HomeMy WebLinkAboutPermit PG08-017 - PALMER RESIDENCEPALMER RESIDENCE
13916 42 AV S
PGO8-017
Parcel No.: 1523049263
Address:
Suite No:
City.f Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http://www.ci.tukwila.wa.us
1391642AVSTUKW
PLUMBING /GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On:
PG08 -017
01/15/2008
07/13/2008
Tenant:
Name:
Address:
PALMER RESIDENCE
13916 42 AV S , TUKVVILA WA
Owner:
Name: STAR NURSERY
Address: PALMER SUZANNE , 13916 42ND AVE S
Contact Person:
Name: KEN GEE
Address: 12704 NE 124 ST #43 , IURKLAND WA
Contractor:
Name: ACTION WATER HEATERS ONLY INC
Address: 12704 NE 124 ST #43 , KIRKI,AND WA
Contractor License No: ACTIOWHO55DP
Phone:
Phone: 425 820 -8848
Phone: 425 820 -8848
Expiration Date: 01/17/2009
DESCRIPTION OF WORK:
REMOVE AND REPLACE GAS WATER HEATER
Value of Plumbing /Gas Piping:
Fees Collected:
$1,373.14
$92.00
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)
Food -waste grinder, commercial
Floor drain
Shower, single head trap
Lavatory
Wash fountain
Receptor, indirect waste
Sinks
Urinals
Water Closet -
Uniform Plumbing Code Edition: 2006
International Fuel Gas Code Edition: 2006
FIXTURE TYPE AND QUANTITY
Plumbing (cont.)
0 Building sewer and each trailer park sewer 0
0 Rain water system - per drain (inside bldg) 0
0 Water heater and/or vent 1
0 Industrial waste treatment interceptor, including
0 its trap and vent, except for kitchen type
0 grease interceptors 0
0 Repair or alteration of water piping and/or water
0 treatment equipment 0
0 Repair or alteration of drainage or vent piping 0
0 Medical gas piping system serving (1 -5)
0 inlets /outlets for a specific gas 0
0 Medical gas piping (6 +) inlets /outlets 0
0 Gas Piping
0 Gas piping outlets (0 -5) 0
0 Gas piping outlets (6 +) 0
* *continued on next page **
doc: UPC -10/06
PG08 -017 Printed: 01 -15 -2008
City oPrukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 -431 -3665
Web site: http: / /www.ci.tukwila.wa.us
Permit Number: PG08 -017
Issue Date: 01/15/2008
Permit Expires On: 07/13/2008
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complie
Date:
ed this permit and know the same to be true and correct. All provisions of law and ordinances
, whether specified herein or not.
The granting of s permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction . - • rmance of work. I am authorized to sign and obtain this plumbing /gas piping permit.
Signature. Date: T4 '
Print Name:
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 -10/06
PG08 -017 Printed: 01 -15 -2008
Parcel No.: 1523049263
Address:
Suite No:
Tenant:
•
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.ci.tukwila.wa.us
13916 42 AV S TUKW
PALMER RESIDENCE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
PG08 -017
ISSUED
01/15/2008
01/15/2008
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: 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: Piping through concrete or masonry walls shall not be subject to any load from building construction. No plumbing
piping shall be directly embedded in concrete or masonry.
10: 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.
11: Piping in the ground shall be laid on a firm bed for its entire length. Trenches shall be backfilled in thin layers to
twelve inches above the top of the piping with clean earth, which shall not contain stones, boulders, cinderfill,
frozen earth, or construction debris.
12: 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: Cond -10/06
PG08 -017 Printed: 01 -15 -2008
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.ci.tukwila.wa.us
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: 42, 4 vl.c (Gct
Date: lea. L' S Zccg
doc: Cond -10/06
PG08 -017 Printed: 01 -15 -2008
CITY OF TUKWILA•
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
(I)rmitNo. VfrVg 1�-C
V/
TUKWILA I
W
Mechanical Permit No.
Public Works Permit No.
Project No.
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 LOCATION ! 3Q40, 42,4 Abes 7uxW 1 /14 qs, Flo
Site Address:
Tenant Name:
G3Gllf 4?4 mss:
1-1124srr pPAZ,n
Property Owners Name: .4.t S4_ _ PQi, _
Mailing Address: l40 $' s 30C 111 PL
King Co Assessor's Tax No.: / 5'230 243
Suite Number:
Floor:
New Tenant: ❑ Yes
0
rEbev,ge._ Ittai-47 404
City
State
Zip
CONTACT PERSON
ACTtOm'f "TcR' -EATER ONLY IN
Name: te151) 6 TOTEM COMMERCIAL OEJT hone: ' (16''
Mailing Address: 12704 NE 124th ST # 43
KIP' ! AND, WA. 98034 State
E -Mail Address: u u y C , . - CD_ A._ lthn 6thLtIN L ,y s• C. b7 l Fax Number :4 ' 22-12) —
Zip
GENERAL CONTRACTOR INFORMATION - (Mechanical Contractor information on back page)
Company Name:
Mailing Address:
4, T; \,:tATrgt we ATER ONLY IN.
TOO -EM COMMERCIAL CENTER
I/ 12704 NE 124th ST # 43
Contact Person: KGA, WA. 98034
E -Mail Address:
Contractor Registration Number: Jkrl 0 (VW) S$ b P
City State Zip
Day Telephone: 4-2-C".- F-2‘23 --��
Fax Number:
Expiration Date:
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
1- 17--09
ARCHITECT OF RECORD — All plans must be wet stamped by Architect of Record
Company Name:
Mailing Address:
city
Day Telephone:
Fax Number:
Contact Person:
E -Mail Address:
State
Zip
ENGINEER OF RECORD — All plans must be wet stamped by Engineer of Record
Company Name:
Mailing Address:
city
Day Telephone:
Fax Number:
Contact Person:
E -Mail Address:
q :\\permits pluslicc chmges■permit application (7 -2004)
Revised: 6-8-05
bh
Page 1
State
Zip
MECHANICAL PERMIT INFORMATION — 206 -431 -3670
MECHANICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address: ACTION WATER HEATER ONLY INC
TOTEM COMMERCIAL CENTER city
State
Contact Person: 12704 NE 124th ST # 43 Day Telephone: 425 E3 2-0 " Q x
E -Mail Address: KIRKLAND, WA. 98034 Fax Number: 4-25 ''2c " 786
Contractor Registration Number: AcT 01,0 f-10 5s DP Expiration Date: /' / 7 -167
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
Valuation of Project (contractor's bid price): $ 13131 I T
Scope of Work (please provide detailed information): ¶Q1).1 A/t/t, p la66-G`As
CSt cct-iQN
Use: Residential: New .... ❑ Replacement ....
Commercial: New .... ❑ ' eplacement .,.. ❑
Fuel Type:
Electric
0
Gas....
Other:
Indicate type of mechanical work being installed and the quantity below:
Unit Type:
Qty
Unit Type:
Air Handling Unit >10,000
CFM
Qty
Unit Type:
Fire Damper
Qty
Boiler /Compressor:
0 -3 HP /100,000 BTU
Qty
Furnace<100K BTU
Furnace >1001( BTU
Evaporator Cooler
Diffuser
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan Connected
to Single Duct
Thermostat
15 -30 HP /1,000,000 BTU
Suspended/Wall/Floor
Mounted Heater
Ventilation System
Wood /Gas Stove
30-50 HP /1,750,000 BTU
Appliance Vent
Hood and Duct
Water Heater
50+ HP/1,750,000 BTU
Repair or Addition to
Heat/Refrig/Cooling
System
Incinerator - Domestic
Emergency
Generator
412-C Lt E4
Air Handling Unit
<10,000 CFM
incinerator— Comm/1nd
Other Mechanical '`^
Equipment
140.Oa) NIA GAS wftt
l
PERMIT APPLICATION NOTES — Applicable to all permits in this application
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 or more extensions of time for additional periods not exceeding 90 days each. The extension shall be requested
in writing and justifiable cause demonstrated. Section 105.3.2 International Building 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 A` TH ED AGENT:
Signature:
Print Name:
Mailing Address:
&E
4 2-14-6 IUE (
Date: it — (5 -07
Day Telephone:
s11/3 RtL d 7�3�
state
City
Zip
Date Application Accepted:
Date Application Expires:
tpperm8 s pholix cheageepermh application (1-2004)
Revised 6-&03
bh
Page 4
Staff Initials: :.— _
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 -431 -3665
Web site: http:/lwww.ci.tukwila.wa.us
Parcel No.: 1523049263
Address: 13916 42 AV S TUKW
Suite No:
Applicant: PALMER RESIDENCE
RECEIPT
Permit Number: PG08 -017
Status: PENDING
Applied Date: 01/15/2008
Issue Date:
Receipt No.: R08 -00124
Payment Amount: $92.00
Initials: JEM Payment Date: 01/15/2008 12:53 PM
User ID: 1165 Balance: $0.00
Payee: ACTION WATER HEATERS ONLY INC.
TRANSACTION LIST:
Type Method Description Amount
Payment Check 35870 92.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
PLUMBING - RES
000.322.103.00.0 92.00
Total: $92.00
72131 01/15 9710 TOTAL 92.00
doc: Receipt -06 Printed: 01 -15 -2008
INSPECTION RECORD
Retain a copy with permit
INSPE NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION 'p\,
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3 7
P6 0 rot 7
Project:
Type of I spection:
dal
Address:
t39llie 42.41A-Li
C
Date Called:
1
Special Instructions:
—S t rJ
CQ
(
Date Wanted:, — i - gy
a.m.
Requester:
Phone No:
7—S-3 —q6y- 2-44�o
5
Approved per applicable codes. ['Corrections required prior to approval.
COM M ENTS:',
p2J17 R-
in $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
'Date:
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PERMIT NO.
(206)431 -3670
Projec
,/i jm ' i5
,
Type of �I spection:
-/ N4 l d�ltz,e-f
Address:
/3q /6 Z/2 41/
Date Called:
A
Special nstruct' ns:
(.1A- I (lA. -
c�1 i e
) .7n5"�
` *
Date rated:
- l
- � �
pm
Requester:
Phoe
'
' --2 4/v
. -
❑ Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
Z3 .„ rI Cl 1 ., 21. s, 1
4
A
0'
. -
----6d4e4AGfk
I
I
i -t' pt.(' kcI - 7.sI -71)
- 2`
N 3
c. --A-J /
OA i `7
riA_ f (--A I( ..A--1
: ...)A i.A)..A --5, Ay p) .),-JeJ .
._/ti 7)
1.3 k e_.-\
r_. 6"
Inspec r:
Date:
❑ $60.00 REINSPECTIQN FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
- a ..v. •. -:mss
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
v
CITY OF TUKWILA BUILDING DIVISION it-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Prod.
Type of Inspection: ,—n
Address:
/3q /6 yZ in, S.
Date Called:
C'_ • + '1 l `n - (.) r ( . _fir L,,, :11
Special Instructions:
Date Wanted: 6 - /
- U`
4..tk. P 1.'. -ak is. Sri e. c ; (; c
p.m.
Requester:
m f e X" ' -t-.a itA. a r 1 a'i/J -
Phone No
4/z
v
ve
Approved per applicable codes.
Corrections required prior to approval. if
COMMENTS:
C'_ • + '1 l `n - (.) r ( . _fir L,,, :11
4
le JrL i;PSsAtF r.!:(t. .),-)/Ne _A,.
-1-21? r c -
4..tk. P 1.'. -ak is. Sri e. c ; (; c
`r, 4A.P
-t--b
m f e X" ' -t-.a itA. a r 1 a'i/J -
A
Inspector:
!U\
Date: ! i
ri $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
06 -05 -2008
KEN GEE
12704 NE 124 ST #43
KIRKLAND WA 98034
City of Tukwi
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
RE: Permit No. PG08 -017
13916 42 AV S TUKW
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 Uniform Plumbing Code and/or Intemational Fuel Gas 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 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 fmal 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 Plumbing and/or Gas Code does allow the Building Official to approve one extension of time for an
additional period not exceeding 180 days. 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 07/13/2008 , 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,
VIA4/14d,
ifer Marshall,
Permit Technician
xc:
Permit File No. PG08 -017
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
Look Up a Contractor, Electrici or Plumber License Detail
Washington State Department of Labor and Industries
General/Specialty 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.
License Information
License
ACTIOWHO55DP
Licensee Name
ACTION WATER HEATERS ONLY INC
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
601609114
Ind. Ins. Account Id
#5
Business Type
CORPORATION
Address 1
12704 NE 124TH ST #43
Address 2
City
KIRKLAND
County
KING
State
WA
Zip
98034
Phone
4258208848
Status
ACTIVE
Specialty 1
PLUMBING
Specialty _2
UNUSED
Effective Date
3/17/1995
Expiration Date
1/17/2009
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
Business Owner Information
Name
Role
Effective Date
Expiration Date
MEDLAND, BRETT P
Cancel
Date
01/01/1980
Bond
Amount
•
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
#5
COLONIAL
AM CAS &
SURETY
OF MD
LPM4042735
12/31/2001
Until
Cancelled
$6,000.00
01/17/2002
Page 1 of 3
https : / /fortress.wa. gov /lni/bbip /printer. aspx ?License= ACTIOWHO5 5DP 01/15/2008