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HomeMy WebLinkAboutPermit M10-071 - ZAM ZAM PRODUCEZAM ZAM PRODUCE 15006 MILITARY RD S M10-.071 City otTukwila • Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Inspectio it Request Line: 206- 431 -2451 Web site: http: //www.ci.tukwila.wa.us MECHANICAL PERMIT Parcel No.: Address: 0041000514 15006 MILITARY RD S TUKW Project Name: ZAM ZAM PRODUCE Permit Number: M10 -071 Issue Date: 06/01/2010 Permit Expires On: 11/28/2010 Owner: Name: Address: Contact Person: Name: Address: Email: KERN GERARD J +CAROL A 2402 80TH AVE NE , MEDINA WA 98039 GREG EDWARDS 1519 W VALLEY HY N, STE 102 , AUBURN WA 98001 NOT GIVEN Contractor: Name: ERICKSON REFRIGERATION LLC Address: 1519 W VALLEY HWY N STE 102 , AUBURN WA 98001 Contractor License No: ERICKRL922QE Expiration Date: 03/21/2012 Phone: 206 789 -4722 Phone: 253 - 333 -7294 DESCRIPTION OF WORK: RUN REFRIGERATION LINES FROM CUSTOMER PROVIDED FREEZER CASE TO CONDENSER ON ROOF. Value of Mechanical: $1,500.00 Type of Fire Protection: Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complie The granting of this pe construction or the p Signature: Print Name: Fees Collected: $301.73 International Mechanical Code Edition: 2009 Date: c(4ot L n 'ned this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. does not p mance of w �e to give authority to violate or cancel the provisions of any other state or local laws regulating am authorized to sign and obtain this mechanical permit. /pc O3 Date: 6---/ 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 M10-071 Printed: 06 -01 -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 Parcel No.: 0041000514 Address: Suite No: Tenant: 15006 MILITARY RD S TURIN ZAM ZAM PRODUCE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: M10 -071 ISSUED 06/01/2010 06/01/2010 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: 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 -071 Printed: 06 -01 -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 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 provision of any other work or local laws regulating construction or the pei ance of vyo Signature: Date: CJ `1- w Print Name: tR OS • doc: Cond -10/06 M10 -071 Printed: 06 -01 -2010 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa. us Mechanical Permit No. 0,u Project No. (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 ** (A-14,1 rv1 Site Address: 15c6, iM t I. -\--p Tenant Name: R) 6 A) King Co Assessor's Tax No.: 0041©0 V 1, t Suite Number: Floor: New Tenant: ❑ Yes a..No Property Owners Name: Mailing Address: 15-476 (»t, It v ?- r S City State r Zip CONTACT PERSON -- Who do we contact when your permit is ready to be issued Name: 67 t`€3 6—PIAAARIVS Day Telephone: Mailing Address: State City Zip E -Mail Address: Fax Number: MECHANICAL CONTRACTOR INFORMATION Company Name: L=:"Rlc.k;scJ -/ ('C KICrrQ c4 -TIT I (PLC Mailing Address: ( f 1 CO d Oil P "t—(Gt.) A 4.16(A" Tc?3., cook- cigCXi( City State Zip Contact Person: 61'E1 67 &J V $ Day Telephone: ,k6-, %e' '(7 )- E -Mail Address: Contractor Registration Number: 6J2 I f L`l asr9-6-1 Fax Number: 3-i7 Expiration Date: ` 9- t — (p.. ARCHITECT OF RECORD All plans must be wet stamped by Architect of Record 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: Contact Person: E -Mail Address: H:\Applications\Forms- Applications On Line \2009 Applications \1-2009 - Mechanical Permit Application.doc Revised: 1 -2009 bh city Day Telephone: Fax Number: State Zip Page 1 of 2 Valuation of Project (contractor's bid price): $ i Sit c� Scope of Work (please provide detailed information): kK(.9tA Ct6 ,0 W\ (t vies 4-211A4 CJ° -' pir)v1own - ree e,C C -to (. e a&r- 6.91/1 l2cx • Use: Residential: New Commercial: New Fuel Type: Electric ❑ Replacement Replacement Gas ❑ ❑ Other: 22Q1 L,SeMA 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 1 �- 2414-teVZ Air Handling Unit <10,000 CFM Incinerator — Comm /Ind U J sr a ie1 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 OWN Signature: RIZEn AGENT: Print Name: eVLV4K10.S Mailing Address: jcP) Alley itty i ; %02- Date: -/- Jo/ v Day Telephone: `Sly%'- 5t1 i9C)%t -ke1 ZO/%i 7(0°1 City State Zip Date Application Accepted: V u V..,---- ( �� Date Application Expires: Staff Initials: j✓ H.\Applications\Forms- Applications On Line\2009 Applications \1 -2009 - Mechanical Permit Application.doc Revised: 1 -2009 bh age 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.ci.tukwila.wa.us RECEIPT • Parcel No.: 0041000514 Permit Number: M10-071 Address: 15006 MILITARY RD S TUKW Status: APPROVED Suite No: Applied Date: 06/01/2010 Applicant: ZAM ZAM PRODUCE Issue Date: Receipt No.: R10 -00964 Initials: User ID: JEM 1165 Payment Amount: $268.20 Payment Date: 06/01/2010 12:41 PM Balance: $0.00 Payee: ERICKSON REFRIGERATION TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 124118 ACCOUNT ITEM LIST: Description 268.20 Account Code Current Pmts MECHANICAL - NONRES 000.322.102.00.00 268.20 Total: $268.20 PAYMENT RECEIVED doc: Receipt -06 Printed: 06 -01 -2010 INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PERMIT NO. a (206)431 -3670 Project: pr 6 i' 4-C Type of Inspection: JA r ,..t, - f '^ -#--i 7 Address: ,' Date Called: Special Instructions: Date Wanted:/ a.m. l0 - / (J .m. Requester: Phone No Approved per applicable codes. El Corrections required prior to approval. COMMENTS: ) pk;)-(C) J Date: 6— ( J'J El $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 MI6- 071 Pro'ect: 4- (-P r Ate~` , ∎ Sr► 2_ $ i Type of Inspection: Ad 'e OOc is i:_ret r Date C Ie A4 oJf s --�ptJ Special Instructions: 1 ' A Date Wanted: 1 .m. 'Z -14,9 p.m. Requester: Phone No: 2-06 -St o -315x' Approved per applicable codes. Corrections required prior to approval. COMMENTS: 4- (-P r Ate~` , ∎ Sr► 2_ $ i dos: Jet) 4' R P ,m ,) 'J e. I s1rb 15 t.k) .) / r. f '- If%A (i J , i\ ' t ( ,) ✓1 id64 A k_,() .p tom- ( P1�; Lr ', r Ali ).3r t--- 0,, IN. .3T" 1pC'�, 1,,\((PA f vi , a,-7.- i\-.7 t A, !a- 1) nCyr—. ) A k( IVA0 r O L,,i, i `i \ \i -S n /1(-� S n) \i P (( Sol JPr) Inspect c( Date: b Z , I a 0 $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: eA Contractors or Tradespeople liter 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 Erickson Refrigeration Llc UBI No. 602592091 Phone 2533337294 Status Active Address 1519 W Valley Hwy N Ste License No. ERICKRL922QE 102 Suite /Apt. License Type Construction Contractor City Auburn Effective Date 11/5/2008 State Wa Expiration 3/21/2012 Date Zip 98001 Suspend Date County King Specialty 1 Heating /Vent /Air - Conditioning And Refrig (Hvac /R) 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 ATEKAHA943U1 Ateka Heating &Amp; Air Llc Construction Contractor Heating /Vent /Air -Conditioning And Refrig (Hvac /R) Unused 3/21/2006 11 /5/2008 Inactive ATEKAHA956K5 Ateka Heating &Amp; Air Construction Contractor Air Conditioning Air Heat,Ventilation,Evaporat 5/25/2005 5/25/2007 Out Of Business Business Owner Information Name Role Effective Date Expiration Date Edwards, Gregory J Partner /Member 11/05/2008 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 AMERICAN STATES INS CO 6478746 11/05/2008 Until Cancelled $6,000.00 04/06/2007 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 2 C010 CAS INS BR053576419 03/20/2010 03/20/2011 $1,000,000.0003 /09/2010 1 OHIO CAS INS BR053576419 11/05/2008 03/20/2010 $1,000,000.0002 /24/2009 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 06/01/2010