HomeMy WebLinkAboutPermit M14-0053 - WOLDEGIORGIS RESIDENCE - GAS FURNACEThis 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.
M14-0053
WOLDEGIORGIS RESIDENCE –GAS FURNACE
nd
14923 62Avenue South
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.
WOLDEGIORGIS
RESIDENCE
14923 62 AVE S
EXPIRED
08/27/2014
M14-0053
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
MECHANICALOTC PERMIT
Parcel No: 3597000103 Permit Number: M14-0053
Address: 14923 62 AVE S Issue Date: 2/28/2014
Permit Expires On: 8/27/2014
Project Name: WOLDEGIORGIS RESIDENCE
Owner:
Name: WOLDEGIORGIS HIRUYT
Address: 14923 62ND AVE S , TUKWILA, WA,
98168
Contact Person:
Name: SARAH TURNER Phone: (206) 243-7700
Address: 12462 DES MOINES 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:
REPLACE EXISTING OIL FURNACE WITH GAS FURNACE
Valuation of Work: $0.00
Type of Work: NEW
Fuel type: GAS
Fees Collected: $199.20
Electrical Service Provided by: PUGET SOUND ENERGY
Water District: TUKWILA
Sewer Distric: TUKWILA 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:
4111 qvt
Date: f �-�
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. Dated p
J
Signature: _
Print Name: U ! Q f/ / c Gj
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: ***ELECTRICAL PERMIT CONDITIONS***
2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical
Inspector at each work site.
3: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical
Inspector.
4: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations,
Chapter 296-468 WAC.
5: When any portion of the electrical installation is to be hidden from view by permanent placement of parts
of the building, such equipment shall not be concealed until it has been inspected and approved by the
Electrical Inspector.
6: The issuance of an electrical work permit shall not be construed to be a permit for, or an approval of, any
violation of the provisions of the electrical code or other ordinances of the jurisdiction. Permits or related
documentation that presumes to grant this authority are therefore not valid.
7: Any change in the scope of work described by the electrical work permit shall require additional work
permits. Where approved plans have been issued, revisions to the plans and additional review may be
required.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
1800 MECHANICAL FINAL
0701 ROUGH -IN MECHANICAL
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.cLtukwila.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:
Tenant Name: 1 ` -
Property Owners Name: ''1 I YLL/ V, r G) 16rc 6
Mailing Address: 1 a 6 6 S1 j
ii-l0W-) 6 z" AV4
King Co Assessor's Tax No.: 351 7&DD 10 7
Suite Number:
city
Floor:
New Tenant: ❑ Yes ❑ .. No
sti
State
Zip
CONTxAC TPERSON
iwho do we contact
tenyourpt Beady tobeissue+
,,esyrs1 frfir
Name:
Mailing Address: ail )x - ►W-71 "i) 1 "1/1/{1/Igy IQ) j)y
E-Mail Address: 7QI V# 1± /e1I tirJ611-01) ti1/I I h •
MECHANIC CONTR(C ROINFORMATIONI
Day Telephone: 2D fp `) 4 ?f' 1 %DI5
I A) a Via
City State Zip
Fax Number: c�.) /D a l j ` 5 L) d
Company Name:
Mailing Address,
Contact Person:
E-Mail Address:
bl4mil \ -L
t\ovG Cobh4
Contractor Registration Number: L L t )1)H 1
j‘it1A) to q
City State Zip
Day Telephone: ),.0 " 6 t,.4)
Fax Number: ZQ W ` aL 3 "V O L)
Expiration Date: 1) ` D . ' L J
HITECTOFREC *Iib- " All plans must be stampeclil
itecttoftrecord
Company Name:
Mailing Address:
Contact Person:
E-Mail Address:
City
Day Telephone:
Fax Number:
State
Zip
ENGINEERrOF RECORh - All plans must be stamped'by enareFarecor
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
Contact Person: ✓
E-Mail Address:
State
Zip
H:\Applications\Porms-Applications On Line\2010 Applications\7-2010 - Mechanical Permit Application.doc
Revised: 7-2010
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Page 1 of 2
Valuation of project (contractor's bid price): $
Scope of wo (please provide detailed information):
rhaiCI
1► ih oil futko
4,4z7vivon tJs 777471-A) /ov,be, 0 (Tu
Use: Residential: New
Commercial: New
Fuel Type: Electric ❑
Gas
Replacement
Replacement
Other:
Indicate type of mechanical work being installed and the quant ty below:
+lUnit Type•
,
-UnrtsType x
Qty„
Unit,Type:4,';
aQtyr
;Biole`r/Compressor
furnace <100k btu
1
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
p
heat/refrig/cooling system
Incinerator — domestic
other mechanical
equipment
air handling unit <10,000
cfm
incinerator — comm/ind
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 OR AUT1�O ZED AG 1
Signature:011441)
i
Print Name:
Mailing Address:
IDate Application Accepted:
Date:
rig / Day Telep one:
10 R)Ii0 IMAryooritil
City tit Zi1 flia
State
Date Application Expires:
Staff Initials:
H:\Applications\Forms-Applications 0n Line\2010 Applications\7-2010 - Mechanical Permit Application.doc
Revised: 7-2010
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Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
ACCOUNT
QUANTITY
PAID
PermitTRAK
$199.20
M14-0053 Address: 14923 62 AVE S
Apn: 3597000103
$199.20
MECHANICAL
$199.20
PERMIT FEE
PERMIT ISSUANCE BASE FEE
TOTAL FEES PAID BY RECEIPT: R1347
R000.322.100.00.00
R000.322.100.00.00
$166.70
$32.50
$199.20
Date Paid: Friday, February 28, 2014
Paid By: GLENDALE HEATING & A/C
Pay Method: CHECK 69001
Printed: Friday, February 28, 2014 11:41 AM 1 of 1
SYSTEMS
City of Tukwila
Department of Community Development
7/1/2014
SARAH TURNER
12462 DES MOINES MEMORIAL DR
SEATTLE, WA 98168
RE: Permit No. M14-0053
WOLDEGIORGIS RESIDENCE
14923 62 AVE S
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 8/27/2014.
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 8/27/2014, 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: M14-0053
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
GLENDALE HEATING & A/C INC
Page 1 of 2
eft
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= 02/28/2014