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HomeMy WebLinkAboutPermit PG08-096 - EGBERT RESIDENCEEGBERT RESIDENCE 14015 43 AV S EXPIRED 09 -27 -08 PGO8-096 Parcel No.: 7348200090 Address: Suite No: CRAM' 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 14015 43 AV S TUKW PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: PG08 -096 03/27/2008 09/23/2008 Tenant: Name: EGBERT RESIDENCE Address: 14015 43 AV S , TUKWILA WA Owner: Name: EGBERT ERIK Address: 14015 43RD AVE S , 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 - 248 -7900 Phone: 206 248 -7900 Expiration Date: 12/29/2009 DESCRIPTION OF WORK: INSTALL GAS PIPE TO FURNACE, WATER HEATER & DRYER Value of Plumbing /Gas Piping: Fees Collected: $800.00 $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) 3 0 Gas piping outlets (6 +) 0 * *continued on next page ** doc: UPC -10/06 PG08 -096 Printed: 03 -27 -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 -096 Issue Date: 03/27/2008 Permit Expires On: 09/23/2008 Permit Center Authorized Signature: ,u231, Date: 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 pr construction o performance of w Signature: Print Name: e to give authority to violate or cancel the provisions of any other state or local laws regulating am authorized to sign air d- ebt`in this plumbing /gas piping permit. Date: 7- 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 -096 Printed: 03 -27 -2008 Parcel No.: 7348200090 Address: Suite No: Tenant: • 0 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 14015 43 AV S TUKW EGBERT RESIDENCE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: PG08 -096 ISSUED 03/27/2008 03/27/2008 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 -096 Printed: 03 -27 -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 pres construction or the performance of work. Signature: Print Name: give authority to violate or cancel the provision of any other work or local laws regulating Date: 7 -D. O doc: Cond -10/06 PG08 -096 Printed: 03 -27 -2008 CITY OF TUKWILP Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Building Permit No. Mechanical Permit No. MO 'r3-- Ct 3 Plumbing/Gas Permit No. P60 f _ O Public Works Permit No. Project No. (For ojice 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 fax. * *Please Print ** SITE LOCATION King Co Assessor's Tax No.: 7 3 y K -2 a)O (10 Site Address: ll'10 \ LI 3 SA rvf- J Suite Number: Floor: �_ r Tenant Name: L- � . 'S (, i \04.,C- % New Tenant: ❑ Yes .No Property Owners Name: `t! �JJ Mailing Address: 1 L I 6 \ S L 13J- fve. �S city State Zip CONTACT PERSON — who do we contact when your permit is ready to be issued Nameil5REWM Aid IEATI ►.l6r k A rL Mailing Address: '4(O01. S 134741''(, Day Telephone: 020(0' (14g ' ♦7960 Tc� Ktx I LA OVA °I 1 & E -Mail Address: ' A tea b rti.nnetnkm+l`'nq , Cam City State Zip Fax Number: QV.- .04g • `7°I tYS GENERAL CONTRACTOR INFORMATION (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) :. Company Name: REAMALAki PEAT kale , Mailing Address: 4(pO ( 5 134 -n.4-121.... To ION LA q & <<P O City Day Telephone: a.04• • S4 • -7 °I DD Fax Number: t:2.06, • cZ.44-$ - ©S Expiration Date: l 021 ata / 667 Contact Person: 4, t' R &� _ . E -Mail Address: ilitylVik,1 ebrev►nan him-Kn3. ta1nn Contractor Registration Number lQELII(4A '1 l R1 State Zip ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record Company Name: Mailing Address: A 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 State Zip Contact Person: (A Day Telephone: E -Mail Address: Fax Number: Q; Applications \Forms- Applications On lino63-2006 - Permit Applicauon.doe Revised: 9 -2006 bh Pagel of 6 MECHANICAL PERMIT INFORMATION_ - 206- 431 -3670 MECHANICAL CONTRACTOR INFORMATION Company Name: iQ Ek idA kl 'R EAT11.1 LT x A/C. Mailing Address: 4(b0 `3 E ��- "1.1 I'L 1 o kii) L LA yvck. Q 1,40 Contact Person: E -Mail Address:. 14-yv. Contractor Registration Number: 13R Ekiki %i get 1N■ ai2-11pre City State Zip Day Telephone: ,0_6‘, - oZ t-i g- - 9 0 o Fax Number: &No" o24g - ~7a105-* Expiration Date: 0102$ /01 Valuation of Mechanical work (contractor's bid price): $ OD. • 3 ( jj_ Sco of Work (please provide detailed information): '�v- �v1_fn.Ct'.� �-l� '' ` C>t,r1C/ Use: Residential: New .... ❑ Replacement .. Commercial: New .... ❑ Replacement .... ❑ Fuel Type: Electric Gas.. Other: 0,\. Indicate type of mechanical work being installed and the quantity below: Unit Type: Qty Unit Type: Qty Unit Type: Qty Boiler /Compressor: 0-3 HP /100,000 BTU Qty Fumace<100K BTU 9 Air Handling Unit >10,000 CFM Fire Damper Fumace> 100K 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 Emergency Generator 50+ HP /1,750,000 BTU Repair or Addition to Heat/Refrig/Cooling System Incinerator - Domestic Other Mechanical Equipment Air Handling Unit <10,000 CFM Incinerator — Comm/Ind Q: Applications Worms-Applications On Lin63 -2006 - Permit Application.doc Revised: 9 -2006 bh Page 4 of 6 • 0 PLUMBING AND GAS PIPING PERMIT INFORMATION — 206- 431 -3670 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: 1NRE A(J NEAT Ilei(' k A/C. Mailing Address:_ (pd S 1 "i TS 1' L KLaJA tASA g06 1cpg City state Zip Contact Person: ' ` 1L`l`Y��.\1/� L��i1� LQ Day Telephone: &)(s - e/4 & • '7°100 E -Mail Address: ' f -vte top b re v n cu111ea i n•3 • CAWS Fax Number: cQ8(o - c14 $ • 'lei Contractor Registration Number: —15 RE klkIHAgil t M2.0t Expiration Date: l eZ / r2.$ 107 Valuation of Plumbing work (contractor's bid price): $ Valuation of Gas Piping work (contractor's bid price): $ cloo _6D q � Scope of Work (please provide detailed information): \c;\ -4\c; ‘,06 -cu■NiqA-Le ClOt‘i �%-e '.-ems 4 Building Use (per Int'l 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 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 2 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 I 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:VtpplcationsWorms- Application On Line\3 -2006 • Permit Application.doe Revised: 9-2006 bh Page 5 of 6 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. 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 OR A D AGENT: Signature: Print Name:_ Y�(1� ' SO)A-e- - � Mailing Address: �j 1 54 TN `Pc1 Date: Day Telephone: o b(o • ati'% •1Pt TU KGJl LSA OA 98 (bb City State Zip Date Application Accepted: Date Application Expires: Staff Initials: I Q: Applications WForms- Applications On lined -2006 - Permit Application.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.: 7348200090 Address: 14015 43 AV S TUKW Suite No: Applicant: EGBERT RESIDENCE RECEIPT Permit Number: PG08 -096 Status: PENDING Applied Date: 03/27/2008 Issue Date: Receipt No.: R08 -00946 Initials: WER User ID: 1655 Payment Amount: $98.00 Payment Date: 03/27/2008 04:00 PM Balance: $0.00 Payee: BRENNAN HEATING TRANSACTION LIST: Type Method Descriptio Amount Payment Check 18806 98.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts GAS - RES PLUMBING - RES 000.322.103.00.0 6.00 000.322.103.00.0 92.00 Total: $98.00 (c.525 03/28 9711 TOTAL 98.00 doc: Receipt-06 Printed: 03 -27 -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 PERMIT NO. Prod tct:/' V !%Q f 27 /��� Type of Inspection: / p m(j h -hv 64-c i Address: / Z/d / S q ii-v S Date Called: Special Instructions: • Date Wanted: O Request r: Phone No 206 -2Y 8- 790 c Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspect Date: 5 J a arl LI $58.00 REINSPECTION FEE RE • UIRED. Prior o inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. Receipt No.: Date: 07 -29 -2008 ANDREW JONES 4601 S 134 PL TUKWILA WA 98168 city of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director RE: Permit No. PG08 -096 14015 43 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 International 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 09/27/2008 , 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, xc: Ter Marshall, it Technician Permit File No. PG08 -096 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 Look Up a Contractor, Electric 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 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 $12,000.00 11/04/2004 AMERICAN Page 1 of 2 httnc* / /fnrtress.wa. eov /lni/bbin /Drinter.asnx ?License= BRENNHA971 R9 03/27/2008