HomeMy WebLinkAboutPermit M15-0150 - NEW URBAN MINISTIRES - FURNACENEW URBAN
MINISTRIES
15880 MILITARY RD S
EXPIRED
05/03/16
M15-0150
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
2223049030 Permit Number: M15-0150
15880 MILITARY RD S
Project Name: NEW URBAN MINISTIRES
Issue Date: 11/5/2015
Permit Expires On: 5/3/2016
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
RIVERTON HEIGHTS PRESBYTER!
15880 MILITARY RDS , SEATTLE, WA,
98188
DEBRA COONS
12462 DES MOINES MEMORIAL DR ,
SEATTLE, WA, 98168
GLENDALE HEATING & A/C INC
12462 DES MOINES MEMORIAL DR ,
SEATTLE, WA, 98168-2266
GLEN DHA053Q2
Phone: (206) 243-7700
Phone: (206) 243-7700
Expiration Date: 11/2/2017
DESCRIPTION OF WORK:
REPLACE OIL FURNACE IN RESIDENCE. THERMOPRIDE, 60,000TO 84,000 BTU'S
Valuation of Work: $6,383.00
Type of Work: REPLACEMENT
Fuel type:
Fees Collected: $230.27
Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: HIGHLINE,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:
Permit Center Authorized Signature:
p\_t
2014
2014
2014
2012
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:,T)q V! 'y1
/
Date:Smjj ( J
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: ***ELECTRICAL PERMIT CONDITIONS***
2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical
Inspector at each work site.
3: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical
Inspector.
4: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations,
Chapter 296-46B WAC.
5: When any portion of the electrical installation is to be hidden from view by permanent placement of parts
of the building, such equipment shall not be concealed until it has been inspected and approved by the
Electrical Inspector.
6: The issuance of an electrical work permit shall not be construed to be a permit for, or an approval of, any
violation of the provisions of the electrical code or other ordinances of the jurisdiction. Permits or related
documentation that presumes to grant this authority are therefore not valid.
7: Any change in the scope of work described by the electrical work permit shall require additional work
permits. Where approved plans have been issued, revisions to the plans and additional review may be
required.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
1800 MECHANICAL FINAL
0701 ROUGH -IN MECHANICAL
CITY OF TUKWL_
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Mechanical Permit No. t (S 0 (SO
Project No.
Date Application Accepted:
Date Application Expires:
(Foroffice 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
Site Address: t86OH3otAAA
Tenant Name: 4in ildt
PROPERTY OWNER
Name: 0 UV U1��Q/0
1
i�`I
Address`: 15- (Zt
Gi A A .
Wvv
4
`x
`7U
City: L, , A / ' it
StatT)
j
Zirq \
CONTACT PERSON — person receiving all'project
communication .
Name:
kby.A. (09,6
Address:
City: State:
Zip:
Phone: 2° J_ ` j l D _ , r.d 1 Fax:
!-ply �J(D .ctl1
Email:
King Co Assessor's Tax No.: ot,-7t7 3bLl aj o;
Suite Number:
Floor:
New Tenant: ❑ Yes
MECHANICAL CONTRACTOR INFORMATION.
Company Name:
, _ j 4t)j
\�
(,.
Address: `)JJ1k_. .1
to
`? i1,
Ov
City: „�1�
h,I,j�V>�
I State: IV
Zip: 01.g '[�
tie
Phone:104 , a4 % i-ibV Fax: `, Up_ )i
j3 ` p Liti
Contr Reg No.:
G Lt N
lIIpto7�X�,1•Exp
Date: ti _ O 1,1
Tukwila Business License No.: 0 q g.ci i
Valuation of project (contractor's bid price): $ (0 3 b
Describe the scope of work in detail: tQ di) Y t r r 46) GAry-ILL
1 r i,C1) p/�' t^ q
Use: Residential: New ❑ Replacement [�
Commercial: New ❑ Replacement ❑
Fuel Type: Electric ❑
Gas ❑ Other:
Vw� I
one eki/OvC)
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H:\Applications\Porms-Applications On Line\2011 Applications\Mechanical Permit Application Revised 8-9-11.docx
Revised: August 2011
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Page 1 of 2
Indicate type of mechanical work being installed and the quantity below:
Unit Type
Qty
Furnace <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
>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
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.
BUILDINGptNER OR AV.THORIZE AGENT:
Signature: _ ,v(f Al, 8
Print Name: \) -60 Y;t LD In"' 6
Mailing Address: tat-1,(p— \\- Rt1V11 I /�ylkiBJ U✓
Date: U1 I Li\\o'
Day Telephone: D 0 b rZ Li
City
State Zip
H:\Applications\Forms-Applications 0n Line\2011 Applications\Mechanical Permit Application Revised 8-9-11.docx
Revised: August 2011
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Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS I ACCOUNT I QUANTITY
PermitTRAK
I PAID
$230.27
M15-0150 Address: 15880 MILITARY RD S Apn: 2223049030
$230.27
MECHANICAL
$219.30
PERMIT FEE
R000.322.100.00.00
0.00
$186.80
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$32.50
TECHNOLOGY FEE
$10.97
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R6588
R000.322.900.04.00 0.00
$10.97
$230.27
Date Paid: Thursday, November 05, 2015
Paid By: GLENDALE HEATING & A/C INC
Pay Method: CHECK 71626
Printed: Thursday, November 05, 2015 2:09 PM 1 of 1
CI1SYSTEMS
City of Tukwila
Department of Community Development
4/1/2016
DEBRA COONS
12462 DES MOINES MEMORIAL DR
SEATTLE, WA 98168
RE: Permit No. M15-0150
NEW URBAN MINISTIRES
15880 MILITARY RD S
Dear Permit Holder:
Allan Ekberg, Mayor
Jack Pace, Director
In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building
Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric
Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null
and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if
the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 5/3/2016.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for the next or final inspection. Each
inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire.
Address your extension request to the Building Official and state your reason(s) for the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your
extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 5/3/2016, your permit will become null and void
and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
21)
Bill Rambo
Permit Technician
File No: M15-0150
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
GLENDALE HEATING & A/C INC
Page 1 of 2
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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
11/22/1995-11/02/2017
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= 11/5/2015