HomeMy WebLinkAboutPermit PG10-017 - STRIPE RESIDENCESTRIPE RESIDENCE
13873 37 AV S
EXPIRED
08 -II -10
PG1O-017
Parcel No.: 8864000640
Address:
Suite No:
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
13873 37 AV S TUKW
PLUMBING /GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On:
PG10 -017
02/09/2010
08/08/2010
Tenant:
Name: STRIPE RESIDENCE
Address: 13873 37 AV S , TUKWILA WA
Owner:
Name: STRIPE ALICE SHARON
Address: 13873 37TH AVE S , SEATTLE WA
Contact Person:
Name: ERIC NELSON
Address: 153 SW 154 ST , BURIEN WA
Contractor:
Name: BURIEN NATURAL GAS SERVICE INC
Address: 153 SW 154 ST , BURIEN WA
Contractor License No: BURIENG027OD
Phone:
Phone: 206 - 248 -2196
Phone:
Expiration Date: 08/24/2011
DESCRIPTION OF WORK:
1 GAS PIPING OUTLET TO NEW FURNACE
Value of Plumbing /Gas Piping: $160.00
Fees Collected: $63.00 International Fuel Gas Code Edition:
Uniform Plumbing Code Edition: 2006
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 -7/07
PG10 -017 Printed: 02 -09 -2010
City olliTukwila
•
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
Permit Number: PG 10 -017
Issue Date: 02/09/2010
Permit Expires On: 08/08/2010
Permit Center Authorized Signature:
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 presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction oytke)performance of work. I am authorized to sign and obtain this plumbing /gas piping permit.
Signature:
Print Name:
rJJ
f kr c A)d5 -64-
Date:
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 -7/07
PG 10 -017 Printed: 02 -09 -2010
Parcel No.:
Address:
Suite No:
Tenant:
• •
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
8864000640
13873 37 AV S TUKW
STRIPE RESIDENCE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
PG10 -017
ISSUED
02/09/2010
02/09/2010
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
PG10 -017 Printed: 02 -09 -2010
•
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:
LtS it)
Datet-V',/ b J U
ordinances governing
or local laws regulating
doc: Cond -10/06 PG10 -017
Printed: 02 -09 -2010
CITY OF TUKWILS
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci. tukwila. wa. us
Building Permit o.
Mechanical Permit No. M �0 -0 17
Plumbing/Gas Permit No. -Vo (Q--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 fax.
* *Please Print **
SITE LOCATION
Site Address: 1 3i- J 3) at5
Tenant Name: 5 h C.L,rsv h
Property Owners Name: S h is Ve"-e-
Mailing Address: l 8 3 S
King Co Assessor's Tax No.: gYl`' Y000 0 YO
Suite Number:
New Tenant:
Floor:
❑ Yes Do
City
1J44
State
Zip
CONTACT PERSON - who do we contact when your permit is ready to be issued
Name: F r L /l) ti SO‘"
Mailing Address: S3 UL� 1 �� * 5-1
Day Telephone: t G 6 c -1 - 14 t
State Zip
City
E -Mail Address: Fax Number:
GENERAL CONTRACTOR INFORMATION —
(Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5))
Company Name: ►JL�J "e_Av1 C.� )rA, G vL..X � 'A -s
Mailing Address: 153 S (A) 1 i ✓A
City
Day Telephone: DL,
Fax Number: % lcc- O C)
4.l
Contact Person: L J' . 0
E -Mail Address:
Contractor Registration Number: bi.A -J■ i (.; D1') 0 1)
ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record
Lit of yi
State Zip
( i - 'a1q'c
Expiration Date: 1 tc i (
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
Contact Person:
E -Mail Address:
State
Zip
ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
Contact Person:
E -Mail Address:
H: \Appltcanons\Potms- Applications On Line12009 Applications \1 -2009 - Remus Applicatioadoc
Revised: 1 -2009
bh
State
Zip
Page 1 of 6
PLUMBING AND GAS PIPINRMIT INFORMATION - 206 -431 -1
PLUMBING AND GAS PIPING CONTRACTOR I FORMATION
Company Name: 30-4`: L�. ` t U AS
Mailing Address: 15 3 5. • t.'(
Contact Person: +P` t L f V )Suv"
11 S-e2{,)
E -Mail Address:
Contractor Registration Number:go...( I'Lh Pj 027 ( D
City State Zip
D a y Telephone 6 ( Q ` 2 5 - 6 4 -
Fax Number:-2 0 to - ?-'1 -a/06
Expiration Date:
Valuation of Project (contractor's bid price): $ f- ! (' (5. et :i pp
Scope of Work (please provide detailed information): t �� JAS po,t 0 v4-(4_9- ,-
Building Use (per Int'1 Building Code):
Occupancy (per Int'1 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
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
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
HA Applications On- LUne\2009 Applications \1 -2009 Pemut Appltcanon.doe
Revised: 1 -2009
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 OWNER OR AUTHORIZED AGENT:
Signature: Date:
Print Name: Day Telephone:
Mailing Address:
City
State
Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
H:Wpplications\Forms- Applications On Line\2009 Apphcations11-2009 - Permit Application.doc
Revised: 1 -2009
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.: 8864000640
Address: 13873 37 AV S TUKW
Suite No:
Applicant: STRIPE RESIDENCE
RECEIPT
Permit Number: PG10 -017
Status: PENDING
Applied Date: 02/09/2010
Issue Date:
Receipt No.: R10 -00217
Payment Amount: $63.00
Initials: WER Payment Date: 02/09/2010 11:00 AM
User ID: 1655 Balance: $0.00
Payee: BURIEN NATURAL GAS SERVICES
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 1891 63.00
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
GAS - RES
000.322.103.00.00 63.00
Total: $63.00
doc: Receipt -06 Printed: 02 -09 -2010
INSPECTION RECORD
Retain a copy with permit
,110-0/7
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION le-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (246)43 67Q
INSPECTION NO.
Project ,
t e% it .1f bib/ J
Type of Inspection:
��
=
'-v /.
Addres :
.
•ate C: ed:
Sp cial I strlic 'ons:
//./..,,
Date Wanted: //��
`'//i
/9
p.m.
Requester:
Phone No:
ry
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
Date /Z1
0 $60.000'R€INSPECTION FE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
07 -01 -2010
ERIC NELSON
153 SW 154 ST
BURIEN WA 98168
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
RE: Permit No. PG10 -017
13873 37 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 08/11/2010 , 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
xc: Permit File No. PG10 -017
-zAL
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
Untitled Page
•
General /Specialty Contractor
A business registered as a construction contractor with L£tl 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
BURIEN NATURAL GAS
SERVICE INC
2532482196
153 SW 154 ST
UBI No. 601892471
Status ACTIVE
License No. BURIENG027OD
Suite /Apt. License Type CONSTRUCTION
CONTRACTOR
City BURIEN Effective Date 9/4/1998
State WA
Zip 98166
County KING
Business Type Corporation
Parent
Company
Expiration
Date
Suspend Date
8/24/2011
Specialty 1 HTG /VENT /AIR
CONDITIONING
Specialty 2 UNUSED
Other Associated Licenses
Page 1 of 2
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
ARMORFI053R8
FLOORS INC
FLOORS
CONSTRUCTION
CONTRACTOR
GENERAL
UNUSED
12/28/1995
12/18/1997
ARCHIVED
Business Owner Information
Name
Role
Effective Date
Expiration Date
NELSON, ERIC J
Cancel
Date
01/01/1980
Bond
Amount
WEIGEL, JOHN
4
01/01/1980
LPM4060818
NELSON, KIMBERLY A
Until
Cancelled
Ca
01/01/1980
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
4
COLONIAL
AM CAS it
SURETY
OF MD
LPM4060818
12/09/2001
Until
Cancelled
Ca
$6,000.00
12/07/2001
3
FAR WEST
INS CO
411003828
08/19/2001
12/09/2001
$6,000.00
08/07/2001
2
FAR WEST
INS CO
411003828
08/19/2000
08/19/2001
$4,000.00
11/21 /2000
https: // fortress .wa.gov /lni/bbip /Detail.aspx 02/09/2010