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HomeMy WebLinkAboutPermit M14-0183 - SAPOZNICK RESIDENCE - DUCTLESS HEAT PUMPSAPOZNICK RESIDENCE 4940 S 114 ST M14-0183 Parcel No: Address: 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.eov 3348401705 4940 S 114TH ST Project Name: SAPOZNICK RESIDENCE MECHANICAL OTC PERMIT Permit Number: M14-0183 Issue Date: 9/24/2014 Permit Expires On: 3/23/2015 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: ZABALA CARLOS 4940 S 114TH ST SAPOZNICK ROSE, TUKWILA, WA, 98178 JONATHON RICHARDS PO BOX 6083 , OLYMPIA, WA, 98507 SIMPLE DUCTLESS PO BOX 6083 , OLYMPIA, WA, 98507 SIMPLDL86402 1 1 I Phone: (360) 292-3904 Phone: (360) 292-3904 Expiration Date: DESCRIPTION OF WORK: INSTALL DUCTLESS HEAT PUMP IN RESIDENTIAL HOME Valuation of Work: $3,336.00 Type of Work: NEW Fuel type: ELECT Fees Collected: $199.03 Electrical Service Provided by: SEATTLE CITY LIGHT Water District: TUKWILA Sewer District: NONE Current Codes adopted by the City of Tukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: Permit Center Authorized Signature: 2012 2012 2012 2012 International Fuel Gas Code: WA Cities Electrical Code: WA State Energy Code: 2012 2014 2012 L3JL Date: Ct''j)— A 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 tome conditions attached to this permit. Signature: Print Name:-%o+'4Th,41" Q-IGFM-Mf Date: � 27 " y 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 TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Mechanical Permit No. t' (, H 0 103 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. Site Address: Tenant Name: King Co Assessor's Tax No.: 11?1/t, S l S%�1 TUKIL41 PROPERTY OWNER Name: AO-S€, .Siipo Z 1 c.K. Address: Li 9 Li 0 j i •1 47' Sr City: Tv K +v l t.A' State: Gt14' Zip: 9 ri v CONTACT PERSON person receiving all project communication Name: 3 0,,j 4,,n4. 0 (Z 1 (44.04s Address: Pb IOC GO 93 City: 0LyIANA State: km Zip:9gs_b7 Phone: 3 too 29Z 3, Fax: Email: c� ya i I.rsi i� �l f Suite Number: Floor: New Tenant: ❑ Yes ..No MECHANICAL CONTRACTOR INFORMATION Company Name: slut_ D c -L 1 LLG Address: pc, BDX bo R 3 City: ©Lyfv►���p State: Fes' Zip:07B�.7 Phone: 361) zqz 390y Fax: Contr Reg No.:sIMPL pL swol p Date: R //4. Tukwila Business License No.: Valuation of project (contractor's bid price): $ 133 La Describe the scope of work in detail: I' yp Aval-ESS 1 PuMP iN ResiOF.pi11M- fioi. Use: Residential: New Replacement ❑ Commercial: New ❑ Replacement ❑ Fuel Type: Electric ❑ Gas Other: H:\ApplicationsWorms-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 additionto 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 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 QWNER O R AORIZED AGENT: Signature: Print Name: Jvt'krHA-N R1.(414-4 (43 Mailing Address: PDX (.00 T3 Date: c ay ` / Day Telephone: ;Ga 2-9 Z 3 ?DV' bLY/41,1- IA44- City State Zip It: \Applications\Forms-Applications On Line\2011 Applications\Mechanical Permit Application Revised 8-9-11.docx Revised: August 2011 bh Page 2 of 2 DESCRIPTIONS PermitTRAK Cash Register Receipt City of Tukwila ACCOUNT QUANTITY PAID '199.03 M 14-0183 Address: 4940 S 114TH ST Apn: 3348401705 199.03 MECHANICAL $189.55 PERMIT FEE R000.322.100.00.00 0.00 $157.05 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $32.50 TECHNOLOGY FEE $9.48 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R3148 R000.322.900.04.00 0.00 $9.48 $199.03 Date Paid: Wednesday, September 24, 2014 Paid By: BUSINESS PREFERRED Pay Method: CREDIT CARD 005091 Printed: Wednesday, September 24, 2014 1:18 1 of 1 PM CRWSYSTEMS C1 b INSPECTION NO. INSPECTION RECORD Retain a copy with permit tLI-0153 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: Type of Inspection: Address:, ) Oate Called: • Special Instructions: 1 N to-t -14 C A4 4IC-11 p Date Wanted: a.m. 1 C' --0 — + ` (P'S Requester: � i i-) 14N r--15r T--y`,/ Phone No: �cr 2c-12- zciOq Approved per applicable codes. Corrections required prior to approval. COMMENTS: t ) `` t..; ll c, A 1 ,•-.i AQL"': Inspector: REIN/SPECTION FEE REQUIRED. Prior to net inspection, fee must be `—maid at 6300 Southcenter Blvd.. Suite 100. Cail to schedule reinspection. itA 51-1 (. r c..,t DatT:° Simple Ductless LLC Page 1 of 2 0 Washington State Department of Labor & Industries Simple Ductless LLC Owner or tradesperson Richards, Jonathan Lloyd Principals Richards, Jonathan Lloyd, PARTNER/MEMBER OBrien, Misty Lee, PARTNER/MEMBER Doing business as WA UBI No. 603 429 672 Po Box 6083 OLYMPIA, WA98507 360-292-3904 THURSTON County Business type Limited Liability Company Governing persons JONATHAN RICHARDS 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. SIMPLDL864O2 Effective — expiration 09/22/2014— 09/22/2016 Bond Western Surety Co Bond account no. 61784625 $12,000.00 Received by L&I Effective date 09/22/2014 09/22/2014 Expiration date Until Canceled Insurance Great Northwest Insurance Co $1,000,000.00 Policy no. 460060000882 Received by L&I Effective date 09/22/2014 08/08/2014 Expiration date https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603429672&LIC=SIMPLDL864O2&SAW= 09/24/2014