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HomeMy WebLinkAboutPermit PG10-048 - BRANTON RESIDENCEBRANTON RESIDENCE 16303 45 PL S PG1 0-048 City itf 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 Parcel No.: 9314900110 Address: 16303 45 PL S TUKW Suite No: PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: PG 10 -048 04/02/2010 09/29/2010 Tenant: Name: BRANTON RESIDENCE Address: 16303 45 PL S , TUKVVILA WA Owner: Name: BRANTON KEN G Address: 16303 45TH PL S , SEATTLE WA Contact Person: Name: MARIANA MIKLER Address: 4415 LEARY WAY NW , SEATTLE WA Contractor: Name: OLSON ENERGY SERVICE Address: 4415 LEARY WAY , SEATTLE WA Contractor License No: OLSONES951L3 Phone: Phone: 206 - 782 -5522 Phone: 206 - 782 -5522 Expiration Date: 10/24/2011 DESCRIPTION OF WORK: REPLACE ELECTRIC WATER HEATER WITH GAS FIRED WATER HEATER. RUN GAS PIPING TO NEW GAS WATER HEATER Value of Plumbing /Gas Piping: Fees Collected: $1,995.00 $110.25 Uniform Plumbing Code Edition: 2006 International Fuel Gas Code Edition: 2006 FIXTURE TYPE AND QUANTITY Plumbing Bathtub or combination bath/shower 0 Bidet 0 Clothes washer, domestic 0 Dental unit, cuspidor 0 Dishwasher, domestic, with independent drain 0 Drinking fountain or water cooler (per head) 0 Food -waste grinder, commercial 0 Floor drain 0 Shower, single head trap 0 Lavatory 0 Wash fountain 0 Receptor, indirect waste 0 Sinks 0 Urinals 0 Water Closet 0 Plumbing (cont.) Building sewer and each trailer park sewer 0 Rain water system - per drain (inside bldg) 0 Water heater and /or vent 1 Industrial waste treatment interceptor, including its trap and vent, except for kitchen type grease interceptors 0 Repair or alteration of water piping and/or water treatment equipment 0 Repair or alteration of drainage or vent piping 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) 1 Gas piping outlets (6 +) 0 * *continued on next page ** doc: UPC -7/07 PG10 -048 Printed: 04 -02 -2010 • City of 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 Permit Number: PG 10 -048 Issue Date: 04/02/2010 Permit Expires On: 09/29/2010 Permit Center Authorized Signature: Date: - 2=1 0 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 cformance of work. I am authorized to sign and obtain this plumbing /gas piping permit. Signature: Print Name: 44 b1So,v Date: f c 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 PG10 -048 Printed: 04 -02 -2010 Parcel No.: 9314900110 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 16303 45 PL S TUKW BRANTON RESIDENCE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: PG 10 -048 ISSUED 04/02/2010 04/02/2010 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 PG 10 -048 Printed: 04 -02 -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: Date: ordinances governing or local laws regulating doc: Cond -10/06 PG10 -048 Printed: 04 -02 -2010 y/P CITY OF TUKWILP Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us Plumbing/Gas Permit No. y6 1C 02i e 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* * j King Co Assessor's Tax No.: -t J 14-''L O ` Otto Site Address: 3 d3 4./f- 74C1 GL 5 %7v4w/G� f //1'P — / Suite Number: Floor: Tenant Name: Property Owners Name: /2E/ ,t'E77-7- /3, ,94/7 O4) Mailing Address: 4'-(_ New Tenant: ❑ Yes Ia..No City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: ti//7- Day Telephone: Mailing Address: E -Mail Address: City Fax Number: State Zip PLUMBING / GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: Contact Person: OZ 5 ©/t/ Se72 ve 62 ' t1// /5_ LOW w - //v&.ti City (2(-47.} State Zip Day Telephone: E -Mail Address: Fax Number: (.249)Z (.1c1.3 Expiration Date: / /2-9"/// Contractor Registration Number: OZSo veS 157z-3 ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record Company Name: J� Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: 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: N /fr H:\Applications\Forms- Applications On Line\2009 Applications \1 -2009 - Plumbing -Gas Piping Permit Application.doc Revised: 1 -2009 bh Page 1 of 2 Valuation of Project (contractor's bid price): $ / 92'7 .o Scope of Work (please provide detailed information): Rgee64,9 0 E Le cy72 - 14/,� i'� fi E t' rP A G R s 14//-2' r' 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 TYPO' Date Application Expires: 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 j 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. BUILDING OWN + OR AUTHORIZED AGENT: Signature: Print Name: Mailing Address: 44-) )3 1A1,6-9 /1J4,/ Date: ) 2—) ( Day Telephone: . =t Sfate Zip City Date Application Accepted: Date Application Expires: Staff Initials: H: \Applications\Forms- Applications On Line \2009 Applications \1 -2009 - Plumbing -Gas Piping Permit Application.doc Revised: 1 -2009 bh Page 2 of 2 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: PG10 -048 Status: PENDING Applied Date: 04/02/2010 Issue Date: Receipt No.: R10 -00561 Initials: User ID: Payee: WER 1655 Payment Amount: $110.25 Payment Date: 04/02/2010 11:22 AM Balance: $0.00 OLSON SERVICE GROUP TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1194. 110.25 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts GAS - RES 000.322.103.00.00 PLUMBING - RES 000.322.103.00.00 Total: $110.25 63.00 47.25 PAYMENT RFCEIVFD doc: Receiot -06 Printed: 04 -02 -2010 INSPECTION RECORD Retain a copy with permit �v INSPECTION NO. PERMIT NO +'� CITY OF TUKWILA BUILDING DIVISION 9 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Pro I, j� Jv n e..1 c Type o s ctign: n �� Address: i Co 303 `TS -15— pL5 Date Called: . Special Instructions: Date Wanted�j ■ aa..m„. Requester: Phone No: % -7g2 _552z � Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: V , + neffruf IF f! (r----;&14 Inspect I Date: 36 — o� Ej $6 .01 REINSPECTION FEE R QUIRED. Prior to inspection, fee must be pal 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt o.: Date: f INSPECTION RECORD --t- Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION V- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 pUI0 -Q4g Pro'ect: ` Type of Inspection:p Address: y /(I) 303 1S PLS Date Called: ,:.---) ,i- „Igo,- cki-e(k ec-T---,,e Special Instructions: 0 3 q co 4 4 1,. -(t Mir` . /la P Xa Cr ;Ake_ 14 Date Wanted: i a.m. -, Z '/ Requester: 46.0A o Phone No: =mot` Z-0 69 ' 8Y- -S .S2-2 _ 0 Approved per applicable codes. Corrections required prior to approval. COMMENTS: 4_, N c 14iq L — ,w G ,t-s — 4p pr. acv =,,,, ' r�„�� - , .wav -p ,:.---) ,i- „Igo,- cki-e(k ec-T---,,e ( VY ca--0 \[ i?cj (C r" -ems-/ i 4/1 A j. RAA. . 1■ ► — ki u1 . �v cam) 46.0A "1 Date: $60 '0 REINSPECTION FE REQUIRE'. Prior to inspection, fee must be pai o at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Rec • pt,No.: v.. Date: Contractors or Tradespeople Alt. Friendly Page General /Specialty Contractor A business registered as a construction contractor with Lai 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 Olson Energy Service UBI No. 578052563 Phone 2067825522 Status Active Address 4415 Leary Wy Nw License No. OLSONES951L3 Suite /Apt. License Type Construction Contractor City Seattle Effective Date 6/23/2005 State Wa Expiration Date 10/24/2011 Zip 98107 Suspend Date County King Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company sociated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status GASAPS`953MR Gas Appliance Service Construction Contractor General Unused 7/19/2005 7/19/2011 Active OLSONF`284NA Olson Fuel Co Inc Construction Contractor Metal Fabrication Gutters /Downspouts 8/1/1972 9/4/2005 Inactive GASAPS*012JA Gas Appliance Service Construction Contractor Appliances /Equipment Unused 4/1/1999 9/4/2006 Relicensed Business Owner Information Name Role Effective Date Expiration Date Olson, Carl A aNbsp; 06/23/2005 Bond Amount', Olson, Robert A aNbsp; 06/23/2005 575304C Olson, Pauline aNbsp; 06/23/2005 Bond Information Page 1 of 2 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount', Received Date 8 DEVELOPERS SURETY Et INDEM CO 575304C 09/28/2007 Until Cancelled $12,000.00 10/01/2007 7 DEVELOPERS SURETY a INDEM CO 575304C 07/08/2005 09/28/2007 $6,000.0007/15/2005 /11/2008 6 DEVELOPERS SURETY Et INDEM CO 575304C 06/10/2005 07/08/2005 $12,000.0006/23 /2005 5 FEDERATED MUTUAL INS CO 613683 09/04/2001 Until Cancelled 06/10/2005 $6,000.0008/17/2001 Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 10 FEDERATED MUTUAL INS CO 07152689 09/04/2009 09/04/2010 $1,000,000.0009 /10/2009 9 FEDERATED MUTUAL INS CO 0715269 09/04/2007 09/04/2009 $1,000,000.0008 /11/2008 8 FEDERATED MUTUAL INS CO APP0715269 09/04/2006 09/04/2007 $1,000,000.0008 /21/2006 https : // fortress. wa. gov /lni/bbip/Print. aspx 04/02/2010