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HomeMy WebLinkAboutPermit M15-0128 - BILLINGSLEY RESIDENCE - GAS FURNACE REPLACEMENTBILLINGSLEY RESIDENCE 14731 S9 AVE S EXPIRED 04/02/16 M15-0128 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.eov 8687800139 14731 59TH AVE S MECHANICAL OTC PERMIT Project Name: BILLINGSLEY RESIDENCE Permit Number: Issue Date: Permit Expires On: M15-0128 10/5/2015 4/2/2016 Owner: Name: Address: Contact Person: Name: BILLINGSLEY BYRON+TERESA 14731 59TH AVE S , TUKWILA, WA, 98168 KATRINA SIMONSON Address: 1813185 ST E , BONNEY LAKE, WA, 98391 Contractor: Name: GREEN CITY HTG & A/C INC Address: 18131 85 ST E , BONNEY LAKE, WA, 98391 License No: GREENCH866B2 Lender: Name: Address: 1// Phone: (206) 227-6616 Phone: (206) 227-6616 Expiration Date: 1/22/2016 DESCRIPTION OF WORK: REPLACE GAS FURNACE, LENNOX 70,000 BTU'S Valuation of Work: $6,000.00 Type of Work: REPLACEMENT Fuel type: GAS Fees Collected: $219.71 Electrical Service Provided by: PUGET SOUND ENERGY Water District: TUKWILA 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: Permit Center Authorized Signature: 2012 2012 2012 2012 2012 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: LoA 2014 2014 2014 2012 Date: I��� 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 p state or local laws reg development • ermit an Signature: Print Name: lating c agr es not presume to give authority to violate or cancel the provisions of any other erformance of work. I am authorized to sign and obtain this tached to this permit. ion or th the conditions a Date: This permit shall become null . d oid 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 TUKWl Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Mechanical Permit No. V (S' V 12-g 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: 41. ► 5 G A V e- 5. King Co Assessor's Tax No.: O (n 81 g O0 I 3q Suite Number: Floor: Tenant Name: M eUQG'i1 11 1 r\BS► e y New Tenant: ❑ Yes ZP.No PROPERTY OWNER Name: meOr G...r ?;\\tr\aS1C'\r Address: IL 2 1 - 5°1"t` S • City: t u, V. L.01 \ O. State:1.0 A Zip: Qs. (lfl$ CONTACT PERSON - person receiving all project communication Name440 0.., Address• � - k C.tc.-E•o (2 - City: State: Zip: Phone: ZOlo • 2.27 - t-oU 6 Fax: Email: 0 rc cr\c t by ac. P a c.A , 1. c e rv\_,. MECHANICAL CONTRACTOR INFORMATION Company Name:rcer\ c1- Hy pc Address: Ig ►.I . cg5-b S..r. E Cityht'C\j i Q 1! e State: W A Zipgg3G Phone:2010 . 22'1- to 6 t lv Fax: Contr Reg No.: Exp Date: REFNCi-1861067- 1 /22/1to Tukwila Business License No • 'PUS oci9 to 399 Valuation of project (contractor's bid price): $ A1° t O CIDC_X7 Describe the scope of work in detail: Use: Residential: New Commercial: New Fuel Type: Electric ❑ Gas LQrrC - -10 I - %.1-VS C . Replacement Replacement ❑ Other: H:\Applications\Forms-Applications On Linc\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 1 Furnace > 100k btu `l 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 Wood/gas stove Emergency generator Other mechanical e� equipment ¢, .U6143 1 -u\- r0.C.e d. 4 G11 IC \c ss loci-tr kca-k r. Gas pi p ‘ kin ± b o-4-11 m 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/l ,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 OW Signa Print Nam R AUTHORIZED AGENT: Date: g a2 I // 5" t v• C4 vv or S oh Day Telephone: Z O Ia - Z Zi - (p (p / (o Mailing Address: CI y $ - 111d .&s �, wtla w 98!f8 City State Zip • H:\Applications\Forms-Applications On Line\2011 Applications\Mc hanical Permit Application Revised 8-9-11.docx Rcviscd: August 2011 bh Page 2 of 2 Cash Register Receipt City of Tukwila Receipt Number R6336 DESCRIPTIONS ACCOUNT QUANTITY PAID PermitTRAK $439.16 M15-0128 Address: 14731 59TH AVE 5 Apn: 8687800139 $219.71 MECHANICAL $209.25 PERMIT FEE R000.322.100.00.00 0.00 $176.75 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $32.50 TECHNOLOGY FEE $10.46 TECHNOLOGY FEE R000.322.900.04.00 0.00 $10.46 PG15-0119 Address: 14731 59TH AVE 5 Apn: 8687800139 $219.45 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 PLUMBING $111.50 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $32.50 PERMIT FEE R000.322.100.00.00 0.00 $79.00 TECHNOLOGY FEE $10.45 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R6336 R000.322.900.04.00 0.00 $10.45 $439.16 Date Paid: Monday, October 05, 2015 Paid By: GREEN CITY HTG & A/C INC Pay Method: CHECK 5939 Printed: Monday, October 05, 2015 11:39 AM 1 of 1 CiriSYSTEMS City of Tukwila Department of Community Development 3/1/2016 KATRINA SIMONSON 18131 85 ST E BONNEY LAKE, WA 98391 RE: Permit No. M15-0128 BILLINGSLEY RESIDENCE 14731 59 AVE S Dear Permit Holder: Allan Ekberg, 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 4/2/2016. 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 4/2/2016, 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, q,a) Bill Rambo Permit Technician File No: M15-0128 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 Green City HTG & A/C INC Page 1 of 3 Home lnicio en Espanol Contact Search L&I A -'!.Index Help My Secure IA1 Safety Claims & Insurance Workplace Rights Trades & Licensing 0 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 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= 10/5/2015