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HomeMy WebLinkAboutPermit M17-0133 - KORN RESIDENCE - MINI SPLIT HEAT PUMPThis 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. M17-0133 KORN RESIDENCE 14426 56TH 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 11 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) KORN RESIDENCE 14426 56 AVE S M17-0133 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 3365900446 Permit Number: M17-0133 14426 56TH AVE S KORN RESIDENCE Issue Date: 9/20/2017 Permit Expires On: 3/19/2018 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: KORN HOWARD L+SUZANNE D 14426 56TH 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 Phone: (206) 243-7700 Phone: (206) 243-7700 Expiration Date: 11/2/2017 DESCRIPTION OF WORK: INSTALL KAIKIN MINI SPLIT HEATPUMP - DUCTLESS Valuation of Work: $0.00 Type of Work: NEW Fuel type: ELECT Fees Collected: $234.86 Electrical Service Provided by: PUGEST SOUND ENERGY 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: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2014 2014 2014 2015 Permit Center Authorized Signature: 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 it and agree to the conditions 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 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 TUKY A Community Development Department Permit Center 6300 Southcenter Blvd,, Suite 100 Tukwila, WA 98188 littp://www.TukwilaWA.gov MechanicalPermit No. t Lh-OP2. :. Project No: Date Application Accepted:. Date AA iphcation Exptres , (For..'ofce 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: King Co Assessor's Tax No.: 3%541b V ( 1 b Suite Number: PROPERTY.OWNER of ?i .',, '2 `._... :: • i ;:`' -,-I1 J. `...:,, Name: 1101itrarj lOlt. V) b Y l ac?, Address: 11114 ' s 4 - AV,I, 4, -/(U State: ,:\ . Zip: (IRI [� City: �1 Staate:,, ^ 1A) �h'11A11 1I, UV Zip: "I3 la CONTACPERSON person ecevmgall�p Trrglcct` i'i' , communication Name: (.7) i , ligiail Address: I �� \ (9,1,) , 1 111 "ItY b Y l ac?, City: \\A\4 State: ,:\ . Zip: (IRI [� _)k Phone:4 - to ,-..n bo Fax: )1bit) ✓a� 1 . f 5t, L) Email:(06\1:4A(.46,) e,Y U!.ai 1 h/1 • N1->(` Valuation of project (contractor's bid price): Describe the scope of work in detail: )Y117 Floor: New Tenant: ❑ Yes ❑.. No MttliASI CAL CONTRACTOR INFORMATION, h ,., .. Company Name: V� `v► of _ lit Address:j \'/ �Q�UI� /jI- `),�1i0A _ `/ 1-W1 1,0 1 ✓%YYJfryId Qin City: /A State: ' , ,1 Q Zip: Ulf '7 f Phone: /) . �'1 , 7lD Fax: / ._a . + I Contr Reg No.: 1 1lEi\i-\d 6)2__ Exp Date: 1' _LI \,i Tukwila Business License No.: 611 _ 0 cm wri pUhlf Use: Fuel Type: Residential: Commercial: Electric New Replacement New.....,.. ❑ Replacement ❑ Gas ❑ Other: H:Wpplications\Forms-Applications On Line \2011 Applications\Mechanical Permit Application Revised 8-9-11.docx Revised: August 2011 bh IO 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 Suspended/wall/floor mounted heater Appliance vent Repair or addition to heat/refrig/cooling system Air handling unit <10,000 cfrn 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. BUILDING OWER^OR AUT RIZED A I_ /a�/lii/�� r✓y Signature: \ Print Name: LJ -1i leo wi2 ENT: Mailing Address: l"I 'k1y\, f6 H:Wpplications\Forms-Applications On Line \2011 Applications\tvlechanical Permit Application Revised 8-9-11.docx Revised: August 2011 bh Date: 11 Day Telephone: City State Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $501.96 EL17-0720 Address: 5936 S 149TH ST Apn: 3597000086 $64.10 ELECTRICAL $61.05 PERMIT FEE SINGLE FAMILY 1 R000.322.101.00.00 0.00 I $61.05 TECHNOLOGY FEE $3.05 TECHNOLOGY FEE R000.322.900.04.00 I 0.00 I $3.05 M17-0133 Address: 14426 56TH AVE S Apn: 3365900446 $234.86 MECHANICAL $223.68 PERMIT FEE R000.322.100.00.00 0.00 $190.53 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $33.15 TECHNOLOGY FEE $11.18 TECHNOLOGY FEE I R000.322.900.04.00 0.00 $11.18 M17-0134 Address: 5936 S 149TH ST Apn: 3597000086 $203.00 MECHANICAL $193.33 PERMIT FEE R000.322.100.00.00 0.00 $160.18 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $33.15 TECHNOLOGY FEE $9.67 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R12367 R000.322.900.04.00 0.00 $9.67 $501.96 Date Paid: Wednesday, September 20, 2017 Paid By: GLENDALE HEATING & A/C Pay Method: CHECK 10200 Printed: Wednesday, September 20, 2017 1:04 1 of 1 PM CIIIIWYSTEMS INSPECTION NO. INSPECTION RECORD Retain a copy with permit 714 17- 0/13 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 1�OMV A S`i;D Type of Inspection: 4fk2 4- /CML f7 #-4— Address: /We 5m' : Date Called: Special Instructions: • M Date Wanted: a.m. p.m. Requester: //J /<'ORN Phone No: —3e7- 361 '8 • !�4Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: UK miciwt)i61-L i/y44-- Inspector: Date: Q REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection: 2/1/2018 City of Tukwila Department of Community Development DEBRA COONS 12462 DES MOINES MEMORIAL DR SEATTLE, WA 98168 RE: Permit No. M17-0133 KORN RESIDENCE 14426 56TH AVE 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 3/19/2018. 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 fmal 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 3/19/2018, 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, 1'c " e ' i le p Y Permit Technician File No: M17-0133 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670' • Fax 206-431-3665 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&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 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 Release date Impaired date Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600003167&LIC=GLENDHA053Q2&SAW= 9/20/2017 GLENDALE HEATING & A/C INC NIA Savings account ID Savings history Lawsuits against the bond or savings N/A No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No L&l 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. 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