HomeMy WebLinkAboutPermit M08-010 - GULLY RESIDENCEGULLY RESIDENCE
13017 MACADAM RD S
M08 -010
Parcel No.: 7340600845
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Value of Mechanical: $4,230.21
Type of Fire Protection:
Furnace: <100K BTU
>100K BTU
Floor Furnace
Suspended/Wall/Floor Mounted Heater
Appliance Vent
Repair or Addition to Heat /Refrig /Cooling System....
Air Handling Unit <10,000 CFM
>10,000 CFM
Evaporator Cooler
Ventilation Fan connected to single duct
Ventilation System
Hood and Duct
Incinerator: Domestic
Commercial/Industrial
doc: IMC -10/06
City 0f Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.ci.tukwila.wa.us
13017 MACADAM RD S TUICW
GULLY RESIDENCE
13017 MACADAM RD S , TUKWILA WA
GULLY PAUL M
13017 MACADAM RD S , TUKWILA WA
Contact Person:
Name: DEBRA COONS
Address: 12462 DES MOINES MEMORIAL DR , SEATTLE WA
Contractor:
Name: GLENDALE HEATING & A/C
Address: 12462 DES MOINES WY S , SEATTLE, WA
Contractor License No: GLENDHA053Q2
DESCRIPTION OF WORK:
REPLACE EXISTING OIL FURNACE WITH NEW OIL FURNACE
MECHANICAL PERMIT
EQUIPMENT TYPE AND QUANTITY
1
0
0
0
0
0
0
0
0
0
0
0
0
0
* *continued on next page **
M08 -010
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 206 660 -2681
Phone: 206- 243 -7700
Expiration Date: 11/02/2009
M08 -010
01/09/2008
07/07/2008
Fees Collected: $175.56
International Mechanical Code Edition: 2006
Boiler Compressor:
0 -3 HP/100,000 BTU 0
3 -15 HP /500,000 BTU 0
15 -30 HP /1,000,000 BTU.. 0
30 -50 HP /1,750,000 BTU.. 0
50+ HP /1,750,000 BTU 0
Fire Damper 0
Diffuser 0
Thermostat 0
Wood /Gas Stove 0
Water Heater 0
Emergency Generator 0
Other Mechanical Equipment
Printed: 01 -09 -2008
Permit Center Authorized Signature:
doc: IMC -10/06
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.ci.tukwila.wa.us
U1API
•
Permit Number: M08 -010
Issue Date: 01/09/2008
Permit Expires On: 07/07/2008
j Date: n 11 o I. /
I hereby certify that I have read and ex ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied 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 mechanical permit. /�)
Signature: (�a44A /f/ /,�' _�ri / � Date: < /�` l/
Print Name: Sg Y Tac, r �'l.P�'"
This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended
or abandoned for a period of 180 days from the last inspection.
M08 -010 Printed: 01 -09 -2008
Parcel No.: 7340600845
Address:
Suite No:
Tenant:
GULLY RESIDENCE
1: ** *BUILDING DEPARTMENT CONDITIONS * **
•
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http://www.ci.tukwila.wa.us
13017 MACADAM RD S TUKW
PERMIT CONDITIONS
•
Permit Number:
Status:
Applied Date:
Issue Date:
M08 -010
ISSUED
01/09/2008
01/09/2008
2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the
Building Official.
3: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to
start of any construction. These documents shall be maintained and made available 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: Water heaters shall be anchored or strapped to resist horizontal displacement due to earthquake motion. Strapping shall
be at points within the upper one -third and lower one -third of the water heater's vertical dimension. A minimum
distance of 4- inches shall be maintained above the controls with the strapping.
8: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Cityof Tukwila
Permit Center.
9: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building
Department (206- 431 - 3670).
10: 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.
doc: Cond -10/06
* *continued on next page **
M08 -010 Printed: 01 -09 -2008
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.ci.tukwila.wa.us
•
I hereby certify that I have read these conditions and will comply with them as outlined. 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 provision of any other work or local laws regulating
construction or the performance of work.
Signature: ‘Ce Z J/A/L,L€4
Print Name: ,l (/U rie
doc: Cond -10/06
Date:
/0
M08 -010 Printed: 01 -09 -2008
SITE LOCATION
i p g Co Assessor's Tax No.:
7 7 I i
Site Address: L `7 0 l I+ �' `Ql CQ da t1'i Ad • D. Suite Number: Floor:
Tenant Name: (� r New Tenant: ❑ Yes ❑ ..No
Property Owners Name: 7I'`g4 1 0 u 1
Mailing Address: 7 V 1 - U / � y / i 7 — fa . Il a)
CONTACT PERSON
Name:
Contact Person:
E -Mail Address:
\applicatiombamit application (7 -2004)
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
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**
P. lo ra (goer► s
Pace 1
PAt
TUKFJILA
,W
Building Permit No.
Mechanical Permit No. 1 . " Gi'1) 1
Public Works Permit No.
Project Igo.
(For office use only)
City
/ `n I Day Telephone: ,06) - (OP 2 ('p
2 - Ip gl
Mailing Address: 1 ` ' y l � "1O I }IJ � U/�yl f v a i W ' a' g vi f
E -Mail Address: ∎t:00 i e._ \ t vdp l t k tafih/J, t
GENERAL CONTRACTOR INFORMATION - (Mechanical Contractor information on back page)
State
00 g 5
Zip
City /_ A
Zip
Fax Number: )D!D
Company Name: G' f i Nt 1 h
Mailing Address: 1 )- - 17 , ii; it \ l/1414 . fl Ii 6014 f,f 41- q/ z
Contact Person: Y(( CD81 5
E -Mail Address:
City 1 State Zip
Day Telephone: ) 6 - a 3 1'706
Fax Number:
Contractor Registration Number: G LE N Expiration Date:
**An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance**
1)- Oz -p1
ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
State
Zip
ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
State
Contact Person:
E -Mail Address:
Zip
I
Unit Type:
Qty
Unit Type:
Qty
Unit Type:
Qty
Boiler /Compressor:
Qty
Furnace 100K BTU
I
Air Handling Unit :10.000
CFM
Fire Damper
0-3 HP! 100.000 BTU
Furnace 100K BTU
Evaporator Cooler
Diffuser
3 -15 HP /500.000 BTU
Floor Furnace
Ventilation Fan
Thermostat
15 -30 HP %1.000.000 BTU
Suspended'Wall -Floor
Mounted Heater
Ventilation System
Wood /Gas Stove
30-50 HP'1.750.000 BTU
Appliance Vent
Hood
Water Heater
50+ H1 BTU
Heat Refrig'Cooling
System
Incinerator - Domestic
Emergency
Generator
Air Handling Unit
<10,000 CFM
Incinerator — Comm /Ind
Other Mechanical
Equipment
•
Contractor Registration Number:
MECHANICAL PERMIT INFORMATION — 206 -431 -3670
MECHANICAL CONT C 9 TOOR INFIOIRMATIION E,
Company Name: I 1,1/411 k I
Mailing Address: 1 L ) �U V ,1 / Q i10
/ City State
22 zip w T
Contact Person: G Doh % Day Telephone: .6Ip �
if
E -Mail Address: ( -0 ti1(15 e ok tAAa L > - k ' e o Fax Number: �D
G l- C N O H 31))._ Expiration Date: o d 0 D Q
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
Valuation of Project (contractor's bid price): $ LI I d• J D . )1
i e of Work (please providetailed ormation).
u ,r , 19 e d ,1 IF i� ,vh.w Gt. Nan) 91) u1)
ITye Residential: New.. ❑ Replacement
Commercial: New .0 Replacement ❑
Fuel Type: Electric ❑ Gas ❑ Other: ) I
Indicate type of mechanical work being installed and the quantity below:
•
PERMIT APPLICATION NOTES — Applicable to all permits in this application
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 extend the time for action by the applicant for a period not exceeding 180 days upon written request by the applicant as
defined in Section 107.4 of the Uniform Building Code (current edition). No application shall be extended more than once.
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 A 0 E AGE
I�IT:
Signature:
Print Name:
Mailing Address:
Vpplicationsipe snit application (7 -2004)
6
L. l� o
? I r) it
�S k Y
Pate 4
D Tele one:
City
Date: 1 2 — I
- 06 ) a c t - - 110 1)
Ufa a g
State Zip
I Date Application Accepted:
o il o
Date Application Expires:
Staff Initials:
Receipt No.: R08 -00068
Payee: GLENDALE HEATING
ACCOUNT ITEM LIST:
Description
MECHANICAL - RES
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: http: / /www.ci.tulwila.wa.us
RECEIPT
Parcel No.: 7340600845 Permit Number: M08 -010
Address: 13017 MACADAM RD S TUICW Status: PENDING
Suite No: Applied Date: 01/09/2008
Applicant: GULLY RESIDENCE Issue Date:
Initials: JEM Payment Date: 01/09/2008 10:31 AM
User ID: 1165 Balance: $0.00
TRANSACTION LIST:
Type Method Description Amount
Payment Check 59697 175.56
Account Code Current Pmts
000/322.100 175.56
Total: $175.56
Payment Amount: $175.56
7022 01/09 9710 TOTAL 175.56
doc: Receiot -06 Printed: 01 -09 -2008
COMMENTS:
Type of Inspection:
r 1 /�
/) / 6. A A C� 1 C v M b UJ f/ J'. r d,
'7 j — v „e ,A46J A
J
l� -r J u
6e.lai - t U >fI.e J l 1 r c..74
.i A- It i•- ex . .3/ I. D
f J k
r �
O a�rr„
/ .
L i ST T vc-ti -t PJ
� � ; f P
(i ir_, r
i .t 50, -' 1 L /A 2
I -
!n f e j : 1
c--. 4\---- To ! ,, J ✓ / C' A >
U �-
c_ 4 ., 1
t-)..... A 4A). ", / Fx .
l• v
(, rr e 1 or • UU/ 3 p4fk
l7jd4.-- 4
Pro' ct:
Type of Inspection:
Ad�� l nAn �� a y/
/ peec ci i ia al res
Called:
S Instructions:
A S �J 61. ^ e i
AST 6ee.A
p d” i
S Y ,fit St.ih am
r
Date W me
O a�rr„
Requester:
Phone No:
—7.6-2W
-96/ 3
race-d/O
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Approved per applicable codes. Corrections required prior to approval.
Inspect
Date Z / fw d �� •
D $58.00 REINSPECTION FEE REQUIRED. Prior o inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Cat i t_he schedule reinspection.
Receipt No.:
Date:
i _,:,.•. : • six! -i3,�
,c,.,•i.,4.�7aL�a - .. _•:t�..,,: �. �.:. w: s!.. �: ia_ b ' sd': a' �1,:« •:o.3a.�:;� ±��Ju,.rs•'tiaa�:s�aT,�sai
License Information
License
GLENDHA053Q2
Licensee Name
GLENDALE HEATING & A/C INC
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
600003167
Ind. Ins. Account Id
Business Type
CORPORATION
Address 1
12462 DES MOINES WY S
Address 2
City
SEATTLE
County
KING
State
WA
Zip
981682266
Phone
2062437700
Status
ACTIVE
Specialty 1
GENERAL
Specialty 2
UNUSED
Effective Date
11/22/1995
Expiration Date
11/2/2009
Suspend Date
Separation Date
Parent Company
Previous License
GLENDHO110PU
Next License
Associated License
Business Owner Information
Name
Role
Effective Date
Expiration Date
HOEFER, ARTHUR A
01/01/1980
HOEFER, GERALD A
01/01/1980
FULTON, DAVID C
01/01/1980
ATWOOD, STANLEY
AGENT
01/01/1980
Look Up a Contractor, Elects or Plumber License Detail
Washington State Department of Labor and Industries
General/Specialty Contractor
A business registered as a construction contractor with L &I to perform
construction work within the scope of its specialty. A General or Specialty
construction Contractor must maintain a surety bond or assignment of
account and carry general liability insurance.
•
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
Page 1 of 3
https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= GLENDHA053Q2 01/09/2008