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Home My WebLink AboutPermit M10-131 - SIEGEL 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. M10-131 Siegel Residence 5651 South 144th Street 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. SIEGEL RESIDENCE 5651 S 144 ST M10 -131 City o*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: //www.ci.tukwila.wa.us MECHANICAL PERMIT Parcel No.: 3365900466 Address: 5651 S 144 ST TUICW Project Name: SIEGEL RESIDENCE Permit Number: M10 -131 Issue Date: 09/28/2010 Permit Expires On: 03/27/2011 Owner: Name: SIEGEL ROBERT W Address: 5651 S 144 , TUKWILA WA 98168 Contact Person: Name: SARAH TURNER Address: 12462 DES MOINES MEMORIAL DR , SEATTLE WA 98168 Email: SARAHT @GLENDALEHEATING.COM Contractor: Name: GLENDALE HEATING & A/C Address: 12462 DES MOINES WY S , SEATTLE, WA 98168 Contractor License No: GLENDHA053Q2 Phone: 206 - 243 -7700 Phone: 206 - 243 -7700 Expiration Date: 11/02/2011 DESCRIPTION OF WORK: REPLACE EXISTING OIL FURNACE WITH SAME Value of Mechanical: $4,336.50 Fees Collected: $195.90 Type of Fire Protection: UNKNOWN International Mechanical Code Edition: 2009 Permit Center Authorized Signature: Date: 9-.10-10 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: .� 4/(/)/ Date: 9/2-S1/0 Print Name: &A mil' i v 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 -4/10 M10-131 Printed: 09 -28 -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 Parcel No.: 3365900466 Address: 5651 S 144 ST TUKW Suite No: Tenant: SIEGEL RESIDENCE PERMIT CONDITIONS Permit Number: M10 -131 Status: ISSUED Applied Date: 09/28/2010 Issue Date: 09/28/2010 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 City of Tukwila Building Department (206- 431- 3670). 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 -131 Printed: 09 -28 -2010 • City of Tukwila �/ \2 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: 1, Print Name: Q�. VAl Tury K Date: doc: Cond -10/06 M10 -131 Printed: 09 -28 -2010 CITY OF TUK6..LA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us 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 Address: 5)5) S / 41-1 <St King Co Assessor's Tax No.: 3362 5 goo 4 (0 ( Tenant Name: Property Owners Name: l� OYX,i' I S/ ( G7 Pi Mailing Address: ✓✓ Suite Number: New Tenant: Floor: ❑ Yes ❑..No City State Zip • Name: [ irCc TLl -rYIQ i/ y� Day Telephone: 2—C)(.0 / / 24 3 7700 Mailing Address: / 24(, 2- S / 1l C li✓12 Mee. hr. Se'r_z h A (N. 952 / e City Number: !9 Stat2 3 ' i E -Mail Address: Sa rah - 0 len o 12PC VC co Company Name: l.-t Mailing Address: Contact Person: ala k efv. . , V E -Mail Address: Contractor Registration Number: City r r Day Telephone: 2-06 2 -4{' 3 -7 "103 Fax Number:(] 74-3 $ 4( Expiration Date: /11 Z' b State Zip Company Name: Mailing Address: City Day Telephone: Fax Number: Contact Person: E -Mail Address: State Zip Company Name: Mailing Address: Contact Person: E -Mail Address: H:\Applications\Fonns- Applications On Line\2010 Applications \7 -2010 - Mechanical Permit Application.doc Revised: 7 -2010 bh City Day Telephone: Fax Number: State Zip Page 1 of 2 Valuation of project (contractor's bid price): $ Scope of work (p` lease provide iletaile information): Q zAniOvQ cud (97 1a-( SL.... p —fTl 6:1-( l u r 4133.,10 Use: Residential: New ❑ Replacement Commercial: New ❑ Replacement ❑ Fuel Type: Electric ❑ Gas ❑ Other: Indicate type of mechanical work being installed and the quantity below: C4 ## }{ t }��,: �wN` VW PFt-, wy a al« � ' " t :'` xW Y J �'"P` I 3"�'l 3 •:Ta 'ds k �4 Y 4. ;�I SsUnitT rye h: "# q°, `th "`�] I ry� N -et,.y, i I ess 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 connected to single duct thermostat 15 -30 hp /1,000,000 btu suspended/wall/floor mounted heater ventilation system wood/ as stove g 30 -50 hp/1,750,000 btu appliance vent hood and duct emergency generator 50+ hp /1,750,000 btu repair or addition to P heat/refrig /cooling system Incinerator — domestic other mechanical equipment air handling unit <10,000 cfm incinerator — comm/ind IDate Application Accepted: 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 OWNJR OR AUTHO ' ED AGENT: Signature: ��(/ / Print Name: S3i a k (,U1/L (/ Date: //4//` 0 Day Telephone: Mailing Address: City State Zip Date Application Expires: Staff Initials: H:Wpplications\Fotms- Applications On Line\2010 Applications \7 -2010 - Mechanical Permit Application.doc Revised: 7 -2010 bh Page 2 of 2 MECHANICAL CO Company Name: Mailing Address: • a i i a RMATION — 206 - 431 -3670 O� rr1LL T I +I L�.) 1 ' � . J44 1 / P Shou�ti 5�d City fate Zip \ Contact Person: - � � f9 0 4 Da }� Telephone: � � -b 0 r�gof �j E -Mail Address: (1Ct Dh S r h1 XI ein 1O 1 h . Cf� k1" Fax Number: aQ (Q t) 3 ` b 31i ti Contractor Registration Number: G LE N'l H 1D'3 QZ- Expiration Date: ) "t 0 * *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): $ L13 7 6 • ' (D Scope of Work (please provide detailed information): VI pp eI 4X � 1) `1u r i pl,(,f W/ j Use: Residential: New .... ❑ Replacement .... Commercial: New .... ❑ Replacement .... ❑ Fuel Tvpe: Electric ❑ Gas .... ❑ Other: D1) Indicate type of mechanical work being installed and the quantity below: Unit Type: Qty Unit Type: Qty Unit Type: Qty Boiler /Compressor: Qty Furnace<I00K BTU l 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 Systeni Wood /Gas Stove 30-50 HP /1.750.000 BTU Appliance Vent and Duct Water Heater 50+ HP /1.750,000 BTU . Repair or Additin to Heat/Refrig/Cooling System Incinerator - Domestic Emergency Generator Air Handling Unit <10,000 am Incinerator - Comm/Ind Other Mechanical Equipment 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 grant one or more extensions of time for additional periods not exceeding 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 O' .. ORIZED�� Signature: AVM A Print Name: S Mailing Address: 1 a� f Day Te eph V '4/1 0r City Date: q.4 I) 2-010 Vht 81k State Zip Date Application Accepted: Date Application Expires: Staff Initials: • q:\lpetmns plusba chmges'pennn eppl�cepon (7- Revised: 6-8-05 bh Page 4 • • 1"--- w 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 RECEIPT Parcel No.: 3365900466 Permit Number: M10 -131 Address: 5651 S 144 ST TUKW Status: PENDING Suite No: Applied Date: 09/28/2010 Applicant: SIEGEL RESIDENCE Issue Date: Receipt No.: R10 -01909 Payment Amount: $195.90 Initials: WER Payment Date: 09/28/2010 11:05 AM User ID: 1655 Balance: $0.00 Payee: GLENDALE HEATING AND AIR CONDITIONING TRANSACTION LIST: Type Method Descriptio Amount Payment Check 63981 195.90 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts MECHANICAL - RES 000.322.102.00.00 195.90 Total: $195.90 doc: Receiot -06 Printed: 09 -28 -2010 INSPECTION RECORD Retain a copy with permit (Y / INSPECTION NO. • PERMIT NO. CITY OF TUKWILA BUILDING DIVISION *— 6300 Southcenter Blvd, #100:Tukwila. WA 98188 (206) 431-36 Permit Inspection Request Line (206) 431-2451 ProjoEt: 5 1 e6k4 ,e,ejt ,, ti Type of Inspecon. )4,,t, Address. 5-- f 5. I.4.4 1.r, ( Date Called: -----`) Special Instructions: . (:),, re.p(Ace 0.1 AL" 1 • _ Date Wanted: i 0 ..-- ........s• ."3 1.!........)trii: Requester: Phone No: IRO (0 — 2-43 Approved per applicable codes. Corrections required prior to approval. 870 COM NTS: -?e.mi — Ritiv a • `. ECTION F E REQUIRED. P ior to net inspection. fee 'must be 6300 Southcenteralvd.. te 100. Call to schedule reinspection. ••• Contractors or Tradespeople Peter Friendly Page • General /Specialty Contractor A business registered as a construction contractor with Lai 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 Et 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 GLENDHO110PU GLENDALE HEATING 8 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 /Prot Piping Air Heat,Ventilation,Evaporat 3/14/1977 11/2/1989 Archived Business Owner Information Name Role Effective Date Expiration Date HOEFER, ARTHUR A Impaired Date 01/01/1980 Received Date HOEFER, GERALD A CD499991236613 01/01/1980 Until Released FULTON, DAVID C 11/02/2011 01/01/1980 /2001 ATWOOD, STANLEY Agent 01/01/1980 1/20/2009 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 11/02/2011 $12,000.0010/15 /2001 2 3/11/1977 1/20/2009 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 11/02/2011 $1,000,000.00 09/27/2010 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 Warrant Information No unsatisfied warrants on file within prior 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 09/28/2010