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Home My WebLink AboutPermit PG10-103 - SKARBOSKARBOS 16705 SOUTHCENTER PY EXPIRED 02 -06 -11 PG1O-103 City ("Tukwila • Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Inspectio n Request Line: 206 - 431 -2451 Web site: http: / /www.ci.tukwila.wa.us PLUMBING /GAS PIPING PERMIT Parcel No.: 5379200310 Address: 16705 SOUTHCENTER PY TUKW Project Name: SKARBO Permit Number: PG10 -103 Issue Date: 08/10/2010 Permit Expires On: 02/06/2011 Owner: Name: SKARBO PETER R Address: 5311 PHINNEY AVE N , SEATTLE WA 98103 Contact Person: Name: JOHN WIEGEL Phone: 206 396 -5109 Address: 153 SW 154 ST , TUKWILA WA 98188 Email: Contractor: Name: BURIEN NATURAL GAS SERVICE INC Address: 153 SW 154 ST , BURIEN WA 99166 Contractor License No: BURIENG027OD Phone: Expiration Date: 08/24/2011 DESCRIPTION OF WORK: GAS PIPE RANGE AND FIREPLACE ON TOP FLOOR Value of Plumbing /Gas Piping: $800.00 Uniform Plumbing Code Edition: 2009 International Fuel Gas Code Edition: 2009 Fees Collected: $96.60 Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be compliedkwith Date: 011 tot to ned this permit and know the same to be true and correct. All provisions of law and ordinances 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 constructioy- ertlrp performance of work. I am authorized to sign and obtain this plumbing /gas piping permit. Signature: Print Name: 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 -4/10 PG 10 -103 Printed: 08 -10 -2010 • wq� City of Tukwila \y 2 G1 lei /2 i3 • 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.: 5379200310 Address: Suite No: Tenant: SKARBO 16705 SOUTHCENTER PY TUKW PERMIT CONDITIONS Permit Number: Status: Applied Date:' Issue Date: PG10 -103 ISSUED 08/10/2010 08/10/2010 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 -103 Printed: 08 -10 -2010 • • ► wq� 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 presume to give authority to violate or cancel the provision of any other work or local laws regulating construction or the performance of work. Signature: Print Name: Date: doc: Cond -10/06 PG 10 -103 Printed: 08 -10 -2010 CITY OF TUKILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://Www.ci.tukwila.wa.us Building PerNo. Mechanical Permit No. Plumbing/Gas Permit No. Public Works Permit No. Project No. F(i117 -w5 (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 (� ,, +D King Co Assessor's Tax No.:53-7g o10 051 0 Site Address:' Le 10) S"`� �`" `� k G� y Suite Number: Floor: 2-. Tenant Name: ll C9 h (. S K Cfi. t O New Tenant: ❑ Yes No Property Owners Name: �1� CAA ��ss Sl< c,V ‘10_0 Mailing Address: 6 J() (s Q.,.: 2 it u Or d t!t �u /,tJe& Q City State Zip CONTACT PERSON — who do we contact when your permit is ready to be issued Name: Day Telephone: Mailing Address: E -Mail Address: City State Zip Fax Number: GENERAL CONTRACTOR INFORMATION — (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Company Name: BLA—t `teh (\L % Mailing Address: 153 5,6J � t5 CI Q � n Contact Person: ..)0 L(X ey J� E -Mail Address: Q Fax Number: Contractor Registration Number: j t : Qa„ Q (}.Zr) O V Expiration Date: Q t-0 /1 Piping (pg 5)) %&,kw; fA GOP /Fe City State Zip Day Telephone aO6, ARCHITECT OF RECORD — All plans mussi"be stamped by Architect of Record Company Name: Mailing Address: Contact Person: E -Mail Address: City Day Telephone: Fax Number: State Zip ENGINEER OF RECORD — All plans must be stamped by Engineer of Record Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: State Zip H:\Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Permit Application.doc Revised: 7 -2010 bh Page 1 of 6 PLUMBING AND GAS PIPING PER INFORMATION — 206 -431 -3670 • PLUMBING AND GAS PIPING CONTRACTOR INFFORMATION I f Company Name: / V'e`2r ai(.A- (4J ( 14S SV i Mailing Address: ISIS S, 1.5q ' Contact Person: Mk v. Q t t E -Mail Address: Contractor Registration Number: h c...� -.w(i ,- n V , t() 4 City // State Zi Day Telephone: r�U(,,.t SC,, ,)/ Fax Number: c2(,6 Expiration Date: • ?Oil Valuation of Plumbing work (contractor's bid price): $ Valuation of Gas Piping work (contractor's bid price): $ g9c) 'z) Scope of Work (ple provide detailed information): % pis p.„2 3-0 .JZti v%-7 t&• o� ► �C.C�c_ & --1-op 000- 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 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 H:Upplieations \Forms - Applications On Line \2010 Applications \7 -2010 - Permit Application.doc Revised: 7 -2010 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. BUILDIN : ` N R 0 AUTHORIZED AGENT: Signature: Date: Print Name: �`�+ (� / V � sG� Day Telephone: c 6 L., a `i - s f q'(, Mailing Address: City State Zip Date Application Accepted: Date Application Expires: Staff Initials: H:\ Applications Worms-Applications On line\2010 Applications \7 -2010 - Permit Application.doc Revised: 7 -2010 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.tulcwila.wa.us RECEIPT Parcel No.: 5379200310 Permit Number: PG10 -103 Address: 16705 SOUTHCENTER PY TUKW Status: APPROVED Suite No: Applied Date: 08/10/2010 Applicant: SKARBO Issue Date: Receipt No.: R10 -01539 Initials: User ID: Payee: JEM 1165 Payment Amount: $96.60 Payment Date: 08/10/2010 10:43 AM Balance: $0.00 BURIEN NATURAL GAS SERVICE, INC. TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1930 96.60 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts GAS - NONRES 000.322.103.00.00 96.60 Total: $96.60 PAYMENT RFCFIvED doc: Receiot -06 Printed: 08 -10 -2010 01 -03 -2011 City sic /ila Jim Haggerton, Mayor ep rtment of Community Development Jack Pace, Director JOHN WIEGEL 153 SW 154 ST TUKWILA WA 98188 RE: Permit No. PG10 -103 16705 SOUTHCENTER PY 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 02/06/2011. 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- 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 02/06/2011, 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. PG10 -103 6300•Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 o Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 Contractors or Tradespeople Pier Friendly Page • General /Specialty Contractor A business registered as a construction contractor with Lal 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 BURIEN NATURAL GAS SERVICE INC UBI No. 601892471 Phone 2532482196 Status Active Address 153 Sw 154 St License No. BURIENG0270D Suite /Apt. City Burien Effective Date 9/4/1998 State WA Expiration 8/24/2011 Date Zip 98166 Suspend Date License Type Construction Contractor County King Business Type Corporation Parent Company Specialty 1 Heating /Vent /Air - Conditioning And Refrig (Hvac / R) Specialty 2 Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status ARMORFI053R8ARMORCLAD FLOORS INC 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 Amount WEIGEL, JOHN 9 01/01/1980 BKW5663814 NELSON, KIMBERLY A 01/31/2011 01/01/1980 Bond Information Page 1 of 1 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 4 COLONIAL AM CAS Et SURETY OF MD LPM4060818 12/09/2001 Until Cancelled $6,000.00 12/07/2001 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 9 WEST AMERICAN INS CO BKW5663814 01/31/2010 01/31/2011 $1,000,000.00 01/11/2010 8 OHIO CAS INS BK053663814 01/31/2008 01/31/2010 $1,000,000.00 08/24/2009 7 AMERICAN STATES INS CO 01CG396801 08/19/2004 08/19/2007 $1,000,000.00 08/08/2006 6 AMERICAN STATES INS CO 01CG396801 08/19/2003 08/19/2004 $1,000,000.0008 /19/2003 Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period https://fortress.wa.gov/lni/bbip/Print. aspx 08/10/2010