HomeMy WebLinkAboutPermit PG13-133 - GOV & IR RESIDENCE - GAS PIPING AND WATER HEATERGOV & IR RESIDENCE
4809 S 162 ST
PG13-133
City onukwila
•
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.: 5379800430
Address: 4809 S 162 ST TURIN
Project Name: GOV & IR RESIDENCE
PLUMBING/GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On:
PG13-133
09/23/2013
03/22/2014
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Email:
Contractor:
Name:
Address:
GOV TEA H+ENG YOU IR
4809 S 162ND ST , TUKWILA WA 98188
TASHA COLSON
10733 47 PL W , MUKILTEO WA 98275
TCOLSON@BELRED.COM
Phone: 425 493-5353
BEL -RED ENERGY SOLUTIONS LLC Phone: 425-493-5353
10733 47 PL W , MUKILTEO WA 98275
Contractor License No: BELREES888OE
Expiration Date: 09/11/2014
DESCRIPTION OF WORK:
INSTALLATION OF WATER HEATER. GAS PIPING FOR NEW FURNACE AND WATER HEATER (2
OUTLETS).
Value of Plumbing/Gas Piping:
Fees Collected:
Electrical Service Provided by:
Permit Center Authorized Signature:
$3,777.91 Uniform Plumbing Code Edition: 2009
$144.00 International Fuel Gas Code Edition: 2009
cw,losta
Date:
in,1 L3I 1 3
I hereby certify that I have read and e � min d this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied th, hether 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:
/Z7`,904✓ , ? G 1/,0 7
Date: — /3
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.
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Prinfcri• na_91_9nil
•
PERMIT CONDITIONS
Permit No. PG13-133
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
PG13-133 Printed: 09-23-2013
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Plumbing/Gas Permit No. p
Project No.
Date Application Accepted: O�
Date Application Expires:
(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: 4 OO -\ I CoQ nd c�sf-
King Co Assessor's Tax No.: 3ncign -'6zt
Tenant Name: EX\ C' OS \c, C-10.1
PROPERTY OWNER
Name: E r o, T. r ourvd 1.:20,_C C7„/
Address: 4 ga, 3 (t,,,3 rvi. 5.e
city: l v\Lw , \ G State: L3 P! Zip:Q8 \8a
CONTACT PERSON - person receiving all project
communication
Name:
7-(1`5\(y)1/4.
'l la 0 �1c>�
Address: 10933 Anima --p1 c..J
City:vV--1 1/-e0 State: W Zip:q$2g5
Phone: (425)4'13- 5353 Fax: 42 5> 40 3 -5354
Email: LL.C6t.On the\ ced -CO'M
Suite Number:
Floor:
New Tenant: ❑ Yes
0
PLUMBING CONTRACTOR INFORMATION
Company Name: 1� _ e EnexaU to f cr
Address: to) 3 41-1+,,1 --? l (...t..)
City: m04 t+e-O State: u.) A_ Zip:ce3z95
Phone: (4.Z5> 443-5353 Fax: (425)4x3' 5354.
Contr Reg No.: BELREESS8S6E Exp Date: cl / t 1 114
Tukwila Business License No.: -B05_ O9 4 63 3
Valuation of Project (contractor's bid price): $ t OCC) "SOY- 301.5 j\ i\g, $9,99 `7 .4 1
Scope of Work (please provide detailed information):
2.45 -e-co fvs 9Y n 3,x.5 60,r r c Ere a a e-< \r\e o *-ter .
r\se,,�- Zcs,c, 05- ° reW &: s
Building Use (per Int'l Building Code).
Occupancy (per Int'! Building Code):
Utility Purveyor: Water: Sewer
H:\Applications\Forms-Applications On Line \2011 Applications\Plumbing Permit Application Revised 8-9-11.docx
Revised: August 2011
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Page 1 of 2
Indurate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
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)
a,
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
a,
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
a,
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).
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 OWNER OR AUTHORIZED AGENT:
Signature: A
Print Name:
Mailing Address: 10-6--A,
Date: 9 12011z)
Day Telephone: (425) 447 - 5-1)5'.1)
(`nvY-20A-eo w982-95
H:\Applications\Forms-Applications On Line \2011 Applications \Plumbing Permit Application Revised 8-9-1 l.docx
Revised: August 2011
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City State Zip
Page 2 of 2
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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.: 5379800430
Address: 4809 S 162 ST TUKW
Suite No:
Applicant: GOV & IR RESIDENCE
RECEIPT
Permit Number: PG13-133
Status: PENDING
Applied Date: 09/23/2013
Issue Date:
Receipt No.: R13-02704
Initials:
User ID:
JEM
1165
Payment Amount: $144.00
Payment Date: 09/23/2013 10:54 AM
Balance: $0.00
Payee: BELRED ENERGY SOLUTIONS
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 67270 144.00
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
GAS - RES
PLUMBING - RES
000.322.103.00.00 97.50
000.322.103.00.00 46.50
Total: $144.00
Printed• 09-23-2013
INSPECTION RECORD FF7613-133
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//: �
(,., U --.1-1---
Ty f Inspection: ��
A� l 6 � - . A.1 A
Addr s:
I�?,.S(
Date Called:
Special Instructions:
'
Date Wanted:a.m.
—
I(`IEr—i c
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS::
f-erk; 6-79 A -k &1--e
1
..0 f Ar (S [ r. CDAf ko
(u
C
Insp ctor:
Date:! (.-)
n REINSPECTION FEE REQUIRED. Prior tonextinspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
4:0
. INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DLyISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36
Permit Inspection Request Line (206) 431-2451
Project:
7'0V (_ r"---5
Type of Inspection:
RcDt)6If"-.—/j
45
Address:Date
Called:
Special Instructions:
uu 1" Ale -LA) {v rN
Date Wanted:
f (D -3
i
("
p.m.
Requester: ..
Approved per applicable codes: Corrections required prior to approval.
COMMENTS:
1Qi rm r'3D IP -S,
Date: ,n
Insp ctor: -
n
R\ --"NEI f3 CTE N FEE Q111 -RED. Pr • r to: next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suit- 100. Call to schedule reinspection.
Contractors or Tradespeople Pror 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 BEL -RED ENERGY SOLUTIONS LLC UBI No. 603074001
Phone 4254935353 Status Active
Address 10733 47Th Pt W License No. BELREES8880E
Suite/Apt. License Type Construction Contractor
City Mukilteo Effective Date 9/11/2012
State WA Expiration Date 9/11/2014
Zip 98275 Suspend Date
County Snohomish Specialty 1 General
Business Type Limited Liability Company Specialty 2 Unused
Parent Company
er Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
BELREHA101DK
BEL RED HEATING
& A/C INC
Construction
Contractor
General
Unused
3/12/1990
2/7/2015
Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
MILLARD, DONALD WESLEY
Manager
09/11/2012
Bond Information
Page 1 of 1
Bond Bond Company Name
1
Wesco Insurance Co
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
46WB002262
08/06/2012
Until Cancelled
$12,000.00
09/04/2012
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
American
Economy
01 -CH -748238-
01/21/2013
01/21/2014
$1,000,000.00
01/07/2013
Insurance Co
6
American
1
Economy
01CH7482385
01/21/2012
01/21/2013
$1,000,000.00
09/04/2012
Insurance Co
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 09/23/2013