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Home My WebLink AboutPermit M12-198 - DICKOVER RESIDENCEDICKOVER RESIDENCE 13202 32 AV S M12 -198 City (*Tukwila 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.: 1386800040 Address: 13202 32 AV S TUKW Project Name: DICKOVER RESIDENCE Permit Number: M12 -198 Issue Date: 12/27/2012 Permit Expires On: 06/25/2013 Owner: Name: DICKOVER NOLA V +JOHN Address: 13202 32ND AVE S , TUKVVILA 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: INSTALL YORK, 80.000 BTU GAS FURNACE Value of Mechanical: $4,407.22 Type of Fire Protection: UNKNOWN Electrical Service Provided by: Permit Center Authorized Signature: 0-St Fees Collected: $195.90 International Mechanical Code Edition: 2009 Date: 1)-- 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: ra u X111 ?Gt v Date: (2 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. rinr: IM(: -4/1(1 M17 -19R Printed 17-77-2012 • • PERMIT CONDITIONS Permit No. M12 -198 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. rinr:• IM( -4/1 f1 M17 -14R Printp1' 17- 77 -7f117 CITY OF TUKWII 4 Community Developm�epurtment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: / /www.TukwilaWA.gov 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 Address: 1370 Z-- 3Z AVe- Tenant Name: V. [) e p)(Jover PROPERTY OWNER Name: A iscia krh, i /) riT (peo/i4� Name: Pere )2Xver City: b f� _ Roher- State: J ,, %1 Zip: ,gieyl (fin, Address: l 13ZO 2, 2/_..c Email: /V�- Lw/ /"`/T-i �i!%(� 33 He City: State: Zip: CONTACT PERSON person receiving all'project: communication x ". Name: A iscia krh, i /) riT (peo/i4� r ? Address:/31f5 City: b f� _ Roher- State: J ,, %1 Zip: ,gieyl (fin, 0. j�0Fax:3l/6O * . Phone::3k, � f / /!1/ //S�.f 2/_..c Email: /V�- Lw/ /"`/T-i �i!%(� King Co Assessor's Tax No.: U Suite Number: Floor: New Tenant: ❑ Yes ❑.. No 0 ' MECHANICAL'• CONTRACTOR7INFORIVIATION: - Company Name: W l f�,/1 , y 'G2 �` ,'v ! (/ �( Address: 3�'oy /96— �T �w City: r y, " State: Not Zip: 8036 (� �/ Phone: � q fe /Fax: Contr Reg No.: WA # 317/ /5Exp Date: q/z1 /13 �/ 1 �r Tukwila Business License No.: . +• +N•.eMVC,>,'a u ".FWUn.'MS ..J•s -4.-1 +•.•:. f t .- .)Yw & J Valuation of project (contractor's bid price): $ De cribe the sco a of work in detail: y t 11 i. 22 0,8 •e.••••■1.2 Y".g Use: Residential: New Replacement ❑ Commercial: New Replacement ❑ Fuel Type: Electric ❑ Gas Other: H:\Applications\Forms- Applications On Line \2011 Applications\Mechanical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh Page 1 of 2 Indicate type of mechanical work being inZTalled and the quantity below: Unit Type • Qty',. Furnace <100k btu f Furnace >100k btu Floor furnace Suspended /wall /floor mounted heater Appliance vent Repair or addition to heat/refrig/cooling system 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 Incinerator — domestic Incinerator — comm/industrial Unit Type . `. Qty. Fire damper Diffuser Thermostat Wood /gas stove Emergency generator Other mechanical equipment Boiler /Compressor.: 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 I 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 0 NER OR AUTHORIZED AGENT: 1 �% Signature: Date: 1 Z ? l Print Name: ^ �n^ 0/10./1 a e. r V Nw V l � Day Telephone: d,6Z3 gig Mailing Address: )7'(-5 Li v`` City State Zip H:\Applications\Forms- Applications On Line \2011 Applications\Mechanical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh 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 Parcel No.: 1386800040 Address: 13202 32 AV S TUKW Suite No: Applicant: DICKOVER RESIDENCE RECEIPT Permit Number: M12 -198 Status: PENDING Applied Date: 12/27/2012 Issue Date: Receipt No.: R12 -03386 Initials: WER User ID: 1655 Payment Amount: $195.90 Payment Date: 12/27/2012 12:25 PM Balance: $0.00 Payee: WASHINGTON ENERGY SERVICES COMPANY TRANSACTION LIST: Type Method Descriptio Amount Payment Check 8821 195.90 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts MECHANICAL - RES 000.322.102.00.00 195.90 Total: $195.90 rinr• RPraint -OR Printarl• 17- 27_2f117 INSPECTION NO. r INSPECTION RECORD Retain a copy with permit 011'2.-1 Ci PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367 Permit Inspection Request Line (206) 431 -2451 rL_ Project: r t c` ►4.01Jc %Z. tIc. S Type of Inspection: 1::i N A L - q. Address: 1 202 ?-,2 f`1v g Date Called: Special Instructions: Date Wanted:. crafia.rn, Requester: Phone No: a_o( qc,_ . 3 („.S pproved per applicable codes. Corrections required prior to approval. COMMENTS: 1�.:/ 4,N ),N., - �, LJ pf p, j o/J , n RE INSPECTION FEE REQUIRED. Prior to text inspection. fee must be paid 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: / / 7 7 ,., _'..,_ < _ Contractors or Tradespeople P, iter 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 3909 196Th St Sw License No. WASHIES9710B Suite /Apt. License Type Construction Contractor City Lynnwood Effective Date 9/2/2003 State WA Expiration Date 9/2/2013 Zip 98036 Suspend Date County Snohomish 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 PLUMBWE888L0 ORKS BY WA ENERGY ENERGY SRVCS Construction Contractor General Unused 6/20/2012 6/20/2014 Active 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 $1,000,000.00 04/29/2011 8 IRONSHORE SPECIALTY INS CO 000259901 05/01/2010 05/01/2011 $1,000,000.00 04/30/2010 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 $1,000,000.00 04 /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 $1,000,000.00 04 /28/2006 Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 12/27/2012