HomeMy WebLinkAboutPermit M16-0009 - GIBSON RESIDENCE - GAS FIREPLACEGIBBON RESIDENCE
15633 47 AVE S
M16-0009
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
MECHANICAL OTC PERMIT
Parcel No:
8108600348
Permit Number: M16-0009
Address:
15633 47TH AVE S
Issue Date: 1/15/2016
WA Cities Electrical Code:
2014
Permit Expires On: 7/13/2016
Project Name:
GIBSON RESIDENCE
2014
Owner:
2012
WA State Energy Code:
Name:
GIBSON WILFRED C
2012
Address:
15633 47TH AVE S, SEATTLE, WA,
[4w-
98188
Contact Person:
Date:
Name:
NAIDA KHAN
Phone: (360) 945-2787
Address:
9808 31 AVE SE, EVERETT, WA, 98208
Contractor:
Name:
WASHINGTON ENERGY SVCS CO LLC
Phone:
Address:
3909 196TH ST SW, LYNNWOOD, WA,
98036
License No:
WASHIES851NS
Expiration Date: 9/7/2017
Lender:
Name:
Address:
DESCRIPTION OF WORK:
REPLACE 33,000 BTU GAS FIREPLACE INSERT. NO NEW GAS PIPING
Valuation of Work: $4,800.00
Fees Collected: $209.16
Type of Work:
REPLACEMENT
Electrical Service Provided by: SEATTLE CITY LIGHT
Fuel type: GAS
Water District: HIGHLINE
Sewer District: NONE
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
2012
National Electrical Code:
2014
International Residential Code Edition:
2012
WA Cities Electrical Code:
2014
International Mechanical Code Edition:
2012
WAC 296-46B:
2014
Uniform Plumbing Code Edition:
2012
WA State Energy Code:
2012
International Fuel Gas Code:
2012
[4w-
- �/ U
Permit Center Authorized Signature:
Date:
`v l
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: 1/197 ./1 L
Print Name. _TLk
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 Ilight 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 TUKWILA
(D,
Community Development Department
Permit Center
6300 Southeenter Blvd, Suite 100
Tukwila, WA 98188
httn://w.ww.TukwilaWA.Q.ov
Mechanical Permit No. � l —000?
Project No.
Date Application Accepted:
Date Application Expires: _
use
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.: 810860-0348
Site Address: 15633 47TH AVE S Suite Number: Floor:
Tenant Name: New Tenant: ❑ .....Yes ❑■ ..No
PROPERTY OWNER
Name: DOROTHY GIBSON
Address! 5633 471-H AVE S
City: TUKWILA StatewA zip: 98188
CONTACT PERSON — person receiving all project
communication
Name:
Naida Khan/Northwest Permit Inc
Address:
9808 31st Ave SE
City:
EVERETT State: WA Zip: 98208
Phone:,
360-945-2787 Fax: 888-400-0383
Email:
JENJENSTWINS@YAHOO.COM
MECHANICAL CONTRACTOR INFORMATION
Company Name: Washington Energy Services
Address: 3909196th St SW
City: LYNNWOOD State: WA zip: 98036
Phone: 800-398-4663 Fax:
Contr Reg No.: WASH IES851 NS Exp Date: 917117
Tukwila Business License No.: BUS -0996555
Valuation of project (contractor's bid price): $ 4800.31
Describe the scope of work in detail: REPLACE 33K GAS FIREPLACE INSERT. NO NEW GAS PIPING.
Use: Residential:
New ..........
❑
Replacement ........ E
Commercial:
New ..........
❑
Replacement ........ ❑
Fuel Type: Electric.....
❑
Gas .......
El Other:_
H:\Applications\Forms-Applications On Line\2011 ApplicationsWechanical Permit Application Revised 9.9.1l.do"
Revised: August 2011 Page 1 of 2
bh
Indicate type of mechanical work being installed and the quantity below:
Unit Type
Qty
Furnace <100k btu
Furnace >I00k 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
>I0,000 cfm
Evaporator cooler
Ventilation fan
connected to single duct
Ventilation system
Hood and duct
Incinerator— domestic
Incinerator—
comm/industrial
PERMIT APPLICATION NOTES -
Unit Type
Qty
Fire damper
Diffuser
Thermostat
Wood/gas stove
Emergency enerator
Other mechanical
equipment
Boiler/Compressor Qty
0-3 hp/100,000 btu
3-15 h /500,000 btu
15-30 hp/1,000,000 btu
30-50 hp/1,750,000 btu
50+ h /1,750,000 btu
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
R OR AUTHORIZED AGENT:
Date: 1/15/2016
Print Name V Jul 1 � Day Telephone: Z-0G--'}}K—Cj'19 j'
Mailing Address: 0($0S -31'." Kiye -!,E ONeMtt- MIS 9a2x.)1b
City State Zip
H:IApplicationsTorms-Applications On Line\201 I ApplicalionsWechanical Permit Application Revised 8-9-1 ].docs
Rexised: August 2011 Page 2 of 2
bh
DESCRIPTIONS
• QUANTITY
PAID
PermitTRAK
$209.16
M16-0009 Address: 15633 47TH AVE S
Apn: 8108600348
$209.16
MECHANICAL
$199.20
PERMIT FEE
R000.322.100.00.00 0.00
$166.70
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00 0.00
$32.50
TECHNOLOGY FEE
$9.96
TECHNOLOGY FEE
TOTAL:4
R000.322.900.04.00 0.00
$9.96
$209.16
Date Paid: Friday, January 15, 2016
Paid By: WASHINGTON ENERGY SVCS CO LLC
Pay Method: CHECK 3053
Printed: Friday, January 15, 2016 1:41 PM 1 of 1
CRSYSTEMS
INSPECTION RECORD
Retain a copy with permit H� ,
INSPECTION NO. PERMIT NO,
CITY OF TUKWILA, BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. SNA 98188 (206)431 _3 670
Permit Inspection Request Line (206) 438-9350
Project:
Type of Inspecti
Address:
pate Called:
Special Instructions:
Date Wanted: a.rrL
j .m.
Requester:
Phone No:
� pproved per applicable codes. El Corrections required prior to approval.
U paid at 6300 Southcenter Blvd., Suite 100. Calt to schedule reinspection.
WASHINGTON ENERGY SVCS C^ LLC Page 1 of 2
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WASHINGTON ENERGY SVCS CO LLC
Owner or tradesperson
Principals
OLSON, CRAIG E, PARTNER/MEMBER
OLSON, VERA A, PARTNER/MEMBER
NG, YUN-KWAN WINNIE, AGENT
Doing business as
WASHINGTON ENERGY SVCS CO LLC
3909 196TH STREET SW
LYNNWOOD, WA98036
206-282-4700
SNOHOMISH County
WA UBI No. Business type
603 522 032 Limited Liability Company
Governing persons
CRAIG
E
OLSON
LLC FIRST POINT;
VERN A OLSON;
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Construction Contractor Active.
............................. _............................................
Meets current requirements.
License specialties
GENERAL
$1,000,000.00
License no.
WASHIES86INS
Effective — expiration
Effective date
09107/2015— 09/07/2017
05/01/2015
Bond
................
Expiration date
North American Spec Ins Co
$12,000.00
Bond account no.
2198899
Received by L&I
Effective date
08/10/2015
09/07/2015
Expiration date
Until Canceled
Insuranpe.
.............................
United Specialty Insurance Com
$1,000,000.00
Policy no.
BV01563407
Received by L&I
Effective date
08/10/2015
05/01/2015
Expiration date
05/01/2016
Savings
No savings accounts during the previous 6 year period.
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603522032&LIC=WASHIES85INS&SAW= 1/15/2016