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HomeMy WebLinkAboutPermit M19-0146 - GODWIN RESIDENCE - GAS FURNACE REPLACEMENTGODWIN RESIDENCE 15827 42ND AVE S M19-0146 �\ Parcel No: Address: Project Name: ��^�xx ~���� �"°"^K .~U~� «�x Tukwila Department of Community Development 63O0SouthcenterBoulevard, Suite #1OO Tukwila, Washington 9818O Phone: 206'431'3670 Inspection Request Line: 206'438'9350 VVebsite:httn://www.Tukvvi|aVV4.nov 8108600703 15VZ742NDAVE S GODVV|NRES|DEN[E MECHANICAL OTC PERMIT Permit Number: M19-0I46 Issue Date: 9/4/2019 Permit Expires On: 3/2/2020 Contact Person: Address: Contractor License No: Lender: 7319 8UYVLYN PLACES, SEATTLE WA, 98118 DEBRA COONS 1246 DES M0NBMEMORIAL DR, GLEmDALEHEATING & A/C INC lZ462DES [N0NESMEMORIAL DR, 5E^JTLE,WA, 98l68-2266 GLENDHA053Q2 '^' Phone: (206)243-7700 Phone: (206) 243-7700 Expiration Date: 11/2/2019 DESCRIPTION OF WORK: REPLACE GAS FURNACE WITH SAME Valuation of Work: $4,039.00 Type ufWork: REPLACEMENT Fuel type: GAS Fees Collected: $213.33 Electrical Service Provided by: SEATTLECITY LIGHT Water District: I25 SewerDisthct: VALLEYV|Bm Current Codes adopted hythe City ofTukwila: international Building Code Edition: international Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: International Fuel Gas Code: Permit Center Authorized Signature: A 2015 2015 2015 2015 2015 National Electrical Co VVACities Electrical Code: VVACZ9046D: y Code: /\ .' | hearby certify that | have read and examined this permit and know the same to betrue 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 orlocal laws regulating construction nrthe performance ofwork. |amauthorized tosign and obtain this development permit and agree tothe conditions attached tothis permit, ' Signature: Print Name: Thbpexnit 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: l: `MECHANICAL PERMIT [0ND0ON5*** 2: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center (Z06/4]1-367O). l 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 beavailable onthe job site atthe time nfinspection. 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 ofignition isnot less than 18inches above the floor surface onwhich the equipment orappliance rests. 7: Type 1Hoods, the required grease duct leakage test and light test shall beperformed byaspecial inspection and testing agency inaccordance with |.N1I.Chapter 5. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 1800 MECHANICAL FINAL 0701 ROUGH'|NK4ECHAN|CAL CITY OF TUKTIf '4 Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 littp://www.TukwilaWA.zov Mechanicalemit No. LI ( 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 LOCATION Site Address: I2 )\'sl Tenant Name: PROPERTY OWNER Name: I V) Address: t5g ?,7-i X PtAi.t D City: --TiAv\ -k State: Zip: CONTACT PERSON — person receiving all project communication Name: f/ Address: I "li 1 City: State: Zip: Phone: -iv 0 Fax: -xt) I Email: t ti 41./1 fln ttai v.\ ti. J King Co Assessor's Tax No.: 0161 Suite Number: Floor: New Tenant: LI Yes [1.. No MECHANICAL CONTRACTOR IN Company Name: \ 1 el clik e, Address: 11,110,,, )vii) Nil ofut2 Nkyi., vie i or City: State: 01 Zip: UM Phone: ),bip , -iiik Fax: Contr Reg No.: UtENbil pi,Exp Date: li , Tukwila Business License No.: 64 . 0103 on) Valuation of project (contractor's bid price): 61.1° Describe the scope of work in detail: / (Mit AN:. 6)4 thncti1)1 (2i,1/24- Use: Residential: New Commercial: New Fuel Type: Electric Gas Replacement Replacement Other: HAApplicationaorms-Applications On Line1.2011 ApplicationsWechanical Permit Application Revised 8-9-11.docx Revised: August 2031 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 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 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 PERMIT APPLICATION NOTES - 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 OWNER OR AU ORIZED GENT: Signature: 1 /1/ TU GB Print Name: j ei0l(11 C,Obili Mailing Address: 1 �"l 1D�� % `I0 1 r0,4) I jyy tB Day Telephone: City Date: ` ICII-1191 ?\b r AL) 3 - -n a-b State A VW Zip H:1Applications\Forms-Applications On Line12011 ApplicationslMechanical Permit Application Revised 8-9-11 .doca Revised: August 2011 bh Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY ' PAID $276.33 E119-0717 Address: 15827 42ND AVE $ Apn: 8108600703 $63.0G ELECTRICAL 60,00 PERMIT FEE SINGLE FAMILY R000.322, 0 .00.00 0.00 $60.00 TECHNOLOGY FEE .00 TECHNOLOGY FEE R000.322,900.04.00 0.00 $3.O0 M19-0146 Address: 15827 42ND AVE $ Apn: 8108600703 - $213.33 MECHANICAL $203.17 PERMIT FEE R000.322. 00.00.00 0.00 $170.02 PERMIT ISSUANCE BASE FEE R000.322,100.00.00 0,00 $33.15 TECHNOLOGY FEE $10.16 TECHNOLOGY FEE R000.322,900.04.00 0.00 $10.16 TOTALFEES PAID BY RECEIPT: R18485 :': $276.33 Date Paid: Wednesday, September 04, 2019 Paid By: GLENDALE HEATING & A/C INC Pay Method: CHECK 013192 Printed: Wednesday, September 04, 2019 2:02 1 of 1 PM CRWYSTEMS 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 Pro Type of Inspection: Ad//dress: `5.r2 7 Date Called: Special Instructions: , Date Wanted: 7 a.m. p.m. Requesterr: Phone Nc : 4W©�',� Approved per applicable codes. 11 Corrections required prior to approval. COMMENTS: Inspector: Date: 7 2- 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 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 , j pe of Inspection:Fffl Address: I5 27 A Date C ed: Special Instructions: 'Date Wanted a.m. p.m. Requester: Phone No: Approved per applicable codes. rrections required prior to approval. ENT CnvS Cle‘Cck— I-t4190441154'4C Inspect I j REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Cali to schedule reinspection. GLENDALE HEATING & A/C INC ',tome Es1inuI .ontact Search L8,1 Page 1 of 2 i="ltrq-,y Safety & Health Claims & Insurance on State Department of Labor & Industries A-Z Index Help My 1..&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 FULTON GERALD A HOEFER; Certifications & Endorsements License Verify the contractors active registration / license / certification (depending on trade) and any past violations. Construction Contractor License specialties GENERAL License no. GLENDHA053Q2 Effective — expiration 11/22/1995— 11/02/2019 Bond No bond accounts during the previous 6 year period. HDI-Gerling America Insurance Policy no. EGGCD000173416 Received by L&I 10/15/2018 Insurance history Savings (in lieu of bond) Received by L&I Active. Meets current requirements. $2,000,000.00 Effective date 11/02/2016 Expiration date 11/02/2019 $12,000.00 Effective date Help us improve 1__: . TUT—K/1(111(111 A'72,11 Jr=fTTr-NTT1T--T A (IG1(Y)Rr W= Q/d.r)(11 0