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HomeMy WebLinkAboutPermit M12-096 - WHITE RESIDENCEWHr!1E RESIDENCE 13429 43 AV S M12-096 City ATukwila 1 Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206431-3670 Inspection Request Line: 206- 431 -2451 Web site: http: / /www.TukwilaWA.gov MECHANICAL PERMIT Parcel No.: 7340601007 Address: 13429 43 AV S TUKW Project Name: WHITE RESIDENCE Permit Number: M12 -096 Issue Date: 06/15/2012 Permit Expires On: 12/12/2012 Owner: Name: WHITE BRADLEY R Address: 13429 43RD AVE S , SEATTLE WA 98168 Contact Person: Name: NAIDA KHAN Address: 1345 GULF RD , 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 80K GAS FURNACE Value of Mechanical: $4,695.10 Type of Fire Protection: UNKNOWN Electrical Service Provided by: Permit Center Authorized Signature: I hereby certify that I have read an governing this work will be compli exa wit Fees Collected: $195.90 International Mechanical Code Edition: 2009 Date: ned this permit and know the same to be true and correct. All provisions of law and ordinances , whether specified herein or not. The granting of this permit does not pr- ume 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: 4;7'0( (57L 0? ? 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. /` "•,'d /e doc: IMC -4/10 M12 -096 Printed: 06 -15 -2012 • • PERMIT CONDITIONS Permit No. M12-096 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 -096 Printed: 06 -15 -2012 CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 hitp://www.citukwilawa.us Building Permit No. Mechanical Permit No JW'L-- ogle 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 Site Address: 13429 43RD AVE S King Co Assessor's Tax No.: 7340601007 Suite Number: Floor: Tenant Name: New Tenant: Yes ❑ ..No Property Owners Name: BRAD & LESLIE WHITE Mailing Address: 13429 43RD AVE S TUKWILA City WA 98168 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: Contact Person: E -Mail Address: Contractor Registration Number: City Day Telephone: Fax Number: Expiration Date: State Zip ARCHITECT OF RECORD — AII 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: Q:\ Applications \Forms - Applications On Lined -2006 - Permit Application.doc Revised: 9 -2006 bh State- Zip Page 1 of 6 • MECHANICAL PERMIT INFORMATION - 206 - 431 -3670 MECHANICAL CONTRACTOR INFORMATION Company Name: WESCO Mailing Address: 2800 Thorndyke Avenue W Seattle WA 98199 City State Zip Contact Person: Amber Hearn Telephone: 800- 398 -4663 E -Mail Address: Fax Number: Contractor Registration Number: WASHIES971 OB Expiration Date: 09/02/13 Valuation of Mechanical work (contractor's bid price): $ 4695.10 Scope of Work (please provide detailed information): REPLACE 80K GAS FURNACE Use: Residential: New .... ❑ Replacement .... Commercial: New .... ❑ Replacement .... ❑ Fuel Type: Electric ❑ Gas ....V 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 4 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 /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/1nd Q:\Applications \Forms - 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 OW ER OR • ITHO : I D AGE T: / Signature: i ilP •�� ✓ Date: Print Name: Naida Khan /Northwest Permit Inc. Day Telephone: 360- 945 -2787 Point Roberts WA 98281 Mailing Address: 1345 Gulf Rd City State Zip Date Application Accepted: Date Application Expires: Staff Initials: Q:\Applications \Forms - Applications On Line\3 -2006 - Permit Application.doc Revised: 9 -2006 bh Page 6 of 6 Ciff of Tukwila, • Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206-431-3665 Web site: httti:/lwwwci.tukwila.wa.us SET RECEIPT Copy Reprinted on 06 -15 -2012 at 11:08:57 06/15/2012 RECEIPT NO: R12 -01877 Initials: JEM Payment Date: 06/15/2012 User ID: 1165 Total Payment: 319.80 Payee: WASHINGTON ENERGY SERVICES COMPANY SET ID: S000001760 SET NAME: Temporary Set SET TRANSACTIONS: Set Member M12 -096 PG12 -131 TOTAL: Amount 195.90 123.90 123.90 TRANSACTION LIST: Type Method Description Amount Payment Check 7983 319.80 TOTAL: 319.80 ACCOUNT ITEM LIST: Description Account Code Current Pmts GAS - RES MECHANICAL - RES PLUMBING - RES 000.322.103.00.0 000.322.102.00.0 000.322.103.00.0 63.00 195.90 60.90 TOTAL: 319.80 INSPECTION NO. INSPECTION RECORD Retain a copy with permit rnfz -oSL PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 .}_r_ (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: cj14, /e / /d) 5E _ /� P S Type of Inspection: / Address: , 3 '-l2 9 4/ ,9 0 S Dat 4lle 3l6 i --_ _�_ �/ Special Instructions: Date Wanted:. // ZS- /Z. a.m> 4--tn. Requester: Phone No: „„206,.-277- 96410 f6Approved per applicable codes. Corrections required prior to approval. COMMENTS: F . n Inspector: ki)." REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Date t 'L- 11 -01 -2012 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director NAIDA KHAN 1345 GULF RD POINT ROBERTS WA 98281 RE: Permit No. M12 -096 WHITE RESIDENCE 13429 43 AV S TUKW Dear Permit Holder: In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 12/12/2012. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 12/12/2012, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, 3)M Bill Rambo Permit Technician File: Permit File No. M12-096 6300 Southcenter Boulevard, Suite #100 • Tuk%vila, Washington 98188 • Phone 206 - 431 -3670 • Fax 206 -431 -3665 Contractors or Tradespeople PPter Friendly Page General /Specialty Contractor A business registered as a construction contractor with Lal 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 VGL1131637 CHRISTIANSON, STEVE Treasurer 09/02/2003 OLSON, VERN Vice President 09/02/2003 COMPANION SPECIALTY INSURANCE 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 a 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 10 Companion Specialty Ins Co VGL1131637 05/01/2012 05/01/2013 $1,000,000.0004 /30/2012 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 $1,000,000.00 04/29/2009 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 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 06/15/2012