight 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 Tenant Name: M p,rG t� stcea,,,a., , CITY OF TUKWI Community Development Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 littp://www.TukwilaWA.gov Mechanical Permit No. M (0 ( 0 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 King Co Assessor's Tax No.: Site Address: S )1.6 SG. 1 Co(o-t-17 Si- t �� t-w1 I4 q 2)7 Suite Number: 101 A. Floor: li105-6. r s New Tenant: ❑ Yes ❑.. No PROPERTY OWNER Name: • A dP 1 vim.. Prk 6y--5c,n Address 0 `L,. I GA -fit S City: U k wt State: LJ;R Zip: 991 4( CONTACT PERSON — person receiving all project communication Name: Addresss) 4 b J lee G . City: �� kwi (S State Zip: Ct g 1 cm (2040� 243-696 Fax: (2 7 243 -o90 G Email: nctUO tit c, dict,°A.e n4 e....4 CD a. 1,31a.1 . PArw► MECHANICAL CONTRACTOR INFORMATION Company Name: I v va h co aft I n s j-u I l a •h av1, )c Address: 1 ,sal-1 Hwy 19 Su 1- IC.) City §tate: Zip: `Tu k Lot l; lk A. 9/637 Phone: Fax: Contr Reg No.: Exp Date: adVarnitO 3oltw Tukwila Business License No.: Valuation of project (contractor's bid price): $ 2ct pp o0 Describe the scope of work in detail: \r t 11 C la cR, tH sPP,-+ M-ex,s-j-( /2 „j66J1,u 4treelag-e_ c r rs) Loy; -5I - ��� 1 3 (oav 0,-"F Use: Residential: New ❑ Replacement 1 Commercial: New ❑ Replacement ❑ Fuel Type: 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 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 Wooc stove) 'lc 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 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: Print Name: anpQ t Ins enn' (Ao et vl Mailing Address: Q6 D0,C Sg Gi Date: S 29 /pc - Day Telephone: (206)2. —09G8 City w� State 9gi 3� Zip H:\Applications\Forms-Applications 0n Line\2011 Applications\Mechanical Permit Application Revised 8-9-11.docx Revised: August 2011 bh Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK I ACCOUNT I QUANTITY I PAID $257.15 M15-0109 Address: 5190 S 166TH ST Apn: 5379200185 $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 R000.322.900.04.00 0.00 $9.00 PG15-0098 Address: 5190 S 166TH ST Apn: 5379200185 $68.25 GAS $65.00 PERMIT FEE R000.322.100.00.00 0.00 $65.00 TECHNOLOGY FEE $3.25 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R6031 R000.322.900.04.00 0.00 $3.25 $257.15 Date Paid: Friday, August 28, 2015 Paid By: NADINE MORGAN Pay Method: CHECK 2786 Printed: Friday, August 28, 2015 2:51 PM 1 of 1 CL'SYSTEMS INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 1242, Pro'ect: /� Vvi- Type o Inspe�tiion: e ( Address: �O fb c fI f r Date Called: Spee`ci/aal II,I7nstructions: pm Date W ted• % j` 7 - , U a.m. p.m. Requester: Phone No: Approved per applicable codes. OMMENTS: ElCorrections required prior to approval. Inspector: Date 7 a3 —( s REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. rJXINSPECTION RECORD il Retain a copy with permit SPEC i NO. PERMIT NO. Mrs o(ay. CITY OF TUKWILA BUILDING DIV�N Aiteeit 6300 Southcenter Blvd., #100, Tukwila. WA 981 :81ti, 3670 Permit Inspection Request Line (206) 438-9350 Prr ct:: ` — (� `� � 1� Q• ,o `-'i Type of Inspectic, l: S C Y f (ace - Address`.) 5(gOi,.166 sf. Date Called: Special Instructions: Date Wafnt7:d . l-5-- a.m. P.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. OMMENTS: Inspector:e../ REINS ECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. ADVANCED INSTALLATION INC Page 1 of 2 Hoene Inicio en Espanol Contac Search L&I A-Z Index Help My Secure LAI Safety Claims & Insurance Workplace Rights Trades & Licensing 0 Washington State Department of Labor & Industries ADVANCED INSTALLATION INC Owner or tradesperson Principals TAYLOR, ROBERT STEPHEN, PRESIDENT TAYLOR, ASHLEY DEBIN, SECRETARY TAYLOR, ROBERT STEPHEN, AGENT Doing business as ADVANCED INSTALLATION INC WA UBI No. 601 749 093 16504 HWY 99 STE 101 LYNNWOOD, WA 425-745-5977 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. ADVANII033DU Effective — expiration 03/31/1997— 03/13/2016 Bond ................. Wesco Insurance Co Bond account no. 46WB019262 Active. Meets current requirements. $12,000.00 Received by L&I Effective date 03/12/2013 03/01/2013 Expiration date Until Canceled Bond history Insurance .............................. Liberty Northwest Ins Corp $1,000,000.00 Policy no. BK056511413 Received by L&I Effective date 04/23/2015 05/31/2015 Expiration date 05/31/2016 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. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601749093&LIC=ADVANII033DU&SAW= 08/28/2015