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HomeMy WebLinkAboutPermit M15-0146 - ROMERO RESIDENCE - HEAT PUMPEDNA ROMERO 4455 S 148 ST M15-0146 Parcel No: Address: Project Name: 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 MECHANICAL OTC PERMIT 0042000057 Permit Number: 4455 S 148TH ST Issue Date: Permit Expires On: EDNA ROMERO M15-0146 11/3/2015 5/1/2016 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: ROMERO EDNA L 4455 S 148TH , TUKWILA, WA, 98188 VICTORIA GLOVER 727 S KENYON ST, SEATTLE, WA, 98108 EVERGREEN REFRIGERATION LLC 727 S KENYON ST, SEATTLE, WA, 98108 License No: EVERGRL954R2 Lender: Name: Address: Phone: (206) 763-1744 Phone: (206) 763-1744 Expiration Date: 1/6/2016 DESCRIPTION OF WORK: INSTALLATION OF HEAT PUMP Valuation of Work: $5,400.00 Type of Work: REPLACEMENT Fuel type: ELECT Fees Collected: $219.71 Electrical Service Provided by: SEATTLE CITY LIGHT Water District: 125 Sewer District: VALLEY VIEW 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: International Fuel Gas Code: 2012 2012 2012 2012 2012 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2014 2014 2014 2012 Permit Center Authorized Signature: 6 t& lei 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 er't and agree to the conditions attached to this permit. Signature: ��%(/ A Print Name:U(( 12(.0 Date: ///4(J 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 flight 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. 11 `'6Ole 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.: 0042000057 Site Address: 4455 S 148th St Suite Number: Floor: Tenant Name: NA PROPERTY OWNER Name: Edna Romero Address: 4455 S 148th St City: Tukwila State: WA Zip: 98168 CONTACT PERSON — person receiving all project communication Name: gy ePrl-afrig rati44 T 1 r V 10-011k (,;1I Address: 727 S Kenyon St City: Seattle State: WA Zip: 98108 Phone: (206) 763-1744 Fax: (206) 763-2389 Email: victoriag@evergreenhvac.com New Tenant: ❑ Yes O..No MECHANICAL CONTRACTOR INFORMATION Company Name: Evergreen Refrigeration LLC Address: 727 S Kenyon St City: Seattle State: WA Zip: 98108 Phone: (206) 763-1744 Fax: (206) 763-2389 Contr Reg No.: EVERGRL954R2 Exp Date: 01/06/2016 Tukwila Business License No.: bufn992877 ..,1 Valuation of project (contractor's bid price): $ 5,400 Describe the scope of work in detail: Installation of (l) Heat Pump Use: Residential: New ❑ Replacement Commercial: New ❑ Replacement ❑ Fuel Type: Electric 0 Gas ❑ Other: 1 ApplicationslForms-Applications On Line 12011 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 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/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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING 0 UTHORIZED AGENT: Signature: L Print Name: Victoria Glover Mailing Address: 727 S Kenyon St Date: tU (11 \( Day Telephone: (206) 763-1744 Seattle WA City State Zip H:\Applications\Forms-Applications On Line12011 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 $277.04 EL15-0958 Address: 4455 S 148TH ST Apn: 0042000057 $57.33 ELECTRICAL $54.60 PERMIT FEE SINGLE FAMILY R000.322.101.00.00 0.00 $54.60 TECHNOLOGY FEE $2.73 TECHNOLOGY FEE R000.322.900.04.00 0.00 $2.73 M15-0146 Address: 4455 5 148TH ST Apn: 0042000057 $219.71 MECHANICAL $209.25 PERMIT FEE R000.322.100.00.00 0.00 $176.75 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $32.50 TECHNOLOGY FEE $10.46 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R6567 R000.322.900.04.00 0.00 $10.46 $277.04 Date Paid: Tuesday, November 03, 2015 Paid By: EVERGREEN REFRIGERATION LLC Pay Method: CHECK 007505 Printed: Tuesday, November 03, 2015 10:14 AM 1 of 1 rPFIFSYSTEMS INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367 Permit Inspection Request Line (206) 438-9350 Project: Type of Inspection: Adddrre s.. Lil . -A sT Date Called: //5:3 Special Instructions: Alen Date Wanted: 7 " P.m. 'J Requester: Phone No: EjApproved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector: Date: REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. J�7% 7IA--- INSPECTION RECORD Retain a copy with permit "1»411(0, ION NO. PERMIT NO. CITY OF TUKWIL.A BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 (206) 431-3670 Project: Type of Inspection eG e+Gtea Address: Lie i 5 1 zi elf Date Called: . 11 Special Instructions: ,,FrDate Wanted: f % a.m. p.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector: ../" REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 1 l EVERGREEN REFRIGERATION T T,C Page 1 of 3 Home lnicio en .Espanol Contact Search L&I A-Z Index Help P1p Secure L&l Safety Claims & Insurance Workplace Rights Trades & Licensing Washington State Department of Labor & industries EVERGREEN REFRIGERATION LLC Owner or tradesperson 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 Governing persons DAVID A PATTON MATTHEW PATTON; RODGER PATTON; 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 Expiration date Until Canceled TRAVELERS CAS & SURETY CO Bond account no. 104667361 $12,000.00 https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602512953&LIC=EVERGRL954R2&SAW= 11/03/2015