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Permit M14-0045 - GODSEY RESIDENCE - GAS FURNACE
This 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. M14-0045 GODSEY RESIDENCE –GAS FURNACE th 4240 South 146Street DIGITAL RECORDS (DR)EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDESTHE FOLLOWING REDACTED INFORMATION Page #CodeExemptionBrief Explanatory DescriptionStatute/Rule 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. 552(a), and are also exempt from disclosure 552(a); RCW DR1Generally –5 U.S.C. sec. under section 42.56.070(1) of the Washington 42.56.070(1) 552(a); RCW State Public Records Act, which exempts under 42.56.070(1) 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 account numbers, which are exempt from 9DR2Financial Information – 42.56.230(5) disclosurepursuant to RCW 42.56.230(5), RCW 42.56.230(45) except when disclosure is expressly required by or governed by other law. Personal Information – Redactions contain information used to prove RCW Driver’s License. –RCW identity, age, residential address, social security 42.56.230 (7a DR3 number or other personal information required to 42.56.230 & c) apply for a driver’s license or identicard. (7a & c) Redacted content contains a communication between client and attorney for the purpose of obtaining or providing legal advice exempt from RCW Attorney-Client Privilege –disclosure pursuant to RCW 5.60.060(2)(a), 5.60.060(2)(a); RCW 5.60.060(2)(a); RCW which protects attorney-client privileged DR4 RCW 42.56.070(1)communications, and RCW 42.56.070(1), which 42.56.070(1) protects, under the PRA, information exempt or prohibited from disclosure under another statute. GODSEY RESIDENCE 4240 S 146 ST EXPIRED 08/11/14 M14-0045 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206-438-9350 Web site: http://www.TukwilaWA.gov MECHANICAL OTC PERMIT Parcel No: 0040000446 Permit Number: M14-0045 Address: 4240 S 146 ST Issue Date: 2/12/2014 Permit Expires On: 8/11/2014 Project Name: GODSEY RESIDENCE Owner: Name: GODSEY MICHAEL E Address: 4240 S 146TH ST, SEATTLE, WA, 98168 Contact Person: Name: RANDY HOEFER Phone: (206) 243-7700 Address: 12462 DESMOINES MEMORIAL DR , SEATTLE, WA, 98168 Contractor: Name: GLENDALE HEATING & A/C Phone: (206) 243-7700 Address: 12462 DES MOINES WY S , SEATTLE, WA, 98168 License No: GLENDHA053Q2 Expiration Date: 11/2/2015 Lender: Name: Address: DESCRIPTION OF WORK: INSTALL HOMEOWNER PROVIDED 90% EFFICIENT GOODMAN GAS FURNACE Valuation of Work: $0.00 Type of Work: REPLACEMENT Fuel type: GAS Fees Collected: $102.38 Electrical Service Provided by: SEATTLE CITY LIGHT Water District: 125 Sewer Distric: VALLEY VIEW SEWER SERVICE Current Codes adopted by the City of Tukwila: Internations Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: 2012 International Fuel Gas Code: 2012 WA Cities Electrical Code: 2012 WA State Energy Code: 2012 2012 2012 2012 Permit Center Authorized Signature: Date: 04 21 1(1 I hearby 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 development permit and agree to the conditions attached to this permit. Signature: QDate:/2 7 i Print Name: CY PIA // This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. PERMIT CONDITIONS: 1: ***MECHANICAL PERMIT 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 record card and approved construction documents shall be kept at the site of work and shall be open to inspection by the Building Inspector 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. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 1800 MECHANICAL FINAL 0701 ROUGH -IN MECHANICAL CITY OF TUKWI. Community Developntesut Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Mechanical Permit No. Project No. Date Application Accepted: ©� Date Application Expires: (For office use only) 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 LOCATION Site Address: 42_40 S t 14-ft, Tenant Name: Mike C oc k su PROPERTY OWNER Name: NM Cod seJ c� Address: 4,240 5, 14(041,... tJ�rP :✓'% City._ Lai (A State: i . /A` Zip: 9, 1(A CONTACT PERSON — person receiving all project communication Name: rQ „ , _ ,3 e .t.lh �-7 vi /((,e1 Address:a1 ,t f'�Ci. 1bC.s u1"� to +& I�/l.�('tit , 6 r City: State: t - k Zip:g ( ( Phone: 2_0(0' ,,3 '--riQ11 ax: Lo &_243 _ 344_ Email: ra l4t-t 140A tP GI di 6 ' (r'141 ' (:,YY King Co Assessor's Tax No.: 0 U 4 000 - 044-G Suite Number: Floor: New Tenant: ❑ Yes ❑ ..No MECHANICAL CONTRACTOR INFORMATION Company Name: 61 (e n J _ j-e (�.D„ �,r A i rCo.,, n c Ifu -t11� t l� Address 12 t02 bec A c` _s Maw l "` a r City: „ 1 . State: t , ( Zip9y(w, Phone: hQ (o "2473,1U U Fax: so (a / 4_3 g344 Contr Reg No. LE -No f 40S364xp Date: 1 t'2 I 1 S Tukwila Business License No.: 0 �-- '0 (A I ? 11 Valuation of project (contractor's bid price): $ 9 3 (o • 5/ Describe the scope of work in detail: I S 1„ C vod vv4Ccv ( r) Use: Residential: New ❑ Replacement Commercial: New 111 Replacement ❑ s Imo{ 90-e.04' Fuel Type: Electric ❑ Gas 1SK Other: H:\ApplicationsWorms-Applications On Line\2011 Applications\Mechanical Permit Application Revised 8-9-11.docx Revised: August 2011 bh Page 1 of 2 Indicate type of mechanical work being installed and the quantity below: Unit Type Qty Furnace <100k btu I Furnace > l 00k btu Floor furnace Suspended/wall/floor mounted heater Appliance vent Repair or addition to heat/refrig/cooling system Air handling unit <10,000 cfm Unit Type Qty Air handling unit >10,000 cfm Evaporator cooler Ventilation fan connected to single duct Ventilation system Hood and duct Incinerator — domestic Incinerator — comm/industrial Unit Type Qty Fire damper Diffuser Thermostat Wood/gas stove Emergency generator Other mechanical equipment Boiler/Compressor Qty 0-3 hp/100,000 btu 3-15 hp/500,000 btu 15-30 hp/1,000,000 btu 30-50 hp/1,750,000 btu 50+ hp/1,750,000 btu 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. Signature: S/1E--2. Print Name: Y1J BUILDING OWNER OR AUJki'L€i D AGENT: �� 0� Date: `- � (� ,� Day Telephone: 2( O- 24-3-7700 Mailing Address: 12_4(0 2- ij S 1 l 0 ,`� 1 O 6 , ealax , K1A 9g v( City State Zip H:\Applications\Forms-Applications On Line\2011 Applications\Mechanical Permit Application Revised 8-9-11.docx Revised: August 2011 bh Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK I ACCOUNT I QUANTITY I PAID $102.38 M14-0045 Address: 4240 S 146 ST Apn: 0040000446 $102.38 MECHANICAL $97.50 PERMIT FEE R000.322.100.00.00 $65.00 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 $32.50 TECHNOLOGY FEE $4.88 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R1235 R000.322.900.04.00 $4.88 $102.38 Date Paid: Wednesday, February 12, 2014 Paid By: GLENDALE HEATING AND AIR CONDI Pay Method: CHECK 68924 Printed: Wednesday, February 12, 2014 10:50 AM 1 of 1 rere9SYSTEMS City of Tukwila Department of Community Development 7/1/2014 RANDY HOEFER 12462 DESMOINES MEMORIAL DR SEATTLE, WA 98168 RE: Permit No. M14-0045 GODSEY RESIDENCE 4240 S 146 ST Dear Permit Holder: Jim Haggerton, Mayor Jack Pace, Director 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 8/11/2014. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for the next or final inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. -or- 2) 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 8/11/2014, 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, Bill Rambo Permit Technician File No: M14-0045 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 GLENDALE HEATING & A/C DTP Page 1 of 2 'Washington State Department of Labor & industries GLENDALE HEATING & A/C INC Owner or tradesperson HOEFER, GERALD ARTHUR Principals HOEFER, GERALD ARTHUR FULTON, DAVID CURTIS ATWOOD, STANLEY (End: 06/26/2012) HOEFER, ARTHUR A (End: 09/30/2011) Doing business as GLENDALE HEATING & A/C INC WA UBI No. 600 003 167 12462 DES MOINES MEMORIAL DR SEATTLE, WA98168-2266 206-243-7700 KING County Business type Corporation Governing persons DAVIDCFULTON License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Construction Contractor License specialties GENERAL License no. GLENDHA053Q2 Effective — expiration 11/22/1995 — 11/02/2015 Bond No bonds during the previous 6 year period. Insurance Continental Western Ins Co Policy no. CDP2976203 Received by L&I 10/04/2013 Savings (in lieu of bond) Received by L&I 10/15/2001 Savings account ID Active. Meets current requirements. $1,000,000.00 Effective date 11/02/2012 Expiration date 11/02/2014 $12,000.00 Effective date 10/15/2001 https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600003167&LIC=GLENDHA053Q2&SAW= 02/12/2014