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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 ■ bh 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