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Home My WebLink AboutPermit M11-182 - ENCKE RESIDENCEENCKE RESIDENCE 13537 52 AV S Ml 1 -182 City AI'ukwila 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.: 0003000054 Address: 13537 52 AV S TUKW Project Name: ENCKE RESIDENCE Permit Number: M11 -182 Issue Date: 12/29/2011 Permit Expires On: 06/26/2012 Owner: Name: ENCKE JEFFREY Address: 4913 SW CANADA DR , SEATTLE WA 98136 Contact Person: Name: REID BERO Address: 727 S KENYON ST , SEATTLE WA 98108 Email: REID@EVERGREENHVAC.COM Contractor: Name: EVERGREEN HOME HEATING & ENGY Address: 727 S KENYON ST , SEATTLE WA 98108 Contractor License No: EVERGHH91010 Phone: 206 - 763 -1744 Phone: 206 763 -1744 Expiration Date: 04/20/2013 DESCRIPTION OF WORK: INSTALL DUCTLESS HEATPUMP Value of Mechanical: $2,000.00 Type of Fire Protection: UNKNOWN Electrical Service Provided by: Permit Center Authorized Signature: Fees Collected: $167.70 International Mechanical Code Edition: 2009 (JULA JL Date: ()_ ?4 I 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. Signature: Print Name: A-rr.U.ctofri Date: 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 M11-182 Printed: 12 -29 -2011 • • PERMIT CONDITIONS Permit No. M 11 -182 1: ** *BUILDING DEPARTMENT CONDITIONS * ** 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 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 in the construction documents and other data. doc: IMC -4/10 M11-182 Printed: 12 -29 -2011 CITY OF TUKWI>. Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: / /www.TukwilaWA.gov Mechanical Permit No. 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: j 31 rj h d►V-f 5 Tenant Name: Jt €4 4v14(' King Co Assessor's Tax No.: Suite Number: PROPERTY OWNER Name: , A Address: 7,2.1 S q(61/\ Name: j i ecY evil_ ck_e , Phone: a . 7(0 27. oil Fax: 7 n viii 5. 02 " " 1 City: C� f i J,/ State: /,A i�i,. Address: 13. S -0_,4411/40(14 A , / 3. ?3l City: J tot/ State: w VIk C . C% Y1A- Zip: t j CONTACT PERSON — person receiving all project communication . Name: , A Address: 7,2.1 S q(61/\ Address: •, a-) s ht. 9t. Jvn Phone: a . 7(0 27. oil Fax: 7 n viii 5. 02 " " 1 City: C� f i J,/ State: /,A i�i,. Zip: 1 Q1 8s, O Phone: A(1.1403. I.7`�Q" Fax: .t 3. ?3l Email: YA0` 4 0/12 MW VIk C . C% Y1A- 6063 ()OCT Floor: New Tenant: ❑ Yes I,w..No MECHANICAL CONTRACTOR INFORMATION Company Name: ' *V 4/��l Address: 7,2.1 S q(61/\ City: ,afivi x State: wik Zip'11 `1J Phone: a . 7(0 27. oil Fax: 7 n viii 5. 02 Contr Reg No.: ry urathil Imo Exp Date: +Idol 13 Tukwila Business License No.: p, . �n q a - 7 --1 Valuation of project (contractor's bid price): $ Describe the scope of work in detail: ov tiks1-u,/U n) r,L{A cKtss kted-Pv►Mf Use: Residential: New ❑ Replacement Commercial: New ❑ Replacement ❑ Fuel Type: Electric Gas ❑ Other: H:\Applications \Forms - Applications On Line\201 I Applications\Mechanical Permit Application Revised 8 -9 -1 I.docx Revised: August 2011 bh 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 Boiler /Compressor Qty 0 -3 hp /100,000 btu 3 -15 hp /500,000 btu 15 -30 hp /1,000,000 btu 30 -50 hp /1,750,000 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING WNER OR AUTHORIZED AGENT: Signature: Print Name: ..JViLI �(ALL.i1 Mailing Address: 1 ?-1 S k- _"",i lD-1 h, H \Applications\Forms- Applications On Line \2011 Applications\Mechanical Permit Application Revised 8 -9 -1 I.docx Revised: August 2011 bh Date: 191M J i Day Telephone: t(r' 1(03. 174f 90141 y State Zip Page 2 of 2 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.: 0003000054 Address: 13537 52 AV S TUKW Suite No: Applicant: ENCKE RESIDENCE RECEIPT Permit Number: M11 -182 Status: PENDING Applied Date: 12/29/2011 Issue Date: Receipt No.: R11 -02803 Initials: WER User ID: 1655 Payment Amount: $167.70 Payment Date: 12/29/2011 08:58 AM Balance: $0.00 Payee: EVERGREEN REFRIGERATION LLC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 005167 167.70 Authorization No. ACCOUNT ITEM LIST: Description Account Code Cu MECHANICAL - RES 000.322.102.00.00 Total: $167.1 City of Tukwila 6200 Southcenter Blvd, Tukwila, WA 1 Finance Department 1136301 -1 12/29/2011 BR1 T121 Thu Dec29,2011 09:07AM Trans #1 -3 Name: EVERGREEN REFRIGERATION LLC EVER Addr: 727 S KENYON ST SEATTLE,WA 98108 1 $67.00 BUSLCN - Business Licenses Customer #: 00057108 Activity #: 00006887 2 $54.60 DCDGEN - DCD Permits Plus - General Fund ID: EVERGREEN REFRIGERATION PERMIT EL1 1150 3 $167.70 DCDGEN - DCD Permits Plus General Fund ID: EVERGREEN REFRIGERATION PERMIT M11 182 3 ITEM(S): TOTAL: $289.30 Check (005167) PAID $289.30 .1 -..- - - -- nnr •nn ,nnr INSPECTION RECORD Retain a copy with permit INSPECTION O. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 le (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: JL�. Ze- s�A•Mth Type o�rrnspection: ti 0 A /kite (IA _ Address: 1 3S �'Waannted:. ° � Special Instruclltions: / i 1 Date .-- Requester: Alone No: r, — 20CP' 5S O 0 8- 2.. Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspect 'Date: 12, LJ REINSPECTION FEE REQUIRE, .Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspectioh. Contractors or Tradespeople P ter Friendly Page • General /Specialty Contractor A business registered as a construction contractor with L &I 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 & ENGY UBI No. 602512953 Phone 2067631744 Status Active Address 727 S Kenyon St License No. EVERGHH910JO Suite /Apt. License Type Construction Contractor City Seattle Effective Date 4/20/2009 State WA Expiration Date 4/20/2013 Zip 98108 Suspend Date County King Specialty 1 General Business Type Limited Liability Company Specialty 2 Unused Parent Company EVERGREEN REFRIGERATION LLC nses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status EVERGRL954R2 EVERGREEN REFRIGERATION LLC Construction Contractor General Unused 1/6/2006 1/6/2014 Active Business Owner Information Name Role Effective Date Expiration Date PATTON, DAVID Partner /Member 04 /20/2009 Amount PATTON, RODGER Partner /Member 04/20/2009 BAW54192293 PATTON, MATTHEW A Partner /Member 04/20/2009 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 105264029 04/07/2009 Until Cancelled $12,000.00 04/20/2009 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 & Casualty Co BAW54192293 07/31/2011 07/31/2012 $1,000,000.0008 /01/2011 2 AMERICAN FIRE & CAS BAW54192293 07/31/2010 07/31/2011 $1,000,000.0007 /29/2010 1 Continental Western Ins Co CWP2640663 07/31/2008 07/31/2010 $1,000,000.0005 /29/2009 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 12/29/2011