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HomeMy WebLinkAboutPermit M09-156 - HARVEY RESIDENCEHARVEY RESIDENCE 11205 51 AV S M09 -156 Parcel No.: Address: Suite No: Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: GENESEE FUEL & HTG CO INC Address: PO BOX 18206 , SEATTLE WA Contractor License No: GENESFH37006 DESCRIPTION OF WORK: REPLACE OIL FURNACE 72,000 BTU'S Value of Mechanical: $2,800.00 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 Commercial/Industrial doc: IMC -10/06 3348401762 11205 51 AV S TUKW City* Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Inspection Request Line: 206- 431 -2451 Web site: http: / /www.ci.tukwila.wa.us HARVEY RESIDENCE 11205 51 AV S , TUKWILA WA HARVEY CHARLES R 11205 51ST AVE S , SEATTLE WA JOIE METTE - GENESEE FUEL & HEATING 3616 S GENESEE ST , SEATTLE WA MECHANICAL PERMIT Fees Collected: $166.21 International Mechanical Code Edition: 2006 EQUIPMENT TYPE AND OUANTITY 1 0 0 0 0 0 0 0 0 0 0 0 0 0 * * continued on next page ** M09 -156 Permit Number: Issue Date: Permit Expires On: Phone: Phone: 206 - 722 -1545 Phone: 206 -722 -1545 Expiration Date: 09/18/2011 M09 -156 12/04/2009 06/02/2010 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: 12 -04 -2009 Permit Center Authorized Signature: 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 Inspection Request Line: 206 - 431 -2451 Web site: http: / /wwwci.tukwila.wa.us talr Permit Number: M09 -156 Issue Date: 12/04/2009 Permit Expires On: 06/02/2010 Date: Date: I hereby certify that I have read and examined this permit and know the same to be true and correct. 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 provisions of any other state or local law regulating construction or the f rfo ce of work. I am authorized to sign and obtain this mechanical permit. This permit shall become null analkoid 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 -156 Printed: 12 -04 -2009 Parcel No.: 3348401762 Address: 11205 51 AV S TUKW Suite No: Tenant: HARVEY 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 -156 Status: ISSUED Applied Date: 12/04/2009 Issue Date: 12/04/2009 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 -156 Printed: 12 -04 -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: Print Name: doc: Cond -10/06 M09 -156 Date: ordinances governing or local laws regulating Printed: 12 -04 -2009 SITE LOCATION Site Address: \ -P Tenant Name: Property Owners Name: G� Mailing Address: CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: Mailing Address: E -Mail Address: Fax Number: MECHANICAL CONTRACTOR INFORMATION Company Name: Mailing Address: Company Name: Mailing Address: Contact Person: E -Mail Address: CITY OF TUKWI Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http:llwww. ci. tkwila. wa. us 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** Contact Person: H :Wpplications\Forms- Applications On Line \2009 Applications \1 -2009 - Mechanical Permit Application.doc Revised: 1 -2009 bh Mechanical Permit No ( )q-- i S Lp Project No. (For office use only) King Co Assessor's Tax No.: $ c-f6 1 to ', C ity Suite Number: Floor: New Tenant: ❑ Yes ❑..No State Day Telephone: State City S tate ' Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: P> f S 3 Contractor Registration Number: r 1 LE 3 ff 3/ 0 Fit Expiration Date: ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record Company Name: Mailing Address: 1 State City Day Telephone: E -Mail Address: Fax Number: ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record State )(1 1(4) v C 131 r Zip Zip Zip City Day Telephone: Fax Number: Zip 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): $ at Scope of Work (please provide detailed information): Use: residential: New ❑ Replacement Commercial: New ❑ Replacement ❑ Indicate type of mechanical work being installed and the quantity below: BUILDING OWNER OR AUTHORIZED • `Z NT: Signature: I i'i , ,G _ v Print N ame: 1 Mailing Address: Date Application Accepted: H: Applications\Forms- Applications On Line\2009 Applications \I -2009 - Mechanical Permit Application.doc Revised: 1 -2009 bh . . —. 16e.. air Fuel Type: Electric ❑ Gas ❑ Other: 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. Day Telephone: Date: State Date Application Expires: Stall' initials: Page 2 of 2 1 Parcel No.: 3348401762 Address: 11205 51 AV S TUKW Suite No: Applicant: HARVEY RESIDENCE Receipt No.: R09 - 01939 Payee: LORI REYNOLDS Payment Credit Crd VISA - Authorization No. 01523C 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 Initials: WER Payment Date: 12/04/2009 01:13 PM User ID: 1655 Balance: $0.00 TRANSACTION LIST: Type Method Descriptio Amount RECEIPT 166.21 Permit Number: M09 -156 Status: PENDING Applied Date: 12/04/2009 Issue Date: Payment Amount: $166.21 Account Code Current Pmts 000.322.102.00.00 166.21 Total: $166.21 PAYMENT RECEIVED doc: Receipt -06 Printed: 12 -04 -2009 Project: . f/ ,Glf41 /11�Z•S Type of Inspection: .e 6744 — rrt/ Address: /4205 •j / • 4ig S Date Called: Special Instructions: . . Date Wanted: e.- e4V C RT p.m. Requester: Phone No: ..i2G C— 72 — 79 "4" INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Approved per applicable codes. Corrections required prior to approval. C rm4K p 1ei3 /� f COMMENT • 0. Dat ri 60 R0 REINSPECTION FE REQUIR . Prior to inspection, fee must be pal at 6300 Southcenter B d., Suite 100. Call to schedule reinspection. Re i.t No.: ,Date: Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 4 DEVELOPERS SURETY Et INDEM CO 573549C 09/07/2007 Until Cancelled 01/01/1980 01/01/1980 $12,000.00 09/17 /2007 3 DEVELOPERS SURETY Et INDEM CO 573549C 09/01/200409/07 /2007 $6,000.00 08/04/2004 2 FIDELITY a DEPOSIT CO OF MD 08550991B 08550991B09/01/2001 Until Cancelled 03/07/2005 $6,000.00 02/07/2005 1 FIDELITY Et DEPOSIT CO 8550991B 09/01/1981 09/01/2001 $4,000.00 Name Role Effective Date Expiration Date CLARK, ANITA J 01/01/1980 CLARK, STEVEN T 01/01/1980 CLARK, DONALD 5 01/01/1980 01/01/1980 HERRMANN, GAIL 01/01/1980 01/01/1980 Untitled Page a 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 GENESEE FUELEtHTNG CO INC 2067221545 PO BOX 18206 SEATTLE WA 981180206 KING Corporation UBI No. Status License No. License Type Effective Date Expi ration Date Suspend Date Specialty 1 Specialty 2 578049915 ACTIVE GENESFH37006 CONSTRUCTION CONTRACTOR 9/26/1963 9/18/2011 GENERAL UNUSED Business Owner Information Bond Information https: // fortress .wa.gov /lni/bbip /Detail.aspx Page 1 of 3 12/04/2009