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"
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Mailing Address: t--
City
CONTACT
E-Mail Address: 7Z cr k v & 0 1 < of o
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17761 /Or T ' T at SC -{�Log-
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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:
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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
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City
Day Telephone:
Fax Number:
State
Zip
of Re cord
City
Day Telephone:
Fax Number:
State
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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
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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
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https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= NORTHHC948D9 05/24/2006