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Home My WebLink AboutPermit M19-0184 - PROCTOR RESIDENCE - GAS FURNACE REPLACEMENT AND ADD A/C 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. M19-0184 PROCTOR RESIDENCE 4626 S 150TH ST DIGITAL RECORDS (DR) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION Page # Code Exemption Brief Explanatory Description Statute/Rule The Privacy Act of 1974 evinces Congress' intent that social security numbers are a private concern. As such, individuals’ social security Personal Information – numbers are redacted to protect those Social Security Numbers individuals’ privacy pursuant to 5 U.S.C. sec. 5 U.S.C. sec. 552(a), and are also exempt from disclosure 552(a); RCW DR1 Generally – 5 U.S.C. sec. under section 42.56.070(1) of the Washington 42.56.070(1) 552(a); RCW State Public Records Act, which exempts under 42.56.070(1) 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 account numbers, which are exempt from 9DR2Financial Information – 42.56.230(5) disclosure pursuant to RCW 42.56.230(5), RCW 42.56.230(4 5) except when disclosure is expressly required by or governed by other law. Personal Information – Redactions contain information used to prove RCW Driver’s License. – RCW identity, age, residential address, social security 42.56.230 (7a DR3 number or other personal information required to 42.56.230 & c) apply for a driver’s license or identicard. (7a & c) Redacted content contains a communication between client and attorney for the purpose of obtaining or providing legal advice exempt from RCW Attorney-Client Privilege – disclosure pursuant to RCW 5.60.060(2)(a), 5.60.060(2)(a); RCW 5.60.060(2)(a); RCW which protects attorney-client privileged DR4 RCW 42.56.070(1) communications, and RCW 42.56.070(1), which 42.56.070(1) protects, under the PRA, information exempt or prohibited from disclosure under another statute. PROCTOR RESIDENCE 4626 S 150TH ST M19-0184 Parcel No: Address: 0 City of Tukwila of Department —^—_.....--.-^Development G3DOSouthcenterBoulevard, Suite #1OD Tukwila, Washington 9D18Q Phone'2O6-431-367¢ Inspection Request Line: 206'438'9350 Web site: http://www.TukwilaWA.gov MECHANICAL OTC PERMIT 0042000234 Permit Number: M19-0184 Project Name: PROCTOR RESIDENCE Issue Date: II/5/2019 Permit Expires On: 5/3/2020 Owner: Name: Contact Person: Name: 4G26S15OTHST,TUKVV|k\WA, 98188 SARAH TURNER Address: 1246ZDES MO|NBMEMORIAL DR, BUK|EN,WA, 9816Q Contractor: Name GLENDALEHEATING & A/C INC Address: 12462DES K80NES MEMORIAL DR, SEATTLE,WA, 98168- 266 License No: Lender: ''' Phone: (206) 244-1136 Phone: (206)243'7700 Expiration Date: 11/2/I0I1 DESCRIPTION OF WORK: REPLACE GAS FURNACE WITH SAME, ADD AIR CONDITIONING SYSYTEM Valuation of Work: $0.00 Type ofWork: REPLACEMENT Fuel type: GAS Fees Collected: $288.68 Electrical Service Provided by: SEATTLECITY LIGHT Water District: lZS SevverDistrict: VALLEYV|EVV Current Codes adopted bythe City nfTukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: International Fuel Gas Code: rized Signature: ational Electrical Code: VVACities Electrical Code: VVA[296'468: y Code: Date: A �(—~s—f�( � / 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 orlocal laws negu|aVinKconstruction orthe performance ofwork. |amauthorized tosign and obtain this development permit and agree tnthe conditions attached tothis permit. Signu JvA / Date: �/� /~9 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 [OND[OONS*** Z: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center (2U6/431'367O). 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 beavailable mnthe job site otthe time ofinspection. 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 orappliance rests. 7: Type 1 Hoods, the required grease duct leakage test and light test shall be performed by a special inspection and testing agency inaccordance with iMI.Chapter 5. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: t206)438'9350 1800 MECHANICAL FINAL 0701 ROUGH -IN MECHANICAL CITY OF TUKTAA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tulcwila, WA 98188 http://www.TukwilaWA.(*ov Mechanical Permit No. (q— 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 play review. Applications will not be accepted through the mail or by fax. **please print** SITE LOCATION Site Address: ')‘ (i9 50 ic-so\''' Tenant Name: King Co Assessor's Tax No.: 001')UD 0 2 3tj Suite Number: Floor: New Tenant: Yes EI.. No PROPERTY OWNER Name: fliore - br Address: (4-24) So State: Zip: 1 g w CONTACT PERSON — person receiving all project communication Name: rpi Irt VOrmi r Address: 1 A to, , ' hii06 nivvio I)), City: .1b1,24.tt State: Zip: 5.1miti Phone: A* , 11/ --flo Fax:, Email: ti,i-ei rii P, 01 \ 1,11 alt In) AiiN. (' 6 t,-Kv MECHANICAL CONTRACTOR INFORMATION Company Name: M ir jolt 'RA- i 110 Address: 1 xt.1 b hil if ,,,, mAtwt in) j , City: ill , 1 r.) State: Zip: DItg lbg Phone:) , 0t/ .1/ 3 -110 Fax: Ulf -1'13- 41'1 Contr Reg No,: 61.10\ipoo5 Exp Date: It _ oi _It Tukwila Business License No.: 0 .. vic13011) Valuation of project (contractor's bid price): $ VI) ?kut xy`• Describe the scope of work in detail: ., t 04 1hn, Use: Residential: New. Commercial: New . Fuel Type: Electric Gas Replacement........ Replacement Li Other: HAApplicationsWorms-Applications On Line\2011 ApplicationsWlechanical Permit Application Revised 8-9-11.docx Revd • Anangt 2011 "4" 1 Indicate type of mechanical work being installed and the quantity below: Unit Type Qty Furnace <100k btu Furnace > l 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 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 41 L 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 0 Signature: Print Name: Mailing Address: ER OR AUTIpRIVGENT: 11 //� LO h hi hvYll pySdT)k Day Telephone: C ty State Zip H:1Applications\Forms-Applications On Line1201 I Applications'Nlechanical Pernnit Application Revised 8.9-1 Ldocx Revised: August 2011 Page 2 of 2 DESCRIPTIONS PermitTRAK 0 Cash Register Receipt City of Tukwila ACCOUNT QUANTITY PAID 51.68 EL19-0916 Address: 4626 S 150TH ST Apn: 0042000234 $ 63 .0 0 ELECTRICAL $60.00 PERMIT FEE SINGLE FAMILY R000.322.101.00.00 0.00 $60.00 TECHNOLOGY FEE $3.00 TECHNOLOGY FEE R000.322.900.04.00 0.00 $3.00 M19-0184 Address: 4626 S 150TH ST pn: 0042001:1234 $288.68 MECHANICAL $274.93 PERMIT FEE R000.322.100.00.00 0.00 $241.78 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $33.15 TECHNOLOGY FEE $13.75 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R19005 R000.322.900.04.00 0.00 $13.75 $351.68 Date Paid: Tuesday, November 05, 2019 Paid By: GLENDALE HEATING & A/C INC Pay Method: CHECK 013429 Printer+ Thecrlav NInvemhPr nc 2mq 17.n1 PM 1 of 1 111201A1 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMI r NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 MIr9 -U l EN 'ct: T. `Ty e o lnsp motion: Address: �'trS Y iI L.t�+ -:r� ....'`,� !,Ffi/✓.-w Special instructions:: -- r _ram'`-..- Date 'Wanted: a.m. p.m. Requester: Phone No: Approved per applicable codes. COMMENTS: Corrections required prior to approval. REINSPECTION FEE REQUIRED. Prior to next inspec(ion. tee must be paid at 6300 Southcenter Blvd,. Suite 100. Call to schedule reinspection. GLENDALE HEATING & A/C IN6 Labor & Industries (hitp$1,/lni.vva...00v) Page 1 of 2 Contractors 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— 11/02/2021 Bond No bond accounts during the previous 6 year period. Insurance , ... New York Marine & General Insu Policy no. PK201800014651 Received by L&I 10/03/2019 $1,000,000.00 Effective date 11 /02/2019 Expiration date 11/02/2020 Insurance history Savings (in lieu of bond) $12,000.00 Received by L&I Effective date 10/15/2001 10/1512001 Release date Impaired date N/A N/A Savings account ID Savings history iittny • //Qpr•ilrp ini xsr P1 rycluiverifyinetail crw7T i1111=-6C1M11167R7T JC=Crl" .F.NDT-T A n 5107,k.S A W= 1 1 /5/701 9