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HomeMy WebLinkAboutPermit M12-151 - BELAYNEH RESIDENCEBELAYNEH RESIDENCE 3741 S 152 ST M12 -151 City ofTukwila 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.: Address: 0043000157 3741 S 152 ST TUKW Project Name: BELAYNEH RESIDENCE Permit Number: M12 -151 Issue Date: 10/03/2012 Permit Expires On: 04/01/2013 Owner: Name: Address: Contact Person: Name: Address: Email: Contractor: Name: Address: Contractor BELAYNEH SISAY WONDIMU BERHANE , 3741 S 152ND ST 98168 ALEX BURKHART 727 S KENYON ST , SEATTLE WA 98108 ALEXB @ EVERGREENHVAC. C OM EVERGREEN REFRIGERATION LLC 727 S KENYON ST , SEATTLE WA 98108 License No: EVERGRL954R2 Phone: 206 763 -1744 X 247 Phone: 206 763 -1744 Expiration Date: 01/06/2014 DESCRIPTION OF WORK: INSTALLATION OF (1) DUCTLESS SPLIT SYSTEM HEAT PUMP (DAIKIN RXN18KEVJV (OUTDOOR), RTXN186VJU (INDOOR): 18,000 BTU Value of Mechanical: $2,315.00 Type of Fire Protection: UNKNOWN Electrical Service Provided by: Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complied Fees Collected: $177.10 International Mechanical Code Edition: 2009 Date: d 172?fl- ed this permit and know the same to be true and correct. All provisions of law and ordinances hether specified herein or not. The granting of this permit does not pr construction or the performance of work. back of this permit. Signature: Print Name: 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 and agree to the conditions on the Date: la /3 /v2 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 M12 -151 Printed: 10 -03 -2012 • PERMIT CONDITIONS Permit No. M12-151 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 M12 -151 Printed: 10 -03 -2012 CITY OF TUKW101 Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TulcwilaWA.gov 1 Mechanical Permit No. Project No. Date Application Accepted: Date Application Expires: (For office use only) 1012-Igk p io/9\ 12 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: 37 "1 1 5c \S2w —� i Tenant Name: S; Sol i �� V►e� PROPERTY OWNER Name: % Jtpr— Name: STsai 13e1(„.1V►eLl State: \if pr. Zip: pk g )01, City: SZ/ Address: 1)/ Li I 5il I S 2 n 4.. Email: atZ/X0 �Q-,1ero\ ,-e- -NIWA -C, t ., City: T u kw X ti State: A. Zip: er,g I$$ CONTACT PERSON — person receiving all project communication Name: % Jtpr— Addres s• Tiil50 _ , A4_ k c,-, 54--, State: \if pr. Zip: pk g )01, City: SZ/ Phone: -2,D6= ?6-5 - 0,{gr. Fax: 206 -163 23 ti Email: atZ/X0 �Q-,1ero\ ,-e- -NIWA -C, t ., King Co Assessor's Tax No.: OD `I.3 t b6 157 Suite Number: Floor: New Tenant: ❑ Yes ❑..No MECHANICAL CONTRACTOR INFORMATION Company Name: a 1 w- Address: 7,-277 5l),A—►,‘ kD _ "_ 54' . City: S P.>^i e. State: v / Zip: q g 12 Phone: %r)(o -/c,-- _ \--7 `-Z q 4. Fax: ‘ = Kz.3 —23 8`1 Contr Reg No.: r",vaturvA5,412,2 Exp Date: 1 1 , )1 i Tukwila Business License No.: BU _ bttR 2877 Valuation of project (contractor's bid price): $ Describe the scope of work in detail: `Tos - o^c (t d iutt s Use: Residential: New Commercial: New ❑ Fuel Type: Electric [V/ Gas 31S1oo sp lea— s- fs- j-e,-, , 1 u C J 1 %icm QI-05 Replacement Replacement Other: H:\Applications \Forms - Applications On Line \2011 Applications\Mechanical Permit Application Revised 8- 9- 11.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 cfin 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 — conun/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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR AUTHORIZED AGENT: Signature: Print Name: Mailing Address: 5'' ovl Date: h (( 2 Day Telephone: 74)(' irc3 1141 4" e-14 ' 2) 7 JA— efig OK H:\Applications \Forms - Applications On Line \2011 Applications\Mechanical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh City State Zip Page 2 of 2 CO) 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 Copy Reprinted on 10 -03 -2012 at 11:12:22 10/03/2012 RECEIPT NO: R12 -02753 Initials: JEM Payment Date: 10/03/2012 User ID: 1165 Total Payment: 231.70 Payee: EVERGREEN REFRIGERATION, LLC SET ID: S000001802 SET NAME: Temporary Set SET TRANSACTIONS: Set Member EL12 -0925 M12 -151 TOTAL: Amount 54.60 177.10 54.60 TRANSACTION LIST: Type Method Description Amount Payment Check 005644 231.70 TOTAL: 231.70 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - RES 000.322.101.00.0 MECHANICAL - RES 000.322.102.00.0 54.60 177.10 TOTAL: 231.70 INSPECTION NO. INSPECTION RECORD Retain a copy with permit M '2 -,S i PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 t, (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 R' n Pr��C // . <�P i. , Type of nspectiQn: l i �� /v j M /Ve Adss 1 2_,. Date Ca led: Special Instructions: . I-C.ss -S /! `1- P Date Wanted: 7 2_-(< ..a.rat' C r Phone JVo_ ! _64 s..... 64 S l Approved per applicable codes. ElCorrections required prior to approval. COMMENTS: 20 0- ,3r /d-C-i' 25 ,D -ef-M \ Lb i(y,) ( ef e 1 .a\ 1,-‘ L / t< 1 P ( Inspect_ /r/ Date 2_ 2 n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. 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 Permit Inspection Request Line (206) 431 -2451 141"2 27 Project: GC L ALA sci -4 V.c-e--- Type of Inspection`:' !-Tial Al Address: .721/ +A 1 S 1S? S"-i Date Called: . Special Instructions: Date Wanted: 3 --13--13.' 72 p.m. Requester: Phone No: . ElApproved per applicable codes. ElCorrections required prior. to approval. COMMENTS: r 1.1 & I Sw'e rz tv o rant e c-) s - u le _t s. tn-tJ Inspector: n REIMS ECTION FEE REQUIRI paid at hoe Southcenter Blvd D. Prior to ne/t inspection, fee must. be .. ., Suite 100. Cell to schedule;reinspection.. • 03 -05 -2013 ALEX BURKHART 727 S KENYON ST SEATTLE WA 98108 :epartitient of'COYnYi1unity Development JaekPace Director RE: Permit No. M12 -151 BELAYNEH RESIDENCE 3741 S 152 ST 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 04/01/2013. 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 04/01/2013, 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, er Marshall Technician File: Permit File No. M12 -151 6300 Southceriter=Boulevar, Suite#L00.= Tiiku la, lYashington 98188•.Phone X0 .431.3670• Fax206431 3663 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 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 1/6/2014 Zip 98108 Suspend Date County King Specialty 1 General Business Type Limited Liability Company Specialty 2 Unused Parent Company her 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 *201 D7 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 Bond Amount PATTON, DAVID Partner /Member 01/06/2006 WA15097 PATTON, RODGER Partner /Member 01/06/2006 PATTON, MATTHEW Partner /Member 01/06/2006 TRAVELERS CAS & SURETY 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 2 Merchants Bonding Co (Mutual) WA15097 01/01/2012 Until Cancelled $12,000.00 12/15/2011 1 TRAVELERS CAS & SURETY CO 104667361 01/01/2006 Until Cancelled $12,000.0001/03 /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 07/31/2013 $1,000,000.0007 /29/2012 2 Continental Western Ins Co CWP2640663 07/31/2006 07/31/2010 $1,000,000.0003 /23/2009 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 Infractions /Citations Information No records found for the previous 6 year period https: // fortress .wa.gov /lni/bbip/Print.aspx 10/03/2012