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Home My WebLink AboutPermit M17-0040 - SYMONDS RESIDENCE - MINI SPLIT HEAT PUMP SYSTEMThis 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. M17-0040 SYMONDS RESIDENCE 12250 42ND AVE S THE ABOVE MENTIONED Page # DIGITAL Code RECORDS PERMIT FILE INCLUDES Exemption (DR) EXEMPTION LOG THE FOLLOWING REDACTED INFORMATION Brief Explanatory Description StatutelRule Personal Information — The Privacy Act of 1974 evinces Congress' intent that social security numbers are a private concern. As such, individuals' social security 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 — RCW 42.56.230(4 5) account numbers, which are exempt from disclosure pursuant to RCW 42.56.230(5), except when disclosure is expressly required by or governed by other law. 42.56.230(5) Personal Information — Driver's License. RCW Redactions contain information used to prove RCW DR3 — identity, age, residential address, social security 42.56.230 (7a 42.56.230 (7a & c) number or other personal information required to apply for a driver's license or identicard. & c) Redacted content contains a communication between client and attorney for the purpose of obtaining or providing legal advice exempt from RCW DR4 Attorney -Client Privilege — RCW 5.60.060(2)(a); RCW disclosure pursuant to RCW 5.60.060(2)(a), which protects attorney-client privileged 5.60.060(2)(a); RCW 42.56.070(1) communications, and RCW 42.56.070(1), which protects, under the PRA, information exempt or prohibited from disclosure under another statute. 42.56.070(1) SYMONDS RESIDENCE 12250 42 AVE S M17-0040 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.eov 0179000090 12250 42ND AVE S SYMONDS RESIDENCE MECHANICAL OTC PERMIT Permit Number: M17-0040 Issue Date: 3/24/2017 Permit Expires On: 9/20/2017 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: SYMONDS KELLE S 12250 42ND AV S , TUKWILA, WA, 98168 DEBRA COONS 12462 DES MOINES MEMORIAL DR , SEATTLE, WA, 98168 GLENDALE HEATING & A/C INC 12462 DES MOINES MEMORIAL DR , SEATTLE, WA, 98168-2266 GLENDHA053Q2 111 Phone: (206) 243-7700 Phone: (206) 243-7700 Expiration Date: 11/2/2017 DESCRIPTION OF WORK: INSTALLATION OF A DAIKIN MINI SPLIT HEAT PUMP SYSTEM Valuation of Work: $10,969.00 Type of Work: NEW Fuel type: ELECT Fees Collected: $277.91 Electrical Service Provided by: SEATTLE CITY LIGHT Water District: TUKWILA Sewer District: TUKWILA 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: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2014 2014 2014 2015 Date: %--.14---( 7 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: ret -V iiknAvir Date: 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 TUKWIEL Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 littp://www.TukwilaWA.gov Mechanical Permit No. M 0011 0 Project No. Date Application, Accepted: Date Application Expires, (For office 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 Address: Xq i% ✓ 4241'1"� Tenant Name: King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: ❑ Yes ❑.. No PROPERTY OWNER X11 Address: l aq _ /�.� ►1C1 Name: City: 1l.AJt V) a Stata: \A)A Z '$169 CONTACT PERSON person receiving all pyoject communication Name: �ry_ I , J l� h11,09 Address: atAi,1 rl to o✓ City: .1k\.14), State: it Zip: nib, Phone: 'Di Di y ,A.77 Fax -kvo ))L\ g l 4 q Email: a\ t lGAt\r1t06:itl. b )16OD MECHANICAL. CONTRACTOR IN:FORMATION.: Company Name: {' i vVp� I Qid f , V11 Address: 1 x110‘., Kat, l t, I ky Ed 144) 1,1Y City: 6) D` , ,i State: a Zip: kg1b-1 Phone: -1,15(p ...,A3 ,-ND Fax:vtp- 1,11� g� 1 `I Contr Reg No.: P LLW f66591Exp Date:_ 1 u _ , g Tukwila Business License No.: 6u3... p i q al `I -) Valuation of project (contractor's bid price): $0 °W)1. -1 1 , D scribe i the scope of wor in detail: 1(111 611 9 i 0 is A, \V1)/!M P 1,1 Use: Residential: New Commercial: New ❑ Fuel Type: Electric Replacement Replacement Gas ❑ Other: H:Wpplications\Porms-Applications On Line\2011 Applications\Mechanical Permit Application Revised 8-9-11.docx Revised: August 2011 bh Page 1 of 2 Indicate type of mechanical work being installed and the quantity below: Unit Type Qty Furnace <100k btu Furnace >100k btu Floor furnace 1 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 1 Ventilation fan connected to single duct Ventilation system Hood and duct Incinerator — domestic Incinerator — comm/industrial Unit Type Qty Fire damper Diffuser Thermostat 1 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. BUILDING OW R OR AUTH1QRIZED GENT: Signature: -�, 1l , B Print Name: A fAD f Q Lao 'y► 4 Mailing Address: a" A NOrnf) y-titi D r H:Wpplications\Forms-Applications On Line \2011 Applications\Mechanical Permit Application Revised 8-9-11.docx Revised: August 2011 bh Day Telephone: 6)I3-11-1 City Date: 3 I 1 State tqui Zip Page 2 of 2 DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $342.01 EL17-0231 Address: 12250 42ND AVE S Apn: 0179000090 $64.10 ELECTRICAL $61.05 PERMIT FEE SINGLE FAMILY R000.322.101.00.00 0.00 $61.05 TECHNOLOGY FEE $3.05 TECHNOLOGY FEE R000.322.900.04.00 0.00 $3.05 M17-0040 Address: 12250 42ND AVE S Apn: 0179000090 $277.91 MECHANICAL $264.68 PERMIT FEE R000.322.100.00.00 0.00 $231.53 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $33.15 TECHNOLOGY FEE $13.23 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R11141 R000.322.900.04.00 0.00 $13.23 $342.01 Date Paid: Friday, March 24, 2017 Paid By: GLENDALE HEATING & A/C INC Pay Method: CHECK 009377 Printed: Friday, March 24, 2017 11:22 AM 1 of 1 C( SYSTEMS INSPECTION RECORD Retain a copy with permit M17 -004/0 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 981 (206 431-3670 Permit Inspection Request Line (206) 438-9350, j Proect: 6`f ifk. .A agibctice Type of Inspection: ina4AIJKAL ii adr4Z Address: Date Called: Special Instructions: Date Want d: ' . I' �a.rrys .m. Request r: 1 Phone No: Approved per applicable codes. E Corrections required prior to approval. COMMENTS: Inspector: Date: 7 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 INC Home. Espanol Contact Safety & Health Claims & Insurance 0 Washington State Department of Labor & Industries Search L&I Page 1 of 2 A -Z Index Help My L&I Workplace Rights Trades & Licensing 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, WA 98168-2266 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 ............................... HDI -Gerling America Insurance $2,000,000.00 Policy no. EGGCD000173416 Received by L&I Effective date 09/23/2016 11/02/2016 Expiration date 11/02/2017 Insurance history Savings ..................... (in lieu of bond) $12,000.00 Received by L&I Effective date 10/15/2001 10/15/2001 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600003167&LIC=GLENDHA053Q2&SAW= 3/24/2017 GLENDALE HEATING & A/C INC Release date N/A Savings account ID Impaired date N/A 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. License Violations No license violations during the previous 6 year period. Workers' comp Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums. L&I Account ID 153,339-00 ................................. Doing business as GLENDALE HEATING & AIR COND Estimated workers reported Quarter 4 of Year 2016 "11 to 20 Workers" L&I account representative T2 / SUSAN BETTS (360)902-4828 - Email: BETT235@Ini.wa.gov Account is current. Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Page 2 of 2 Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600003167&LIC=GLENDHA053Q2&SAW= 3/24/2017