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Home My WebLink AboutPermit M12-077 - JENSEN RESIDENCEJENSEN RESIDENCE 4412 S 160 ST M12 -077 City okukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -43 1 -3670 Inspection Request Line: 206 - 431 -2451 Web site: http: / /www.TukwilaWA.gov MECHANICAL PERMIT Parcel No.: 8108600502 Address: 4412 S 160 ST TUKW Project Name: JENSEN RESIDENCE Permit Number: M12 -077 Issue Date: 05/16/2012 Permit Expires On: 11/12/2012 Owner: Name: JENSEN MARA D Address: 4412 S 160TH ST , TUKWILA WA 98188 Contact Person: Name: GARY HATH Address: 18103 NE 68 ST, SUITE C -200 , REDMONS WA 98052 Email: NOT PROVIDED Contractor: Name: M M COMFORT SYSTEMS Address: 18103 NE 68 C -200 , REDMOND WA 98052 Contractor License No: MMCOMMC934B4 Phone: 425 - 881 -7920 Phone: 425 881 -7920 Expiration Date: 01/24/2013 DESCRIPTION OF WORK: FURNACE REPLACEMENT, INSTALL NEW LENNOX EL195UH045P24B 45.000 BTU. Value of Mechanical: $3,662.00 Fees Collected: $186.50 Type of Fire Protection: UNKNOWN International Mechanical Code Edition: 2009 Electrical Service Provided by: Permit Center Authorized Signature: (jib( Date: 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: Print Name: , j -- ve ry1.09 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. Date: S 14-12 doc: IMC -4/10 M12 -077 Printed: 05 -16 -2012 • 1 PERMIT CONDITIONS Permit No. M12-077 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 M12-077 Printed: 05 -16 -2012 CITY OF TU Comnuwnity Development Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TuicwilaWA.gov 1202 L 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 ** SI>TE-COCATIO ` / T King Co Assessor's Tax No" l L Site Address: 14 g �-- 5 /60441 s T l v" ' •1( Suite Number: Tenant Name: New Tenant: PROPERTY OWNER : 'a � > u 4:;:, Name: KA firms 3- c A Phone:Li rL 1 ' vi _ 79 7f ax: it 2_5., Address: q Gr 1 L /S S l G O s/ City: 7.0 Ku, l i t.. State: it Ziptlg, g g CONTACT PERSON `person receiving allprolect- b r ,COfnnWNCSUOn' tT a�°.. � it. ;' fi .; . .. .. Name: G�^t`Y 14 6.4 k ittn., c .h-' -- ¢ Address: r g/ 0 3 v.) r 14-it S 1 C 2u• City: et J^.., o M1 J State: Li l4 zip: q 56;1_ Phone:Li rL 1 ' vi _ 79 7f ax: it 2_5., Sr 5,^t., - 0 5.,..„2_ Email: Floor: ❑ Yes ❑..No N ECHANICAL'CONTRACTOR- INFORMATION Company Name: pi %i1. el n cro- A- S , Address: le to; NE 69 .I,,. s.T. c 2..„, City: I .Mort. State: L1 ). Zip: L e dS2 Phone: L{ Z. S' 0 z 7-lei Fao : Q • x �'S B- c'5 2 Z Contr Reg No. %t'1>1104.HC .74 a Exp Date: l_ 2 y _13 Y Tukwila Business License No.: D p, 1 33 2 Valuation of project (contractor's bid price): $ 3 6 6 2— Describe the scope of work in detail: -go k & e. t- t c)(.S o L t -P 9J Use: Residential: Commercial: New [l Replacement I� New ❑ Replacement ❑ 1-t-5 f rtv !/ehh 0\( Fuel Type: Electric ❑ Gas rig. Other: H: ApplieazionsWoms- Appli®tions On Line12011 Appl calianslechanical Perndt Application Revised 119-I l.docx Revised: August 2011 bh Page 1 of 2 Indicate type of mechanical work being installed and the quantity below: Unit iype % ' ' - Qty Furnace <100k btu I Furnace >100k btu Floor fwnace Suspended/wall/floor mounted heater Appliance vent Repair or addition to heat/refiig/cooling system Air handling unit <10,000 cfin Unit Type :Qty Air handling unit >10,000 cfm Evaporator cooler Ventilation fan connected to single duct Ventilation system Hood and duct Incinerator — domestic Incinerator — comm/industrial Unit TyPe ' - Qty., Fire damper Diffuser Thermostat Wood/gas stove Emergency generator Other mechanical equipment 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 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 1 HAVE READ AND EXAMINED TIES 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 AMORIZED AGtNT: Signature: ko) 14 .19 12(- Print Name: Mailing Address: 6157 HAApplicationsWonns-Applications On Line2011 Applications \Mechanical Permit Application Revised 8-9-11.docx Revised: August 2011 bh Date: S Day Telephone: Zgr t z 0 1441,04beti JI4 q 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.ov RECEIPT Parcel No.: 8108600502 Permit Number: M12 -077 Address: 4412 S 160 ST TUKW Status: PENDING Suite No: Applied Date: 05/16/2012 Applicant: JENSEN RESIDENCE Issue Date: Receipt No.: R12 -01602 Initials: WER User ID: 1655 Payment Amount: $186.50 Payment Date: 05/16/2012 11:37 AM Balance: $0.00 Payee: MM COMFORT SYSTEMS TRANSACTION LIST: Type Method Descriptio Amount Payment Check 11560 186.50 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts MECHANICAL - RES 000.322.102.00.00 186.50 Total: $186.50 doc: Receiot -06 Printed: 05 -16 -2012 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 Project :. - . . F0t/.S itii / PS Type of Inspection: TA/ ,9 / Address: Date Called: Special Instructions: Date Wanted:. a - zm Requester: Phone No: Approved per applicable codes. D Corrections required prior to approval. COMMENTS: C 4 p /dV <i Date: 2 /� E)NSPECTION FEE REQUIRED. Prior to next inspection. fee must be OW at 6300 Southcenter Blvd Suite 100. Call to schedule reinspection. Contractors or Tradespeople P eer Friendly Page • General /Specialty Contractor A business registered as a construction contractor with LEtI 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 M M COMFORT SYSTEMS UBI No. 602682815 Phone 4258817920 Status Active Address 18103 Ne 68Th C -200 License No. MMCOMMC934B4 Suite /Apt. License Type Construction Contractor City Redmond Effective Date 1/24/2007 State WA Expiration Date 1/24/2013 Zip 98052 Suspend Date County King Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company WILLIAMSON ACQUISITION CORP Business Owner Information Name Role Effective Date Expiration Date WILLIAMSON, CRAIG President 01/24/2007 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 1 AMERICAN STATES INS CO 6470956 01/24/2007 Until Cancelled $12,000.00 01/24/2007 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 5 Continental Western Ins Co CWP2916265 02/01/2011 02/01/2013 $1,000,000.00 01/27/2012 4 FIRST MERCURY INS CO FMWA001075 02/01/2010 02/01/2011 $1,000,000.00 01/28/2010 3 CENTURY SURETY CO (CENS) CCP583791 02/01/2009 02/01/2010 $1,000,000.00 02/02/2009 2 FIRST MERCURY INS CO FMMA001124 02/01/2007 02/01/2009 $1,000,000.00 01/15/2008 1 FIRST MERCURY INS CO FMMA0001302 01/24/2007 01/24/2008 $1,000,000.00 01/24/2007 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 https: // fortress .wa.gov /lni /bbip /Print.aspx 05/16/2012