HomeMy WebLinkAboutPermit M09-147 - DAWE RESIDENCEDAWE RESIDENCE
2929 S 133 ST
M09-147
Parcel No.: 7346600146
Address:
Suite No:
2929 S 133 ST TUKW
Tenant:
Name: DAWE RESIDENCE
Address: 2929 S 133 ST , TUKWILA WA
Owner:
Name: DAWE BEVERLY
Address: 2929 S 133TH ST , SEATTLE WA
Contact Person:
Name: MIKE ERICKSON
Address: 276 SW 43 ST , RENTON WA
Contractor:
Name: A HAYES HEATING & COOLING LLC
Address: 276 SW 43 ST , RENTON WA
Contractor License No: HAYESHC939JR
DESCRIPTION OF WORK:
REPLACE OIL FURNACE AND CHIMNEY LINER
Value of Mechanical: $3,589.00
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
C ommercial/Industrial
doc: IMC -10/06
Cityllbf 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
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 -147
Permit Number: M09 -147
Issue Date: 11/16/2009
Permit Expires On: 05/15/2010
Phone:
Phone: 206 370 -0229
Phone: 253 893 -0051
Expiration Date: 04/19/2011
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 1
Wood/Gas Stove 0
Water Heater 0
Emergency Generator 0
Other Mechanical Equipment
Printed: 11 -16 -2009
Permit Center Authorized Signature:
I hereby certify that I have read and ex
governing this work will be complied
Print Name: nitt c r •
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
m»
Eth,
•
Permit Number: M09 -147
Issue Date: 11/16/2009
Permit Expires On: 05/15/2010
Date: n\ W7, l p5
d this permit and know the same to be true and correct. All provisions of law and ordinances
hether 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 the performance of work. I am authorized to sign and obtain this mechanical permit.
Signature'277 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 -147 Printed: 11 -16 -2009
Parcel No.: 7346600146
Address: 2929 S 133 ST TUKW
Suite No:
Tenant: DAWE 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 -147
Status: ISSUED
Applied Date: 11/16/2009
Issue Date: 11/16/2009
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 -147 Printed: 11 -16 -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 performance of work.
Signature: 7 Date/6 /Vet
Print Name: , Vi(4 L r t< [? c
doc: Cond -10/06 M09 -147
ordinances governing
or local laws regulating
Printed: 11 -16 -2009
CITY OF TUKWILA
Community Deyelopmeir
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.citukwila.wa.us
ITE LOCATION
Site Address: 9'.9 S / 7, 3 - T
Tenant Name: a3 e: v e ✓ /y/ D4
Name: ..f4 e► ,L=►•tel�so.�
Mailing Address: a74 .5M/ ti 3 ,5 7
E -Mail Address:
Contact Person:
E -Mail Address:
Company Name: 4 i/ yr 5 li ra ir4 y t C'c' LL L
Mailing Address:Z7 - T /2T-1 -t
Contact Person: 111, /4 h v c /.(s e
E -Mail Address:M -r-wee e ii yrs [�1r.t 4v C'aHy
Contractor Registration Number: f/4Y4-S k 3 9..772
Contact Person:
E -Mail Address:
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**
Q:\Applications\Forms- Applications On Line'3 -2006 - Mechanical Permit Application.doc
Revised: 4 -2006
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MECHANICAL PERMIT APPLICATION
ecbatticat ''e No.
M 0 1, 1 4'1
Project No.
For office use only)
King Co Assessor's Tax No.: 1 J 1 "L (t 1L1f - O1 Le
Property Owners Name:
>r�
Mailing Address: c3 '9 15' 5 I 3 - 3 5 T
City
Suite Number:
New Tenant:
State
Floor:
.... Yes
No
b'td 8
Zip
COfiTACT > :PERSON - 1�ho
t hen your permit is ready to be lulled
Day Telephone: 9vL 370 c
2 6O57
City State Zip
Fax Number:
AL CONTRACTOR INFORMATION
ef
City
State
Day Telephone: ,2c , 374,
Fax Number: Y13 2 / I/03 /
Expiration Date: g// g`Zcy1 /
Zip
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
State
Zip
NG n
R OF RECORD
tamped by Engineer 0
Company Name:
Mailing Address:
Zip
City
Day Telephone:
Fax Number:
State
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
Water Heater
50+ HP /1,750,000 BTU
Repair or Addition to
Heat/Refrig/Cooling
System
Incinerator - Domestic
Emergency
Generator
Air Handling Unit
<10,000 CFM
Incinerator - Comm /Ind
Other Mechanical
Equipment
Valuation of Project (contractor's bid price): $ 3,..9 —
Scope of Work (please provide detailed information): /2, a / (`,., scc €, ! r l i, .i -,,�� L, ti re-
Use: Residential: New ..... 0 Replacement ....
Commercial: New ....0 Replacement .... 0
Fuel Type: Electric 0 Gas .... Other: cot
Indicate type of mechanical work being installed and the quantity below:
'CATION 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.
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).
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 AUTHORIZED AGENT:
Signature:�
Print Name:,11, /le. Eric / / -
Date Application Accepted:
Q: Applications\Forms- Applications On Line\3 -2006 - Mechanical Permit Application.doc
Revised: 4 -2006
bh
Date Application Expires:
Date: /6 ,f /ci o 5'
Day Telephone...7c 3700 C�1 Z 5r
Mailing Address: Z 7 4 _s '/ 3 vc' - 5 4.r 14, ! 7
City State
Staff Initials:
Zip
Page 2 of 2
Receipt No.: R09 -01823
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
Payee: HAYES HEATING AND COOLING, LLC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 6714 175.39
Authorization No.
RECEIPT
Parcel No.: 7346600146 Permit Number: M09 -147
Address: 2929 S 133 ST TUKW Status: PENDING
Suite No: Applied Date: 11/16/2009
Applicant: DAWE RESIDENCE Issue Date:
Initials: JEM Payment Date: 11/16/2009 03:17 PM
User ID: 1165 Balance: $0.00
Account Code Current Pmts
000.322.102.00.00 175.39
Total: $175.39
Payment Amount: $175.39
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 11 -16 -2009
COMMENTS:
Type of Inspectio :
f A"tia jue J )te4
—* Vk- t 1e.s5 ,
e.e.A 6-0 t r )6X i PLe
L.;n er v' S 1 n.3 Nl1k e 3 �� i / I ri
(A k , .A— A e e
Ali c) . 1 pit A' ke - Lr 1
f ns e.M-e r) 3 f
g. S T�SI. S (^e.4 - k E-` '
o f- C.,, f-,E0> 3 1 \
A-17
v 1 ,
. ( - ., _, . 1 \ (w I- ' 1 i) A- fi l
3 el
_ .•
Proje t: WE key, A .64.‘ 4E_
Type of Inspectio :
f A"tia jue J )te4
Address: r ig
�.R2- s . I
Date Called: --�
`,��
Special Instructions:
tz J• t (vrAA CL.
�� ,t
/ C.Q„M � ,A u`
Date Wanted:
1
/�a,i
/ - Z 3 - a/ P.m.
Requester:
Phone No:
tiD
6Iveil
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION d�-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
El
Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
Moq- 149
PERMIT NO.
El Corrections required prior to approval. /C
e
Inspect°:
Date:
11 0
❑ $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
Insurance
Company
Name
Policy
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Amount
Received
Date
3
TRUCK INS
EXCHANGE
602017843
09/27/2008
09/27/2010
$2,000,000.00
10/06/2008
2
TRUCK INS
EXCHANGE
602017843
09/27/2007
09/27/2008
$1,000,000.00
10/04/2007
1
TRUCK INS
EXCHANGE
60201 78
43
09/27/200609/27
/2007
$1,000,000.0004
/19/2007
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
1
TRAVELERS
CASUALTY
INSURANCE
C
103490975
04/11/2007
n
Cancelled
$12,000.00
04/19 /2007
Name
Role
Effective Date
Expiration Date
HAYES, LINDA S
PARTNER /MEMBER
04/19/2007
Untitled Page
•
a
General /Specialty Contractor
A business registered as a construction contractor with L£tl 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
A HAYES HEATING Et
COOLING LLC
2538930051
276 SW 43RD ST
RENTON
WA
98057
KING
Limited Liability Company
UBI No. 602694369
Status ACTIVE
License No. HAYESHC939JR
License Type CONSTRUCTION
CONTRACTOR
Effective Date 4/19/2007
Expiration
Date
Suspend Date
Specialty 1 GENERAL
Specialty 2 UNUSED
4/19/2011
Business Owner Information
Bond Information
Insurance Information
Summons / Complaint Information
https://fortress.wa.gov/lni/bbip/Detail.aspx
Page 1 of 2
11/16/2009