HomeMy WebLinkAboutPermit M09-159 - LAMPS PLUS16839 S
LAMPS PLUS
UTHCENTER PY
M09 -159
Parcel No.:
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Value of Mechanical: $11,000.00
Type of Fire Protection:
doc: IMC -10/06
Citylilf 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.ci.tukwila.wa.us
2623049068
16839 SOUTHCENTER PY TUKW
LAMPS PLUS
16839 SOUTHCENTER PY , TUKWILA WA
MATSUMI LLC % ROBERT SCHOFI
4212 HUNTS POINT DR , BELLEVUE WA
MATT BROOKS
727 S KENYON ST , SEATTLE WA
Contractor:
Name: EVERGREEN REFRIGERATION LLC
Address: 727 S KENYON ST , SEATTLE WA
Contractor License No: EVERGRL954R2
Furnace: <100K BTU 0
>100K BTU 0
Floor Furnace 0
Suspended/Wall/Floor Mounted Heater 0
Appliance Vent 0
Repair or Addition to Heat/Refrig /Cooling System.... 0
Air Handling Unit <10,000 CFM 2
>10,000 CFM 0
Evaporator Cooler 0
Ventilation Fan connected to single duct 0
Ventilation System 0
Hood and Duct 0
Incinerator: Domestic 0
Commercial/Industrial 0
MECHANICAL PERMIT
DESCRIPTION OF WORK:
REPLACE TWO FAILED RTU WITH NEW RTU. LIKE FOR LIKE REPLACEMENT.
EOUIPMENT TYPE AND QUANTITY
* * continued on next page **
M09 -159
•
Permit Number: M09 -159
Issue Date: 12/29/2009
Permit Expires On: 06/27/2010
Phone:
Phone: 206 763 -1744 X 277
Phone: 206 763 -1744
Expiration Date: 01/06/2010
Fees Collected: $303.31
International Mechanical Code Edition: 2006
Boiler Compressor:
0 -3 HP /100,000 BTU 0
3 -15 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 2
Wood/Gas Stove 0
Water Heater 0
Emergency Generator 0
Other Mechanical Equipment
Printed: 12 -29 -2009
Permit Center Authorized Signature:
I hereby certify that I have read and e
governing this work will be complied
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
Inspection Request Line: 206 - 431 -2451
Web site: http: / /www.ci.tukwila.wa.us
a mt
v ith
w\SGaJU
•
Permit Number: M09 -159
Issue Date: 12/29/2009
Permit Expires On: 06/27/2010
Date: ‘2.—
L ed 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 presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the pe rmance of work. I am authorized to sign and obtain this mechanical permit.
Signature: Date: IVZ VD 9
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 -159 Printed: 12 -29 -2009
1: ** *BUILDING DEPARTMENT CONDITIONS * **
12: ** *FIRE DEPARTMENT CONDITIONS * **
doc: Cond -10/06
•
City of Tukwila
Parcel No.: 2623049068
Address: 16839 SOUTHCENTER PY TUKW
Suite No:
Tenant: LAMPS PLUS
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
PERMIT CONDITIONS
•
Permit Number: M09 -159
Status: ISSUED
Applied Date: 12/16/2009
Issue Date: 12/29/2009
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 mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center
(206/431- 3670).
4: 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.
5: Readily accessible access to roof mounted equipment is required.
6: All construction shall be done in conformance with the approved plans and the requirements of the International
Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code.
7: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap the sanitary
sewer connections, and properly fill or otherwise protect all basements, cellars, septic tanks, wells, and other
excavations. Final inspection approval will be determined by the building inspector based on satisfactory completion of
this requirement.
8: Manufacturers installation instructions shall be available on the job site at the time of inspection.
9: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Cityof Tukwila
Permit Center.
10: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building
Department (206- 431 - 3670).
11: 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.
13: The attached set of building plans have been reviewed by the Fire Prevention Bureau and are acceptable with the
following concerns:
14: H.V.A.C. units rated at greater than 2,000 cfm require auto - shutdown devices. These devices shall be separately zoned
in the alarm panel and local U.L. central station supervision is required. (City Ordinance #2051)
15: H.V.A.C. systems supplying air in excess of 2,000 cubic feet per minute to enclosed spaces within buildings shall be
equipped with an automatic shutoff. Automatic shutoff shall be accomplished by interrupting the power source of the
M09 -159 Printed: 12 -29 -2009
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
* *continued on next page **
•
air- moving equipment upon detection of smoke in the main return -air duct served by such equipment. Smoke detectors
shall be labeled by an approved agency for air -duct installation and shall be installed in accordance with the
manufacturers installation instructions. (IMC 606.1, 606.2.1)
16: Remote indicator lights are required on all above ceiling smoke detectors. (City Ordinance #2051)
17: Duct smoke detectors shall be capable of being reset from a single point near the alarm panel. (City Ordinance #2051)
18: Duct detectors shall send a supervisory signal only upon activation. (City Ordinance #2051)
19: All new fire alarm systems or modifications to existing systems shall have the written approval of The Tukwila Fire
Prevention Bureau. No work shall commence until a fire department permit has been obtained. (City Ordinance #2051) (IFC
104.2)
20: An electrical permit from the City of Tukwila Building Department Permit Center (206- 431 -3670) is required for this
project.
21: Contact The Tukwila Fire Prevention Bureau to witness all required inspections and tests. (City Ordinances #2050 and
#2051)
22: Any overlooked hazardous condition and/or violation of the adopted Fire or Building Codes does not imply approval of
such condition or violation.
23: These plans were reviewed by Inspector 511. If you have any questions, please call Tukwila Fire Prevention Bureau at
(206)575 -4407.
M09 -159 Printed: 12 -29 -2009
•
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 these conditions and will comply with them as outlined. 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 provision of any other work or local laws regulating
construction or the performance of work.
Print Name: 14e e 2?oairJ
Signature:
doc: Cond -10/06
Date:
/Z /Z //O y
M09 -159 Printed: 12 -29 -2009
E -Mail Address:
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.citukwila.wa.us
Site Address: ' O 3 (
Tenant Name: 1 rn pS �ILC S
Property Owners Name: , ( 5 . n L LLC
Mailing Address:
1 4212 Edu.ZE -s Po ' Dr-
Name: 11 BOO lt-S
Mailing Address: 72 5. ler yor SI'
Redid &9€i tkva-L' - �✓�
Company Name: /-et. ene S r Pi L t S
Mailing Address: 21 5 / -m ^'t er-
s i
Contact Person: Jt,in; 111 U l A
E -Mail Address:
Contractor Registration Number:
Contact Person:
E -Mail Address:
Contact Person:
E -Mail Address:
H: \Applications\Forms- Applications On Line\2009 Applications\I -2009 - Permit Application.doc
Revised: I -2009
bh
City
Building Permit No.
Mechanical Permit No.
Act\ t�'1
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
King Co Assessor's Tax No.: 9-6 ail
Suite Number:
New Tenant:
State
CONTACT PERSON - who do we contact when your permit is ready to
issued
Day Telephone: 2 ° - 7-63
City State
Fax Number: 20(..
GENERAL CONTRACTOR INFORMATION -
(Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5
❑ Yes Ca „No
cit
Day Telephone: 5'/8 - 4 ./ . 2 y 20
Fax Number: 618 - $ 8'G - /O //
Expiration Date:
State
ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Reco
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
State
State
Floor:
g8
Zip
1 714 >< 27?
Zip
23 & 9
q 51/
Zip
Zip
ENGINEER OF RECORD - All plans must be
et stamped
by Engineer of Record
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
Page 1 of 6
Zip
Unit Type:
Qty
Unit Type:
Qty
Unit Type:
Qty
Boiler /Compressor:
Qty
Furnace <100K BTU
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
HP /1,000,000 BTU
Suspended/WaIIIFloor
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
Contact Person:
Use: Residential: New .... ❑
Commercial: New .... ❑
•
MECHANICAL PERMIT INFORMATION — 206- 431 - 3670 •
MECHANICAL CONTRACTOR INFORMATION
Company Name: Et/Grooreei- / ecesiefe iD n.
Mailing Address: 72.. S. ke,4,,rbn 54-
wi Brooks
E -Mail Address: trio 4 b & 211e re,- ..diva_. - co.
Contractor Registration Number: E VER.G2145 4R Z
Replacement .... ❑
Replacement ...X
City
Day Telephone: 2(/C, - '7ta 3 - I ?t1'/ x 2 7 �
Fax Number: QQ(, - 7 - 23gq
Expiration Date: !/6 //O
Valuation of Mechanical work (contractor's bid price): $ // � 000
Scope of Work (please provide detailed information): r e T F2..ket) Rtv
t -�v , L, kz Pcir L. Ice, rr(L -
G.� 9swor
State Zip
Fuel Type: Electric Gas.... Other:
Indicate type of mechanical work being installed and the quantity below:
H:\Applications \Forms - Applications On Line\2009 Applications \1.2009 - Permit Application.doc
Revised: 1 -2009
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 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�R AUTHORIZED AGENT:
Signature: / / /.. (�^ /- _
Print Name: ,/(a - I3/
Mailing Address: 72 7 S. a+ti 5
t Date Application Accepted:
1AU 0
H:Wpplications\Forms- Applications On Line\2009 Applications \1-2009 - Permit Application :doc
Revised: 1 -2009
bh
Day Telephone:
SS�e�Q
City
Date: Wt/ O ?
acx, C.g9 3/37
LJA ggi v rf
State Zip
Date Application Expires:
MP 1 to
Staff Initials:
Page 6 of 6
Receipt No.: R09 - 02004
Payee: EVERGREEN REFRIGERATION, LLC
ACCOUNT ITEM LIST:
Description
MECHANICAL - NONRES
PLAN CHECK - NONRES
• •
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
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 004102 303.31
Authorization No.
RECEIPT
Parcel No.: 2623049068 Permit Number: M09 -159
Address: 16839 SOUTHCENTER PY TUKW Status: PENDING
Suite No: Applied Date: 12/16/2009
Applicant: LAMPS PLUS Issue Date:
Payment Amount: $303.31
Initials: JEM Payment Date: 12/16/2009 08:49 AM
User ID: 1165 Balance: $0.00
Account Code Current Pmts
000.322.102.00.00 242.65
000.345.830 60.66
Total: $303.31
PAYMENT
RECEIVED
doc: Receipt -06 Printed: 12 -16 -2009
Project: . --...,
i(#1. .07 J7 /4‘
Type of Inspection:
/—/.4/41/
Address: "
/G 9 4 :,
0
?
Date Called:
Special Instructions:
•
Date Wanted:
/,/— /`y --
/D
p"
Requester:
Phone No:
INSPECTION RECORD
Retain 'a• copy with permit
INSPECTION NO. : PERMIT NO. ,
. ' CITY OF. TUKWILA BUILDING DIVISION .
6300'Southcenter'BIvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Approved per applicable codes. El Corrections required prior to approval.
OMMENTS:
/rte Cab-14/de + 1/4-
-r
Date:
RE SPECTION FEE REQUIR ` • . Prior to n t inspection. fee must be
id at 6300 Southcenter Blvs ; Suite 100. all to schedule reinspection.
<L6
Project:
L —P5 'P, ,,
Type of Inspection : ' •
3,Fievee. ■1.(1 '•l✓
Address:
16 g Sib/Me/44V
Date Called:
-
Special Inst ctions: •
r „
/ VAM P— i
0
Date Wanted:
//- //
— i .
Requester:
Phone No: •
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO. •••
CITY OF TUKWILA BUILDING DIVISION .
6300 Southcenter Blvd., #100,. Tukwila. WA 98188 t.. (206) 431 =3670
Permit Inspection Request Line (206) 431 =2451
COM ENTS:
•
Approved per applicable codes. Corrections required prior to.approval.
R NSPECTION FEE EQUIRED. Prio to next inspection. fee must be
id at 6300 Southcen er Blvd.. Suit 100 ?Call to schedule reinspection.
•
Project:
.4 r9i7P. 5 PZ ?/ S
Type of Inspection: `
---574-w 4 PS/ /r/ – O -
Address:
/d 335 _ ,Sir/ A19 -i ,.% y
Date Called:
Special Instructions:
--15)41/ 6 Sy — 0$2.
Date Wanted:
– 7-- /3 --/ D
ati.
p.m.
Reques r:
''' — 5 /1/
Phone No:
e.7o 4 - &71 -36S
❑ Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
/r1a5-
PERMIT NO.
(206)431 -3670
RI Corrections required prior to approval. 2
COMMENTS:
%)-. /l/� 6--(7A.-f61/,‘S.
cam// C O6 ,d /(41e W' t h r /'P sT 'LW
re S ('/i •0(6f 4 • n/ 3) en ,-/O a1
Date:
—/U
7-
i.3
EINSPECTION FEE EQUIRfD. Prior to inspection, fee must be
6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
spector:
$60.e0 '
paid
a
Receipt o.:
iDat4:
Project:
L , 5 PLU
Type of Inspection:
F NI 4 L
Address : k
I G503 C -stAt - l - kati ki t Pr../
Date Called:
Special Instructions:
Date Wanted: a.m.
1 22- 0 a
Requester:
Phone No:
_moo( -Cr --3 I R 2
INSPECTION RECORD
Retain a copy with permit 0101-
5 �
PERMIT NO.
(206)431 -3670
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
❑ Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
( 9 ;: — /; / — N ei
$ .00 REINSPECTION FEE UIR D. Prior to inspection, fee must be
p EQ
id at 6300 Southcenter Blv . Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
Project:
i-o
-
OA_
of n p ion:
tviz 41.4
Address: 48, 31-
Suite #: I
s. 6 , ., pk.,,, 7
Contact Peron:
Special Instructions:
Occupancy Type:
Phope No.:
N
Needs Shift Inspection:
Sprinklers:
Fire Alarm:
Hood & Duct:
Monitor:
Pre-Fire:
Permits: '
Occupancy Type:
INSPECTION NUMBER
pproved per applicable codes..
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA FIRE DEPARTMENT
PERMIT NUMBERS
444 Andover Park East, Tukwila. Wa. 98188 206-575-4407
Corrections required prior to approval.
COMMENTS:
Nee, £9-
Inspector:
Date:
Hrs.: / •
n $80.00 REINSPECTION FEE REQUIRED. You will receive an invoice from
the City of Tukwila Finance Department Call to schedule a reinspection.
Word/Inspection Record Form.Doc 1/13/06
T.F.D. Form F.P. 113
P ernfft
PROJECT INFORMATION' SHEET •
JOB NAME: Lamps Plus Job# 29030
Site Address Contractor
Name: Lamps Plus Name: Lamps Pius
Address: 16839 Southcenter Pkwy Address: 2025 Plummer St
Address: Address:
City: Tukwila 98188 City: Chatsworth Zip: 91311
Contact: Contact: Jamie Thoi Adao
Phone: Phone: 818 428 -4205
Cell: REVIEWCD FoR Cell:
Fax: CODE COMPLIANCE Fax: 818 886 -1011
Notes: APPRovED Notes:
DEC 2 4 2uu9
Cify of Rikwiia
B U r
Le
Notes: p&1Le.
Ae 75 Pi l six
Bill To
Name: Matsumi LLC Name: Lamps Plus
Address: 4212 Hunts Point Dr Address: 2025 Plummer St
Address: Address:
City: Bellevue Zip:98004 City: Chatsworth Zip: 91311
Contact: Contact:
Phone: Phone:
Cell: Cell:
Fax: Fax:
Notes:
RECEIVED
CITY OF TUKWIIA
DEC 16 2009
PERMIT CENTER
M D1- Isl
verreen
Refrigeration HVAC
LAMPS PLUS
HVAC REPLACEMENT UNIT
TUKWILA, WA
DESCRIPTIVE DESIGN PROPOSAL
12/7/2009
PROVIDE AND INSTALL A REPLACEMENT HEATING, VENTILATION, AND AIR
CONDITIONING UNIT, AS FOLLOWS:
1. ONE (1) REPLACEMENT ROOFTOP PACKAGED UNIT.
a) This proposal has a 6-ton total cooling capacity.
b) Voltage is 460 VOLT 3 PHASE.
c) Equipment is located per Evergreen Refrigeration's design.
d) ECONOMIZER is included as required by the Washington State Energy Code.
e) The H.V.A.C. system is sized like for like.
3. ONE (1) PROGRAMMABLE NIGHT SETBACK THERMOSTAT in conformance with the
Washington State Energy Code.
DISCONNECT AND RECONNECT EXISTING POWER AND GAS PIPING
a) No repairs or replacement of existing line voltage power wiring, disconnect, or gas piping.
4. CONDENSATE TRAP is included on the ROOFTOP unit.
a) P -traps are to drain to the roof within one foot of the units.
5. START -UP AND TESTING to factory specifications by Evergreen technicians.
6. REMOVE AND RECYCLE EXISTING HVAC UNIT per EPA guidelines.
a) No repairs or replacement of existing line voltage power wiring, disconnect, or gas piping.
7. MECHANICAL DRAWINGS for the Heating, Ventilation and Air Conditioning in CADD format
8. PERMITS for the Heating, Ventilation and Air Conditioning.
9. ONE -YEAR PARTS AND LABOR WARRANTY from the date of the first beneficial use of the
equipment, or on Start-up by Evergreen technicians.
a) Warranty service provided by Evergreen technicians.
HVAC &
CONTROLS
DESIGN
INSTALLATION
SERVICE
LAMPS PLUS REPLACEMENT UNIT
DESCRIPTIVE DESIGN PROPOSAL - CONTINUED
Evergreen Refrigeration, LLC
12/7/2009
EXCLUSIONS:
• Equipment screening
• Modifications to existing ductwork system
• Line voltage electrical, starters, disconnects and control conduit - other than listed above
• Repairs to existing gas piping or line voltage electrical
• Gas meter and earthquake gas shut -off valves
• Condensate drains and drain lines (Except as above)
• Cutting, coring, patching, and roofing
• Attachment of roof curbs to roof
• Curb leveling and curb insulation
• Structural and seismic calculations
• Registered engineer's stamp
• Modifications required by the building department
• Insurance coverage beyond $3,000,000.00 individual, aggregate, etc. liability
• Sales tax
BASE PROPOSAL $ 9,787.00
ALTERNATE #1- ADDITIVE:
ADD TO THE BASE PROPOSAL to install one convenience GFI outlet on roof as required by IMC Code.
ADD TO THE BASE PROPOSAL .$ 800.00
YES NO DATE
APPROVAL (Please Initial)
ALTERNATE #2- ADDITIVE:
ADD TO PROVIDE ONE (1) ADDITIONAL 6-TON REPLACEMENT HVAC UNIT FOR Trane Serial
No. E29144888D in lieu of replacing heat exchanger
a) Voltage is 460 VOLT 3 PHASE.
b) Equipment is located per Evergreen Refrigeration's design.
c) ONE (1) PROGRAMMABLE NIGHT SETBACK THERMOSTAT in conformance with the
Washington State Energy Code.
d) ECONOMIZERS are included as required by the Washington State Energy Code.
e) The H.V.A.C. system is sized like for like.
ERL recommends replacing 19 -year -old unit in unison with above proposal, as the unit is past the manufacturer's
recommended life expectancy.
ADD TO THE BASE PROPOSAL .$ 7999.00
APPROVAL (Please Initial)
YES NO DATE
-2-
LAMPS PLUS REPLACEMENT UNIT
DE CRIPTIVE DESIGN PROPOSAL - CONTINUED
Evergreen Refrigeration, LLC
12/7/2009
NO
This
E: EXCLUSIONS ARE THE SAME AS THOSE ON THE BASE PROPOSAL.
offer of alternates to the base proposal / contract may be withdrawn by us if not accepted within 30 days.
AUTHORIZED SIGNATURE
TOTAL ALTERNATES $
BASE PROPOSAL $ Q 9,787.00
NEW PROPOSAL/CONTRACT TOTAL $ 16, 5 Sao
Purchaser / Buyer Date
-3-
MATT BROOKS
727 S KENYON ST
SEATTLE WA 98108
City of Z°ukwil
RE: Permit No. M09 -159
16839 SOUTHCENTER PY TUKW
Dear Permit Holder:
Department of Commnnirty Development
Based on the above, you are hereby advised to:
-or-
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 07/21/2010.
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.
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 07/21/2010, 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,
Bill Rambo
Permit Technician
If.J.P -- _,„1.___
File: Permit File No. M09 -159
Jim Haggerton, Mayor
Jack Pace, Director
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 a Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
ACTIVITY NUMBER: M09 -159 DATE: 12 -16 -09
PROJECT NAME: LAMPS PLUS
SITE ADDRESS: 16839 SOUTHCENTER PY
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter # Revision # after Permit Issued
DEPARTM NTS:
a ng Div slon
Public Works ❑
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete ir
Comments:
TUES/THURS ROUTING:
Please Route
REVIEWER'S INITIALS:
APPROVALS OR CORRECTIONS:
Documents/routing slip.doc
2 -28 -02
O PERK! IT COORD C Y �
PLAN REVIEW /ROUTING SLIP
Approved ❑ Approved with Conditions
Notation:
REVIEWER'S INITIALS:
lsl
Fire Prevention
Structural
Incomplete U
Planning Division
Permit Coordinator
DUE DATE: 12-17-09
Not Applicable ❑
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Structural Review Required ❑ No further Review Required ❑
DATE:
DUE DATE: 01-14-10
Not Approved (attach comments) n
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
EVERGHH910J0
EVERGREEN
HOME HEATING
Et ENGY
CONSTRUCTION
CONTRACTOR
GENERAL
UNUSED
4/20/20094/20/2011
01/06/2006
ACTIVE
EVERGI *201 D7
EVERGREEN
REFRIGERATION
INC
CONSTRUCTION
CONTRACTOR
GENERAL
UNUSED
3/27/1980
7/31/2006
RELICENSED
Name
Role
Effective Date
Expiration Date
EVERGREEN REFRIGERATION LLC
PARTNER /MEMBER
12/22/2005
Bond
Amount
PATTON, DAVID
PARTNER /MEMBER
01/06/2006
PATTON, RODGER
PARTNER /MEMBER
01/06/2006
PATTON, MATTHEW
PARTNER /MEMBER
01/06/2006
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
TRAVELERS
Until
Untitled Page
Other Associated Licenses
•
•
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
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent
Company
EVERGREEN REFRIGERATION
LLC
2067631744
727 S KENYON ST
SEATTLE
WA
98108
KING
Limited Liability Company
UBI No.
Status
License No.
License Type
Effective Date
Expiration
Date
Suspend Date
Specialty 1
Specialty 2
602512953
ACTIVE
EVERGRL954R2
CONSTRUCTION
CONTRACTOR
1/6/2006
1/6/2012
GENERAL
UNUSED
Page 1 of 2
Business Owner Information
Bond Information
https://fortress.wa.gov/lni/bbip/Detail.aspx
12/29/2009