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Home My WebLink AboutPermit PG07-153 - WITKOWSKI RESIDENCEWITKOWSKI RESIDENCE 3505 S 137 ST PGO7-153 Parcel No.: Address: Suite No: Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: 8864000740 3505 S 137 ST TUKW WITKOWSKI RESIDENCE 3505 S 137 ST , TUKWILA WA WITKOWSKI JANUSZ +DONNA L 3505 S 137TH ST , TUKWILA WA KAREN WAUN 3520 MILITARY RD E , TACOMA WA Contractor: Name: PREMIER HEATING & AIR Address: PO BOX 44815 , TACOMA WA Contractor License No: PREMIHA950MG DESCRIPTION OF WORK: GAS LINE TO REPLACE OIL LINE TO FURNACE doc: UPC-10 /06 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 $500.00 Value of Plumbing /Gas Piping: Fees Collected: $88.00 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 PLUMBING /GAS PIPING PERMIT FIXTURE TYPE AND OUANTITY 0 * *continued on next page ** Permit Number: Issue Date: Permit Expires On: Phone: Phone: 253- 536 -3357 Phone: 253 2414086 Expiration Date: 07 /07/2007 Uniform Plumbing Code Edition: 2003 International Fuel Gas Code Edition: 2003 Steven M Mullet, Mayor Steve Lancaster, Director PG07 -153 05/29/2007 11/25/2007 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 PG07 -153 Printed: 05-29 -2007 Permit Center Authorized Signature: doc: UPC -10/06 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 Permit Number: PG07 -153 Issue Date: 05/29/2007 Permit Expires On: 11/25/2007 Steven M Mullet, Mayor Steve Lancaster, Director Date: £ 7 I hereby 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 plumbing /gas piping permit. Signature: ' Date: 2 9 - C� Print Name: efUnkot kornOl 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. PG07 - 153 Printed: 05-29 -2007 Parcel No.: 8864000740 Address: Suite No: Tenant: 1: ** *PLUMBING AND GAS PIPING * ** doc: Cond - 10/06 3505 S 137 ST TUKW 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 WITKOWSKI RESIDENCE PERMIT CONDITIONS 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 ** Permit Number: Status: Applied Date: Issue Date: PG07 -153 ISSUED 05/29/2007 05/29/2007 PG07 -153 Printed: 05-29 -2007 Print Name: doc: Cond -10/06 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 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 provision of any other work or local laws regulating construction or the performance of work. Signature: 61 3 g a. Date: 24 —69 7 PG07 - 153 Printed: 05-29 -2007 SITE LOCATION C �l A h Site Address: 35a $ Tenant Name: Property Owners Name: (A0 i ¥ k-o W 5 I Mailing Address: CONTACT PERSON — who do we contact when your permit is ready to be issued Name: f'C is R e r1 t4) A u•✓■ Mailing Address: PRFMIER HEATING & AIR kerni,e21•lexl @ k L •C o t'''om 3520 Military Rd E E - Mail Address: Tacoma, WA 98446 GENERAL CONTRACTOR INFORMATION — (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) PREMIER HEATING & AIR 3520 Military Rd E Tacoma, WA 98446 Contact Person: 6.2e r1 k)a u r~ Company Name: Mailing Address: E -Mail Address: Contractor Registration Number. R 1✓ W LI i-x- A cj s m t- ARCHITECT OF RECORD — All plans must be wet stamped by Architect of Record Company Name: Mailing Address: CITY OF TUKWIL Community Developm Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.cLtukwila.wa.us 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 ** eg-e wt ■t(Z- N- . C O Q 13/ 4 Contact Person: E -Mail Address: Building PerL'No. 137( Mechanical Permit No. 17 '1 O r l - i 1 `1 Plumbing/Gas Permit No. 6 p 7` s3 Public Works Permit No. Project No. (For office use only) King Co Assessor's Tax No.: D 8 6) 4 O 0 c `7 Suite Number. Floor: City New Tenant: ❑ Yes ❑..No State ZiP Day Telephone: 25 3 -53(0 -33s 7 aty State Fax Number: 253 - 5(-/ 8 - c)--1 7 City State Zip Day Telephone: 0553 - 534. - 33 5 7 Fax Number. 0 53 - S48 - Expiration Date: 7- 7 city Day Telephone: Fax Number: State hp ENGINEER OF RECORD — All plans mast be wet stamped by Engineer of Record Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number. OMootiatiomWanns- Aooliadom On Lnsv -2006 -remit A,mliation.doc State hp Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty I Bathtub or combination bath/shower Drinking fountain or water cooler (per head) Wash fountain Gas piping outlets Bidet Food -waste grinder, commercial Receptor, indirect waste Clothes washer, domestic Floor drain Sinks Dental unit, cuspidor Shower, single head trap Urinals Dishwasher, domestic, with independent drain Lavatory Water Closet Building sewer or trailer park sewer Rain water system — per drain (inside building) Water heater and/or vent Additional medical gas inlets/outlets — six or more Industrial waste pretreatment interceptor, including its trap and vent, except for kitchen type grease interceptors Repair or alteration of water piping and/or water treating equipment Repair or alteration of drainage or vent piping Medical gas piping system serving one to five inlets/outlets for specific gas PLUMBING AND GAS PIPINPERMIT INFORMATION — 206-431-3 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: PREMIER HEATING & AIR 3520 Military Rd E 1 , � Tacoma, WA 98446 Contact Person: n 1 v v l't /4 u Y1/4- E -Mail Address: PP-eh'Ii.P (C- +It_ct.+ e 1 L _ co W\ Contractor Registration Number: P e€ ma t-I lc; R h1 6- Valuation of Plumbing work (contractor's bid price): $ /5 - Valuation of Gas Piping work (contractor's bid price): $ Soo v o City State Zip D a y Telephone: a5 3- 5 3 3 3 5 7 Fax Number: t- 5 3 - S 8- a 73 Expiration Date: 7 - - 7 — 07 Scope of Work (please provide detailed information): WPitat F��+ -� Oil in Akc rkot.0 Building Use (per Int'l Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: Q:1Applicaticros \Forms- Applications On Deli -2006 - Permit Applicatioadoc Revised: 9 -2006 bh Sewer: Page 5 of 6 PERMIT APPLICATION NOTES — Applicable to all permits in this application 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. BUILDING 0 Sign Print Name: Mailing Address: Building and Mechanical Permit The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition). Plumbing Permit The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 Uniform 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. OR AUTHOR IZ.�ED AGENT: 1�0.12e l^ kA..) atA - ►' - \ - NKtMIU1 I1tAIING & AlK 3520 Military Rd E Tacoma, WA 98446 Date Application Accepted: O :lAoolicationslFams- Aoolicasons On LineO-2006 - Permit Anoliation.doc Date: 5- a 9-°7 Day Telephone: X53 — 53 4 -3 3 S7 City State Staff Initials:_ , , n Zip Date Application Expires: 1 Parcel No.: 8864000740 Address: 3505 S 137 ST TUKW Suite No: Applicant: WITKOWSKI RESIDENCE Receipt No.: R07 -00957 Initials: WER User ID: 1655 Payee: PREMIER HEATING AND AIR RECEIPT TRANSACTION LIST: Type Method Description Amount Payment Check 1688 88.00 ACCOUNT ITEM LIST: Description GAS - RES 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 Account Code Current Pmts 000/322.100 88.00 Total: $88.00 Permit Number: PG07 -153 Status: APPROVED Applied Date: 05/29/2007 Issue Date: Payment Amount: $88.00 Payment Date: 05/29/2007 11:52 AM Balance: $0.00 8684 05/29 9716 TOTAL 88.00 doc: Receiot -06 Printed: 05-29 -2007 Project: t& I 1c 61-dc-.14- Type of Inspection• c ret . 5 v Address: U s S l 3-1 Date Called: Special Instructions: Date anted: — ? 2 - o ° l a.y Requester: Phone No: INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 ]Approved per applicable codes. Corrections required prior to approval. COMMENTS: p ar_ 2 2�cY .00 REINSPECTION EE REdUIRED. Prior to inspection. fee must be aid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. (Receipt No.: 'Date: License Information License PREMIHA950MG Licensee Name PREMIER HEATING & AIR Licensee Type CONSTRUCTION CONTRACTOR UBI 602188259 Ind. Ins. Account Id #2 Business Type INDIVIDUAL Address 1 PO BOX 44815 Address 2 City TACOMA County PIERCE State WA Zip 98444 Phone 2532413086 Status ACTIVE Specialty 1 AIR CONDITIONING Specialty 2 AIR HEAT,VENTILATION,EVAPORAT Effective Date 7/7/2005 Expiration Date 7/7/2007 Suspend Date Separation Date Parent Company Previous License Next License Associated License Business Owner Information Name Role Effective Date Expiration Date WAUN, DANIEL W OWNER 07/07/2005 Bond Amount Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date #2 GREAT AMERICAN INSURANCE CO FS7781052 07/07/2006 Until Cancelled $6,000.00 07/27/2006 Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 2 Washington State Department of Labor and Industries General/Specialty Contractor A business registered as a construction contractor with L&I 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. https: // fortress. wa. gov /lni/bbip/ printer .aspx?License= PREMIHA950MG 05/29/2007