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Home My WebLink AboutPermit M16-0012 - CLARK RESIDENCE - GAS FURNACE REPLACEMENTCLARK RESIDENCE 16024 51 AVE S M16-0012 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.itov MECHANICAL OTC PERMIT Parcel No: 5379200060 Permit Number: M16-0012 Address: 16024 51ST AVE S Issue Date: 1/19/2016 WA Cities Electrical Code: 2014 Permit Expires On: 7/17/2016 Project Name: CLARK RESIDENCE 2014 Owner: 2012 WA State Energy Code: Name: CLARK ROGER H+PATRICIA B 2012 Address: 16024 51ST AVE S , TUKWILA, WA, Permit Center Authorized Signature: 98188 Daae: / �_ Contact Person: Name: DEBRA COONS Phone: (206) 243-7700 Address: 12462 DES MOINES MEMORIAL DR, SEATTLE, WA, 98168 Contractor: Name: GLENDALE HEATING & A/C INC Phone: (206) 243-7700 Address: 12462 DES MOINES MEMORIAL DR, SEATTLE, WA, 98168-2266 License No: GLENDHA053Q2 Expiration Date: 11/2/2017 Lender: Name: Address: DESCRIPTION OF WORK: REPLACE EXISTING GAS FURNACE WITH NEW LENNOX EL280 GAS FURNACE. 2 STAGE 90,000 BTU UPFLOW. Valuation of Work: $3,520.00 Fees Collected: $199.03 Type of Work: REPLACEMENT Electrical Service Provided by: PUGET SOUND ENERGY Fuel type: GAS Water District: HIGHLINE Sewer District: TUKWILA 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 296-466: 2014 Uniform Plumbing Code Edition: 2012 WA State Energy Code: 2012 International Fuel Gas Code: 2012 Permit Center Authorized Signature: Daae: / �_ 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. Signa Print Date: ( 1 . I (":;, 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 littp://www.TukwilaWA.izov 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" J r King Co Assessor's Tax No.:6 _. V1 _ 31 "" U 11 Site Address: -A- A/1 D Suite Number: Floor: Tenant Name: New Tenant: El .....Yes El..No Name: av Address: FDi AA/,,) 7z) City: -Ta Uh t L State: iA A) CONTyACT PERSON 7 t persdftf�pkWj P9, TTPJ�,�,-4 7, .......... E] Replacement ........ AS t -Project Zip: Date aiion, ccepted-- Fax: )�� - A3 - DateApp'lication Expires: N Date:j� Phone: - 0 ice use -on LT 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" J r King Co Assessor's Tax No.:6 _. V1 _ 31 "" U 11 Site Address: -A- A/1 D Suite Number: Floor: Tenant Name: New Tenant: El .....Yes El..No Name: av Address: FDi AA/,,) 7z) City: -Ta Uh t L State: iA A) CONTyACT PERSON 7 t persdftf�pkWj P9, TTPJ�,�,-4 Name: .......... E] Replacement ........ City: Address: Zip: Phone: ->, Fax: )�� - A3 - City: State: Zip: Date:j� Phone: - Fax: LT Email: J J TI ECIjAICLtQ(TO`F Company Name: Address: — .......... E] Replacement ........ City: State: J'A Zip: Phone: ->, Fax: )�� - A3 - Contr Reg No.: Fuel Type: Electric..... Date:j� Tukwila Business License No.: Other: Valuation of project (contractor's bid price): $ 3 Describe the scope of work in detail: ' Lm �zz eD At72- .,0,D0877t W,410 Use: Residential: New .......... E] Replacement ........ [� Commercial: New .......... El Replacement ........ El Fuel Type: Electric..... E] Gas ....... Other: H:\Applications\Fornr.-Applications On Une12011 ApplicationsWechanical Pertnit Application Revised 8-9-1 I.dDcx Revised: August 2011 Pagel of bh t N Indicate type of mechanical work being installed and the quantity below: Umt Type4 K01"ty Unit TY" Air handling unit -y— Furnace <I 00k btu Furnace >1 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 Umt Type4 K01"ty Fire damper Air handling unit >10,000 cfm Evaporator cooler Ventilation fan connected to single duct Ventilation system Hood and duct Incinerator — domestic Incinerator — comm/industrial Umt TYPe 12tY Fire damper Diffuser Thermostat Wood/gas stove Emergency enerator Other mechanical equipment �� Bo�ler�Comp�essor y Q'ty 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. BUILDING ¢UNEIR OR A Print Name: p Mailing Address: 0 H: Applications\Forms-Applications On Line\2011 ApplicationsWechanical Permit Application Revised 8-9-11.ducx Revised: August 2011 bh Day City State Zip Page 2 of 2 DESCRIPTIONS ACCOUNT QUANTITY PAID PermitTRAK $261.87 EL16-0061 Address: 16024 51ST AVE S Apn: 5379200060 $62.84 ELECTRICAL $59.85 PERMIT FEE SINGLE FAMILY R000.322.101.00.00 0.00 $59.85 TECHNOLOGY FEE $2.99 TECHNOLOGY FEE R000.322.900.04.00 0.00 $2.99 M16-0012 Address: 16024 51ST AVE S Apn: 5379200060 $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' 1 R000.322.900.04.00 0.00 $9.48 Date Paid: Tuesday, January 19, 2016 Paid By: GLENDALE HEATING Pay Method: CHECK 007474 Printed: Tuesday, January 19, 2016 2:18 PM 1 of 1 SYSTEMS INSPECTION RECORD Retain a copy with permit /� 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 Projct: _ /� a� 1�� Type�pf I_ nspectign: � ,/1�� A dress: f JCi e Date Called: Special Instructions: Date Wanted: r < a. 3C� P. Reques er: Phone No: 6-15 ftWkV, Inspector: Date: 3 -3-�� 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 iNSP 1013 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 Pr � Type Inspection: Ad�d�sos: � s�t�✓,iDate'Called: Special Instructions: Date Wanted: a.m. _ P.M. Requester: Phone No: (inspector: (uace-3 s3 --f1 REINSPECTION FEE REQUIRED. Prior to next inspection, tee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. GLENDALE HEATING & A/C INC Home lnicio 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 Page 1 of 2 Search L&I i j - ;iiia A-% Index Hetp My Secure IxRl Claims & Insurance Workplace Rights Trades & Licensing 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 Contracr ..................................................................to.. . Active. Meets current requirements. License specialties GENERAL License no. $12,000.00 GLENDHAO5302 Effective date Effective — expiration 10/15/2001 1112211995-11/0212017 Impaired date 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 Savi....ngs ......_. (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=GLENDHA053Q2&SAW= 1/19/2016