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Home My WebLink AboutPermit M17-0155 - FULTZ RESIDENCE - GAS FURNACEFULTZ RESIDENCE 12522 50 PL S EXPIRED 04/18/18 M17-0155 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 MECHANICAL OTC PERMIT 0179002635 Permit Number: M17-0155 12522 50TH PL S FULTZ RESIDENCE Issue Date: 10/20/2017 Permit Expires On: 4/18/2018 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: FULTZ PATRICK+LAUREL 12522 50TH PL S , TUKWILA, WA, 98178 JENAH BARLOW 18103 NE 68TH ST C-200 , REDMOND, WA, 98052 MM COMFORT SYSTEMS 18103 NE 68TH ST C200, REDMOND, WA, 98052-5049 MMCOMCS85564 11 I Phone: (425) 881-7920 Phone: Expiration Date: 9/24/2019 DESCRIPTION OF WORK: GAS FURNACE CHANGE OUT Valuation of Work: $2,500.00 Type of Work: REPLACEMENT Fuel type: GAS Fees Collected: $192.66 Electrical Service Provided by: SEATTLE CITY LIGHT 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 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2014 2014 2014 2015 Permit Center Authorized Signature: Date: /0420/7 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: 1-3/zof 1 - Print Name: `ji.y'%.. 1-0U,NI>NIE�1L 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 TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov . Za\tet%yam Mechanical Permit No. < l 455 Project No. Date Application Accepted: /0 / 9-°/(7 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: 12522 50TH PL S Suite Number: Floor: Tenant Name: PATRICK FULTZ New Tenant: ❑ Yes ..No PROPERTY OWNER Name: JENAH BARLOW Name: PATRICK FULTZ City: REDMOND State: WA Zip: 98052 Address: 12522 50TH PL S Email: City: SEATTLE State: WA Zip: 98178 CONTACT PERSON — person receiving all project communication Name: JENAH BARLOW Address: 18103 NE 68TH ST, C-200 City: REDMOND State: WA Zip: 98052 Phone: (425) 881-7920 Fax: Email: MECHANICAL CONTRACTOR INFORMATION Company Name: MM COMFORT SYSTEMS Address: 18103 NE 68TH ST, C -200 City: REDMOND State: WA Zip: 98052 Phone: (425) 881-7920 Fax: Contr Reg No.: MMCOMMC9341 ! Exp Date: 01/31/2016 Tukwila Business License No.: BUS -0994321 Valuation of project (contractor's bid price): $ Describe the scope of work in detail: GAS FURNACE CHANGE OUT Use: Residential: New ❑ Replacement Commercial: New ❑ Replacement ❑ Fuel Type: Electric ❑ Gas m Other: H:\Applications\Forms-Applications On Line \2011 Applications\Mechanical Permit Application Revised g-9-1 l.docx Revised: August 2011 bh Page 1 of 2 Indicate type of mechanical work being installed and the quantity below: Unit Type Qty Fumace <100k btu 1 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 Wood/gas stove 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 UTHORIZED AGENT: Signature:Date: ll c�J�/� Print Name: F \9G �Uf`-1 I i\1 GUZ v Day Telephone: (ti')) 3 B 1 — 7 q7,0 Mailing Address: 1 ( 0-3 11 l-- Co CO -11\ S—I: ; C. - —2-0 0 Eb1OX 1ONo CAA '1Z 0 s -z„ City State Zip H:\Applications\Forms-Applications On Line \2011 Applications\Mechanical Permit Application Revised 8-9.11.docx Revised: August 2011 bh Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $256.76 _ EL17-0838 Address: 12522 50TH PL S Apn: 0179002635 . $64.10 ELECTRICAL $61.05 PERMIT FEE SINGLE FAMILY R000.322.101.00.00 0.00 $61.05 TECHNOLOGY FEE $3.05 TECHNOLOGY FEE R000.322.900.04.00 0.00 $3.05 M17-0155 Address: 12522 50TH PLS Apn: 0179002635 $192.66 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: R12618 R000.322.900.04.00 0.00 $9.17 $256.76 Date Paid: Friday, October 20, 2017 Paid By: MM COMFORT SYSTEMS Pay Method: CHECK 15749 Printed: Friday, October 20, 2017 2:02 PM 1 of 1 CRWSYSTEMS 3/1/2018 City of Tukwila Department of Community Development JENAH BARLOW 18103 NE 68TH STC -200 REDMOND, WA 98052 RE: Permit No. M17-0155 FULTZ RESIDENCE 12522 50TH PL 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 4/18/2018. 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 4/18/2018, 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, Bill Rambo Permit Technician File No: M17-0155 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 MM COMFORT SYSTEMS c Washington State Department of Labor & industries Haw Espanol Contact Safety & Health Claims & Insurance Search L&1 Page 1 of 2 A-1 Index Help My Lel Workplace Rights Trades & Licensing MM COMFORT SYSTEMS Owner or tradesperson Principals MILLER, JAY MICHAEL, MANAGER Doing business as MM COMFORT SYSTEMS WA UBI No. 603 537 854 Parent company MMCS LLC 18103 NE 68TH ST C-200 REDMOND, WA 98052 206-850-1207 KING County Business type Limited Liability Company 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 License no. MMCOMCS85564 Effective — expiration 09/24/2015— 09/24/2019 Bond North American Spec Ins Co Bond account no. 2203634 $12,000.00 Received by L&I Effective date 09/24/2015 09/21/2015 Expiration date Until Canceled Insurance Firemans Ins Co of Washington Policy no. CPA291626533 $1,000,000.00 Received by L&I Effective date 01/31/2017 02/01/2017 Expiration date 02/01/2018 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. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603537854&LIC=MMCOMCS85564&SAW= 10/20/2017