HomeMy WebLinkAboutPermit M11-110 - CANON RESIDENCECANON RESIDENCE
5111 S 163 PL
Mil-ilO
City oPTukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206 - 431 -2451
Web site: http: / /www.TukwilaWA.gov
MECHANICAL PERMIT
Parcel No.: 8700500080
Address: 5111 S 163 PL TUKW
Project Name: CANON RESIDENCE
Permit Number:
Issue Date:
Permit Expires On:
Mil -110
08/01/2011
01/28/2012
Owner:
Name: CANON ELAINE
Address: 5111 S 163RD PL , TUKWILA WA 98188
Contact Person:
Name:
Address:
Email:
NAIDA KHAN
1345 GULF RD , POINT ROBERTS WA 98281
NAIDA@NWPERMIT.COM
Contractor:
Name: WASHINGTON ENERGY SERVICES CO
Address: 2800 THORNDYKE AVE W , SEATTLE, WA 98199
Contractor License No: WASHIES9710B
Phone: 360 945 -2787
Phone: 206 282 -4200
Expiration Date: 09/02/2011
DESCRIPTION OF WORK:
INSTALL 34K BTU GAS FIREPLACE INSERT
Value of Mechanical: $4,500.00 Fees Collected: $195.90
Type of Fire Protection: SMOKE DETECTORS International Mechanical Code Edition: 2009
Electrical Service Provided by:
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complie
Date: D 7)I tl 1 1
ed this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
The granting of this permit does not pres
construction or the performance of work.
back of this permit.
e to give authority to violate or cancel the provisions of any other state or local laws regulating
I am authorized to sign and obtain this mechanical permit and agree to the conditions on the
Date: V( (1
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 -4/10
M11-110 Printed: 08 -01 -2011
•
PERMIT CONDITIONS
Permit No. M1 1-1 10
1: ** *BUILDING DEPARTMENT 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 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: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap the sanitary
sewer connections, and properly fill or otherwise protect all basements, cellars, septic tanks, wells, and other
excavations. Final inspection approval will be determined by the building inspector based on satisfactory completion of
this requirement.
5: Manufacturers installation instructions shall be available on the job site at the time of inspection.
6: All construction noise to be in compliance with Chapter 8.22 of the City of Tukwila Municipal Code. A copy can be
obtained at City Hall in the office of the City Clerk.
7: Ventilation is required for all new rooms and spaces of new or existing buildings and shall be in conformance with the
International Building Code and the Washington State Ventilation and Indoor Air Quality Code.
8: 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.
9: 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.
10: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the City of Tukwila
Building Department (206- 431 - 3670).
11: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building
Department (206- 431 - 3670).
12: 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: IMC -4/10
M11-110 Printed: 08 -01 -2011
CITY OF TUKWILA,
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Building Pe o. A n Mechanical Permit No. M t 1— ito
Plumbing/Gas Permit No
Public Works Permit No.
Project No.
(For office use only)
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.: 8700500080
Site Address: 5111 S 163RD PL
Suite Number:
Tenant Name:
Property Owners Name: ELAINE CANON
Mailing Address: 5111 S 163RD PL
TUKWILA
City
Floor:
New Tenant: ❑ Yes ❑ ..No
WA 98188
State Zip
CONTACT PERSON - who do we contact when your permit is ready to be issued
Name: Naida Khan /Northwest Permit Inc
Mailing Address: 1345 Gulf Road
E -Mail Address: naida @nwpermit.com
Day Telephone: 360- 945 -2787
Point Roberts WA 98281
City
State Zip
Fax Number: 360 - 945 -2091
GENERAL CONTRACTOR INFORMATION —
(Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5))
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Contractor Registration Number: Expiration Date:
City
Day Telephone:
Fax Number:
State
Zip
ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
City
Day Telephone:
Fax Number:
State
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:Wpplications\Fmms- Applications On Line\3 -2006 - Permit Application.doc
Revised: 9-2006
bh
State
Zip
Page 1 of 6
MECHANICAL PERMIT INF TION _ 206 -431 -3670
MECHANICAL CONTRACTOR INFORMATION
Company Name: WESCO
Mailing Address: 2800 Thorndyke Avenue W Seattle WA 98199
Amber Hearn
City state Zip Contact Person: Day Telephone: 800- 398 -4663
E -Mail Address: Fax Number:
Contractor Registration Number: WASH I ES971 OB Expiration Date: 09/02/11
Valuation of Mechanical work (contractor's bid price): $
4500.00
Scope of work (please provide detailed information): INSTALL 34K BTU GAS FIREPLACE INSERT
Use: Residential: New .... ❑ Replacement ....
Commercial: New .... ❑ Replacement .... ❑
Fuel Type: Electric ❑ Gas ....V Other:
Indicate type of mechanical work being installed and the quantity below:
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
Q:Wpplica6onsWorms-Applications On [inc3-2006 - Permit Applicatioadm
Revised: 9-2006
bh
Page 4 of 6
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 0 WJ ER OR AUT`HO . D AGENT:
•
Signature: ��& .
Date: NO t 251
Print Name: aida Khan /Northwest Permit Inc. Day Telephone: 360- 945 -2787
Mailing Address: 1345 Gulf Rd
Point Roberts WA 98281
City
State Zip
Date Application Accepted:
651/0t
t
Date Application Expires:
Staff Initials:
Q:\Appuoaaiom\F«ma- Applications On Line \3-2006 - Pct,vit Applicatioo.doc
Revised: 9 -2006
bh
Page 6 of 6
Ciff of Tukwila,
1
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
SET RECEIPT
Copy Reprinted on 08 -01 -2011 at 12:15:27 08/01/2011
RECEIPT NO: R11 -01646
Initials: JEM
Payment Date: 08/01/2011
User ID: 1165 Total Payment: 258.90
Payee: WASHINGTON ENERGY SERVICES COMPANY
SET ID: S000001540 SET NAME: Temporary Set
SET TRANSACTIONS:
Set Member
M11 -110
PG11 -118
TOTAL:
Amount
195.90
63.00
195.90
TRANSACTION LIST:
Type Method Description Amount
Payment Check 7517 258.90
TOTAL: 258.90
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
GAS - RES 000.322.103.00.0
MECHANICAL - RES 000.322.102.00.0
63.00
195.90
TOTAL: 258.90
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
Mit - fro
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 g. (206) 431 -36
Permit Inspection Request Line (206) 431 -2451
Project:
Type nf Inspection:
Addre s:
1i t
( PL
13`
Date Called:
Special Instructions:
, .
Date Wanted:. r' Grp,
r ( -- '4f p.m.
Requester:
Phone O69 •242_-'?535
1/4171Approved per applicable codes.
Corrections required prior to approval. 5
COMMENTS:
P'r/71i74' I ,p ,A- ; >v4/
/(nspecto.
'Date:
/./— 9 —t/
NSPECTION FEE REQUIRED. Prior to next inspection. fee must be •
id at 6300 Southce ter Blvd.. Suite 100. Call to schedule reinspectioh.
Contractors or Tradespeople liter Friendly Page
1
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 WASHINGTON ENERGY SERVICES CO UBI No. 602320560
Phone 2062824700 Status Active
Address 2800 Thorndyke Ave W License No. WASHIES971OB
Suite /Apt. License Type Construction Contractor
City Seattle Effective Date 9/2/2003
State WA Expiration Date 9/2/2011
Zip 98199 Suspend Date
County King Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company
Business Owner Information
Name
Role
Effective Date
Expiration Date
OLSON, CRAIG
President
09/02/2003
Amount
HEAGLE, RANDY
Secretary
09/02/2003
VGL1021215
CHRISTIANSON, STEVE
Treasurer
09/02/2003
OLSON, VERN
Vice President
09/02/2003
IRONSHORE
SPECIALTY INS
CO
Bond Information
Page 1 of 2
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
1
DEVELOPERS SURETY
& INDEM CO
571389C
08/29/2003
Until Cancelled
$12,000.00
09/02/2003
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information
Insurance
Company Name
Policy Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Amount
Received Date
9
COMPANION
SPECIALTY
INSURANCE
VGL1021215
05/01/2011
05/01/2012
$1,000,000.0004
/29/2011
8
IRONSHORE
SPECIALTY INS
CO
000259901
05/01/2010
05/01/2011
$1,000,000.0004
/30/2010
7
Ironshore
Specialty Ins Co
00G4H0905001
05/01/2009
05/01/2010
$1,000,000.0004
/29/2009
6
UNITED
SPECIALTY INS
AGL0810381
05/01/2008
05/01/2009
$1,000,000.0004
/30/2008
5
UNDERWRITERS
AT LLOYDS
CJ0749013
05/01/2007
05/01/2008
$1,000,000.0004
/27/2007
4
UNDERWRITERS
AT LLOYDS
CJ0677036
05/01/2006
05/01/2007
$1,000,000.0004
/28/2006
3
UNDERWRITERS
AT LLOYDS
CJ0583038
05/01/2005
05/01/2006
$1,000,000.0004
/27/2005
Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period
Warrant Information No unsatisfied warrants on file within prior 6 year period
Infractions /Citations Information
https://fortress.wa.gov/lni/bbip/Print.aspx
08/01/2011