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
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'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