HomeMy WebLinkAboutPermit M16-0071 - GAVRILENKO RESIDENCE - DUCTLESS HEAT PUMPGAVRILENKO
RESIDENCE
3813 S 116 ST
M16-0071
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
MECHANICAL OTC PERMIT
Parcel No: 0733000155
Address: 3813 S 116TH ST
Project Name: GAVRILENKO RESIDENCE
Owner:
Name: GAVRILENKO LARYSA
Address: 3813 S 116TH ST, TUKWILA, WA,
98168
Permit Number: M16-0071
Issue Date: 5/6/2016
Permit Expires On: 11/2/2016
Contact Person:
2012
Name:
BRANDON DALLUM Phone: (360) 608-5954
Address:
PO BOX 1046, BATTLE GROUND, WA,
WA Cities Electrical Code:
98604
Contractor:
2012
Name:
AIRCON ELECTRIC LLC Phone: (360) 608-5954
Address:
PO BOX 1046, BATTLEGROUND, WA,
WA State Energy Code:
98604
License No: AIRCOEL855RN Expiration Date: 12/16/2017
Lender:
Name:
Address:
DESCRIPTION OF WORK:
INSTALL DUCTLESS HEAT PUMP
Valuation of Work: $2,000.00 Fees Collected: $178.76
Type of Work: NEW Electrical Service Provided by: SEATTLE CITY LIGHT
Fuel type: ELECT Water District: TUKWILA
Sewer District: VALLEY VIEW SEWER SERVICE
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
2012
National Electrical Code:
2014
International Residential Code Edition:
2012
WA Cities Electrical Code:
2014
International Mechanical Code Edition:
2012
WAC 296-46B:
2014
Uniform Plumbing Code Edition:
2012
WA State Energy Code:
2012
International Fuel Gas Code:
2012
Permit Center Authorized Signatu
Date: —'l '
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 perrryit aid agree to the conditions attached to this permit.
Signature: Date:16
Print Name: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: `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 Ilight 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 TUKWI
Community Development Department
• Permit Center
• 6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
•' littp://www.TukivilaWA.gov
SITE LOCATION
Mechanical Permit No. O
Project No.
Date Application Accepted:
Date Application Expires:
Ilse
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**
-�-� King Co Assessor's Tax No.:
Site Address: 38'13 S ! 16 S i 1 o k,vy -O, Suite Number: Floor:
Tenant Name: New Tenant: ❑..... Yes
PROPERTY OWNER
Name: n
Address: 3�f3 i �6fi1� .S
State: W A- Zip.
CONTACT PERSON — person receiving all project
communication {{��
Name:
Address: S-09 S j 17�
City: &rl-le C� rocl� r� State: � A Zip: °� g<� A
Phone: Fax:
Email: �fa��:�C�.-.%cfr,LC.�>!� Cos-,
•
MECHANICAL CONTRACTOR INFORMATION
Company Name: A, r n Ie&TfjC 1 `C
Address: PO BO7c /0`16
City: f% State: w� Zip:gglCoy
Phone: 360- Fax:
Contr Reg N C � �0oexp Date: 9/�.Gfzolc
Tukwila Business License No.: 6Vs-09a i% 6`�
Valuation of project (contractor's bid price): $ 00
Describe the scope of work in detail: 1,X sT-0A d, -)CT )es.S Cies' Pu v✓1P
Use: Residential: New.......... 4
Commercial: New.......... ❑
Replacement........ ❑
Replacement........ ❑
Fuel Type: Electric...... Gas ........ ❑ Other:
H:\Applications\Forms-Applications On Line\2011 Applications\Mechanical Permit Application Revised 8-9-1 l.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 >I 00k btu
Floor furnace
Suspended/wall/floor
mounted heater
Appliance vent
Repair or addition to
heat/refrig/cooling
system
Air handling unit
<I0,000 cfm
Unit Type
Qty
Air handling unit
>I0.000 cfm
Evaporator cooler
Ventilation fan
connected to single duct
Ventilation system
Hood and duct
Incinerator — domestic
Incinerator —
comm/industrial
PERMIT APPLICATION NOTES -
Unit Type
Qty
Fire damper
Diffuser
Thermostat
Wood/gas stove
Emergency enerator
Other mechanical
equipment
Boiler/Compressor Qty
0-3 hp/100,000 btu
3-15 h /500,000 btu
15-30 hp/1,000,000 btu
30-50 hp/1,750,000 btu
50+ h /1,750,000 btu
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 AUTHORIZED AGENT:
Signature: l;'✓" L Date:
Print Name: J,, J?"l /I —,l" Day Telephone: 360-601�1— S-9.-
Mailing Address: PO I3oX 10'(6 aaT7/'C'6r0-� QA- W -66q
City State Zip
H:Wpplications\Forms-Applications On Line\2011 ApplicationsWechanical Permit Application Revised 8-9-11.docx
Revised: August 2011 Page 2 of 2
bh
DESCRIPTIONS
PermitTRAK
PAID
$236.09
EL16-0411 Address: 3813 S 116TH ST
Apn: 0733000155
$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
M16-0071 Address: 3813 S 116TH ST
Apn: 0733000155
$178.76
MECHANICAL
$170.25
PERMIT FEE
R000.322.100.00.00
0.00
$137.75
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$32.50
TECHNOLOGY FEE
$8.51
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R8404
R000.322.900.04.00
0.00
$8.51
$236.09
Date Paid: Friday, May 06, 2016
Paid By: BRANDON DALLUM
Pay Method: CREDIT CARD 01387D
Printed: Friday, May 06, 2016 3:27 PM 1 of 1 rp.
SYSTEMS
INSPECTION RECORD
Retain a copy with permit[A416
INSPECTION N0. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367
�4
Permit Inspection Request Line (206) 438-9350
P ro'ect: ,/�
Z')2)L"- J�Q KGS
Type of Inspection:
`SAL AJAL
Address:Date
w 3 S/ 16-171 ST -
Called:
Special Instructions:
Date Wante a.m.
/o l2 Z'0
lRequestef:
Phone No:
Approved per applicable codes. LJ Corrections required prior to approval.
Date: io1Jz11(
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 1 11f(6 —o<
INSPE N N0. PERMIT N0.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 06) 431-3670
Permit Inspection Request Line (206) 438-9350
Project: f
Type f Inspecno
Address:
0 f 3 fd. [ f -k- I ,
Date Called:
Special Instructions:
Date Wanted: a.m.
y— p.m.
Re�u��ter:
,, ��CC G /4 i'I�CC�rc
Phone No:
ci ® _-s-_I S"
(Inspector: 1/� (Dates`/A _1,,6
El REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
10/3/2016
City of Tukwila
Allan Ekberg, Mayor
Department of Community Development Jack Pace, Director
BRANDON DALLUM
PO BOX 1046
BATTLE GROUND, WA 98604
RE: Permit No. M16-0071
GAVRILENKO RESIDENCE
3813 S 116 ST
Dear Permit Holder:
In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building
Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric
Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null
and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if
the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 11/12/2016.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for the next or final inspection. Each
inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire.
Address your extension request to the Building Official and state your reason(s) for the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your
extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 11/12/2016, your permit will become null and void
and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
—J�..A –91n
Bill Rambo
Permit Technician
File No: M 16-0071
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
AIRCON ELECTRIC LLC
Washington State Department of
"Labor & Industries
AIRCON ELECTRIC LLC
Owner or tradesperson
Principals
DALLUM, BRANDON
OWEN, PARTNER/MEMBER
Doing business as
AIRCON ELECTRIC LLC
Page 1 of 2
Horne Espanol Contact Search L&I w ° "
A-7. Index Help My L&I
Safety & Health Claims & Insurance Workplace Rights Trades & Licensing
PO Box 1046
BATTLEGROUND, WA 98604
360-608-5954
CLARK County
WA UBI No. Business type
603 431 746 Limited Liability Company
Governing persons
BRANDON
DALLUM
KENNETH ANDREW TAPANI;
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Construction Contractor
_............................................................ Active.
Meets current requirements.
License specialties
Heating/Vent/Air-Conditioning and Refrig
(HVAC/R)
License no.
AIRCOEL855RN
Effective — expiration
12/15/2015— 1211512017
Bond
................
Western Surety Co
$6,000.00
Bond account no.
62616764
Received by L&I
Effective date
12/15/2015
12/15/2015
Expiration date
Until Canceled
Insurance
..............................
Sentinel Insurance Co LTD
$300,000.00
Policy no.
01 SBMAZ6618
Received by L&I
Effective date
12/15/2015
10/22/2015
Expiration date
10/22/2016
Savings
N
.........o......... . ....
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
............._...............
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603431746&LIC=AIRCOEL855RN&SAW= 5/6/2016