HomeMy WebLinkAboutPermit PG07-338 - MORRIS RESIDENCEMORRIS RESIDENCE
13794 34 AV S
PGO7-338
Parcel No.: 8864000620
Address:
Suite No:
13794 34 AV S TUKW
Tenant:
Name: MORRIS RESIDENCE
Address: 13794 34 AV S , TUKWILA WA
Owner:
Name: MORRIS FLOYD A +WENDY L
Address: 13794 34TH AVE S , SEATTLE WA
Contact Person:
Name: ERIC NELSON
Address: 153 SW 154 ST , BURIEN WA
City+df 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
Contractor:
Name: BURIEN NATURAL GAS SERVICE INC
Address: 153 SW 154 ST , BURIEN WA
Contractor License No: BURIENG027OD
DESCRIPTION OF WORK:
GAS PIPING FOR NEW GAS FURNACE
Value of Plumbing /Gas Piping:
Fees Collected:
Plumbing
Bathtub or combination bath/shower 0
Bidet 0
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
doc: UPC -10/06
PLUMBING /GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 206 248 -2196
Phone:
Expiration Date: 08/19/2009
PG07 -338
12/14/2007
06/11/2008
$500.00 Uniform Plumbing Code Edition: 2006
$88.00 International Fuel Gas Code Edition: 2006
FIXTURE TYPE AND OUANTITY
Plumbing (cont.)
Building sewer and each trailer park sewer 0
Rain water system - per drain (inside bldg) 0
0 Water heater and/or vent 0
0 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
* *continued on next page **
PG07 -338 Printed: 12 -14 -2007
Permit Center Authorized Signature:
I hereby certify that I have read and e
governing this work will be complied
doc: UPC-10 /06
City o`f'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 -338
Issue Date: 12/14/2007
Permit Expires On: 06/11/2008
Date: '7/I
ed this permit and know the same to be true and correct. All provisions of law and ordinances
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 he performance o f work. I am authorized to sign and obtain this plumbing /gas piping permit. ,,
Date: 11 /
Signature:
Print Name: �` , C . J v -e ` 5 c 11
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 -338 Printed: 12 -14 -2007
Parcel No.: 8864000620
Address:
Suite No:
Tenant:
13794 34 AV S TUI{W
MORRIS 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 -338
ISSUED
12/13/2007
12/14/2007
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 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.
doc: Cond - 10/06
* *continued on next page **
PG07 -338 Printed: 12 -14 -2007
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.
Date:
PG07 -338 Printed: 12 -14 -2007
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http:i io7 111t Ci.hi/014/0.11V. 215
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: 13 ' - ! g ! A-')
Tenant Name:
Property Owners Name: V dl a r`i S
Mailing Address: I q . 3 Cf S
Name: r.7 < < J N 'el S ■"G
Mailing Address: "1 S ,L() ' c,
Contact Person:
E - Mail Address:
Contractor Registration Number:
bh
Building Permit No.
Mechanical Permit No.
Plumbing/Gas Permit No.
Public Works Permit No.
Project No.
(For office use only)
King Co Assessor's Tax No.: O 19 eD O &a-6
Suite Number: Floor:
New Tenant: ❑ Yes 9 ifo
% uwi:I1&t
City
kfr � 5l6tr
CONTACT PERSON — who do we contact when your permit is ready to be issued
Day Telephone: Qt t elk./ 6
&Lori td Cok
City State Zip
E -Mail Address: Fax Number:
GENERAL CONTRACTOR INFORMATION -
(Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5))
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
Expiration Date:
State
zip
ARCHITECT OF RECORD — All plans must be wet stamped by Architect of Record
Company Name:
Mailing Address:
City State Zap
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record
Company Name:
Mailing Address:
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Q :MpplicationstFams- Applieetione On Line13 -2006 - Permit Application.oe
Revised: 9 -2006
Page 1 of 6
Unit Type:
Qty
Unit Type:
Qty
Unit Type:
Qty
Boiler /Compressor.
Qty
Furnace<100K BTU
1
Air Handling Unit >10,000
CFM
Fire Damper
0 -3 HP /100,000 BTU
Furnace >100K BTU
Evaporator Cooler
Diffuser
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan Connected
to Single Duct
Thermostat
15 -30 HP /1,000,000 BUT
Suspended/Wall/Floor
Mounted Heater
,
Ventilation System
Wood/Gas Stove
30-50 HP /1,750,000 BTU
Appliance Vent
Hood and Duct
Emergency
Generator
50+ HP /1,750,000 BTU
Repair or Addition to
Heat/Refrig /Cooling
System
Incinerator - Domestic
Other Mechanical
Equipment
Air Handling Unit
<10,000 CFM
Incinerator — Comm/1nd
MECHANICAL PERMIT INF
MECHANICAL CONTRACTOR INFORMATION /f
Company Name: (3 LA-tr. (t,(• V ` c (,.' -s
Mailing Address: 1 53 S , E„4.) , ( J 1
Contact Person: EV` e L. S ,k) • Sn:.
E -Mail Address: 2
Contractor Registration Number: ( (A,R L'. i t i ( U 2 ) o i)
Valuation of Mechanical work (contractor's bid price): $ / (1 O. v0
Scope of Work (please provide detailed information): . .
V
Use: Residential:
Commercial:
Q: Applications\ Forms- Applications On Line\3 -2006 - Permit Application.doc
Revised: 9-2006
bb
TION - 206- 431 -3670
New...., Rapiness
New .... ❑ Replacement .... ❑
Li- et (4.- Ifi
City State
D a y Telephone: - D O (,Q ' �- F
Fax Number: :2 O ( - -- -
Expiration Date: - -ZOG
Fuel Type: Electric ❑ Gas.... " Other:
Indicate type of mechanical work being installed and the quantity below:
Page 4 of 6
Fixture Type:
Qty
Fixture Type:
Qty
Fixture Type:
Qty
Fixture Type:
Qty
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 PIPING PERMIT INFORMATION - 206 -431 -3670
PLUMBING AND GAS PIPING CONTRACWR INFORMATION
Company Name: �
'� 4/
Mailing Address:
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
Valuation of Plumbing work (contractor's bid price): $
Valuation of Gas Piping work (contractor's bid price): $
Scope of Work (please provide detailed information):
Building Use (per Int'1 Building Code):
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:
Q:wpplicuions\Fams- Applications On Line\3 -2006 - Permit AppGuton.doe
Revised: 9 -2006
bh
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 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.
BUILDING O ER OR AUTHORIZED AGENT:
Signature:
Print Name: 1 EA✓' G. j A ) .Q JAS a
Mailing Address: 153 S Vii) t s S L f '`
Q: Applicatiooaorms- Applications On Line \ 3-2006 - Permit Appliutondoc
Revised: 9 -2006
bh
Date: 1 2 /
Day Telephone Ole 6
City
State Zip
Page 6 of 6
RECEIPT NO: R07 -02761
Initials: JEM
User ID: 1165
Payee: BURIEN NATURAL GAS SERVICE, INC.
SET ID: 1213 SET- NAME: MORRIS RESIDENCE
SET TRANSACTIONS:
Set Member Amount
M07 -277 175.56
PG07 -338 88.00
TOTAL: 263.56
TRANSACTION LIST:
Type Method Description Amount
Payment Check 1833 263.56
TOTAL: 263.56
ACCOUNT ITEM LIST:
Description
GAS - RES
MECHANICAL - 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
SET RECEIPT
Payment Date: 12/14/2007
Total Payment: 263.56
Account Code Current Pmts
000/322.100 88.00
000/322.100 175.56
TOTAL: 263.56
6046 12/14 9710 TOTAL 263.56
Project__
' 74k 0 6 � �S '
Type ofJpspgction: /
r--1/1-'1C1,7
Date Called:
:d2s !
,
/ 3 1/41()5
Special Instructions:
/
Date W�}ntedl,,�, Q
a.tti.
C ry
Requester:
Phone
�r'4 4 4 /4/
�` /
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
El Approved per applicable codes.
r--
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Corrections required prior to approval.
COMMENTS:
P
GAS
4k_\ fid
ins Gem
--0 a 066
1 Inspeqor:
'Date:,,
—or
El $60.00 REINSPECTION FEE REQUI ED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suiite 100. Call to schedule reinspection.
'Receipt No.:
IDate:
COMMENTS:
Type of Inspection:
" - ; ,-...4 (- G s
p'\
,-
5 t A-- /\ ��) .1
(.1) r oS`'% P\
Date Called:
A--.
C, Af
p •' e `,1 pc, Jr
,._ ni
v
1\.o 1
Requester:
p «
Phone No:
Project:
UY1(riV �
Type of Inspection:
" - ; ,-...4 (- G s
Address:
t -7 ,7 i Y
--- AZ,
Date Called:
Special Instructions:
Date Wanted:
'Gj -- S
v
a.m.
P.m.
Requester:
Phone No:
Approved per applicable codes.
66
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
orrections required prior to approval.
Ins pecto : 1
'Date: i
n $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
`Receipt No.:
'Date:
Project:
Type of Ins ection: i"-"--r-"
■ 'Li
Address:
Date Called:
Special Instructions:
Date Wanted:
/2 //9/67
On
p.m.
Requester:
Phone No:
2S'-
15 1 1.4p_proved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
,ve?-3.36
PERMIT NO.
1 -3 0
El Corrections required prior to approval.
COMMENTS:
IDate•
0 REINSPECTION FEE REQUIREDflrior to inspection, fee must be
d at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection.
05 -08 -2008
ERIC NELSON
153 SW 154 ST
BURIEN WA 98166
RE: Permit No. PG07 -338
13794 34 AV S TUKW
Dear Permit Holder:
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
In reviewing our current records the above noted permit has not received a fmal inspection by the City of Tukwila Building Division.
Per the International Codes, Uniform Plumbing/Fuel Gas Code and/or the National Electrical Code, every permit issued by the
Building Division under the provisions of the 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 issuance, 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 fmal 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 International Codes, Uniform Plumbing/Fuel Gas Code and/or the National Electrical 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 writinz 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 06/16/2008 , your permit will become null and
void and any further work on the project will require a new permit application and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
Je , 'f r Marshall
Permit Technician
xc: Permit File No. PG07 -338
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
License Information
License
BURIENG027OD
Licensee Name
BURIEN NATURAL GAS SERVICE INC
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
601892471
Ind. Ins. Account Id
Business Type
CORPORATION
Address 1
153 SW 154 ST
Address 2
City
BURIEN
County
KING
State
WA
Zip
98166
Phone
2532482196
Status
ACTIVE
Specialty 1
HTGNENT /AIR CONDITIONING
Specialty 2
UNUSED
Effective Date
9/4/1998
Expiration Date
8/19/2009
Suspend Date
Separation Date
Parent Company
Previous License
ARMORFI053R8
Next License
Associated License
Business Owner Information
Name
Role
Effective Date
Expiration Date
NELSON, ERIC J
01/01/1980
WEIGEL, JOHN
01/01/1980
NELSON, KIMBERLY A
01/01/1980
Look Up a Contractor, Electririan 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.
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
COLONIAL
AM CAS &
https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= BURIENG027OD 12/14/2007