Loading...
HomeMy WebLinkAboutPermit M10-141 - ZELLER RESIDENCEZELLER RESIDENCE 13309 56 AV S M10 -141 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 MECHANICAL PERMIT Parcel No.: 2172000095 Address: 13309 56 AV S TUKW Project Name: ZELLER RESIDENCE Permit Number: M10 -141 Issue Date: 10/08/2010 Permit Expires On: 04/06/2011 Owner: Name: ZELLER JILL M Address: 13309 56TH AVE S , TUKWILA WA 98178 Contact Person: Name: MARVIN MOTLEY Address: 18133 NE 68 SR #D , REDMOND WA 98052 Email: NOT PROVIDED Contractor: Name: KLIEMANN BROTHERS HEATING AND AI Address: 5518 163RD ST E , PUYALLUP WA 98375 Contractor License No: KLIEMBH021BT Phone: 425 - 864 -2444 Phone: 253 - 537 -0655 Expiration Date: 01/27/2012 DESCRIPTION OF WORK: FIRE DAMAGE REPAIR: NEW BATH FAN, NEW WHOLE HOUSE FAN, NEW KITCHEN HOOD WITH FAN, CLEAN AND SERVICE HEATER Value of Mechanical: $500.00 Type of Fire Protection: UNKNOWN Permit Center Authorized Signature: Fees Collected: $119.55 International Mechanical Code Edition: 2009 I , )J L Date: to-0-(o 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 laws regulating construction or the performance of work. I am authorized to sign and obtain this mechanical permit. Print Name: ` /-"") 077 Date: a78 /iC3 This permit shall become null and void if the work is nqf 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 ' ection. Signature: doc: IMC -4/10 M10 -141 Printed: 10 -08 -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 Parcel No.: 2172000095 Address: 13309 56 AV S TUKW Suite No: Tenant: ZELLER RESIDENCE PERMIT CONDITIONS Permit Number: M10 -141 Status: ISSUED Applied Date: 10/08/2010 Issue Date: 10/08/2010 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 City of Tukwila Building Department (206- 431 - 3670). 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 -141 Printed: 10 -08 -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 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: J Date: /d/ //O rk7 /t- c-• / /1A-0 7-1 7 ordinances governing or local laws regulating doc: Cond -10/06 M10 -141 Printed: 10 -08 -2010 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 httc://www.ci.tukwila.wa.us Mechanical Permit No. Project No. (For office use only) 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 ** Site Address: 13 3041 501 e.. S© Tenant Name: St L a-& Property Owners Name: Z t-t- & Mailing Address: 11,c°t S �S A.-c' e_ King Co Assessor's Tax No.: '7 - ' DO c Suite Number: Floor: New Tenant: ❑ Yes ❑..No -1—L3 cwtt_ln. City LA State 9ik /7g Zip CONTACT PERSON Who do we contact when your permit is ready to be issued Name: I'✓I /d �e vi.�J 44671 wai.7 ( /st.L/Aa 6-e- /Lest) Day Telephone: UZS'- 13L°4 - Z yU ci Mailing Address: l l33 �i %� s T. !� /2�� Na Ww cZ City E -Mail Address: Fax Number: State Zip MECHANICAL CONTRACTOR INFORMATION Company Name: Mailing Address: f City State Zip Contact Person: Day Telephone: 53 ` 3 -77 - 59/0 E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: 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 Contact Person: Day Telephone: E -Mail Address: Fax Number: State Zip H:Wpplications\Forms- Applications On Line\2009 Applications \1 -2009 - Mechanical Permit Application.doc Revised: 1 -2009 bh Page 1 of 2 Valuation of Project (contractor's bid price): $ 5 —bD Scope of Work (please provide detailed information): P 6A �.1e CO Ii.,U j1.4�.t esti.t CG�a.�ac Use: Residential: New 401-'` Replacement( Commercial: New ❑ Replacement Fuel Type: Electric M Gas 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 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 Z 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 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. BUILDING OWNER OR AUTHORIZED AGENT: Signature: Print Name: Mailing Address: 471-Vi") /v j"C{ -j , /'f33 »E (C., 57. Date: 16)/ Day Telephone: Y ZS" AedigPv.4) W.q GS"L City State Zip Date Application Accepted: Date Application Expires: Staff Initials: H:WpplicationsWorms- Applications On Line \2009 Applications \1 -2009 - Mechanical Permit Application.doc Revised: 1 -2009 bh Page 2 of 2 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 Parcel No.: 2172000095 Address: 13309 56 AV S TUKW Suite No: Applicant: ZELLER RESIDENCE RECEIPT Permit Number: M10 -141 Status: PENDING Applied Date: 10/08/2010 Issue Date: Receipt No.: R10 -02016 Initials: User ID: Payee: WER 1655 Payment Amount: $119.55 Payment Date: 10/08/2010 10:33 AM Balance: $0.00 MARVIN MOTLEY TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 006197 ACCOUNT ITEM LIST: Description 119.55 Account Code Current Pmts MECHANICAL - RES 000.322.102.00.00 119.55 Total: $119.55 doc: Receiot -06 Printed: 10 -08 -2010 __INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431 -2451 (206) 431 -3670 Project: .24E4. .. .i g A c-5* , Type of Inspection: k"i NA/ L. Address: /130 5_S'G#1v S. Date Called: Special Instructions: i •. : •; Date Wanted: 8"' % / Requester: Phone No: Oft No -SC h/— �/ a2949 Approved per applicable codes. Corrections required prior to approval. ! 9 COMMENTS: P 4 1 [nsp Date: / ❑ REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. , -�I 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 Permit Inspection Request Line (206) 431 -2451 Alto 4-4,ff Ptol',ect: �/ (( F.,e_ JZ S. L/A cl_ TyAe of Inspection: J` o H- �� M CJe1 Address: I 33a5 74 5:. PA. I. Date Called: Special Instructions: ) / Date Wanted: 1 1 _ _ �a�m: Requester: Ph: No % 4 24 Approved per applicable codes. El Corrections required prior to approval. COMMENTS: 'Inspe Date: I VSi /C n REINSPECTION•FEE REQUIRED. Prior to next.inspection. fee:must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule •reinspection. • Contractors or Tradespeople Prjier Friendly Page • General /Specialty Contractor A business registered as a construction contractor with L &I 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 KLIEMANN BROTHERS HTG & A/C IN UBI No. 601849453 Phone 2535370655 Status Active Address 4703 116Th St E License No. KLIEMBH021 BT Suite /Apt. License Type Construction Contractor City Tacoma Effective Date 1/30/1998 State WA Expiration Date 1/27/2012 Zip 98446 Suspend Date County Pierce Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date KLIEMANN, HERB Cancel Date 01/01/1980 Bond Amount KLIEMANN, TOM 4 01/01/1980 RSB763469 KLIEMANN, CHRIS Until Cancelled 01/01/1980 01/01/1980 Bond Information Page 1 of 1 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 4 RLI INS CO RSB763469 01/27/2005 Until Cancelled 43.22.435 RCW FAS INFRACTION $12,000.0001/13 /2005 3 DEVELOPERS SURETY & INDEM CO 447697C 01/27/2002 Until Cancelled 03/17/2005 $12,000.0012/31 /2001 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 12 TRUCK INS EXCHANGE 600604774 07/15/2010 07/15/2011 43.22.435 RCW FAS INFRACTION $2,000,000.00 07/09/2010 11 TRUCK INS EXCHANGE 600604774 07/15/2008 07/15/2010 $200.00 $2,000,000.00 07/14/2009 10 TRUCK INS EXCHANGE 600604774 07/15/2005 07/16/2008 $1,000,000.00 07/05/2007 9 NATIONAL FIRE Et MARINE INS CO 72LP162481 07/22/2004 07/22/2005 07/15/2005 $1,000,000.00 07/25/2005 8 TRUCK INS EXCHANGE 600604774 07/15/2004 07/15/2005 $1,000,000.00 07/27/2004 Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period Infractions /Citations Information Infraction / Citation Date RCW Code Type Status Violation Amount F39952 7/28/2005 43.22.435 RCW FAS INFRACTION Satisfied $200.00 F39953 7/28/2005 43.22.435 RCW FAS INFRACTION Satisfied $200.00 F39954 7/28/2005 43.22.435 RCW FAS INFRACTION Satisfied $200.00 https://fortress.wa.gov/lni/bbip/Print.aspx 10/08/2010