HomeMy WebLinkAboutPermit PG06-037 - BEDELL RESIDENCEBEDELL RESIDENCE
4111 S 130 ST
EXPIRED 12 -03 -06
PG06 -037
Parcel No.: 7340600840
Address: 4111 S 130 ST TUKW
Suite No:
City or Tukwila
Tenant:
Name: BEDELL RESIDENCE
Address: 4111 S 130 ST, TUKWILA WA
Owner:
Name: BEDELL TERESA L
Address: 4111 S 13011H ST, SEATTLE WA
Contact Person:
Name: GARY BEDELL
Address: PO BOX 66070, SEATTLE WA
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Fax: 206 - 431 -3665
Web site: ct.tukwila.wa.us
contractor:
Name: NORTHWEST AIRE SERVICES INC.
Address* PO BOX 66070, SEATTLE WA
Contractor License No: NORTHAS963K4
PLUMBING /GAS PIPING PERMIT
DESCRIPTION OF WORK:
REPAIR DAMAGED GAS PIPING METER AND PIPING (DAMAGED BY CAR)
Value of Plumbing /Gas Piping: $0.00
Fees Collected: $88.00
Plumbing
Bathtub or combination bath /shower
sewer 0
Bidet 0
Clothes washer, domestic 0
Dental unit, cuspidor 0
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
Lavatory 0
Wash fountain 0
Receptor, indirect waste 0
Sinks 0
Urinals 0
Water Closet 0
doc: UPC - Permit
Uniform Plumbing Code Edition: 2003
International Fuel Gas Code Edition: 2003
FIXTURE TYPE AND QUANTITY
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 206 241 -2657
Phone: 206 241 -2657
Expiration Date:05 /24/2008
Steven M. Mullet, Mayor
Steve Lancaster, Director
PG06 -037
05/30/2006
11/26/2006
Plumbing (cont.l
0 Building sewer and each trailer park
Rain water system - per drain (inside bldg) 0
Water heater and /or vent 0
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
0 Medical gas piping system serving one to five
Inlets /outlets for a specific gas 0
Gas Pining
Gas piping outlets (0 -5) 1
Gas piping outlets (6 +) 0
PG06 -037 Printed: 05-30-2006
doc: UPC - Permit
City or Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 - 431 -3665
Web site: cttukwila.wa.us
* *continued on next page **
Steven M. Mullet, Mayor
Steve Lancaster, Director
PG06 -037 Printed: 05-30-2006
City of Tukwila
Permit Center Authorized Signature: MyIA
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: ci.tukwila.wa.us
Steven M Mullet, Mayor
Steve Lancaster, Director
Permit Number: PG06-037
Issue Date: 05/30/2006
Permit Expires On: 11/26/2006
Date: u1 f d p
I hereby certify that I have read an•>:mirledlthis permit and know the same to be true and correct. All provisions of law and
ordinances governing this work will b • •mp 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 o the performance of work. I am authorized to sign and obtain this plumbing /gas piping permit.
Signature: / /kL Date: see /m0
Print Name: _ ,8-- /C /„Z; l�
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.
doc: UPC - Permit
PG06.037 Printed: 05 -30 -2006
Parcel No.: 7340600840
Address: 4111 S 130 ST TUKW
Suite No:
Tenant: BEDELL RESIDENCE
1: ** *PLUMBING AND GAS PIPING * **
doc: Conditions
City GrTukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 - 431 -3665
Web site: ci.tukwila.wa.us
PERMIT CONDITIONS
* *continued on next page **
Nor
Steven M. Mullet, Mayor
Steve Lancaster, Director
Permit Number: PG06-037
Status: ISSUED
Applied Date: 05/30/2006
Issue Date: 05/30/2006
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: 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.
PG06 -037 Printed: 05 -30 -2006
City (*Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 - 431 -3665
Web site: cttukwila.wa.us
I hereby certify that I have read these conditions and will comply with them as outlined. All provisions
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
regulating construction or the performance of work.
Signature:
/' I
Print Name: C7
doc: Conditions PG06.037
Steven M. Mullet, Mayor
Steve Lancaster, Director
of law and ordinances
other work or local laws
Date: -5 /3-
Printed: 05 -30 -2006
CITY OF TUKWILA
Community Developmenbeepartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
httal/www.caukwila.wa.us
Site Address: -51/4/ cs, 73.43
Tenant Name: - 7 7 ,ere r ce, SeA'
Property Owners Name:
Mailing Address: 1/4/7 S0 ,
Name: ("- Zea
Mailing Address: A d dni 6
[ PLUMBING / GAS PIIING CONTRACTOR
Company Name:
Mailing Address: "IR 0 XI Je 4 - 7
Contact Person: 6C4ey get/
E Address:
Contractor Registration Number:
Contact Person:
E-Mail Address:
Contact Person:
E-Mail Address:
/Vie 7Lotc ?43k
QAApplicationsWorms-Applicatiom On Line - Plumbing-Gss Piping Permit Applicetion.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**
King Co Assessor's Tax No.: 7i.9276 -a re" 0 - o s
Suite Number:
New Tenant:
City
ge'l‘ree s .
Floor:
0 .... Yes 2...No
State
::CONTACT PERSON LAir',4‘ ynut peiMin
Day TelephoneldWOde,// -26S7
ctr/g
. Zip
City State Zip
E-Mail Address: Fax Numbed ) d cf/
City State Zip
Day Telephone: (2 V" '945
Fax Number(Lieb)
Expiration Date: 6 /08
ARCIII .
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
State
hip
.yENGINEER OF REcOit0. planintast .)t.etiitontritelwAn'
. —
04Kett:WA
Company Name:
Mailing Address:
State
Zip
City
Day Telephone:
Fax Number:
Page 1 of 2
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
,`( /4 .G
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
Valuation of Project (contractor's bid price): S OB
!
Scope of Work (please provide detailed information): "2 e-
/ 11/°,1 t �, », n n ze ,41 •
Building Use (per Intl 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:
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,. AUTHORIZED EN :
Signature: :await e
Print Name:
Mailing Address:
zip
Date Application Expires:
Date Application Accepted:
Q Appticatiov lomis- Applications On Lin \3- 1006 - Plumbing -Ges Piping Penns Aplication.doc
Revised: 42006
bh
Day Telephone:
City
Date: 5 3-0/4
State
Staff Initials:
Page 2 of 2
Payee: NORTHWEST AIRE SERVICES INC.
ACCOUNT ITEM: LIST;
Description
doc: Receipt
GAS - RES
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
RECEIPT
Parcel No.: 7340600840 Permit Number: PGO6 -037
Address: 4111 S 130 ST TUKW Status: PENDING
Suite No: Applied Date: 05/30/2006
Applicant: BEDELL RESIDENCE Issue Date:
Receipt No.: R06 -00756 Payment Amount: 88.00
Initials: 7EM Payment Date: 05/30/2006 04:15 PM
User ID: 1165 Balance: $0.00
TRANSACTION DST:
Type Method Description Amount
Payment Check 2277 88.00
Account Code Current Pmts
000/322.100 88.00
Total: 88.00
5958 05/31 9710 TOTAL 88.00
Printed: 05-30-2006
Projec l '
Type of Inspection: `
/an 61CtC.. Ale
Addres`
i// c `30 5�
l
Date Called:
Special Instructions:
Date Wantecr ` a.m.
l//
Requester:
Phone No:
1r
INSPECT StCNB.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #1 00, Tukwila, WA 98188
Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
INN
COMMEN
Corrections required prior to approval.
❑ $58.00 REINSPECTION III:E REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
Project: Ao /
PP -Ai/
Type of Inspect n: -
/ /� �S
Address:
1 7W/ ,5 /30 5
Date d:
Special Instructions:
Date Wante L4
a.m.
m
Requester:
Phone No:
INSPECT! I NO.
Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)431.36
i gt C orrections required prior to approval.
COMMENTS:
/ c h oa» s /
FAA r r 4rJ
/ � � vr12-^
s N A
❑ $58.00 REINSPECTION F E REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.: Y,
Date:
11 -01 -2006
GARY BEDELL
PO BOX 66070
SEATTLE WA 98166
RE: Permit No. PG06 -037
4111 S 130 ST TUICW
Dear Permit Holder:
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 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 mull 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 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 12/03/2006, 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,
J fifer i sha
Permit Technician
*d4
zc: Permit File No. PG06 -037
City of Tukwila
Steven M. Mallet, Mayor
Department of Community Development Steve Lancaster, Director
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206- 431 -3670 • Fax: 206 - 431 - 3665
License Information
License
NORTHAS963K4
Licensee Name
NORTHWEST AIRE SERVICES INC
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
602387574
Ind. Ins. Account Id
#1
Business Type
CORPORATION
Address 1
PO BOX 66070
Address 2
City
SEATTLE
County
KING
State
WA
Zip
98166
Phone
2062412657
Status
ACTIVE
Specialty 1
GENERAL
Specialty 2
UNUSED
Effective Date
5/24/2004
Expiration Date
5/24/2008
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
WESTERN
SURETY
CO
69710416
05/10/2004
Until
Cancelled
512,000.00
05/24/2004
Business Owner Information
Name
Role
Effective Date
Expiration Date
BEDELL GARY E
PRESIDENT
05/24/2004
SHAW, BARBARA L
VICE PRESIDENT
05/24/2004
Look Up a Contractor, Electric ^n or Plumber License Detail
Ner
Washington State Department of Labor and Industries
GenerallSpecialty 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.
Page 1 of 2
https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= NORTHAS963K4 05/30/2006