HomeMy WebLinkAboutPermit M14-0194 - BOYD 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.
M14-0194
BOYD RESIDENCE –GAS FURNACE
th
14246 57Avenue 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.
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Personal Information –
expiration dates, or bank or other financial
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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
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BOYD RESIDENCE
14246 57 AVE S
M14-0194
Parcel No:
Address:
Project Name:
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
3365900670
14246 57TH AVE S
BOYD RESIDENCE
MECHANICAL OTC PERMIT
Permit Number: M14-0194
Issue Date: 10/9/2014
Permit Expires On: 4/7/2015
Owner:
Name:
Address:
Contact Person:
Name:
Address:
BOYD RANDALL L+JILL M
14246 57TH AVE S , TUKWILA, WA,
98168
DEBRA COONS
12462 DES MOINES MEMORIAL DR ,
SEATTLE, WA, 98168
Contractor:
Name: GLENDALE HEATING & A/C INC
Address: 12462 DES MOINES MEM DR, BURIEN,
WA, 98168-2266
GLENDHA053Q2
License No:
Lender:
Name:
Address:
Phone: (206) 660-2681
Phone: (206) 243-7700
Expiration Date:
DESCRIPTION OF WORK:
REPLACE GAS FURNACE
Valuation of Work: $0.00
Type of Work: REPLACEMENT
Fuel type: GAS
Fees Collected: $188.90
Electrical Service Provided by: PUGET SOUND ENERGY
Water District: TUKWILA
Sewer District: TUKWILA SEWER SERVICE
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
2012
2012
2012
2012
International Fuel Gas Code:
WA Cities Electrical Code:
WA State Energy Code:
2012
2014
2012
Permit Center Authorized Signature:
Date:
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:
Aftm
Sarr.k 7I,cryv2c.
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: 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.
2: ***MECHANICAL PERMIT CONDITIONS***
3: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila
Permit Center (206/431-3670).
4: 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.
5: Manufacturers installation instructions shall be available on the job site at the time of inspection.
6: 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.
7: 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 TUKVV.�A
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**
Site Address:
Tenant Name:
Ht4 iono
King Co Assessor's Tax No.:
Suite Number:
Property Owners Name: 6t,
Mailing Address: tC >lq ,
Name:
Mailing Address: c,L b \i
E-Mail Address: U.(,QDVi' e ltA6A) 1
69)
Company Name:
Mailing Address: i k
3 b`)c1D - 476
Floor:
New Tenant: ❑ Yes ❑..No
_14'\i lIit/
City
State
ag167
Zip
two� � � � D � � Tele hone: �- ��} �
A:, OW
City S ate Zip
CFax Number: ) (Q
Contact Person:
E-Mail Address:
Contractor Registration Number: L'.W b\V t f& .L
6,,ujWt
City
Day Telephone:
Fax Number:
State
Zip
Expiration Date:
Company Name:
Mailing Address:
Contact Person:
E-Mail Address:
City
State
Zip
Day Telephone:
Fax Number:
Company Name:
Mailing Address:
City
State
Zip
Contact Person: , Day Telephone:
E-Mail Address: Fax Number:
H:WpplicationsWorns-Applications On Line\2010 Applications17-2010 - Mechanical Permit Application.doc
Revised: 7-2010
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Page 1 of 2
Valuation of project (contractor's bid price): $
Scope of work (please provide detailed information):
`�. t).
CMG+ .19(111
owl vlikimi4
Use: Residential: New 0 Replacement
Commercial: New ❑ Replacement ❑
Fuel Type: Electric ❑ Gas Other:
Indicate type of mechanical work being installed and the quantity below:
Unit Type: , ;
; Qty
Unit Type:
Qty
- Unit Type:;'
Qty '
.Bioler/Compressor
furnace <100k btu
t
t j
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
ended/wall/floor
mounted heater
ventilation system
wood/gas stove
30-50 hp/1,750,000sus
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
RMIT,'
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 ' 0 ' AUTHO "i r ED A)NT:
Signature:
Print Name:
Mailing Address:
IDate Application Accepted:
VO I 14N
Date Application Expires:
Staff Initials: }
H:\Applications\Forms-Applications On Line\20 10 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
,. ,m g,,
PermItTRAK r „. u a , $18890
c .-, , -. •,., . a.E _ .fir_. _,. t x asTs .r , J ' e.,', ,q t,' -a.. = _' . _. , e xz - .. e+a , - ,. i a x t' a, uai Wa u . a„a?a . . ,robmAts.
M14:' 0194 Address 14246 57TH AVE S Apn 3365900670 r
, .,,,., S , ,5 14 s ,, . . a.,i R.4, .. R „,..- —` ` 9'" rY u
- ,
..
w
v
MECHANICAL
$179.90
PERMIT FEE
R000.322.100.00.00
0.00
$147.40
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$32.50
TECHNOLOGY FEE : _
$9.00
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R3275
R000.322.900.04.00
0.00
$9.00
$188.90
Date Paid: Thursday, October 09, 2014
Paid By: GLENDALE HEATING & A/C INC
Pay Method: CHECK 69954
Printed: Thursday, October 09, 2014 3:48 PM 1 of 1
CRWSYSTEMS
Mi4-dt94
INSPECTION NO. PERMIT NO. ,,
CITY OF TUKWILA BUILDING DIVISION [�
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
INSPECTION RECORD
Retain a copy with permit
Project: t1�` n
r5c4 �Q �, /X�OA. f �_,
TypeofInspection
/:i �/
M P r A. !t .l) l .f AT
1 I -
Address:
Date Called:(/
Special Instructions:
6 }S �'i) frA G. C e
Date Wanted:
0— ��
)
/4
a.m.
P.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Inspect :
6:7,rdcgi
Dat f 0
,2/0 _1 I
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
GLENDALE HEATING & A/C IP,T„
Page 1 of 2
0 Washington State Department of
Labor & Industries
GLENDALE HEATING & A/C INC
Owner or tradesperson
HOEFER, GERALD ARTHUR
Principals
HOEFER, GERALD ARTHUR, PRESIDENT
FULTON, DAVID CURTIS, SECRETARY
ATWOOD, STANLEY, AGENT
(End: 06/26/2012)
HOEFER, ARTHUR A, TREASURER
(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
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 bond accounts during the previous 6 year period.
Insurance
No current insurance account. See the insurance history.
Insurance history
Savings
(in lieu of bond)
Received by L&I
10/15/2001
Savings account ID
Savings history
Lawsuits against the bond or savings
Active.
Meets current requirements.
$12,000.00
Effective date
10/15/2001
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600003167&LIC=GLENDHAO53Q2&SAW= 10/09/2014