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Home My WebLink AboutPermit PG10-167 - JOHNSON RESIDENCEThis record contains information which is exempt from public disclosure pursuant to the Washington State Public Records Act, Chapter 42.56 RCW as identified on the Digital Records Exemption Log shown below. PG 10 -167 Johnson Residence 16427 51St Avenue South RECORDS DIGITAL D- ) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION Page # tode Exemption = 8rlef Explanatory DeSclriptiop �t�tutel ule The Privacy Act of 1974 evinces Congress' intent that social security numbers are a private concern. As such, individuals' social security Personal Information — numbers are redacted to protect those Social Security Numbers individuals' privacy pursuant to 5 U.S.C. sec. 5 U.S.C. sec. DR1 Generally — 5 U.S.C. sec. 552(a), and are also exempt from disclosure 552(a); RCW 552(a); RCW under section 42.56.070(1) of the Washington 42.56.070(1) 42.56.070(1) State Public Records Act, which exempts under the PRA records or information exempt or prohibited from disclosure under any other statute. Redactions contain Credit card numbers, debit card numbers, electronic check numbers, credit Personal Information — expiration dates, or bank or other financial RCW 9 DR2 Financial Information — account numbers, which are exempt from 42.56.230(5) RCW 42.56.230(4 5) disclosure pursuant to RCW 42.56.230(5), except when disclosure is expressly required by or governed by other law. JOHNSON RESIDENCE 16427 51 AV S PG1O-167 City oillifukwila • 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.: 5379802748 Address: 16427 51 AV S TUKW Project Name: JOHNSON RESIDENCE PLUMBING /GAS PIPING PERMIT Permit Number: PG10 -167 Issue Date: 12/08/2010 Permit Expires On: 06/06/2011 Owner: Name: JOHNSON DANIEL Address: 16427 51ST AVE S , SEATTLE WA 98188 Contact Person: Name: JOE CEDERNA Address: 9410 DELRIDGE WY SW , SEATTLE WA 98106 Email: JCEDERNA @SYSTEMHEATING.COM Contractor: Name: SYSTEM HEATING & AIR CONDITIONING CO INC Address: 9410 DELRIDGE WY SW , SEATTLE WA 98106 Contractor License No: SYSTEHA19OBT Phone: 206 - 715 -8532 Phone: 206 - 762 -4249 Expiration Date: 10/02/2012 DESCRIPTION OF WORK: REPLACE EXISTING OIL FURNACE WITH NEW GAS FURNACE. INSTALL NEW GAS PIPING FROM GAS METER SET BY OTHERS TO NEW FURNACE. INSTALL NEW PROGRAMMABLE THERMOSTAT. Value of Plumbing /Gas Piping: $5,600.00 Uniform Plumbing Code Edition: 2009 Fees Collected: $63.00 International Fuel Gas Code Edition: 2009 Permit Center Authorized Signature: `�- Date: Id— 9-0 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 performance of work. I am authorized to sign and obtain this plumbing /gas piping permit and agree to the conditions on the back of this permit. Signature: �r _ Date: ( k/( Print Name: C k ()_r-- i v1-1? 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. doc: UPC -4/10 PG 10 -167 Printed: 12 -08 -2010 • • PERMIT CONDITIONS Permit No. PG10 -167 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. doc: UPC -4/10 PG10 -167 Printed: 12 -08 -2010 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Plumbing /Gas Permit No. 1)() (0— t l0 7 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 ** SITE LOCATION Site Address: 16427 51st Avenue South Tenant Name: na Property Owners Name: Dan Johnson Mailing Address: 16427 51st Avenue South King Co Assessor's Tax No.: 5 ?I% cik0 " 2% L. Suite Number: New Tenant: Floor: ❑ Yes ❑..No Tukwila WA 98188 City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: Joe Cederna Mailing Address: 9410 Delridge Way SW Day Telephone: (206) 715 -8532 Seattle WA 98106 E -Mail Address: Jcederna @systemheating.com City State Fax Number: (206) 763 -6995 Zip PLUMBING / GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: System Heating & Air Conditioning Co., Inc. 9410 Delridge Way SW Seattle WA Contact Person: Joe Cederna E -Mail Address: Jcederna @systemheating.com Contractor Registration Number: SYSTEHA19OBT City State Day Telephone: (206) 715 -8532 Fax Number: (206) 763 -6995 Expiration Date: 10/02/2012 98106 Zip ARCHITECT OF RECORD — All plans must be stamped by Architect of Record Company Name: na Mailing Address: Contact Person: E -Mail Address: Fax Number: City State Zip Day Telephone: ENGINEER OF RECORD — All plans must be stamped by Engineer of Record Company Name: na Mailing Address: State Contact Person: E -Mail Address: City Day Telephone: Fax Number: Zip H:\Applications \Forms- Applications On Line \2010 Applications \7 -2010 - Plumbing -Gas Piping Permit Application.doc Revised: 7 -2010 bh Page 1 of 2 Valuation of Project (contractor's bid price): $ 5,600.00 • Scope of Work (please provide detailed information): Replace existing oil furnace with new gas furnace. Install new gas piping from gas meter set by others to new furnace. Install new programmable thermostat. Building Use (per Intl Building Code): Residential Group R Occupancy (per Int'I Building Code): R -3 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 1.E1 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). 1 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 Signature: Print Name: /( ilk_ t �, QRIZED AGENT: Joe ederna Mailing Address: 9410 Delridge Way SW Seattle WA 98106 State Date: 12/07/2010 Day Telephone: 206- 715 -8532 City Zip Date Application Accepted: Date Application Expires: Staff Initials: H:\Applications \Forms - Applications On Line12010 Applications \7 -2010 - Plumbing -Gas Piping Permit Application.doc Revised: 7 -2010 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 RECEIPT Parcel No.: 5379802748 Permit Number: PG 10 -167 Address: 16427 51 AV S TURIN Status: PENDING Suite No: Applied Date: 12/08/2010 Applicant: JOHNSON RESIDENCE Issue Date: Receipt No.: R10 -02457 Initials: WER User ID: 1655 Payment Amount: $63.00 Payment Date: 12/08/2010 12:08 PM Balance: $0.00 Payee: SYSTEM HEATING & AIR CONDITIONING CO TRANSACTION LIST: Type Method Descriptio Amount Payment Check 27661 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: Receiot -06 Printed: 12 -08 -2010 INSPECTION NO. INSPECTION RECORD Retain a copy with permit N - PERMIT NO. Ai......, 11-1-"" CITY OF TUKWILA BUILDING DIVISION ` 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 ProjeRct: p �7 Typ / f I-nspectio �- Ad'd`ress: 7''`� pp �'r f /r 1 ' '"Y Date Called: p � -- l-k .ldd4/ Special Instructions: Date Wanted: / a.m. I") .- P%--0 p.�,- Requester: Phone No: Approved per applicable codes: 0 Corrections required prior to approval. COMMENTS: CPA-5 Ok--e (—C Oft riJJ C* AA. . -.)(e1 1.) Lix A-Vk Ins ector: •_ l n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Date: 17.� -Q�� Contractors or Tradespeople Prier Friendly Page • General /Specialty Contractor A business registered as a construction contractor with LEO 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 SYSTEM HTNG & AIR COND CO INC UBI No. 600383522 Phone 2067624249 Address 9410 Delridge Way Sw License No. SYSTEHA19OBT Suite /Apt. License Type Construction Contractor City Seattle Effective Date 1/30/1981 State WA Expiration Date 10/2/2012 Zip 98106 Suspend Date County King Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Status Active Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status CRIMPHV340NAHERBERT CRIMP, VOICE Construction Contractor Air Conditioning Air Heat,Ventilation,Evaporat 8/1/1966 12/1/1981 Archived Business Owner Information Name Role Effective Date Expiration Date CRIMP, HERBERT V JR President 01/30/1981 Bond Amount CRIMP, JANINE L Secretary 09/28/2001 9901095 BROWN, RYAN LEONARD Vice President 09/27/2010 CRIMP, MAXINE F Secretary 01/30/1981 09/27/2010 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 3 FEDERATED MUTUAL INS CO 9901095 10/06/2005 Until Cancelled $6,000.0011/17/2000 $12,000.00 10/10/2005 2 TRAVELERS CAS & SURETY CO 081103356722 10/02/2001 Until Cancelled 10/03/2005 3 $12,000.0009/18 /2001 Assignment of Savings Information Savings Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 5 1/16/1981 Until Released Bond Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 15 FEDERATED MUTUAL INS CO 9215081 10/02/2005 10/02/2011 $1,000,000.00 08/24/2010 14 FEDERATED MUTUAL INS CO 5030235 10/01/2004 10/01/2005 $2,000,000.00 10/01/2004 https://fortress.wa.gov/lni/bbip/Printaspx 12/08/2010