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HomeMy WebLinkAboutPermit PG06-062 - BURROUGHS RESIDENCEBURROUGHS RESIDENCE 11685 44 AV S PG06 -062 City cry Tukwila Steven M. Mullet, Mayor 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 Parcel No.: 3347400570 Address: 11685 44 AV S TUKW Suite No: ' PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: Steve Lancaster, Director PG06 -062 06/13/2006 12/10/2006 Tenant Name: BURROUGHS RESIDENCE Address: 11685 44 AV S, TUKWILA WA Owner: Name: HOFFMAN DARRELL & GAYLE Address: 11685 44TH AVE S, SEATTLE WA Contact Person: Name: MIKE ERICKSEN Address: 725 INDUSTRY DR, TUKWILA WA Contractor: Name: ACE HEATING INC Address: PO BOX 68847, SEATTLE, WA Contractor License No: ACEHEI *014RC Phone: Phone: 206 - 244 -4328 Phone: 206 -244 -4328 Expiration Date:01 /08/2007 DESCRIPTION OF WORK: EXTEND GAS PIPING TO NEW FURNACE CHANGE OUT. Value of Plumbing /Gas Piping: $0.00 Fees Collected: $88.00 Uniform Plumbing Code Edition: 2003 International Fuel Gas Code Edition: 2003 FIXTURE TYPE AND QUANTITY 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 Plumbi g (cont.) 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 doc: UPC - Permit PG06 -062 Printed: 06 -13 -2006 City oar Tukwila Steven M. Mullet, Mayor 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 Steve Lancaster, Director Permit Number: PGO6 -062 Issue Date: 06/13/2006 Permit Expires On: 12/10/2006 Permit Center Authorized Signature: Date: (Y ! 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. Signatuce.Isr Date: /3 ✓v-. u6 Print Name: 119 //c L -!Pti 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. doe: UPC - Permit PGO6 -062 Printed: 06 -13 -2006 City o'rTukwila Steven M. Mullet, Mayor Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 - 431 -3665 Web site: el.tukwila.wa.us Parcel No.: 3347400570 Address: 11685 44 AV S TUKW Suite No: Tenant: BURROUGHS RESIDENCE PERMIT CONDITIONS Steve Lancaster, Director Permit Number: PG06 -062 Status: ISSUED Applied Date: 06/13/2006 Issue Date: 06/13/2006 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: 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. 8: 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. * *continued on next page ** doc: Conditions PG06 -062 Printed: 06-13-2006 City orTukwila Steven M. Mullet, Mayor 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 Steve Lancaster, Director 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. Signaturete Print Name: /*i422 enc./6c 7 of law and ordinances other work or local laws Date13 .T -t o 4 doc: Conditions PG06 -062 Printed: 06 -13 -2006 CITY OF TUKWILA, 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 ** Site Address: ! / 6 FS fih t/ti otv< 5 King Co Assessor's Tax No.:23Y71/4,o.376 Tenant Name: n1 r Arc Tatrrouj bd-s Property Owners Name: 542.,..4 e_ Suite Number: New Tenant: Floor: .... Yes ID ..No Mailing Address: //6 Y3 NY in or c 5 Name: //f //ea ecic/i.gc7 TKdt/4 City Mailing Address: -r r /ti he, c1,r 72,7n... /9 E -Mail Address: Company Name: /4r< Lr reit, / cr, r- Mailing Address:7 ;3 / s, feu-/t Contact Person:Mfg. 4c-rig-tang E -Mail Address: Cr State 7M7c9 Zip Day Telephone2o6 dery 5'47 City State Fax Number: Zip T /f?...4 Contractor Registration Number: 0 6—co / Company Name: Mailing Address: City State Day Telephone:2°4 24'5r g32-eG Fax Number2o to S 7jr 51 t/ f Expiration Date: / 2-/ 3 //v G Zip Contact Person: E -Mail Address: City Day Telephone: Fax Number: State Zip ENGINEER C►F RECORD` - All'plans must be Company Name: Mailing Address: Contact Person: E -Mail Address: Q:Uppliatiwn\Forms.Appliatlon. On LineV -2006 - Plumbing -Go Piping Permit AppliationAa Revised: 4 -2006 bit City Day Telephone: Fax Number: State Zip Page 1 of 2 Valuation of Project (contractor's bid price): $ 6:719x° Soo' Scope of Work (please provide detailed information): tICi4i.-1- Jc CAA fir, Building Use (per Int'I 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: Fixture pt:: 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 ,aryl tre c 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 PERMIT APPLICATION NOT 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 OR AUTHORIZED AGENT: Signature. 7 PrintName:`yit /( Lri�40.. Date: /3 .T.., a(. Day Telephone:2e. 2c/c( 93ZS Mailing Address: '7Z C l y Lira C y 'r T yr.., A tfr. '¢ Faits City State Zip Date Application Acc pied: �/- 1-e(v Date Application Expires: 12-1 1v Staff Initials: Q tApplicstionsWomu- Applications On Line V -2006 - Plumbing-Gas Piping Permit Application.doc Revised: 4-2006 bit Page 2 of 2 City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 RECEIPT Parcel No.: 3347400570 Permit Number: PG06 -062 Address: 11685 44 AV S TUKW Status: APPROVED Suite No: Applied Date: 06/13/2006 Applicant: BURROUGHS RESIDENCE Issue Date: Receipt No.: R06 -00857 Payment Amount: 88.00 Initials: BLH Payment Date: 06/13/2006 01:26 PM User ID: ADMIN Balance: $0.00 Payee: ACE HEATING INC TRANSACT/01431ST: Type Method Description Amount Payment Check 20631 88.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts GAS - RES 000/322.100 88.00 Total: 88.00 6388 06/13 9716 TOTAL 300.44 doc: Receipt Printed: 06 -13 -2006 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit Project: a,ri^OG Type of Inspection: /,S 2 aa, tt Address: fV/ MCgr-1-7iyitg s Date Called: Special Instructions: Date Wanted:- cilp Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspect r. I n$58. EINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Dater ! C Receipt No.: Date: INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -367i Project: / ,, ..�J' r Type of spection. 01.fr* lj ' ice? (rte, Addres/ g5----- /f/ t /"(�f�"_ Date Called: Special Inductions: Date WantedV7 �/ ('� Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COM ENTS: nspector: Date:. ; al$58. REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. (Receipt No.: Date: INSPECTION RECORD �r�6(CY� Retain a copy with permit PER INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431.387 P ect: ptarrouhs Res - Type of Inspection: . Rml`lk- 1I N C64.3 Address: r U S I!(.3 tl Date Called: Special Instructions: Date Wanted: a.ten, Requester: Phone No: a0G- 2Yt1 -- N 0 Approved per applicable codes. Corrections required prior to approval. COMMENTS: fi`7vki.P/I Q 44,4 pc ", 0 ✓ Inspector: Date: s c�2 cs ( El$58.00 REINSPECTION FEE QUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: 11 -01 -2006 MIKE ERICKSEN 725 INDUSTRY DR TUKWILA WA 98188 City of Tukwila Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director RE: Permit Application No. PG06 -062 11685 44 AV S TUKW Dear Permit Applicant: In reviewing our current permit application files, it appears that your permit application applied for on 06/13/2006, has not been., issued by the City of Tukwila Permit Center. Per the International Building Code and/or the International Mechanical Code, every . permit application not issued within 180' days from the date of application shall expire by limitation and become null and void.. Your. permit application expires on 12/10/2006. . If you choose to pursue your project, a written request for extension of your application addressed to the Building Official, demonstrating justifiable cause, will need to be received at the Permit Center prior to your expiration date of 12/10/2006. If it is determined that an extension is granted, your application will be extended for an additional 90 days from the expiration date. In the event you do not receive your written request for extension, your permit application will become null and void and your project will require a new permit application, plans and specifications, and associated fees. Thank you for your cooperation in this matter. xc: Permit File No. PG06-062 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206- 431 -3670 • Fax: 206 - 431 -3665 uvva VjI a VVima.uuuVL, LlYY113Y1411 •1 111411LVV1 LfVY1L0Y 1..Y40.11 ngion Srax Depanmcnt or Labor and Industries Name Topic Index I Contact Info rgfjG 1 111 J 1 Claims & insuranceT Workplace Rights Find a Law or Rule I Get a Form or Publication Look Up a Contractor, Electrician or Plumber Printer Friendly Version 'General /Specialty Contractor IA business registered as a construction contractor with L &I to perform construction work within the scope I of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment [of account and carry general liability insurance. Wades & Licensing, License Information License ACEHEI.014RC Licensee Name ACE HEATING INC Licensee Type CONSTRUCTION CONTRACTOR UBl 601994450 Verify Workers Como Premium Status Ind. Ins. Account Id Business Type CORPORATION Address 1 725 INDUSTRY DR Address 2 City TUKWILA County KING State WA Zip 98188 Phone 2062444328 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 12/3/1999 Expiration Date 1/8/2007 Suspend Date Separation Date Parent Company Previous License HAYESH'101OE 1 Next License Associated License https:/ /fortress .wa.gov /lni/bbip/Detail.aspx ?License= ACEHEI *014RC 06/13/2006