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Permit M09-053 - MYERS RESIDENCE
MYERS RESIDENCE 13919 42 AV S M09 -053 Parcel No.: 7360600450 Address: Suite No: 13919 42 AV S TUKW Cityef Tukwila Tenant: Name: MYERS RESIDENCE Address: 13919 42 AVE S , TUKWILA WA Owner: Name: MYERS THEODORE G +DIANE B Address: 13919 42ND AVE S , SEATTLE WA Contact Person: Name: NAIDA KHAN Address: 1345 GULF RD , POINT ROBERTS WA 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 Contractor: Name: WASHINGTON ENERGY SERVICES CO Address: 2800 THORNDYKE AVE W , SEATTLE, WA Contractor License No: WASHIES9710B DESCRIPTION OF WORK: REPLACE 60,000 BTU GAS FURNACE Value of Mechanical: $6,050.78 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 MECHANICAL PERMIT EQUIPMENT TYPE AND QUANTITY 1 0 0 0 0 0 0 0 0 0 0 0 0 0 * *continued on next page ** M09 -053 Permit Number: Issue Date: Permit Expires On: Phone: Phone: 360- 945 -2787 Phone: 206 282 -4200 Expiration Date: 09/02/2009 M09 -053 05/21/2009 11/17/2009 Fees Collected: $203.93 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: 05 -21 -2009 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 Date: \c " I O9 Permit Number: M09 -053 Issue Date: 05/21/2009 Permit Expires On: 11/17/2009 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 doe constructi•ior the perform Signature: Print Name: doc: IMC -10/06 esume to give authority to violate or cancel the provisions of any other state or local laws regulating am authorized to sign and obtain this mechanical permit. +'1 ►Cc, (-2 -0- vAr SC( -- e ( I Date: <-) 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 -053 Printed: 05 -21 -2009 Parcel No.: 7360600450 Address: 13919 42 AV S TUKW Suite No: Tenant: MYERS 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 -053 Status: ISSUED Applied Date: 05/21/2009 Issue Date: 05/21/2009 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 -053 Printed: 05 -21 -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 perform Signature: Print Name: CCAGC ✓I,SCI "C" doc: Cond -10/06 M09 -053 Date: t l v ordinances governing or local laws regulating Printed: 05 -21 -2009 Tenant Name: CITY OF TUKWILP Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htlp: www.ci.lukwilu.wu.us site Address: 13919 42ND AVE S Property Owners Name: DIANE MYERS Mailing Address: 13919 42ND AVE S Mailing Address: 1345 Gulf Road E -Mail Address: naida @nwpermit.com RtAnprien IF«m.- Apptitatiae On Lrneu -2006 - rennit Appl:raaio dac Revised: 9-2006 nh • Building Permit No. Mechanical Permit No. K09, Q S 3 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 Name: Naida Khan /Northwest Permit Inc King Co Assessor's Tax No.: 7360600450 Suite Number. Floor: New Tenant: ❑ Yes ❑..No TUKWIL■ City CONTACT PERSON - who do we contact when your permit is ready to be issued Day Telephone: Point Roberts City Slate City Contact Person: Day Telephone: E -Mail Address: Fax Number: 360 -945 -2787 WA 98281 Fax Number. 360- 945 -2091 WA 98168 sure Zip GENERAL CONTRACTOR INFORMATION — (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number Expiration Date: State ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number. State ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record Company Name: Mailing Address: State Zip lip Zip Zip Page 1 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/I00,000 BTU Fumace> l 00K 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 MECHANICAL PERMIT INFORMATION - 206 -431 -3670 MECHANICAL CONTRACTOR INFORMATION Company Name: WESCO Mailing Address: 2800 Thomdyke Avenue W Seattle AMBER HEARN City State Zip Contact Person: 800-3984463 Day Telephone: E -Mail Address: Fax Number. Contractor Registration Number. WASH I ES971 OB Expiration Date: 09/02/09 Valuation of Mechanical work (contractor's bid price): $ 6050.78 Scope of Work (please provide detailed information): REPLACE GAS FURNACE 60k BTU Use: Residential: New .... ❑ Replacement .... Commercial: New .... ❑ Replacement .... ❑ Fuel Type: Electric ❑ Gas....0 Other: Indicate type of mechanical work being installed and the quantity below: QMpp i nn Fomis -Apph On lmd3 -2006 - Perna Applicationdoc Revised 9-2006 bh • • WA 98199 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 ( cunent 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. BUILDIN WNER OR A 0 AGENT: Signature: \ .` Print Name: Naida Khan Northwest Permit Inc. Day Telephone: 360-94 2787 Mailing Address: 1 345 Gulf Rd Date: Point Roberts WA 98281 Zip City State Date Application Expires: Date Application Accepted: Q am rit3- 2006 - %ma Appliraizerdoc Revised: 9 -2006 bb Staff Initials: Page 6 of 6 Parcel No.: 7360600450 Address: 13919 42 AV S TUKW Suite No: Applicant: MYERS RESIDENCE Payee: WASHINGTON ENERGY SERVICES TRANSACTION LIST: Type Method Descriptio Amount Payment Check 5143 203.93 Authorization No. 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 Receipt No.: R09 -00757 Payment Amount: $203.93 Initials: WER Payment Date: 05/21/2009 11:21 AM User ID: 1655 Balance: $0.00 Account Code Current Pmts 000.322.102.00.0 203.93 Total: $203.93 Permit Number: M09 -053 Status: PENDING Applied Date: 05/21/2009 Issue Date: A it ?a E doc: Receiot -06 Printed: 05 -21 -2009 Project: ,M e1f Rei - QeAce Type of Inspections rzo� eti Address 4l; .ate - - ate Cal: Sp e 3/1g cial Instructions: in [J� 0 �� - cQ Date Wanted: 'k 8 T p.m. Requester: Ph 1,9G 7 42 1 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 -3 ivas - �s3 ri $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Approved per applicable codes. © Corrections required prior to approval. 7 COMMENTS: P AKkp Inspecttr: Date: cd---k Receipt No.: 'Date: Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 7 Ironshore Specialty Ins Co 00G4H0905001 05/01/200905/01 /2010 09/02/2003 $1,000,000.0004 /29/2009 6 UNITED SPECIALTY INS AGL0810381 05/01/2008 05/01/2009 $1,000,000.00 04/30/2008 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 DEVELOPERS SURETY Et INDEM CO 571389C 08/29/2003 Until Cancelled 09/02/2003 $12,000.00 09/02/2003 Name Role Effective Date Expiration Date OLSON, CRAIG PRESIDENT 09/02/2003 HEAGLE, RANDY SECRETARY 09/02/2003 CHRISTIANSON, STEVE TREASURER 09/02/2003 OLSON, VERN VICE PRESIDENT 09/02/2003 Untitled Page General /Specialty Contractor A business registered as a construction contractor with LEI 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 WASHINGTON ENERGY SERVICES CO 2062824700 2800 THORNDYKE AVE W SEATTLE WA 98199 KING Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602320560 ACTIVE WASHIES97106 CONSTRUCTION CONTRACTOR 9/2/2003 9/2/2009 GENERAL UNUSED Business Owner Information Bond Information Insurance Information • • Page 1 of 2 https://fortress.wa.gov/lni/bbip/Detail.aspx 05/21/2009