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HomeMy WebLinkAboutPermit M17-0084 - COWLITZ TRIBAL HEALTH - COOLING UNITCOWLITZ TRIBAL HEALTH 15455 65 AVE S MI 7-0084 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: htto://www.TukwilaWA.gov MECHANICAL PERMIT 0003200004 Permit Number: M17-0084 15455 65TH AVE S Project Name: COWLITZ TRIBAL HEALTH Issue Date: 6/20/2017 Permit Expires On: 12/17/2017 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: COWLITZ INDIAN TRIBE 1055 9TH AVE , LONGVIEW, WA, 98632 JARROD LONGMIRE 12646 INTERURBAN AVE S , SEATTLE, WA, 98168 TCMS OF SEATTLE LLC PO BOX 11252 , PORTLAND, OR, 97211 TCMSSSL905CB !I/ Phone: (206) 588-8787 Phone: (570) 928-5613 Expiration Date: 2/10/2018 DESCRIPTION OF WORK: INSTALL ADDITIONAL COOLING UNIT FOR DOWNSTAIRS MEETING ROOM Valuation of Work: $7,400.00 Type of. Work: NEW Fuel type: ELECT Fees Collected: $313.23 Electrical Service Provided by: PUGEST SOUND ENERGY Water District: TUKWILA Sewer District: TUKWILA 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: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2014 2014 2014 2015 Permit Center Authorized Signature: 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 per and agree to the conditions attached to this permit. Signature: Print Name: Ove rvd Date: — ZO' ►7 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 Permit Center (206/431-3670). 10: Manufacturers installation instructions shall be available on PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 0703 1800 0609 0705 0701 MECH EQUIP EFF MECHANICAL FINAL PIPE/DUCT INSULATION REFRIGERATION EQUIP ROUGH -IN MECHANICAL a separate permit issued by the City of Tukwila the job site at the time of inspection. CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Mechanical Permit No. Project No. Date Application Accepted: Date Application Expires: q (For office u • onl ) 1 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: 15455.64t1rAve. S Tukwila WA. 98188 King Co Assessor's Tax No.: Suite Number: Floor: 1 Tenant Name: Cowlitz Tribal Health PROPERTY OWNER Name: Jarrod Longmire Name: Cowlitz Tribal Health City: Seattle State: WA Zip: 98168 Address: PO Box 2006 Email: jlongmire@tmlgroup.com City: Longview State: WA Zip: 98632 CONTACT PERSON — person receiving all project communication Name: Jarrod Longmire Address: 12646 Interurban Ave. S City: Seattle State: WA Zip: 98168 Phone: (206) 588-8787 Fax: (206) 588-8998 Email: jlongmire@tmlgroup.com New Tenant: ❑ Yes ® ..No MECHANICAL CONTRACTOR INFORMATION Company Name: TCMS of Seattle LLC Address: 12646 Interurban Ave. S City: Seattle State: WA Zip: 98168 Phone: (206) 588-8787 Fax: (260) 588-8998 Contr Reg No.: 602845504 Exp Date: 07/31/2017 Tukwila Business License No.: BUS -0996773 Valuation of project (contractor's bid price): $ 7,400 Describe the scope of work in detail: Install additional cooling unit for downstairs meeting room Use: Residential: New ❑ Replacement ❑ Commercial: New Replacement ❑ Fuel Type: Electric Gas ❑ Other: H:\Applications\Fortns-Applications On LinM2016 Applications\Mechanical Permit Application Revised 1-4-16.docx Revised: January 2016 bh Page 1 of 2 Indicate type of mechanical work being installed and the quantity below: Unit Type Qty Furnace <100k btu Residential, Nighttime Furnace >100k btu Industrial Floor furnace 55 dB(A) Suspended/wall/floor mounted heater 57 dB(A) Appliance vent Commercial Repair or addition to heat/refrig/cooling system 1 Air handling unit 65 dB(A) <10,000 cfm 60 dB(A) Unit Type Qty Air handling unit Residential, Nighttime >10,000 cfin Industrial Evaporator cooler 55 dB(A) Ventilation fan connected to single duct 57 dB(A) Ventilation system Commercial Hood and duct 1 Incinerator — domestic 65 dB(A) Incinerator — comm/industrial 60 dB(A) Unit Type Qty Fire damper Residential, Nighttime Diffuser Industrial Thermostat 55 dB(A) Wood/gas stove 57 dB(A) Emergency generator Commercial Other mechanical equipment 1 60 dB(A) 65 dB(A) 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 Noise. Mechanical units need to be in compliance with the Tukwila Noise Code. Maximum permissible sound levels are based on from where the sound is created and where the sound is heard. Additionally, if sound can be heard from within a house at night in a residential zone it may not be allowed. For more details, see TMC 8.22 District of Sound Producing Source District of Receiving Property Residential, Daytime* Residential, Nighttime Commercial Industrial Residential 55 dB(A) 45 dB(A) 57 dB(A) 60 dB(A) Commercial 57 dB(A) 47 dB(A) 60 dB(A) 65 dB(A) Industrial 60 dB(A) 50 dB(A) 65 dB(A) 70 dB(A) *Daytim A few sounds are exempt from the noise code, including: • Warning devices; • Construction and property maintenance during the daytime hours (lam -1 Opm); • Testing of backup generators during the day. 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 Signature: ER OR AUT ORIZED AGENT: Date:. (.)--IZ--I-7 Print Name: Jaod Longm Day Telephone: (206) 588-8787 Mailing Address: 12646 Interurban Ave. S H:\Applications\Forms-Applications On Line\2016 Applications\Mechanical Permit Application Revised I-4-16.docx Revised: January 2016 bh Seattle WA 98168 City State Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK I ACCOUNT I QUANTITY I' ` PAID $313.23 M17-0084 . . Address 15455 65TH AVE S `" Apn: 0003200004 $313.23 Credit Card Fee $9.12 Credit Card Fee R000.369.908.00.00 0.00 $9.12 MECHANICAL $292.41 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $33.15 PERMIT FEE R000.322.100.00.00 0.00 $200.78 PLAN CHECK FEE R000.322.102.00.00 0.00 $58.48 TECHNOLOGY FEE $11.70 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R11688 R000.322.900.04.00 0.00 . $11.70 -, $313.23 Date Paid: Monday, June 12, 2017 Paid By: JARROD LONGMIRE Pay Method: CREDIT CARD 604520 Printed: Monday, June 12, 2017 12:50 PM 1 of 1 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 Pro�j�ect: 0 j �y (41.4A:iT. Wil'-4Lo / ill Type offIInspection: CellAIO?e tt /A44 -1. - Address: �� /S 7Ss 6 Ate - ,� ate Called: Special Instructions: Date Want d:y ZZ/! 7 m. p.m. Reques r: AIN) i Phone No: Approved per applicable codes. Corrections required prior to approval' COMMENTS: .01<— ok- tv cFF <c.,(_ } inspector: Date: -22,.77 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. PARTIAL LEVEL 2 - EXISTING DECK —DEMO EXISTING STAIR PREVIOUSLY INSTALLED UNDER JUNE 2008 PERMIT 007-374. INFILL RAILING SHALL BEA MINIMUM OF42-AFF AND SHALL RESIST A LINEAR LOAD OF 50 LBS PER LF AND A CONCENTRATED LOAD OF 200 LBS PER IBC 1607.8. GUARDS SHALL BE DESIGNED TO NOT PERMIT THE PASSAGE OFA SPHERE WITH A DIA OF 4' PER 101210.1 jNO WORK TO BE DONE IN THIS AREA A2.1 Scale: 1/8" = 1'-0" IuJ No change7z;v, de to the scope o wok L ithr.;.. piic-( r pprovel of Tuto ila Buiidirj Divis=on NOTE: Revisions viii require a new plan submittal and may include additional plan review fess. l �©ISI©i'G mi Kill MN swim21 . IIIIIIIIIIIIIIIIIIIIIIII ■6■6. ...1111116 Wd IEI- yI ON T [El CORR. 1117 Ej S,I /A 1111111 [1151 E 1_I PARTIAL BASEMENT REFLECTED CEILING PLAN Scale: 1/8" =1'-0" -NEW ACOUSTIC CEILING TILE CEIUNG AT 6'-0' AFF MIN. NEW PRE-ENGINEERED FABRIC CANOPY -NO CHANGES TO EXISTING GWB CEILING, TYP. REPAIR AS NECESSARY FROM ANY CONSTRUCTION DAMAGE. TROFFER 2X4 LED CEILING LIGHT FIXTURE. METALUX 14C24.D4a54.INV4835COI-U (36.2 WATTS) 3 SUPPLY REGISTER -CONNECT PITO EXISTING MECH SYSTEM AND REBALANCE - 1 RETURN REGISTER -CONNECT INTO EXISTING MECH SYSTEM. NEW WALL (312' WOOD STUDS FULL HEIGHT TO GWB ABOVE AT 24' 0.C. WITH 12" GWB EACH SIDE - NO FIRE RATING] EXISTING WAIL NO WORK TO BE GONE IN THIS AREA L �Rurtbing as Piping ity of Tukvii3 oIr G DiViSION P22:2 COPY Permit --- Plan review E �j�r�;�:�, is , . 2 : 'a``'wl Subject to errors and omissions. Approval of core f�.4". riuc . ot; documents does nct authorize the violation of any adopted code or ordinance. Receipt of approved Fidipt opy and naitions is acknowledged: By: Date: (, -Z o City of Tukwila BUILDING DIVISION EXISTING STAIR TO BE OEMOUSHED EXISTING COLUMN TO BE DEMOLISHED, TYP. EXISTING COLUMN TO REMAIN, TYP EDGE OF DECK ABOVE REPLACE EXISTING METAL DOOR WITH GLAZED WINDOWS TO MATCH BUILDING STANDARD. UFACTOR 0.38 OR BETTER AND A SHGC OF 0.64 OR BETTER. REPLACE EXISTING METAL DOOR WITH FULLY GLAZED DOOR. EXTERIOR DOOR SHALL HAVE U -FACTOR OF 0.80 OR BETTER WITH AN SHGC OF 0.48 OR BETTER. NEW PRE-ENGINEERED FABRIC - CANOPY OVERHEAD i 1o7�i iii, / / /4IEI5ORRIDOR/ "// ////% EXISTING FIXTURES TO REMAIN. 140 CHANGES TO TOILETS, LAVATORIES OR GRAB BAR LOCATIONS. NEW WASHER AND DRYER WASHER TO HAVE SANITIZING CYCLE. DRYER SHALL VENT TO OUTSIDE. VENT SHALL BE NO CLOSER THAN 3,0 -TO OPERABLE OPENING. PROVIOE POWER TO MEET WASHER/DRYER REQUIREMENTS. REMOVE JANITOR SINK NEW WALL 1312' WOOD STUDS FULL HEIGHT TO GWB ABOVE AT 24' 0.C. WITH 12' GWB EACH SIDE -NO FIRE RATING( REVIEWED FOR CODE COMPLIANCE APPROVED JUN 15 2017 • A -J 12 -12 - City of Tukwila BUILDING DIVISION EXISTING WALL / NO WORK TO BE DONE IN THIS AREA BASEMENT PLAN Scale: 1/8" =1'-0" 16 J • Demo Plan Floor Plan Reflected Ceiling Plan RECEIVED •.::ITY OF TUKWI! A JUN 12 2017 s !,L i �A2.1 rrEMErffla5 Submittal Data Sheet 1.5 -Ton Wall Mounted Unit FTXNI8NMVJURXN18NMVJU FEATURES • IR controller included • Titanium apatite photocatatytic air purification filter (option) a Hot start technology • Auto -restart (after power failure) INDOOR UNIT ©TER BENEFITS • Quiet operation • Operating Range - Cooling (50° - 114.61 • Operating Range - Heating (5° - 64.4°) • 10 Year limited parts warranty with online registration • 5 Year limited parts warranty for commercial applications OUTDOOR UNIT REVIEWED FOR CODE COMPLIANCE APPROVED JUN 15 2017 City of Tukwila BUILDING DIVISION RECEIVED CITY OF TUKWILA JUN 122017 PE: a. CENTER Daikin North America LLC, 5151 San Felipe, Suite 500, HoustonU1 , TX, 7705 Daikin City Generated Submittal Data www.daikinac.com www.daikincomfort.com (Daikin's products are subject to continuous improvements. Daikin reserves the right to modify product design, specifications and information in this data sheet without notice and without incurring any obligations) Submittal Date: 1/13/2017 6:45:07 AM Page 1 of 4 r7DAIKIN Submittal Data Sheet 1.5 -Ton Wall Mounted Unit FTXN18NMVJURXN18NMVJU SYSTEM PERFORMANCE Indoor Unit Model No. FTXN18NMVJU Indoor Unit Name: 15 SEER HP DUCTLESS ID 1.5 TON Outdoor Unit Model No. RXN18NMVJU Outdoor Unit Name: 15 SEER HP DUCTLESS OD 1.5 TON Rated Cooling Capacity (Btu/hr): 17,100 Rated Cooling Conditions: Indoor (°F DB/WB): 80 / 67 Ambient (°F DB/VB): 95 / 75 Sensible Capacity (Btu/hr): 14,130 Rated Piping Length(ft): 25 Max/Min Cooling Capacity (Btu/hr): 18,000 / 5,100 Rated Height Difference (ft): 65.60 Cooling Input Power (kVV): 1.400 Rated Heating Conditions: Indoor (°F DB/WB): 70 / 60 Ambient (°F DB/WB): 47 / 43 SEER (Non-Ducted/Ducted): 15.00 / HSPF (Non-Ducted/Ducted): 8.2 / EER (Non-Ducted/Ducted): 12.20 / Heating COP (Non-Ducted/Ducted): 3.8 / Rated Heating Capacity (Btu/hr): 18,000 Max/Min Heating Capacity (Btu/hr): 19,100 / 5,100 Heating Input Power (kW): 1.38 SYSTEM DETAILS Refrigerant Type: R -410A Cooling Operation Range (°F DB): 50- 115 Holding Refrigerant Charge (lbs): 2.5 Heating Operation Range (°F WB): 5 - 64 Additional Charge (Ib/ft): 0.01 Max. Pipe Length (Vertical) (ft): 66 Pre -charge Piping (Length) (ft): 32 Cooling Range w/Baffle (°F DB): Max. Pipe Length (Total) (ft): 98 Heating Range wBaffle (°F WB): Max Height Separation (Ind to Ind ft): 66 Daikin North America LLC, 5151 San Felipe, Suite 500, Houston, TX, 77056 Daikin City Generated Submittal Data www.daikinac.com www.daikincomfort.com (Daikin's products are subject to continuous improvements. Daikin reserves the right to modify product design, specifications and information in this data sheet without notice and without incurring any obligations) Submittal Date: 1/13/2017 6:45:07 AM Page 2 of 4 r7DAIKIN Submittal Data Sheet 1.5 -Ton Wall Mounted Unit FTXN18NMVJURXN18NMVJU INDOOR UNIT DETAILS Power Supply (V/Hz/Ph): 208-230 / 60 / 1 Airflow Rate (H/M/L/SL) (CFM): 713/579/455/417 Power Supply Connections: See Outdoor Unit for Electrical Specs Moisture Removal (Gal/hr): 1.0 Min. Circuit Amps MCA (A): Gas Pipe Connection (inch): 1/2 Max Overcurrent Protection (MOP) (A): Liquid Pipe Connection (inch): 1/4 Dimensions (HxWxD) (in): 11-5/8 x 39 x 10-3/8 Condensate Connection (inch): 5/8 Panel (HxWxD) (in): Sound Pressure (H/M/USL) (dBA): 48/44/38/33 Net Weight (Ib): 27 Sound Power Level (dBA): 64 Panel Weight (Ib): Ext. Static Pressure (Rated/Max) (inWg): / DIMENSIONAL DRAWING - INDOOR UNIT LEFT THE MARK (-4) SHOWS PIPING. DIRECTION REAR 39 (990 mm) (INCLUDING 1 MOUNTING.PLATE 197/16 (265 mn 1039 263 mm BOTTOM I FRONT GRILLEFIXING'SCREWS: (INSIDE) FLAPS 8 V- b AIR FLOW (INDOOR) f E m .A -1-15/16 (50 mm) MINL, (SPACE FOR GENERAL RATING MAINTENANCE) NAME PLATE • TERMINAL BLOCK WITH GROUND TERMINAL (INSIDE) UP. AND DOWN WIND DIRECTION CONTROL BLADE MOVABLE RANGE SIGNAL RECEIVER OPERATION LAMP -TIMER LAMP DRAIN HOSE ;REQUIRED SPACE 1-15/16 <. w O. LL l 50 min) MIN GAS PIPE 01/21012.7 mm) -CuT (SPACE FOR MAINTENANCE) DRAIN HOSE GPIPE IJOUID PIPE INDOOR UNIT ON/OFF TORCH ,(CONNECTING PART UOUID PIPE 51/4 (46.4 mm) CuT ROOM TEMP. THERMISTOR I D.49/16 (614 mm) MODEL NAME PLATE (INSIDE) O:D. 55/8 (416 mm) SIGNAL TRANSMITTER / BLADE ANGLES ' -7/8 (48 mm) 13/16 (20 Em). UP/DOWN (AUTOMATIC) COOUNG,DRY L J WIRELESS REMOTE CONTROLLER \ (ARC480A6) 55' 70' HEATING E E E E m 39 (990 mm) 5:(126.5 mm) 85' -' RIGHT/LEFT (MANUAL) 1-7/8 (48 mm) WALL'HOLE POA EMBEDDED PIPING 2-3/8(80 mm 43-1/8 (480 mm) HOLE STANDARD LOCATIONS OF WALL HOLES.. WALL HOLE 03-1/8 (480 mm) HOLE C: 30091775 Daikin North America LLC, 5151 San Felipe, Suite 500, Houston, TX, 77056 Daikin City Generated Submittal Data www.daikinac.com www.daikincomfort.com (Daikin's products are subject to continuous improvements. Daikin reserves the right to modify product design, specifications and information in this data sheet without notice and without incurring any obligations) Submittal Date: 1/13/2017 6:45:07 AM Page 3 of 4 DAIKIN Submittal Data Sheet 1.5 -Ton Wall Mounted Unit FTXN18NMVJURXN18NMVJU OUTDOOR UNIT DETAILS Power Supply (V/Hz/Ph): 208-230 / 60 / 1 Compressor Type: Inverter Power Supply Connections: L1, L2, Ground Capacity Control Range (%): Min. Circuit Amps MCA (A): 13.30 Airflow Rate (H) (CFM): 2,313 Max Overcurrent Protection (MOP) (A): 15.00 Gas Pipe Connection (inch): 3/8 Max Starting Current MSC(A): Liquid Pipe Connection (inch): 1/4 Rated Load Amps RLA(A): 10.0 Sound Pressure (H) (dBA): 56 Dimensions (Hx( cD) (in): 28-15/16 x 34-1/4 x 12-5/8 Sound Power Level (dBA): Net Weight (Ib): 97 DIMENSIONAL DRAWING - OUTDOOR UNIT 8/16 (14) 7,3/16(30)' 34-4,1(816) '$RAND NAME PLATE 2-314.(70) 'ELECTRIC WIRE INTAkE OUTDOOR AIR THERMISTOR 011 MANUFACNBERS LABEL 314 (19) 4 -HOLES FOR FOUNDATION BOLTS (M6OR M10) GROUND TERMINAL SERVICE PORT 23-5/8 (600) -.'4-15/16 (125) 9116(14:5 13.5'8:(346 (INSTALLATION LEG PITCH) 14.1/2.(368) 7/16'(11) 716123) MINIMUM SPACE FOR AIR PASSAGE ,o WALL HEIGHT ON AIR OUTLET SIDE : o =LESS THAN 47:1/4 (1200) L GUID -STOP VALVE (01/4 (06.4) CuT) GAS STOP VALVE 161/2 412.7) CuT) 20-11/16 (525) DRAIN OUTLET (I:0.6/a (015:9) HOSE FOR CONNECTION WITH DRAIN JOINT) 6-13/15:(173) IN CASE OF,REMOVING • STOP VALVE COVER AND TERMINAL STRIP COVER jli/l ninti auori>•� _d 52 UNIT: inch (mm) C: 3D092224 Daikin North America LLC, 5151 San Felipe, Suite 500, Houston, TX, 77056 Daikin City Generated Submittal Data www.daikinac.com www.daikincomfort.com (Daikin's products are subject to continuous improvements. Daikin reserves the right to modify product design, specifications and information in this data sheet without notice and without incurring any obligations) Submittal Date: 1/13/2017 6:45:07 AM Page 4 of 4 ?EMIT COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: M17-0084 DATE: , 06/14/17 PROJECT NAME: COWLITZ TRIBAL HEALTH SITE ADDRESS: 15455 65TH AVE S Original Plan Submittal Response to Correction Letter # Revision # before Permit Issued Deferred Submittal # after Permit Issued DEPARTMENTS: Building Division Public Works ❑ I'1\,'/41)r (0141 Fire Prevention Structural Planning Division ❑ Permit Coordinator PRELIMINARY REVIEW: Not Applicable n (no approval/review required) DATE: 06/15/17 Structural Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved DUE DATE: 07/13/17 ❑ Approved with Conditions Corrections Required ❑ Denied ❑ (corrections entered in Reviews) (ie: Zoning Issues) Notation: REVIEWER'S INITIALS: DATE: Pi ermit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping PW 0 Staff Initials: 12/18/2013 TCMS OF SEATTLE LLC I-lome :Espanol Contract Search L&I Page 1 of 2 A -Z Index /Help M L&1 Safety & Health Claims & insurance Workplace Rights Trades & Licensing Washington State Department of Lab©r & industries TCMS OF SEATTLE LLC Owner or tradesperson Principals MOORE, WILLIAM J, MANAGER Doing business as TCMS OF SEATTLE LLC WA UBI No. 602 845 504 Parent company MOORE HOLDING CORP P 0 BOX 11252 PORTLAND, OR 97211 570-928-5613 Business type Limited Liability Company Governing persons DAVID RYAN JANE RYAN; THOMAS HERBURGER; WILLIAM J MOORE; 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. TCMSSSL905CB Effective — expiration 02/01/2010— 02/10/2018 Bond DEVELOPERS SURETY & INDEM CO Bond account no. 269810C $12,000.00 Received by L&I Effective date 02/01/2010 01/27/2010 Expiration date Until Canceled Insurance Travelers Indemnity Company Th $1,000,000.00 Policy no. DTC06H3571421ND16 Received by L&I Effective date • 10/06/2016 10/01/2016 Expiration date 10/01/2017 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. Help us improve https://secure.ini.wa.gov/verify/Detail.aspx?UBI=602845504&LIC=TCMSSSL905CB&SAW= 6/20/2017 TCMS OF SEATTLE LLC 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. This company has multiple workers' comp accounts. Active accounts L.&I Account ID 878,452-01 Doing business as TCMS OF SEATTLE LLC Estimated workers reported Quarter 1 of Year 2017 "21 to 30 Workers" L&I account contact Employer Services Help Line — 360-902-4817 Track this contractor a Account is current. Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Page 2 of 2 <r Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602845504&LIC=TCMSSSL905CB&SAW= 6/20/2017