HomeMy WebLinkAboutPermit M09-117 - KLEIN RESIDENCEKLEIN RESIDENCE
15460 42 AV S
M09 -117
Parcel No.:
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
8108600761
15460 42 AV S TUKW
KLEIN RESIDENCE
15460 42 AV S , TUKWILA WA
KLEIN GEO W
15460 42ND S , SEATTLE WA
GEORGE KLEIN
15460 42 AV S , TUKWILA WA
Contractor:
Name: M M COMFORT SYSTEMS
Address: 18103 NE 68 C -200 , REDMOND WA
Contractor License No: MMCOMMC934B4
DESCRIPTION OF WORK:
80% FURNACE TO 90% FURNACE CHANGE OUT
Value of Mechanical: $4,912.00
Type of Fire Protection:
City f Tukwila
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.tulcwila.wa.us
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 -117
Permit Number: M09 -117
Issue Date: 09/22/2009
Permit Expires On: 03/21/2010
Phone:
Phone: 206 244 -2662
Phone: 425 881 -7920
Expiration Date: 01/24/2011
Fees Collected: $184.57
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: 09 -22 -2009
Permit Center Authorized Signature:
I hereby certify that I have read and e
governing this work will be complied
The granting of this permit does not pre
construction or the pe o1mance
Signature:
Print Name:
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
Permit Number: M09 -117
Issue Date: 09/22/2009
Permit Expires On: 03/21/2010
ed thiSrpermit and know the same to be true and correct. All provisions of law and ordinances
hether specified herein or not.
tole authority to violate or cancel the provisions of any other state or local laws regulating
uthorizecl,�o sign and obtain this mechanical permit.
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 -117 Printed: 09 -22 -2009
Parcel No.: 8108600761
Address: 15460 42 AV S TUKW
Suite No:
Tenant: KLEIN 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 -117
Status: ISSUED
Applied Date: 09/22/2009
Issue Date: 09/22/2009
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 -117 Printed: 09 -22 -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 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 provision of any other work or local laws regulating
construction or the performance of work.
Signature:
Print Name:
doc: Cond -10/06
Date:
-aq
M09 -117 Printed: 09 -22 -2009
Site Address:
Tenant Name:
Property Owners Name:
Mailing Address:
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://Wwwci.tukwila.wa.us
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Mailing Address: r 4 6 0 y
Name:
Company Name:
Mailing Address:
Contact Person:
Company Name:
Mailing Address:
R >I" Pt y
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Contact Person:
E -Mail Address:
Company Name:
Mailing Address:
HAApplications\Forms- Applications On Line\2009 Applications \1 -2009 - Mechanical Permit Application.doc
Revised: 1 -2009
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City
•
MECHANICAL PERMIT APPLICATION
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 **
f (a 3 N e- G tre • s4_ ` z') ° 2
City
Day Telephone:
E -Mail Address: r1' :ppt C0..". Fax Number:
Contractor Registration Number: W �� U i PI el Co m010 3 '(G'1 Expiration Date:
o,00 'T og 5 7
Mechanical Permit No.
Project No.
•
•• (Forofce use only)
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SITE LOCATION
King Co Assessor's Tax No.: E1O & p 0° ? 62 00
Suite Number: Floor:
New Tenant: ❑ Yes ❑..No
State
State
State
Zip
CONTACT PERSON. - -) do we contact when your permit is ready to be issued,
206- Zu• - 2-6C Z
v4 gk18v
Day Telephone:
J6-411
City
E -Mail Address: Fax Number:
State Zip
MECHANICAL CONTRACTOR INFORMATION
wit
State Zip
? — 63S " S
/2C- SS as,
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ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record
Zip
City
Day Telephone:
Fax Number:
ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record
Zip
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Page 1 of 2
Unit Type:
Qty
Unit Type:
Qty
Unit Type:
Qty
Boiler /Compressor:
Qty
Furnace <100K BTU
i
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
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
Use: Residential: New ❑ Replacement
Commercial: New ❑ Replacement ❑
Fuel Type: Electric ❑ Gas ❑ Other:
Indicate type of mechanical work being installed and the quantity below:
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 OR » THORIZED AGENT:
.F
Signature:
Date Application Accepted:
•
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Print Name: 1 ` .\()(L> ` Day Telephone: y 2 S - 7 6 b - 3 SS
Mailing Address: J tP A O 3 e v (5fi' S� 4 G Z 00
City 2c,1 �' State Zip o Z
Date Application Expires:
H:\Applications\Fonns- Applications On Line \2009 Applications \I -2009 - Mechanical Permit Application.doc
Revised: 1 -2009
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Date:
5 - 1 - O"
Staff Initials:
e2of2
Parcel No.: 8108600761
Address: 15460 42 AV S TUKW
Suite No:
Applicant: KLEIN RESIDENCE
Receipt No.: R09 -01484
Initials:
User ID:
Payee:
JEM
1165
i
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
M M COMFORT SYSTEMS
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 10284 184.57
Authorization No.
ACCOUNT ITEM LIST:
Description
MECHANICAL - RES
RECEIPT
Account Code Current Pmts
000.322.102.00.0 184.57
Total: $184.57
•
Permit Number: M09-117
Status: PENDING
Applied Date: 09/22/2009
Issue Date:
Payment Amount: $184.57
Payment Date: 09/22/2009 02:01 PM
Balance: $0.00
PAYMENT
RECEIVED
doc: Receipt -06 Printed: 09 -22 -2009
Project:
l< kLe- Tom/ /t rs .
Type a Inspection:
e ). j /7 - .4
Address:
l-3 0 4/2-fv -S
Date Called:
Special Instructions:
•
Date Wanted:
/D / / / d G'
p.m.
Requester:
Phone No:
i=296 /17
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION 'M
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3
roved per applicable codes. Corrections required prior to approval.
COMMENTS:
" 1 4914 ph-t7--
)92,-,4, Ake-7
t
Inspect
P
6
{Receipt No.: (Date:
Data 1 / /
.00 REINSPECTION FED REQU D. Prior to inspection, fee must be
Id at 6300 Southcenter Blvd., S ite 100. Call to schedule reinspection.
Insurance
Company
Name
Policy
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Amount
Received
Date
3
CENTURY
SURETY
CO
(CENS)
CCP583791
02/01/2009
02/01/2010
$1,000,000.0002
/02/2009
2
FIRST
MERCURY
INS CO
FMMA001124
02/01/200702/01
/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
•
II
General /Specialty Contractor
A business registered as a construction contractor with LB.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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09/22/2009