HomeMy WebLinkAboutPermit PG10-004 - WEBER RESIDENCEWEBER RESIDENCE
4624 S 146 ST
PG1 0-004
Parcel No.: 0040000581
Address:
Suite No:
City* Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Inspection Request Line: 206- 431 -2451
Web site: http: / /www.ci.tukwila.wa.us
4624 S 146 ST TUKW
PLUMBING /GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On:
PG 10 -004
01/21/2010
07/20/2010
Tenant:
Name: WEBER RESIDENCE
Address: 4624 S 146 ST , TUKWILA WA
Owner:
Name: SCHMETZER BRIAN +BESAGNO JAC
Address: 5223 18TH AVE SW , SEATTLE WA
Contact Person:
Name: JOSH BAILEY
Address: 26458 MAPLE VALLEY HY SE , MAPLE VALLEY WA
Contractor:
Name: SUMMIT HEAT N AIR
Address: 26458 MAPLE VALLEY HY SE , MAPLE VALLEY WA
Contractor License No: SUMMIHN953P4
Phone:
Phone: 206 936 -1266
Phone: 425 432 -4192
Expiration Date: 12/11/2011
DESCRIPTION OF WORK:
GAS PIPING TO FURNACE FROM METER
Value of Plumbing /Gas Piping:
Fees Collected:
$1,000.00
$96.60
Uniform Plumbing Code Edition: 2006
International Fuel Gas Code Edition: 2006
FIXTURE TYPE AND QUANTITY
Plumbing
Bathtub or combination bath/shower 0
Bidet 0
Clothes washer, domestic 0
Dental unit, cuspidor 0
Dishwasher, domestic, with independent drain 0
Drinking fountain or water cooler (per head) 0
Food -waste grinder, commercial 0
Floor drain 0
Shower, single head trap 0
Lavatory 0
Wash fountain
Receptor, indirect waste 0
Sinks 0
Urinals 0
Water Closet 0
0
Plumbing (cont.)
Building sewer and each trailer park sewer 0
Rain water system - per drain (inside bldg) 0
Water heater and /or vent 0
Industrial waste treatment interceptor, including
its trap and vent, except for kitchen type
grease interceptors 0
Repair or alteration of water piping and/or water
treatment equipment 0
Repair or alteration of drainage or vent piping 0
Medical gas piping system serving (1 -5)
inlets /outlets for a specific gas 0
Medical gas piping (6 +) inlets /outlets 0
Gas Piping
Gas piping outlets (0 -5) 1
Gas piping outlets (6 +) 0
* *continued on next page **
doc: UPC -7/07
PG 10 -004 Printed: 01 -21 -2010
City o!Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Inspection Request Line: 206- 431 -2451
Web site: http: / /www.ci.tukwila.wa.us
Permit Number: PG10 -004
Issue Date: 01/21/2010
Permit Expires On: 07/20/2010
Permit Center Authorized Signature:
I hereby certify that I have read and e
governing this work will be complied
amin
ith,
Date: 041 l 1 l P
d this permit and know the same to be true and correct. All provisions of law and ordinances
hether specified herein or not.
The granting of this permit does not presu to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the % •S •rma - of work am authorized to sign and obtain this plumbing /gas piping permit.
Signature: dh .V�—� Date:
Print Name: gi./
/-2/
This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended
or abandoned for a period of 180 days from the last inspection.
doc: UPC -7/07
PG 10 -004 Printed: 01 -21 -2010
Parcel No.:
Address:
Suite No:
Tenant:
S
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http://www.ci.tukwila.wa.us
0040000581
4624 S 146 ST TUKW
WEBER RESIDENCE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
PG 10 -004
ISSUED
01/21/2010
01/21/2010
1: ** *PLUMBING AND GAS PIPING * **
2: No changes shall be made to applicable plans and specifications unless prior approval is obtained from the Tukwila
Building Division.
3: All permits, inspection records and applicable plans shall be maintained at the job and available to the plumbing
inspector.
4: All plumbing and gas piping systems shall be installed in compliance with the Uniform Plumbing Code and the Fuel Gas
Code.
5: No portion of any plumbing system or gas piping shall be concealed until inspected and approved.
6: All plumbing and gas piping systems shall be tested and approved as required by the Plumbing Code and Fuel Gas Code.
Tests shall be conducted in the presence of the Plumbing Inspector. It shall be the duty of the holder of the permit to
make sure that the work will stand the test prescribed before giving notification that the work is ready for inspection.
7: No water, soil, or waste pipe shall be installed or permitted outside of a building or in an exterior wall unless,
adequate provision is made to protect such pipe from freezing. All hot and cold water pipes installed outside the
conditioned space shall be insulated to minimum R -3.
8: Plastic and copper piping running through framing members to within one (1) inch of the exposed framing shall be
protected by steel nail plates not less than 18 guage.
9: Piping through concrete or masonry walls shall not be subject to any load from building construction. No plumbing
piping shall be directly embedded in concrete or masonry.
10: All pipes penetrating floor /ceiling assemblies and fire - resistance rated walls or partitions shall be protected in
accordance with the requirements of the building code.
11: Piping in the ground shall be laid on a firm bed for its entire length. Trenches shall be backfilled in thin layers to
twelve inches above the top of the piping with clean earth, which shall not contain stones, boulders, cinderfill,
frozen earth, or construction debris.
12: The issuance of a permit or approval of plans and specifications shall not be construed to be a permit for, or an
approval of, any violation of any of the provisions of the Plumbing Code or Fuel Gas Code or any other ordinance of the
jurisdiction.
* *continued on next page **
doc: Cond -10/06
PG 10 -004 Printed: 01 -21 -2010
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http://www.ci.tukwila.wa.us
I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and
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 provision of any other work
construction or the performance of work.
Signature:
Print Name: Ja 1
Date: / 7--
ordinances governing
or local laws regulating
doc: Cond -10/06
PG 10 -004
Printed: 01 -21 -2010
•
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
Plutnbing %Ga's Perm itNo:..IJ
Project No
For office use only)
PLUMBING / GAS PIPING 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: 1 c q ,/ /t / /I/
Tenant Name: 0 /Gtji'I L v t e/
Property Owners Name:
Mailing Address:
King Co Assessor's Tax No.: 001100 '061
Suite Number:
New Tenant:
//
Floor:
❑ Yes ..No
City
State
Zip
CONTACT PERSON -Who do we contact.when • your permit • isrea`dy to be issued
Name:
Mailing Address:
/1 2
Day
Telephone: h one: Z[/t 72
�4 1/1Y 1 to
p
E -Mail Address: Fax Number:
PLUMBING: / GAS 'PIPING'CONTRACTOR INFORMATI
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Cit,,ninfoL h2�G /j(I - /l/'/�7y'G��-/`�y '/���)
_264 J" / / G I/ i4 ' s&' / //°/2/l City t /7 h,� state U 23 f
1.4 t///7 Day Telephone: 206 `55 — � 66
1 j-� Fax Number:
Contractor Registration Number: S ( ) fl1 IY J- kW J 3%'4 Expiration Date:
, 'ARCHITECT' OF _ All`plans`must be wet stamped by Architect of Record
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
City
Day Telephone:
Fax Number:
State
Zip
ENGINEER OF RECORD = All plans
must be wet stamped by, Engineer` of Record.
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
H:Wpplications \Forms - Applications On Line\2009 Applications \1 -2009 - Plumbing -Gas Piping Permit Application.doc
Revised: 1 -2009
bh
City
Day Telephone:
Fax Number:
State
Zip
Page 1 of 2
Valuation of Project (contractor's bid price): $ 26 50 c5e7
944 p /p />1 N4.,--/ e__ from 7)7P -
Scope of Work (please provide detailed information):
Building Use (per Intl Building Code): J�JJ%)l'fl, C)/ 4 7
Occupancy (per Int'l Building Code):
Utility Purveyor: Water:
Sewer:
Indicate type of plumbing fixtures and /or gas piping outlets being installed and the quantity below:
Fixture Type: Y ' _
p
Qty ;
. Fixture Type:- -
Qty,:
Fixture Type: ,: =. ' �
Qty.
Fixture•Type:
Qty
Bathtub or combination
bath/shower
Bidet
Clothes washer, domestic
Dental unit, cuspidor
Dishwasher, domestic,
with independent drain
Drinking fountain or
water cooler (per head)
Food -waste grinder,
commercial
Floor Drain
Shower, single head trap
Lavatory
Wash fountain
Receptor, indirect waste
Sinks
Urinals
Water Closet
Building sewer and each
trailer park sewer
Rain water system — per
drain (inside building)
Water heater and /or vent
Industrial waste treatment
interceptor, including trap
and vent, except for kitchen
type grease interceptors
Each grease trap
(connected to not more
than 4 fixtures - <750
gallon capacity)
Grease interceptor for
commercial kitchen ( >750
gallon capacity)
Repair or alteration of
water piping and /or water
treatment equipment
Repair or alteration of
drainage or vent piping
Medical gas piping
system serving 1 -5
inlets /outlets for a
specific gas
Each additional medical
gas inlets /outlets greater
than 5
Backflow protective
device other than
atmospheric -type vacuum
breakers 2 inch (51 mm)
diameter or smaller
Backflow protective device
other than atmospheric -type
vacuum breakers over 2
inch (51 mm) diameter
Each lawn sprinkler
system on any one meter
including backflow
protection devices
Atmospheric -type vacuum
breakers not included in
lawn sprinkler backflow
protections (1 -5)
Atmospheric -type
vacuum breakers not
included in lawn
sprinkler backflow
protections over 5
Gas piping outlets
I
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 an additional period not to exceed 180 days. The extension shall be requested in writing
and justifiable cause demonstrated. Section 103.4.3 International Plumbing 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 OWN
Signature:
Print Name:
Date: / " iv
Day Telephone: 7-0.--3q6- 11�� Cab
%-
Mailing Address: 2
State
Zip
Date Application Accepted:
O b
Date Application Expires:
Staff Initials: I
/
H:\Applications\Fonns- Applications On tine \2009 Applications \1 -2009 - Plumbing -Gas Piping Permit Application.doc
Revised: 1 -2009
bh
Page 2 of 2
of Tukwila,
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206-431-3665
Web site: http: //www.ci.tukwila.wa.us
SET RECEIPT
Copy Reprinted on 01 -21 -2010 at 09:40:36 01/21/2010
RECEIPT NO: R10 -00084
Initials: JEM
Payment Date: 01/21/2010
User ID: 1165 Total Payment: 260.70
Payee: BAILEY INDUSTRIES, SUMMIT HEAT -N -AIR
SET ID: S000001333 SET NAME: Tmp set/Initialized Activities
SET TRANSACTIONS:
Set Member
M10 -005
PG10 -004
TOTAL:
Amount
164.10
96.60
96.60
TRANSACTION LIST:
Type Method Description Amount
Payment Check 7830 260.70
TOTAL: 260.70
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
GAS - RES 000.322.103.00.0
MECHANICAL - RES 000.322.102.00.0
96.60
164.10
TOTAL: 260.70
PAYMENT
RECEIVED
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION g
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3
Pro ect:
fif_�°r /PrS
Type of Inspection:
/-, v 4I - CsiS
Address:
4/62rs /VC _.
Date Called:
Special Instructions:
\
Date Wanted:
oZ -- / 7 - /!,
a.m,.
p.m.
Requester:
Phone No:
B4.a- '7sV -sr 7 5
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
4/%/.44T / (( , /6f // /1v+4 /
Inspe or:
Date:
—/ 7--,b
.00 REINSPECTION \tEE RR) RED. Prior to inspection, fee must be
aid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
_.._.�-- "�"`�w,'i �"z a '�.J..!2T .''.•1e". _�.�.:j =.t.�; ,r`.s'o°Y :'T4 :e�,t'.%;t =a L7.`!$.'.�s%s. <<,'La..;.t- ;_rT"'Yi:d
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION ?
X300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Prolec :
eY Res
Type ofiispection:
i'-+-
(
Ad
ress:
Date Called: nf
�ak_
r ' ,/,
Special Instructions:
Date Wanted:
I _ 22-16
(a.m:
p.m.
Requester:
Phone No:
G-
n
Approved per applicable codes.
1
ElCorrections required prior to approval. c -,
COMMENTS:
(
r- Aq D I o J -Q -v_. (1 ... y k `
4
5'
0 s
r ' ,/,
2S-
—
G-
n
s ,in A3?
4
5;7 .
iv
Insp(eotor:
❑ $ 60.00 REINSPECTIO EE
Date:
1
REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
Untitled Page
•
•
General /Specialty Contractor
A business registered as a construction contractor with Lai to perform construction work
within the scope of its specialty. A General or Specialty construction Contractor must
maintain a surety bond or assignment of account and carry general liability insurance.
Business and Licensing Information
Name
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent
Company
SUMMIT HEAT N AIR UBI No.
4254324192 Status
26458 MAPLE VALLEY HWY
SE
MAPLE VALLEY
WA
98038
KING
Corporation
License No.
License Type
Effective Date
Expiration
Date
Suspend Date
Specialty 1
Specialty 2
602223106
ACTIVE
SUMMIHN953P4
CONSTRUCTION
CONTRACTOR
11/14/2005
12/11/2011
HTG /VENT /AIR
CONDITIONING
UNUSED
Other Associated Licenses
License
Name
Type
Specialty
Specialty 2
Effective
Expiration Dat
Status
TERRYMF942DL
TERRY
MORRIS
FUEL
CONSTRUCTION
CONTRACTOR
OTHER
(SPECIFY)
AIR
CONDITIONING
3/13/2006
3/13/2008
OUT OF
BUSINESS
Business Owner Information
Name
Role
Effective Date
Expiration Date
BAILEY, JOSH
PRESIDENT
10/21/2005
Bond
Amount
BAILEY, SHAUNA J
SECRETARY
10/21/2005
7900324776
BAILEY, SHAUNA J
TREASURER
10/21/2005
Bond Information
Page 1 of 2
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
3
NATIONWIDE
MUTUAL INS
7900324776
11/13/2007
Until
Cancelled
$6,000.00
11/26/2007
2
NATIONWIDE
MUTUAL INS
CO
7900640331
10/03/2006
Until
Cancelled
11/13/2007
$12,000.0010/25
/2006
1
NATIONWIDE
MUTUAL INS
BD7900595078
11/14/2005
Until
01/21/2006
$6,000.00
11/14/2005
https://fortress.wa.gov/lni/bbip/Detail.aspx
01/21/2010