HomeMy WebLinkAboutPermit M14-0055 - MCKEAN RESIDENCE - OIL FURNACE REPLACEMENTThis 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.
M14-0055
MCKEAN RESIDENCE –OIL FURNACE
th
14210 58Avenue South
DIGITAL RECORDS (DR)EXEMPTION LOG
THE ABOVE MENTIONED PERMIT FILE INCLUDESTHE FOLLOWING REDACTED INFORMATION
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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 –
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RCW
Driver’s License. –RCW
identity, age, residential address, social security
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DR3
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42.56.230
& c)
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DR4
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42.56.070(1)communications, and RCW 42.56.070(1), which
42.56.070(1)
protects, under the PRA, information exempt or
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MCKEAN RESIDENCE
14210 58 AVE S
M14-OO55
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: 3365901085 Permit Number: M14-0055
Address: 14210 58 AVE S Issue Date: 3/4/2014
Permit Expires On: 8/31/2014
Project Name: MCKEAN RESIDENCE
Owner:
Name: MCKEAN SHARON J
Address: 14210 58TH AVE S , TUKWILA, WA,
98168
Contact Person:
Name: DEBRA COONS Phone: (206) 246-7700
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:
II
DESCRIPTION OF WORK:
REPLACE OIL FURNACE WITH SAME
Valuation of Work: $0.00
Type of Work: REPLACEMENT
Fuel type: GAS
Fees Collected: $219.71
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:
Date: r1 otkI��
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: ITe-1 LEON
Print Name: ( (cam-Jz9
Date: �� l I (Li
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.
7: Type 1 Hoods, the required grease duct leakage test and (light test shall be performed by a special
inspection and testing agency in accordance with I.M.C. Chapter 5.
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.TukwilaWA.gov
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: I LI -Xl 0 -C.)/ U
Tenant Name:
King Co Assessor's Tax No.: 1 C "I b 14 r3
Suite Number: Floor:
Name: 71, v_ Y 0 )6
Address: ij �l6_ 6City:`(,P'ttAW1IA)4),(t.
Sttatte: ill)A
Zip:
Itla
Db !1 iPBq 6Y tl .M1.e;-9,
d M ,a 1 y g�*t2tt "9 i� fdt`a
Name:
Q
Address:
/�
- /State:
City: 71
���/
Zip:
Phone:
Fax:
Email:act9
n\ P noIa) e 6'i9
1 h11. ft)''hr
New Tenant: ❑ Yes ..No
S . Fiat
Company Name: � j �� �e��
�
Address: )).L\i,�` th6 At �Y i 1)Y
City: O- IA State: Zip: 011,67
Phone:tit A .. lib I) Fax: lob - Rt
" h 1
Contr Reg No.: LE N bi) 6z1i.Exp Date: ii... V4 1 ,
Tukwila Business License No.: fi 4 .D q4
4) j
Valuation of project (contractor's bid price): $ 5 D D . vl b
Describe the scope of work in detail:
1' 1.14)1 act. 14. r 1 GkYholCi w/ “ VrJ
Use: Residential: New ❑ Replacement
Commercial: New ❑ Replacement ❑
Fuel Type: Electric ❑ Gas ❑ Other: 0 ,
H:\Applications\Porms-Applications On Line\2011 Applications\Mechanical Permit Application Revised 8-9-11.docx
Revised: August 2011
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Page 1 of 2
Indicate type of mechanical work being installed and the quantity below:
Unit Type
Qty
Furnace <100k btu
I
Furnace >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
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
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 OWN O AUTHORED AGE T:
Signature: ( AG;
Print Name: 1 � jIrit bi(16
Mailing Address: l ALV(� 0� € Pi 1 �j 1\JrlJ Or
Date: 1 J
Day Telephone: g - a0 3 -770
�a Via
City State Zip
H:\Applications\Forms-Applications On Line\2011 Applications\Mechanical Permit Application Revised 8.9-11.docx
Revised: August 2011
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Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT I QUANTITY
PAID
$219.71
M14-0055 Address: 14210 58 AVE'5
Apn: 3365901085
$219.71
MECHANICAL
$209.25
PERMIT FEE
R000.322.100.00.00
$176.75
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
$32.50
TECHNOLOGY FEE
$10.46
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R1381
R000.322.900.04.00
$10.46
$219.71
Date Paid: Tuesday, March 04, 2014
Paid By: GLENDALE HEATING & A/C
Pay Method: CHECK 69010
Printed: Tuesday, March 04, 2014 1:27 PM 1 of 1
SYSTEMS
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
M1--d 055
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367
Permit Inspection Request Line (206) 431-2451
Project:
Type f Inspection:
(',
Address: ,. — 4
210 5 /+t% -
Date Called:
F' a
if-,
!
Special Instructions:
d { I rufA4e.E._Requester:
Date Wanted:
/J %1
a—m,
Phone No:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
1
l
Inspector:
Dater - ?A)
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Cat to schedule reinspection.
GLENDALE HEATING & A/C INC
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= 03/04/2014