HomeMy WebLinkAboutPermit M12-060 - JUSTINE RESIDENCEJUSTINE RESIDENCE
11602 40 AV S
M12 -060
City otkukwila
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.: 7340600142
Address: 11602 40 AV S TUKW
Project Name: JUSTINE RESIDENCE
Permit Number: M12 -060
Issue Date: 04/06/2012
Permit Expires On: 10/03/2012
Owner:
Name: JUSTINE ANNE E
Address: D'AMBROSIO MICHAEL A , 11602 40TH AVE S 98168
Contact Person:
Name: NAIDA KHAN
Address: 1345 GULFRD , 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: 09/02/2013
DESCRIPTION OF WORK:
REPLACE ELECTRIC 10KW FURNACE AND 2 TON HEAT PUMP
Value of Mechanical: $7,749.35
Type of Fire Protection: UNKNOWN
Electrical Service Provided by:
Permit Center Authorized Signature:
Fees Collected: $225.25
International Mechanical Code Edition: 2009
Date: \ - l0"-t&
I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied with, whether specified herein or not.
The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the performance of work. I am authorized to sign and obtain this mechanical permit and agree to the conditions on the
back of this permit.
Signature: Date: pf `l:$- 2
Print Name: N/ al fr
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
M12 -060 Printed: 04 -06 -2012
PERMIT CONDITIONS
Permit No. M12-060
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 -060 Printed: 04 -06 -2012
CITY OF TUKWAIP
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.lukwila.wa.us
Building Permit No.
Mechanical. Permit No. l ( t- 0 4' 0
Plumbing /Gas Permit No.
Public 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
King Co Assessor's Tax No.: 7340600142
Site Address: 11602 40TH AVE S
Tenant Name:
Property Owners Name: MIKE D'AMBROSIO
Mailing Address: same as site address
Suite Number:
New Tenant: ❑ Yes ❑..No
wa 98168
tkwila
City
Floor:
State Zip
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:
State
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
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:
t ' City
Contact Person: Day Telephone:
State
Zip
fi/1
E -Mail Address: Fix Number:
Q:\Applications\ronns- Applications On Lined -2006 - Permit Application.doc
Revised: 9 -2006
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Page 1 of 6
MECHANICAL PERMIT INFORMATION - 206 -431 -3670
MECHANICAL CONTRACTOR INFORMATION
Company Name: WESCO
Mailing Address: 2800 Thorndyke Avenue W Seattle
City State Zip
Contact Person: Candice Gallagher Day Telephone: 206 -378 -6649
E -Mail Address: Fax Number:
Contractor Registration Number: WASH I ES971 OB Expiration Date: 09/02/09
WA 98199
Valuation of Mechanical work (contractor's bid price): $ 7749.35
Scope of Work (please provide detailed information): REPLACE ELEC 10KW FURNACE & 2 TON HEAT PUMPC
Use: Residential: New .... ❑ Replacement .... ❑
Commercial: New .... ❑ Replacement ....
Fuel Type: Electric ® Gas ....0 Other:
Indicate type of mechanical work being installed and the quantity below:
Unit Type:
Qty
Unit Type:
Qty
Unit Type:
Qty
Boiler /Compressor:
Qty
Fumace<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/I ,750,000 BTU
Repair or Addition to
Heat/Refrig/Cooling
System
Incinerator - Domestic
Other Mechanical
Equipment
Air Handling Unit
<10,000 CFM
1
Incinerator — Comm/Ind
Q: ApplieationsWorms- Applications On Line\3 -2006 - Permit Application.doc
Revised: 9 -2006
bh
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 1 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: Naida Khan /Northwest Permit Inc.
Mailing Address: 1 345 Gulf Rd
Date:
Day Telephone: 360- 945 -2787
Point Roberts WA 98281
City
State
Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
Q:\Applications\Fmtns- Applications On Line3-2006 - Permit Application.doc
Revised: 9 -2006
bh
Page 6 of 6
0
C 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.: 7340600142 Permit Number: M12 -060
Address: 11602 40 AV S TUKW Status: PENDING
Suite No: Applied Date: 04/06/2012
Applicant: JUSTINE RESIDENCE Issue Date:
Receipt No.: R12 -01253
Initials:
User ID:
WER
1655
Payment Amount: $225.25
Payment Date: 04/06/2012 09:53 AM
Balance: $0.00
Payee: WASHINGTON ENERGY SERVICES COMPANY
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 8207 225.25
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
MECHANICAL - RES
000.322.102.00.00 225.25
Total: $225.25
doc: Receiot -06 Printed: 04 -06 -2012
- ,
A4/- -60cl
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
Pro ...._" ,
e j
s Lin
r
Res ,
Type ofipseectior:6 /mei, \
IM--.‘ .
Address: ,
'7.--1 A ,,,,
Date Called:
SpecialInstructions:
Date Wanted _...4
...,
-1
Requester:
Phone No:
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
1).?,j-lkAll ky5(eT,
Date:,./
0-1
REINSPECTION FEE REQUIRED. Prior to 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 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 9/2/2013
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
VGL1021215
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
E 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
9
COMPANION
SPECIALTY
INSURANCE
VGL1021215
05/01/2011
05/01/2012
$1,000,000.0004
/29/2011
8
IRONSHORE
SPECIALTY INS
CO
000259901
05/01/2010
05/01/2011
$1,000,000.0004
/30/2010
7
Ironshore
Specialty Ins Co
00G4H0905001
05/01/2009
05/01/2010
$1,000,000.0004
/29/2009
6
UNITED
SPECIALTY INS
AGL0810381
05/01/2008
05/01/2009
$1,000,000.0004
/30/2008
5
UNDERWRITERS
AT LLOYDS
CJ0749013
05/01/2007
05/01/2008
$1,000,000.0004
/27/2007
4
UNDERWRITERS
AT LLOYDS
CJ0677036
05/01/2006
05/01/2007
$1,000,000.0004
/28/2006
3
UNDERWRITERS
AT LLOYDS
CJ0583038
05/01/2005
05/01/2006
$1,000,000.00
04 /27/2005
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
https://fortress.wa.gov/lni/bbip/Print.aspx
04/06/2012