HomeMy WebLinkAboutPermit M14-0111 - KITANO RESIDENCE - FURNACE AND HEAT PUMPKITANO RESIDENCE
16052 48 AVE S
M14-0111
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-438-9350
Web site: http://www.TukwilaWA.gov
MECHANICAL OTC PERMIT
Parcel No: 5379800070 Permit Number: M14-0111
Address: 16052 48 AVE S 1 Issue Date: 5/22/2014
Permit Expires On: 11/18/2014
Project Name: KITANO RESIDENCE
Owner:
Name: HOLSTINE WILLIAM C+ARDIS L
Address: 4251 S 160TH ST, SEATTLE, WA,
98188
Contact Person:
Name: ALEX BURKHART Phone: (206) 763-1744
Address: 727 S KENYON ST, SEATTLE, WA,
98108
Contractor:
Name: EVERGREEN REFRIGERATION LLC Phone: (206) 763-1744
Address: 727 S KENYON ST, SEATTLE, WA,
98108
License No: EVERGRL954R2 Expiration Date: 1/6/2016
Lender:
Name:
Address:
DESCRIPTION OF WORK:
INSTALLATION OF (1) FURNACE AND (1) HEAT PUMP
Valuation of Work: $4,112.00
Type of Work: REPLACEMENT
Fuel type: GAS
Fees Collected: $209.16
Electrical Service Provided by: PUGET SOUND ENERGY
Water District: HIGHLINE
Sewer Distric: VALLEY VIEW SEWER SERVICE
Current Codes adopted by the City of Tukwila:
Internations Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
2012 International Fuel Gas Code:
2012 WA Cities Electrical Code:
2012 WA State Energy Code:
2012
2012
2012
2012
Permit Center Authorized Signature:
Date:
I hearby 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
development permit and agree to the conditions attached to this permit.
Signature: Date: 5 /2210
Print Name: /-k—
This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or
if the work is suspended or abandoned for a period of 180 days from the last inspection.
PERMIT CONDITIONS:
1: ***MECHANICAL PERMIT CONDITIONS***
2: All mechanical work shall be inspected and approved under a separate permit issued by the City of
Tukwila Permit Center (206/431-3670).
3: All permits, inspection record card and approved construction documents shall be kept at the site of work
and shall be open to inspection by the Building Inspector 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: Type 1 Hoods, the required grease duct leakage test and (light test shall be performed by a special
inspection and testing agency in accordance with I.M.C. Chapter 5.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
1800 MECHANICAL FINAL
0701 ROUGH -IN MECHANICAL
CITY OF TUKW1,__,
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Mechanical Permit No. A \ 4 Ot ( 1
Project No.
Date Application Accepted: 22tt
Date Application Expires: l 121 I LI
(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
Site Address: lCD 52 C - - 5
Tenant Name:
PROPERTY OWNER
Name: DID 1<;
Address: L4-j 5 Z- q
A e__ 5 ,
City: 7 W4 tis,
State:
Zip: et/i4tic
CONTACT PERSON - person receiving all project
communication
Name: �, •�
``1�V1
Address:
s - ,
City: ✓- State: L.kr Zip: itta>j
Phone: 2 - %3 _ l"LcH Fax: 1�6 =ZC,3 _231ct
Email: @ rryv�0hv3„,.Gpw,
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes ❑..No
MECHANICAL CONTRACTOR INFORMATION
Company Name: r v,
l5,
Address: - .� k..0.1,
City: ,,,'tc- State: LA_ Zip: was
Phone:-7A0G_"l�5- i-4 `i' Fax: ? 6 _-7,co --2381
Contr Reg No.: VJ✓(L6 L15 4 22_: Exp Date: ) (� (14
Tukwila Business License No.: (JS ._ Ogg 2_0 7
Valuation of project (contractor's bid price): $ `• / ((' -at)
Describe the scope of work in detail:
00<- Ct) -fv,rn4- ' oe- C() pvlip.
Use:
Commercial:
New ❑ Replacement ❑
New ❑ Replacement ❑
Fuel Type: Electric ❑
Gas ❑
Other:
H:\Applications\Forms-Applications On Line \2011 Applications\Mechanical Permit Application Revised 8-9.1 I.docx
Revised: August 2011
bh
Page 1 of 2
Indicate type of mechanical work being installed and the quantity below:
Unit Type
Qty
Furnace <1 OOk btu
Furnace >100k btu
I
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 cfm
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
1
Boiler/Compressor
QtY
0-3 hp/100,000 btu
3-15 hp/500,000 btu
15-30 hp/I,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 WNER OR AUTHORIZED AGENT:
Signature: Date: / l H
Print Name: Aux `-.'" k- Day Telephone: Zt)`6 - 3 - 7H 7
Mailing Address: 1 Z`7 Ssv`t1-` 'ten 54-
City
tt✓1- ti%Ctfd
State Zip
H:Wpplications\Forms-Applications On Line\201 I Applications\Mechanical Permit Application Revised 8-9-11.docx
Revised: August 2011
bh
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS .
PermitTRAK
ACCOUNT QUANTITY
PAID
$456.99
EL14-0484 Address: 16052 48 AVE S 1
Apn: 5379800070
$57.33
ELECTRICAL
$54.60
PERMIT FEE SINGLE FAMILY
R000.322.101.00.00
$54.60
TECHNOLOGY FEE
$2.73
TECHNOLOGY FEE
R000.322.900.04.00
$2.73
M14-0111 Address: 16052 48 AVE S 1
Apn: 5379800070
$209.16
MECHANICAL
$199.20
PERMIT FEE
R000.322.100.00.00
$166.70
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
$32.50
TECHNOLOGY FEE
$9.96
TECHNOLOGY FEE
R000.322.900.04.00
$9.96
PG14-0083 Address: 16052 48 AVE S 1
Apn: 5379800070
$190.50
GAS
$65.00
PERMIT FEE
R000.322.100.00.00
$65.00
PLUMBING
$125.50
PERMIT ISSUANCE BASE FEE •
R000.322.100.00.00
$32.50
PERMIT FEE
R000.322.100.00.00
$79.00
WATER HEATER FIXTURE FEE
TOTAL FEES PAID BY RECEIPT: R2187
R000.322.103.00.00
$14.00
$456.99
Date Paid: Thursday, May 22, 2014
Paid By: EVERGREEN REFRIGERATION LLC
Pay Method: CHECK 006489
Printed: Thursday, May 22, 2014 12:24 PM 1 of 1
CPWSYSTEMS
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
l tlt{_c�tl
Project:
LC, 1'r 14 t3 b k.,),
Type of Inspection:
Kola In - % ,U r ► NA L
Address:
\ (,, cSZ LI A All-S
Date Called:
Special Instructions:
„_.
Date Wanted:
1 CD'`7_ I LI
Ca.m-:
On:
Requester:
Phone No:
Approved per applicable codes. t-_.J Corrections required prior to approval.
COMMENTS: ,
rI Y/
1< i.' 1r J 1- ) Y_i
1--.Vjbiel Y r°C --''
/
N
iI
InsAectar:� )
), f. 1 x t z 4
i
IiEINSPIECTION FEE REQUIRE?. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd./Suite 100. Call to schedule reinspection.
Date:
- 7- L.7
City of Tukwila
Department of Community Development
10/1/2014
Jim Haggerton, Mayor
Jack Pace, Director
ALEX BURKHART
727 S KENYON ST
SEATTLE, WA 98108
RE: Permit No. M14-0111
KITANO RESIDENCE
16052 48 AVE S
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 11/18/2014.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206-438-9350 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 11/18/2014, 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,
Bill Rambo
Permit Technician
File No: M14-0111
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
EVERGREEN REFRIGERATION J T C
Page 1 of 3
Washington State Department of
A, Labor & Industries
EVERGREEN REFRIGERATION LLC
Owner or tradesperson
PATTON, RODGER
Principals
PATTON, RODGER, PARTNER/MEMBER
PATTON, MATTHEW, PARTNER/MEMBER
Patton, Adam, PARTNER/MEMBER
Patton, Douglas, PARTNER/MEMBER
EVERGREEN REFRIGERATION
LLC, PARTNER/MEMBER
PATTON, DAVID, PARTNER/MEMBER
(End: 01/21/2014)
Doing business as
EVERGREEN REFRIGERATION LLC
WA UBI No.
602 512 953
727 S KENYON ST
SEATTLE, WA98108
206-763-1744
KING County
Business type
Limited Liability Company
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Construction Contractor Active.
Meets current requirements.
License specialties
GENERAL
License no.
EVERGRL954R2
Effective — expiration
01/06/2006— 01/06/2016
Bond
Merchants Bonding Co (Mutual)
Bond account no.
WA15097
$12,000.00
Received by L&I Effective date
12/15/2011 01 /01 /2012
Bond history
Insurance
AMERICAN FIRE AND CASUALTY COM $1,000,000.00
Policy no.
BAW54192293
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602512953&LIC=EVERGRL954R2&SAW= 05/22/2014