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HomeMy WebLinkAboutPermit PG11-162 - BALZARINI RESIDENCEBALZARiNI RESIDENCE 3535 S 126 ST PG1 1 -162 City a*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.TukwilaWA.gov Parcel No.: 7345600810 Address: 3535 S 126 ST TUKW Project Name: BALZARINI RESIDENCE PLUMBING /GAS PIPING PERMIT Permit Number: PG11 -162 Issue Date: 10/24/2011 Permit Expires On: 04/21/2012 Owner: Name: BALZARINI THOMAS J Address: 3535 S 126TH ST , SEATTLE WA 98168 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: INSTALL GAS WATER HEATER AND BACKFLOW FOR BOILER AS WELL AS (2) GAS PIPE OUTLETS FOR BOILER AND HOT WATER HEATER. Value of Plumbing /Gas Piping: $2,000.00 Uniform Plumbing Code Edition: 2009 Fees Collected: $105.00 International Fuel Gas Code Edition: 2009 Electrical Service Provided by: Permit Center Authorized Signature: oz, itii Date: I hereby certify that I have read and ex this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, wh ther specified herein or not. The granting of this permit does not presur%yb 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 ba o permit. Signatur Print Name: .../Ca-k JL1 A m\-.Q___ 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 PG11 -162 Printed: 10 -24 -2011 PERMIT CONDITIONS Permit No. PG 11 -162 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 -162 Printed: 10 -24 -2011 CITY OF TUKWili Community Develop Wit Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us 'P Plumbing/Ga .mit No. Project No. KA( -142. (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: King Co Assessor's Tax No.: -4 ' 4 v`p Q -. ` Tenant Name: Suite Number: Property Owners Name ThYY\ \ (x r'. Mailing Address:7O- Floor: New Tenant: ❑ Yes .. No City State Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: • ' AA AL_% Mailing Address: E -Mail Addres • IL E. b: I,L% Day Teleph q 81 City 1 i Fix Number: CLD /eq p 7i1C1 PLUMBING / GAS PIPING CONTRACTOR INFORMATION Company NameN_O--",(N. \ CA4i ,C;• Mailing Address: City Contact Person: E -Mail Address: Contractor Registration Number: Day Telephone: Fax Number: Expiration Date: 1 at q State Zip ob ARCHITECT OF RECORD - All plans must be stamped by Architect of Record Company Name: Mailing Address: City Contact Person: Day Telephone: Fax Number: State Zip E -Mail Address: 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\Porms- Applications On Line\2010 Applications \7 -2010 - Plumbing -Gas Piping Permit Application.doc Revised: 7 -2010 bh Page 1 of 2 - "S. a Valuation of Project (contractor's bid p • $ tin o Scope of Work (pl- . se provide detaile d m t ation): Building Use (per Int'l 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 1 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 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 LAW. OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDIN Signatur NER OR AUTHORI aA41/1A, \D O \ `? Print Nate: Mailing Address: AGENT- Date Application Accepted: Date:) I I L I Q D Telephone: O (l D City State Zip Date Application Expires: Staff Initials: H:\ApplicationsWorms- Applications On Line\2010 Applications \7 -2010 - Plumbing -Gas Piping Permit Application.doc Revised: 7 -2010 bh Page 2 of 2 Cif! of Tukwila. Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206-431-3665 Web site: htip: //www. ci. tukwila. wa. us SET RECEIPT RECEIPT NO: R11 -02329 Initials: JEM Payment Date: 10/24/2011 User ID: 1165 Total Payment: 282.10 Payee: BRENNAN HEATING & AIR CONDITIONING LLC SET ID: S000001591 SET NAME: Tmp set/Initialized Activities SET TRANSACTIONS: Set Member M11 -153 PG11 -162 TOTAL: Amount 177.10 105.00 177.10 TRANSACTION LIST: Type Method Description Amount Payment Check 22546 282.10 TOTAL: 282.10 ACCOUNT ITEM LIST: Description Account Code Current Pmts GAS - RES MECHANICAL - RES PLUMBING - RES 000.322.103.00.0 000.322.102.00.0 000.322.103.00.0 63.00 177.10 42.00 TOTAL: 282.10 INSPECTION RECORD Retain a copy with permit P6/1-/60 INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION' 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431 -2451 (206) 431 -3670 Project: r ?4LZ 13 27JI e F S Type of Inspection: F" ^/'9 C - P/2"14 3 Address: .2'63 S s /2 6 s- Date Called: Special Instructions: L `• 40004 datml 12 acv Date Wanted:. a.m ._..? -2.�' - /2 cn m Requester: 'S/ - /778 Phone No: -,214 - 9 7c7-- .1 /g C-. Approved per applicable codes. D Corrections required prior to approval. COMMENTS: "izt.C...1 ") , /'vm J7 1 -,Ayi 1- fg, a sq.: -‘ a , (4 A> 4/..)e. — p, d✓..' (spec "izt.C...1 Date: lZ3r JZ ISPECTION FEE REQU ED. Prior�to next inspection, fee must be • at 6300 Southcenter 131 d., Suite 100. Call to schedule reinspectioh. .,►� �_ ..s - 1 INSPECTION RECORD Retain a copy with permit I SPECTION NO. PERMIT NO. r1 CITY OF' TUKWILA BUILDING DIVISION NO. 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 d >L -d Project: , i :' & Lei 1 TypeAf Inspection: f� v G ft i GAs Address: , Sr Date Called: Special lanstr 2fio'' r 4...i-7,3)(-1 :23 ?owl, t ka V_41 -"S 2-- Date Wanted: _ �6 _ ¢ p.m. Requester: L- »'v n D 511- LrTh RA) Phone -7,4?-- ! I .00 . Approved per applicable codes. aCorrections required prior to approval. COMMENTS:.. • -3 Sit, te' 1 / l,0 - CA ,1 0 ✓mac. o % rut e>11 0 0 u<ficr a. d Jf- ••• (7.; . A--S - ---1-*-S-7 .A-Np D Iv kle - - -14 te___- . r fC AO_ . ju o - — J Sr --^S A* L- »'v n D 511- LrTh RA) ..(-o r ,e.A 3 u L ;(gyre. e "r 4 . uJ , 4 `( r--4 a �l �J (/F Insp[(tor: REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection: • 1Date1 -2 t/ 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 -162 BALZARINI RESIDENCE 3535 S 126 ST 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 04/23/2012. 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 04/23/2012, 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. PG11 -162 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 Contractors or Tradespeople liter Friendly Page General /Specialty Contractor M A business registered as a construction contractor with L &I 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 & 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 EMPIRPS891PS EMPIRE PROTECTION & SAFETY Construction Contractor General Unused 10/10/2011 10/10/2013 Active 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 2 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 $1,000,000.00 06/09/2006 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 KING Date: 05/09/2007 Amount: $10,000.00 Date: Amount: $0.00 Open Date: Amount: https: // fortress. wa.gov /lni/bbip/Print. aspx 10/24/2011