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Home My WebLink AboutPermit M12-014 - BAILEY RESIDENCEBAILEY RESIDENCE 10231 BEACON AV S M12 -014 City o*I'ukwila 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.TukwilaWA.gov MECHANICAL PERMIT Parcel No.: 0323049032 Address: 10231 BEACON AV S TUKW Project Name: BAILEY RESIDENCE Permit Number: M12 -014 Issue Date: 01/30/2012 Permit Expires On: 07/28/2012 Owner: Name: BAILEY LEATHA S Address: PO BOX 78624 , SEATTLE WA 98178 Contact Person: Name: ZAHIRA ELAOUD Address: 4415 LEARY WY NW , SEATTLW WA 98107 Email: Contractor: Name: OLSON ENERGY SERVICE Address: 4415 LEARY WAY , SEATTLE WA 98107 Contractor License No: OLSONES951L3 Phone: 206 - 782 -5522 Phone: 206 - 782 -5522 Expiration Date: 10/24/2013 DESCRIPTION OF WORK: INSTALL FUJITSU HEAT PUMP 24,000 BTU'S Value of Mechanical: $4,834.00 Type of Fire Protection: UNKNOWN Electrical Service Provided by: Permit Center Authorized Signature: Fees Collected: $195.90 International Mechanical Code Edition: 2009 Date: 1 -30— I 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 and agree to the conditions on the back of this permit. Signature: Date: c Print Name: Yu'lZ1 �� A) k( L.&-4' ye tv 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. 1/30 /17 doc: IMC -4/10 M12-014 Printed: 01 -30 -2012 • • PERMIT CONDITIONS Permit No. M12-014 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. doc: IMC -4/10 M12-014 Printed: 01 -30 -2012 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Mechanical Permit No. VI LI' /11 Project No. Date Application Accepted: Date Application Expires: (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 LOCATION Site Address: 10231 BEACON AVE S Tenant Name: LEATHA SCOTT BAILEY PROPERTY OWNER Name: ZAHIRA ELAOUD Name: LEATHA SCOTT BAILEY City: SEATTLE State: WA Zip: 98107 Address: 10231 BEACON AVE S Email: ZAHRA @OLSONENERGY.COM City: TUKWILA State: WA Zip: 98178 CONTACT PERSON — person receiving all project communication Name: ZAHIRA ELAOUD Address: 4415 LEARY WAY NW City: SEATTLE State: WA Zip: 98107 Phone: (206) 782 -5522 Fax: (206) 782 -1303 Email: ZAHRA @OLSONENERGY.COM King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: ❑ Yes ..No MECHANICAL CONTRACTOR INFORMATION Company Name: OLSON ENERGYSERVICE Address: 4415 LEARY WAY NW City: SEATTLE State: WA Zip: 98100 Phone: (206) 782 -5522 Fax: (206) 782 -1303 Contr Reg No.: OLSONES951 L3 Exp Date: 10/24/2013 Tukwila Business License No.: BUS - 0993135 Valuation of project (contractor's bid price): $ 4,834 Describe the scope of work in detail: INSTALL FUJITSU HEAT PUMP Use: Residential: New CI Replacement Commercial: New ❑ Replacement ❑ Fuel Type: Electric m Gas ❑ Other: HEAT PUMP H: WpplicationsWorms- Applications On Line\201 I Applications'Mechanical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh Page 1 of 2 Indicate type of mechanical work being installed and the quantity below: Unit Type Qty Furnace <100k btu Furnace >100k btu Floor furnace Suspended/wall /floor mounted heater Appliance vent Repair or addition to heat/refrig/cooling system 1 Air handling unit <10,000 cfm Unit Type Qty Air handling unit >10,000 cfm Evaporator cooler Ventilation fan connected to single duct Ventilation system Hood and duct 1 Incinerator — domestic Incinerator — comm/industrial Unit Type Qty Fire damper Diffuser Thermostat Wood/gas stove Emergency generator Other mechanical equipment 1 Boiler /Compressor Qty 0 -3 hp /100,000 btu 3 -15 hp /500,000 btu 15 -30 hp /1,000,000 btu 30 -50 hp /1,750,000 btu 50+ hp /1,750,000 btu 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 Intemational 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 T STATE OF WASHINGTON, AND 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER 0 : AUTHORIZ ^ AGENT: Signature, / Print Name: ZAHIRA ELAOUD Mailing Address: 4415 LEARY WAY NW H:\Applications \Forms - Applications On Line\2011 Applications\Mechanical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh Date: 01/27/2012 Day Telephone: (206) 782 -5522 SEATTLE WA 98107 City State Zip 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.TukwilaWA.gov RECEIPT Parcel No.: 0323049032 Permit Number: M12-014 Address: 10231 BEACON AV S TUKW Status: PENDING Suite No: Applied Date: 01/30/2012 Applicant: BAILEY RESIDENCE Issue Date: Receipt No.: R12 -00362 Payment Amount: $195.90 Initials: WER Payment Date: 01/30/2012 01:10 PM User ID: 1655 Balance: $0.00 Payee: OLSON SERVICE GROUP INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 90463 195.90 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts MECHANICAL - RES 000.322.102.00.00 195.90 Total: $195.90 doc: Receipt -06 Printed: 01 -30 -2012 INSPECTION NO. INSPECTION RECORD Retain a copy with permit M I (-f PERMIT NO. CITY OF TUKWILA BUILDING 'DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 ! . (206) 431 -3670, Permit Inspection Request Line (206) 431 -2451 Pro ject1 ` f b4 f -k- -��a& Type f Inspection: -c` NM-4' e- . Address: f O ((�� !Sc...tet4a � Date Call d: c: N / P __ I �j loi*- Special Instructions: 24 (/ Lt s" 'bate Wanted: a. m i ' / 0 ' (? _ p.m. Requester: Phone, .�C0.- -.7SZ ---5 5 7-2 If' pproved per applicable codes. 0 Corrections required prior to approval. COMMENTS: 1aA) ctyLpk (TP InsOector t 40L REINSPECTION FEE REQUIRRD. Prior t� next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople Peer 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 OLSON ENERGY SERVICE UBI No. 578052563 Phone 2067825522 Status Active Address 4415 Leary Wy Nw License No. OLSONES951 L3 Suite /Apt. License Type Construction Contractor City Seattle Effective Date 6/23/2005 State WA Expiration Date 10/24/2013 Zip 98107 Suspend Date County King Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status GASAPS*953MR GAS APPLIANCE SERVICE Construction Contractor General Unused 7/19/2005 7/19/2013 Active OLSONF "284NA OLSON FUEL CO INC Construction Contractor Metal Fabrication Gutters /Downspouts 8/1/1972 9/4/2005 Inactive GAS APPLIANCE SERVICE Construction Contractor Contractor Appliances /Equipment Unused 4/1/1999 9/4/2006 Re - Licensed Business Owner Information Name Role Effective Date Expiration Date OLSON, ROBERT ANTHONY President 06/23/2005 Bond Amount OLSON - CALPE, ANNE MICHAEL III Secretary 12/16/2011 575304C OLSON, PAULINE Secretary 06/23/2005 11/07/2011 OLSON, CARL A Vice President 06/23/2005 11/07/2011 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 8 DEVELOPERS SURETY & INDEM CO 575304C 09/28/2007 Until Cancelled $12,000.00 10/01/2007 7 DEVELOPERS SURETY & INDEM CO 575304C 07/08/2005 09/28/2007 09/08/2011 $6,000.0007/15/2005 /02/2011 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 13 HDI- Gerling America Insurance EGFD0000002411 09/04/2011 09/04/2012 $1,000,000.00 09/08/2011 12 WESCO INS CO WPP101901200 09/04/2010 09/04/2012 09/08/2011 $1,000,000.0008 /02/2011 11 FEDERATED MUTUAL INS CO 0715269 09/04/2010 09/04/2011 09/14/2010 $1,000,000.00 08/10/2010 10 FEDERATED MUTUAL INS CO 07152689 09/04/2009 09/04/2010 51,000,000.00 09/10/2009 9 FEDERATED MUTUAL INS CO 0715269 09/04/2007 09/04/2009 $1,000,000.00 08/11/2008 https: // fortress .wa.gov /lni/bbip /Print.aspx 01/30/2012