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