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Home My WebLink AboutPermit M12-170 - WEAVER RESIDENCEWEAVER RESIDENCE 3202 S 137 ST M12 -170 City ofkukwila 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.: 8864000385 Address: 3202 S 137 ST TUKW Project Name: WEAVER RESIDENCE Permit Number: Issue Date: Permit Expires On: M12 -170 10/29/2012 04/27/2013 Owner: Name: Address: Contact Person: Name: Address: Email: Contractor: Name: Address: Contractor WEAVER DOUGLAS D 3202 SOUTH 137TH , SEATTLE WA 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 Phone: 206 763 -1744 Expiration Date: 01/06/2014 DESCRIPTION OF WORK: INSTALLATION OF (1) DUCTLESS SPLIT SYSTEM HEAT PUMP. MODEL - DAIKIN RX15LVJU (OUTDOOR UNIT), FTXS15LVJU (INDOOR UNIT), 15,000 BTU'S Value of Mechanical: $2,003.00 Type of Fire Protection: UNKNOWN Electrical Service Provided by: Permit Center Authorized Signature: Fees Collected: $177.10 International Mechanical Code Edition: 2009 Date: l " 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 mechanical permit and agree to the conditions on the back of this permit. Signature: 41-D Date: 1-.0 2'44 / z Print Name: 1b U uY tz,t"`'A 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. Anr IMf 4/10 M12 -170 PrintPri. 10-79-2017 • • PERMIT CONDITIONS Permit No. M12-170 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). t1n� IMC: -4/1n M17 -170 Printpr1• 1O -7q -7017 CITY OF TUKW1 Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TulcwilaWA.gov • � � Mechanical Permit No. 1"i 1 - 7 0 Project No. Date Application Accepted: Date Application Expires: (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 ** SITE LOCATION King Co Assessor's Tax No.: 2 3 64 DOD 3 2 S Site Address: 32x2 Sod Suite Number: Floor: Tenant Name: Don p�� o�ia: \ L' -.r New Tenant: ❑ Yes ❑..No PROPERTY OWNER Name: `, urn Address: -7 2_7 sov4'h k �� S Address: 72- 50;x. 1l, _ _o,‘ Sk. , Phone: 7/b 6 ....-4,3 rig 4 Fax: 2A3,6- --/63-z38'l Name: Dove Qe,avw- Zip: clg 1 b Phone: 1,h%163 _ t l Li `i e 7 Fax: 7406 _ 763 .... 2,3 8 °t Email: 6c6M,..- tver►)04.67Nhvwi..6o0-u Address: 32 b 2 50,4_1" 13 7 {= 54v,( City: ToicW,, State: zip: it gl g CONTACT PERSON — person receiving all project communication Name: `, urn Address: -7 2_7 sov4'h k �� S Address: 72- 50;x. 1l, _ _o,‘ Sk. , Phone: 7/b 6 ....-4,3 rig 4 Fax: 2A3,6- --/63-z38'l City: se4jokle State: \.,/ N. Zip: clg 1 b Phone: 1,h%163 _ t l Li `i e 7 Fax: 7406 _ 763 .... 2,3 8 °t Email: 6c6M,..- tver►)04.67Nhvwi..6o0-u MECHANICAL CONTRACTOR INFORMATION Company Name: k , Address: -7 2_7 sov4'h k �� S City: State: wk... Zip: I g(p Si Phone: 7/b 6 ....-4,3 rig 4 Fax: 2A3,6- --/63-z38'l Contr Reg No.: LiF�26.12 -tgt5 lel Exp Date: I /c, /l4 Tukwila Business License No.: D V s ;, 0 ot 9 a 77 Valuation of project (contractor's bid price): $ 1 Ob 2 3 - (s) Describe the scope of work in detail: ys15¢iUVl tom. c� Ovx. (t ci- reA-tess e'h7 ba�k�� ZY S t S L- \/-3 �J (�:,d -a�„�� t �T x S 1 s L \�v (; msr) — (St Use: Residential: New Commercial: New Fuel Type: Electric E Replacement Replacement Gas ❑ E E QT u Other: H:Wpplicattons\Forms- Applications On Line\2011 Appltcattons\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 cfm Unit Type Qty Air handling unit >10,000 cfin Evaporator cooler Ventilation fan connected to single duct Ventilation system Hood and duct Incinerator — domestic Incinerator — comm/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 �ia1 UTHORIZED AGENT: Signature: UV`s ' `P� Date: tb / K 11/ t 7. Print Name: A(04_ t3L Day Telephone: 7ADG —7C) — (7 4 e • 2I7 Mailing Address: 12:1 50,2I"h k— en .ceru G W w8 Cv 8 H:Wpphcattons\Forms- Applications On Line \2011 Applicattons\Mechanical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh City State Zip Page 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.TukwilaWA.gov Parcel No.: 8864000385 Address: 3202 S 137 ST TUKW Suite No: Applicant: WEAVER RESIDENCE RECEIPT Permit Number: M12 -170 Status: PENDING Applied Date: 10/29/2012 Issue Date: Receipt No.: R12 -02989 Payment Amount: $177.10 Initials: WER Payment Date: 10/29/2012 01:49 PM User ID: 1655 Balance: $0.00 Payee: EVERGREEN REFRIGERATION LLC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 005606 177.10 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts MECHANICAL - RES 000.322.102.00.00 177.10 Total: $177.10 rtnr• Rarpint_(1R Printarl• 1n -7q -7017 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 m/2 -/.7(j Project: Type of Inspection: Address: , . ? 2 0 2 S / 3 7 . 5 - / Date Called: Special Instructions: Date Wanted:. :_a m Requester: Phone No: .206. -z 9V-6/5 ppr"oved per applicable codes. El Corrections required prior to approval. COMMENTS: //) ,? (1)1 4o_ilkr.o IrispectorA Date: - //— n R NSPECTION FEE REQUIRED. Prior to next inspection. fee: must "be'` at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection Contractors or Tradespeople Peer Friendly Page • General /Specialty Contractor A business registered as a construction contractor with Lai 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 License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status EVERGHH910J0 EVERGREEN HOME HEATING it ENGY Construction Contractor General Unused 4/20/2009 4/20/2013 Active EVERGI'201D7 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 8 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 8 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 3 AMERICAN FIRE AND CASUALTY COM BAW54192293 07/31/2010 07/31/2013 $1,000,000.00 07/29/2012 2 Continental Western Ins Co CWP2640663 07/31/2006 07/31/2010 $1,000,000.00 03/23/2009 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 10/29/2012