HomeMy WebLinkAboutPermit M16-0015 - MORGAN RESIDENCE - WOOD BURNING STOVEMORGAN RESIDENCE
5190 S 166 ST
M16-0015
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.Rov
MECHANICAL OTC PERMIT
Parcel No:
5379200185
Permit Number: M16-0015
Address:
5190 S 166TH ST
Issue Date: 1/25/2016
WA Cities Electrical Code:
2014
Permit Expires On: 7/23/2016
Project Name:
MORGAN RESIENCE
2014
Owner:
2012
WA State Energy Code:
Name:
MORGAN NADINE CHASE
2012
Address:
PO BOX 88101, TUKWILA, WA, 98138
Contact Person:
�` `
Name:
NADINE MORGAN
Phone: (206) 243-0900
Address:
5190 S 166 ST, TUKWILA, WA, 98188
Contractor:
Name:
ADVANCED INSTALLATION INC
Phone:
Address:
16504 HWY 99 STE 101, LYNNWOOD,
WA, 98037
License No:
ADVAN11033DU
Expiration Date: 3/13/2016
Lender:
Name:
Address:
DESCRIPTION OF WORK:
INSTALL WOOD
BURNING STOVE INTO EXISTING FIREPLACE AND RELINE CHIMNEY
Valuation of Work: $4,900.00
Fees Collected: $209.16
Type of Work:
REPLACEMENT
Electrical Service Provided by: PUGET SOUND ENERGY
Fuel type:
Water District: HIGHLINE
Sewer District: TUKWILA SEWER' SERVICE
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 296-466:
2014
Uniform Plumbing Code Edition:
2012
WA State Energy Code:
2012
International Fuel Gas Code:
2012
�` `
Permit Center Authorized Signature: /lJ/'�-�/��
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: '/ in e� '/` i on, c� Date: Z zG/
Print Name: n Ld t � hinyQ4
—r.
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
CITY OF TUKWIL-
Community Development Department
• Permit Center
• 6300 Southeenter Blvd., Suite 100
Tukwila, WA 98188
http:Hwww.TukwilaW A.gov
Mechanical Permit No.
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.:
Site Address: Sal �1C� Sa �„i'�n fGia I 1 ti kw+ia Suite Number: Floor: 6�11e
Tenant Name:
PROPERTY OWNER
Name:
a1d/"r2
Address: Slcl Ut'6 !A -<,r)-
City:
ti w /Q State: Zip:
CONTACT PERSON — person receiving all project
communication
Name:
M
Address:
Ci State: Zi
City: p' Xgx
Phone: 6, 2-V-3-0900":
206 2-/3x-0500
Email:
kV 61
J
New Tenant: ❑ ..... Yes ❑.. No
MECHANICAL CONTRACTOR INFORMATION
Co pany Name:
12
Adcr es�G S-A 4C 161
City: State: Zip:4-410AIJ12Wn4 WA9 v3
Phone:/ -7-7
Fax: z S� 7,�/s, Vo)(
Contr Reg No.: Exp Date:
hNit 033- U
Tukwila Business License No.:
Valuation of project (contractor's bid price): $ V100 n
Describe the scope of work in detail: f'� S A-,�� wvocOs X, L,--("1, + r r -e
Use: Residential:
New..........
❑
Replacement.........
Commercial:
New..........
❑
Replacement........ ❑
Fuel Type: Electric......
❑
Gas
........ ❑ Other: /�, re„JC,o
H:\Applications\Forms-Applications On Line\2011 Applications\Mechanical Permit Application Revised 8-9-11.docx
Revised: August 2011 Page 1 of 2
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Indicate type of mechanical work being installed and the quantity below:
Unit Type
Qty
Furnace <100k btu
Furnace >I 00k 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
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
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:Date:
Print Name: Na40" rtC- N 6r�G,? _ Day Telephone: ��d�D f 3 —0-100
Mailing Address: S/ g 0 � L -i (G l )/9 9 F/ g �?
City State Zip
H:\Applications\Forms-Applications On Line\2011 ApplicationsWechanical Permit Application Revised 8-9-1 l.docx
Revised: August 2011 Page 2 of 2
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DESCRIPTIONS
• QUANTITY
PAID
PermitTRAK
$209.16
M16-0015 Address: 5190 S 166TH ST
Apn: 5379200185
$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
TOTAL1'
R000.322.900.04.00 0.00
$9.96
.16
Date Paid: Monday, January 25, 2016
Paid By: NADINE CHASEMORGAN
Pay Method: CHECK 2796
Printed: Monday, January 25, 2016 2:15 PM 1 of 1 1171"W
SYS7EM5
INSPECTION RECORD
Retain a copy p with ermitl t
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. SNA 98188 (206) 431-36'
Permit Inspection Request Line (206) 438-9350
Projec
&&a.4'adz A�
Type oflnspec
--
Addr ss:
_ z:�7 2d 1� -7
Date Called:
pecial Instruct ons:
Date Wanted: a
p.m.
Requester:
Phone No:
pproved per applicable codes. LJ Corrections required prior to approval.
I paid at 6300 Southcenter Blvd., Suite 100. Catl to schedule reinspection.
' INSPECTION RECORD
Retain a copy with permit
INS TION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project: ,, ,gyp h p /
�v` tv
Type of Inspe tion:
N f�
Address:
Date Called:
Special Instructions:
Date Wanted: (-a --m;)
Requester:
Phone No:
per applicable codes. , _-JW Corrections required prior to approval.
fnspettor:✓ / ` DA A�/���// (uate: //
�/
REINSPECTION FEE REQUIRED. Prior to next inspection, fe6 must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
ADVANCED INSTALLATION INC
Home Indo en Espanol Contact
Safety
inWashington 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
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Claims & Insurance Workplace Rights Trades & Licensing
16504 HWY 99 STE 101
LYNNWOOD, WA98037
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 Active.
Meets current requirements.
License specialties
$1,000,000.00
GENERAL
License no.
ADVAN11033DU
Effective date
Effective — expiration
05/31/2015
03/31/1997— 03/13/2016
Expiration date
Bond
...............
05/31/2016
Wesco Insurance Co
$12,000.00
Bond account no.
46WBO19262
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.
BKO56511413
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 againste the bond or savings
No lawsuits against thbond or savings accounts during the previous 6 year period. V
https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=601749093&LIC=ADVANII033DU&SAW= 1/25/2016