HomeMy WebLinkAboutPermit M15-0003 - MOHMDALI RESIDENCE - DUCTLESS HEAT PUMPMOHMDALI RESIDENCE
3736 S 141 ST
M15-0003
Parcel No:
Address:
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-438-9350
Web site: http://www.TukwilaWA.gov
MECHANICAL OTC PERMIT
1610000035 Permit Number: M15-0003
3736 S 141ST ST
Project Name: MOHMDALI RESIDENCE
Issue Date: 1/8/2015
Permit Expires On: 7/7/2015
Owner:
Name:
Address:
CHERRINGTON VIOLET
2705 185TH AVE E , LAKE TAPPS, WA,
98391
Contact Person:
Name: KARLA LOEFFLER
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
4415 LEARY WAY NW , SEATTLE, WA,
98107
OLSON ENERGY SERV/GAS APPL SVC
4415 LEARY AVE NW , SEATTLE, WA,
98107
OLSONES8630D
Phone: (206) 782-5522
Phone: (206) 782-5522
Expiration Date:
DESCRIPTION OF WORK:
INSTALL DUCTLESS HEAT PUMP
Valuation of Work: $5,657.00
Type of Work: REPLACEMENT
Fuel type: ELECT
Fees Collected: $219.71
Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: 125
Sewer District: VALLEY VIEW SEWER SERVICE
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
International Fuel Gas Code:
Permit Center Authorized Signature:
2012
2012
2012
2012
2012
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2014
2014
2014
2012
Date: l9/-1 �`
I hearby 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
development permit and agree to the conditions attached to this permit.
' �'
Signature: �1'Y41Date: 1 - e - /5
Print Name: I U1 Fernandlank
This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or if
the work is suspended or abandoned for a period of 180 days from the last inspection.
PERMIT CONDITIONS:
1: ***MECHANICAL PERMIT CONDITIONS***
2: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila
Permit Center (206/431-3670).
3: All permits, inspection record card and approved construction documents shall be kept at the site of work
and shall be open to inspection by the Building Inspector 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: Type 1 Hoods, the required grease duct leakage test and (light test shall be performed by a special
inspection and testing agency in accordance with I.M.C. Chapter 5.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
1800 MECHANICAL FINAL
0701 ROUGH -IN MECHANICAL
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Mechanical Permit No. 1, 3
Project No.
Date Application Accepted:
Date Application Expires:
(For office use only)
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: 3736 S 141 st St
Tenant Name:
PROPERTY OWNER
Name: Musakarim Mohmdali
Address: 3736 S 141 st St
City: Tukwila State: WA
Zip: 98168
CONTACT PERSON — person receiving all project
communication
Name: Karla
Address: 4415 Leary Way NW
City: Seattle State: WA Zip: 98107
Phone: (206) 782-5522 Fax: (206) 782-1303
Email: karla@olsonenergy.com
King Co Assessor's Tax No.: 1610000035
Suite Number: Floor:
New Tenant: ❑ Yes ❑ ..No
MECHANICAL CONTRACTOR INFORMATION
Company Name: Olson Energy Service
Address: 4415 Leary Way NW
City: Seattle State: WA Zip: 98107
Phone: (206) 782-5522 Fax: (206) 782-1303
Contr Reg No.: Exp Date:
Tukwila Business License No.:
Valuation of project (contractor's bid price): $ 5,657
Describe the scope of work in detail:
Install Ductless Heat Pump
Use: Residential: New ❑ Replacement
Commercial: New ❑ Replacement ❑
Fuel Type: Electric ❑
Gas ❑ Other:
H:\Applications\Forms-Applications On Line\2011 Applications\Mechanical Permit Application Revised 8-9-1 I.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
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 — D14 P
1
Boiler/Compressor
Qty
0-3 hp/100,000 btu
3-15 hp/500,000 btu
15-30 hp/I,000,000 btu
30-50 hp/I,750,000 btu
50+ hp/1,750,000 btu
PERMIT APPLICATION NOTES -
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.
BUILDIN 0 NE OR U 1 O t.Ij' AGENT:
Signature:
Print Name:
Karla Loefler
Mailing Address: 4415 Leary Way NW
Date: 12/29/2014
Day Telephone: (206) 782-5522
Seattle WA 98107
City State Zip
H:\Applications\For ns-Applications On Linc'2011 Applications\Mechanical Permit Application Revised 8-9.11.docx
Revised: August 2011
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Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY
PAID
$533.40
EL15-0019 Address: 14122 43RD AVE S
Apn: 7348200150
$57.33
ELECTRICAL
$54.60
PERMIT FEE SINGLE FAMILY
R000.322.101.00.00
0.00
$54.60
TECHNOLOGY FEE
$2.73
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$2.73
EL15-0020 Address: 3736 S 141ST ST
Apn: 1610000035
$57.33
ELECTRICAL
$54.60
PERMIT FEE SINGLE FAMILY
R000.322.101.00.00
0.00
$54.60
TECHNOLOGY FEE
$2.73
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$2.73
M15-0002 Address: 14122 43RD AVE S
Apn: 7348200150
$199.03
MECHANICAL
$189.55
PERMIT FEE
R000.322.100.00.00
0.00
$157.05
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$32.50
TECHNOLOGY FEE
$9.48
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$9.48
M15-0003 Address: 3736 S 141ST ST
Apn: 1610000035
$219.71
MECHANICAL
$209.25
PERMIT FEE
R000.322.100.00.00
0.00
$176.75
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$32.50
TECHNOLOGY FEE
$10.46
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R4010
R000.322.900.04.00
0.00
$10.46
$533.40
Date Paid: Thursday, January 08, 2015
Paid By: OLSON ENERGY SERV/GAS APPL SVC
Pay Method: CHECK 15848
Printed: Thursday, January 08, 2015 9:58 AM 1 of 1
SYSTEMS
t
INSPECTION NO,
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukvvila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 436-9350
Aff5".- Poo 3
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
Projeci: i i , .,
Ao h osAilt f fke-5 ( t V C e
Type of Inspection: ,
AecIt F( RCt (
Address:
37;6 ko e f Y ( a ffeeff
Date Called:
Special Instructions:
.444
Date Wanted:
a.m.
P.m.
Requester:
Phone No:
Approved per applicable codes.
EJCorrections required prior to approval.
e-Kef-- (de, cht( p
COMMENTS: -
* afro-v.1r .(
inspector
Dat
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection
INSPECTION RECORD
Retain a copy with permit
INSEU ON NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd,, #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 436-9350
M(F-0003
Project; A ..
140 k hot 4114 t Iles idr,fitC.e
TypetiactiitL
iV'P —1-gl
Date Called:
Address:
7 . lo. ft( 1 fr Ifrec-F
Special Instructions:
Ax4
Date Wanted:
2,-2---(3--
a.m.
PArt•
'Requester:
2,...-
Phone No:
Approved per applicable codes. Corrections required prior to approval.
CO
P
Date2_
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection
ow.
Olson Energy Serv/Gas Appl Svc
Page 1 of 2
Washington State Department. of
Labor & Industrtes
Olson Energy Serv/Gas Appl Svc
Owner or tradesperson
Suetens, Philippe
Principals
Suetens, Philippe, MANAGER
Doing business as
Olson Energy Serv/Gas Appl Svc
WA UBI No.
603 409 594
Parent company
CNP LLC
4415 Leary Avenue NW
SEATTLE, WA98107
206-782-5522
KING County
Business type
Limited Liability Company
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Construction Contractor
License specialties
Heating/Vent/Air-Conditioning and Refrig
(HVAC/R)
License no.
OLSONES863OD
Effective — expiration
09/04/2014— 09/04/2016
Bond
Ironshore Indemnity Inc
Bond account no.
SUR40001433
Received by L&I
09/04/2014
Insurance
...........................
Ohio Security Ins Co
Policy no.
BKS56263232
Received by L&I
09/04/2014
Active.
Meets current requirements.
$6,000.00
Effective date
08/08/2014
Expiration date
Until Canceled
$1,000,000.00
Effective date
08/08/2014
Expiration date
08/08/2015
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