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Home My WebLink AboutPermit M09-124 - SIEGER RESIDENCESIEGER RESIDENCE 12258 42 AV S M09 -124 Parcel No.: 0179000100 Address: Suite No: Tenant: Name: Address: 12258 42 AV S TUKW SIEGER RESIDENCE 12258 42 AV S , TUKWILA WA Owner: Name: HODGINS ARTHUR W Address: 12258 42ND AVE S , TUKWILA WA Contact Person: Name: NAIDA KAHN Address: 1345 GULF RD , POINT ROBERTS, WA Contractor: Name: WASHINGTON ENERGY SERVICES CO Address: 2800 THORNDYKE AVE W , SEATTLE, WA Contractor License No: WASHIES9710B DESCRIPTION OF WORK: REPLACE GAS TO GAS WALL FURNACE Value of Mechanical: $3,800.00 Type of Fire Protection: doc: IMC -10/06 Citylif 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 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 QUANTITY 1 0 0 0 0 0 0 0 0 0 0 0 0 0 * *continued on next page ** M09 -124 Permit Number: Issue Date: Permit Expires On: Phone: Phone: 360 945 -2787 Phone: 206 282 -4200 Expiration Date: 09/02/2011 M09 -124 10/01/2009 03/30/2010 Fees Collected: $175.39 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: 10 -01 -2009 Permit Center Authorized Signature: 7 I hereby certify that I have read and governing this work will be complied The granting of this pe construct' p� or the perf 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.atukwilawa.us • Permit Number: M09 -124 Issue Date: 10/01/2009 Permit Expires On: 03/30/2010 Date: i ° 1 ( ) AU. ed this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. e to give authority to violate or cancel the provisions of any other state or local laws regulating I am authorized to sign and obtain this mechanical permit. °V\:\L6... ( Date: 6 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 -124 Printed: 10 -01 -2009 Parcel No.: 0179000100 Address: 12258 42 AV S TURIN Suite No: Tenant: SIEGER 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 -124 Status: ISSUED Applied Date: 10/01/2009 Issue Date: 10/01/2009 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 -124 Printed: 10 -01 -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 performanc Signature: Print Name: doc: Cond -10/06 M09 -124 Date: b I - Q l ordinances governing or local laws regulating Printed: 10 -01 -2009 Company Name: Mailing Address: S CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us MECHANICAL PERMIT APPLICATION Mechanical Permit No. Project No. 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 Site Address: k Ra J S Tenant Name: S �Q�(.a , f Property Owners Na h VtYY1 S 1e • e( J Mailing Address: Name: 1v ?GChr1 ‘ "k - t / a1d0. \61-.111/1 Mailing Address: k 34S ( "ix.b ^ E -Mail Address: tv rA ��,(i �.1 1'1 W 1'Yl• 't'. cocv, King Co Assessor's Tax No.: D r ig O O v 1 O n Suite Number: Floor: New Tenant: ❑ Yes ❑ .. No State Zip • •CONTACT PERSON = Who do we contact when your p rmit:is ready to be' issued Day Telephone: 9 an ci - a r ni r kw* 'P & ef+ \NI IA- 1 City State Zip Fax Number: MECHANICAL CONTRACTOR INFORMATION • e S c,p Qcsn l \.sr d \c-:-e Contact Person: t 1. t CA_ \ lV\ E -Mail Address: Contractor Registration Number: w VkS I S\I ( �13 1tor,/( 1„ I S . wet :ARCHITECT OF RECORD - All plans'must,be by'A rchitect of Record City State Zip Day Telephone: °Jt a,O e Vat Fax Number: Expiration Date: - Company Name: Mailing Address: Contact Person: E -Mail Address: Contact Person: E -Mail Address: H:\Applications \Forms - Applications On Line\2009 Applications \1-2009 - Mechanical Permit Application.doc Revised: 1.2009 bh City Day Telephone: Fax Number: State Zip ENGINEER OF RECORD - Ali plans.must be wet stamped by Engineer of Record Company Name: Mailing Address: Zip State City Day Telephone: Fax Number: Page 1 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 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): $ 3 C>L7 Scope of Work (please provide detailed information): RC5 ?0, (t? (EGA 3CtiS `\ ha Use: Residential: New ❑ Replacement Commercial: New ❑ Replacement ❑ Fuel Type: Electric ❑ Indicate type of mechanical work being installed and the quantity below: 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. BUILDIN NER OR Date Application Accepted: • Gas gj Other: ED AGENT: Signature: r Print Namely l GYllCC 12avvISf(P Mailing Address: l' f S Clu(T TI.t � o ( o l oi ) HAApplicationsVForms- Applications On Line12009 Appl cations 1-2009 - Mechanical Permit Application.doc Revised. 1 -2009 bh Date: `O " Day Telephone: 300 - S - 2Y ?h City State Zip Date Application Expires: Staff Initials: Parcel No.: 0179000100 Permit Number: M09 -124 Address: 12258 42 AV S TUKW Status: APPROVED Suite No: Applied Date: 10/01/2009 Applicant: SIEGER RESIDENCE Issue Date: Receipt No.: R09 - 01539 Initials: User ID: Payee: JEM 1165 WASHINGTON ENERGY SERVICES COMPANY TRANSACTION LIST: Type Method Descriptio Amount Payment Check 5413 175.39 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 Account Code Current Pmts 000.322.102.00.0 175.39 Total: $175.39 Payment Amount: $175.39 Payment Date: 10/01/2009 12:17 PM Balance: $0.00 PAYMENT RECEIVED doc: Receipt-06 Printed: 10 -01 -2009 Project S „ Q Type of Inspectiory: ' /J Address: 12z SY gi-- 41 ' Ai LS Date Called: Q c.� Special Instructions: Date Wanted: / a.m Requester: Phone No: .t� .. CO 11 3 ! 'Sr 4A- 2 INSPECTION RECORD Retain a copy with permit PERMIT NO. INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 A pproved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: n • ector: Date: f ' �� _ Z.)C $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Q1 -t` ►� (-0 ,L& p( ems. 1 Date: /J C COMMENTS: Type sz lnspectin: p ' AAew i N Ong- 1kp ' Date Called: 01 AW d P - . e/) Jk0 Date Wanted: 1 o- (l' .. d T1A..S : & fp(' 44 ..>n Requester: Phone No: 62 ' 3 2A 13-4 04 i p p_, T,) ( v Al e, .9 2 L.1 , 7 ✓‘ S ) t..I , .0 • ) S .) 4 14— 'l . j C� Pro e , �� G �� {� � Type sz lnspectin: p ' AAew Address: X22- g42 5 Date Called: Special Instructions: Zq A C e ,AS ii1 !'c c e 1 "� ► Date Wanted: 1 o- (l' .. d a� `�. m. Requester: Phone No: 62 ' 3 2A 13-4 04 INSPE ON NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -347 El Approved per applicable codes. ri $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: INSPECTION RECORD Retain a copy with permit — moq- 12.4 PERMIT NO. Corrections required prior to approval. /Z Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 7 Ironshore Specialty Ins Co 00G4H0905001 05/01/2009 05/01/2010 09/02/2003 $1,000,000.00 04/29/2009 6 UNITED SPECIALTY INS AGL0810381 05/01 /200805/01/2009 $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 l* 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 LEtI 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 Bond Information WASHINGTON ENERGY SERVICES CO 2062824700 2800 THORNDYKE AVE W SEATTLE WA 98199 KING Corporation Business Owner Information Insurance Information ID https: // fortress .wa.gov /lni/bbip/Detail.aspx UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602320560 0 ACTIVE WASHIES9710B CONSTRUCTION CONTRACTOR 9/2/2003 9/2/2011 GENERAL UNUSED Page 1 of 2 10/01/2009