HomeMy WebLinkAboutPermit M09-136 - SPIKER RESIDENCESPIKER RESIDENCE
5145 S 168 ST
M09 -136
Parcel No.: 8125200035
Address:
Suite No:
5145 S 168 ST TUKW
Tenant:
Name: SPIKER RESIDENCE
Address: 5145 S 168 ST , TUKW LA WA
Owner:
Name: SPIKER CATHY J
Address: 5145 S 168TH ST , SEATTLE WA
Contact Person:
Name: ROD KIPPES
Address: 18103 NE 68 ST #C -200 , REDMOND WA
Contractor:
Name: M M COMFORT SYSTEMS
Address: 18103 NE 68 C -200 , REDMOND WA
Contractor License No: MMCOMMC934B4
DESCRIPTION OF WORK:
REPLACING 80% GAS FURNACE WITH A 95% FURNACE
Value of Mechanical: $5,775.00
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* 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 -136
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 425 881 -7920
Phone: 425 881 -7920
Expiration Date: 01/24/2011
M09 -136
10/20/2009
04/18/2010
Fees Collected: $194.25
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 0
Printed: 10 -20 -2009
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I hereby certify that I have read and e ed this permit and know the same to be true and correct. All provisions of law and ordinances
Y �Y P P
governing this work will be complied 'th, whether specified herein or not.
Permit Center Authorized Signature:
The granting of this permit does not p some to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the per
�./' formance wo . I'In nn(( authorized to sign and obtain this mechanical permit.
Signature: LACia t t i0)
Date:
Print Name:
((nn Ile C ucite
R.k. Q
WI �. .
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.
doc: IMC -10/06
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
•
Permit Number: M09 -136
Issue Date: 10/20/2009
Permit Expires On: 04/18/2010
Date: ! 017491 Q')
M09 -136 Printed: 10 -20 -2009
Parcel No.: 8125200035
Address: 5145 S 168 ST TUKW
Suite No:
Tenant: SPIKER RESIDENCE
1: ** *BUILDING DEPARTMENT CONDITIONS * **
•
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 -136
Status: ISSUED
Applied Date: 10/20/2009
Issue Date: 10/20/2009
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 heater's 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 -136 Printed: 10 -20 -2009
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 of law and
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 other work
construction or the performance of work.
Print Name: QIL Q C C lad/P -3
doc: Cond -10 /06 M09 -136
Date:
to(aai o�
ordinances governing
or local laws regulating
Printed: 10 -20 -2009
Site Address: t 1 C S 1(e t ' S
Tenant Name:
Property Owners Name: CC-1 L y $ e 1)(4 4 ��/tes-
Mailing Address: 5 5 S 1 6e tt s 1-
Name:
E -Mail Address:
Company Name:
Mailing Address:
Contact Person:
CITY OF TUKWILL
Community Development Department
Pem►it Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
MECHANICAL PERMIT APPLICATION
Pet ' h CO"‘ Pr1
(QJJ 14 1( i
E -Mail Address: t iL'PP`'y e p . Coti
Contractor Registration Number: /t'tr't Coh-i Gq j q /2 .4
H:\Applications\Fonns- Applications On Line12009 Applications \1 -2009- Mechanical Permit Application.doc
Revised: 1 -2009
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Mechanical Permit No. M — 1Vk
act a 6, 9 r
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.: 8 l 25z 2 000 3S-
Suite Number: Floor:
New Tenant: ❑ Yes ❑.. No
City
(For office use only)
State
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Day Telephone: 2 th - Zvl — I L
Mailing Address:
Zip
City
State
State
State
9oQ90 (-N5
Zip
Fax Number:
MECHANICAL CONTRACTOR INFORMATION
1Q,10 10E_ bf3r` S f t# C -z'v q(a vsZ
City State Zip
Day Telephone: 4 `S Pe I — 7 '1 2 a
Fax Number: It 2- SS 8 • us 6' ?_
Expiration Date: / /2 yl O
ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record
Company Name:
Mailing Address:
Zip
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
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:
Zip
Page 1 of 2
Fixture Type:
Qty
Fixture Type:
Qty
Fixture Type:
Qty
Fixture Type:
Qty
Bathtub or combination
bath/shower
Bidet
Clothes washer, domestic
Dental unit, cuspidor
Dishwasher, domestic,
with independent drain
Drinking fountain or
water cooler (per head)
Food -waste grinder,
commercial
Floor Drain
Shower, single head trap
Lavatory
Wash fountain
Receptor, indirect waste
Sinks
Urinals
Water Closet
Building sewer and each
trailer park sewer
Rain water system — per
drain (inside building)
Water heater and/or vent
I
Industrial waste treatment
interceptor, including trap
and vent, except for kitchen
type grease interceptors
Each grease trap
(connected to not more
than 4 fixtures - <750
gallon capacity)
Grease interceptor for
commercial kitchen ( >750
gallon capacity)
Repair or alteration of
water piping and/or water
treatment equipment
Repair or alteration of
drainage or vent piping
Medical gas piping
system serving 1 -5
inlets /outlets for a
specific gas
Each additional medical
gas inlets /outlets greater
than 5
Backflow protective
device other than
atmospheric -type vacuum
breakers 2 inch (51 mm)
diameter or smaller
Backflow protective device
other than atmospheric -type
vacuum breakers over 2
inch (51 mm) diameter
Each lawn sprinkler
system on any one meter
including backflow
protection devices
Atmospheric -type vacuum
breakers not included in
lawn sprinkler backflow
protections (1 -5)
Atmospheric -type
vacuum breakers not
included in lawn
sprinkler backflow
protections over 5
Gas piping outlets
.. — . •..
PLUMBING AND GAS PIPEtG PERMIT INFORMATION _ 206 -431 -3670
PLUMBING AND GAS PIPING CONTRACTOR INFORMATION
Company Name:
Mailing Address:
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
Valuation of Project (contractor's bid price): $ J ((
Scope of Work (please provide detailed information): eQ j2(GV( SL l ib Cyi' uri (t)l
Building Use (per Int'l Building Code):
Occupancy (per Int'l Building Code):
Utility Purveyor: Water:
Indicate type of plumbing fixtures and /or gas piping outlets being installed and the quantity below:
H:\Applications\Forms- Applications On- Line\2009 Applications \1-2009 Permit Application.doc
Revised: 1.2009
bh
Sewer:
Page 5 of 6
Unit Type:
Qty
Unit Type:
Qty
Unit Type:
Qty
Boiler /Compressor:
Qty
Furnace <100K BTU
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 /1,000,000
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 – Comm/Ind
Use: Residential: New ❑ Replacement rff
Commercial: New ❑ Replacement ❑
r� —00
Valuation of Project (contractor's bid price): $ (� 5� ! s
Scope �ocfyWork (please provide detailed information): go-d4.6 '� e)% �`� gerc.. c �-
/ +L C
"IS (o '' 4_ et J r�lc.c; J L(Q s o, l/In '-i -1 "L� .4/\
Fuel Type: Electric ❑ Gas
Indicate type of mechanical work being installed and the quantity below:
Other:
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 OI;,AUTHORIZED AGENT:
Signature: /44 (— _
Print Name: o 14
Mailing Address:
Day Telephone:
1 $ ,o3 N C4 s+ 4-
City
Date: 9-2c- O 7
4 2s - '& - G3s'S
t
if Cjeo
State Zip
Date Application Expires:
Date Application Accepted:
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H: Wpplicatians\Fomis- Applications On Line12009 Applications \I-2009 - Mechanical Pemnt Applicalion.doc
Revised: 1 -2009
Staff Initials:
RECEIPT NO: R09 -01632
Initials: JEM
Payee: M M COMFORT SYSTEMS
SET TRANSACTIONS:
Set Member
M09 -136
PG09 -124
TOTAL:
ACCOUNT ITEM LIST:
Description
Ci, 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. tukw ila. wa. us
SET RECEIPT
Payment Date: 10/20/2009
User ID: 1165 Total Payment: 239.25
SET ID: 1020 SET NAME: M &M COMFORT
Amount
194.25
45.00
194.25
TRANSACTION LIST:
Type Method Description Amount
Payment Check 10296 239.25
TOTAL: 239.25
Account Code Current Pmts
MECHANICAL - RES 000.322.102.00.0
PLUMBING - RES 000.322.103.00.0
194.25
45.00
TOTAL: 239.25
PAYMENT
RECEIVED
AEAPro j tom` ^
.3 Pi
Type of Inspectio
Address: /
5 1 . 1 5 S , 1 (0 , sr
Date Called:
Special Instructions:
Date Wanted: 3 ' , d
a.m.
Requester:
Phone( _ 2 42_ •
'
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
coq -1 310
PERMIT NOS
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -367(0
Approved per applicable codes. Corrections required prior to approval.
O - NTS:
I C : Ibv. , A 06-N4A
P j
60.00
EINSPECTION FEE ' WIRED. P
6300 Southcenter Blvd , Suite 100
Rec
0.:
D te:
for to inspection, fee must be
Call to schedule reinspection.
Date:
COMMENTS:
Ty of Inspection:
�. F
A'�c:.'4
0 g_ ;s 0p "1<<L'T
Co ,A"10-)3 �� C G. ^J'?Nf C'.. 0 A'.
MoQe 1 Jo. Nt so ert. n=�
IAA'
A ,tiA , n, M ,,- l' \ J f f ;A ( ),‘
( c e A F- uS L s (1 nlS
— 0 J
N.) dr c</T Tl,P `TrvJ5 3
A
lb
Y L, (Tv r A ( ,AA A-T`er R-
Requester:
Phon N f — 2 4 i
_GI Z(
. A
Project:
s p, k cr P I:)(A
Ty of Inspection:
�. F
Address: 4
-c o /! '_
sr
Date Called:
Special Instructions:
Date Wanted:
Z` Z 4
A
lb
P.m.
Requester:
Phon N f — 2 4 i
_GI Z(
Al(
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 -3670
Approved per applicable codes.
Corrections required prior to approval.
Inspgftor:
v
'Date: 2 , 2_4 — (d
El $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
'Date:
Insurance
Company
Name
Policy
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Amount
Received
Date
3
CENTURY
SURETY ETY
CO
(CENS)
CCP583791
02/01/2009
02/01/2010
$1,000,000.0002
/02/2009
2
FIRST
MERCURY
INS CO
FMMA001124
02/01/2007
02/01 /2009
$1,000,000.0001
/15/2008
1
FIRST
MERCURY
INS CO
FMMA0001302
01/24/2007
01/24/2008
$1,000,000.00
01/24/2007
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
1
AMERICAN
STATES INS
CO
6470956
01/24/2007
Until
Cancelled
$12,000.00
01/24/2007
Name
Role
Effective Date
Expiration Date
WILLIAMSON, CRAIG
PRESIDENT
01/24/2007
Untitled Page
Business Owner Information
Bond Information
Insurance Information
•
•
General /Specialty Contractor
A business registered as a construction contractor with LI *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
M M COMFORT SYSTEMS
4258817920
18103 NE 68TH C -200
REDMOND
WA
98052
KING
Corporation
WILLIAMSON ACQUISITION
CORP
UBI No.
Status
License No.
License Type
Effective Date
Expiration
Date
Suspend Date
Specialty 1
Specialty 2
602682815
ACTIVE
MMCOMMC934B4
CONSTRUCTION
CONTRACTOR
1/24/2007
1/24/2011
GENERAL
UNUSED
https://fortress.wa.gov/lni/bbip/Detail.aspx
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10/20/2009