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HomeMy WebLinkAboutPermit PG14-0181 - CLEARSIGN COMBUSTION - GAS PIPING AND VAPORIZERCI.F.ARSIGN COMBUSTION 12870 INTERURBAN AVE S PG14-0181 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.gov PLUMBING/GAS PIPING PERMIT 2716000010 Permit Number: PG14-0181 12870 INTERURBAN AVE S Issue Date: Permit Expires On: Project Name: CLEARSIGN COMBUSTION 12/29/2014 6/27/2015 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: EPROPERTY TAX INC DEPT #207 PO BOX 4900 , SCOTTSDALE, WA, 85261 MEGAN ELLIOTT 18901 PACIFIC AVE S , SPANAWAY, WA, 98387 SUBURBAN PROPANE LP TAX DEPT. PO BOX 206, WHIPPANY, NJ, 07981-0206 License No: SUBURPL044DA Lender: Name: Address: I,I Phone: (253) 606-3260 Phone: (206) 244-1530 Expiration Date: 3/16/2015 DESCRIPTION OF WORK: INSTALL GAS PIPING AND VAPORIZER BETWEEN PROPANE TANK AND EXISTING HEATER INSIDE BUILDING Valuation of Work: $3,000.00 Water District: TUKWILA Sewer District: TUKWILA SEWER SERVICE Fees Collected: $126.76 Current Codes adopted by the City of Tukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: International Fuel Gas Code: 2012 2012 2012 2012 2012 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: Permit Center Authorized Signature: Date: I2- 2014 2014 2014 2012 lAil 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 tpeerrmit and agree to the cpnditions attached to this permit. Signature: v � LCr'�—_ Date: f C / ©7y Print Name: 6'1t5c,Y— Ft t, r*-1- 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: ***PLUMBING/GAS PIPING PERMIT CONDITIONS*** 2: No changes shall be made to applicable plans and specifications unless prior approval is obtained from the Tukwila Building Division. 3: All permits, inspection records and applicable plans shall be maintained at the job and available to the plumbing inspector. 4: All plumbing and gas piping systems shall be installed in compliance with the Uniform Plumbing Code and the Fuel Gas Code. 5: No portion of any plumbing system or gas piping shall be concealed until inspected and approved. 6: All plumbing and gas piping systems shall be tested and approved as required by the Plumbing Code and Fuel Gas Code. Tests shall be conducted in the presence of the Plumbing Inspector. It shall be the duty of the holder of the permit to make sure that the work will stand the test prescribed before giving notification that the work is ready for inspection. 7: No water, soil, or waste pipe shall be installed or permitted outside of a building or in an exterior wall unless, adequate provision is made to protect such pipe from freezing. All hot and cold water pipes installed outside the conditioned space shall be insulated to minimum R-3. 8: Plastic and copper piping running through framing members to within one (1) inch of the exposed framing shall be protected by steel nail plates not less than 18 guage. 9: Piping through concrete or masonry walls shall not be subject to any load from building construction. No plumbing piping shall be directly embedded in concrete or masonry. 10: All pipes penetrating floor/ceiling assemblies and fire -resistance rated walls or partitions shall be protected in accordance with the requirements of the building code. 11: Piping in the ground shall be laid on a firm bed for its entire length. Trenches shall be backfilled in thin layers to twelve inches above the top of the piping with clean earth, which shall not contain stones, boulders, cinderfill, frozen earth, or construction debris. 12: The issuance of a permit or approval of plans and specifications shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the Plumbing Code or Fuel Gas Code or any other ordinance of the jurisdiction. 13: The applicant agrees that he or she will hire a licensed plumber to perform the work outlined in this permit. 14: All new plumbing fixtures installed in new construction and all remodeling involving replacement of plumbing fixtures in all residential, hotel, motel, school, industrial, commercial use or other occupancies that use significant quantities of water shall comply with Washington States Water Efficiency ad Conservation Standards in accordance with RCW 19.27.170 and the 2006 Uniform Plumbing Code Section 402 of Washington State Amendments PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 2000 GAS PIPING FINAL 9002 ROUGH -IN GAS PIPING 9001 UNDERGROUND CITY OF TUK'__;LA Community Develop. _ _ Jnt Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 littp://www.TukwilaWA.gov Plumbing, _ As Permit No. -1)6(L C) t O I Project No. Date Application Accepted: Date Application Expires: �� Sys Lf (19 s (For office use only) PLUMBING / GAS PIPING 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 J/ King Co Assessor's Tax No.: Site Address: 1A.810 tYu�f` ji4 Ov.. AckceS " Tenant Name: C er-if',S- t:.3 ✓\ yt.► 6 PROPERTY OWNER Name: pro pe {� d,-7 �tU, .G be Address: / City: S' an_ _ State: n 2. Zip: cl_ b` CONTACT PERSON - person receiving all project communication Name: e �.,. ,L44, " Address: ©i C+_Gi. U /-5`se -5 City:State: A Zip:q t9 l..�fd.1 C��1s {Q��� 1( Phone: a�Z �'OW _3A(ax: C�j V t b _3("g Email: M .eix @ 5JA p 11,i,p,,„Q_ - u1' cv - 7(6zcD jO Suite Number: Floor: New Tenant: ❑ Yes [X.No PLUMBING CONTRACTOR INFORMATION Company Name: fJ Spy v� &�,,.., re p Address: is q ©( f)ci, 4 �,p. S"City:aci `Zip: J Sta e: �,n.' !'Y 7g 3 > Phone: at�3j �, ` w Foax: 0:s-..ii `b " 3Q co, Contr leg No.: Exp Date: Tukwila Business License No.: 8 Qs — Q ( 3 ( s4�irPceo i i) 'al 31 h 1 V f P bid price): $ 3 7� Valuation o Project (contractor's orsi Scope of Work (please provide detailed information): / 145 1 ��"� pit P -v e 1 Nc-f-ct ( 9 p Aec.,_10L- (, A.5 -,cm Building Use (per Int'1 BuildingCode): Occupancy (per Int'l Building Code): Utility Purveyor: Water: Sewer: tto �uc1 c✓1G H:\Applications\Forms-Applications On Line\2011 Applications\Plumbing Permit Application Revised 8-9-11.docx Revised: August 2011 bh Page 1 of 2 Indicate type of plumbing fixtures an gas piping outlets being installed and the qua below: Fixture Type Qty Bathtub or combination bath/shower Dishwasher, domestic with independent drain Shower, single head trap Sinks Rain water system — per drain (inside building) Grease interceptor for commercial kitchen (>750 gallon capacity) Each additional medical gas inlets/outlets greater than 5 Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections (1-5) Fixture Type Qty Bidet Drinking fountain or water cooler (per head) Lavatory Urinal Water heater and/or vent Repair or alteration of water piping and/or water treatment equipment Backflow protective device other than atmospheric - type vacuum breakers 2 inch (51 mm) diameter or smaller Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections over 5 Fixture Type Qty Clothes washer, domestic Food -waste grinder, commercial Wash fountain Water closet Industrial waste treatment interceptor, including trap and vent, except for kitchen type grease interceptors Repair or alteration of drainage or vent piping Backflow protective device other than atmospheric -type vacuum breakers over 2 inch (51 mm) diameter Gas piping outlets ` Fixture Type Qty Dental unit, cuspidor Floor drain Receptor, indirect waste Building sewer and each trailer park sewer Each grease trap (connected to not more than 4 fixtures - <750 gallon capacity Medical gas piping system serving 1-5 inlets/outlets for a specific gas Each lawn sprinkler system on any one meter including backflow protection devices 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 an additional period not to exceed 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 International Plumbing Code (current edition). I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TIE 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: Date:` ck Day Telephon a 4 3 j 663. 3 atop City State Zip H:\Applications\Forms-Applications On Line\2011 Applications\Plumbing 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 I PAID 126.76 PG 14-0181 Address: 12870 INTERURBAN AVE S Apn: 2716000010 126.76 GAS. $121.88 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $32.50 PERMIT FEE R000.322.100.00.00 0.00 $65.00 PLAN CHECK FEE R000.322.103.00.00 0.00 $24.38 TECHNOLOGY FEE $4.88 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R3714 R000.322.900.04.00 0.00 $4.88 $126.76 Date Paid: Friday, December 05, 2014 Paid By: MEGAN ELLIOTT Pay Method: CHECK 1327 Printed: Friday, December 05, 2014 3:47 PM 1 of 1 SYSTEMS CITY OF TUI 'ILA Community Development Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Plumbingivas Permit No. Project No. Date Application Accepted:. 614-0101 Ir— Date Application Expires: (For office use only) PLUMBING / GAS PIPING 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.: c 7(6 •IU00 `Q ,� S Site Address: 1,11 � /0 ��ii�.�c1n. Suite Number: Floor: Tenant Narne: PROPERTY OWNER -] Name: %F���i �(3i Ty j C .} : TAC, t)e4 -7 Address: 0 oX / yi 0 0 3d 4StcateU: City: �� _ : j �\ ca_o_ (t `7 Zip: r� c� U t CONTACT PERSON — person receiving all project communication Name: vec a �.. 4 C i-i- Address: PC.t.CA1 -ci( J City: 2 G Stater Zip: 1 7 Phone: a\s3)Fax: Co,s,..3j g if 6 _3a2s- Email: M. et.V.Qkk lU' Sjii c it"' c- - t' !' ;...-4_, New Tenant: I I Yes X. No PLUMBING CONTRACTOR INFORMATION Company Name: 54 4),"- P 1-0 P 6.--e Address: is � (c ( pct.,,/.�_I.p . s- _ `-Zip: Ate' City: (")L�o,i State: 7 3 I Phone:,ass) EEO„ ` caFax:.s3j Q vt _ Jo Contr Aeg No. Exp Date: ..-- Tukwila Business License No.: g t;S' '�"'OI O i 3 to sj.,.rPtc cii) A 'd(31i ails Valuation of Project (contractor's bid price): $ 3t - (� Scope of Work (please provide detailed information): / P- S(Z�t( e/ Vv p ' �uit ; - zcr '1 ' ref- LfGti. r", &,,pQ,41 /fec_107- Building Use (per Int'l Building Code): , vi Occupancy (per Int'l Building Code): Utility Purveyor: Water: �' t :` 4 t. r [. Sewer: H:\Applications\Forms-Applications On Line\2011 Applications\Plumbing Permit Application Revised 8-9-11.docx Revised: August 2011 bh Page 1 of 2 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 93188 (206) 431-367 Permit Inspection Request Line (206) 438-9350 P6/ V-0/8 Project: - 'Type C (SC( r 5 ( j k of inspection: F f Pk ci, I Add-riez.ss:c6 iv tter wrixt Date Called: Special Instructions: Date Wanted: 7,. • 2,0 '''. /I a.m. p.m. Requester: 'Phone No: 121Approved per applicable codes. rections required prior to approval. COMMENTS: 11: 1 IA Cr Inspector. Date _ REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100, Call to schedule reinspection. INSPECTION NO, INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila.•WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: f1/4-Let 1 1ir//1 Type of Inspection: &':'J j'tp(lt`/ Address: i ' 70 :SO idi. kiv ix*14A ct)• Date Called: ' -/ Special Instructions: 101,,V....% litstC+ AM Date 7�Wanted.- (s.. aa.P.m: Requester:�%jj te4(K�1 (R.� �i �� {I' Lt .0Ust• 1'40' i L i Phone No: 7.517' L06 - 1. L t;,O QApproved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: Inspector: k! C'` Date:1_f, (r CREINSPECTION 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 fol-or8 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project- , c watt Siqk Type of Inspection: &to et pawl Fliti•Pag4 'Address: 17'61 0 ittki(\01,711V1 50. Date Called: .J Special Instructions: • . fett*—klktier AA4 Date Wanted. -2---((-(5- a,m. P.m. Reg ester: aitk-St' 5t4.1904( 64 (ok JUIef Phone N : vs-77 -606-1:743o 13 Approved per applicable codes. Corrections required prior to approval. COMMENTS: ttE Inspector: Date: 2. REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Vapor - (joust . PL! -.' t � ���dt r ��e r ' Pressure or valve lb bag-uow value Safely relief valve Pressure gauge — reliPrnssufees Pressure valve wave w ee lnr c� l Vapor uuuet ere Suamer QT a-- Shutoff valve Optional vapo-Mte �.._ Uguid Inlet Me .,--. i-ydiostauc relief valve — Supply tank �F a_Sxcefs- llow valve valvevalve t LoarladOr - Rsk) re. ,L r FILE COPY N `f Permit No, PGP4Q(g Plan review approval is subject to errors and omissions. Approval of construction documents does not authorize the violation of any adopted code or ordinance. Receipt of approved Field Copy and conditions is acknowledged: By: Sri r&'\11.. Date: jt-i- cc 91 Y City of Tukwila BUILDING DIVISION TC4NtAl.)(e FO ,(1;5‘,A,) SCAt L le, yd o er4 C O tir) t\ 'A'^44tvys 5 kel J e ' 0 • acre, -.leek P1.pez JFSE�� ,bfl SEPARATE PERMi`F REQUIRED FO ° trtechanicaf ErPE lectrlcat lumbing 0 Gas Piping City of Tukwila BUILDING DIVISION Le r 1 REVISIONS No changes shall be made to the scope of work without prior approval of Tukwila Building Division. VOTE: Revisions will require a new plan submittal cnr; may include additional plan review fees. 1 (AS(Je 3-c Lk.►<<dl • Se d.,�,e,,t4.114 4- ..(e)( it t plc REVIEWED FOR CODE COMPLIANCE APPROVED DEC 092014 City of Tukwila BUILDING DIVISION Gam- Sc? A Cs3 vv. b.)14.1S0.) �dso �.kr.L),410, rye s 98/bZc' Gl'IoB1 Nod -{o scolcL REC!VED CITY OF + WKWILA DEC. 0, 2014 PERMIT CENTER RH80 and RH 120 Series Effective: August 2nd, 1999 VAPOR LIQUID VENT CAP (RH50 and RH80) 36H05 (RH120) 36H20 OLD PART NO. RH50 & 8073-31403-11 RH12073-31403-12 DOUGHNUT GASKET KMB OLD PART NO.02-56041-00 VAPOR TEMP. SWITCH KF-120F OLD PART NO.06-57005-CO SHUT-OFF VALVE 80 OLD PART NO. 14-58000-00 POL ADAPTOR ME318 OLD PART NO. 10-M-310 BURNER GAS REGULATOR (TWO STAGE) (RI-I50, RH80 and RH120) R532HCF OLD PART NO. RH50,80& 120 R532-HCF BURNER GAS CONTROL VALVE HW-VS820A OLD PART NO. 14-58070-00 LP -GAS DRAIN 1370 OLD PART NO. 14-58051-12 PILOT ASSEMBLY JC-KIT OLD PART NO.02-56002-03 THERMAL GENERATOR HW-Q313A OW PART NO.02-56000-00 /,'/ <*� `\\ \\\/ /\ \ S \/\\ • : \\:\ \ 27,-: ��• \\\•\\ \ I0/ PIPEAWAY (ALL RH MODELS) PAH185 OLD PART NO. 14-58040-01 SAFETY RELIEF VALVE (ALL RH MODELS) H185250 OLD PART NO. 10-H 185-250 .- RAIN CAP ALL RH MODELS RC125 OLD PART NO 73-31151-01 FILE: C:wlawyRH1cIrCDR 83.1N33 IMIH3d VAPORIZER TUBE 10H05 (RH50) 10H08 (RH80) 10H12 (RH120) OLD PART NO. (RH50)71-00011-50 (RH80) 71-00602-01, (RH120) 71-00603-01 LP -GAS LIQUID INLET VALVE 13H00 (RH50, RH80 & RH120) OLD PART NO. (RH50, 80 & 120) 71-00006-01 HEAT EXCHANGE FINS INSULATION (ALL RH MODELS) KRS CERAFOAM SLEEVES RH50 REQUIRES (2) SLEEVES RH80 REQUIRES (3) SLEEVES RH120 REQUIRES (4) SLEEVES OLD PART NO.02-56040-00 RH BURNER RING 12H20 OLD PART NO.71-00702-67 SII3ZI1IOdYA Meeder When Quality Matters. Ransome LPGas Equipment and Manufacturing RH Series Direct -Fired Vaporizer taper Uwe® ,;30135. Cutaway View trwvw.meeder.com vt:w.RANSOMEmfg.com The Ransome RH Series vaporizer consists of a vertical ASME rated pressure vessel which is directly heated by a gas fired burner. The burner consumes a small portion of vapor from the vessel to develop the heat required for vaporization. As liquid enters the vessel, it begins to vaporize as heat is absorbed from the warm heat exchanger. This causes the vapor temperature to decrease. The operating temperature switch monitors vapor temperature and signals the gas control valve to fire the burner when vapor temperature drops below set point (120 degree F). Ransome Models RH50 thru RH120 use a mechanical liquid level control system that consists of a mechanical inlet valve, which is actuated by a stainless steel ball located inside the vessel. If d theceliquid level Once thesabove levedrops,sire rtll level, the float will lift off the inlet valve lever allowing it to to close, preventing re -open. Ransome Models RH200 thru RH1000 use an electrically operated liquid level control system which consists of an external float switch and solenoid valve. lithe liquid rises above the desired level, the float will close the solenoid valve to prevent a liquid carryover. • Standard Features • Mechanical liquid inlet valve provides positive control of LP -Gas liquid level on all RH 50, 80 and RH 120 sizes. Larger sizes use reliable float switch and electric inlet valve to prevent liquid carryover. • Millivolt -powered gas control system maintains consistent vapor temperature under changing load conditions. Gas control valve is located inside the protective dry cabinet with the regulator mounted on the exterior providing for total ventilation. • Precision operating temperature switch, factory -set and sealed against tampering, incorporates precious metal contacts for extended service life. • Two -stage pressure regulation provides accurate burner gas burner pressures and performance regardless of changes in inlet pressure. 0 i°30 Prepare wiz a.ors vw.. zo Wens..-01 VAPOR OUTLET' LINE UQUtD INLET UNE flax rnnm .0X0IX� Shoe yam EimsFbec litienalVete wV•fwYasnriat.e. TO LOAD • ASME code vaporizing tubes with Integral heat exchange vanes and insulated ducts provide efficient vaporization with minimum burner input. • All sizes are capable of infinite turndown and will maintain a ready supply of vapor from zero load to full capacity. At no load, only enough heat be gener ated ed to maintain temperature prevent SUPPLY TANK (Hate 00 rro'r Inaba any check whoa in liquid Inlet aro.) TYPICAL INSTALLATION 1. Equipment, piping and installationmoat be t accordance with local provisions of NFPA5B, and all applicable codes. 2. Liquid pump may be required to provide sufficient pressure to inlet of.vaporizer during conditions egu a orrs should morethan 24 inches from ow tank pressure. v. Outletzpressure regulator vaporizer outlet and located at or above centerline of vaporizer outlet. MANUFACTURING 50 l 4.58 1823 7.32 t 2916 10.98 4374 18.30 7290 36.60 14580 9V Relight System with Solar Recharger The Ransome 9V Relight System protects against pilot outage due to unusually turbulent atmospheric conditions. The 9V Relight System option is for use in the field where 110V line power is unavailable. Unit operated by two 9V batteries and Sala- "9V" Option: Relight System 4. Do not install a seperator• dripleg or other liquid trap upstream of outlet pressure regulator. 5. Regulator outlet pressure must be adjusted to a pressure below the vapor pressure orate saturated LP -Gas at lowest operating temperature or vapor may reriquefy in downstream piping, 6. Liquid piping system must allow for occasional reverse flow toward supply tank to prevent excessive pressures during operation. (1) Units may be paralleled to achieve greater capacities. NOTE: For usage with other gases, consult factory for sing information. 0.e. C3H6, NH3, 502, C12) If your mar. p'opalo load requirements are up to • GALHR Miu;on of BTU.HR CF.HR KG.HR 80 120 200 400 600 800 1000 54.90 73.20 91.50 Height IN CM. Width IN. CM. 31 79 16.5 42 "E" Option: Electric Pilot Rem "c" Option PART For MourNs: NUMBER RH50 thru120 XE0120 RH200 ( XE0200 RH400 I XE0400 RH600 / XE0600 RH800 ; XE0800 RH1000 i XE1000 " Option: Intermittent Fitt B,Vellel RH200 XIP0200 Rl1400 rclruwry RH600 X1P0600 RH800 X1P0800 RH1000 • XIP1000 Sh.pprrg Weight LB. KG. 20.5 52 i 230 104.3 PART NUMBER RH50 RH80 41 104 i 16.5 42 20.5 52 ' 280 127.0 48.5 ! 123 i 16.5 42 I 20.5 52 f 325 ! 147.4 67.5 171 { 16.5 42 1 20.5 52 585 i 265.3 69.5 '; 177 28 71 26251 67 980 + 444.5 i = 21870 f 1152 69.6 177 ( 42 107 12625 67 1320 i 598.7 RH600 L 29160 1536 69.5 ' 177 . 56 142 12625 67 1720 780.1 ! RH800 k 36450 1920 69.5 177 70 178 ! 26.25 67 2100 952.5 ! RH1000 nla Commerce City, Colorado Portland. Oregon Albuquerque New tr!exico ?y 0 525-1115 (800) 547-4984 154 231 384 768 Fresno. California Rancho Cucamonga, Califon 5 8 (800) 448-6817 (800) 423-3711 (80 ) 0 .o m °' -f11 rn A co C) zp vc 0 z RH120 RH200 RH400 (600) 897-5061 (85£ = _= 6 REVIEWED FOR CODE COMPLIANCE APPROVED DEC 09 2014 City of Tukwila BUILDING DIVISION RECEIVED CITY OF TUt<WILA DEC. 0.5 2014 PERMIT CENTER 411.011141:41,.... ' cep tc[ (ii•tr;cv,c‘, 1->1k•:\ I( fs C4N N\l/ '. e,e \\St3 Pei\ REVIEWED FOR CODE COMPLIANCE APPROVED DEC 0 9 2014 City of Tukwila BUILDING DIVISION RECEIVED CITY OF TUK'WILA DEC 05 2014 PERMIT CENTER PERMIT COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: PG14-0181 DATE: 12/05/14 PROJECT NAME: CLEARSIGN COMBUSTION SITE ADDRESS: 12870 INTERURBAN AVE S X Original Plan Submittal Revision # before Permit Issued Response to Correction Letter # Revision # after Permit Issued DEPARTMENTS: k 44) 10-41—ti �( Building Division III Public Works Fire Prevention Structural Planning Division Permit Coordinator III PRELIMINARY REVIEW: Not Applicable (no approval/review required) DATE: 12/09/14 Structural Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved Corrections Required Approved with Conditions Denied (corrections entered in Reviews) (ie: Zoning Issues) DUE DATE: 01/06/15 [?/ n Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: 12/18/2013 SUBURBAN PROPANE LP Page 1 of 3 Washington State Department of 40 Labor & industries SUBURBAN PROPANE LP Owner or tradesperson DUNN, MICHAEL JOSEPH JR Principals DUNN, MICHAEL JOSEPH JR, PARTNER/MEMBER STIVALA, MICHAEL ANTHONY, PARTNER/MEMBER ABEL, PAUL EDWARD, PARTNER/MEMBER Dante, Elmer J, PARTNER/MEMBER ALEXANDER, MARK A, PARTNER/MEMBER (End: 04/18/2011) QUADRINO, SALVATORE M, PARTNER/MEMBER (End: 04/18/2011) HOEPPER, CHARLES T, PARTNER/MEMBER (End: 04/18/2011) FEHELEY, DAVID R, PARTNER/MEMBER (End: 04/18/2011) HARDIN, STAMEY W, PARTNER/MEMBER (End: 04/18/2011) MCLVER, KEVIN T, PARTNER/MEMBER (End: 04/18/2011) NEY, RICHARD J, PARTNER/MEMBER (End: 04/18/2011) NUNAN, THOMAS A, PARTNER/MEMBER (End: 04/18/2011) REILLY, JOHN H, PARTNER/MEMBER (End: 04/18/2011) Doing business as SUBURBAN PROPANE LP WA UBI No. 601 690 470 TAX DEPT WHIPPANY, NJ07981-0206 973-503-9373 Business type Limited Liability Company License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601690470&LIC=SUBURPL044DA&SAW= 12/29/2014 SUBURBAN PROPANE LP Page 2 of 3 Construction Contractor Active. Meets current requirements. License specialties GENERAL License no. SUBURPL044DA Effective — expiration 03/01/1996— 03/16/2015 Bond RLI INS CO $12,000.00 Bond account no. CMS213272 Received by L&I Effective date 03/11/2003 03/01/2003 Expiration date Until Canceled Insurance Ace American Insurance Company Policy no. HDOG27331403 $2,000,000.00 Received by L&I Effective date 03/06/2014 03/01/2014 Expiration date 03/01/2015 Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period, but some debts may be recorded by other agencies. License Violations No license violations during the previous 6 year period. Workers' comp Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums. L&I Account ID Account is current. 905,532-00 Doing business as SUBURBAN PROPANE L P Estimated workers reported Quarter 3 of Year 2014 "Greater than 100 Workers" L&I account representative T2 / DAN STRATE (360)902-4635 - Email: STRE235@Ini.wa.gov https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601690470&LIC=SUBURPL044DA&SAW= 12/29/2014 SUBURBAN PROPANE LP IWorkplace safety and th„alth Page 3 of 3 Check for any past safety and health violations found on jobsites this business was responsible for. Citation issue date 07/10/2013 Inspection no. 316835172 Location 7030 Tacoma Mall Blvd Ste 200 Tacoma, WA 98409 Citation issue date 11/23/2010 Inspection no. 314599721 Location 3515 Chico Way NW Bremerton, WA 98312 Citation issue date 06/05/2009 Inspection no. 313143109 Location 12642 Interurban Avenue S Seattle, WA 98168 No violations No violations Violations © Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington. Access Whingt 4--`.:hlshe 1,,nernr mY',.W.,l https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601690470&LIC=SUBURPL044DA&SAW= 12/29/2014