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Home My WebLink AboutPermit M17-0123 - VERDI RESIDENCE - A/C UNITThis 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. M17-0123 VERDI RESIDENCE 14913 46TH 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) VERDI RESIDENCE 14913 46 AVE S M17-0123 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 0042000060 Permit Number: 14913 46TH AVE S VERDI RESIDENCE Issue Date: Permit Expires On: M17-0123 9/6/2017 3/5/2018 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: VERDI CAROL A 14913 46TH AVE 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 GLENDHA05302 Phone: (206) 243-7700 Phone: (206) 243-7700 Expiration Date: 11/2/2017 DESCRIPTION OF WORK: REPLACE OIL FURNACE WITH NEW AND INSTALL OF A/C SYSTEM Valuation of Work: $0.00 Type of Work: REPLACEMENT Fuel type: Fees Collected: $277.91 Electrical Service Provided by: SEATTLE CITY LIGHT Water District: 125 Sewer District: VALLEY VIEW 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: Date: 2014 2014 2014 2015 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 th .nditions attached to this permit. Signature: Print Name: 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 fight 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 TUKW. Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.Tukw i laW A. gov Mechanical Permit No. Project No. Date Application Accepted: Date. Application Expires: MI/1011/92 (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: Tenant Name: 1140" 1-ItilkAAi o King Co Assessor's Tax No.: PROPERTY OWNER 6a v-01 ; Address: 14 \ 3 pk) City: 61)\ vo State: Zip: Dag Name: CONTACT PERSON— person,receiving all project communication Oor-A Coovi - 3°111;Plif Address:1AA NkliTY; ati c City: 61_,A4J) State: Name: Zip qg 119? Phone: aDtp )15 bp Fax: ).110._),L13.? Email: kt; \ CiliWOlthnt01-11 DAZO -161 Suite Number: Floor: New Tenant: fl Yes p.. No mgtHANICA.CONTRACTOR1INPORMATION Company Name: k i fheialt )\-,bp`t, 1)1 Address: 1 kilts), _ ) )\,/ jo t-lA/vrloy i ) City: 6,1 41 State: \AI 4 Zip: Phone: 3,, -mo Fax: Contr Reg No.: (.1, al)1itty,,,,AL Exp Date: I I_ 5a _ 11 Tukwila Business License No.:6 t)14 „ bq I 3g 1 Valuation of project (contractor's bid price): $ Describe the sco e of work in detail: L, t ,A 120 j CP1P1 o Ai t atArin 3 Arnat,1 wJY\AAA) (9\d liorytei (A/n4&- Use: Residential: New El Replacement Commercial: New Replacement Fuel Type: Electric Gas fl Other: 0 H:\Applications\Forms-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 I Qty Furnace <100k btu >10,000 cfm t Furnace >100k btu Ventilation fan connected to single duct Floor furnace Ventilation system Suspended/wall/floor mounted heater Incinerator — domestic Appliance vent Incinerator — comm/industrial 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 ..plication 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 OW1R0 AUTHO ZED AG NT: Signature: 1 ,( Print Name: 662y -A (o ¢h 6 Mailing Address: \ 7,‘A 6 ►j'u j NA,i 9 Y H:\Applications\Forms-Applications On Line \2011 Applications\Mechanical Permit Application Revised 8-9-11.docx Revised: August 2011 bh Date: b a2. Day Telephone: (D ail 3 --1)0,0 City )19f State Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY ( PAID $342.01 EL17-0676 Address: 14913 46TH AVE S Apn: 0042000060 $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 M17-0123 Address: 14913 46TH AVE S Apn: 0042000060 $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: R12262 R000.322.900.04.00 0.00 .: $13.23 $342.01 Date Paid: Wednesday, September 06, 2017 Paid By: GLENDALE HEATING & A/C Pay Method: CHECK 010132 Printed: Wednesday, September 06, 2017 11:10 1 of 1 AM CIPIWSYSTEMS INSPECTION NO. INSPECTION RECORD Retain a copy with permit17-0,2- PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 9818 (2 6) 431-3670 Permit Inspection Request Line (206) 438-9350 /A Projfeecct: i { Type oof�jInAspectiiogn: 1 , Address: /yq>2 /o711 Ave 5 Date Called: Special Instructions: Date Wan ed' / a.rn. Requester Phone No: Approved per applicable codes. LJ Corrections required prior to approval. COMMENTS: Inspector: DA -IAA Date: 0 /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 Norse Espanol Contact Safety & Health Claims & Insurance Washington State Department of Labor & Industries Search L&I A -'L Lidex help Page 1 of 2 loVAV My L&[ 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 perspns 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= 9/6/2017 GLENDALE HEATING & A/C INC Alook Release date Impaired date N/A N/A Savings account ID 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 Account is current. 153,339-00 Doing business as GLENDALE HEATING & AIR COND Estimated workers reported Quarter 2 of Year 2017 "11 to 20 Workers" L&I account contact T2 / SUSAN BETTS (360)902-4828 - Email: BETT235@Ini.wa.gov Public Works Strikes and Debarments Verify the contractor is eligible to perform work on public works projects. Contractor Strikes No strikes have been issued against this contractor. Contractors not allowed to bid No debarments have been issued against this contractor. Workplace safety and health No inspections during the previous 6 year period. 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= 9/6/2017