HomeMy WebLinkAboutPermit M16-0001 - KING COUNTY WATER DISTRICT #125 - GAS FURNACEKING COUNTY WATER
DISTRICT #125
3456S148 TH ST
M16-0001
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: httn://www.Tukwi[aWA.itov
MECHANICAL PERMIT
Parcel No: 0040000850 Permit Number: M16-0001
Address: 3456 S 148TH ST Issue Date: 1/6/2016
Permit Expires On: 7/4/2016
Project Name: KING COUNTY WATER DISTRICT #125
Owner:
2012
Name:
KING COUNTY WATER DIST #125
Address:
PO BOX 68147, SEATTLE, WA, 98168
Contact Person:
2014
Name:
DEBRA COONS
Address:
12462 DES MOINES MEMORIAL DR,
Uniform Plumbing Code Edition:
SEATTLE, WA, 98168
Contractor:
2012
Name:
GLENDALE HEATING & A/C INC
Address:
12462 DES MOINES MEMORIAL DR,
SEATTLE, WA, 98168-2266
License No:
GLENDHA053Q2
Lender:
Name:
Address: "I
,
DESCRIPTION OF WORK:
REPOLACE GAS FURNACE WITH LENNOX 90.000 BTU'S UNIT
Phone: (206) 243-7700
Phone: (206) 243-7700
Expiration Date: 11/2/2017
Valuation of Work: $3,798.00 Fees Collected: $199.03
Type of Work: REPLACEMENT Electrical Service Provided by: SEATTLE CITY LIGHT
Fuel type: GAS Water District: 125
Sewer District: VALLEY VIEW SEWER SERVICE
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
2012
National Electrical Code:
2014
International Residential Code Edition:
2012
WA Cities Electrical Code:
2014
International Mechanical Code Edition:
2012
WAC 296-46B:
2014
Uniform Plumbing Code Edition:
2012
WA State Energy Code:
2012
International Fuel Gas Code:
2012
_ t
Permit Center Authorized Signature:�J 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 per and agree to con itions attached to this permit.
Signature: Date:
6�
Print Name: �/i r/ i �lj� d►
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 Ilight 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
hqp://www.TukwilaWA.gov
SITE LOCATION
Site Addrl
Tenant N
Mechanical Permit No. l b—
Project No.
Date Application Accepted:
Date Application Expires: _
use
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**
PROPERTY OWNER
Name: )MA 6h
Address: l 1
City:j State: Zip:
CONTACT PERSON — person receiving all project
communicate
Company Name:
Name:
L
7
Address:1
Address: M
;
�/
City:
State: Zip:
i [ Q
U9�b
Phone:
LD p FAM ax:, p - _ 9
L V 1-�U 6
ContrRegNo.: jt i
Email: iQ
Wi!
I
v
J
King Co Assessor's Tax No.: D D 4 D 0b 016D
Suite Number: Floor:
New Tenant: ❑ .....Yes D. o
MECHANICAL CONTRACTOR INFORMATION
Company Name:
.......... ❑
Replacement ........
Address:1
Commercial:
New
.......... ❑
City:
State: Zip:
Phone: 1 .t,�
Fax: U
ContrRegNo.: jt i
��ExpDate:
Tukwila Business License No.:
Valuation of project (contractor's bid price): $ 5,1V I. �D
Describe the scope of work in detail: ( E n_ _ C f p 1pt `(--(Jr
Use: Residential:
New
.......... ❑
Replacement ........
❑
Commercial:
New
.......... ❑
Replacement ........
Fuel Type: Electric.....
❑
Gas .......
V10,0, Other:
H:\Applicalions\Forms-Applications On LineV01 I ApplicationsWechanical Permit Application Revised 8-9-1 I.docx
Revised: August 2011
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5�s
Page 1 of 2
Indicate type of mechanical work being installed and the quantity below:
Unit Type
Qty
Furnace <100k btu
Furnace >I 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
>I0,000 cftn
Evaporator cooler
Ventilation fan
connected to sin le duct
Ventilation system
Hood and duct
Incinerator — domestic
Incinerator —
comm/industrial
PERMIT APPLICATION NOTES -
Unit Type
Qty
Fire damper
Diffuser
Thermostat
Wood/gas stove
Emergency enerator
Other mechanical
equipment
Boiler/Compressor Qty
0-3 hp/100,000 btu
3-15 h /500,000 btu
15-30 hp/1,000,000 btu
30-50 hp/1,750,000 btu
50+ h /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.
Ulty State "Lip
H:Wpplicatans\Forrm-Applications On Line\2011 ApplicationsWechanical Permit Application Revised 8-9-1 Ldocx
Revised: August 2011 Page 2 of 2
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DESCRIPTIONS
PermitTRAK
•
QUANTITY
PAID
$267.28
EL16-0015 Address: 3456 S 148TH ST
Apn: 0040000850
$68.25
ELECTRICAL
$65.00
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$65.00
TECHNOLOGY FEE
$3.25
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$3.25
M16-0001 Address: 3456 S 148TH ST
Apn: 0040000850
$199.03
MECHANICAL
$189.55
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$32.50
PERMIT FEE
R000.322.100.00.00
0.00
$157.05
TECHNOLOGY FEE
$9.48
TECHNOLOGY FEE
•R7203
R000.322.900.04.00
0.00
$9.48
$267.28
Date Paid: Wednesday, January 06, 2016
Paid By: GLENDALE HEATING
Pay Method: CHECK 007392
Printed: Wednesday, January 06, 201612:26 PM 1 of 1
SYSTEMS
INSPECTION RECORD
Retain a copy with permit
INSPECTION N0. PERMIT N0.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Approved per applicable codes. Corrections required prior to approval.
L paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
L
C..
INSPECTION RECORD
y
Retain a cop with p ermit l6 �0 1
iNSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request. Line (206) 438-9350
Project,
f
ype of Inspection:
AddIsV5&
l (�rf�
Date Called:
Special Instructions:
l
Date Wanted:
1 r m
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD M16 0601
Retain a cop y with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98988 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
DAIP"P,roved per applicable codes. El Corrections required prior to approval.
U paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
GLENDALE HEATING & A/C INC -
Home Inicio en Espanol Contact
Safety
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
License
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12462 DES MOINES MEMORIAL DR
SEATTLE, WA98168-2266
206-243-7700
KING County
Business type
Corporation
Governing persons
DAVID
C
FULTON
GERALD A HOEFER;
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
11122/1995-1110212017
Bond
.......o b..._....
o
Nnd 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:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=600003167&LIC=GLENDHAO53Q2&SAW= 1/6/2016