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Permit M08-224 - BOLING RESIDENCE
BOEING RESIDENCE 11636 42 AV S M08 -224 Parcel No.: 3347400160 Address: Suite No: 11636 42 AV S TUKW Tenant: Name: BOLING RESIDENCE Address: 11636 42 AV S , TUKWILA WA CitAf Tukwila Owner: Name: BOLING ROBERT & REBECCA Address: 6307 ELLIS AVE S , SEATTLE WA Contact Person: Name: BEN MCAULEY Address: 214 NW 52 , SEATTLE WA Contractor: Name: FIRESIDE HEARTH & HOME INC Address: 7818 S 212 ST #109 , KENT WA Contractor License No: FIRESHH953P5 DESCRIPTION OF WORK: INSTALL WOOD BURNING FIREPLACE Value of Mechanical: $300.00 Type of Fire Protection: Furnace: <100K BTU >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 >10,000 CFM Evaporator Cooler Ventilation Fan connected to single duct Ventilation System Hood and Duct Incinerator: Domestic Commercial/Industrial doc: IMC -10/06 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * * continued on next page ** M08 -224 Permit Number: Issue Date: Permit Expires On: Phone: Phone: 206 - 388 -6525 Phone: 425 - 251 -9447 Expiration Date: 11/08/2009 M08 -224 09/05/2008 03/04/2009 Fees Collected: $97.00 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 1 Water Heater 0 Emergency Generator 0 Other Mechanical Equipment Printed: 09 -05 -2008 Permit Center Authorized Signature: • 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: MO8 -224 Issue Date: 09/05/2008 Permit Expires On: 03/04/2009 Date: ` S - V T/ I hereby 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 th performance of work. I am authorized to sign and obtain this mechanical permit. Signature: Date: e / - 7 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. Print Name: doc: IMC -10/06 M08 -224 Printed: 09 -05 -2008 Parcel No.: 3347400160 Address: 11636 42 AV S TUKW Suite No: Tenant: BOLING RESIDENCE 1: ** *BUILDING DEPARTMENT CONDPI'fONS * ** • 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: M08 -224 Status: ISSUED Applied Date: 09/05/2008 Issue Date: 09/05/2008 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 Thkwila 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 ** M08 -224 Printed: 09-05 -2008 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. Signature: Print Name: • 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 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. b e) v'l l4tn. ■vY doc: Cond -10/06 M08 -224 Date: 7 5 o o ordinances governing or local laws regulating Printed: 09 -05 -2008 Site Address: Tenant Name: o L,1 YO L� Name: Mailing Address: E -Mail Address: Company Name: Mailing Address: CITY OF TUKWI Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us 111,3(, W2h i-c- Ll 1 4'^ , `x / ' 2 S - ^- Company Name: Mailing Address: Z Le '4 54 Contact Person: /9 a r. ,.t„ E -Mail Address: Contact Person: E -Mail Address: Q:\Applications\Forms- Applications On Line\3 -2006 - Mechanical Permit Application.doc Revised: 4 -2006 bh MECHANICAL PERMIT APPLICATION Property Owners Name: ( o e,. k- 4 1) Mailing Address: Z I \-t N w S Contact Person: E -Mail Address: uatAi L, , cv Contractor Registration Number: 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 ** King Co Assessor's Tax No.: 3314 1 4Q 01(Q Q Suite Number: Floor: Sri t_ City Day Telephone: City Fax Number: 101.4,.■ New Tenant: Eh.. Yes tAS1 State 1A1 State Zip 1 8 / $ � . Z l Z"( S } - S � ; TO/ K./2n - + City Day Telephone: /- ? - /, Gcl - Fax Number: Expiration Date: x,119- 9 ge State Zip City Day Telephone: ZS 93 7-3?-3 Fax Number: State Zip Company Name: Mailing Address: Zip City Day Telephone: Fax Number: State ..No 9 ta Zip 900 ^ 1 Page I of 2 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 Water Heater 50+ HP /1,750,000 BTU Repair or Addition to Heat/Refrig/Cooling System Incinerator - Domestic Emergency Generator Air Handling Unit <10,000 CFM Incinerator — Comm /Ind Other Mechanical Equipment Valuation of Project (contractor's bid price): $ 90 o Scope of Work (please provide detailed information): ( v' 4 �' Use: Residential: New ..— Replacement .... ❑ Commercial: New .... ❑ Replacement .... ❑ Fuel Type: Electric ❑ Gas ....0 Other: tt 000k Indicate type of mechanical work being installed and the quantity below: l) oo A Go w ✓ft 4, s ) fir- e-(tet_c-e 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 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). 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 AUTHORIZED AGENT: Signature: Print Name: F��4 Mailing Address: t 1{ /Jto 5 2 Z of Date Application Expires: Date Application Accepted: Q:Wpplications\Forms- Applications On Lin&3 -2006 - Mechanical Permit Application.doc Revised: 4 -2006 bh Day Telephone: Seafit l-� City Date: 5 -5 0g ?vG 3 ,3$ - 65•2_5 -- State Zip Staff Initials: Page 2 of 2 Parcel No.: 3347400160 Address: 11636 42 AV S TUKW Suite No: Applicant: BOLING RESIDENCE Receipt No.: R08 -03155 Initials: WER Payment Date: 09/05/2008 01:36 PM User ID: 1655 Balance: $0.00 Payee: MCAULEY CONSTRUCTION TRANSACTION LIST: Type Method Descriptio Amount Payment Check 5359 97.00 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 Account Code Current Pmts 000.322.102.00.0 97.00 Total: $97.00 Permit Number: M08 -224 Status: PENDING Applied Date: 09/05/2008 Issue Date: Payment Amount: $97.00 5970 J9/05 9707 TOTAL 97.00 doc: Receiot -06 Printed: 09 -05 -2008 Proj ct: , 601-1 ge.f• Type of Inspection: t Address: , 11(0 3 (0 42- ro .-) 6 ate Called: , Special Instructions: 7 .-. Date Wanted: /1-73 -d ,�/ J a.m -p:►n Requester: Phone© .JOO __Iasi.; • • • • • INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Mog -22,A PERMIT NO. (206)431 -3670 Approved per applicable codes. Corrections required prior to approval. COMMENTS: I� u �r4 �� / ,r) A-- .d -e.. Inspectgf: Date: o r 0$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: Project: Type of Ins ection: iev Address: / 3 S Date Called: et M r - k . Special Instructions: 7 Date Wanted: c . / - 5 - e) ! -- p.m. Requester: Phone No: /)7041-22e( 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. D Corrections required prior to approval. COMMENTS: l Spector:— ' st i Date: .c' eiati 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: Proj ct: O 1 / • ( Type of Inspection: woo A srb v.E._ Address: r. rl(o3( 42 -- A-cc, So, Date Called: .P Special Instructions: Date Wanted: hts. 7-1- a.m. Requester: Phone No: 7 - 311 ' - s 25 0 Approved per applicable codes. oY INSPECTION RECORD Retain a copy with permit INSPECTION NO: PERMIT NO. CITY OF TUKWILA BUILDING DIVISION Q 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 - 6 p orrections required prior to approval. COMMENTS: /) 4/0-vel ce//' v - /0 ....,„ 5 *filet, ier,,,v9s., ;T...? / I / L ❑ $60.00 REINSPECTIO FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southce ter Blvd:, Suite 100. Call to schedule reinspection. 'Receipt No.: 'Date: Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 2 DEVELOPERS SURETY a INDEM CO 790160C 11/29/2007 Until Cancelled $12,000.00 11 /30/2007 1 DEVELOPERS SURETY Et INDEM CO 548898C 11/01/2005 Until Cancelled 11/27/2007 $12,000.0010/24 /2005 Name Role Effective Date Expiration Date NIRK, WILLIAM PRESIDENT 11/01/2005 Amount WATERSTRAAT, JOHN VICE PRESIDENT 11/01/2005 Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date FIRST Untitled Page • General /Specialty Contractor A business registered as a construction contractor with LEtJ 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 FIRESIDE HEARTH Et HOME INC 4252519447 7818 SOUTH 212TH ST #109 KENT WA 98032 KING CORPORATION UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Previous License Next License Associated License Specialty 1 Specialty 2 602532939 ACTIVE FIRESHH953P5 CONSTRUCTION CONTRACTOR 11/1/2005 11/8/2009 FIRESD0150LP GENERAL UNUSED Business Owner Information Bond Information Insurance Information https: / /fortress.wa. gov /lni/bbip/Detail. aspx ?License= FIRESHH953 P 5 Page 1 of 2 09/05/2008