HomeMy WebLinkAboutPermit PG11-183 - SRIPRANARATANAKUL RESIDENCESRIPRANARATANAKUL
RESIDENCE
13837 38 AV S
PG1 1 -183
City oftukwila
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
PLUMBING /GAS PIPING PERMIT
Parcel No.: 8864000845
Address: 13837 38 AV S TUKW
Project Name: SRIPRANARATANAKUL RESIDENCE
Permit Number: PG11 -183
Issue Date: 12/14/2011
Permit Expires On: 06/11/2012
Owner:
Name: SRIPRANARATANAKUL FAYE +CHAR
Address: 13837 38TH AVE S , TUKWILA WA 98168
Contact Person:
Name: GARY HEATH
Address: 18103 NE 68 ST, SUITE C200 , REDMOND WA 98052
Email: NOT PROVIDED
Contractor:
Name: M M COMFORT SYSTEMS
Address: 18103 NE 68 C -200 , REDMOND WA 98052
Contractor License No: MMCOMMC934B4
Phone: 425 - 881 -7920
Phone: 425 881 -7920
Expiration Date: 01/24/2013
DESCRIPTION OF WORK:
RUN GAS PIPE TO FURNACE
Value of Plumbing /Gas Piping:
Fees Collected:
Electrical Service Provided by:
Permit Center Authorized Signature:
$500.00 Uniform Plumbing Code Edition: 2009
$96.60 International Fuel Gas Code Edition: 2009
R-J-
Date: 1 c›- L '- ( (
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 a t.
Signature:
Print Name:
24)\ r i
• •
PERMIT CONDITIONS
Permit No. PG 11 -183
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
PG11 -183 Printed: 12 -14 -2011
•
__OW 10 "7 2-Le
•
CITY OF TUKWILA
Community Development Department
Public Works Deportment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
httpa. uww. ci. iukwit,. it n. us
QqR'-
Applications and plans must be complete in order to be accepted for plan review.
Pl P P p
Applications will not be accepted through the mail or by fax.
* *Please Print *"
Building Permit No.
Mechanical Permit No.
Plumbing /Gas Permit No. Lt
Public Works Permit No.
193
Project No.
(For q%fice use only)
SITE LOCATION
Site Address:
Tenant Name: j
Property Owners Name: Otuerit.3
Mailing Address: r 7
1 83-7 3g-'
King Co Assessor's Tax No.: g Gg D -'D ` 0 ti
A-- 5 Suite Number:
New Tenant:
Floor:
❑ Yes ❑..No
%gam.- 5 Ta tau I [,t.Ii
City State
eus2_
7p
CONTACT PERSON - who do we contact when your permit is ready to be issued
Name: PU* 1 .4,- -- t 5734 -''+-S G. ..y (-1C•4 L. Day Telephone: t --- g r ( % 'a 3
y
Mailing Address: v j—Pr� WU 4, ,.)....,....,• (--i 1v 9 6 v .z_
City Stata Zip
E-Mail Address: Fax Number:
GENERAL CONTRACTOR INFORMATION —
(Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5))
Company Name:
Mailing Address: 181e3 jN rte" 6
Contact Person: I't-'- Cta■"R
E -Mail Address:
Contractor Registration Number:
he, CQ%l4 rr Ste.s
�J CZ'a''�ryo.r�
City
Day Telephone:,
Fax Number:
Expiration Date:
Ca / A aat, -1c±LILy_
v 4- ieos-
State 'Lip
t-s— e8 i -'742
et I.— -sCL.;- vrc
-2 _!3
ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record
Company Name:
Mailing Address:
State Z p
Contact Person:
E -Mail Address:
City
Day Telephone:
Fax Number:
ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record
Company Name:
Mailing Address:
City Statc "Lip
Contact Person: Day Telephone:
Fax Number:
E -Mail Address:
O Applicationstpa.n•Appincutons On I \3-2.15N • Permit Application doe
Revised. 9.2006
hh
Page i of
•
PLUMBING AND GAS PIPIN( RMIT INFORMATION - 206-431-100
PLUMBING AND GAS PIPING CONTRACTOR INFORMATION
Company Name:mnn C o b (—f-
Mailing Address: 1f:5- l�� Q ��� �t ( C`2.oV
City //�� State �� Zip
Contact Person: C�(1 -.J QCA Day Telephone: 4 ZS— PA/ - 7q7-0
ZO
E -Mail Address: Fax Number:
Contractor Registration Number: 49 M,MCOin /fl C y
t ?J, Expiration Date: % -214 ( 3
Valuation of Plumbing work (contractor's bid price): $
Valuation of Gas Piping work (contractor's bid price): $
Scope of Work (please provide detailed information):
2__on CQs r nom- GJ
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
Drinking fountain or water
cooler (per head)
Wash fountain
Gas piping outlets
Bidet
Food -waste grinder,
commercial
Receptor, indirect
waste
Clothes washer, domestic
Floor drain
Sinks
Dental unit, cuspidor
Shower, single head trap
Urinals
Dishwasher, domestic,
with independent drain
Lavatory
Water Closet
Building sewer or trailer
park sewer
Rain water system — per
drain (inside building)
Water heater and /or
vent
Additional medical gas
inlets /outlets — six or more
Industrial waste
pretreatment interceptor,
including its trap and vent,
except for kitchen type
grease interceptors
Repair or alteration of water
piping and /or water treating
equipment
Repair or alteration
of drainage or vent
piping
Medical gas piping system
serving one to five
inlets /outlets for specific gas
Q'Applicattons6Forms- Applications On LineO -2006 - Permit Application doc
Revised 9 -2006
bh
Page 5 of 6
MECHANICAL PERMIT INF MATION - 206 -431 -3670
•
MECHANICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Contractor Registration Number:
City
Day Telephone:
Fax Number:
Expiration Date:
State
Zip
Valuation of Mechanical work (contractor's bid price): $
Scope of Work (please provide detailed information):
Use: Residential: New .... ❑ Replacement .... ❑
Commercial: New .... ❑ Replacement .... ❑
Fuel Type: Electric ❑ Gas....❑
Other:
Indicate type of mechanical work being installed and the quantity below:
Unit Type: •
Qty
Unit Type:
Qty
Unit Type:
Qty
Boiler /Compressor:
0 -3 HP /I00,000 BTU
Qty
Furnace <I00K BTU
Air Handling Unit >10,000
CFM
Fire Damper
Furnace >100K BTU
Evaporator Cooler
Diffuser
3 -15 HP/500,000 BTU
Floor Furnace
Ventilation Fan Connected
to Single Duct
Thermostat
15 -30 HP /1,000,000 BTU
Suspended /Wall /Floor
Mounted Heater
Ventilation System
Wood /Gas Stove
30 -50 HP /1,750,000 BTU
Appliance Vent
Hood and Duct
Emergency
Generator
50+ HP /1,750,000 BTU
Repair or Addition to
Heat/Refrig/Cooling
System
Incinerator - Domestic
Other Mechanical
Equipment
Air Handling Unit
<10,000 CFM
Incinerator— Comm /Ind
Q:\Applications \Forms - Applications On Line \3-2006 • Permit Application.doc
Revised 9 -2006
bh
Nee 4 of 6
Value of Construction — In all cases, a value • onstruction amount should be entered by the appli 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 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).
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 OWNE
Signature:
Print Name: L N'1 y0'' 3 ✓ /0/c l S`% Day Telephone:
Mailing Address: / 8 /03 /1 E C S! Ac ;o0 1 �r 4,t cML
city
ZED AG
H: Applications\Fomu- Applications On Line \2011 Applications\Permit Application Revised - 8- 9- 11.docx
Revised: August 2011
bh
Date: 41/0
V-257-,a)
State Zip
Page 4 of 4
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.Qov
RECEIPT
Parcel No.: 8864000845 Permit Number: PG11 -183
Address: 13837 38 AV S TUKW Status: PENDING
Suite No: Applied Date: 12/14/2011
Applicant: SRIPRANARATANAKUL RESIDENCE Issue Date:
Receipt No.: R11 -02723
Payment Amount: $96.60
Initials: WER Payment Date: 12/14/2011 11:49 AM
User ID: 1655 Balance: $0.00
Payee: M M COMFORT SYSTEMS
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 11374 96.60
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
GAS - RES
000.322.103.00.00 96.60
Total: $96.60
doc: Receipt -06 Printed: 12 -14 -2011
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
Pert -r(5 3
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project:
ST2_i"AIANA12 Ai AXXVL rakg,
Type of Inspection:
F'i rV.4L - G A S
Address:
13 37 3P, elu 5
Date Called:
Special Instructions:
Date Wanted:.
a f7 —tZ
Ca0
p.m.
Requester:
Phone No:
Acg,- C,Llo- z3Si
15Approved per applicable codes. E Corrections required prior to approval.
COMMENTS:
?eorM,4-a g-(P
Date:
INSPECTION FEE REQ�IRED. P,pforto next inspection. fee. must be
id at 6300 Southcenter lvd., S de 100. Call to schedules einspectioti:
,..res,yertc•..os-wthkeets-
INSPECTION RECORD
Retain a copy with permit
• INSPECTION NO. PERMIT NO.
• CITY OF' TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 ,c....(206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
P6//-/& ?�
Project:
,SAiPRAArth?, ;o4/Va4Ic 2'4.-
Type of Inspection:
/ ?F5 'Mfr. / - /A/ CAS
Address: .
A 3 6_37. ,..3,e) MI 5
Date Called:
Special Instructions:
. . •
• •
• •
,-__ ._-O•5G 5/67
-01
Date Wanted: .
/� /5-- //
a(�ma
�-�
Requester:
Phone No:
g25-.350 -2/C -Y
Approved per applicable codes. a Corrections required prior to approval.
COMMENTS:
.n
R • NSPECTION FEE REQUIRED. Prior next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Pl�er Friendly Page
•
General /Specialty Contractor
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 M M COMFORT SYSTEMS UBI No. 602682815
Phone 4258817920 Status Active
Address 18103 Ne 68Th C -200 License No. MMCOMMC934B4
Suite /Apt. License Type Construction Contractor
City Redmond Effective Date 1/24/2007
State WA Expiration Date 1/24/2013
Zip 98052 Suspend Date
County King Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company WILLIAMSON ACQUISITION CORP
Business Owner Information
Name
Role
Effective Date
Expiration Date
WILLIAMSON, CRAIG
President
01/24/2007
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
1
AMERICAN STATES INS
CO
6470956
01/24/2007
Until Cancelled
$12,000.00
01/24/2007
Assignment of Savings Information No records found for the previous 6 year period
Information
Insurance
Company Name
Policy Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Amount
Received Date
5
Continental
Western Ins Co
CWP2916265
02/01/2011
02/01/2012
$1,000,000.00
01/28/2011
4
FIRST MERCURY
INS CO
FMWA001075
02/01/2010
02/01/2011
$1,000,000.0001
/28/2010
3
CENTURY
SURETY CO
(CENS)
CCP583791
02/01/2009
02/01/2010
$1,000,000.0002
/02/2009
2
FIRST MERCURY
INS CO
FMMA001124
02/01/2007
02/01/2009
$1,000,000.00
01/15/2008
1
FIRST MERCURY
INS CO
FMMA0001302
01/24/2007
01/24/2008
$1,000,000.00
01/24/2007
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
12/14/2011