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HomeMy WebLinkAboutPermit PG11-095 - VULCAN EMPEMP 3314 S 116 ST PG1 1 -095 City o+6 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.TukwilaWA.gov Parcel No.: 1023049011 Address: 3314 S 116 ST TUKW Project Name: EMP PLUMBING /GAS PIPING PERMIT Permit Number: PG11 -095 Issue Date: 07/14/2011 Permit Expires On: 01/10/2012 Owner: Name: APOLLO HOLDINGS LLC Address: 505 5TH AVE S #900 , SEATTLE WA 98104 Contact Person: Name: KRISTINA GEILER Address: PO BOX 1136 , MONROE WA 98272 Email: kgeiler @americanmechanical.com Contractor: Name: AMERICAN MECHANICAL CORP Address: PO BOX 1136 , MONROE WA 98272 -4136 Contractor License No: AMERIMC071BH Phone: 206 467 -6407 Phone: (206)467 -6407 Expiration Date: 01/10/2013 DESCRIPTION OF WORK: GAS PIPING TO (2) UNIT HEATERS Value of Plumbing /Gas Piping: $3,675.00 Uniform Plumbing Code Edition: 2009 Fees Collected: $120.75 International Fuel Gas Code Edition: 2009 Electrical Service Provided by: Permit Center Authorized Signature: Date: `7-11/ 4 -G/ 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 plumbing /gas piping permit and agree to the conditions on the back of this pe Signature: Print Name: c,,G/ 0 1 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: UPC -4/10 PG11 -095 Printed: 07 -14 -2011 PERMIT CONDITIONS Permit No. PG 11 -095 1: ** *PLUMBING AND GAS PIPING * ** 2: No changes shall be made to applicable plans and specifications unless prior approval is obtained from the Tukwila Building Division. 3: All permits, inspection records and applicable plans shall be maintained at the job and available to the plumbing inspector. 4: All plumbing and gas piping systems shall be installed in compliance with the Uniform Plumbing Code and the Fuel Gas Code. 5: No portion of any plumbing system or gas piping shall be concealed until inspected and approved. 6: All plumbing and gas piping systems shall be tested and approved as required by the Plumbing Code and Fuel Gas Code. Tests shall be conducted in the presence of the Plumbing Inspector. It shall be the duty of the holder of the permit to make sure that the work will stand the test prescribed before giving notification that the work is ready for inspection. 7: No water, soil, or waste pipe shall be installed or permitted outside of a building or in an exterior wall unless, adequate provision is made to protect such pipe from freezing. All hot and cold water pipes installed outside the conditioned space shall be insulated to minimum R -3. 8: Plastic and copper piping running through framing members to within one (1) inch of the exposed framing shall be protected by steel nail plates not less than 18 guage. 9: Piping through concrete or masonry walls shall not be subject to any load from building construction. No plumbing piping shall be directly embedded in concrete or masonry. 10: All pipes penetrating floor /ceiling assemblies and fire - resistance rated walls or partitions shall be protected in accordance with the requirements of the building code. 11: Piping in the ground shall be laid on a firm bed for its entire length. Trenches shall be backfilled in thin layers to twelve inches above the top of the piping with clean earth, which shall not contain stones, boulders, cinderfill, frozen earth, or construction debris. 12: The issuance of a permit or approval of plans and specifications shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the Plumbing Code or Fuel Gas Code or any other ordinance of the jurisdiction. doc: UPC -4/10 PG11 -095 Printed: 07 -14 -2011 CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.uov Building Permit No. Mechanical Permit No. Plumbing/Gas Permit No Public Works PermitNo. Project No. 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` Tenant Name:h\C? Property Owners Name: Mailing Address: King Co Assessor's Tax No. \KY�U.0 \ \ Suite Number: Floor: \I-5 New Tenant: ❑ Yes ;,,No City State Zip CONTACT PERSON ho do w contact w your permit is ready to b Name: Mailing Address: Day Telephone: City State Zip E -Mail Address: Fax Number: GENERAL CONTRACTOR INFORMATION -- (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) AIL .111 Company Name- Mai ling Address: Contact Person:' 5� L) �' t—< Gt■ E -Mail Addres). \: • gb %210L Contractor Registration Number: I \Q/1 City V Day Telephone. A ■ • i 1641 piration at ber: 41, - tate z p • ARCHITECT OF RE ORD — All plans must be stamped by Architect of Record Company Name: Mailing Address: Contact Person: E -Mail Address: City Day Telephone: Fax Number: State Zip ENGINEER OF RECORD — All plans must be stamped by Engineer of R Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: State Zip H: \Applications\Porms- Applications On Line\2010 Applications \7 -2010 - Permit Application.doc Revised: 7 -2010 bh Page 1 of 6 PLUMBING AND GAS PIPING PERMIT INFORMATION - 206- 431 - 3670 PLUMBING D GAS PIPING CONTRACTOR INFOR ATION�^ C c),‘ ompany Name: \A� \c Ac_ Mailing Address: .Co - O \\-\,,S) \\' `n\c\N \N\ City - State Zip Contact Person: E -Mail Addre 1 i Arty % 1\. ' .� r�l. 1 ' Js,.■ 41 Contractor Registratn Number: Expiration Date: 4\ Day Teleph •n,. C5L \2, Valuation of Plumbing work (contractor's bid price): $ Valuation of Gas Piping work (contractor's bid price): $��� Scope of Work (please provide detailed information): Building Use (per Int'l Building Code): Occupancy (per Int'1 Building Code): Utility Purveyor: Water: Sewer: Indicate type of plumbing fixtures and /or gas piping outlets being installed and the quantity below: Fixture Type; Qty Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Bathtub or combination bath/shower Bidet Clothes washer, domestic Dental unit, cuspidor Dishwasher, domestic, with independent drain Drinking fountain or water cooler (per head) Food -waste grinder, commercial Floor Drain Shower, single head trap Lavatory Wash fountain Receptor, indirect waste Sinks Urinals Water Closet Building sewer and each trailer park sewer Rain water system — per drain (inside building) Water heater and/or vent Industrial waste treatment interceptor, including trap and vent, except for kitchen type grease interceptors Each grease trap (connected to not more than 4 fixtures - <750 gallon capacity) Grease interceptor for commercial kitchen ( >750 gallon capacity) Repair or alteration of water piping and/or water treatment equipment Repair or alteration of drainage or vent piping Medical gas piping system serving 1 -5 inlets /outlets for a specific gas Each additional medical gas inlets /outlets greater than 5 Backflow protective device other than atmospheric -type vacuum breakers 2 inch (51 mm) diameter or smaller Backflow protective device other than atmospheric -type vacuum breakers over 2 inch (51 mm) diameter Each lawn sprinkler system on any one meter including backflow protection devices Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections (1 -5) Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections over 5 Gas piping outlets (-) H:\ Applications \Forms- Applications On Line \2010 Applications \7 -2010 - Permit Application doe Revised: 7 -2010 bh Page 5 of 6 IDate Application Accepted: 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 0 PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILD O E. I 'U r D e�NT: iii Signature. AMINO1MM Date: v �k Print Name: Mailing Address: J 90.E Day Telephone. LOA& .111 •_ 1 \` CI State Zip oltoRIlt■ Date Application Expires: Staff Initials: H: \Applications\Forms- Applications On Line \2010 Applications \7 -2010 - Permit Application.doc Revised: 7 -2010 bh Page 6 of • 1 �J��I�4 wq� City of Tukwila C a �J � �s � z 1 908 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.Qov Parcel No.: 1023049011 Address: 3314 S 116 ST TUKW Suite No: Applicant: EMP RECEIPT Permit Number: PG11 -095 Status: PENDING Applied Date: 07/08/2011 Issue Date: Receipt No.: R11 -01407 Payment Amount: $120.75 Initials: JEM Payment Date: 07/08/2011 03:29 PM User ID: 1165 Balance: $0.00 Payee: JEFF REINDEL, AMERICAN MECHANICAL TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 008362 ACCOUNT ITEM LIST: Description 120.75 Account Code Current Pmts GAS - NONRES PLAN CHECK - NONRES 000.322.103.00.00 96.60 000.345.830 24.15 Total: $120.75 doc: Receiot -06 Printed: 07 -08 -2011 INSPECTION RECORD, Retain a copy with permit, P6 I 01 INSPECTION NO. r - ..,PERMIT N0. • CITY OF TUKWILA BUILDING: DIVISION �= 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 - 3670` Permit Inspection Request Line (206) 431-2451 • Project: ge. Type Inspection: : Address: 7_x+ Sr. Date Called: 4 Special Instructions: Date Wanted:. - ' ' 41 r. p.m. Requester: Phone Norr• ,qt: Approved per applicable codes. DCorrections required prior to approval COMMENTS: • • •: n REINSPECTION FEE REQ IRED. Prior to next inspection; fee inust'be - • paid at 6300 Southcente�lvd., Suite 100. Call to schedule,reinspectioh. - : • ,,� INSPECTION RECORD P�rc Retain a copy with permit I INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 E. (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 . Project: Typp-gf Inspect'on: _s____,4 6 Address: '17,\ sr 3314 I((0 Date Called: Special Instructions: t �V P` /0A-4-7 fr- ���� , Tt n U A- , r /�� K.�C� Date Wanted• // a.m. ���5!!, p.m. Requester: • Phone No: , C, -356 -6-o 81 Iic.: = codes. Corrections required prior to approval. • COMMENTS: A ' p*T` , ' A7Dr r sr ki 7_) ,S, - 5%.---a-F ,ct I _.s.,)?p,)/ -r-' I AlQFd Il) ,i*sDe.4T. l,(e...ir &A C.f 4' 1 a L F - lnspe tor: REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be Date:� -7 / _ __• lil_ . • paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. • 1 1 PROJECT LOCATION 3314 SOUTH 116TH STREET TUKWILA, WA PROJECT DESCRIPTION TWO 5 -TON LIEBERT UNITS WITH LEAD /LAG CONTROL, SPLIT SYSTEM HEAT PUMP, TWO UNIT HEATERS AND VENT FAN, COMMISSIONING AND BALANCING PER PLAN. MECH. CONTRACTOR EMERALD AIRE, INC. 5108 D STREET NW AUBURN, WA 98001 PROJECT MANAGER V ❑ICE: (253) 872 -5665 FAX (253) 872 -5797 GENERAL CONTRACTOR WILCOX CONSTRUCTION 234 5TH AVE S EDM❑NDS, WA 98020 CONTACT PAUL CARTER V ❑ICE: (425) 774 -4185 FAX: (425) 774 -4187 W. S. E. C. NOTES THERMOSTATS SHALL BE INTERLOCKED TO PREVENT SIMULTANEOUS HEATING AND COOLING PER WSEC 1422. GENERAL CONTRACTOR TO PROVIDE ACCESS TO FIRE AND /OR COMBINATION FIRE /SMOKE DAMPERS. INSULATE REFRIGERANT PIPING PER SEC, TABLE 14 -6. SEAL DUCTWORK PER SEC 1414.1 INSULATE DUCTWORK PER SEC'TABLE 14 -5. COMMISSIONING PER SEC SECTION 1416. 1. 1 SIMPLE SYSTEMS Perm EV P TEVPORARY VAULT VICINTY MAP PIa ; review ap F m { '.. .:. .. f0 e 't Pfbn2"1 "VTE° ii�� and m,'6 pprovaI of construction documents does not autt izS 1h v :ofation of any adopted code or ordnance. Rec, .pt of approved Fief y and conditions is ackn f { d ■ REVISIONS No changes shall be made to the scope of work without prior approval of Tukwila Building Division. NOTE: Revisions will require a new plan submittal and may include additional plan review fees. j�B oiletg : By , / ///� � / JL am v City Of Tukwila SEQUENCE OF OPERATION REVIEWED FOR CODE COMPLIANCE APPROVED JUL 12 2011 City o kwila BUILDIN'. ' +IVISICM DRAWING KEY THE VAULT IS SERVED BY (2) LIEBERT SPLIT SYSTEMS AH -1, AH -2 1. TEMPERATURE AND HUMIDITY CONTROL FOR AH -1 AND AH -2 IS PERFORMED VIA THE FACTORY MOUNTED CONTROLS. THE UNITS HAVE BOTH HUMIDIFICATION AND DEHUMIDIFICATION CAPABILITIES. THE UNIT SETPOINTS ARE AS FOLLOWS: - SPACE TEMP 70F (ADJ) - HUMIDITY 50% (ADJ) 2. LEAD /LAG /BACKUP CONTROL: - AH -1 AND AH -2 ARE CONTROLLED BY A LIEBERT CONTROL PANEL. UPON DETECTION OF A LEAD UNIT FAILURE THE LAG UNIT IS AUTOMATICALLY TURNED ON. THE LEAD UNIT IS ROTATED EVERY 7 DAYS TO EQUALIZE RUNTIME, OR A DURATION SPECIFIED BY LIEBERT. - MOTORIZED DAMPERS ARE CYCLED ACCORDINGLY TO LEAD LAG CONTROL - ECONOMIZER CONTROL SHALL BE THROUGH SEIMENS CONTROL LOGIC 3. AH -1 & AH -2 ARE TO BE MONITORED BY THE BAS VIA A MODBUS COMMUNICATION CARD. THE FOLLOWING ALARMS WILL NOTIFY THE OPERATOR: - AH -1 AND AH -2 COMMUNICATION LOSS FOR 3 MINUTES. - SPACE TEMP (VIA SIEMENS SENSOR): HIGH = 74F LOW = 66F -SPACE HUMIDITY (VIA SIEMENS SENSORS): HIGH = 60% LOW = 40% 5 GRD IDENTIFIER ii SIDE WALL GRILL SUPPLY GRILLE THERMAFUSER RETURN AIR GRILLE EXHAUST GRILLE EXHAUST FAN EQUIPMENT TAG T -STAT L/V WIRE DUCT RUN ELBOW REDUCER SIDE TAPS 90 ELBOW W/ TURNING VANES FLEXIBLE DUCT MANUAL DAMPER FIRE DAMPER SMOKE DAMPER SMOKE /FIRE DAMPER MOTORIZED DAMPER BACKDRAFT DAMPER VARIABLE VOLUME /TEMPETURE VARIABLE FREQUENCY DRIVE ELECTRIC TAG SPLIT SYSTEM MANUF. UNITS - INDOOR MODEL AREA SERVED HEATING SOURCE MBH /(KW) COOLING TONS MBH CFM @S. P. MIN OSA ELECTRICAL VOLTS PH FLA WSA(NCA) OPD WT CONTRL ` REMARKS. AH -1 AH -2 FC -1 LIEBERT LIEBERT MITSUBISHI MMD6OE MMD6OE PEAD -A30AA VAULT VAULT INTAKE ELEC (16. 5) ELEC (16.5) HP 32 5 61. 2 5 61. 2 2. 5 30 2500@.5 400 2500@.5 400 740@ .4 150 460 3 26 32. 5 35 460 3 26 32. 5 35 208 1 2.73 (2.7) N/A 498 498 73 7DAY PWR FROM HP -1 UNIT BY EC NOTES: CONDENSATE REMOVAL REQUIRED ON ALL UNITS, BY PLUMBER . OUTDOOR UNITS TAG MFR, MODEL TONS SEER VOLTS PH FLA WSA(MCA) ODP WT. UNITS SERVED REMARKS ` SEPARATE PERMIT �(�Q: FOR: H. P. CU -1 CU -2 HP -1 . LIEBERT LIEBERT MITSUBISHI PFHO67A -H PFH067A -H PUZ- A3ONHA4 5 5 2.5 N/A N/A 15.5 460 460 208 3 3 1 11. 7 11.7 -- 14, 2 14.2 (25) 20 20 40 351 351 185 AH -1 AH -1 FC -1 NO ECONOMIZER PER WSEC 1433 EXCEPTION 1. r1 WV RW REQUIRED Machanical 0 .•... . . EXHAUST FANS 0 Gas POMO ELECTRICAL TAG MANUF. MODEL AREA SERVED CFM @ S. P. H. P. RPM VOLTS PH MCA WT. dBA CONTROL REMARKS EF -1 COOK 70CIOBH CRATE STORAGE 100 @ 0.1' 1/25 1050 120 1 -- 15 2.1SNS CONT FAN TO RUN CONTINUOUS Tukwila ,BUILDING DIVISIO'd RtUtIV CITY OF TUKWILA UNIT HEATERS TAG MANUF. MODEL AREA SERVED CFM HEATING ELECTRICAL SOURCE MBH AFUE VOLTS PH FLA WT. CONTROL UH -1 UH -2 REZNOR REZNOR UDAP -30 UDAP -30 INTAKE CRATE STORAGE 456 456 NAT GAS 30 827. NAT GAS 30 82X 120 1 1. 9 120 1 1. 9 115 115 FREEZE STAT FREEZE STAT JUL 08 2011 REMARKS TE BVENT THROUGH ROOF VERIFY SIZE (24V CONTRO ?ER BVENT THROUGH ROOF VERIFY SIZE (24V CONTROL) C: \Users\grant?&11O ts \Jobs \EMP Vault \2011 -02 -24 Vulcan DIP Vault Prelim Pa, mIt \CXR- HDE.drg R O 0 0 a IPLOT DATE 3/15/20 1 l Q 01E013110EVELOMMIT oa.nD1D ▪ M DART 1- Luz U Li TITLE SHEET SCAI.E. 1/4• - 1'-0' MO AHII — — AH-2 ▪ 13; fi ir, I fi \1"- . r \‘• IWF7,712,T,HIR 77`` u7; EE. PLANSL ; FOR DUCT SIZING •• •' • I • I' ii• 1 1 1. I EXPOED SPIRAL 1,11 DUCTWORK I: ! !- In / I i °DUCT ELEVATION • 2-0. 26(20 DUCT ECONOMIZER ! DAMPERS 20X20 DUCT ; — - --- \s_ OSA INTAKE HOOD CURB LEVELING ROOFING BY OTHERS 20X20 DUCT EC W2' LINER . _ toein, A FOR LEAD LAG SWTICHING L1F 20X20 SOF RETURN GRILLE ) I/4. INTAKE HOOD/ECONOMIZER DETAIL ( • RELIEF HOOD CURB LEVELING ROOFING BY OTHERS MODULATE W/ • ECONOMIZER OPERATION -- • ----- M1101611.. 26(20 50F - RETURN GRILLE i - . . . .••• : - 1 1 . • . : .-• : . • I I : • . . • . . . C)!At. • r -o. ELIEF HOOD DETAIL 7r7.4N! 7 ,F 20X20 ni 00 TO RI INTAKE H. T F DQE66:111111. )V JIM )jIBW tl • IIMMEZECMMI itzr 20xI8 v/- 1 20X20 DUCT UP TO BOORS DUCT DOWN THROUGH RELIEF HOOD VAULT LID 1:1 il)p VA EXPOSED SPIRAL f:OC.M. DUCTWORK 1<0.■"179 VAP- ::IVILAR A.P1:(1•TLE , k . . • • . . \ a SCREENED 'DUCT UP TO EF-1 r:RATF INTER MOTORIZED DAMPER W/OCCUPANCY SE POWER B 8' THROUGH Ir‘ CK EN OR EC UP OF VA/ / 17t UP THROUGH ROOF 4' BVENT UP THROUGH ROOF A PC PC 1 1 41■ cijj TMR 12'0 FC M (TYP 2) --CC:117 5 -!;(•:vy. PN, S AS I 5 I ri] • 7 • I - -REVE CODE COMPLIANCE APPROVED JUL 1 2 2011 ,City of Tiikwila [BOLDING DIVISION 111 OPENINGIPEplED • ‘-j csrjot,r/ 01 1.„0 A- - F., • r (a9 ' / I I --62n :I IL CYlVin • 1.-0. AIN LEVEL HVAC PLAN CAIVAIERVILA JIB_ 052011 PERMIT CENTER 2 a !PLOT OA1E 3/13/20 1 cemaa.revEuranar • COORDINATION 3.9.11 perturr Dco D As emu IX < 0 o rt 0- uJ 2 EMERALD AIRE. INC. C: \Mem grantrn Documenta\Joba \EMP Vault \ 2011-02-24 Vulcan EMP Vault Prelim Permit\ C3P—HDE.dag FLOOR PLAN SCALE: AS NOTED M 1 . ( INTAKE HOCID ;;;;■.:N AN 7 RELIEF HOOD • UNITS ON SLEEPERS BY GC , El I . • . . . . . . . . . • . . . . . . . . . . . . . . . . . • . • . . . . • . . . . . . . . . . . . . . . . : . • : REVIEWED FOR CODE COMPLIANCE APPROVED JUL 12 2011 City of Tukwila BUILDING DIVISION 80 INTAKE MAINTAIN 10FT FR OM EXHAUST 4' BVENT N UNIT ON SLEEPERS BY GC ) A:tf.:D - -•-•::•.-i- \---:; RECEIVEI) CITY OF TUKWILA JUL 0 8 2011 PERMIT CENTER 1; 5 a ;PLOT DAM 3/0/20 1 oosion....00ntlomoter 11:1 A9 BUILT C: \Users \ grontm ClocuMento \Jobs \BAP Voult \ 2011-02-24 Vulcan DAP Vault Prelim Permit \CXR—HOE.durg ROOF PLAN SCALE: 1/8 - M2 'PERMIT COORD COPS PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG11 -095 PROJECT NAME: EMP DATE: 07/08/11 SITE ADDRESS: 3314 S 116 ST X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # after Permit Issued DEP RTMENTS:jj.11 u I ing Division ll�l Public Works Fire Prevention Structural Planning Division ❑ Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete IA Comments: Incomplete DUE DATE: 07/12/11 Not Applicable Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES/THURS ROUTING: Please Route Structural Review Required REVIEWER'S INITIALS: No further Review Required DATE: APPROVALS OR CORRECTIONS: DUE DATE: 08/09/11 Approved ri Approved with Conditions NI Not Approved (attach comments) Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents /routing slip.doc 2 -28 -02 Contractors or Tradespeople liter Friendly Page • 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 AMERICAN MECHANICAL CORP UBI No. 601433818 Phone 2064676407 Status Active Address Po Box 1136 License No. AMERIMC071BH Suite /Apt. License Type Construction Contractor City Monroe Effective Date 1/8/1993 State WA Expiration Date 1/10/2013 Zip 982724136 Suspend Date County Snohomish Specialty 1 Plumbing Business Type Corporation Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date KING, KELLY EDWARD President 12/07/2010 Amount KING, CHERI L President 01/08/1993 12/07/2010 KING, KELLY EDWARD Treasurer 01/08/1993 12/07/2010 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 3 OLD REPUBLIC SURETY CO YLI230431 01/08/2002 Until Cancelled $6,000.00 10/11/2001 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 13 Continental Western Ins Co CWP2660790 01/08/2009 01/08/2012 $1,000,000.00 12/14/2010 12 0010 CAS INS BH053278338 01/08/2006 01/08/2009 $1,000,000.00 03/10/2006 11 FEDERATED SERVICE INS CO 9800988 01/08/2006 01/08/2007 $1,000,000.0002 /21 /2006 10 FEDERATED SERVICE INS CO 367264 01/08/2006 01/08/2007 $1,000,000.0001 /06/2006 9 HARTFORD CASUALTY INS 52SBAPP9651 01/08/2005 01/08/2006 $1,000,000.00 12/15/2004 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 07/14/2011