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Home My WebLink AboutPermit M15-0112 - TITUS RESIDENCE - GAS FURNACEJACQUELINE TITUS 4047 S 150TF ST M15-01 12 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 MECHANICAL OTC PERMIT 1422700020 Permit Number: M15-0112 4047 S 150TH ST JACQU ELI N E TITUS Issue Date: 9/11/2015 Permit Expires On: 3/9/2016 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: TITUS ALAN J 4047 S 150TH , TUKWILA, WA, 98188 GLENDALE HEATING & A/C INC 12462 DES MOINES MEM DR, BURIEN, WA, 98168-2266 GLENDALE HEATING & A/C INC 12462 DES MOINES MEM DR, BURIEN, WA, 98168-2266 GLENDHA053Q2 I// Phone: (206) 243-7700 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: SEATTLE CITY LIGHT Water District: 125 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: 2012 2012 2012 2012 2012 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2014 2014 2014 2012 Permit Center Authorized Signature Date:1 \ \ 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 this permit. Signature:�di C. Gt l TiArvvisr Print Name: Date:9/44/L 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 TUKI A Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Mechanical Permit No. I V l 1' V 1 I17"-- Project No. Date Application Accepted: a 1 Date Application Expires: (For office use only) I 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 �j] 1 King Co Assessor's Tax No.: )4 2 �� d - 6 b� Site Address: 1D 14. ` - 71- Suite Number: Floor: Tenant Name: New Tenant: ❑ Yes ❑.. No PROPERTY OWNER Name: ..)O►GAIAll‘ e, t I h Address: D 41 b 1, 01 [-} City: U1 VIM)) + I b( State: IA) Zip. "ln b 1 b f CONTACT PERSON — person receiving all project communication �/� l �� Name: Gl,t„ ak I Vl(h Address: '?(\/2x,\ e/ kin 4� 7 0VIi %�Y City: 6 j 4 ,"1 StaState: a Zip: o i O Phone:),0 _ e2, 15 l f,DD Fax: a* `:.t 1 ,.1`I Email:L 01 iIA6\tkto, 111U1 ul1'Y MECHANICAL CONTRACTOR INFORMATION Company Name: GI �, .61 }, ) 4 ...1 (/�l(I;9v./� Address: I:kL\ 6.�_ I 1 y1�j� rllU f Y City: �, ! , (] State: m Zip:q 8 0 �.(�nlWl__7,13'"1 Phone U/V Fax: j / A3 " 544 Contr Reg No.:GLENwho Exp Date: 11 _ oi3O Tukwila BusinessllLicense No.: 60 _ 6 c g 3 q,77 Valuation of project (contractor's bid price): $ 2N 1 p "( ") 6191 Describe the scope of work in detail: t t� f la t) C'4 4Lyy\fftt) 4 / ll[(4'y Q— r Use: Residential: New ❑ Replacement 12 Commercial: New ❑ Replacement ❑ Fuel Type: Electric ❑ Gas Other: H: ApplicationsTorms-Applications On Line\2011 Applications\Mechanical Permit Application Revised 8-9-11.docx Revised: August 2011 bh Page I of 2 Indicate type of mechanical work being installed and the quantity below: Unit Type Qty Fumace <100k btu ' Furnace > l 00k 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 > 1 0,000 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 OWNER OR AUTHO ED AGENT: 7 Signature: D Print Name: i171r(t Co D116 Mailing Address:1A), - NAVO 1 Iry Day Telephone: City Date: CI 105 zoo at.13-I10 State Zip H:\Applications\Forms-Applications On Line\2011 Applicntions\Mechanical Permit Application Revised 8-9-11.docx Revised: August 2011 bh Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK I ACCOUNT I QUANTITY I PAID $188.90 M15-0112 Address: 4047 S 150TH ST Apn: 1422700020 $188.90 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: R6132 R000.322.900.04.00 0.00 $9.00 $188.90 Date Paid: Friday, September 11, 2015 Paid By: GLENDALE HEATING & A/C INC Pay Method: CHECK 71409 Printed: Friday, September 11, 2015 11:11 AM 1 of 1 CRWSYSTEMS INSPECTION RECORD Retain a copy with permit SPE relia"P-PA O. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206 431 3670 Permit Inspection Request Line (206) 438-9350 0 — . f P ect: i LC1u d (e. 7�� sec Type of Inspection: A€ t q 1 A dress. AqO'17 5 (cO S f . Date Called: Special Instructions: /� ��_ P (ac 1€ FtiV -E- 4A Date Wanted: /O—(3_ -5- 7� •m. Regpester: Phone No: _ 2L e/f 2 Approved per applicable codes. Corrections required prior to approval. C MMENTS: Inspector: Date: j 13-1 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 IN' Page 1 of 2 Horne Inicio en Espanol Contact Search L&I A-ZIndex Help My Secure L&I Safety Claims & Insurance Workplace Rights Trades & Licensing 0 Washington State Department of Labor & Industries GLENDALE HEATING & A/C INC Owner or tradesperson 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 Governing persons DAVID C FULTON GERALD A HOEFER; 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 08/11/2015 11/02/2012 Expiration date 11/02/2016 Insurance history Savings .................... (in lieu of bond) $12,000.00 Received by L&I Effective date 10/15/2001 10/15/2001 Release date Impaired date https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600003167&LIC=GLENDHA053Q2&SAW= 09/11/2015