HomeMy WebLinkAboutPermit M10-053 - CROWLEY RESIDENCECROWLEY RESIDENCE
5101 S 163 PL
M10 -053
Parcel No.: 8700500130
Address:
Suite No:
City.f Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Inspection Request Line: 206 - 431 -2451
Web site: http: / /wwwci.tukwila.wa.us
5101 S 163 PL TUKW
MECHANICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
M10 -053
04/20/2010
10/17/2010
Tenant:
Name: CROWLEY RESIDENCE
Address: 5101 S 163 PL , TUKWILA WA
Owner:
Name: CROWLEY WILLIAM J
Address: 5101 S 163RD PL , SEATTLE WA
Contact Person:
Name: DEBRA COON
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
Phone:
Phone: 206 - 660 -2681
Phone: 206 - 243 -7700
Expiration Date: 11/02/2011
DESCRIPTION OF WORK:
REPLACE EXISTING HEAT PUMP SYSTEM WITH SAME
Value of Mechanical: $9,729.34
Type of Fire Protection: UNKNOWN
Fees Collected: $241.25
International Mechanical Code Edition: 2006
EQUIPMENT TYPE AND QUANTITY
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
0
0
0
0
0
0
0
1
0
0
0
0
0
0
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 Equipment0
* *continued on next page **
doc: IMC -10/06
M10-053
Printed: 04 -20 -2010
•
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Inspection Request Line: 206 - 431 -2451
Web site: http: / /wwwci.tukwila.wa.us
Permit Number: M10 -053
Issue Date: 04/20/2010
Permit Expires On: 10/17/2010
Permit Center Authorized Signature:
Date: Lt--;-0-1 D
I hereby 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 mechanical permit.
Signature: C /llf1 1 Date: 44/c)-0// 0
Print Name: 2a,Valk -11,urifIty
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.
doc: IMC -10/06
M10 -053 Printed: 04 -20 -2010
Parcel No.: 8700500130
Address:
Suite No:
Tenant:
• •
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
5 101 S 163 PL TUKW
CROWLEY RESIDENCE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
M10-053
ISSUED
04/20/2010
04/20/2010
1: ** *BUILDING DEPARTMENT CONDITIONS * **
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.
* *continued on next page **
doc: Cond -10/06
M10 -053 Printed: 04 -20 -2010
• •
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
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
construction or the performance of work.
Signature:
Print Name:
Maj
ra. 1.1,E LAJW
Date: L1/4-0/(0
ordinances governing
or local laws regulating
doc: Cond -10/06 M10 -053
Printed: 04 -20 -2010
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
SITE LOCATION
Site Address:
Mechanical Permit No. VI, IQ- D S3'
Project No.
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 **
6101 D. \) Pi
Tenant Name:
Property Owners Name: A 11} 1 Ci r 1/1� 1 )/
Mailing Address: 510i .SD - 1(03 r r L.
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes ❑ ..No
S700500) 30
City
U AI
State
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name:
,elp Cor0� n
Mailing Address:I ),` bA.- ' l (",>O1 y11� ji yrlprloJ Or
E -Mail Address: G1 u°>7 h �' i�r itI61 I t eats � . Col"
MECHANICAL CONTRACTOR INFORMATION
City
Fax Number:
zob - 660 , zb$►
14-) 5e(-1 3 3 4 ztlf
Company Name: V I Q
Mailing Address: 1)4A- I
Contact Person: Df rti f a-
I 0 0 IOv
00 )112
E -Mail Address: Co0h6 - IC al-
Contractor Registration Number: G I..I✓ N VID' 0 a
City
Day Telephone:
Fax Number:
Via C12 10'
State Zip
)06— L13
Expiration Date:
11'0 e2. —10
ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record
Company Name:
Mailing Address:
Contact Person:
E -Mail 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
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
State
Zip
Ht\Applications\Forms- Applications On Line\2009 Applications \1 -2009 - Mechanical Permit Application.doc
Revised: 1.2009
bh
Page 1 of 2
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
Use: Residential: New
Commercial: New
Fuel Type: Electric
Gas
Replacement
Replacement
0
Other:
Indicate type of mechanical work being installed and the quantity below:
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 Mechanically
Equipment H in pjlynp
Air Handling Unit <10,000
CFM
Incinerator — Comm/Ind
1
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 � �1UT�ZED AGEN��� �U1i�'
Signature: \J
Print Name:
Date:
Mailing Address:
City
State
Zip
Date Application Accepted:
Date Application Expires:
Staff Initials: I
H:\Applications\Forms- Applications On Line\2009 Applications \I -2009 - Mechanical Permit Application.doc
Revised: 1.2009
bh
Page 2 of 2
•
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
Parcel No.: 8700500130
Address: 5101 S 163 PL TUKW
Suite No:
Applicant: CROWLEY RESIDENCE
RECEIPT
Permit Number: M10 -053
Status: PENDING
Applied Date: 04/20/2010
Issue Date:
Receipt No.: R10 -00671
Payment Amount: $241.25
Initials: WER Payment Date: 04/20/2010 11:54 AM
User ID: 1655 Balance: $0.00
Payee: GLENDALE HEATING
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 63374 241.25
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
MECHANICAL - RES
000.322.102.00.00 241.25
Total: $241.25
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 04 -20 -2010
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 -36
C
Project:
Type of Inspecti n:
otiteji
\
Address: ' / 43
Date Called r--0"
Special Instructions:
(ASP P >. ,.
Pt) /ti r •
''-
Date Wanted ) _I, r 0
a.
p.m.
Requester:
Phone No:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
eXAk 60 gyp(
tor:
$60.00 REINSPECTION EE REQUI D. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspe
Date:
Receipt No.:
Date:
Contractors or Tradespeople Peer Friendly Page
•
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
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
Glendale Heating & A/C Inc
2062437700
12462 Des Moines Wy S
Seattle
Wa
981682266
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
600003167
Active
GLENDHA053Q2
Construction Contractor
11/22/1995
11/2/2011
General
Unused
Other Associated Licenses
License
Name
Type
Specialty 1
Specialty 2
Effective
Date
Expiration
Date
Status
GLENDH0110PU
Glendale
Heating
&Amp;
Oil Co
Inc
Construction
Contractor
General
Unused
10/31/198911/2/1995
01/01/1980
Archived
GLENDO`237DM
Glendale
Oil Co
Inc
Construction
Contractor
Boiler /Steam
Fit /Proc
Piping
Air
Heat,Ventilation,Evaporat
3/14/1977
11/2/1989
Archived
Business Owner Information
Name
Role
Effective Date
Expiration Date
Hoefer, Arthur A
&Nbsp;
01/01/1980
Received Date
Hoefer, Gerald A
&Nbsp;
01/01/1980
Until
Released
Fulton, David C
&Nbsp;
01/01/1980
10/15/2001
Atwood, Stanley
Agent
01/01/1980
Until
Released
Bond Information No records found for the previous 6 year period
Assignment of Savings Information
Page 1 of 1
Savings
Assignment of Savings Account Number
Effective Date
Release Date
Assignment Type
Impaired Date
Amount
Received Date
3
CD499991236613
10/15/2001
Until
Released
Bond
11/02/2010
$12,000.00
10/15/2001
2
2070117755
10/11/1983
Until
Released
Bond
11/02/2002
$6,000.00
10/19/2001
1
08 101775
3/11/1977
Until
Released
Bond
$1,000.00
1/20/2009
Insurance Information
Insurance
Company Name
Policy Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Amount
Received Date
10
FEDERATED
MUTUAL INS CO
715288
11/02/2004
11/02/2010
$1,000,000.00
09/18/2009
9
FEDERATED
MUTUAL INS CO
715288
11/02/2002
11/02/2004
$1,000,000.00
09/23/2003
Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period
https://fortress.wa.gov/lni/bbip/Print.aspx
04/20/2010