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