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Home My WebLink AboutPermit M09-101 - PALMERSHEIM RESIDENCEPALMERSHEIM RESIDENCE 4004 5 160 S M09-101 Parcel No.: 8108600641 Address: Suite No: 4004 S 160 ST TUKW DESCRIPTION OF WORK: INSTALL OIL TO GAS 80K BTU FURNACE Value of Mechanical: $0.00 Type of Fire Protection: doc: IMC -10/06 CityWf Tukwila Tenant: Name: PALMERSHEIM RESIDENCE Address: 4004 S 160 ST , TUKWILA WA Owner: Name: PALMERSHEIM THOMAS P Address: 4004 S 160TH ST , SEATTLE WA 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 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 Contact Person: Name: NAIDA KHAN Address: 1345 GULF RD , POINT ROBERTS, WA Contractor: Name: WASHINGTON ENERGY SERVICES CO Address: 2800 THORNDYKE AVE W , SEATTLE, WA Contractor License No: WASHIES9710B 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 -101 Permit Number: Issue Date: Permit Expires On: Phone: Phone: 360 945 -2787 Phone: 206 282 -4200 Expiration Date: 09/02/2009 M09 -101 08/11/2009 02/07/2010 Fees Collected: $90.00 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 0 Water Heater 0 Emergency Generator 0 Other Mechanical Equipment 0 Printed: 08 -11 -2009 Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complied 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 . th ar Permit Number: M09 -101 Issue Date: 08/11/2009 Permit Expires On: 02/07/2010 (nnLl Date: Q o I O 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 presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or t e • rformance of work. I am authorized to sign and obtain this mechanical permit. Print Name: "n 4 1 +-o V k l t - ItiL L Date: Z OS 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 -101 Printed: 08 -11 -2009 Parcel No.: 8108600641 Address: Suite No: Tenant: doc: Cond -10/06 4004 S 160 ST TUKW • 40 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 PALMERSHEIM RESIDENCE 1: ** *BUILDING DEPARTMENT CONDITIONS * ** PERMIT CONDITIONS * *continued on next page ** Permit Number: Status: Applied Date: Issue Date: M09 -101 ISSUED 08/11/2009 08/11/2009 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. M09 -101 Printed: 08 -11 -2009 WO 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. Signature: _ Print Name: L t I A q �J doc: Cond -10/06 M09 -101 Date: ordinances governing or local laws regulating Printed: 08 -11 -2009 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 Site Address: 4004 S 160TH ST Mailing Address: 1345 Gulf Road E -Mail Address: naida @nwpermit.com Building Permit No. Mechanical Permit No. M DO\ l 9 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 Property Owners Name: THOMAS PALMERSHEIM Mailing Address: SAME AS PROPERTY ADDRESS Name: Naida Khan /Northwest Permit Inc King Co Assessor's Tax No.: 8108600641 TUKWILA City Suite Number: Floor: Tenant Name: New Tenant: ❑ Yes ❑ ..No WA 98188 Zip State CONTACT PERSON — who do we contact when your permit is ready to be issued 360 - 945 -2787 Point Roberts WA 98281 Day Telephone: City Fax Number: 360 - 945 -2091 State Zip GENERAL CONTRACTOR INFORMATION — (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) Company Name: Mailing Address: City Day Telephone: Fax Number: State Zip Contact Person: E -Mail Address: Contractor Registration Number: Expiration Date: ARCHITECT OF RECORD — All plans must be wet stamped by Architect of Record Company Name: Mailing Address: City Day Telephone: Fax Number: Contact Person: E -Mail Address: 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 App1icaucnsWonns Apphcanons Oa Line13 -2006 - Pemut Apphcation.doc Revised: 9 -2006 bh State Zip Page 1of6 Unit Type: Qty Unit Type: Qty Unit Type: Qty Boiler /Compressor: Qty Fumace<100K BTU Air Handling Unit >10,000 CFM Fire Damper 0-3 HP /100,000 BTU Fumace>100K BTU Evaporator Cooler Diffuser 3 -15 HP /500,000 BTU Floor Fumace 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 CONTRACTOR INFORMATION Company Name: WESCO Mailing Address: 2800 Thorndyke Avenue W MECHANICAL PERMIT INFORMATION - 206 -431 -3670 City State Zip Contact Person: Candice Gallagher Day Telephone: 206- 378 -6649 E -Mail Address: Fax Number: Contractor Registration Number: WASHIES971 OB Jj Residential: New .... ❑ Replacement —121 Commercial: New .... ❑ Replacement .... ❑ Seattle Expiration Date: 09/02/09 Valuation of Mechanical work (contractor's bid price): $ 7037.00 Scope of work (please provide detailed information): INSTALL OIL TO GAS 80K BTU FURNACE WA 98199 Fuel Type: Electric ❑ Gas ....V Other. Indicate type of mechanical work being installed and the quantity below: Q: Appheanoa+\PomIs- npplicoons On L. ne \•znoe - Permit Apphcenoadoc Revised: 9-2006 bh Page 4 of 6 BUILDING OWNE Signatu Print Name: Na Mailing Address: 1345 Gulf Rd 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. R AUTHORIZED AGENT: Date Application Expires: 0 2(il Jto Date Application Accepted: 071 tI o Q:NpplicetionslPorms- Applications On tinei3 -2006 - Pmmi* App0cationdoe Revised: 9-2006 bh tQ .Q.9) 0 0 k a Khan /Northwest Permit Inc. Date: D ra Day Telephone: 360- 945 -2787 Point Roberts WA 98281 City S tate Zip Staff Initials: Page 6 of 6 RECEIPT NO: R09 -01253 Payment Date: 08/11/2009 User ID: 1165 Total Payment: 182.00 Initials: JEM Payee: WASHINGTON ENERGY SERVICES COMPANY SET ID: S000001283 SET NAME: Tmp set/Initialized Activities SET TRANSACTIONS: Set Member M09 -101 PG09 -094 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.tukwila.wa.us Amount 90.00 92.00 90.00 SET RECEIPT 0 TRANSACTION LIST: Type Method Description Amount Payment Check 5393 182.00 TOTAL: 182.00 Account Code Current Pmts GAS - RES 000.322.103.00.0 MECHANICAL - RES 000.322.102.00.0 92.00 90.00 TOTAL: 182.00 ' AYMENT RECEIVED Project: Plbr1P/.512e 1 At Type of Inspection: c-i NA / Address: 'QQ ' S / &7 .s % -. Date Called: Special Instructions: - Date Wanted: 5 -/O- -0 c a .. p.m. Requester: Phone No: _2 - zy3 -ssso INSPECTION NO. INSPECTION RECORD Retain a copy with permit "165' I ERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Approved per applicable codes. Ij Corrections required prior to approval. :3' 4 COMMENTS: 6 - s.4/ 4 - 1 %`ir�44/ Ins rzeffor: El $60. + " EINSPECTION FEE R QUIR ' Prior to inspection, fee must be paid - 6300 Southcenter Blvd., Sui e 100. Call to schedule reinspection. Receipt o.: 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 05/01/200805/01 /2009 $1,000,000.0004 /30/2008 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 DEVELOPERS SURETY It 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 L8I 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 WASHIES9710B CONSTRUCTION CONTRACTOR 9/2/2003 9/2/2011 GENERAL UNUSED Business Owner Information Bond Information Insurance Information • 4 Page 1 of 2 https:/ / fortress .wa.gov /lni/bbip/Detail.aspx 08/11/2009