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
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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
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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
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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