HomeMy WebLinkAboutPermit PG11-086 - BENDFELT RESIDENCEBENDFELT RESIDENCE
1330156 AV S
PG1 1 -086
City olkukwila
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.TukwilaWA.gov
Parcel No.: 2172000080
Address: 13301 56 AV S TUKW
Project Name: BENDFELT RESIDENCE
PLUMBING /GAS PIPING PERMIT
Permit Number: PG11 -086
Issue Date: 06/22/2011
Permit Expires On: 12/19/2011
Owner:
Name: BENDFELT ERIC T
Address: 13301 56TH AVE S , TUKW1LA WA 98178
Contact Person:
Name: JAIMIE HOW
Address: 4601 S 134 PL , SEATTLE WA 98168
Email: JAIMIE @BRENNANHEATING.COM
Contractor:
Name: BRENNAN HEATING & A/C LLC
Address: 2725 152ND AV NE , REDMOND WA 98052
Contractor License No: BRENNHA971R9
Phone: 206 - 248 -7900
Phone: 206 248 -7900
Expiration Date: 12/29/2011
DESCRIPTION OF WORK:
GAS PIPING TO NEW GAS FURNACE
Value of Plumbing /Gas Piping:
Fees Collected:
Electrical Service Provided by:
Permit Center Authorized Signature:
$1,000.00 Uniform Plumbing Code Edition: 2009
$63.00 International Fuel Gas Code Edition: 2009
Date: 11-, 4 f
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 a performance of work. I am authorized to sign and obtain this plumbing /gas piping permit and agree to the conditions
on the bac of thi- permit.
Signature:
Print Name:
('ni■ YY\
Datekdo / I
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 11 -086 Printed: 06 -22 -2011
PERMIT CONDITIONS
Permit No. PG 11 -086
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
PG 11 -086 Printed: 06 -22 -2011
CITY OF TUKWIle
Community Developme Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.d.tukwila.wa.us
Plumbing/Gasirmit No. V G (J 1 - 6 ec,
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: 1 '?c'.
Tenant Name:
King Co Assessor's Tax No.: 1�-
J Suite Number: Floor:
New Tenant: ❑ Yes .. No
Property Owners Name: C `(� \ -t \ r
Mailing Address:
City
State
Zip
CONTACT PERSON -Who do we contact when your permit is ready to be issued
Name:
Day Telephone:
Mailing Address:
City
E -Mail Address: Fax Number:
State
Zip
PLUMBING / GAS PIPING CONTRACTOR INFORMATION
Company Name:
Mailing Address;
Contact Person:
E -Mail Address:
Contractor Registration Number:
City State Zip
Day Telephone: c,) ��, . -t+� bb
C. nber:
Expiration Date:
ARCHITECT OF RECORD - All plans must be stamped by Architect of Record
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: 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
HAApplications\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 pre $
Scope of Work (please provide detailed information):
0 •
V`r
r r'a c-2
Building Use (per Int'l Building Code):
Occupancy (per Int'I 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
1
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.
BUILDI G OW i ER OR AUTHORIZED G . NT:
Signatur
Print N
Mailing Address:
Date: eiO(n(I I 1
\o`D S \3u
Date Application Accepted:
Day Tel •+
City
Zip
Date Application Expires:
Staff Initials:
H:\ Applications \ForrtwApplications On Line\2010 Application0-2010 - Plumbing -Gas Piping Permit Applieation.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.TukwilaWA.gov
Parcel No.: 2172000080
Address: 13301 56 AV S TUKW
Suite No:
Applicant: BENDFELT RESIDENCE
RECEIPT
Permit Number: PG11 -086
Status: PENDING
Applied Date: 06/22/2011
Issue Date:
Receipt No.: R11 -01274
Payment Amount: $63.00
Initials: WER Payment Date: 06/22/2011 10:44 AM
User ID: 1655 Balance: $0.00
Payee: JAIMIE HOW
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 006892
ACCOUNT ITEM LIST:
Description
63.00
Account Code Current Pmts
GAS - RES
000.322.103.00.00 63.00
Total: $63.00
doc: Receiot -06 Printed: 06 -22 -2011
INSPECTION RECORD
' - Retain a copy with permit
,- . .. J INSPi:CTION.NO. : PERMIT NO. „,
• • • 'CITY OF TUKWILA BUILDING DIVISION
6300 S.outhcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
•
•
•
F61( -ono
Pro ect:
ir�Ccs1.r, S. •
Type of Inspections
•(1. iU�K
Co AS
Address+:' • n
i iS(. 1 . ' �[r�E AV__._
Date Called:
Special-instructions: .
Date Wanted: ` ( —
/CO —
/
a.m.
p.m.
Requester:
Phone No:
//o
•
Approved per applicable codes. D Corrections required prior to approval.
COMMENTS:'
PCF----6-0 Jut (e-l?
•
Date: (/
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
. -..,, ;...:; -
INSPECTION RECORD Fu -�?
Retain a copy. with permit
INSPECTIO 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 fe-
oject:
e fE-4T
eJ5-
Typ f Ins ection:
�-•
Address:
3(0
Tt-
4.c 5,
Date ,,.Call JG� �,� GAS
/
Special Instructions:
Special
<
bate Wanted10.7.37- a.rr;i
r t p•m:
Requester:
Phone No:
proved per applicable codes.
Corrections required prior to approval... -
COMMENTS:
%---(1.,..SIT-- N.„Pi i kW C-I
(..°)
I)
• ` ��
�.� m 18 af`C°
CS
r
•
is.
•
.
°..t i
�� q k
`
`�
Inspector:
IDateY . .' I J •
0 REINSPECTION FEE REQUIRED. Pr or to next inspection, fee :must'.be A
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspectona ;
Gity of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
JAIMIE HOW
4601 S 134 PL
SEATTLE WA 98168
RE: Permit No. PG11 -086
BENDFELT RESIDENCE
13301 56 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 12/20/2011.
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 12/20/2011, 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,
7:::3tAiQ
Bill Rambo
Permit Technician
File: Permit File No. PG11 -086
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
Contractors or Tradespeople P ter Friendly Page
•
General /Specialty Contractor
A business registered as a construction contractor with LIi1 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 BRENNAN HEATING e A/C LLC UBI No. 602346866
Phone 2062487900 Status Active
Address 4601 S 134Th Pl License No. BRENNHA971R9
Suite /Apt. License Type Construction Contractor
City Seattle Effective Date 12/29/2003
State WA Expiration Date 12/29/2011
Zip 98168 Suspend Date
County King Specialty 1 General
Business Type Limited Liability Company Specialty 2 Unused
Parent Company
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
MIKESMS922L6
MIKES MECHANICAL
SERVICES LLC
Construction
Contractor
General
Unused
6/26/2008
6/26/2012
Active
FLOORSL012JL
FLOORING
SOLUTIONS LLC
Construction
Contractor
General
Unused
4/13/1999
4/6/2003
Archived
GUTTEHW995PH
GUTTER HELMET OF
WESTERN WA LL
Construction
Contractor
General
Unused
10/8/2001
10/8/2007
Out Of
Business
Business Owner Information
Name
Role
Effective Date
Expiration Date
ERDAHL, DARRIN
Partner /Member
12/29/2003
Amount
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
2
FEDERATED MUTUAL
INS CO
9127230
12/22/2004
Until Cancelled
$12,000.00
11/04/2004
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
4
Federated
Mutual Ins Co
9820726
07/13/2007
07/13/2012
$1,000,000.00
06/14/2011
3
FEDERATED
MUTUAL INS CO
9820726
07/13/2005
07/13/2007
$1,000,000.0006
/09/2006
2
FEDERATED
SERVICE INS CO
9224331
01/05/2004
01/05/2006
$1,000,000.00
12/14/2004
Summons /Complaint Information
Cause
County
Complaint
Judgment
Status
Payment
Paid By
07 -2- 13582 -1
GRONVOLD DEVELOPMENT CO LLC
InterPlead: No
KING
Date: 05/09/2007
Amount: $10,000.00
Date:
Amount: $0.00
Open
Date:
Amount:
Warrant Information No unsatisfied warrants on file within prior 6 year period
https://fortress.wa.gov/lni/bbip/Print.aspx
06/22/2011