HomeMy WebLinkAboutPermit M13-093 - SHAWGO RESIDENCE - ALTERATIONSHAWGO RESIDENCE
14437 46 AV S
M13-093
City okukwila
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.: 0040000405
Address: 14437 46 AV S TUKW
Project Name: SHAWGO RESIDENCE
Permit Number: M13-093
Issue Date: 05/17/2013
Permit Expires On: 11/13/2013
Owner:
Name: BURNHAM MARY
Address: C/0 RICHTER LINDA , 51 E GLAMIS CT 98584
Contact Person:
Name: SCOTT HACKER
Address: PO BOX 1310 , GRAHAM WA 98338
Email: sumnerhvac@aol.com
Contractor:
Name: SUMMER HEATING INC
Address: PO BOX1310 , GRAHAM WA 98338
Contractor License No: SUMNEHI973CC
Phone: (253) 405-7165
Phone: (253) 405-7165
Expiration Date: 03/01/2015
DESCRIPTION OF WORK:
VENT 3 EXHAUST FANS, VENT KITCHEN EXHAUST, RELOCATE FURNACE EXHAUST VENT (TYPE
B)
Value of Mechanical: $1,500.00
Type of Fire Protection: UNKNOWN
Electrical Service Provided by:
Permit Center Authorized Signature:
Fees Collected: $167.70
International Mechanical Code Edition: 2009
Date: 65// 7/ 3
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:
Date: C' l?_2c.13
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.
RA4l Aril D.intnrl• ARA 72,ni
• •
PERMIT CONDITIONS
Permit No. M13-093
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
M13-093 Printed: 05-174013
CITY OF TUKWIloit
Community Developmer, Jepartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
Intp://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 LOCATION
Site Address:
/ Litt 3 USS
Tenant Name:
PROPERTY OW
Name: e C-(
�9 0
Address: ; ?����
State: A Zip:
CON'ACTPERSOPt� X81 Pi}��
-*PIP)"."�
Name: ::\ L ( (4ec ` .1,—
Address: />G (3�, G' ('3( G
City: ar1I�i State: 6(...A Zip: �3
Phone: z c _hoc-cq%A` Fax:2 —3 _ 3,7<"-,
Email: SL
frAc— /`Cc=
-,e1 !0LPe- -z,
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes ❑.. No
MSCI NICAL CONTRACTOR INFORMATION
Company Name: 5 ,
fi ,c,i fAit_c_
Address: it v 2 ,...,sic_
(s 1 v
City: ' rb-ALAA
Stater A Zip:?63G:
Phone:2c-3 _q 4/
ax:z,c3 5,7c,
Contr Reg No.:<-/b`1�
�3 Exp Date:
Tukwila Business License No.:
Valuation of project (contractor's bid price): $ "CGCG
Describe the scope of work in detail: J/.eUt+ 3 ['� ` 5?zgr2 x 5' / U cLA44- ��` L c
Use: Residential: New ❑ Replacement
Commercial: New ❑ Replacement ❑
Fuel Type: Electric ❑
Gas
Other:
H.\Applications\Farms-Applications On Line \2011 Applications\Mechanical Permit Application Revised 8-9-11.docx
Revised: August 2011
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Page 1 of 2
Indicate type of mechanical work being installed and the quantity below:
Unit Type
Qty
Furnace <100k btu
Furnace >100k btu
Floor furnace
Suspended/wall/floor
mounted heater
Appliance vent
I
Repair or addition to
heat/refrig/cooling
system
Air handling unit
<10,000 cfm
Unit Type l
11)
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).
1 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 OW
Signature:
R OR AUTHORIZED AGENT:
Print Name:
L
Mailing Address: 16 S6' X (3 1 C.)
Date: C-1 -2-0(3
Day Telephone: 2 - /c r
City
-1 \Applications\Forms-Applications On Line \2011 Applications\Mechanical Permit Application Revised 8-9-1 I.docx
Revised: August 2011
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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: htto://www.TukwilaWA.gov
Parcel No.: • 0040000405
Address: 14437 46 AV S TUKW
Suite No:
Applicant: SHAWGO RESIDENCE
RECEIPT
Permit Number: M13-093
Status: PENDING
Applied Date: 05/17/2013
Issue Date:
Receipt No.: R13-01665
Initials: LAW
User ID: 1632
Payment Amount: $167.70
Payment Date: 05/17/2013 02:00 PM
Balance: $0.00
Payee: SUMNER HEATING
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 6569 167.70
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
^^^ '122.102.00.00 167.70
Total: $167.70
City of Tukwila
6200 Southcenter Blvd, Tukwila, WA
1 Finance Department
1313701-1 05/17/2013 BR1 T121
Fri Mayj7,2013 02:12PM Trans#27-28
Name: SUMNER HEATING INC SUMNER H
27 $67.00 BUSLCN - Business Licenses
Customer#: 00062114
Activity#: 00012258
28 $167.70 DCDGEN - DCD Permits Plus
- General Fund
ID: SUMNER HEATING INC PERMIT M13 093
2 ITEM(S): TOTAL: $234.70
Check (006559) PAID $234.70
www.tukwi1a«a.gov 206-433-1835
rinr: Rpc..aint-OA
Printari 05-17-2013
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
yfli3 d3
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:
Type of Inspection:
Address:/�
1 L 4 y 3 ^7 LIG 1 t) ..-/
Date Called:
Special Instructions:
Date Wanted:
a.m.
Requester:
Phone No:
v-� 3 -23e -,U 1
IYIApproved per applicable codes. Corrections required prior to approval.
COMMENTS:
e (E -1Q 1 I N
1
Inspe¢tgr:
l't4 7 6, J'(t t_ .
R INSPECTION FEE REQ IRED. Prion to next inspection, fee must be
p4ij at 6300 Southcenter Bl d.. Suite 100. Call to schedule reinspection.
Dat•
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
�V-
itt4 r 3 --093
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 li=- (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project:
h�}so r& S
Tyof Inspection: _
oV�N- _c N �e
Address:,_ 37
!�
/TV
4 ( c`ln Ave
Date Called:
•___
Special Instructions:
Date Wanted:. a.m.
'--1-3p.m
l.
Requester:
Phone 3 _1 OS 271 .
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Insptytor:
Datenl/U _,� ----5
✓
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Peter Friendly Page
•
General/Specialty Contractor
A business registered as a construction contractor with L&I 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 SUMNER HEATING UBI No. 603090564
INC
Phone 2534057165 Status Active
Address Po Box 1310 License No. SUMNEHI973CC
Suite/Apt. License Type Construction Contractor
City Graham Effective Date 2/3/2003
State WA Expiration 3/1/2015
Date
Zip 98338 Suspend Date
County Pierce Specialty 1 Heating/Vent/Air-Conditioning And Refrig
(Hvac/R)
Business Type Corporation Specialty 2 Unused
Parent
Company
Other Associated Licenses
License
Name
Type
Specialty 1
Specialty
2
Effective
Date
Expiration
Date
Status
SUMNEH"027RDSUMNER
HEATING
Construction
Contractor
Metal
Fabrication
Unused
12/4/1998
12/4/2003
Archived
Business Owner Information
Name
Role
Effective Date
Expiration Date
HACKER, SCOTT MATTHEW
President
02/03/2003
Bond Amount
HACKER,MELISSA
Secretary
02/03/2003
615981644
PATTERSON, RICK
Vice President
02/03/2003
03/01/2011
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
3
United States Fire
Insurance Co
615981644
01/24/2013
Until Cancelled
$6,000.00
01/28/2013
2
American Contractors
Indem CO
100110713
02/03/2010
Until Cancelled
08/04/2012
$6,000.00
01/21/2010
1
COLONIAL AM CAS &
SURETY OF MD
LPM4063313
02/03/2003
Until Cancelled
02/03/2010
$6,000.0002/03/2003
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
5
Western
Heritage Ins Co
SCP0888923
02/21/2012
02/21/2014
$1,000,000.00
02/22/2012
4
COHIO CAS INS
BLW52402894
12/03/2010
12/03/2012
01/17/2012
$1,000,000.00
10/27/2011
3
COHIO CAS INS
BLW52402894
12/03/2009
12/03/2010
$1,000,000.0012/08/2009
2
C0OH10 CAS INS
BH052402894
12/03/2003
12/03/2010
$1,000,000.00
12/02/2009
Summons/Complaint Information
Cause
County
Complaint
Judgment
Status
Payment
Paid By
https://fortress.wa.gov/lni/bbip/Print.aspx
05/17/2013