HomeMy WebLinkAboutPermit PG12-223 - ELREY RESIDENCEELREY RESIDENCE
4110 S 139 ST
EXPIRED
07-23-13
PG1 2-223
City ofiI'ukwila
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.: 7360600341
Address: 4110 S 139 ST TUKW
Project Name: ELREY RESIDENCE
PLUMBING /GAS PIPING PERMIT
Permit Number: PG12 -223
Issue Date: 12/28/2012
Permit Expires On: 06/26/2013
Owner:
Name: SIMON ELREY
Address: PO BOX 125 , SHELTON WA 98584
Contact Person:
Name: SEAN QUY
Address: 4014 61 AV E , FIFE WA 98242
Email: SEAN @RANGERHEATING.COM
Contractor:
Name: RANGER HEATING & COOLING LLC
Address: 4014 61 AV S , FIFE WA 98424
Contractor License No: RANGEHC905OM
Phone: 253 - 293 -2769
Phone: 206 913 -1123
Expiration Date: 09/18/2014
DESCRIPTION OF WORK:
INSTALLION OF GAS PIPE 3/4" FROM NEW METER TO NEW FURNACE
Value of Plumbing /Gas Piping:
Fees Collected:
Electrical Service Provided by:
Permit Center Authorized Signature:
$500.00 Uniform Plumbing Code Edition: 2009
$63.00 International Fuel Gas Code Edition: 2009
Date: \ (2—
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:
Print Name:
g,„
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.
rinr. 11PC: -4/1(1
Pt;17 -771 Printarl• 17 -7R -7017
PERMIT CONDITIONS
Permit No. PG 12 -223
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.
(inn. I IP(: -4/1(1 PC112 -773
Printpri• 17 -7R -7(119
CITY OF TUKWIIII
Community Developmetirbepartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: / /www.TukwilaWA.,ov
11i ing7GaWermit No (j � .: __
Pro�eci No: ,.
'Date Apphcatton Accepted y .
Date Application Expires...z
n (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:
Tenant Name:
��l(D S, 13v-4 s7z
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes ❑.. No
_PROPERTY OWNER
7 : , .
Name: Seei,4
Name: �/ �`/ .
J
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City:
4/4
Address: L/! / 0 S
l 13 r S�.
Phone:as3_ J g % Fax:
City: Lam(/ i /4
State: �/�
Zip: 73U8'
CONTACTPERSON person receiving all project
communication ;,a
Company Name: �� 4� f� l�,h
T
Name: Seei,4
Address: / oof / 13- fi fi /r(
7(`_ ( ( �TSttattee:
y
Address: tio`q 6
/s 4-YE F
City:
4/4
- Zip:
City: (Si_ State: ti//
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Phone:as3_ J g % Fax:
Email: /
5a- . �/`�.1 rAear ,r ))ci .ca.,.,
Tukwila Business License No.:
. r.
. PLUMBING CONT,RACTOR'INFORMATION ' _
Company Name: �� 4� f� l�,h
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Address: / oof / 13- fi fi /r(
7(`_ ( ( �TSttattee:
City:
4/4
Zip / (
Phone'3 ,X6'_ y Fax:
Contr Reg No. : Ij R -6E4c --d p Date:
Tukwila Business License No.:
ex) �/' �
Valuation of Project (contractor's bid price): $ SO O/ L
Scope of Work (please provide detailed information): �n 010/, 474 �'1 �4 �
cto.l. ne-i4 ,e-$ -er +c
Prfie-
3l `�
ccAy
rn�tcL
Building Use (per Intl Building Code):
Occupancy (per Int'l Building Code):
Utility Purveyor: Water:
HAApphcations\Forms- Applications On Line \2011 Apphcattonalumbing Permit Application Revised 8- 9- 11.docx
Revised: August 2011
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Sewer:
Page 1 of 2
Indicate type of plumbing fixtures and/
Fixture Type
Qty
Bathtub or combination
bath/shower
Dishwasher, domestic with
independent drain
Shower, single head trap
Sinks
Rain water system — per
drain (inside building)
Grease interceptor for
commercial kitchen ( >750
gallon capacity)
Each additional medical
gas inlets /outlets greater
than 5
Atmospheric -type vacuum
breakers not included in
lawn sprinkler backflow
protections (1 -5)
s piping outlets being installed and the quant'low:
Fixture Type
Qty
Bidet
Drinking fountain or water
cooler (per head)
Lavatory
Urinal
Water heater and /or vent
Repair or alteration of
water piping and/or water
treatment equipment
Backflow protective device
other than atmospheric -
type vacuum breakers 2
inch (51 mm) diameter or
smaller
Atmospheric -type vacuum
breakers not included in
lawn sprinkler backflow
protections over 5
Fixture Type
Qty
Clothes washer,
domestic
Food -waste grinder,
commercial
Wash fountain
Water closet
Industrial waste
treatment interceptor,
including trap and vent,
except for kitchen type
grease interceptors
Repair or alteration of
drainage or vent piping
Backflow protective
device other than
atmospheric -type
vacuum breakers over 2
inch (51 mm) diameter
Gas piping outlets
Fixture Type
Qty
Dental unit, cuspidor
Floor drain
Receptor, indirect waste
Building sewer and each
trailer park sewer
Each grease trap
(connected to not more
than 4 fixtures - <750
gallon capacity
Medical gas piping
system serving 1 -5
inlets /outlets for a specific
gas
Each lawn sprinkler
system on any one meter
including backflow
protection devices
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 OW
Signature:
Print Name:
Mailing Address: ("/U/ i GI 1/1=
ZED AGENT:
11 \ Applications \Forms - Applications On Line \2011 Applications\Plumbing Permit Application Revised 8 -9 -11 docx
Revised August 2011
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Date: /2
Day Telephone:) S (—c-7 P
7s -V5'
1ty State Zip
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.: 7360600341
Address: 4110 S 139 ST TUKW
Suite No:
Applicant: ELREY RESIDENCE
RECEIPT
Permit Number: PG12 -223
Status: PENDING
Applied Date: 12/28/2012
Issue Date:
Receipt No.: R12 -03399
Payment Amount: $63.00
Initials: WER Payment Date: 12/28/2012 04:40 PM
User ID: 1655 Balance: $0.00
Payee: SEAN QUY
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd MC
Authorization No. 014019
ACCOUNT ITEM LIST:
Description
63.00
Account Code Current Pmts
GAS - RES
000.322.103.00.00 63.00
Total: $63.00
rinn• RPr. int -nR Printari• 17- 7R -9f119
INSPECTION RECORD
Retain a copy with permit
INSPECTION 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
Project:
ELZ£9 Ili.S.
Type,of Inspection:.'::
1,thtc�-'
�.
, : ; f
- 4 ":1
Address:
.£I110 13;
Date Called:
Special Instructions:
Date Wanted:.
'` a.m.
Requester:
Phone No:
I.Approved per applicable codes.
Corrections required prior 'to approval
COMMENTS:
Inspecto
Lis I 1 �•, 424./60
n EINSPECTION FEE REQUIRED Prior to next inspection .. fee must"be
p6aid at 6300 Southcenter Blvd., Suite 100. Call to schedule.reinspection :
06 -03 -2013
SEAN QUY
401461AVE
FIFE WA 98242
City of Tukwila
Ji1r1 Haggerton, Mayor
Department of Community Development Jack Pace, Director
RE: Permit No. PG12 -223
ELREY RESIDENCE
4110 S 139 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 07/23/2013.
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 07/23/2013, 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. PG12 -223
6300 Southcenter Boulevard, Suite # 100 • Tukwila, Washington 9818 • Phone 206-431 -3670 • Fax 206-431-3665
Contractors or Tradespeople Parr 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 RANGER HEATING & COOLING LLC UBI No. 603021557
Phone 2069131123 Status Active
Address 4014 61St Ave E License No. RANGEHC9050M
Suite /Apt. License Type Construction Contractor
City Fife Effective Date 9/14/2010
State WA Expiration Date 9/18/2014
Zip 98424 Suspend Date
County Pierce Specialty 1 General
Business Type Limited Liability Company Specialty 2 Unused
Parent Company
nses
License
Name
Type
Specialty 1
Specialty
2
Effective
Date
Expiration
Date
Status
RANGEH "928RN
RANGER
HEATING
Construction
Contractor
Heating /Vent /Air-
Conditioning And Refrig
(Hvac /R)
Unused
12/15/2008
12/15/2010
Re-
Licensed
Business Owner Information
Name
Role
Effective Date
Expiration Date
KALLANDER, DAVID THOMAS
Partner /Member
09/14/2010
Bond Amount
QUY, SEAN RYAN
Partner /Member
09/24/2010
am9069166
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
UPPER HUDSON
am9069166
08/05/2012
08/25/2013
$1,000,000.0009
/11/2012
2
NATIONAL INS
50192400
08/15/2011
Until Cancelled
$12,000.0008/22
/2011
COMPANY
1
American Ins
Co
0763303
0763303
09/07/2010
08/22/2011
10/15/2011
$6,000.00
09/14/2010
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
2
Country Mutual
Ins Co
am9069166
08/05/2012
08/25/2013
$1,000,000.0009
/11/2012
1
Country Mutual
Ins Co
9069166
08/25/2010
08/25/2012
$1,000,000.0007
/25/2011
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
Infractions /Citations Information No records found for the previous 6 year period
https://fortress.wa.gov/lni/bbip/Print.aspx
12/28/2012