HomeMy WebLinkAboutPermit M10-026 - CONDON RESIDENCECONDON RESIDENCE
15618 44 AV S
M10 -026
Parcel No.: 8108600183
Address:
Suite No:
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
15618 44 AV S TUKW
MECHANICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
M10 -026
02/26/2010
08/25/2010
Tenant:
Name: CONDON RESIDENCE
Address: 15618 44 AV S , TUKWILA WA
Owner:
Name: CONDON FLORENCE L
Address: 15618 44TH AVE S , SEATTLE WA
Contact Person:
Name: MATT BROOKS
Address: 727 S KENYON ST , SEATTLEW A
Contractor:
Name: EVERGREEN REFRIGERATION LLC
Address: 727 S KENYON ST , SEATTLE WA
Contractor License No: EVERGRL954R2
Phone:
Phone: 206 763 -1744
Phone: 206 763 -1744
Expiration Date: 01/06/2012
DESCRIPTION OF WORK:
INSTALL NEW 3.5 TON HEAT PUMP
Value of Mechanical: $5,000.00
Type of Fire Protection:
Fees Collected: $192.30
International Mechanical Code Edition: 2006
EOUIPMENT TYPE AND QUANTITY
Furnace: <100K BTU
>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
>10,000 CFM
Evaporator Cooler
Ventilation Fan connected to single duct
Ventilation System
Hood and Duct
Incinerator: Domestic
Commercial/Industrial
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Boiler Compressor:
0 -3 HP /100,000 BTU 0
3 -15 HP /500,000 BTU 1
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 0
Wood/Gas Stove 0
Water Heater 0
Emergency Generator 0
Other Mechanical Equipment0
* *continued on next page **
doc: IMC -10/06
M10-026
Printed: 02 -26 -2010
•
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
Permit Number: M1O -026
Issue Date: 02/26/2010
Permit Expires On: 08/25/2010
Permit Center Authorized Signature: 7
Date: 02
2-u 1, to
I hereby certify that I have read and - ned 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 p rmance of work. I am authorized to sign and obtain this mechanical permit.
Signature:
Print Name:
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 -10/06
M10 -026 Printed: 02 -26 -2010
Parcel No.: 8108600183
Address:
Suite No:
Tenant:
• •
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
15618 44 AV S TUKW
CONDON RESIDENCE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
M10-026
ISSUED
02/26/2010
02/26/2010
1: ** *BUILDING DEPARTMENT CONDITIONS * **
2: 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.
3: Manufacturers installation instructions shall be available on the job site at the time of inspection.
4: 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.
5: 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.
6: 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.
7: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Cityof Tukwila
Permit Center.
8: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building
Department (206- 431 - 3670).
9: 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.
* *continued on next page **
doc: Cond -10/06
M10 -026 Printed: 02 -26 -2010
• •
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
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
construction or the performance of work.
Signature:
Print Name:
3-0,4-_f
Date:
ordinances governing
or local laws regulating
doc: Cond -10/06 M10 -026
Printed: 02 -26 -2010
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
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: 15618 44th Ave S
Tenant Name: Tish Condon
Property Owners Name: Tish Condon
Mailing Address: 15618 44th Ave S
King Co Assessor's Tax No.: 810860018300
Suite Number: Floor:
New Tenant: ❑ Yes ® .. No
Tukwila
WA 98188
City
State
Zip
CONTACT PERSON -Who do we contact when your permit` is ready to be issued'
Name: Matt Brooks
Day Telephone: (206) 763 -1744
Mailing Address: 727 S Kenyon ST Seattle WA 98108
City
E -Mail Address: mattb @evergreenhvac.com Fax Number:
State
Zip
MECHANICAL CONTRACTOR INFORMATION`
Company Name: Evergreen Refrigeration
Mailing Address: 727 S Kenyon ST
Seattle
WA 98108
Contact Person: Matt Brooks
E -Mail Address: mattb @evergreenhvac.com
Contractor Registration Number: EVERGRL954R2
City State Zip
Day Telephone: (206) 763 -1744
Fax Number:
Expiration Date: 01/06/2012
ARCHITECT OF RECORD --Alt' plan
tamped by Architect of Recor
Company Name:
Mailing Address:
City
State
Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
ENGINEER OF RECORD — All plans must be wet stamped by Engineer of Record
Company Name:
Mailing Address:
City
State
Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
H:\Applications \Forms - Applications On Line\2009 Applications \1 -2009 - Mechanical Permit Application.doc
Revised: 1 -2009
bh
Page 1 of 2
Valuation of Project (contractor's bid price): $ 5,000
Scope of Work (please provide detailed information): Install new 3.5 Ton heat pump
Use: Residential: New ❑ Replacement
Commercial: New ❑ Replacement ❑
Fuel Type: Electric ❑ 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
1
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
Equpment
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 105.3.2 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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OW)3 OW)
THORIZED AGENT:
Signature:
Print Name: Matt Brooks
Date: 2 /Z6/o
Day Telephone: (206) 763 -1744
Mailing Address:
Zip
City
State
Date Application Accepted:
Date Application Expires:
Staff Initials:
H:\Applications \Forms - Applications On Line\2009 Applications \I -2009 - Mechanical Permit Application.doc
Revised: 1 -2009
bh
Page 2 of 2
Cif! 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
SET RECEIPT
RECEIPT NO: R10 -00337
Initials: JEM
Payment Date: 02/26/2010
User ID: 1165 Total Payment: 246.90
Payee: EVERGREEN REFRIGERATION, LLC
SET ID: S000001350 SET NAME: Tmp set/Initialized Activities
SET TRANSACTIONS:
Set Member
EL10 -0139
M10 -026
TOTAL:
Amount
54.60
192.30
54.60
TRANSACTION LIST:
Type Method Description Amount
Payment Check 004169 246.90
TOTAL: 246.90
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR 000.322.101.00.0
MECHANICAL - RES 000.322.102.00.0
54.60
192.30
TOTAL: 246.90
PAYM ENT
RECEIVED
INSPECTION RECORD
Retain a copy with permit
INSPECTI.1 NO.
CITY 0 TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: /
Type of�is ecti /)
Address: � � ��7�� S.
Date Called X x i(�k,D�.. l%,
`-�
Special Instructions:
3,c--1--6,
Date Wanted: _ (o a.m.
!
Requester:
Phone No:
c.0 (P — idel 2 —4)q "
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
Inspect:
Date _.8
/�i
El $60.00 REINSPECTION FEE REG IRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
Contractors or Tradespeople Peer Friendly Page
•
Page 1 of 2
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 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
EVERGHH910JO
Evergreen Home
Heating EtAmp; Engy
Construction
Contractor
General
Unused
4/20/2009
4/20/2011
Active
EVERGI "201 D7
Evergreen
Refrigeration Inc
Construction
Contractor
General
Unused
3/27/1980
7/31/2006
Relicensed
Business Owner Information
Name
Role
Effective Date
Expiration Date
Evergreen Refrigeration Llc
Partner /Member
12/22/2005
Bond
Amount
Patton, David
Partner /Member
01/06/2006
104667361
Patton, Rodger
Partner /Member
01/06/2006
Patton, Matthew
Partner /Member
01/06/2006
Bond Information
Bond
Bond Company
Name
Bond Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
1
TRAVELERS CAS
Et 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
Continental
https://fortress.wa.gov/lni/bbip/Print.aspx
02/26/2010