HomeMy WebLinkAboutPermit PG07-160 - NELSON RESIDENCENELSON RESIDENCE
4178 S 124 ST
EXPIRED 12.04 -07
PGO7-160
Parcel No.: 0179001240
Address:
Suite No:
Tenant:
Name:
Address:
4718S124ST
Value of Plumbing /Gas Piping:
Fees Collected:
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
NELSON RESIDENCE
4178 S 124 ST , TUKWILA WA
Owner:
Name: NELSON THEA G
Address: 4718 S 124TH ST , TUKWILA WA
Contact Person:
Name: SHAWNEAN ALLEN
Address: 4601 S 134 PL , TUKWILA WA
Contractor:
Name: BRENNAN HEATING & A/C LLC
Address: 2725 152ND AV NE , REDMOND WA
Contractor License No: BRENNHA971R9
DESCRIPTION OF WORK:
REPLACE WATER HEATER AND GAS PIPING TO WATER HEATER
$1,700.00
$176.00
Plumbing
Bathtub or combination bath/shower 0
Bidet 0
Clothes washer, domestic 0
Dental unit, cuspidor 0
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
PLUMBING /GAS PIPING PERMIT
* *continued on next page **
Uniform Plumbing Code Edition: 2003
International Fuel Gas Code Edition: 2003
FIXTURE TYPE AND OUANTITY
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 206- 248 -7900
Phone: 206 248 -7900
Expiration Date: 12/29/2007
Steven M Mullet, Mayor
Steve Lancaster, Director
PG07 -160
06/06/2007
12/03/2007
Plumbing (cont.)
Building sewer and each trailer park sewer 0
Rain water system - per drain (inside bldg) 0
Water heater and/or vent 1
Industrial waste treatment interceptor, including
0 its trap and vent, except for kitchen type
0 grease interceptors 0
0 Repair or alteration of water piping and/or water
0 treatment equipment 0
0 Repair or alteration of drainage or vent piping 0
0 Medical gas piping system serving (1 -5)
0 inlets /outlets for a specific gas 0
0 Medical gas piping (6 +) inlets /outlets 0
0 Gas Piping
0 Gas piping outlets (0-5) 1
0 Gas piping outlets (6 +) 0
PG07 -160 Printed: 06-06 -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
tA)stk
Permit Number: PGO7 -160
Issue Date: 06/06/2007
Permit Expires On: 12/03/2007
Steven M Mullet, Mayor
Steve Lancaster, Director
Date:
C� '(o-0 7
1 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 performance of rkk. I ant authorized to sign and obtain this plumbing /gas piping permit.
Signature: (7i 1 q (l lum
OQD Date: (o /ta/61
Print Name: • 31-1, A 14 V V.111. t AU pd
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 - 160 Printed: 06-06 -2007
Parcel No.: 0179001240
Address:
Suite No:
Tenant:
4718 S 124 ST TUKW
NELSON RESIDENCE
1: ** *PLUMBING AND GAS PIPING * **
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 CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
PG07 -160
ISSUED
06/06/2007
06/06/2007
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 bacicfilled 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.
doc: Cond - 10/06
* *continued on next page **
PG07 -160 Printed: 06-06 -2007
doc: Cond -10/06
City of Tukwila
Signature: o�L`��lJ�_
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.
Print Name: 9kA Oki F t Ali ri
Date: CO /LP / 0.7
PG07 -160 Printed: 06-06 -2007
IRr.k(nto I LAS1LL&t A`('
Mailing Address: 44261 '3 [ 34-re 1') _
E -Mail Address: Stl171Wv12.Qr1 Ann nrnt CLT ina.enwl
CITY OF TUKWI
Community Developmenepartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Site A ddress: 4 1'7 g 5 I � -
Tenant Name: 11
Property Owners Name: l N FIA I�l r% t.s D
Mailing Address: S Al11At✓
Name:
PLUMBING: / GAS PIPING CONTRACTOR INFORMATION
Company Name: 'tx.F.&IitAL1. (— 4Ti&Ili. 1- A
Mailing Address:
Contact Person: SI -IQit.\l.j t AtLE 1,
E -Mail Address:
Contractor Registration Number7514e M tU l-t A9
ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Recor
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Contact Person:
E -Mail Address:
Q:\Applicationswonns- Applications On Line\3 -2006 - Plumbing -Gas Piping Permit Application.doc
Revised: 4-2006
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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 LOCATION
King Co Assessor's Tax No.: t I `7 O CI c -}-
Suite Number:
I()KttlA
� �J
city
New Tenant: D .... Yes JJ ..No
to
State
Floor:
CONTACT PERSON - Who do we contact when your permit is ready to be issue
Day Telephone: No 42 - 7 9 OD
— lt )KWI I4:\ 1A)A °l $ lhk
City State Zip
Fax Number: ae:Vp - c2Ag '7°I PS
• 1
•
IP
City State Zip
Day Telephone: ��(- 04 • '7 900
Fax Number: 9,0 - g • -nos'
Expiration Date: t al %1
City
Day Telephone:
Fax Number:
State
ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Recor
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
State
G t£sl ' 7FC
Zip
Zip
Zip
Page 1 of 2
Fixture Type: ,
Qty :.
Fixture Type: -
Qry !
- Fixture Type:
Qfy -
Fi xfizre Types
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
1
1
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
o0
Valuation of Project (contractor's bid price): $ 1
Scope of Work (please provide detailed information):
-1 ICIkl.f O b3ATr:;l
Building Use (per Intl Building Code):
Occupancy (per Inf l Building Code):
Utility Purveyor: Water: Sewer:
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
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 OW R OR AUTHORIt ENT:
Signature: 0-Slip
p (1)
Print Name: SNA t A 1'J A / 1 1✓d
Mailing Address: 4( (5
Date Application Expires: ^� ,7
Date Application Accepted:
Q:\Applications\Forms- Applications On Line\3 -2006 - Plumbing -Gas Piping Perini Application.doc
Revised: 4 -2006
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A j •
Date: ( `p'j
Day Telephone: (� l t0--t • �]
City State Zip
Staff Initials:
Page 2 of 2
Parcel No.: 0179001240
Address: 4718 S 124 ST TUKW
Suite No:
Applicant: NELSON RESIDENCE
Receipt No.: R07 -01059
Payee: SHAWNEAN ALLEN
TRANSACTION LIST:
Type Method Description
ACCOUNT ITEM LIST:
Description
GAS - RES
PLUMBING - 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
RECEIPT
Initials WER Payment Date: 06/06/2007 03:11 PM
User ID: 1655 Balance: $0.00
Amount
Payment Check 964 176.00
Account Code Current Pmts
000/322.100 88.00
000/322.100 88.00
Total: $176.00
Permit Number: PGO7 -160
Status: APPROVED
Applied Date: 06/06/2007
Issue Date:
Payment Amount: $ 176.00
9016 06/06 9716 TOTAL 337.25
doc: Receiot -06 Printed: 06 -06 -2007
Project:
,W /S 0A it
TYPe of Ipspe��n / ; � -
/ G� /
Addr� -7 /( � 5 /2 / s �
Date Called:
Special Instructions:
Date Wa ted:
67- 7_0 7
a.m
Requester:
Phone No: ;
l'7‘ "- 2 V� -
Z
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PE M •
0 •
(2.6)431 -3q7
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
Li $58.00 REINSPECTION FEE REQUIRED. Prior to inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection.
'Receipt No.:
'Date;
.. .tom .._ +. ...t;:s_�aiw.: a: -_. _ - s 'c...,�..�,�.,a..sr:
11 -06 -2007
SHAWNEAN ALLEN
4601 S 134 PL
TUKWILA WA 98178
RE: Permit No. PG07 -160
4718 S 124 ST TUKW
Dear Permit Holder:
City of Tukwila
Steven M. Mullet, Mayor
Department of Community Development Steve Lancaster, 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 Uniform Plumbing Code and/or International Fuel Gas Code, every permit issued by the Building Division under the
provisions of this code shall expire by limitation and become null and void if the building or work authorized by such permit is not
commenced within 180 days from the date of such permit, or if the building or work authorized by such permit is suspended or
abandoned at any time after the work is commenced for a period of 180 days.
Based on the above, you are hereby advised to:
Call the City of Tukwila Inspection Request Line at 206 -431 -2451 to schedule for the next or final inspection.
This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if
the project should be considered abandoned.
If such determination is made, the Plumbing and/or Gas Code does allow the Building Official to approve one extension of time for an
additional period not exceeding 180 days. Extension requests must be in writing and provide satisfactory reasons why circumstances
beyond the applicants control have prevented action from being taken.
In the event you do not call for the above inspection and receive an extension prior to 12/04/2007 , 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,
Je fer Marshall,
Permit Technician
xc:
Permit File No. PG07 -160
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
License Information
License
BRENNHA971 R9
Licensee Name
BRENNAN HEATING & A/C LLC
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
602346866
Ind. Ins. Account Id
#2
Business Type
LIMITED LIABILITY COMPANY
Address 1
2725 152ND AVE NE
Address 2
City
REDMOND
County
KING
State
WA
Zip
98052
Phone
2062487900
Status
ACTIVE
Specialty 1
GENERAL
Specialty 2
UNUSED
Effective Date
12/29/2003
Expiration Date
12/29/2007
Suspend Date
Separation Date
Parent Company
Previous License
GUTTEHW995PH
Next License
Associated License
Business Owner Information
Name
Role
Effective Date
Expiration Date
ERDAHL, DARRIN
PARTNER/MEMBER
12/29/2003
Bond
Amount
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
#2
FEDERATED
MUTUAL
INS CO
9127230
12/22/2004
Until
Cancelled
$12,000.00
11/04/2004
AMERICAN
Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 2
Washington State Department of Labor and Industries
GeneraUSpecialty 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.
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