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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