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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 bh 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