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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 bh 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 bh Page 2 of 2 • 0 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