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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 I LO 1 -12 A, S w v... z N Mailing Address: r 4 6 0 y Name: Company Name: Mailing Address: Contact Person: Company Name: Mailing Address: R >I" Pt y eN S 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 bh 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) pool tri 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, ` -2 t( 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: • olig1211 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 bh 4 lZ r. V 1 it 't_ 40 goyy 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 Page 1 of 1 09/22/2009