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Home My WebLink AboutPermit M14-0174 - GRAVES RESIDENCE - SPLIT SYSTEMGRAVES RESIDENCE 3809 S 128 ST M14-0174 Parcel No: 2M42 D — 0001 Address: 3i1i 1 C) it 9l Project Name: Y�i �� ( e G G 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.Rov MECHANICAL PERMIT Permit Number: Al ILA _ Q t1t Issue Date: Permit Expires On: Owner: Name: &rOatG,, J twlec 4 T �[ AAAA/tt Address: 951.0 D` S t 2$ c, Contact Person: Name: Address: 12 i 1 6-,1 Contractor: j� Name: aSVti Address: ,)Ok O'�tj License No: W k.6S' �1 l Q 97 Lender: ` Name: Address: 1 I I Phone: li(io'l% 19- 64-rk, Wit oan I C ei! Ocec, Co Phone: 4tit,� KO I WA- ° 2Ifl Expiration Date: DESCRIPTION OF WORK: jv c, itt 1)51-Di uki-SQtik sk Valuation of Work: $ D l , I Type of Work: c Fuel type: ei.�� Fees Collected: $22 Electrical Service Provided by: PUGET SOUND ENERGY Water District: TUKWILA Sewer District: TUKWILA SEWER SERVICE Current Codes adopted by the City of Tukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: 2012 2012 2012 2012 International Fuel Gas Code: WA Cities Electrical Code: WA State Energy Code: 2012 2012 2012 Permit Center Authorized Signature: Dater Lod :it 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: Print Name: Date: 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: CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukivilawaus JC Building Permit No. Mechanical Permit No. Plumbing/Gas Permit No. Public Works Permit No. Project No. (For office use only) 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.: 2384200007 Site Address: 3809 S 128TH ST Tenant Name: Suite Number: Property Owners Name: YVONNE GALLOWAY-GRAVES Mailing Address: 3809 S 128TH ST TUKWILA City Floor: New Tenant: El Yes ..No WA 98168 Zip State CONTACT PERSON — who do we contact when your permit is ready to be issued Name: Naida Khan/Northwest Permit Inc Day Telephone: 360-945-2787 Mailing Address: E-Mail Address: 1345 Gulf Road Point Roberts WA 98281 naida@nwpermit.com City State Fax Number: 360-945-2091 Zip GENERAL CONTRACTOR INFORMATION — (Contractor information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) Company Name: Mailing Address: City Contact Person: Day Telephone: E-Mail Address: Fax Number: Contractor Registration Number: Expiration Date: State Zip ARCHITECT OF RECORD — All plans must be wet stamped by Architect of Record Company Name: Mailing Address: Contact Person: E-Mail Address: City Day Telephone: Fax Number: State Zip ENGINEER OF RECORD — All plans must be wet stamped by Engineer of Record Company Name: Mailing Address: City Contact Person: Day Telephone: E-Mail Address: Fax Number: Q:\Applications\Forms-Applications On Line\3-2006 - Permit Application.doc Revised: 9-2006 bh State Zip Page 1 of 6 MECHANICAL PERMIT INFORMATION — 206-431-3670 MECHANICAL CONTRACTOR INFORMATION Company Name: Washington Energy Services Mailing Address: 3909 196th St SW Lynnwood WA 98036 City State Zip Contact Person: Candice Hendrickson Day Telephone: 800-398-4663 E-Mail Address: Fax Number: Contractor Registration Number: WASHIES971 OB Expiration Date: 09/02/ 15 Valuation of Mechanical work (contractor's bid price): $ 8291.57 Scope of Work (please provide detailed information): INSTALL 24K BTU MINISPLIT HEAT PUMP Use: Residential: New .... Commercial: New .... ❑ Replacement .... ❑ Replacement .... ❑ Fuel Type: Electric VI Gas....❑ Other: 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 Heat pump Air Handling Unit <10,000 CFM Incinerator — Comm/Ind Q:\Applications\Forms-Applications On Line\3-2006 - Permit Application.doc Revised: 9-2006 bh Page 4 of 6 PERMIT APPLICATION NOTES — Applicable to all permits in this application 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. Building and Mechanical Permit The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition). Plumbing Permit The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 Uniform Plumbing 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 AUTI IZED GENT: Signature: PrintName:ea ( 5ritf / Northwest Permit Inc. Day Telephone: 36O-o45-2787 Mailing Address: 1345 Gulf Rd Date: Point Roberts WA City State 98281 Zip Date Application Accepted: O�, I/0� � � Date Application Expires: �� Staff Initials: , Q:\Applications\Forms-Applications On Line\3-2006 - Permit Application.doc Revised: 9-2006 bh Page 6 of 6 CITY FORM NO 1 1912 ADOPTED BY DIVISION OF MUNICIPAL CORPORATIONS. Date CITY OF TUKWILA TREASURER'S RECEIPT , 20 Received \1 16 E - of a V E 47821 FOR 0114 Pritti7 moo,h ,'too.DO. Pik poor). . l� . `T (xi, 00 BY 012 f-1 000 97 2- /- . VOL 00.0) 11--001) a 064 TOTAL DEPT. Dol ars, 10 :O OLYMPIC PRINTERS, NC. WHITE • Finance Dept. CANARY - Customer PINK- File Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT PecmItTRAK fl F „�� k, QUANTITY T ui I PAID ar 6222 r n.'. rAN ,. eir�L a� wy� ,�. a �:M1^1 ?_ N lour,A #FWD + _M14 0174° Address 3809�S 128THST� Apn 2384200007. I;�� , ,,, , , — .. _,,, , ,,,--- _; , „, t� k �� i"b" w� ��a� � Q a�,a re �� G $96222 MECHANICAL ! $948.90 PERMIT FEE R000.322.100.00.00 0.00 $916.40 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $32.50 TECHNOLOGYFEE 13.32 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R3066 R000.322.900.04.00 0.00 $13.32 $962.22 Date Paid: Monday, September 08, 2014 Paid By: WASHINGTON ENERGY SERVICES CO Pay Method: CHECK 1714 Printed: Wednesday, September 17, 2014 3:27 1 of 1 AM RWY57EM5 TO: FROM: DATE: SUBJECT: MEMORANDUM Laurie Anderson Brenda Holt September 17, 2014 Refund for Mechanical Permit M14-0174 Please draw a check in the amount of $710.85 (seven hundred ten dollars and eighty-five cents) to be payable to Washington Energy Services Company at 3909 196 Street SW in Lynnwood, Washington 98036. This refund is to reimburse the applicant for an overpayment that was receipted due to a miscalculation by the Permit Technician. Please refund the money as follows: Accoun oun 000.322.100.00.00 $709.50 R000.322.900.04.00 $1.35 TOTAL REFUND $710.85 Please forward the check to me and I will forward it on to the applicant. Thank you! t INSPECTION RECORD ! Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION Southcenter #100 Tukwila. WA 98188 (206) 431-3670 M14-1-14 6300 Blvd., Permit Inspection Request Line (206) 431-2451 Project: -r 4 �l e_ /2 e S. A Type of Inspection: - ,'V1 ei), , fir: NJ M-1 _... Address: j .- 0 9 12 j� Date Called: .,,, ) tra it-4 -- Special Instructions: `" 1 JfL'` » 5? Date Wante k,, / s 1 a.m. / ` 1 iJ'- ! 4 : P.m: Requester: Ph ne No: 7A0 LP — Z41 I —/ 0 7._2. 3 Approved per applicable codes. Corrections required prior to approval. COMMENTS: n Inspector: c. JJ- Date n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. WASHTNGTON ENERGY SERVT"S CO Page 1 of 9 0 Washington State Depar LMnent of Labor & Industries WASHINGTON ENERGY SERVICES CO Owner or tradesperson OLSON, VERN ALLEN Principals OLSON, VERN ALLEN, PRESIDENT HEAGLE, RANDELL S, VICE PRESIDENT CHRISTIANSON, STEVEN ROY, SECRETARY OLSON, CRAIG EVAN, PRESIDENT (End: 11/20/2013) OLSON, VERN, VICE PRESIDENT (End: 11/20/2013) HEAGLE, RANDELL S, SECRETARY (End: 11/20/2013) CHRISTIANSON, STEVE, TREASURER (End: 11/20/2013) Doing business as WASHINGTON ENERGY SERVICES CO WA UBI No. 602 320 560 3909 196TH ST SW LYNNWOOD, WA98036 206-282-4700 SNOHOMISH County Business type Corporation 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. WASHIES971OB Effective — expiration 09/02/2003— 09/02/2015 Bond DEVELOPERS SURETY & INDEM CO $12,000.00 Bond account no. 571389C Received by L&I Effective date 09/02/2003 08/29/2003 Expiration date https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602320560&LIC=WASHIES971 OB&SAW= 09/08/2014