HomeMy WebLinkAboutPermit M09-112 - WILKINS RESIDENCEThis record contains information which is exempt from public disclosure
pursuant to the Washington State Public Records Act, Chapter 42.56 RCW
as identified on the Digital Records Exemption Log shown below.
M09 -112
Wilkin Residence
1602446 th Avenue South
RECORDS DIGITAL D- ) EXEMPTION LOG
THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION
Page # tode Exemption = 8rlef Explanatory DeSclriptiop �t�tutel ule
The Privacy Act of 1974 evinces Congress'
intent that social security numbers are a private
concern. As such, individuals' social security
Personal Information —
numbers are redacted to protect those
Social Security Numbers
individuals' privacy pursuant to 5 U.S.C. sec.
5 U.S.C. sec.
DR1
Generally — 5 U.S.C. sec.
552(a), and are also exempt from disclosure
552(a); RCW
552(a); RCW
under section 42.56.070(1) of the Washington
42.56.070(1)
42.56.070(1)
State Public Records Act, which exempts under
the PRA records or information exempt or
prohibited from disclosure under any other
statute.
Redactions contain Credit card numbers, debit
card numbers, electronic check numbers, credit
Personal Information —
expiration dates, or bank or other financial
RCW
11
DR2
Financial Information —
account numbers, which are exempt from
42.56.230(5)
RCW 42.56.230(4 5)
disclosure pursuant to RCW 42.56.230(5),
except when disclosure is expressly required by
or governed by other law.
WILKIN RESIDENCE
16024 46 AV S
M09 -112
Parcel No.: 1922500010
Address:
Suite No:
16024 46 AV S TUKW
Cityy.f Tukwila
Tenant:
Name: WILKINS RESIDENCE
Address: 16024 46TH AVE S , TUKWILA WA
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http://www.dtukwila.wa.us
Owner:
Name: WILKINS KATHY R +WILKINS,GER
Address: 16024 46TH AVE S , SEATTLE WA
MECHANICAL PERMIT
Contact Person:
Name: GLENDALE HEATING
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 OIL FURNACE WITH SAME
Value of Mechanical: $1,040.00
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
C onunercial/Industrial
doc: IMC -10/06
EQUIPMENT TYPE AND OUANTITY
1
0
0
0
0
0
0
0
0
0
0
0
0
0
* *continued on next page **
M09 -112
•
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 206 241 -7700
Phone: 206 - 243 -7700
Expiration Date: 11/02/2009
M09 -112
09/17/2009
03/16/2010
Fees Collected: $157.03
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 0
Printed: 09 -17 -2009
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complie
Signature:
Print Name:
doc: IMC -10/06
di/
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
x
wi
Permit Number: M09 -112
Issue Date: 09/17/2009
Permit Expires On: 03/16/2010
Date: V°t ` 1 "1 f T1
n ed t permit and know the same to be true and correct. All provisions of law and ordinances
, 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.
atra,k 71,craizK
Date: ( 1 / n/
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.
M09 -112 Printed: 09 -17 -2009
Parcel No.: 1922500010
Address:
Suite No:
Tenant:
16024 46 AV S TUKW
WILKINS RESIDENCE
1: ** *BUILDING DEPARTMENT CONDITIONS * **
� r
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
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
M09 -112
ISSUED
09/17/2009
09/17/2009
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 **
M09 -112 Printed: 09 -17 -2009
I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and
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 arty other work
construction or the performance of work.
Signature:
Print Name:
•
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
doc: Cond -10/06 M09 -112
Date:
7/o9
ordinances governing
or local laws regulating
Printed: 09 -17 -2009
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: //www. ci. tukwila. wa. us
Site Address:
Tenant Name:
Property Owners Name:
Mailing Address: lh° a
Name:
Mailing Address: L
MECHANICAL PERMIT APPLICATION
CONTACT : PERSON -' Who do we'contact when your is 4ready:to be issued
G\
E -Mail Address: CO(Mq 1)141614,41 I n , yhr
CONTRACTOR 'INFORMATION
MECHANICAL CON ION -
. .
Company Name:
Mailing Address: 06711 Contact Person: to hi;
E -Mail Address: 4(490Y/S I ? 40 t t h Sn • 41
Contractor Registration Number: Li 'LE
N �� P1I1� )-
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
H:Wpplications\Pomu- Applications On Line \2009 Applications \I -2009 - Mechanical Permit Application.doc
Revised: 1 -2009
bh
Mechanical Permit No.
•
Project No.
For office use only)
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.:
Suite Number: Floor:
New Tenant: ❑ Yes ❑..No
Ow
IgaX5pD010
Day T-lepho
a. 2
I �ti� l 1
City St e g l J Zip.
Fax Number: )to 0 "I
yv q R ib6
Z ip
State
A 6 1 ,a
Fax Number: - 44 i y a
Expiration Date: 11 3 1
•
City State Zip
Day Telephone:
'Alt Must, b e,wet stamped:by "A rc h i t ect of R ecord;
' =_
Zip
City
Day Telephone:
Fax Number:
ENGINEER OF RECORD.— All plans must be'wet stamped by Engineer of Record
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
State
Zip
Page 1 of 2
Unit Type:
Qty
Unit Type:
Qty
Unit Type: •
Qty .
•Boiler /Compressor:
Qty
Furnace <100K BTU
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 Connected
to Single Duct
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 and Duct
Emergency Generator
50+ HP/1,750,000 BTU
Repair or addition to
Heat/Refrig/Cooling System
Incinerator — Domestic
Other Mechanical
Equipment
Air Handling Unit <10,000
CFM
Incinerator — Comm/Ind
b1b.��j pp�r I W / L���Q
Scope of Work (please provide detailed information): u Ol ! � �
Valuation of Project (contractor's bid price): $
Use: Residential: New ❑ Replacement 021
Commercial: New ❑ Replacement ❑
Fuel Type: Electric ❑ Gas ❑
Indicate type of mechanical work being installed and the quantity below:
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 0 AU HORIZEI
Signature: k , )
Print Name:
Mailing Address: \
Date Application Expires:
Date Application Accepted:
• •
H.1Applications\Forms- Applications On Line12009 Applications11.2009 • Mechanical Permit Application.doe
Revised'. 1 -2009
bh
Other: O y 1
Date: D t
Day Tele hne: i 1 ? 11
City
State
Staff Initials:
Zip
Page 2 of 2
Parcel No.: 1922500010
Address: 16024 46 AV S TUKW
Suite No:
Applicant: WILKINS RESIDENCE
Receipt No.: R09 -01458
•
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
Payee: GLENDALE HEATING & AIR CONDITIONING
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 62397 157.03
Authorization No.
ACCOUNT ITEM LIST:
Description
MECHANICAL - RES
RECEIPT
Account Code Current Pmts
000.322.102.00.0 157.03
Total: $157.03
•
Permit Number: M09 -112
Status: PENDING
Applied Date: 09/17/2009
Issue Date:
Payment Amount: $157.03
Initials: JEM Payment Date: 09/17/2009 01:16 PM
User ID: 1165 Balance: $0.00
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 09 -17 -2009
Project: � , r i_, •
/fi J . (► eR
Type of�$Ac ' \
Address:
?�
Date Called:
Special Instructions:
a '�
Date Wanted: "`, a.m.
Requester:
Phone No:
7J) 6-7,4g —1168
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION 1 ' -
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)431 -3b7
COMMENTS:
M ► i Olt-vn
r i
Inspect
Rec
60.0
paid
I REINSPECTION FEE ' EOUIREDJPrior to inspection, fee / must be
t 6300 Southcenter Blvs., Suite 1 0. Call to schedule reinspection.
ei• No.:
D
Z Z'
Date:
Approved per applicable codes. Corrections required prior to approval.
License
Name
Type
Specialty 1
Specialty 2
Effective
Date
Expiration
Date
Status
GLENDH0110PU
GLENDALE
HEATING
& OIL CO
INC
CONSTRUCTION
CONTRACTOR
GENERAL
UNUSED
10/31/1989
11 /2/1995
ARCHIVED
GLENDO *237DMOILCO
GLENDALE
INC
CONSTRUCTION
CONTRACTOR
BOILER /STEAM
FIT /PRO
PIPING
AIR
HEAT,VENTILATION,EVAPORAT3 /14/1977
11/2/1989
ARCHIVED
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
1
FIDELITY &
DEPOSIT
CO
30132423
11/02/1987
11/02/1988
01/01/1980
ATWOOD, STANLEY
AGENT
Name
Role
Effective Date
Expiration Date
HOEFER, ARTHUR A
Impaired
Date
01/01/1980
Received
Date
HOEFER, GERALD A
CD49999123661310/15/2001u
01/01/1980
FULTON, DAVID C
10/15/2001
01/01/1980
ATWOOD, STANLEY
AGENT
01/01/1980
Savings
Assignment of
Savings Account
Number
Effective
Date
Release
Date
Assignment
Type
Impaired
Date
Amount
Received
Date
3
CD49999123661310/15/2001u
Bond
$12,000.00
10/15/2001
Untitled Page
•
1
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.
Business and Licensing Information
Name GLENDALE HEATING Et A/C
INC
Phone 2062437700
Address 12462 DES MOINES WY S
Suite /Apt.
City
State
Zip
County
Business Type
Parent
Company
SEATTLE
WA
981682266
KING
Corporation
UBI No. 600003167
Status ACTIVE
License No. GLENDHA053Q2
License Type CONSTRUCTION
CONTRACTOR
Effective Date 11/22/1995
Expiration
Date
Suspend Date
Specialty 1 GENERAL
Specialty 2 UNUSED
11/2/2009
Other Associated Licenses
Page 1 of 2
Business Owner Information
Bond Information
Assignment of Savings Information
https: // fortress .wa.gov /lni/bbip/Detail.aspx 09/17/2009