HomeMy WebLinkAboutPermit PG08-041 - NELSON RESIDENCENELSON RESIDENCE
4718 S 124 ST
PGO8-041
Parcel No.: 0179001240
Address:
Suite No:
Citylif 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
4718 S 124 ST TUKW
PLUMBING /GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On:
PG08 -041
02/13/2008
08/11/2008
Tenant:
Name:
Address:
Owner:
Name:
Address:
NELSON RESIDENCE
4718 S 124 ST , TUKVVUJA WA
NELSON THEA G
4718 S 124TH ST , TUKWILA WA
Contact Person:
Name: ANDREW JONES
Address: 4601 S 134 PL , TUKWILA WA
Contractor:
Name: BRENNAN HEATING & A/C LLC
Address: 2725 152ND AV NE , REDMOND WA
Contractor License No: BRENNHA971R9
Phone:
Phone: 206 - 778 -9846
Phone: 206 248 -7900
Expiration Date: 12/29/2009
DESCRIPTION OF WORK:
Value of Plumbing /Gas Piping:
Fees Collected:
$1,700.00
$184.00
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 OUANTITY
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) 1
0 Gas piping outlets (6 +) 0
* *continued on next page **
doc: UPC -10/06
PGO8 -041 Printed: 02 -13 -2008
City ofTukwila
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: PGO8 -041
Issue Date: 02/13/2008
Perrnit Expires On: 08/11/2008
Permit Center Authorized Signature:
_ Date: 0
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 presum
give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the'rfo jmance of work. xa:yrt authorized to sign and obtain this plumbing /gas piping permit.
Signature:
Print Name:
Date:
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 -041 Printed: 02 -13 -2008
Parcel No.: 0179001240
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
4718 S 124 ST TUKW
NELSON RESIDENCE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
PG08 -041
ISSUED
02/13/2008
02/13/2008
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 -041 Printed: 02 -13 -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: Adi\r'b-3
Date: 2
doc: Cond -10/06
PG08 -041 Printed: 02 -13 -2008
CITY OF TUKWI
Community Developmen epartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://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 ,LOCATION
Site Address:
/2 gC1
Tenant Name: NP, /SO^
King Co Assessor's Tax No.:. 0/ 7900 /.7
Suite Number:
Property Owners Name: ! e /� [d✓1
Mailing Address: G/ 7/y
Floor:
New Tenant: 0 .... Yes
0
- / k g.t,'1 Ham(_
city
- -0_ 42
State � Zip
ONTACT PERSON - Who do we contact when.your permit is ready to be issued
Name:
Mailing Address:
E -Mail Address:
D ay Telephone:
7 k•-.'r
City
ax Number.
te Veg
•
?°S
Company Name: (3f'J7v1y
Mailing Address:
Contact Person:
E -Mail Address:
Contractor Registration Number:
Company Name:_
Mailing Address:
Contact Person:
E -Mail Address:
P r.4411
bFpll4l11I 7I a&
City State
Day Telephone: 90
•G '3'ax Number: i0'-�er 790 S
Expiration Date:/P—
Company Name: _ -
Mailing Address:
Contact Person:
E -Mail Address:
City
Day Telephone:
Fax Number:
State
Zip
Q:\Applications\Forms- Applications On LineU2006,-= Plumbing -Gas Piping Permit Apphcatuon.doc
Revised: 4 -2006
bh
city
Day Telephone:
Fax Number:
State
Zip
Page 1 of 2
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
Building Use (per Int'l Building Code):
Occupancy (per Intl Building Code):
Utility Purveyor: Water:
Sewer:
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
Fixture�T_ype:
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
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
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).
1 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 0 NE
Signature:
Print Name:
Mailing Address:
OR AUT
ZED AGENT:
Date: - l3 / `"7 e
Date Application Accepted:
Day Telephone:
vJ
City State
Date Application Expires:
Staff Initials:
Q:\Applications\Fonns- Applications On Line3.2006 - Plumbing -Gas Piping Permit Application doe
Revised: 4.2006
bb
Page 2 of 2
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
Parcel No.: 0179001240
Address: 4718 S 124 ST TURIN
Suite No:
Applicant: NELSON RESIDENCE
RECEIPT
Permit Number: PG08 -041
Status: PENDING
Applied Date: 02/13/2008
Issue Date:
Receipt No.: R08 -00422 Payment Amount: $94.00
Initials: WER Payment Date: 02/13/2008 02:22 PM
User ID: 1655 Balance: $0.00
Payee: BRENNAN HEATING & A/C
TRANSACTION LIST:
Type Method Description Amount
Payment Check 18652 94.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
GAS - RES
PLUMBING - RES
000.322.103.00.0 47:00
000.322.103:00:0 47.00
Total: $94.00
doc: Receiot -06 Printed: 02 -13 -2008
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
/.12-0/-//
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431
Project:
�ti ie
Type of Inspection:
/ti� / Cis - i
Address:
`ej7/2 s /2V s-/--
Date Called:
_ ,
Special Instructions:
: ,�pxs.
Date Wantyd ca
-2 /2 '/ F p.m.
Requester:
Phor„ NQ: r
21,fe - - ..e: i
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
iiMy-fLioak4-1-/-0;6/
spector
. 0 REINSPECTION FEE RE)UIRED.
id at 6300 Southcenter Blvd.. Suite 1'
e/eipt No.:
Date:
for o inspection. fee must be
Call the schedule reinspection.
Date:
3
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION g'
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project
Project 4- . ire' S
Type of Inspectio :
�-; Ai 4 % G,.s," C
Address:
Date Called:
Special Instructions:
Date Wa ed`/
.� Q �/
amt.,
p.m.
Requester: L
Phone No:
pproved per applicable codes. Corrections required prior to approval.
COMMENTS:
` CA s 6ov /67
i
In'�spector:
pti4.1.,t7 / 7
Date:
z s/�
❑ $58.0 INSPECTION FEE REQUf II ED. Ior to inspection, fee must be
paid t 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection.
Receipt No.:
Date:
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
Pe
PERMIT NO.
o(L.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project:
A/t /$6A) /2.5
Type of Inspecti n:
riiv0
- ri7h.rnA
Address:
17/7/A1 3 l? ys .1
Date Called:
Special Instructions:
Date Wanted:
v2 /? J/a c.!__
P.m.
Requester:
, . A• y +.— 9 -/
Phone No:
2. aG -2 5/6 —
2v0
'p oved per applicable codes.
Corrections required prior to approval.
COMMENTS:
%.
0/ //e9 &i.4' 1R?"--
'r/4 //- ';
/
// sF {S /o -//e--
, . A• y +.— 9 -/
Afirol/e !r /1? 4
/ /?1-2"." •
f
nspect r:
y /
Dai
) 5%
X58.00 REINSPECTION FEE REQUIRED. Prior o inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection.
Receipt No.:
Date:
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION P-
6 3 00 Southcenter Blvd., #100, Tukwila, WA 98188 (206)43 1 -3670
Project-
Type of Inspection:
Address:
Date Called:
Special Instructions:
Date Wanted:
2 / 2 5 -
Ow
Requester:
Phone No:
1E-Approved per applicable codes. LJ Corrections required prior to approval.
COMMENTS:
/) S' ?h,r+'JJ° j1.1/1
7 I
gebi, 4 4v ‘R -s Ll d/p/ata/e-e,
It'ispector: .._.r f Da�: ) S 77
0 REINSPECTION FEE R QUIRED nor to inspection. fee must be
id at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection.
Receipt No.:
Date:
Look Up a Contractor, Electrician or Plumber License Detail
11110 •
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
BRENNHA971 R9
Licensee Name
BRENNAN HEATING & A/C LLC
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
602346866
Ind. Ins. Account Id
Business Type
LIMITED LIABILITY COMPANY
Address 1
4601 S 134TH PL
Address 2
City
SEATTLE
County
KING
State
WA
Zip
98168
Phone
2062487900
Status
ACTIVE
Specialty 1
GENERAL
Specialty 2
UNUSED
Effective Date
12/29/2003
Expiration Date
12/29/2009
Suspend Date
Separation Date
Parent Company
Previous License
GUTTEHW995PH
Next License
Associated License
Business Owner Information
Name
Role
Effective Date
Expiration Date
ERDAHL, DARRIN
PARTNER/MEMBER
12/29/2003
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
#2
FEDERATED
MUTUAL
INS CO
9127230
12/22/2004
Until
Cancelled
812,000.00
11/04/2004
AMERICAN
Page 1 of 2
https: // fortress .wa,gov /1ni/bbip /printer.aspx ?License= BRENNHA971 R9 02/13/2008