HomeMy WebLinkAboutPermit M17-0097 - ARDANS RESIDENCE - FURNACEARDANS RESIDENCE
5534 S 144 ST
MI 7-0097
Parcel No:
Address:
Project Name:
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
3365900206
5534 S 144TH ST
ARDANS RESIDENCE
MECHANICAL OTC PERMIT
Permit Number: M17-0097
Issue Date:
Permit Expires On:
7/5/2017
1/1/2018
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
ARDANS KATHRYN A+JONATHAN M
5534 S 144TH ST, TUKWILA, WA,
98168
KATHRYN ARDANS
5534 5 144TH ST, TUKWILA, WA,
98188
GREEN CITY HTG & A/C INC
948 INDUSTRY DR , TUKWILA, WA,
98188
GREENCH866B2
111
Phone:
Phone: (206) 227-6616
Expiration Date: 1/22/2018
DESCRIPTION OF WORK:
REMOVE/REPLACE FURNACE -
Valuation of Work: $2,707.00
Type of Work: REPLACEMENT
Fuel type: GAS
Fees Collected: $198.44
Electrical Service Provided by: PUGEST SOUND ENERGY
Water District: TUKWILA
Sewer District: TUKWILA
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:
2015
2015
2015
2015
2015
Permit Center Authorized Signature:4 11/44
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2014
2014
2014
2015
Dater
' r'
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 aid agree to the conditions attached to this permit.
Signature:
Print Name:
V-ekUD�
vt
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.
Date: T(» / ii -
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
4
CITY OF TUKWi
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Mechanical Permit No.
Project No.
11,11- 00(n
Date Application Accepted:
Date Application Expires:
1- t
(For office rise 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
I - - --King.Co-Assessor's Tax No.:
Site Address: SSZ✓A S ltitAA % S}' 1-rUt uNt \Q t v)(1- ftiiog
Suite Number: ),J ( Pr Floor: N��
Tenant Name: 4A44A phdots f RSV kn0101/4 New Tenant: ❑ Yes 0.. No
PROPERTY OWNER
Name: 4 Nraiws.
Name: I . _ ,4 e,yaolvI. 4 7-evost,
, AottAva
Address: ss3a s Not. sk
Email: aYdOlhS e rpt,p i I. CO h.,‘
City: ,rujiG�, State: top,
Zip: love
CONTACT PERSON - person receiving all project
co11111111nicatl011
Name: 4 Nraiws.
Address: s 6...a4 S \ tkou 5A...
City:.* r. kA State: tiofl Zip: aFstiog
Phone: -47,1-. ei3i. 3bir Fax: N IA
Email: aYdOlhS e rpt,p i I. CO h.,‘
MECHANICAL CONTRACTOR INFORMATION
Company Name: qYvity% ci 60 1 __.4 e
Address: q gi s T
City:1.0..wAla 0 State: opc Zip: is(s&
Phone: 2ol0.Z24.or.,ip Fax:
Contr Reg No.: Exp Date:
Tukwila Business License No.: n REe NLkA 8100E2
Valuation of project (contractor's bid price): $ pC -[3-,1.3
Describe the scope of work in detail: Pe"a e. '€Ct fLettit FurnaCc . 1-4Asviiisi.1..(24110)! C2300 IV
Use:
Residential: New ❑ Replacement
Commercial: New ❑ Replacement ❑
Fuel Type: Electric ❑ Gas
Other:
H:\Applications\Forms-Applications On Line \2016 Applications\Mechanical Permit Application Revised 1-4-16.docx
Revised: January 2016
bh
Page 1 of 2
r CI
Indicatertype of mechanical work being installed and the quantity below:
r
Unit Aypr. . 3 1
d v
Qty
Furnace <100k btu
Residential, Nighttime
Furnace >100k btu
Industrial
Floor furnace
55 dB(A)
Suspended/wall/floor
mounted heater
,57 dB(A)
Appliance vent
Coirimercial"' `
Repair or addition to
heat/refrig/cooling
system
47 dB(A)
Air handling unit
65 dB(A)
<10,000 cfm
°' ' ' ' 60 -iB(A)
' Unit Type
Qty
Air handling unit
Residential, Nighttime
>10,000 cfm
Industrial
Evaporator cooler
55 dB(A)
Ventilation fan
connected to single duct
,57 dB(A)
Ventilation system
Coirimercial"' `
Hood and duct
47 dB(A)
Incinerator — domestic
65 dB(A)
Incinerator —
comm/industrial
°' ' ' ' 60 -iB(A)
Unit Type
Qty
Fire damper
Residential, Nighttime
Diffuser
Industrial
Thermostat
55 dB(A)
Wood/gas stove
,57 dB(A)
Emergency generator
Coirimercial"' `
Other mechanical
equipment
47 dB(A)
' 60 dB(A)
65 dB(A)
Boiler/Compressor
Qh'
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
Noise: r r , a
Mechanical units need to be in compliance with the Tukwila Noise Code. Maximum permissible sound levels are based on from where the sound is
created and where the sound is heard. Additionally, if sound cad•be'heard•from'within a house at nightih'a residentiarzone`it may not be allowed.
For more details, see TMC 8.22
*Daytim
District of Sound
Producing Source
District of Receiving Property
Residential, Daytime*
Residential, Nighttime
Commercial
Industrial
Residential
1
55 dB(A)
45 dB(A)
,57 dB(A)
60 dB(A)
Coirimercial"' `
`'` 57 dB(A)
47 dB(A)
' 60 dB(A)
65 dB(A)
Industrial '
°' ' ' ' 60 -iB(A)
50 dB(A)
65 dB(A) `
70 dB(A)
A few sounds are exempt from the noise code including:'
• Warning devices;
• Construction and property maintenance during the daytime hours (7am-lOpm);
Testing.of backup generators during the day.
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 Intemational Building Code (current edition).
:1 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 Oj, E f ,/ RR AUT ORIZED AGENT:
Signature: (O` d✓
Print Name: meq" fit P1400n S
Mailing Address: SS j` -I 3 i 4' V SA—
H:\Applications\Forms-Applications On Line\2016 Applications\Mechanical Permit Application Revised 1-4-16.docx
Revised: January 2016
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Day Telephone:
riu 1�v��1G
'City
Date: f 1 I l
131. 3(oV)
State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY
PAID
$198:44
M17-0097 Address:'55345144TH ST Apn: 3365900206
$198.44
Credit Card Fee
$5.78
Credit Card Fee
R000.369.908.00.00
0.00
$5.78
MECHANICAL ..
$183.49
PERMIT FEE
R000.322.100.00.00
0.00
$150.34
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$33.15
TECHNOLOGY FEE
$9.17
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R11856
R000.322.900.04.00
0.00
$9.17
$198.44
Date Paid: Wednesday, July 05, 2017
Paid By: KATHRYN ARDANS
Pay Method: CREDIT CARD 515050
Printed: Wednesday, July 05, 2017 1:09 PM 1 of 1
CRIVSYSTEMS
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
r11117-001' 7
„vim �la . 3670
6300
Southcenter
on Request 0, Tukwila. WA 1
Line (206) 438- 350 (206) 4344_
Project:
P-RDENS kmbioucE
Type of Inspection:
Rai 064-1 -M gci�irlJi Cer 1..
Address:
553V 2 r Lilt/44
7-1
Date Called:
Special Instructions:
Date Wanted:
'7-(Q`I7
a.m.
p.m.
Requester:
Phone No:
7? qr3/-36-O
rri
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
ag ,6,7u2A-1_
Inspector:
REINSPECTION FEE REQUIRED. Prior to next inspeckion, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Green City HTG & A/C INC
Rinne Enspafiol Contict.
Safety & Health Claims & Insurance
0 Washington State Department of
Labor & Industries
Page 1 of 3
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Workplace Rights Trades & Licensing
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
948 INDUSTRY DR
TUKWILA, WA 98188
206-227-6616
KING 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
HeatingNent/Air-Conditioning and Refrig
(HVAC/R)
License no.
GREENCH866B2
Effective — expiration
01/22/2014— 01/22/2018
Bond
Wesco Insurance Co
Bond account no.
46W B079066
$6,000.00
Received by L&I Effective date
08/25/2016 08/19/2016
Expiration date
Until Canceled
Bond history
Insurance
Arch Specialty Ins Co $1,000,000.00
Policy no.
AGL0043156-00
Received by L&I. Effective date
11/17/2016 11/18/2016
Expiration date
11/18/2017
Insurance history
Savings
No savings accounts during the previous 6 year period.
Lawsuits against the bond or savings
Cause no.
16-2-02889-6
Open
Help us improve
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Green City HTG & A/C INC
Complaint filed by
NADA & JAMES DOHERTY
Complaint against bond(s) or savings
100180935
Complaint date Complaint amount
02/14/2016 $0.00
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.
License Violations
Infraction no.
EJOJP00386
Issue date
08/26/2015
Violation city
BONNEY LAKE
Type of violation
ELECTRICAL CITATION
Description
Offering, bidding, advertising, or performing
electrical installations, alterations or
maintenance outside the scope of the firm's
specialty electrical contractors license.
Satisfied
RC WNVAC
19.28.041 RCW
Violation amount
$500.00
Infraction no.
EJOJP00388
Issue date
08/26/2015
Violation city
BONNEY LAKE
Type of violation
ELECTRICAL CITATION
Description
Energizing electrical equipment without an
electrical inspection as referenced in WAC
296-46B-901.
Satisfied
RCW/WAC
19.28.101 RCW
Violation amount
$250.00
Infraction no.
EJOJP00387
Issue date
08/26/2015
Violation city
BONNEY LAKE
Type of violation
ELECTRICAL CITATION
Description
Employing an individual for the purposes of
chapter 19.28 RCW who does not possess a
valid certificate of competency or training
certificate to do electrical work.
Satisfied
RCW/WAC
19.28.271 RCW
Violation amount
$250.00
Infraction no.
EJOJP00385
Issue date
08/26/2015
Violation city
BONNEY LAKE
Type of violation
ELECTRICAL CITATION
Description
Class B eligible work - Failure of the person
identified as the installer on the Class B label
to post a Class B label, or number if allowed.
(See WAC 296-46B-908.) 15448 SE 167 PL,
RENTON
Satisfied
RCW/WAC
19.28.101 RCW
Violation amount
$100.00
Page 2 of 3
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