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