HomeMy WebLinkAboutPermit PG09-133 - BRUCE RESIDENCERUCE ' ESIDENCE
13018 32 AV S
PGO9-133
Parcel No.:
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
doc: UPC -7/07
7359600430
13018 32 AV S TUKW
DESCRIPTION OF WORK:
REPLACE EXISTING GAS HOT WATER HEATER
Cityaf Tukwila
Contractor:
Name: BRENNAN HEATING & A/C LLC
Address: 2725 152ND AV NE , REDMOND WA
Contractor License No: BRENNHA971R9
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 0
Receptor, indirect waste 0
Sinks 0
Urinals 0
Water Closet 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
BRUCE RESIDENCE
13018 32 AV S , TUKWILA WA
BRUCE ROBERT + JULIE M
PO BOX 69013 , TUKWILA WA
JAIMIE HOW
4601 S 134 PL , SEATTLE WA
FIXTURE TYPE AND OUANTITY
* * continued on next page **
PLUMBING /GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 206 248 -7900
Phone: 206 248 -7900
Expiration Date: 12/29/2009
Value of Plumbing /Gas Piping: $0.00 Uniform Plumbing Code Edition:
Fees Collected: $45.00 International Fuel Gas Code Edition:
PG09 -133
11/10/2009
05/09/2010
2006
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 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)
inlets /outlets for a specific gas 0
Medical gas piping (6 +) inlets /outlets 0
Gas Piping
Gas piping outlets (0 -5) 0
Gas piping outlets (6 +) 0
PG09 -133 Printed: 11 -10 -2009
Print Name:
doc: UPC -7/07
City Aukwila
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 Center Authorized Signature:
YY\\
1
•
Permit Number: PG09 -133
Issue Date: 11/10/2009
Permit Expires On: 05/09/2010
Date: � � l (010
I hereby certify that I have read and e ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied hether specified herein or not.
The gran ' . • of t 's permit does not presum to give authority to violate or cancel the provisions of any other state or local laws regulating
construc s • n or th • • erformance of work. - authorized to sign and obtain this plumbing /gas piping permit. O
Date: I 1 ) 10 / 1
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.
PG09 -133 Printed: 11 -10 -2009
Parcel No.:
Address:
Suite No:
Tenant:
7359600430
13018 32 AV S TUICW
BRUCE RESIDENCE
1: ** *PLUMBING AND GAS PIPING * **
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
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
PG09 -133
ISSUED
11/10/2009
11/10/2009
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.
doc: Cond -10/06
* * continued on next page **
PG09 -133 Printed: 11 -10 -2009
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 • the performance of work.
Signatur4;
Print Name:
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
doc: Cond -10/06 PG09 -133
Date:
ordinances governing
or local laws regulating
Printed: 11 -10 -2009
SITE LOCATION
King Co Assessor's Tax No.: c q Lo 0 LJ 3 a
Site Address: ! `,� 1 �o Suite Number: Floor:
New Tenant: ❑ Yes ❑ ..No
Tenant Name:
Property Owners N e: , V 1 t -(. r t ii ,) C
Mailing Address: r 0 PDX t
Name:
E -Mail Address:
PLUMBING: /.GAS PIPING CONTRACTOR INFORMATION
Company Name:
Mailing Address: III 0\ ` c� J \ "` \-
Contact Person `N\ ‘-■
E -Mail Address:
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
httg://vvww.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 **
L
Contractor Registration Number:
H:\Applications\Forms- Applications On Line\2009 Applications \I -2009 - Plumbing -Gas Piping Permit Application.doc
Revised: 1 -2009
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City
CONTACT PERSON - Who do we contact when your permit.is ready to be issued
Day Telephone:
c -t
City State
Day Telephone: 0 l.0
C0 nr* Number:
Expiration Date:
State Zip
Mailing Address:
City
State
State
Zip
Fax Number:
v. • a & CAA ! • •
Slog
Zip
5
ARC ,O1 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:
Zip
ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record
Company Name:
Mailing Address:
City State Zip
Contact Person: _ Day Telephone:
E -Mail Address: Fax Number:
Page 1 of 2
Fixture Type:
Qty
Fixture Type:
Qty
Fixture Type:
Qty
Fixture Type: •
_ Qty
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
Building sewer and each
trailer park sewer
Rain water system — per
drain (inside building)
Water heater and /or vent
1
Industrial waste treatment
interceptor, including trap
and vent, except for kitchen
type grease interceptors
Each grease trap
(connected to not more
than 4 fixtures - <750
gallon capacity)
Grease interceptor for
commercial kitchen ( >750
gallon capacity)
Repair or alteration of
water piping and/or water
treatment equipment
Repair or alteration of
drainage or vent piping
Medical gas piping
system serving 1 -5
inlets /outlets for a
specific gas
Each additional medical
gas inlets/outlets greater
than 5
Backflow protective
device other than
atmospheric -type vacuum
breakers 2 inch (51 mm)
diameter or smaller
Backflow protective device
other than atmospheric -type
vacuum breakers over 2
inch (51 mm) diameter
Each lawn sprinkler
system on any one meter
including backflow
protection devices
Atmospheric -type vacuum
breakers not included in
lawn sprinkler backflow
protections (1 -5)
Atmospheric -type
vacuum breakers not
included in lawn
sprinkler backflow
protections over 5
Gas piping outlets
Valuation of Project (contractor's bid price): $
Scope of Work ( lease provide detailed info ation):
Ok.. lr
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:
PERMIT APPLICATION NOTES -
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).
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.
BUILDI
Date Application Accepted:
NER OR AUTHORIZE r A r ENT:
Signatur: ) .0
Print Name: ‘(11 \ 'L
1[11,01 ft)
Mailing Address: q l0 0 S "t
H:Wpplications \Forms - Applications On Line\2009 Applications \1.2009 - Plumbing -Gas Piping Permit Application.doc
Revised: 1 -2009
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City State Zip
Date Application Expires:
Staff Initials:
ge 2 of 2
Receipt No.: R09 -01783
Initials:
User ID:
Payee:
doc: Receiot -06
JEM
1165
ACCOUNT ITEM LIST:
Description
PLUMBING - RES
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
Payment Check 20405 45.00
Authorization No.
TRANSACTION LIST:
Type Method Descriptio Amount
RE CEIPT
Parcel No.: 7359600430 Permit Number: PG09 -133
Address: 13018 32 AV S TUKW Status: PENDING
Suite No: Applied Date: 11/10/2009
Applicant: BRUCE RESIDENCE Issue Date:
BRENNAN HEATING & AIR CONDITIONING INC
Payment Amount: $45.00
Account Code Current Pmts
000.322.103.00.00 45.00
Total: $45.00
Payment Date: 11/10/2009 01:18 PM
Balance: $0.00
PAYME , T
RECEIVED
Printed: 11 -10 -2009
COMMENTS:
Type Jt Inspection: _ �� ��
r 4/ .�- 4 / 1
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— R-o LAlk - 17 -A Ki2 p i i) Jp
Date Called: f
�� .�.� 4 � ��. ��
■ r, ;- .� PI i -', 2Ac.E
- ( i s pc.,..4 —�_ 01 1 � A (-Afc0
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1 _`
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10
1 7i OA : ( . f) ,_
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p
Proje� f U C Q 2
111111 S• dl' UA C�
Type Jt Inspection: _ �� ��
r 4/ .�- 4 / 1
"
Address: 44
1301 g 32 5
Date Called: f
�� .�.� 4 � ��. ��
Special Instructions:
Q Z P G' 45
1_Q(,(
'
Date Wanted:
a.m.
Requester:
Phone 6— g
2 2 — Iv
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
1 1 33
PERMIT NO.
(206)431 -3670
Approved per applicable codes.
mg./ions i ct p?locso.approval.
Inspect r:
P
Date: I . _ J( 01
r
El $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:
d
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
MIKESMS922L6
MIKE'S
MECHANICAL
SERVICES
LLC
CONSTRUCTION
CONTRACTOR
GENERAL
UNUSED
6/26/2008
6/26/2010
ACTIVE
FLOORSL012JL
FLOORING
SOLUTIONS
LLC
CONSTRUCTION CONTRACTOR
GENERAL
UNUSED
4/13/19994/6/2003
EXPIRED
GUTTEHW995PH
GUTTER
HELMET OF
WESTERN
WA LL
CONSTRUCTION
CONTRACTOR
GENERAL
UNUSED
10/8/2001
10/8/2007
OUT OF
BUSINESS
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
2
FEDERATED
MUTUAL
INS CO
912723012/22/2004Cancelled
Until
$12,000.0011/04
/2004
Name
Role
Effective Date
Expiration Date
ERDAHL, DARRIN
PARTNER /MEMBER
12/29/2003
Untitled Page
General /Specialty Contractor
A business registered as a construction contractor with LEtI 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.
Business and Licensing Information
Name
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent
Company
BRENNAN HEATING Et A/C
LLC
2062487900
4601 S 134TH PL
SEATTLE
WA
98168
KING
Limited Liability Company
UBI No.
Status
License No.
License Type
Effective Date
Expiration
Date
Suspend Date
Specialty 1
Specialty 2
602346866
ACTIVE
BRENNHA971R9
CONSTRUCTION
CONTRACTOR
12/29/2003
12/29/2009
GENERAL
UNUSED
Other Associated Licenses
Business Owner Information
Bond Information
0
0
Page 1 of 2
https: // fortress .wa.gov /lni/bbip /Detail.aspx 11 /10/2009