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Permit M14-0071 - HOBERECHT RESIDENCE - GAS FURNACE
HOBERECHT RESIDENCE 15605 44 AVE S M14-0071 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: 8108600130 Permit Number: M14-0071 Address: 15605 44 AVE S Issue Date: 3/28/2014 Permit Expires On: 9/24/2014 Project Name: HOBERECHT RESIDENCE Owner: Name: HOBERECHT PAUL R Address: 15605 47TH AVE S , TUKWILA, WA, 98188 Contact Person: Name: KEVIN KEMPER Phone: (206) 722-1545 Address: 3616 S GENESEE , SEATTLE, WA, 98188 Contractor: Name: GENESEE FUEL & HTG CO INC Address: PO BOX 18206, SEATTLE, WA, 98118 License No: GENESFH37006 Lender: Name: Address: Phone: (206) 722-1545 Expiration Date: 12/16/2014 DESCRIPTION OF WORK: CHANGE OIL TO GAS FURNACE WITH GAS PIPING UNDER SEPARATE PERMIT. Valuation of Work: $3,000.00 Type of Work: REPLACEMENT Fuel type: GAS Fees Collected: $97.50 Electrical Service Provided by: SEATTLE CITY LIGHT Water District: HIGHLINE Sewer Distric: NONE Current Codes adopted by the City of Tukwila: Internations Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: Permit Center Authorized Signature: 2012 International Fuel Gas Code: 2012 WA Cities Electrical Code: 2012 WA State Energy Code: 2012 2012 2012 2012 Date :/22r*` y 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: Print Name: Date: 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: Prior to final inspection for this building permit, a copy of the roof membrane manufacturer's warranty certificate shall be provided to the building inspector. 2: 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. 3: ***MECHANICAL PERMIT CONDITIONS*** 4: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center (206/431-3670). 5: 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. 6: Manufacturers installation instructions shall be available on the job site at the time of inspection. 7: 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. 8: 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. 9: 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 Tenant Name: CITY OF TUKW. 1. Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwiIaWA.gov Mechanical Permit No. M 14— a()' (1) 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 , ,e )� King Co Assessor's Tax No.: Site Address: C /%L% S '1 5 Suite Number: Floor: New Tenant: ❑ Yes ❑.. No PROPERTY OWNER Name: r,,,x,,,,...4_, j( .„).4._ _ Address: (57 r ,' D yState: Zip• la d IS( � D City: milk i>,Il CONTACT PERSON — person receiving all project communication Name: kr2,t)._; y/l S�N1n Address: _n ct/1'�� City: State: Zip: Phone 0 (0-7 a7-) 59 Email: MECHANICAL CONTRACTOR INFORMATION Company Name: ({ 0JFima `-'s� Address: 2 (9 1 �r City: �0 State: Zip 2 wi j� Fsisz Phone V l WO ) 5-- Contr eg No.:, �� �5rJ Exp DaDe: C;�r/��� Tukwila Business License No.: Valuation of project (contractor's bid price): $ Describe the scope of work in detail: C k. o ► 1 Use: Residential: New ❑ Replacement �- Commercial: New ❑ Replacement ❑ Fuel Type: Electric ❑ Gas y( Other: H:\Applications\Forms-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 <I OOk btu 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 GA_5 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. BUILDING OWN R OR AUTHORIZED AGENT: Signature: hh Print Name: Mailing Address: ,C4,1/l_J0 Date: 3/ /( 7 Day Telephone Otet4-63.112faf'. City State Zip H:\Applications\Forms-Applications On Line\2011 Applications \ (echanical Permit Application Revised 8-9-11.docx Revised: August 2011 bh Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT PermitTRAK M14-0071 Address: 15605 44 AVE S Apn: 8108600130 QUANTITY PAID $97.50 MECHANICAL $97.50 PERMIT FEE PERMIT ISSUANCE BASE FEE TOTAL FEES PAID BY RECEIPT: R1624 R000.322.100.00.00 R000.322.100.00.00 $65.00 $32.50 $97.50 Date Paid: Friday, March 28, 2014 Paid By: LORI REYNOLDS Pay Method: CREDIT CARD 055404 Printed: Friday, March 28, 2014 12:55 PM 1 of 1 CRWSYSTEMS INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367 Permit Inspection Request Line (206) 431-2451 Ml�—dv�lf Project: Ty a of Inspection: t vgilt,)(4. rAih ,/QM _, 4-L+,(n4)re_ck, l ke,e, Address:. Ti,, f `.5CO 05 14 AV Date. Called: Special Instructions: r ��S �J ' Date Wanted: I r 1 , 1 (,`am. p.m. t, ��S `IP .A. S�AI Pe it Requester: Phone No: 7,0-"722--iS-S c454\1' �Aprproved per applicable codes. Corrections required prior to approval. COMMENTS: � 1 A R j (-`,A J 1 In(pector:\,. ri Date A — I4 ; r REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. GENESEE FUEL&HTNG CO INC Page 1 of 2 Washington State Department of Labor & Industries GENESEE FUEL&HTNG CO INC Owner or tradesperson CLARK, STEVEN TODD Principals CLARK, STEVEN TODD CLARK, DONALD S (End: 01/01/1980) HERRMANN, GAIL (End: 01/01/1980) CLARK, STEVEN T (End: 10/06/2011) CLARK, ANITA J (End: 10/06/2011) Doing business as GENESEE FUEL&HTNG CO INC WA UBI No. 578 049 915 PO BOX 18206 SEATTLE, WA98118-0206 206-722-1545 KING County Business type Corporation Governing persons DONALDCLARK License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Construction Contractor License specialties GENERAL License no. GENESFH37006 Effective — expiration 09/26/1963 — 09/18/2015 Bond DEVELOPERS SURETY & INDEM CO Bond account no. 573549C Received by L&I 09/17/2007 Insurance Active. Meets current requirements. $12,000.00 Effective date 09/07/2007 Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings during the previous 6 year period. Tax debts No tax debts during the previous 6 year period. License Violations No license violations during the previous 6 year period. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=578049915&LIC=GENESFH37006&SAW= 03/28/2014 GENESEE FUEL&HTNG CO INC Page 2 of 2 Workers' comp Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums. L&I Account ID 060,083-00 Account is current. Doing business as GENESEE FUEL/HTG CO Estimated workers reported Quarter 4 of Year 2013 "31 to 50 Workers" L&I account representative T5 / CARLOS GONZALES (360)902-4827 - Email: GONG235@Ini.wa.gov. Workplace safety and health No inspections during the previous 6 year period. © Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington. Access Washingtnng' 1; nt/,i,,Ielil https://secure.lni.wa.gov/verify/Detail.aspx?UBI=578049915&LIC=GENESFH37006&SAW= 03/28/2014