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Home My WebLink AboutPermit M12-189 - ORN 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. M12 -189 Orin Residence 1341548 th Avenue South RECORDS DIGITAL D- ) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION F,age # Code Exemption � � �� Brief Explsnatoty Description, Statute /Rule The Privacy Act of 1974 evinces Congress' intent that Personal Information — social security numbers are a private concern. As such, individuals' social security numbers are Social Security Numbers redacted to protect those individuals' privacy pursuant 5 U.S.C. sec. DR1 Generally — 5 U.S.C. sec. to 5 U.S.C. sec. 552(a), and are also exempt from 552(a); RCW 552(a); RCW disclosure under section 42.56.070(1) of the 42.56.070(1) 42.56.070(1) Washington 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 Personal Information — numbers, electronic check numbers, credit expiration 9 DR2 Financial Information — dates, or bank or other financial account numbers, RCW RCW 42.56.230(4 5) which are exempt from disclosure pursuant to RCW 42.56.230(5) 42.56.230(5), except when disclosure is expressly required by or governed by other law. ORN RESIDENCE 13415 48 AV S EXPIRED 0(r03-13 M12 -189 City *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.TukwilaWA.gov MECHANICAL PERMIT Parcel No.: 2613200025 Address: 13415 48 AV S TIIKW Project Name: ORN RESIDENCE Permit Number: Issue Date: Permit Expires On: M12 -189 12/05/2012 06/03/2013 Owner: Name: ORN ELEANOR DIANE Address: 13415 48TH AVE S , TUKWILA WA 98168 Contact Person: Name: Address: Email: DEBRA COONS 12462 DES MOINES MEMORIAL DR , SEATTLE WA 98168 D C OONS @ GLENDALEHEATING. C OM Contractor: Name: GLENDALE HEATING & A/C Address: 12462 DES MOINES WY S , SEATTLE, WA 98168 Contractor License No: GLENDHA053Q2 Phone: 206 660 -2681 Phone: 206 - 243 -7700 Expiration Date: 11/02/2013 DESCRIPTION OF WORK: REPLACE OIL FURNACE WITH SAME Value of Mechanical: $4,523.45 Type of Fire Protection: UNKNOWN Electrical Service Provided by: Permit Center Authorized Signature: I hereby certify that I have read and e governing this work will be complied Fees Collected: International Mechanical Code Edition: $195.90 2009 Date: 2-1C— (2 d this permit and know the same to be true and correct. All provisions of law and ordinances hether specified herein or not. The granting of this permit does not pres construction or the performance of work. back of this permit. e to give authority to violate or cancel the provisions of any other state or local laws regulating I am authorized to sign and obtain this mechanical permit and agree to the conditions on the Date:Lcb C. . ` .. 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 M12 -189 Printed: 12 -05 -2012 • • PERMIT CONDITIONS Permit No. M12-189 1: ** *BUILDING DEPARTMENT 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 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. doc: IMC -4/10 M12 -189 Printed: 12 -05 -2012 Site Address: Tenant Name: Property Owners Name: '' }} �[ 118L) D(i & V yl Mailing Address: 1 ',y 1 b C;0 , CITY OF TUK v✓ILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwilawa.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 ** X84 King Co Assessor's Tax No.: )44 1 )4 p D) Suite Number: New Tenant: Floor: ❑ Yes ❑..No Name: �► g h�i Mailing Address: E -Mail Address: City State Zip Day Telephone: Z6 6 6 0 " City Fax Number: State Zip Company Name: Mailing Address: rti Contact Person: f ,13i' C9t11 i4' E -Mail Address: (3 GobfrI�i F �` i]nGGI � � V t �U�) lit/ , j�✓I Contractor Registration Number: el L C 1 \! rl H A V c) zj Q Company Name: Mailing Address: Contact Person: E -Mail Address: City State Z ;p Day Telephone: - 660 - a`6 � Ir Fax Number: 1N,-.) Expiration Date: 1) - 0). `1 City Day Telephone: Fax Number: State Zip Company Name: Mailing Address: Contact Person: E -Mail Address: H:\Applications\Porms- Applications On Line\2010 Applications \7 -2010 - Mechanical Permit Application.doc Revised: 7 -2010 bh City State Zip Day Telephone: Fax Number: Page 1 of 2 Valuation of project (contractor's bid price): $ Scope of work (please provide detailed information): W (0j qurrota 4kGtifyilq Use: Residential: New Commercial: New Fuel Type: Electric ❑ Gas Replacement Replacement Other: Indicate type of mechanical work being installed and the quantity below: o; I y■� lrt y 1 � t f df ` knit e� °� r �� ? �C v�.Ye. `Y$iRE£.�` .�`� 4�' � t-s t t it ee: a Ate, t A=. 7 t T Ma. 4 '?A .�+ 3tP � r t: � Sy P��y'�?a.,. '�-�� d;; 9 r; � 4V N 4 AJV 3 f�Ra ! P ! t 1 COQ � w 7W . � 0 . � 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 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 0 Oil ). AUTHO�ZEInIGENT• V Signature: i 1ll( A j Print Name: L_ 1 , L. Co '� y Mailing Address: ) 9'--1 k) I + ,t f n4 )v/yj'jf jv I G t JY Date: ) oZ.) L/ l i 1 Day T leph ne: i► / / 1 0 / qge City State Zip Date Application Expires: H:\Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Mechanical Permit Application.doc Revised: 7 -2010 bh Staff Initials: r_ c 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.TukwilaWA.gov Parcel No.: 2613200025 Address: 13415 48 AV S TUKW Suite No: Applicant: ORN RESIDENCE RECEIPT Permit Number: M12 -189 Status: PENDING Applied Date: 12/05/2012 Issue Date: Receipt No.: R12 -03255 Payment Amount: $195.90 Initials: JEM Payment Date: 12/05/2012 11:46 AM User ID: 1165 Balance: $0.00 Payee: GLENDALE HEATING AND AIR CONDITIONING TRANSACTION LIST: Type Method Descriptio Amount Payment Check 67172 195.90 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts MECHANICAL - RES 000.322.102.00.00 195.90 Total: $195.90 dnr.• RAraint -OS Printed• 12 -05 -2012 05 -01 -2013 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director DEBRA COONS 12462 DES MOINES MEMORIAL DR SEATTLE WA 98168 RE: Permit No. M12 -189 ORN RESIDENCE 13415 48 AV S TUKW Dear Permit Holder: In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and /or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 06/03/2013. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. -or- Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 06/03/2013, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, er Marshall t Technician File: Permit File No. M12-189 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206 -431 -3670 • Fax 206 -431 -3665 Contractors or Tradespeople Poter Friendly Page • General /Specialty Contractor A business registered as a construction contractor with L&l 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 Memorial Dr 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 11/2/2013 General Unused License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status GLENDH0110PU GLENDALE HEATING Et 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, GERALD ARTHUR President 11/22/1995 Received Date FULTON, DAVID CURTIS Secretary 11/22/1995 Until Released ATWOOD, STANLEY Agent 01/01/1980 06/26/2012 HOEFER, ARTHUR A Treasurer 01/01/1980 09/30/2011 Bond Information No records found for the previous 6 year period Assignment of Savings Information Page 1 of 2 Savings Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 3 3/11/1977 1/20/2009 Bond 0715288 $1,000.00 1/20/2009 Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 12 Continental Western Ins Co CDP2976203 11/02/2012 11/02/2013 $1,000,000.00 10/31/2012 11 WESCO INSURANCE COMPANY WPP101953800 11/02/2010 11/02/2013 $1,000,000.00 10/17/2012 10 FEDERATED MUTUAL INS CO 0715288 11/02/2004 11/02/2011 11/23/2010 $1,000,000.00 09/27/2010 Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 12/05/2012