HomeMy WebLinkAboutPermit M11-065 - BAGWELL RESIDENCEBAGWELL RESIDENCE
12632 35 AV S
M11-065
City okukwila 0
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.: 7345600850
Address: 12632 35 AV S TUKW
Project Name: BAGWELL RESIDENCE
Permit Number: M11 -065
Issue Date: 05/16/2011
Permit Expires On: 11/12/2011
Owner:
Name: WOOTTON HILLARY L +BAGWELL M
Address: 12632 35TH AVE S , TUKWILA WA 98168
Contact Person:
Name: DAMIAN BINGHAM
Address: 727 KENYON ST , SEATTLE WA 98108
Email: DAIMIAN@EVERGREENHVAC.COM
Contractor:
Name: EVERGREEN REFRIGERATION LLC
Address: 727 S KENYON ST , SEATTLE WA 98108
Contractor License No: EVERGRL954R2
Phone: 206 - 763 -1744
Phone: 206 763 -1744
Expiration Date: 01/06/2012
DESCRIPTION OF WORK:
REPLACE OIL BURNING FURNACE WITH (8 KW HEAT STRIP) ELECTRIC HEAT PUMP.
Value of Mechanical: $7,275.00
Type of Fire Protection: UNKNOWN
Electrical Service Provided by:
Permit Center Authorized Signature:
Fees Collected:
$225.25
International Mechanical Code Edition: 2009
Date: S\` (
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.
Date: SZ/ ,//
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.
doc: IMC -4/10
M11-065 Printed: 05 -16 -2011
• •
PERMIT CONDITIONS
Permit No. M11 -065
1: ** *BUILDING DEPARTMENT CONDITIONS * **
2: No changes shall be made to the approved plans unless approved by the design professional m 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 arty 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 m the construction documents and other data.
doc: IMC -4/10
M11-065 Printed: 05 -16 -2011
CITY OF TUKWIL.
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Project No.
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: 12632 35th Ave. S.
Tenant Name: Michael Bagwell
Property Owners Name: Michael Bagwell
Mailing Address: 12632 35th Ave. S.
King Co Assessor's Tax No.• 7345600850
Suite Number: Floor:
New Tenant: ❑ Yes ® .. No
Tukwila
WA
98168
City
State
Zip
CONTACT PERSON Who do
ntact when your permit is ready
Name: Daimian Bingham
Day Telephone: (206) 763 -1744
Mailing Address: 727 S. Kenyon St. Seattle WA 98108
City
E -Mail Address: Daimian @EvergreenHVAC.com
State
Zip
Fax Number:
MECHANICAL CONTRACTOR INFORMATION
Company Name: Evergreen Refrigeration
Mailing Address: 727 S, Kenyon St.
Seattle
WA 98108
City State Zip
Contact Person: Daimian Bingham Day Telephone: (206) 763 -1744
E -Mail Address: Daimian @EvergreenHVAC.com Fax Number:
Contractor Registration Number: EVERGRL954R2
Expiration Date: 01/06/2012
ARCHITECT OF RECORD = All plans must be
et s amped
by Architect of Record'
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
State
Zip
ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
State
Zip
H:\Applications \Forms- Applications On Line\2009 Applications \1 -2009 - Mechanical Pennit Application.doc
Revised: 1 -2009
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Page 1 of 2
Valuation of Project (contractor's bid price): $ 7,275 /
Scope of Work (please provide detailed information): install heat pump�sp!/ J`
SIG, Neal' -Pf,
Use: Residential: New
Commercial: New
Fuel Type: Electric
Replacement
Replacement
Gas ❑ Other:
Indicate type of mechanical work being installed and the quantity below:
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
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
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 105.12 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 O OR AUTHO I ED AGE T:
Signature: /e27, >1.21. ii��
Print Name: Daimian Bingham
Mailing Address: 727 Kenyon St
Date: 05/16/2011
Day Telephone: (206) 763 -1744
Seattle
WA 98108
City
State
Zip
Date Application Accepted:
Date Application Expires:
Staff Initials: I
H:\Applications\Forms- Applications On Line \2009 Applications \I -2009 - Mechanical Permit Application.doc
Revised: 1 -2009
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Page 2 of 2
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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.: 7345600850
Address: 12632 35 AV S TUKW
Suite No:
Applicant: BAGWELL RESIDENCE
RECEIPT
Permit Number: M11 -065
Status: PENDING
Applied Date: 05/16/2011
Issue Date:
Receipt No.: R11 -00991
Payment Amount: $225.25
Initials: WER Payment Date: 05/16/2011 02:11 PM
User ID: 1655 Balance: $0.00
Payee: EVERGREEN REFRIGERATION
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 004844 225.25
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
MECHANICAL - RES
000.322.102.00.00 225.25
Total: $225.25
doc: Receiot -06 Printed: 05 -16 -2011
Atf
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OFTUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 tr. (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
P eU Wo i _ /l
Typtco,f3 Ins p ction:l / ' P
Address:
Special Instructions:
p,
Date Wanted: ...Lift
r%
.O " i /
Requester F3 _834
Phone No:
r �
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
-�_
nr
Y
r.1
,.... ,, \kN
1
°.
1
1 '
F1 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
city of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
DAMIAN BINGHAM
727 KENYON ST
SEATTLE WA 98108
RE: Permit No. M11 -065
BAGWELL RESIDENCE
12632 35 AV S TUKW
Dear Permit Holder:
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 11/12/2011.
Based on the above, you are hereby advised to:
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, provided the inspection shows progress.
-or-
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 11/12/2011, 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,
----0.
Bill Rambo
Permit Technician
File: Permit File No. M11 -065
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
Contractors or Tradespeople Prr ter Friendly Page
0
General /Specialty Contractor
A business registered as a construction contractor with LEI 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 REFRIGERATION LLC UBI No. 602512953
Phone 2067631744 Status Active
Address 727 S Kenyon St License No. EVERGRL954R2
Suite /Apt. License Type Construction Contractor
City Seattle Effective Date 1/6/2006
State WA Expiration Date 1/6/2012
Zip 98108 Suspend Date
County King Specialty 1 General
Business Type Limited Liability Company Specialty 2 Unused
Parent Company
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
EVERGHH910J0
EVERGREEN HOME
HEATING & ENGY
Construction
Contractor
General
Unused
4/20/2009
4/20/2013
Active
EVERGI'201D7
EVERGREEN
REFRIGERATION INC
Construction
Contractor
General
Unused
3/27/1980
7/31/2006
Re
Licensed
Business Owner Information
Name
Role
Effective Date
Expiration Date
EVERGREEN REFRIGERATION LLC
Partner /Member
12/22/2005
Amount
PATTON, DAVID
Partner /Member
01/06/2006
BAW54192293
PATTON, RODGER
Partner /Member
01/06/2006
PATTON, MATTHEW
Partner /Member
01/06/2006
Continental
Western Ins Co
Bond Information
Page 1 of 1
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
1
TRAVELERS CAS &
SURETY CO
104667361
01/01/2006
Until Cancelled
$12,000.00
01/03/2006
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
3
AMERICAN FIRE
AND CASUALTY
COM
BAW54192293
07/31 /2010
07/31 /2011
$1,000,000.0007
/29/2010
2
Continental
Western Ins Co
CWP2640663
07/31/2006
07/31/2010
$1,000,000.0003
/23/2009
1
ALASKA
NATIONAL
INSURANCE CO
05GLS31381
07/31/2005
07/31/2006
$1,000,000.0001
/03/2006
Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period
Warrant Information No unsatisfied warrants on file within prior 6 year period
https://fortress.wa.gov/lni/bbip/Print.aspx
05/16/2011