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Home My WebLink AboutPermit M16-0141 - ROERICK RESIDENCE - SPLIT HEAT PUMPROERICK RESIDENCE 13059 33 AVE S M16-0141 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.itov Parcel No: 1523049296 Address: 13059 33RD AVE S Project Name: ROERICK RESIDENCE MECHANICAL OTC PERMIT Permit Number: M16-0141 Issue Date: 9/9/2016 Permit Expires On: 3/8/2017 Owner: 2015 National Electrical Code: Name: ROERICK JOSEPH F+FAYE B TTE 2015 Address: 13059 33RD AVE S, TUKWILA, , 98168 International Mechanical Code Edition: Contact Person: WAC 296-4613: 2014 Name: GLENDALE HEATING Phone: (206) 244-1136 Address: International Fuel Gas Code: 2015 Contractor: Name: GLENDALE HEATING & A/C INC Phone: (206) 243-7700 Address: 12462 DES MOINES MEMORIAL DR, SEATTLE, WA, 98168-2266 License No: GLENDHA053Q2 Expiration Date: 11/2/2017 Lender: Name: Address: DESCRIPTION OF WORK: INSTALL DAIDIN MINI SPLIT HEAT PUMP Valuation of Work: $0.00 Type of Work: NEW Fuel type: ELECT Fees Collected: $209.16 Electrical Service Provided by: SEATTLE CITY LIGHT Water District: 125 Sewer District: VALLEY VIEW Current Codes adopted by the City of Tukwila: International Building Code Edition: 2015 National Electrical Code: 2014 International Residential Code Edition: 2015 WA Cities Electrical Code: 2014 International Mechanical Code Edition: 2015 WAC 296-4613: 2014 Uniform Plumbing Code Edition: 2015 WA State Energy Code: 2015 International Fuel Gas Code: 2015 Permit Center Authorized Signature: 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 permit andel agree to the conditions attached to this permit. / Signature://�/�1/�r Date:Zl Print Name: 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: <NONE> 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 h"p://www.TukwilaWA.gov Mechanical Permit No. kA - Project No. Date Application Accepted: Date Application Expires: use 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 r rn n r Z z rrt King Co Assessor's Tax No.: Site Address: C�S� _ J J AV at Suite Number: Floor: Tenant Name: New Tenant: ❑ .....Yes [-]..No PROPERTY OWNER C Name: 1 e,e vl Lt/ Address:' - 73 rA f• City: j d , , ! 1 l % / State: Zip a� 1 /_ CONTACT PERSON - person receiving all project communication Name: Address: City: State: Zip: Phone: Fax: Email: 1 U J MECHANICAL CONTRACTOR INFORMATION New .......... Company Name: l- h V 'Amial Commercial: Address: I a ❑ , 1 1 V City: State: VJ A Zip: Phone: �D _ i1 Fax: - �4 V 3 ' f Contr Reg No.: / a Exp Date: ,1 � D M L� fv \ "I -1) Tukwila Business License No.: 6R/ _ x w in Valuation of project (contractor's bid price): $ �.�` �' YJv✓ Describe the scope of work in detail: �Wyyf Use: Residential: New .......... Replacement ........ ❑ Commercial: New .......... ❑ Replacement ........ ❑ Fuel Type: Electric..... K Gas ....... ❑ Other:_ H:\Applications\Forms-Applications On Line\2011 ApplicationsluMechanical Permit Application Revised 8-9-1 l.docx Revised: August 2011 Page] of 2 bh 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 <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 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 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 AUTHORIZED AGENT: Print Name: I Mly)y) Mailing Address: -W '1-4 H:\Appliwtionskforms-Applications On Linek2011 ApplicationsWeehanical Permit Application Revised 8.9-1 l.docx Revised: August 2011 bh Date: l ?5 1 !Dl l 1 Day Telephone: )AA A H) A a t6� City State Zip Page 2 of 2 DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $272.00 EL16-0828 Address: 13059 33RD AVE S Apn: 1523049296 $62.84 ELECTRICAL $59.85 PERMIT FEE SINGLE FAMILY R000.322.101.00.00 0.00 $59.85 TECHNOLOGY FEE $2.99 TECHNOLOGY FEE R000.322.900.04.00 0.00 $2.99 M16-0141 Address: 13059 33RD AVE S Apn: 1523049296 $209.16 MECHANICAL $199.20 PERMIT FEE R000.322.100.00.00 0.00 $166.70 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $32.50 TECHNOLOGY FEE $9.96 TECHNOLOGY FEE TOTAL FEES PAID$272.00 R000.322.900.04.00 0.00 $9.96 Date Paid: Friday, September 09, 2016 Paid By: GLENDALE HEATING & A/C Pay Method: CHECK 008480 Printed: Friday, September 09, 2016 11:03 AM 1 of 1 CR SY57EM5 100 INSPECTION RECORD M,6 — 61�1 Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Southcenter Blvd., #100, Tukwila. WA 9818 ) 431-3670 Permit Inspection Request Line (206) 438-9350*-- %(2 Pro'ect:Type of Inspection: f CIC t i ,cJZC 4 AAQJi (AA IL— AfAL Address: Date Called: a 33'�Ayr.S Special Instructions: Date Wanted a. 3 / p.m. Requester: C Phone No: j� �7 7 906-- 246- / G 91 Approved per applicable codes. L: Corrections required prior to approval. Inspector: Date:3 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. GLENDALE HEATING & A/C INC (D Washington State Department of Labor & Industries Page 1 of 2 Home Espanol Contact Search L&I A -"L .Index Help My L&I Safety & Health Claims & Insurance Workplace Rights Trades & Licensing GLENDALE HEATING & A/C INC Owner or tradesperson Principals HOEFER, GERALD ARTHUR, PRESIDENT FULTON, DAVID CURTIS, SECRETARY ATWOOD, STANLEY, AGENT (End: 06/26/2012) HOEFER, ARTHUR A, TREASURER (End: 09/30/2011) Doing business as GLENDALE HEATING & A/C INC WA UBI No. 600 003 167 License 12462 DES MOINES MEMORIAL DR SEATTLE, WA 98168-2266 206-243-7700 KING County Business type Corporation Governing persons DAVID C FULTON GERALD A HOEFER; 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. GLENDHA053Q2 Effective — expiration 11/22/1995-11/02/2017 Bond ................. No bond accounts during the previous 6 year period. ,Insurance. . Continental Western Ins Co $1,000,000.00 Policy no. CDP2976203 Received by L&I Effective date 08/11/2015 11/02/2012 Expiration date 11/02/2016 Insurance history Savings (in lieu of bond) $12,000.00 Received by L&1 Effective date 10/15/2001 10/15/2001 https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=600003167&LIC=GLENDHAO53Q2&SAW= Help us improve