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HomeMy WebLinkAboutPermit PG08-075 - BRANTON RESIDENCEBRANTON RESIDENCE 16303 45 PL S PGO8-075 Parcel No.: 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 9314900110 16303 45 PL S TUKW PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: PG08 -075 03/11/2008 09/07/2008 Tenant: Name: BRANTON RESIDENCE Address: 16303 45 PL S , TUKWILA WA Owner: Name: BRANTON KEN G Address: 16303 45TH PL S , SEATTLE WA Contact Person: Name: KARL BOGREN Address: 837 NW 45 ST , SEATTLE WA Contractor: Name: GAS APPLIANCE SERVICE Address: 4415 LEARY WAY NW , SEATTLE WA Contractor License No: GASAPS *953MR Phone: Phone: 206 - 963 -8758 Phone: 206 - 782 -5522 Expiration Date: 07/19/2009 DESCRIPTION OF WORK: GAS PIPING FOR NEW FIREPLACE INSERT (1) OUTLET Value of Plumbing /Gas Piping: $400.00 Fees Collected: Uniform Plumbing Code Edition: 2006 $92.00 International Fuel Gas Code Edition: 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 FIXTURE TYPE AND QUANTITY 2006 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 0 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 PG08 -075 Printed: 03 -11 -2008 City otrukwila 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 -075 Issue Date: 03/11/2008 Permit Expires On: 09/07/2008 Permit Center Authorized Signature: LJl Date: 3- \1`Og 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 pe rmance of work. f am authorized to sign and obtain this plumbing /gas piping permit. Signature: Print Name: Date: 321/A) 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 -075 Printed: 03 -11 -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 Parcel No.: 9314900110 Address: 16303 45 PL S TUKW Suite No: Tenant BRANTON RESIDENCE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: PG08 -075 ISSUED 03/11/2008 03/11/2008 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 =075 Printed: 03 -11 -2008 0 City of Tukwila 0 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 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 construction or the performance of work. Signature: Print Name: Date: ordinances governing or local laws regulating doc: Cond -10/06 PG08 -075 Printed: 03 -11 -2008 31/ 3 CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 SOuthbenter Blvd., Suite 100 Tukwila, WA 98188 0 Building Permit No. Mechanical Permit No. t40 -73 Plumbing/Gas Permit No ?C,C) 0- 6-7 Public Works Permit No. Project No. (For office use only) Applications and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or by fa. **Please Print** SITE LOCATION /k 3,3 4./5-4-1 -t jP4 rtiic 4 WAI 9 King Co Assessor's Tax No.: .7.5/ 067//0 Site Address: 5C_77 43114 Tenant Name: /1.•••■•• Suite Number: Floor: New Tenant: E Yes Property Owners Name: 1'1 iZ,Pc 1\1 -Tt. Mailing Address: (!) .3 3 4T PLA-L4:: sc. Li 7-\-- -r-v titi LA- , tf) City S talc Zip CONTACT PERSON - who do we contact when your permit is ready to be issued Name: 1IeL 130 cg..&L) _ Mailing Address: p.3 -7- Aitv Day Telephone:( ,2o6d crcP Q tAAR- 9V) /0 E-Mail Address: City Fax NuMber: State Zip GENERAL CONTRACTOR INFORMATION — (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) Company Name: _ L%7 A S kr)) 1.—i fick) e- '2-k! I C- Mailing Address: ?' 37 Nt kt 4)T City Day Telephone: E-Mail Address: KLAIL-L-(a) 0/36 P(PPL-I PvNi6C-SiA-ki - (C'Yv‘Fax Number: Contractor Registration Number: AA-f-s; kc."i 5.3 A \ - Expiration Date: Contact Person: 2-(3 L31-5 660 2( 3c 3 7/Cjf ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record Company Name: Mailing Address: City Contact Person: Day Telephone: E-Mail Address: Fax Number: State Zip ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record Company Name: Mailing Address: City Contact Person: Day Telephone: E-Mail Address: Fax Number: _ Q1ApplicationsTonns-Applications On Una:3-2006 - Permit Application.doc Revised: 9-2006 hh State Zip Page 1 �f6 PLUMBING AND GAS PIPING PERMIT INFORMATION - 206 - 431 -3670 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: �'' Fax Number: Contractor Registration Number: Expiration Date: Valuation of Plumbing work (contractor's bid price): $ - Valuation of Gas Piping work (contractor's bid price): $ Scope of Work (please provide detailed information): //j/} i LL �,"'A S /t/ cS� Building Use (per Int -1 Building Code): - //i,/ (7G C T/" G 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 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 i 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 dram (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 Q:, Applications \Forms- Apphcatiuns On Lmc_+ 2006 - Permit Applicatiun.da: Revised: 0-2006 hh Page 5 of 6 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. Building and Mechanical Permit 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). Plumbing Permit The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 Uniform 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 OWNS OR AUTHO D AGENT: Signature: Print Name: p b r))lU Mailing Address: '431 Ai Lb 4.5-3A Date: 3Il t Day Telephone: 2b 172 b Jb 1117 X117 City State Zip Date Application Accepted: Date Application Expires: Staff Initials: Q:Wpplieations\FonnrApplications On Linen -2006 - Permit Appliation.doc Revised: 9 -2006 bh Page 6 of 6 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.: 9314900110 Address: 16303 45 PL S TUKW Suite No: Applicant: BRANTON RESIDENCE RECEIPT Permit Number: PG08 -075 Status: PENDING Applied Date: 03/11/2008 Issue Date: Receipt No.: R08 -00701 Payment Amount: $92.00 Initials: WER Payment Date: 03/11/2008 11:22 AM User ID: 1655 Balance: $0.00 Payee: ED OLSON TRANSACTION LIST: Type Method Descriptio Amount Payment Cash 92.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts GAS - RES 000.322.103.00.0 92.00 Total: $92.00 9759 03/11 9710 acv TOTAL 264.30 doc: Receiot -06 Printed: 03 -11 -2008 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 INSPECTION RECORD Retain a copy with permit a f -47c5 PERMIT NO. Pro' ct: /An! ,/d tiv 1�S Type of Inspection: %-,'n/.9 (-- 64 5 Address: 10303 Yip r S Date Called: Special Instructions: / Date Wanted: 3 -2s -4 m., p.m• Requester: Ph ne No: 06, -ZVq -s /6, Approved per applicable codes. Corrections required prior to approval. COMMENTS: P G-D AitiAp( El $58.00 REINSPECTION FEE EQUIRED. Prior o inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. Receipt No.: Date: INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION e"'"' 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 P6 v8 - v ?S Pr ect: IV /i -,`d`' feeJid CL Type of Inspection: A' /mot 6, j A P. /i.. Address: 1063 43" PL-11 Date Called: Special Instructions: Date Wanted: 3 ��- d� p.m. Requester: Phone No: 7.41A- '721- 53-2,2___ Approved per applicable codes. Corrections required prior to approval. COMMENTS: (661( n4 1.,`7, t ,' N, (1, Se ()> Ae i P � juv,znk Inspect ULLA Date: .1 —7 —o LI $58.00 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 R 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: At ^ At.e 1 J" Type of Inspec ion: Address: i10303 -45 PL Sv Date Called: ` C1d ; 7l' ( a�—� h i. Special Instructions: Date Wanted: J �r y! 3 `� v� p.m. Requester: Phone No: _ MP-(1k2 `SSZZ ❑ Approved per applicable codes. Corrections required prior to approval. COMMENTS: S A f p ( ,) J D Inspec or1 GU- /1\1( Ilk I Date: - 14 , or D $58.00 REINSPECTION FEE REQUIRED. Prior o inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. Receipt No.: Date: Look Up a Contractor, Electrio, or Plumber License Detail Washington State Department of tabor 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 GASAPS *953MR Licensee Name GAS APPLIANCE SERVICE Licensee Type CONSTRUCTION CONTRACTOR UBI 578052563 Ind. Ins. Account Id VICE PRESIDENT Business Type CORPORATION Address 1 4415 LEARY WAY NW Address 2 City SEATTLE County KING State WA Zip 98107 Phone 2067825522 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 7/19/2005 Expiration Date 7/19/2009 Suspend Date Separation Date Parent Company OLSON SERVICE GROUP INC Previous License GASAPS *012JA Next License Associated License Business Owner Information Name Role Effective Date Expiration Date OLSON, ROBERT A PRESIDENT 07/19/2005 Bond Amount OLSON, EDWARD J VICE PRESIDENT 07/15/2005 575474C • Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date #2 DEVELOPERS SURETY & INDEM CO 575474C 09/28/2007 Until Cancelled $12,000.00 10/01/2007 Page 1 of 2 https: / /fortress.wa.gov /lni/bbip /printer. aspx ?License= GASAPS* 953MR 03/11/2008