HomeMy WebLinkAboutPermit M10-061 - ANDERSON RESIDENCEANDERSON RESIDENCE
13057 56 AV S
M10 -061
City oftukwila
•
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
MECHANICAL PERMIT
Parcel No.: 2172000075
Address: 13057 56 AV S TUKW
Project Name: ANDERSON RESIDENCE
Permit Number: M10 -061
Issue Date: 05/07/2010
Permit Expires On: 11/03/2010
Owner:
Name: MALONE CATHERINE P
Address: 13057 56TH AVE S , TUKWILA WA 98178
Contact Person:
Name: NAIDA KHAN
Address: 1345 GULF RD , POINT ROBERTS WA 98281
Email: NAIDA @NWPERMIT.COM
Contractor:
Name: WASHINGTON ENERGY SERVICES CO
Address: 2800 THORNDYKE AVE W , SEATTLE, WA 98199
Contractor License No: WASHIES9710B
Phone: 360 945 -2787
Phone: 206 282 -4200
Expiration Date: 09/02/2011
DESCRIPTION OF WORK:
INSTALL 80K GAS FURNACE
Value of Mechanical: $9,746.95
Type of Fire Protection: SMOKE DETECTORS
Permit Center Authorized Signature:
I hereby certify that I have read and e
governing this work will be complied
ith,
Fees Collected: $241.25
International Mechanical Code Edition: 2009
Date:
ed 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 • erformance of work. I am authorized to sign and obtain this mechanical permit.
Signature:
Date: -7- ID
Print Name: 0,\\/ \� \ \\ Vr
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.
doc: IMC -4/10
M10-061 Printed: 05 -07 -2010
Parcel No.: 2172000075
Address:
Suite No:
Tenant:
• •
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
13057 56 AV S TUKW
ANDERSON RESIDENCE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
M10 -061
ISSUED
05/07/2010
05/07/2010
1: ** *BUILDING DEPARTMENT CONDITIONS * **
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.
* *continued on next page **
doc: Cond -10/06
M10-061 Printed: 05 -07 -2010
• •
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:
fV\\ \ \\1\\ \\
Date: \
doc: Cond -10/06
M10 -061 Printed: 05 -07 -2010
CITY OF TUKWIL,.
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.cltulcwila.wa.us
Building Permit No.
Mechanical Permit No.
Plumbing/Gas Permit No.
Works Permit No.
Project No.
(For office use only),
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: 13057 56TH AVE S
Tenant Name:
Property Owners Name: JOE ANDERSON
Mailing Address: 13057 56TH AVE S
King Co Assessor's Tax No.: 2172000075
Suite Number:
Floor:
New Tenant: ❑ Yes ❑..No
TUKWILA
City
WA
98178
Zip
State
CONTACT PERSON - who do we contact when your permit is ready to be issued
Name: Naida Khan /Northwest Permit Inc
Mailing Address: 1345 Gulf Road
E -Mail Address: naida@nwpermit.com
Day Telephone:
Point Roberts
360- 945 -2787
WA 98281
City State
Fax Number: 360- 945 -2091
Zip
GENERAL CONTRACTOR INFORMATION —
(Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5))
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Contractor Registration Number:
City
Day Telephone:
Fax Number:
Expiration Date:
State
Zip
ARCHITECT OF RECORD -- All plans must be wet stamped by
Architect of Record
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
State
Zip
ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record
Company Name:
Mailing Address:
City
Day Telephone:
E -Mail Address: Fax Number:
Contact Person:
State
Zip
Q. Wpplications\Forms- Applications On Line\3 -2006 - Permit Application. doe
Revised: 9 -2006
bh
Page 1 of 6
A
MECHANICAL PERMIT INF(,.cMATION - 206 -431 -3670
MECHANICAL CONTRACTOR INFORMATION
Company Name: WESCO
Mailing Address: 2800 Thorndyke Avenue W Seattle WA 98199
Contact Person: ANDREA S LATT E RY
E -Mail Address:
Contractor Registration Number: WASH I ES971 OB
City State
Day Telephone: 800- 398 -4663
Fax Number:
Zip
Expiration Date: 09/02/11
Valuation of Mechanical work (contractor's bid price): $ 9746.95
Scope of Work (please provide detailed information): INSTALL 80K GAS FURNACE
Use: Residential: New ....
Commercial: New .... ❑
Fuel Type: Electric ❑ Gas ....V
Replacement .... ❑
Replacement .... ❑
Other:
Indicate type of mechanical work being installed and the quantity below:
Unit Type:
Qty
Unit Type:
Qty
Unit Type:
Qty
Boiler /Compressor:
Qty
Furnace <100K BTU
1
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 /I,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
Q Applications\Forms- Applications On Line\ -2006 - Permit Application.doc
Ae -\sed. 9 -2006
6h
Page 4 of 6
PERMIT APPLICATION 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.
Building and Mechanical Permit
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).
Plumbing Permit
The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested
in writing and justifiable cause demonstrated. Section 103.4.3 Uniform Plumbing 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 I WNER OR AUTHORIZED AGENT:
Signature: a C_�' C
Date:
Print Name: Naida Khan /Nort west Permit Inc. Day Telephone: 360- 945 -2787
Mailing Address: 1345 Gulf Rd
Point Roberts WA 98281
city
State
Zip
Date Application Accepted: ��
DS 01
Date Application Expires:
Staff Initials: Jr.--
Q. \Applications\Forms- Applications On Line\3 -2006 - Permit Application.doc
Revised: 9 -2006
bh
Page 6 of 6
•
SET RECEIPT
RECEIPT NO: R10 -00795
Initials: JEM Payment Date: 05/07/2010
User ID: 1165 Total Payment: 392.45
Payee: WASHINGTON ENERGY SSERVICES COMPANY
SET ID: S000001378 SET NAME: Tmp set/Initialized Activities
SET TRANSACTIONS:
Set Member
EL10 -0344
M10 -061
PG10 -057
TOTAL:
Amount
54.60
241.25
96.60
54.60
TRANSACTION LIST:
Type Method Description Amount
Payment Check 6243 392.45
TOTAL: 392.45
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
GAS - NONRES
MECHANICAL - RES
000.322.101.00.0
000.322.103.00.0
000.322.102.00.0
54.60
96.60
241.25
TOTAL: 392.45
PAYMENT
RECEIVED
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
MW 061
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PERMIT NO.
(206)431 -3670
Pro ect:
. SU'fO/ A60 •44 eAc
Type of Inspecti n:
- �, J U€
Address: 1k.
13O 17 5 ,1(it, s-
Date Called:
Special Instructions:
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Date Wanted:
--l(3
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Requester:
.gy17"11..a
Phone No:
■ (0 -4 O Z — 41-*1s
Approved per applicable codes. ❑Corrections required prior to approval.
COMMENTS:
140-efAitrn-7,),u,ri&y,
Inspect
Date:
,1-C�- f J
$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:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION 94
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project A
A JLels .'A R. f 1.
Type of Inspection:
U k
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Address:
133 5 9
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Date Called
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Special Instructions:
,.. -TA)
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Date Wanted: �
(4—f
S'�m.
'-fa p.m.
Requester:
Phone No:
7,4_0 to ` i O
4 175j7
Approved per applicable codes. Corrections required prior to approval. k
COMMENTS:
ei
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`. Jac
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g'�,_( —
yu -ci- 4 ,i,,or--..ey- L. 4 1,ce.,i
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7
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nspect r:
Date:
ri $60.00 REINSPECTION FEE REOUIR D. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
INSPECTION RECORD
Retain a copy with permit /I4 -0 ( I
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION !?.
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Proj t:
n�efsOA
*
Type o Ipspecti n: eel)
, n 6...k �l
Address:
(3o S7 56
s
Date Called:
Special Instructions:
GAS InoCe
V
ro r J 1.J IN -P..- TO f e- SA eJ ,"`i,P
Date Wanted:
(0 -IC-(0
a.m.
Requester:
iA CnJ / -.J/. . ,
Phone No:
Zvi, /3
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
i tie.A r:or. `+v S �.)LA) kip
�� i
>4. .� k J Ws ADC. u .A C.'' e I �' �- d�
1 S, Z..I 4. - V 4, 1/'f
r
Ai i J s fre4- -esr z ata , Aspe J
L-€ AN /A..ej pkwAr ,(,tessAyi
ro r J 1.J IN -P..- TO f e- SA eJ ,"`i,P
A `tom !I, itN 1 ` — /fie
11A P o 4 A )(sr s:. P-� u
iA CnJ / -.J/. . ,
Inspector /
Date: 6 / (.1 _ / J
ri $60.00 REINSPECTION FEE REOUiRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
•
Contractors or Tradespeople Per Friendly Page
•
General /Specialty Contractor
A business registered as a construction contractor with LEI 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 Washington Energy Services Co UBI No. 602320560
Phone 2062824700 Status Active
Address 2800 Thorndyke Ave W License No. WASHIES9710B
Suite /Apt. License Type Construction Contractor
City Seattle Effective Date 9/2/2003
State Wa Expiration Date 9/2/2011
Zip 98199 Suspend Date
County King Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company
Business Owner Information
Name
Role
Effective Date
Expiration Date
Olson, Craig
President
09/02/2003
Amount
Heagle, Randy
Secretary
09/02/2003
000259901
Christianson, Steve
Treasurer
09/02/2003
Olson, Vern
Vice President
09/02/2003
Ironshore
Specialty Ins Co
Bond Information
Page 1 of 2
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
1
DEVELOPERS SURETY
a INDEM CO
571389C
08/29/2003
Until Cancelled
$12,000.00
09/02/2003
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information
Insurance
Company Name
Policy Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Amount
Received Date
8
IRONSHORE
SPECIALTY INS
CO
000259901
05/01/2010
05/01/2011
$1,000,000.00
04/30/2010
7
Ironshore
Specialty Ins Co
00G4H0905001
05/01/2009
05/01/2010
$1,000,000.00
04/29/2009
6
UNITED
SPECIALTY INS
AGL0810381
05/01/2008
05/01/2009
$1,000,000.00
04/30/2008
5
UNDERWRITERS
AT LLOYDS
CJ0749013
05/01/2007
05/01/2008
$1,000,000.00
04/27/2007
4
UNDERWRITERS
AT LLOYDS
CJ0677036
05/01/2006
05/01/2007
$1,000,000.00
04/28/2006
3
UNDERWRITERS
AT LLOYDS
CJ0583038
05/01/2005
05/01 /2006
$1,000,000.00
04 /27/2005
2
LLOYDS OF
LONDON
CJ0426061
04/01/2004
05/01/2005
$1,000,000.0004
/13/2004
1
BURLINGTON
INS CO
HGL0003868
08/29/2003
08/29/2004
$1,000,000.00
09/02/2003
Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period
Infractions /Citations Information
Infraction / Citation
Date
RCW Code
Type
Status
Violation Amount
PBATI00551
10/23/2009
18.106.020
PLUMBER INFRACTION
Satisfied
$250.00
https://fortress.wa.gov/lni/bbip/Print.aspx
05/07/2010