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HomeMy WebLinkAboutPermit M15-0160 - WELLS FARGO - DUCT SYSTEM AND DUCTLESS HEAT PUMPWELLS FARGO 6835 S 180 ST M15-0160 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 3623049094 6835 S 180TH ST Project Name: WELLS FARGO MECHANICAL PERMIT Permit Number: Issue Date: Permit Expires On: M 15-0160 1/20/2016 7/18/2016 Owner: Name: Address: WELLS FARGO BANK PO BOX 2609 C/O THOMSON PROPERTY TAX, CARLSBAD, WA, 92018 Contact Person: Name: ANDY STIPECH Address: PO BOX 868 , EVERETT, WA, 98206 Contractor: Name: AMPED ELECTRIC & MECH LLC Address: PO BOX 868 , EVERETT, WA, 98206 License No: AMPEDEM854CQ Lender: Name: Address: Phone: (425) 583-6414 Phone: (425) 583-6414 Expiration Date: 2/18/2017 DESCRIPTION OF WORK: MODIFY EXISTING DUCT SYSTEM TO ACCOMMODATE NEW OFFICE AREA. ADD NEW DUCTLESS HEAT PUMP TO SERVER ROOM Valuation of Work: $11,000.00 Type of Work: REPLACEMENT Fuel type: ELECT Fees Collected: $337.36 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: International Fuel Gas Code: Permit Center Authorized Signature: 2012 2012 2012 2012 2012 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2014 2014 2014 2012 Date: (' `9 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 pe�mit and agree to the conditions attached to this permit. Signature: Print Name: l �L' G ►c-�C_ Date: 1// D 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: Work shall be installed in accordance with the approved construction documents, and any changes made during construction that are not in accordance with the approved construction documents shall be resubmitted for approval. 2: 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. 3: All construction shall be done in conformance with the Washington State Building Code and the Washington State Energy Code. 4: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap the sanitary sewer connections, and properly fill or otherwise protect all basements, cellars, septic tanks, wells, and other excavations. Final inspection approval will be determined by the building inspector based on satisfactory completion of this requirement. 5: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206-431-3670). 6: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center. 7: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the Building Official from requiring the correction of errors in the construction documents and other data. 8: ***MECHANICAL PERMIT CONDITIONS*** 9: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center (206/431-3670). 10: Manufacturers installation instructions shall be available on the job site at the time of inspection. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 1800 MECHANICAL FINAL 0609 PIPE/DUCT INSULATION 0705 REFRIGERATION EQUIP 0701 ROUGH -IN MECHANICAL CITY OF TUKWI Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Mechanical Per...At No. Pit (S— O 1(p Project No. Date Application Accepted: I a = 1--1 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: CD 635 S• 1SO ^ Tenant Name: We_ US :+711('Cl 0 PROPERTY OWNER Name: Address: City: State: Zip: CONTACT PERSON — person receiving all project communication Name: Nati 547 peck Address: P 0, 50 K (o q City: ver,cState: id,JA Zip: 1$26L, Phone: Li Z.rS 3 (a�f iLt Fax: Email:A4dy lA gvet,ed e ci lr✓1/c- CGwo King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: ❑ Yes No MECHANICAL CONTRACTOR INFORMATION Company Name: avIAirc,V eC vc(, tie C •in✓t1cV Address: f O vo City: £✓e rubi State: WA Zip: 4(6264, Phone: c ZS S(83 te414 Fax: Contr Reg No.: Exp Date: Tukwila Business License No.: Valuation of project (contractor's bid price): $ I 11 4 V 0 0 Describe the scope of work in detail: %4 D d t `1% e .y r$iing Uc syrkekvi 7L0 q CCovvt oda ke Vt,2 f-rcc e area. 4 o of A/e w of ess H eA lL Po pi.tr Ser .'e e-o Om Use: Residential: New ❑ Commercial: New Fuel Type: Electric Replacement ❑ Replacement Gas ❑ Other: H:\Applications\Forms-Applications On Line\2011 Applicationalechanical 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 heatlrefrig/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 1".3 Thermostat Wood/gas stove Emergency generator Other mechanical equipment i3l000 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 OWNER OR AUTHORIZ + T: Signature: ��,, %j� Date: //JJ Print Name: r"h dy 1 t /pC 1 i Day Telephone: Mailing Address: II P. v' G g 6Jece.7 f-thi 9gZL 6. City State Zip H:\Applications\Forms-Applications On Line\201I ApplicationsUvlechanical Permit Application Revised 8-9-I t.docx Revised: August 2011 bh Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK I ACCOUNT QUANTITY PAID $337.36 M15-0160 Address: 6835 S 180TH ST Apn: 3623049094 $337.36 MECHANICAL $324.38 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $32.50 PERMIT FEE R000.322.100.00.00 0.00 $227.00 PLAN CHECK FEE R000.322.102.00.00 0.00 $64.88 TECHNOLOGY FEE $12.98 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R6800 R000.322.900.04.00 0.00 $12.98 $337.36 Date Paid: Monday, December 07, 2015 Paid By: MATT WRIGHT Pay Method: CREDIT CARD 07558G Printed: Monday, December 07, 2015 10:03 AM 1 of 1 n ffSYSTEMS INSPECTION RECORD _ Retain a copy with permit IN CTION 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 Project, ,CG7�L-_j Type of tns�tion: / !—r" A� e0 -3. �� Date Called: eclal Instructions: l Date Wanted: am Requester: Phone No: roper applicable codes. Corrections required prior to approval. COMMENTS: REINSPECTION 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 /F C0 0 INSPECTION NO. 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:. , e ;-/- .400 Type of ecti�g Ike_ 7: Addre�s�'5 +� .h Date Called: Special Instructions: Date Wanted: // . c . p.m. Requester: Phone No: Approved 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. INSPECTION RECORD Retain a copy with permit INSP TION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 1145 Di 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 (206) 431-3670 Project: f /% /-� i,V s V Type of IJ% /,�ctitio% &VO / _- — c/ of./Se-1 Address: /3 . Serf(' r� (ye Called: Special Instructions: Date Wanted: p.m. Requester: Phone No: pproved per applicable codes. Corrections required prior to approval. COMMENTS: 1,-oh-r) Inspector: j- r_444614_ Date REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION (206) 431-3670 M/510/ 0 Projecw Type of Inspestion: i i I cil Address: g35 5 ii f-/� st Date Called: �/ Special Instructions: Date Wanted: i .m. Requester: Phone No: pproved per applicable codes. n 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. INSPECTION RECORD Retain a copy with permit IN TION NO PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 (206) 431-3670 Project: We/�/O L ' Type of Inspect] �I� Address: Date Called:/J'J/� Special Instructions: Date Wanted: ' P.m. a.m/1/ Requester: _.- Phone No: �� 330 77 ❑ Approved per applicable codes. Corrections required prior to approval. COMMENTS: C456ice,z7d Inspector: Cilir4 Date: REINSPECTION FEE REQUIRED. Prior to next inspeflan, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. REVISIONS No changes shall be made to the scope of work without prior approval of T'''< vita Building Division. will require a new plan submittal and may include additional plan review fees. SE „12.1ATE PERMIT F.3 C lIRED FOR: L] Machaniad CI -tactical Ll'Ftumbing Gieas Pipfnp City of Tukwila B .t O;NG DIVISION FILE COPY Permit No, M (5�L)16 0 Plan review approval is subject to errors and omissions. Approval of construction documents does not authorize th3 violation of any adopted code or ordinance. Receipt c approved Field opy and conditions is ac)newr ged: By: Date: City of Tukwila BUILDING DIVISION REVjEWED FOR BODE COMPLIANCE APPROVED JAN 15 2016 City of Tukwila BUILDING DIVISION EV/EWED FOR DE COMPLIANCE APPROVED City of Tukwila JILDING DIVISION cp'_*244 -114.-2A4-x—to- COPN ST/B-1 XIST/B-1 RECEIVED CITY OF TUKWILA DEC 0 7 2015 CENTE XIST/9 4 m 0 0 a z 0-' i CNI 0 0 07 2 0 0 Cd L7 z z t• 0 nEvAiaimEn FOR &pfuroyiE ID) JAR 15 2mr O OTh adUE `cL i C�l�1Cs LOV o c E. C',7 Li iCdVi LA PERMIT CENTER 11 M-SERIES SUBMITTAL DATA: MSZ-FH18NA & MUZ-FH18NA 18,000 BTU/H WALL -MOUNTED HEAT PUMP SYSTEM MITSUBISHI /\ ELECTRIC Job Name: System Reference: Date: Indoor Unit: MSZ-FH18NA Wireless Remote Controller ACCESSORIES: Indoor Unit Outdoor Unit: MUZ-FH18NA FILL o Condensate Pump (BlueDiamond X87-711/721; 115/230V) o Condensate Pump (Sauermann SI30-115/230; 115/230V) o Replacement Platinum Deodorizing Filter (MAC-3000FT-E) o Replacement Anti -allergy Enzyme Filter (MAC-2330FT-E) Outdoor Unit o Base Pan Heater (MAC-642BH-U) o Drain Socket (MAC-860DS) Controls �ORRECTI LTR#....�._....r. o Wireless Controller (MHK1) o Advanced Wired Controller (PAR-31 MAA requires MAC-333IF) o Simple Wired Controller (PAC-YT53CRAU requires MAC-333IF) o M-NET Adapter (PAC-SF83MA-E) o System Control Interface (MAC-333IF) SPECIFICATIONS: Rated Conditions (Capacity / Input) Cooling*1 Btulh I W 17,200 / 1,430 Heating at 47° F*2 Btulh/W 20,300 / 1,720 Capacity Range Cooling*1 Btu/h Minimum 6,450 Maximum 21,000 Heating at 47° F*2 Btu/h 5,150 30,000 Heating at 17° F*3 Btu/h - 20,300 Heating at 5° F*4 Btu/h - 20,300 Rating Conditions per AHRI Standard: *1 Cooling I Indoor: 80° F(27° C)DB / 67° F(19° C)WB ; Outdoor: 95° F(35° C)DB / 75° F(24° C)WB *2 Heating at 47°F I Indoor: 70° F (21° C)DB / 60° F (16° C)WB ; Outdoor: 47° F (8° C)DB / 43° F (6° C)WB *3 Heating at 17° F I Indoor: 70° F(21° C)DB / 60° F(16° C)WB ; Outdoor: 17° F(-8° C)DB / 15° F(-9° C)WB '4 Heating at 5° F I Indoor: 70° F (21° C)DB / 60° F(16° C)WB ; Outdoor: 5° F(-15° C) DB / 5° F(-15° C)WB Operating Conditons (Indoor Intake Air Temp.) (Max./ Min.) Cooling Heating 90° F (32° C) DB / 67° F (19° C) DB 80° F (27° C) DB / 70° F (21° C) DB Operating Conditons (Outdoor Intake Air Temp.) (Max./ Min.) Cooling Heating 115° F (46° C) DB / 14° F (-10° C) DB 75° F (24° C) DB / -13° F (-25° C) DB** ** System cuts out at -18° F (-28° C) to avoid thermistor error, but recovers from cutout operation and automatically restarts at -14° F (-26°C). AHRI Efficiency Ratings SEER HSPF 21 12 ODE COMPLIANCE APPROVED COP at 47° F 3.46 COP at 17° F 3.04 JAN 15 2616 Energy Star Yes Electrical Power Requirements 208 / 230V, 1-Phase, 60 Hz Minimum Circuit Ampacity (MCA) Indoor / Outdoor A 1/16 Blower Motor (ECM) 0.67 Blower Motor Output W 30 SHF / Moisture Removal 0.67 / 5.1 pt./h Field Drainpipe Size O.D. In.(mm) 5/8 (15) Outdoor Unit Compressor DC INVERTER -driven Twin Rotary Fan Motor (ECM) F.L.A. 0.93 Airflow Rate (Lo - Med - Hi - Super Hi - Powerful) Indoor (Cooling) DRY CFM 225-262-304-355-437 WET 194-225-261-305-376 Indoor (Heating) DRY 201-254-317-394-514 Outdoor 1,692/ 1,634 Sound Pressure Level (Lo - Med - Hi - Super Hi - Powerful) Indoor Cooling dB(A) 27-31-35-39-44 Heating 25-29-34-39-46 Outdoor Cooling 52 Heating 55 External Dimensions Indoor (H x W x D) In.(mm) 12 + 11/16 x 36-7/16 x 9-3/16 (305 +17 x 925 x 234) Outdoor (H x W x D) 34-5/8 x 33-1/16 x 13 (880 x 840 x 330) Net Weight Indoor Lbs.(kg) 29 (12) Outdoor 124 (56) External Finish Indoor Munsell 1.0Y 9.2 / 0.2 Outdoor Munsell No. 3Y 7.8 / 1.1 Refrigerant R410A ; 3 Ib. 7 oz. Refrigerant Piping (Flared) Liquid (High Pressure) Gas (Low Pressure) In.(mm) 1/4.46-.35j -_..' u !.) Max. Total Refrigerant Pipe Length (Height Diff.) Max. Total Refrigerant Pipe Length (Length.) R. (m) 50 (15) JAN 0 5 2016 10e MIT CENTER ENERGY STAR products are third -party c rtifiad b aritYof ilacation E ody. °DING DIVISION Specifications are subject to change wi M tOtoO bishi Electric US, Inc. T v DIMENSIONS: MSZ-FH18NA & MUZ-FH18NA MSZ-FH1 8NA 2-3/8 2-3/8 I L 11/16 COT- U)� MUZ-FH1 8NA 16-7/16 33-1/16 5/tA Nt I II 2-5/8 REQUIRED SSPACE '1 20 in. (500 mm) or more when front and sides of the unit are dear 1-5/6 2-holes 13/32%13/16 3-3/16 FORM# MSZ-FH 18NA / MUZ-FH18NA - 201511 7/16 x 1-1/16 Oblong hole Installation plate 4-1/16 36-7/16 35-5/8 1 3/8 1 n (0 0 m 0 8-7/8 8-7/8 co co Indoor unit I ••.. • . nu 1 I 2-11/16 '1 '2 When any 2 si es of left, tight and rear of the unit are dear Service panel Liquid refrigerant pipe joint Refrigerant pipe (flared) a 1/4 Gas refrigerant pipe joint Re ent •I flared o1/2 2-5/8 • / Unit: mm (in.) 7/16 x 13/16 Oblong hole _I I�4-1/16 co A ao co 8-1/8 15-9/16 6-3/4 14-11/16 CO CO 13 n 3-9/16 Air in Unit: mm (in.) Wall hole 03 Installation .late ArtMITSUBISHI ELECTRIC COOLING & HEATING 1340 Satellite Boulevard. Suwanee, GA 30024 Toll Free: 800-433-4822 www.mehvac.com i�-u:p1 CERTIFIED. wnSamariaamare Intertek Specifications are subject to change without notice. © 2015 Mitsubishi Electric US, Inc. City of Tukwila Department of Community Development December 17, 2015 ANDY STIPECH PO BOX 868 EVERETT, WA 98206 RE: Correction Letter # 1 MECHANICAL Permit Application Number M15-0160 WELLS FARGO - 6835 S 180 ST Dear ANDY STIPECH, Jim Haggerton, Mayor Jack Pace, Director This letter is to inform you of corrections that must be addressed before your development permit can be approved. All correction requests from each department must be addressed at the same time and reflected on your drawings. I have enclosed comments from the following departments: BUILDING - M DEPARTMENT: Allen Johannessen at 206-433-7163 if you have questions regarding these comments. • (GENERAL NOTE) PLAN SUBMITTALS: (Min. size 11x17 to maximum size of 24x36; all sheets shall be the same size. New revised plan sheets shall be the same size sheets as those previously submitted.) (BUILDING REVIEW NOTES) 1. Please provide manufacturers installation manual and specifications for the new heat pump. Show where the server room is located and where the ductless unit is to be installed. Show location and how the heat pump shall be installed. Please address the comments above in an itemized format with applicable revised plans, specifications, and/or other documentation. The City requires that two (2) sets of revised plan pages, specifications and/or other documentation be resubmitted with the appropriate revision block. In order to better expedite your resubmittal, a'Revision Submittal Sheet' must accompany every resubmittal. I have enclosed one for your convenience. Corrections/revisions must be made in person and will not be accepted through the mail or by a messenger service. If you have any questions, I can be reached at (206)431-3655. Sincerely, Bill Rambo Permit Technician File No. M15-0160 6300 Southcenter Boulevard Suite #100 • Tukwila Wachinotnn 9R1RR a Planno 7n%i_Q�l_?h7n - r.'—')f 421 2, CC PERMIT COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: M15-0160 DATE: 01/11/16 PROJECT NAME: WELLS FARGO SITE ADDRESS: 6835 S 180TH ST Original Plan Submittal Revision # before Permit Issued X Response to Correction Letter # 1 Revision # after Permit Issued DEPARTMENTS: /19— kii---tco Building Division Public Works Fire Prevention Structural El Planning Division Permit Coordinator n PRELIMINARY REVIEW: Not Applicable (no approval/review required) DATE: 01/12/16 Structural Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved Corrections Required Approved with Conditions Denied (corrections entered in Reviews) (ie: Zoning Issues) Notation: DUE DATE: 02/09/16 REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: 12/18/2013 PERMIT COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: M15-0160 DATE: 12/07/15 PROJECT NAME: WELLS FARGO SITE ADDRESS: 6835 S 180 ST X Original Plan Submittal Response to Correction Letter # Revision # before Permit Issued Revision # after Permit Issued DEPARTMENTS: / s COWZ, Building Division III Public Works n )/A— fIO`(5 Fire Prevention Structural Planning Division Permit Coordinator PRELIMINARY REVIEW: Not Applicable ❑ (no approval/review required) DATE: 12/08/15 Structural Review Required REVIEWER'S INITIALS: DATE: n APPROVALS OR CORRECTIONS: Approved Corrections Required n DUE DATE: 01/05/16 Approved with Conditions ❑ Denied (corrections entered in Reviews) " (ie: Zoning Issues) 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 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Fax: 206-431-3665 Web site: http://www.ci.tukwila.wa.us REVISION SUBMITTAL Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: L/w16 Plan Check/Permit Number: M 15-0160 ❑ Response to Incomplete Letter # ® Response to Correction Letter # 1 RECEIVED ❑ Revision # after Permit is Issued CITY OF TUKWILA ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: Wells Fargo Project Address: 6835 S 180 St Contact Person: Summary of Revision: 0 a /A-1-1-- BAN a 5 2016 PERMIT CENTER Phone Number: -I 2 673 (,t q 6 Sheet Number(s): "Cloud" or highlight all areas of revision includin ate o revi ion Opti Received at the City of Tukwila Permit Center by: W ❑ Entered in TRAKiT on \applications\forms-applications on line\revision submittal Created: 8-13-2004 Revised: Amped Electric & Mech LLC Page 1 of 2 Hoare Inicio en .Espanol Contact 'Search L&I A-7 Index Help My Secure I.,&l Safety Claims & Insurance Workplace Rights Trades & Licensing , Washington State Department of Labor & Industries Amped Electric & Mech LLC Owner or tradesperson Principals Stipech, Andrew, PARTNER/MEMBER Doing business as Amped Electric & Mech LLC WA UBI No. 602 996 614 PO BOX 868 EVERETT, WA98206 425-583-6414 SNOHOMISH 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 HeatingNent/Air-Conditioning and Refrig (HVAC/R) License no. AMPEDEM854CQ Effective — expiration 02/18/2015— 02/18/2017 Bond ............... Contractors Bonding & Insurance Co Bond account no. SK3392 $12,000.00 Received by L&I Effective date 02/18/2015 02/13/2015 Expiration date Until Canceled Insurance ............................... Contractors Bonding & Insuranc Policy no. c11si5698 $1,000,000.00 Received by L&I Effective date 02/18/2015 04/01/2015 Expiration date 04/01/2016 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. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602996614&LIC=AMPEDEM854CQ&SAW= 1/20/2016