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HomeMy WebLinkAboutPermit M09-113 - DAHL RESIDENCEDAHL RESIDENCE 4422 S 156 ST M09 -113 Parcel No.: 8108600065 Address: Suite No: 4422 S 156 ST TUKW Tenant: Name: DAHL RESIDENCE Address: 4422 S 156 ST , TUKWILA WA Owner: Name: CRAWFORD JOHN L Address: 4422 S 156TH , SEATTLE WA Contact Person: Name: HAROLD MEEK Address: 4415 LEARY WY NW , SEATTLE WA Contractor: Name: OLSON ENERGY SERVICE Address: 4415 LEARY WAY , SEATTLE WA Contractor License No: OLSONES951 L3 DESCRIPTION OF WORK: REPLACE GAS FURNACE Value of Mechanical: $2,520.00 Type of Fire Protection: Furnace: <100K BTU 1 >100K BTU 0 Floor Furnace 0 Suspended/Wall/Floor Mounted Heater 0 Appliance Vent 0 Repair or Addition to Heat/Refrig /Cooling System.... 0 Air Handling Unit <10,000 CFM 0 >10,000 CFM 0 Evaporator Cooler 0 Ventilation Fan connected to single duct 0 Ventilation System 0 Hood and Duct 0 Incinerator: Domestic 0 Commercial/Industrial 0 doc: IMC -10/06 City(Of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us MECHANICAL PERMIT EQUIPMENT TYPE AND OUANTITY * * continued on next page ** M09 -113 • Permit Number: M09 -113 Issue Date: 09/18/2009 Permit Expires On: 03/17/2010 Phone: Phone: 206 963 -8727 Phone: 206 - 782 -5522 Expiration Date: 10/24/2009 Fees Collected: $166.21 International Mechanical Code Edition: 2006 Boiler Compressor: 0 -3 HP /100,000 BTU 0 3 -15 HP /500,000 BTU 0 15 -30 HP /1,000,000 BTU.. 0 30 -50 HP /1,750,000 BTU.. 0 50+ HP /1,750,000 BTU 0 Fire Damper 0 Diffuser 0 Thermostat 0 Wood/Gas Stove 0 Water Heater 0 Emergency Generator 0 Other Mechanical Equipment Printed: 09 -18 -2009 Permit Center Authorized Signature: doc: IMC -10/06 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206- 431 -3665 Web site: http: / /www.ci.tukwila.wa.us • Permit Number: M09 -113 Issue Date: 09/18/2009 Permit Expires On: 03/17/2010 I hereby certify that I have read and exam ed this •ermit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complie with, whether specified herein or not. The granting • a • ermit does not presti ne to give authority to violate or cancel the provisions of any other state or local laws regulating construction • : verf•rm. : •f work. I am authorized to sign and obtain this mechanical permit. Signature: Print Name: Date: 0 ° 1 1 1 1 1 0 4 1 Date: e t This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. M09 -113 Printed: 09 -18 -2009 Parcel No.: 8108600065 Address: 4422 S 156 ST TUKW Suite No: Tenant: DAHL RESIDENCE 1: ** *BUILDING DEPARTMENT CONDITIONS * ** 110 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us PERMIT CONDITIONS Permit Number: M09 -113 Status: ISSUED Applied Date: 09/18/2009 Issue Date: 09/18/2009 2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the Building Official. 3: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to start of any construction. These documents shall be maintained and made available 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: Water heaters shall be anchored or strapped to resist horizontal displacement due to earthquake motion. Strapping shall be at points within the upper one -third and lower one -third of the water heaters vertical dimension. A minimum distance of 4- inches shall be maintained above the controls with the strapping. 8: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Cityof Tukwila Permit Center. 9: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206- 431 - 3670). 10: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the Building Official from requiring the correction of errors in the construction documents and other data. doc: Cond -10/06 * *continued on next page ** M09 -113 Printed: 09 -18 -2009 Signature: Print Name: �ctiv% r City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us I hereby certify that I have read these conditions and will comply with them as outlined. All provisions 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 provision of any construction or the • erformance of work. doc: Cond -10/06 M09 -113 Date: of law and ordinances governing other work or local laws regulating Printed: 09 -18 -2009 • CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 Iwo: 1 4 1 4 1 4 . . c . iukwi/a. tr,r. u.\ 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 z ,Z /5 7Z/R i wA- Site Address: ,4't-e- Tenant Name: Q� n Property Owners Name: Mailing Address: /fie Name: /M EP /til y itC Mailing Address: `/ ' /5 L , e WA /Vw E -Mail Address: Company Name: Mailing Address: OGS9it/ w4y ,v ' Contact Person: E -Mail Address: Contractor Registration Number: O1 5 /C - 3 Company Name: Mailing Address: Contact Person: E -Mail Address: Building Permit No. Mechanical Permit No. Plumbing /Gas Permit No. Public Works Permit No. Project No. (For office use only) King Co Assessor's Tax No.: tel o �6 o o S Suite Number: Floor: New Tenant: ❑ Yes ..No City City Fax Number: a- City State Lv4 9 7- State State Zip CONTACT PERSON - who do we contact when your permit is ready to be issued Day Telephone: ( » €) 9t 7' — 677,2 Gv, `j2 /0 State Zip (2,#) Ad — /3.7 GENERAL CONTRACTOR INFORMATION — (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) State Zip Day Telephone: (2.06j 7-e2-- 552-2...- Fax Number: (ZO 7fZ - /3 ° 3 Expiration Date: /0/ Z 9 / 9 ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record City Day Telephone: Fax Number: Zip ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: Q:v\pphcations\Forms- Appheuoons On Lrne\3.2006 - Permit Application.doc Revised: 9 -2006 hh Zip Page 1 of 6 Unit Type: Qty Unit Type: Qty Unit Type: Qty Boiler /Compressor: Qty Furnace <100K BTU / I Air Handling Unit >10.000 CFM Fire Damper 0 -3 HP'100.000 BTU: Furnace >100K BTU Evaporator Cooler Diffuser 3 -15 HP /500.000 BTU Floor Furnace Ventilation Fan Connected to Single Duct Thermostat 15 -30 HP/I,000.000 BTU Suspended/Wall/Floor Mounted Heater Ventilation System Wood/Gas Stove 30 -50 HP'1,750.000 BTU Appliance Vent Hood and Duct Emergency Generator 50-- HP'1,750,000 BTU Repair or Addition to Heat /Refrig /Cooling System Incinerator - Domestic Other Mechanical Equipment Air Handling Unit <10.000 CFM Incinerator— Comrnilnd MECHANICAL PERMIT INFORMATION - 206 -431 -3670 MECHANICAL CONTRACTOR INFORMATION Company Name: Oz-SO4) i - .1/ - � y Mailing Address: 1, 1/ 5 Lei 0, w'-'`/ /r/uJ fei' 9 City Stale Zip Contact Person: 4771,0/..-9 Day Telephone: rZe20 -? _62-- z Fax Number: (2 7-dZ — / 3L' 3 E -Mail Address: Contractor Registration Number: 01$ Pit) CS q,`� 3 Valuation of Mechanical work (contractor's bid price): $ Z�. - -� Scope of Work (please provide detailed information): Usc: Residential: New .... ❑ Replacement .... Commercial: New .... ❑ Replacement .... ❑ Fuel Tvpe: Electric ❑ Gas....' Other: Indicate type of mechanical work being installed and the quantity below: 09Applicatiuns■Fomw- Appin:anuns On L n 3 -2006 - P ermu Applicauun.doc Revised: 9 -2006 hh Expiration Date: /‘ i '?" /' Page 4of6 PERMIT APPLICATION NOTES — Applicable to all permits in this application 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. Building and Mechanical Permit The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be requested in writing and justifiable cause demonstrated Section 105 3.2 International Building Code (current edition). Plumbing Permit The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 Uniform Plumbing 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 AUTWRIZECE & Signature: - / Date: l //c /© Day Telephone: (Z ) /l — 2L_ Mailing Address: 1 7 / q/ J GE�'/' f" w�� /14f.J 4-- 9ce/ 0 Print Name: Q.APPlivati i Forme- Apph...t.nm On Lm. \3 -2006 - Prmit. \pp6“uuun.du.. Revised: v -2006 hh Ci Stac Zip Date Application Accepted: Date Application Expires: Staff initials: 1 Page 6 of 6 Parcel No.: 8108600065 Address: 4422 S 156 ST TUKW Suite No: Applicant: DAHL RESIDENCE Receipt No.: R09 -01463 Payee: JEFF D AMELIO Payment Credit Crd VISA - Authorization No. 07521C ACCOUNT ITEM LIST: Description MECHANICAL - RES City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us RECEIPT Initials: JEM Payment Date: 09/18/2009 12:06 PM User ID: 1165 Balance: $0.00 TRANSACTION LIST: Type Method Descriptio Amount 166.21 Account Code Current Pmts 000.322.102.00.0 166.21 Total: $166.21 Permit Number: M09 -113 Status: PENDING Applied Date: 09/18/2009 Issue Date: Payment Amount: $166.21 PAYMENT RECEIVED doc: Receipt -06 Printed: 09 -18 -2009 Project: .041Y4 ,QQ°S Type of Inspection: /= /A✓4/, 4 Addre s: 44'2 S �,- (' sir- Date Called: /co , ! (,t -..2-_,I ` _ Special Instructions: 9 36 '22-6( Date W ted: calt Requester: P C n 0 N a - g5 / -5 1 INSPECTION NO. Approved per applicable codes. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 17— 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Corrections required prior to approval. COMMENTS: j2- A-6e n 1_196- i f OS -- -43 po_r Insp tor: I0ate 7 r El $60.00 REINSPECTION FEE REOUIR . Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: 'Date: Pro ect: ID A+aL R Type of Inspection: EINtgi l... Addr Date Called: Special Instructions: Date Wanted -0c7 a sn� Requester: Phone No: a l—A) (9,:_ -, 8.2 -Ss2 7 Ej Approved per applicable codes. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -367 Corrections required prior to approval. 5 COMMENTS: A i` r ate: Q eJ p. k ❑ $60.00 REINSPECTION FEE REQUIRE . Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. (Receipt No.: Date: IQ- License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status GASAPS'953MR GAS APPLIANCE SERVICE CONSTRUCTION CONTRACTOR GENERA UNUSED 7/19/2005 7/19/2011 ACTIVE OLSONF *284NA OLSON FUEL CO INC CONSTRUCTION CONTRACTOR SHEET MET GUTTERS /DOWNSPOUTS 8/1/1972 9/4/2005 INACTIVE GASAPS`012JA GAS APPLIANCE SERVICE CONSTRUCTION CONTRACTOR APPLIANCES /EQUIPMENT UNUSED 4/1 /1999 9/4/2006 REREGISTERED Name Role Effective Date Expiration Date OLSON, CARL A Cancel Date 06/23/2005 Bond Amount OLSON, ROBERT A 8 06/23/2005 575304C OLSON, PAULINE Until Cancelled 06/23/2005 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 8 DEVELOPERS SURETY & INDEM CO 575304C 09/28/2007 Until Cancelled $12,000.0010/01 /2007 7 DEVELOPERS SURETY Er INDEM CO 575304C 07/08/200509/28 /2007 $6,000.00 07/15/2005 6 DEVELOPERS SURETY a INDEM CO 575304C 06/10/200507/08 /2005 $12,000.0006/23 /2005 5 FEDERATED MUTUAL INS CO 613683 09/04/2001 Until Cancelled 06/10/2005 $6,000.00 08/17/2001 Untitled Page 1 r General /Specialty Contractor A business registered as a construction contractor with L&I to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name Phone Address Suite /Apt. City State Zip County Business Type Parent Company OLSON ENERGY SERVICE 2067825522 4415 LEARY WY NW SEATTLE WA 98107 KING Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 578052563 ACTIVE OLSONES951L3 CONSTRUCTION CONTRACTOR 6/23/2005 10/24/2009 GENERAL UNUSED Other Associated Licenses Page 1 of 2 Business Owner Information Bond Information https: // fortress .wa.gov /lni/bbip /Detail.aspx 09/18/2009