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Home My WebLink AboutPermit M09-127 - LOMNICKY RESIDENCELOMNICKY RESIDENCE 1420156 AV S M09 -127 Parcel No.: 3365900175 Address: Suite No: Tenant: Name: Address: 14201 56 AV S TUKW LOMNICKY RESIDENCE 14201 56 AVE S , TUKWILA WA Owner: Name: LOMNICKY JOHN J Address: 14201 56TH AVE S , TUKWILA WA Contact Person: Name: BRIAN LEIBOLD Address: 727 S KENYON , SEATTLE WA Contractor: Name: EVERGREEN HOME HEATING & ENGY Address: 727 S KENYON ST , SEATTLE WA Contractor License No: EVERGHH910JO DESCRIPTION OF WORK: INSTALL NEW FURNACE Value of Mechanical: $2,400.00 Type of Fire Protection: Furnace: <100K BTU >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 >10,000 CFM Evaporator Cooler Ventilation Fan connected to single duct Ventilation System Hood and Duct Incinerator: Domestic Commercial/Industrial doc: IMC -10/06 Cityaif 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.ci.tukwila.wa.us MECHANICAL PERMIT EOUIPMENT TYPE AND QUANTITY 1 0 0 0 0 0 0 0 0 0 0 0 0 0 * * continued on next page ** M09 -127 Permit Number: Issue Date: Permit Expires On: Phone: Phone: 206 763 -1744 Phone: 206 763 -1744 Expiration Date: 04/20/2011 M09 -127 10/06/2009 04/04/2010 Fees Collected: $166.21 International Mechanical Code Edition: 2006 Boiler Compressor: 0 -3 HP /100,000 BTU 0 3 - HP /500,000 BTU 0 15 -30 HP /1,000,000 BTU.. 0 30 -50 HP /1,750,000 BTU.. 0 50+ HP /1,750,000 BTU 0 Fire Damper 0 Diffuser 0 Thermostat 0 Wood/Gas Stove 0 Water Heater 0 Emergency Generator 0 Other Mechanical Equipment Printed: 10 -06 -2009 Permit Center Authorized Signature: Print Name: doc: IMC -10/06 • 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.ci.tukwila.wa.us I hereby certify that I have read and = ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied , 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 o rf of work. I a 0 . : • horized to sign and obtain this mechanical permit. Signature: Permit Number: M09 -127 Issue Date: 10/06/2009 Permit Expires On: 04/04/2010 Date: Date: 40 tol - - 6 - 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. M09 -127 Printed: 10 -06 -2009 Parcel No.: 3365900175 Address: Suite No: Tenant: doc: Cond -10/06 14201 56 AV S TUKW • 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.ci.tukwila.wa.us LOMNICKY RESIDENCE 1: ** *BUILDING DEPARTMENT CONDITIONS * ** PERMIT CONDITIONS * *continued on next page ** Permit Number: Status: Applied Date: Issue Date: M09 -127 ISSUED 10/06/2009 10/06/2009 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 Cityof Tukwila Permit Center. 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 Tulcwila. 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. M09 -127 Printed: 10 -06 -2009 I hereby certify that I have this work will be complied The granting of this permit construction or the pe Signatur Print Name: doc: Cond -10/06 • 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.ci.tukwila.wa.us read these conditions and will comply with them as outlined. All provisions of law and with, whether specified herein or not. does not presume to give authority to violate or cancel the provision of any other work ance of work. Date: (d 6_0 M09 -127 ordinances governing or local laws regulating Printed: 10 -06 -2009 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 httrif/www.ci.tukwita.wa.us Name: C`tc.Y. 1 —e ,1 ARCHITECT OF RECORD - Contact Person: Mailing Address:7 Z.' S', �.'� a •••�C�.� Contact Person: ' C^'\ ENGINEER OF RECORD - All plans mus H.\Applicatioas\Forms- Applications On Line \2009 Applications \1-2009 - Mechanical Permit Application.doc Revised: 1 -2009 hh 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 King Co Assessor's Tax No.: Site Address: I t i 20 \ S E A' . tt_ Suite Number: Tenant Name: 3c^-� �. c� + New Tenant: r,. Property Owners Name: Mailing Address: /f CONTACT PERSON - Who do we contact when your permit is Company Name: 1= , e.e gCT' eady E -Mail Address: E -Mail Address: Contractor Registration Number: f:. V C eU H c t o 5c Mechanical Permit No. _ — Project No. (For office use only) City be issued Day Telephone City Fax Number: et stamped by Architect of Record be wet stamped by Engineer of Record 7 ,PS -go^ (=tic Floor: ❑ Yes D No State Zip 206 ) - 763 — 17'44 Z 77 State Mailing Address: Zip MECHANICAL CONTRACTOR INFORMATION City (, State Zip Day Telephone: `Z " 763— 1 Fax Number: Expiration Date: L i - 2- 0 o i All plans must be Company Name: Mailing Address: City Day Telephone: E -Mail Address: Fax Number: State Zip Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: Page I of 2 Unit Type: - - Qty Unit Type: Qty Unit Type: Qty Boiler /Compressor: Qty Furnace <100K BTU I 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/Ind Valuation of Project (contractor's bid price): $ 2 400 • d 0 Scope of Work (please provide detailed information): t Use: Residential: New ❑ Replacement Commercial: New ❑ Replacement ❑ Fuel Type: Electric ❑ 0 i Indicate type of mechanical work being installed and the quantity below: E- tArtnc.,c_ Gas ® Other: BUILDING O `j L L UTHORI " i AGENT: Signature: Print Name: l rs Mailing Address: '7 2 -7 S• K.e'.1P-,,. Date Application Accepted: 1ol ix/ lco) Date Application Expires: H:\Applications\Forms- Applications On Line\2009 Applications \1.2009 - Mechanical Permit Application.doc Revised: 1 -2009 bh City 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. Date: to" 6 Day Telephone: ([ ° 6 '43 -1 -i -e State Zip age 2 of 2 Parcel No.: 3365900175 Address: 14201 56 AV S TUKW Suite No: Applicant: LOMNICKY RESIDENCE Receipt No.: R09 -01561 • City of Tukwila Payee: EVERGREEN REFIRGERATION, LLC Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Fax: 206 - 431 -3665 Web site: http://www.ci.tukwila.wa.us TRANSACTION LIST: Type Method Descriptio Amount Payment Check 003925 166.21 Authorization No. ACCOUNT ITEM LIST: Description MECHANICAL - RES RECEIPT Permit Number: M09 -127 Status: PENDING Applied Date: 10/06/2009 Issue Date: Payment Amount: $166.21 Initials: JEM Payment Date: 10/06/2009 09:01 AM User ID: 1165 Balance: $0.00 Account Code Current Pmts 000.322.102.00.00 166.21 Total: $166.21 PAYMENT RECEIVED doc: Receiot -06 Printed: 10 -06 -2009 t_ Proje a 1 ryc (� /r n C )v Type o Inspection LA � _ (r' 011/410..K Address: t S Date Called: P it - I-1 /1 Special Instructions: pet) Fr n6c,2 / Date Wanted: (� -' f. a I � p.m. Requester: Phone 1-350 14 MOi' INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION i 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36 A pproved per applicable codes. El Corrections required prior to approval. COMMENTS: p_ef LOT ..Dit-Lf 01, Inspec'6: Date - 2 — ) n $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be - paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. BRIAN LEIBOLD 727 S KENYON SEATTLE WA 98108 RE: Permit No. M09 -127 14201 56 AV S TUKW Dear Permit Holder: Based on the above, you are hereby advised to: -or- 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. Thank you for your cooperation in this matter. Sincerely, * %:AJO Bill Rambo Permit Technician File: Permit File No. M09 -127 City of Tukwila Department of Community Development Jim Haggerton, Mayor Jack Pace, Director 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 04/04/2010. 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. 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. In the event you do not call for an inspection and /or receive an extension prior to 04/04/2010, your permit will become null and void and any further work on the project will require a new permit and associated fees. 6300 Southcenter Boulevard, Suite #100 0 Tukwila, Washington 98188 o Phone: 206 - 431 -3670 o Fax: 206 - 431 -3665 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 TRAVELERS CAS Et SURETY CO 105264029 04/07/2009 Until Cancelled 1 /6/2010 ACTIVE $12,000.00 04/20/2009 License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status EVERGRL954R2 EVERGREEN REFRIGERATION LLC CONSTRUCTION CONTRACTOR GENERAL UNUSED 1/6/2006 1 /6/2010 ACTIVE Name Role Effective Date Expiration Date PATTON, DAVID PARTNER /MEMBER 04/20/2009 PATTON, RODGER PARTNER /MEMBER 04/20/2009 PATTON, MATTHEW A PARTNER /MEMBER 04/20/2009 Untitled 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 EVERGREEN HOME HEATING Et ENGY Phone 2067631744 Address 727 S KENYON ST Suite /Apt. City State Zip County Business Type Parent Company SEATTLE WA 98108 KING Limited Liability Company EVERGREEN REFRIGERATION LLC UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602512953 ACTIVE EVERGHH910J0 CONSTRUCTION CONTRACTOR 4/20/2009 4/20/2011 GENERAL UNUSED Other Associated Licenses • Business Owner Information Bond Information https://fortress.wa.gov/lni/bbip/Detail.aspx Page 1 of 2 10/06/2009