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HomeMy WebLinkAboutPermit M15-0012 - FLOODEEN 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. M15-0012 FLOODEEN RESIDENCE 1602047 TH AVE S RECORDSDIGITAL D-) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION Page # Coda Exemption, � � � I3ri6f Explanatory 6escrlofion, Sfatutte/Ruilo 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. DR1 Generally — 5 U.S.C. sec. 552(a), and are also exempt from disclosure 552(a); RCW 552(a); RCW under section 42.56.070(1) of the Washington 42.56.070(1) 42.56.070(1) State Public Records Act, which exempts under 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 10 DR2 Financial Information — account numbers, which are exempt from 42.56.230(5) RCW 42.56.230(4 5) disclosure pursuant to RCW 42.56.230(5), except when disclosure is expressly required by or governed by other law. Personal Information — Redactions contain information used to prove RCW DR3 Driver's License. — RCW identity, age, residential address, social security 42.56.230 (7a 42.56.230 number or other personal information required to & c) (7a & c) apply for a driver's license or identicard. 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); DR4 RCW 5.60.060(2)(a); RCW which protects attorney-client privileged 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. FLOODEEN RESIDENCE 16020 47 AVE S M15-0012 Parcel No: Address: 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 6818300040 Permit Number: M15-0012 16020 47TH AVE S Project Name: FLOODEEN RESIDENCE Issue Date: 2/4/2015 Permit Expires On: 8/3/2015 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: FLOODEEN ERIC A+LAURA L 16020 47TH AVE S , SEATTLE, WA, 98188 DEBRA COONS 12462 DES MOINES MEMORIAL DR, SEATTLE, WA, 98168 GLENDALE HEATING & A/C INC 12462 DES MOINES MEM DR , BURIEN, WA, 98168-2266 GLENDHA053Q2 III Phone: (206) 243-7700 Phone: (206) 243-7700 Expiration Date: DESCRIPTION OF WORK: REPLACE EXISTING GAS FURNACE WITH NEW GAS FURNACE LENNOX 90,000 BTU'S Valuation of Work: $0.00 Type of Work: REPLACEMENT Fuel type: GAS Fees Collected: $199.03 Electrical Service Provided by: PUGET SOUND ENERGY Water District: HIGHLINE Sewer District: VALLEY VIEW 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: International Fuel Gas Code: Permit Center Authorized Signature: 2012 2012 2012 2012 2012 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: DuAil 2014 2014 2014 2012 Date: l r 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: (, ) (.' vuw 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.ci.tukwila.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: k C)O 7 U "[ ( Aft Y t (2U Tenant Name: Property Owners Name: Laithirit R Q�n Mailing Address: 1,b D 2,0 - l f 7O King Co Assessor's Tax No.: Suite Number: New Tenant: (AMC! 3C - 0o0 �VL�>nf t LGir City Floor: ❑ Yes ..No A fate lg2 Zip )NTACT PERSON :who do ve contact when -your peth if is'ready fobe issu Name: (119 a CD pin 410). `` \ ' Wiry Teleplone: )4) 2 "! Mailing Address: 1 -[.10 " 1 �-L'! I VJb Mi:l/YIov-'4 '- a 012 162 E-Mail Address:lC/6 ph tj 8 I` io G I. Qi n /I 1 -/ _ W ti n AEC$ANICAL'CONTRACTQR INFORMATION `"n r x.` City p" Stake jj Zip Fax Number: X. p 1p - acl 3 - 8 3 '' �V� Company Name: G l` 4I((� Mailing Address: 1 ,( 4 1 " 1)0 Klioev�J ri/yrt n ld Contact Person: t jVjrd . Co 04,-) E-Mail Address: Contractor Registration Number: C3a1OHADO City „,) al 0161 State Zip Day Telephone: lb 1J 0 l` (i9) Fax Number: % U (9 �( 3 "� 3 L q Expiration Date: I d 7. -✓ ARCHITECTOF RECORD All plans must be stamped by architect of record Company Name: Mailing Address: City Contact Person: Day Telephone: E-Mail Address: Fax Number: State Zip NGINEER OF RECORD All plans must bestamp ed;by engineer record'_( Company Name: Mailing Address: City Contact Person: Day Telephone: E-Mail Address: Fax Number: State Zip H:\Applications\Forns-Applications On Line\2010 Applications\7-2010 - Mechanical Permit Application.doc Revised: 7-2010 bh Page 1 of 2 Valuation of project (contractor's bid price): $ Sa of work (please provide detailed information cnvm,t) q11.41) erlptU 4. dr 10,rnacl "v\pg) 04 Use: Residential: New 0 Commercial: New Fuel Type: Electric ❑ Gas Replacement Replacement Other: Indicate type of mechanical work being installed and the quantity below: Unit Type• Qty.. Unit Type: ; Qty Unit Type: Qh'Bigler/Compressor Qty`.j furnace <100k btu iair 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/ as stove g 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 PERNV T APPLICATIONNOTES 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 OERORAUTIRIZED A ENT: Print Name: i-rA� Mailing. Address: a � t' 1►-'i4 Nby i,4„ Signature: Day Telephone: City Date: 1 ;b Il'J CA °) 2 State Zip Date Application Accepted: Date Application Expires: Staff Initials: H:\ApplicationsTorns-Applications On Line\2010 Applications\7-2010 - Mechanical Permit Application.doc Revised: 7-2010 bh Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $261.87 EL15-0108 Address: 16020 47TH AVE S Apn: 6818300040 $62.84 ELECTRICAL $59.85 PERMIT FEE SINGLE FAMILY R000.322.101.00.00 0.00 I $59.85 TECHNOLOGY FEE $2.99 TECHNOLOGY FEE R000.322.900.04.00 0.00 $2.99 M15-0012 Address: 16020 47TH AVE S Apn: 6818300040 $199.03 MECHANICAL $189.55 PERMIT FEE R000.322.100.00.00 0.00 $157.05 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $32.50 TECHNOLOGY FEE $9.48 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R4455 R000.322.900.04.00 0.00 $9.48 $261.87 Date Paid: Wednesday, February 04, 2015 Paid By: GLENDALE HEATING & A/C INC Pay Method: CHECK 70508 Printed: Wednesday, February 04, 2015 11:19 AM 1 of 1 CRWSYSTEMS INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKVVILA BUILDING DIVISION fc 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-364tIL— Permit Inspection Request Line (206) 436-9350 Project: riOoket-t, Ps.,ec Type of ipspectiop: /el'eck Itai . Address: /60 2-0 'i7 4-ve 50. Date Called: Special instructions: N70 b,,, v N $ Date Wanted: a.m. 'Requester: 'Phone No: 'pproved per applicable codes. Corrections required prior to approval. COMMENTS: cHc C Rk inspector: Date: F REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection, INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO, CITY OF TUKVVILA BUILDING DIVISION 6300 Southcenter 81vd„ #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 t5-O0(2 Project: Ot:5 Vat Li t1-42---5 -Type of Inspection: , kier-iit r-r Gkirt ( Address: I4ozo 1-17+1Ave Co. Date Called: Special Instructions: A ,„, Date Wanted: a.m. Requester:' Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: «qJLv rf itLicivay Inspector: E -Date' 7 q REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Cali to schedule reinspection. GLENDALE HEATING & A/C INC Page 1 of 2 Search L&I Horde lrncio en Espanol Contact A-7Index Help My Secure L&I Safety Claims & Insurance Workplace Rights Trades & Licensing 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 Active. ...._....................._..._.........................._.......... Meets current requirements. 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 ........................... Continental Western Ins Co $1,000,000.00 Policy no. CDP2976203 Received by L&I Effective date 10/16/2014 11/02/2012 Expiration date 11/02/2015 Insurance history Savings .........._....... _... (in lieu of bond) $12,000.00 Received by L&I 10/15/2001 Savings account ID Effective date 10/15/2001 Savings history Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period, but some debts may be recorded by other agencies. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600003167&LIC=GLENDHA053Q2&SAW= 02/04/2015