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Permit M18-0171 - SODANO RESIDENCE - GAS FURNACE REPLACEMENT
SODANO RESIDENCE 16053 48 AVE S M18-0171 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.aov MECHANICAL OTC PERMIT 5379800030 Permit Number: 16053 48TH AVE S Project Name: SODANO RESIDENCE Issue Date: Permit Expires On: M18-0171 12/21/2018 6/19/2019 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: „ WA, DEBRA COONS 12462 DES MOINES MEMORIAL DR , SEATTLE, WA, 98168 GLENDALE HEATING & A/C INC 12462 DES MOINES MEMORIAL DR , SEATTLE, WA, 98168-2266 GLENDHA053Q2 Phone: (206) 243-7700 Phone: (206) 243-7700 Expiration Date: 11/2/2019 DESCRIPTION OF WORK: REPLACE GAS FURNACE WITH SAME Valuation of Work: $3,135.00 Type of Work: REPLACEMENT Fuel type: GAS Fees Collected: $203.00 Electrical Service Provided by: Water District: Sewer District: 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: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2017 2017 2017 2015 Date: 1)----1 � 0 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 and agree to the conditions attached to this permit. Signature✓ch���'�c� L 2/L/ii4 Print Name: atedit Date: /2/2-1 j % O 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 light 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 TUKW Community Development Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Mechanical Permit No. M 0 1 7/ Project No. Date Application Accepted: 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 IN ohiti Site Address: `�D� 3 -� / 1 46 Tenant Name: King Co Assessor's Tax No.: a) q g(pO OD /O Suite Number: PROPERTY OWNER Name: �A �NLt �ed�>�n Address: Ito Email: li (f \ ty\cla t Y ik Y� .Wal 1,.., _ .11 V NI a City:�W` State: wit Zip: kg 4/ CONTACT PERSON— person receiving all project communication 60,\ Name: G\VI�G 4Address:\) , � �� 11'l�� h�er l � Or City: �' tt j . State: w A Zip: rylz `1, Phone:1D ti` %� /c `T1D Fax: A6 _ `,,1,, " 9'14'1! D Email: li (f \ ty\cla t Y ik Y� .Wal 1,.., Floor: New Tenant: ❑ Yes ❑.. No MECHANICAL CONTRACTOR�IN� Company Name: �F�ORMATION l �A,�' twit � ALU 1 h Address: )�,jbx_ 1 .►rui, y or City: �"", 4 State: ,AL1 Zip: (IR to Phone: Imp _ aII 5110 Fax: -U(1 ✓ il d ., i 1.)'1 Contr Reg No.: G LE N\ nn 6 n Exp Date: fl , 02. —I Tukwila Business License No.: 61A, 04434-0 Valuation of project (contractor's bid price Describe the scope of work in detail: ........... blo leu Use: Residential: New ❑ Replacement Commercial: New ❑ Replacement ❑ Fuel Type: Electric ❑ Gas Other: H:\Applications\Forms-Applications On Line\2011 Applications'ldechanical 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 heat/refrig/cooling system l 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 l Incinerator — domestic Incinerator — comm/industrial Unit Type Qty Fire damper Diffuser Thermostat Wood/gas stove Emergency generator Other mechanical equipment l 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 OE OR AUWORIZEDI AGENT: Signature: (am' Dhq.,0.) Print Name: t % ra C o of Mailing Address: 1/1A10),- t $ k))4 R/W)IflA)►, r H:\Applications\Forms-Applications On Line\2011 Applications\Mechanical Permit Application Revised 8-9-11.docx Revised: August 2011 bh Day Telephone: City State Zip Date: I ,b(o-10-' 0D 1Ja q8 �ba Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $267.10 EL18-1100 Address:16053 48TH AVE 5 Apn: 5379800030 $64.10 ELECTRICAL $61.05 PERMIT FEE SINGLE FAMILY R000.322.101.00.00 0.00 I $61.05 TECHNOLOGY FEE $3.05 TECHNOLOGY FEE R000.322.900.04.00 0.00 $3.05 M18-0171 Address: 1605348TH AVE 5 Apn: 5379800030 $203.00 MECHANICAL $193.33 PERMIT FEE R000.322.100.00.00 0.00 $160.18 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $33.15 TECHNOLOGY FEE $9.67 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R16206 R000.322.900.04.00 0.00 $9.67 $267.10 Date Paid: Friday, December 21, 2018 Paid By: GLENDALE HEATING & A/C INC Pay Method: CHECK 012200 Printed: Friday, December 21, 2018 11:07 AM 1 of 1 SYSTEMS INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT N0. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 ffi$ &17j Project: �o4 A-4:7 IX s• Ar Type of Inspection: Al ew,‘" t- r;--14-44-4- '- Address: Address: Date Called: Special Instructions: �s4' Date Wanted: /ZZ -7 Ca p.m. Requester: Phone No: Z426 2.4(0 7/2,Z. i.L Approved per applicable codes. 1 Corrections required prior to approval. COMMENTS: /I%E� Moe- tM.`4-c Inspector: Date z7 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 likk Washington State Department of ,, Labor & Industries tl home Espanol Conthet [Search L&I Safety & Health Claims & Insurance Page 1 of 2 ARCf4 A -Z Index Help My L&1 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 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; 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, GLENDHA053Q2 Effective — expiration 11/22/1995-11/02/2019 Bond No bond accounts during the previous 6 year period. Insurance HDI -Gerling America Insurance $2,000,000.00 Policy no. EGGCD000173416 Received by L&I Effective date 10/15/2018 11/02/2016 Expiration date 11/02/2019 Insurance history Savings (in lieu of bond) $12,000.00 Received by L&I Effective date 10/15/2001 10/15/2001 Help us improve httnsJ/secure.lni.wa.gov/verifv/Detail.asnx?UBI=600003167&LIC=GLENDHA05302&SAW= 12/21/2018 GLENDALE HEATING & A/C INC Release date Impaired date N/A N/A Savings account ID CD499991236613 Savings history 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, u some debts may be recorded by other agencies. License ........ ...... No license violations during the previous 6 year period. Workers' comp Do you know if the business has employees? If so, verify the business Ls up-to-date on workers' comp premiums. L&I Account ID 153,339-00 ............................. Doing business as GLENDALE HEATING &AIR COND Estimated workers reported Quarter 3 of Year 2018 "11 to 20 Workers" L&I account contact T2 / DALE RIUTTA (360)902-4834 - Email: RIUD235@Ini.wa.gov Account is current. Public Works Strikes and Debarments Verify the contractor is eligible to perform work on public works projects. Contractor Strikes No strikes have been issued against this contractor. Contractors not allowed to bid No debarments have been issued against this contractor. Workplace safety and health No inspections during the previous 6 year period. Page 2 of 2 © 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=600003167&LIC=GLENDHA053Q2&SAW= 12/21/2018