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