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HomeMy WebLinkAboutPermit PG09-147 - BRUBAKER RESIDENCEBRUBAKE RESIDENCE 12205 45 AV S Parcel No.: Address: Suite No: Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: 0179000660 12205 45 AV S TUKW City.f Tukwila BRUBAKER RESIDENCE 12205 45 AV S , TUKWILA WA BRABAKER LEO D 17626 6TH PL S , BURIEN WA LEO BRUBAKER 17626 6TH PL S , BURIEN WA Contractor: Name: BLAKLEY BROTHERS INC. Address: 1407 - S. 129TH , SEATTLE, WA Contractor License No: BLAKLB *274N1 DESCRIPTIION OF WORK: HOOK UP TO NEW SEWER LINE 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 doc: UPC -7/07 Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Inspection Request Line: 206 - 431 -2451 Web site: http: / /www.ci.tukwila.wa.us FIXTURE TYPE AND QUANTITY * *continued on next page ** PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: Phone: Phone: 206- 767 -7020 Phone: 206 - 246 -7422 Expiration Date: 05/22/2010 PG09 -147 12/22/2009 06/20/2010 Uniform Plumbing Code Edition: 2006 Value of Plumbing /Gas Piping: $200.00 Fees Collected: $45.00 International Fuel Gas Code Edition: 2006 Plumbing (cont.) 0 Building sewer and each trailer park sewer 0 Rain water system - per drain (inside bldg) 0 Water heater and /or vent 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 1 0 Gas Piping 0 Gas piping outlets (0 -5) 0 0 Gas piping outlets (6 +) 0 0 0 0 PG09 -147 Printed: 12 -22 -2009 Permit Center Authorized Signature: The granting of this permit does not construction or the performance Signature: Print Name: doc: UPC -7/07 City "Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206- 431 -3670 Inspection Request Line: 206 -431 -2451 Web site: http: / /www.ci.tukwila.wa.us LOAW, 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. resume to give authority to violate or cancel the provisions of any other state or local laws regulating ork. I am authorized to sign .. - obtain this plumbing /gas piping permit. i / _ -..11 . ...la Allilif --- � Date: j l " • Permit Number: PG09 - 147 Issue Date: 12/22/2009 Permit Expires On: 06/20/2010 Date: 10 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 -147 Printed: 12 -22 -2009 Parcel No.: 0179000660 Address: Suite No: Tenant: 12205 45 AV S TUKW 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 BRUBAKER RESIDENCE 1: ***PLUMBING AND GAS PIPING * ** PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: PG09 -147 ISSUED 12/22/2009 12/22/2009 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 -147 Printed: 12 -22 -2009 • • 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 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: doc: Cond -10/06 PG09 -147 Date: ordinances governing or local laws regulating Printed: 12 -22 -2009 SITE LOCATION Site Address: /;2 g, 0 5 4 5 4 Tenant Name: CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Property Owners Name:_k_ro c2 v 8 Ye/ /2 k ep- Mailing Address: / 2 6 , S 8/e i h City CONTACT PERSON - Who do we contact when your permit is ready to be issued PLUMBING / GAS PIPING CONTRACTOR. INFORMATION t Company Name: 8 /Q 6) ( t( Mailing Address: Pie 7 .5' /.2 q '5 H: 'Applications\Forms- Applications On Line12009 Applicationsl1-2009 - Plumbing -Gas Piping Permit Application.doc Revised: 1 2009 bh Plumbing /Gas Permit No. ` G O 1 ? ,. 1 4 Project No. (For office use only) 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 ** ENGINEER OF: RECORD -All plans must be'wet stamped by Engineer of Record King Co Assessor's Tax No.: 017 q oo 0 lo(Q) Suite Number: Floor: New Tenant: ❑ Yes ❑..No Name: . c . ) D , , ' r G f U 4If Z ° ` ' Day Telephone: .21,60 — 1 Q - ? Mailing Address: 17‘ 6 1 g ,19L ,_ �/1tiz° /7 1/-4 -) t4 City State Zip E -Mail. Address: Fax Number: a, a (0 7 7 20.20 City Contact Person:_ / Q w M .44 A 5 (5t /9L 75 6) Day Telephone: a b 6 E -Mail. Address: 8S /q ltJr°/ 6- O Ceg )4/(11 M2C ill C dl? Fax Number: Contractor Registration Number: 1 ?i 9/(417 C Q74 4'/ r -- , -- ARCHITECT`OF RECORD'- All plans must be wet "stamped by Architect of Record /! State Zip State Zip aY , 2,f 22 4 Expiration Date: Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: _ E -Mail. Address: Fax Number: 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 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 �' �i III 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): $ 2 ex) • • Scope of Work (please provide detailed information): /L/ d Q JS" iP TQ Building Use (per Int'I 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' APPLI 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. jii dc BUILDING OWN , ' OR AUTHORI Signature Print Name: /\L°. O D e r e, G wip 1-- Mailing Address: Vt. I Date Application Accepted: H:Wpplications \Forms - Applications On Line12009 Applications I 1 -2009 - Plumbing -Gas Piping Permit Application.doc Revised. 1 -2009 bh City Date: /- ` -- e) Day Telephone: a b 6=2 767 7& 2• i d • 46. Zip • State Date Application Expires: Staff Initials: Page 2 of 2 Receipt No.: R09 -02039 Initials: User ID: Payee: WER 1655 LEO BRUBAKER Payment Credit Crd VISA - Authorization No. 09545C 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 RECEIPT Parcel No.: 0179000660 Permit Number: PG09 -147 Address: 12205 45 AV S TUKW Status: PENDING Suite No: Applied Date: 12/22/2009 Applicant: BRUBAKER RESIDENCE Issue Date: TRANSACTION LIST: Type Method Descriptio Amount 45.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts PLUMBING - RES 000.322.103.00.00 45.00 Total: $45.00 Payment Amount: $45.00 Payment Date: 12/22/2009 10:48 AM Balance: $0.00 PAYMENT RECEIVE doc: Receiot -06 Printed: 12 -22 -2009 Pro' t: Type of Inspection: Address: /224 S 5 Date Called: Special Instructions: Date Wanted: „to _ Requ Phone No: INSPECTION RECORD Retain a copy with permit / 6 © -fie INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 (.Approved per applicable codes. Corrections required prior to approval. COMMENTS; Pf l 47.4piff . Prior to (ext inspect] ee must be ttlte 100. Call to schedule re paction. Pro ect: /�gA- _ t 2ej :k.&, Type of Inspecti n: F, Pf Address: 2 54 4-(1c - r. Date Called: _/ Special Instructions: Date Wanted: ` a.m. lam^ ■ UQ - (0 p.m Requester: Phone No /� 2oCo / 67 -x7 029 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION R-' 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 ID Approved per applicable codes. Corrections required prior to approval. `. COMMENTS: Inspector Receipt No.: ,Z.INSPECTION RECORD P6 _ � Retain a copy with permit PERMIT NO. - 1 1 . 0 9 / 3 5 AJd, ij41 Date: REINSPECTION FEE REQ ED. rior to inspection, fee must be at 6300 Southcenter Blvd., Sul a 100. Call to schedule reinspection. !Date: COMMENTS: Type of Inspection: P t D i v /'(m 6- L�'9S NJ c) ( )1•- WO AA F Special Instructions: D $ ) 91- U ( V Le - a 4l 1 u � Date Wanted: -- 2 O — /U r t) (Z -e - _s -e.S ,4 e - _Ik�� N tSg Al I.: / S n T ■ ki.,( Project: &a2/4 4' 4 S • Type of Inspection: P t D i v /'(m 6- L�'9S Address: /22.0 42S 941 --S Date Called: ^ IA 5 Special Instructions: D $ ) 91- U ( V Le - a 4l 1 u � Date Wanted: -- 2 O — /U rm .m. Requester: Phone No: a06. 767- - 7020 INSPECTION'NO. Approved per applicable codes. Inspector: Receipt No.: INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 • PERMIT NO. V `� (206)431 -3670 Corrections required prior to approval. Date: ' _ IA ...(3 17$60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: File: 11-01-2010 LEO BRUBAKER 17626 6TH PL S BURIEN WA 98148 RE: Permit No. PG09 -147 12205 45 AV S TUKW Dear Permit Holder: In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and /or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 12/07/2010. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. -or- The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and /or receive an extension prior to 12/07/2010, 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, 2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. er Marshall t Technician Permit File No. PG09 -147 epartment of Community Development Jim Haggerton, Mayor Jack Pace, Director 6300 Southcenter Boulevard, Suite #100 0 Tukwila, Washington 98188 0 Phone: 206 - 431 -3670 0 Fax: 206 - 431 -3665 LEO BRUBAKER 17626 6TH PL S BURIEN WA 98148 RE: Permit No. PG09 -147 12205 45 AV S TUKW Dear Permit Holder: In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and /or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 07/19/2010. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection. Each inspection creates a new 180 day period. -or- 2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and /or receive an extension prior to 07/19/2010, 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, Bill Rambo Permit Technician File: Permit File No. PG09 -147 Department of Community Development Jim Haggerton, Mayor Jack Pace, Director 6300 Southcenter Boulevard, Suite #100 0 Tukwila, Washington 98188 o Phone: 206- 431 -3670 0 Fax: 206 - 431 -3665 Name Role Effective Date Expiration Date BLAKLEY, MERRILL J Cancel Date 01/01/1980 Bond Amount SCHATZ, JOSEPH 10 01/01/1980 LSM0095969 ANDERSON, HELEN Until Cancelled 01/01/1980 ROBBINS, FAYE E 08/17/2009 01/01/1980 01/01/1980 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 10 RLI INS CO LSM0095969 08/21/2009 Until Cancelled $12,000.00 08/17/2009 9 DEVELOPERS SURETY Et INDEM CO 516145C 08/21/2001 Until Cancelled 08/22/2009 $12,000.00 08/20/2001 8 DEVELOPERS SURETY a INDEM CO 516145C 12/29/200008/21/2001 $6,000.00 08/01/2001 7 DEVELOPERS INS CO 516145C 08/21/199812/29/2000 $6,000.00 UNITED Untitled Page General /Specialty Contractor A business registered as a construction contractor with L£tI 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 BLAKLEY BROTHERS UBI No. 600098271 INC Phone 2062467422 Status ACTIVE Address 1407 S 129TH License No. BLAKLB *274N1 License Type CONSTRUCTION Suite /Apt. CONTRACTOR City SEATTLE Effective Date 8/21/1973 State WA Expiration 5/22/2010 Date Zip 981682881 Suspend Date County KING Specialty 1 GENERAL Business Type Corporation Specialty 2 UNUSED Parent Company Business Owner Information Bond Information https://fortress.wa.gov/lni/bbip/Detail.aspx Page 1 of 3 12/22/2009