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HomeMy WebLinkAboutPermit PG06-032 - LU RESIDENCELU RESIDENCE 10349 51 AV S PG06 -032 City of Tt._.wila Parcel No.: 5476800180 Address 10349 51 AV S TUKW Suite No: Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Fax: 206 -431 -3665 Web site: ettukwila.wa.us Tenant: Name: LU RESIDENCE Address' 10349 51 AV S, TUKWILA WA Owner: Name: WYATT CLIFTON +JOYCE E Address: 10349 51ST AVE S, TUKW ILA WA Contact Person: Name: TERRY FLETCHER Address: 17701 108 AV SE, #208, RENTON WA Contractor: Name: NORTHWEST HVAC COMPANY Address 17701 108 AV SE, #208, RENTON WA Contractor License No: NORTHHC948D9 DESCRIPTION OF WORK: INSTALL 2 GAS PIPING OUTLETS FOR RANGE AND FURNACE. Value of Plumbing /Gas Piping: $0.00 Fees Collected: $88.00 Plumbing Bathtub or combination bath /shower Bidet Clothes washer, domestic Dental unit, cuspidor Dishwasher, domestic, with independent drain 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 0 Receptor, indirect waste 0 Sinks 0 Urinals Water Closet doe: UPC - Permit PLUMBING /GAS PIPING PERMIT FIXTURE TYPE AND QUANTITY "continued on next page ** Steven M ¶ 4wea.; - .Mayor Steve Lancaster, Director Permit Number: Issue Date: Permit Expires On: Phone: Phone: 206 - 604 -2009 Phone: 253 - 217 -8304 Expiration Date: 03/29/2008 PGO6 -032 05/24/2006 11/20/2006 Uniform Plumbing Code Edition: 2003 International Fuel Gas Code Edition: 2003 Plumbing (cont.) O Building sewer and each trailer park sewer 0 0 Rain water system - per drain (inside bldg) 0 0 Water heater and /or vent 0 O Industrial waste treatment interceptor, including 0 its trap and vent, except for kitchen type 0 grease interceptors Repair or alteration of water piping and /or water treatment equipment 0 Medical gas piping system serving one to five Inlets /outlets for a specific gas 0 Gas Piping O Gas piping outlets (0 -5) 2 0 Gas piping outlets (6 +) 0 PGO6 -032 Printed: 05 -24 -2006 Permit Center Authorized Signature: Signature: Print Name: doc: UPC - Permit City of Ttwila Department of Community Development 6300 Southcenter Boulevard, Suite #I00 Tukwila, Washington 98188 Phone: 206 431 -3670 Fax: 206 -431 -3665 Web site: ci.tukwila.wa. us Steven M Fel, Mayor Steve Lancaster, Director Permit Number: PGO6 -032 Issue Date: 05/24/2006 Permit Expires On: 11/20/2006 Date: C 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. Date: 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. PG06 -032 Printed: 05 -24 -2006 PERMIT CONDITIONS Parcel No.: 5476800180 Permit Number: PGO6 -032 Address: 10349 51 AV S TUKW Status: ISSUED Suite No: Applied Date: 05/24/2006 Tenant: LU RESIDENCE Issue Date: 05/24/2006 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: 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: Conditions * *continued on next page ** PGO6 -032 Printed: 05-24-2006 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: Print Name: 72 �.r Date: .5 2S —GCS doc: Conditions PGO6 -032 Printed: 05 -24 -2006 Site Address: Tenant Name: Property Owners Name: Name: Mailing Address: Company Name: Mailing Address: Contact Person: E -Mail Address: CITY OF TUKWII4 Community Development'Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us 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" /D 599 57 n- o v2 S - Koch 1-14 Mailing Address: t-- City CONTACT E-Mail Address: 7Z cr k v & 0 1 < of o v /t 4r.Tr r Goo (; ` 17761 /Or T ' T at SC -{�Log- r7c7 Le,n 7" kva.c.6a_o . GP aet Contractor Registration Number: /Vo rT t I cq qV( 9 King Co Assessor's Tax No.:S t 76fr 00 « `o 9 Suite Number: New Tenant: Floor: ❑ .... Yes p5--No State Zip Day Telephone: 2_0 6 - act 2 D 0 q - City n v ` State Zip Fax Nu 9 mber: 3 - 526 - City Day Telephone: 20 6 6 ° c/- 2- O o e ) Fax Number: `ZSY -flu -2 yt7� State Zip Expiration Date: er g ARCATITCT OF: itteeit - Allp laos must be wet statnped b Company Name: fi.7) /I— Mailing Address: Contact Person: E -Mail Address: ENGINEER OF Company Name: Mailing Address: Contact Person: E -Mail Address: COR» - A11 plans must be wet stamped by Q :Applicationetronm•Application. On LineV -2006 • Plumbing -GO Piping Permit Application.doc Revised'. 4-2006 bh City Day Telephone: Fax Number: State Zip of Re cord City Day Telephone: Fax Number: State Zap Page I of2 fixtur - I xtare Type: Qty , FLeture Type: Qty F : tore. ype:. Qty Bathtub or combination bath/shower Drinking fountain or water cooler (per head) Wash fountain Gas piping outlets Bidet Fort -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 Valuation of Project (contractor's bid price): $ 2_,D o - Q d Scope of Work (please provide detailed information): 9 <-5 r I Building Use (per Inel Building Code): Occupancy (per Intl Building Code): Utility Purveyor: Water: Sewer: Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: l (R «-y c a-• kv( 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 OWNER P' AUTHORIZED ,ANT: Signature: Print Name: Mailing Address: /77o/ /01 7 t ` G.xc Se IT 20 1 Date Application Accepted: Q Upplications\Forms-Applications On Line \3 -2006 - Plumbing -Gas Piping Perini Application Revised'. 42006 bh City Date: 2 er Day Telephone: 2 D 6 6a Si- 2 0 0 9 778 - 05 - 1.5 - . State Zip Date Application Expires: It zk - St itials: Page 2 of 2 City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 5476800180 Address: 10349 51 AV S TUKW Suite No: Applicant: LU RESIDENCE Receipt No.: R06 -00725 Payment Amount: 88.00 Initials: BLH Payment Date: 05/24/2006 01:17 PM User ID: ADMIN Balance: 50.00 Payee: NORTHWEST HEATING AND COOLING TRANSACTION UST: Type Method Description Amount doc: Receipt RECEIPT Payment Check 1062 88.00 ACCOUNT ITEM LIST: Description Current Pmts GAS - RES Account Code 000/322.100 88.00 Permit Number: PG06 -032 Status: PENDING Applied Date: 05/24/2006 Issue Date: Total: 88.00 5310 05/24 9716 TOTAL 246.97 Printed: 05 -24 -2006 Proiect: Type of In ection: `, Amyl 1/2- 5.7 f'T�. J D Date Called: Special Instructions: ' Date Wanted: i-1 Z- ° i Requester: Phone No: INSPECTION RECORD l/" I Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION (206)431 -3 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Approved per applicable codes. Corrections required prior to approval. OMMENTS: Receipt No.: Date: /Z- o 7 �$ 5� 00 REINSPECTION FE REQUIRED. P to inspection, fee must be id at 6300 Southcenter Bl d., Suite 10 . Call to sechedule reinspectlon. Date: f °604 -cam PE Project lfl .Type of Inspection: ran ��e -- , � , 7�5 Address: c� - " A ate Called: i 35 v,S Sp cial nstru tk Ions: : Date Wanted: / a.m: Requester: Phone No: INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -367 Approved per applicable codes. C OMMENTS: Corrections required prior to approval. Id $58.00 REINSPECT! J EE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: 10-03-2006 TERRY FLETCHER 17701 108 AV SE, #208 RENTON WA 98055 RE: Permit No. PG06 -032 10349 51 AV S TUKW Dear Permit Holder: In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila Building Division: Per the International Building Code and/or the International Mechanical 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 fora 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 Building Code does allow the Building Official to approve one or more extensions of time for additional periods not exceeding 90 days each. 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 11/29/2006, your permit will become null and void and any further work on the project will require a new pennit and associated fees. Thank you for your cooperation in this matter. Sincerely, City of Tukwila Department of Community Development Steve Lancaster, Director xc: Permit File No. PG06 -032 Steven M. Mullet, Mayor 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 License Information License NORTHHC948D9 Licensee Name NORTHWEST HVAC COMPANY Licensee Type CONSTRUCTION CONTRACTOR UBI 602585343 Ind. Ins. Account Id #1 Business Type CORPORATION Address 1 17701 108TH AVE SE #208 Address 2 City RENTON County KING State WA Zip 98055 Phone 2532178304 Status ACTIVE Specialty 1 SHEET METAL Specialty 2 AIR HEAT,VENTILATION,EV APORAT Effective Date 3/29/2006 Expiration Date 3/29/2008 Suspend Date Separation Date Parent Company Previous License Next License Associated License Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date #1 PLATTE RIVER INS CO 41063897 02/27/2006 Until Cancelled $6,000.00 03/29/2006 Business Owner Information Name Role Effective Date Expiration Date FLETCHER, TERRY 03/29/2006 Look Up a Contractor, Electric.; in or Plumber License Detail Nosi Washington State Department of Labor and Industries GeneraVSpecialty 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. 1 Page 1 of 2 https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= NORTHHC948D9 05/24/2006