HomeMy WebLinkAboutPermit PG17-0044 - GLANCEY RESIDENCE - GAS PIPING AND WATER HEATERGLANCEY RESIDENCE
14108 55 AVE S
PGI7-0044
Parcel No:
Address:
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-438-9350
Web site: http://www.TukwilaWA.gov
PLUMBING/GAS PIPING PERMIT
3365900147 Permit Number: PG17-0044
14108 55TH AVE S
Project Name: GLANCEY RESIDENCE
Issue Date: 3/28/2017
Permit Expires On: 9/24/2017
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
DUKE PARTNERS II LLC
2015 MANHATTAN BEACH BLVD STE ,
REDONDO BEACH, WA, 90278
SUSAN MATHEWS
17527 NE 67TH CT, REDMOND, WA,
98052
ALL CLIMATE HEATING & AC
17527 NE 67TH CT, REDMOND, WA,
98052
ALLCLCH966C6
1,,
Phone: (425) 746-3077
Phone: (425) 746-3077
Expiration Date: 2/26/2018
DESCRIPTION OF WORK:
GAS PIPING TO DRYER, BBA & FURNACE, RANGE, AND LOG LIGHTER. WATER HEATER INSTALL
Valuation of Work: $2,080.00
Water District: TUKWILA
Sewer District: TUKWILA
Fees Collected: $154.22
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
International Fuel Gas Code:
Permit Center Authorized Signature:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
Date:
2014
2014
2014
2015
I hearby 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
development permit and agree to the conditions attached to this permit.
Signature:
Print Nam
Date: 5 -0.7-14-
This
.7-1 -
This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or if
the work is suspended or abandoned for a period of 180 days from the last inspection.
PERMIT CONDITIONS:
<NONE>
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
2000 GAS PIPING FINAL
8004 GROUNDWORK
1900 PLUMBING FINAL
9002 ROUGH -IN GAS PIPING
8005 ROUGH -IN PLUMBING
9001 UNDERGROUND
CITY OF TUKW7T A
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Plumbing/Gas Permit No. FiiZI/
Project No.
Date Application Accepted:
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: 1L\ \ 5-111
(1 \eeu\ ' -(\L
Tenant Name:
PROPERTY OWNER
all project
Name: t- /ti \f (--1t0c,vAddress:
State: tAkA_ Zip:
City: 1 ,,,,,,1tyLl
VW? /'�d1-S .
City:krikkry.1 J
V�V
Zip9 2,Phone::/Lqt3
Citlk w r ' Stater_ fp,.
ZiH k/ G,e
CONTACT PERSON - person receiving
communication
all project
Name: -a,.., A�
State: tAkA_ Zip:
City: 1 ,,,,,,1tyLl
Address: t 7 —7 13/„.
/„. i ' , `� (j ,
`Sttate:INA
City:krikkry.1 J
V�V
Zip9 2,Phone::/Lqt3
�Faxti
C6 7_155 3'
Email: C 'T(/o l F'O"1\\C`IVe Y/t'►'C .► .v
King Co Assessor's Tax No.: 3 3 (9 91K--07 y+
Suite Number: Floor:
New Tenant: ❑ Yes
PLUMBING COTOR INFORMATION
Company Name: AlLlI C I ) Prik ,
i;�
\�
�'
Address: t1_5().--+
f�c (6+ C4
State: tAkA_ Zip:
City: 1 ,,,,,,1tyLl
Phone{ �lJ't! 07�-�-Zrg. Fax: iT7 (c -5c
Contr Reg Nok, ., LE 44, (lee p Date: )-% f 1 v
Tukwila Business License No.: b f lit `th(_,c(; 9 -3a'1f
t -t 0.
Valuation of Project (contractor's bid price): $ £ ( t )@\kivt-ruc
Sco e of Work lease rovi e detai ed information : �
Gas Ip, p \�'� r► (cA__, r 4-1051
IAS\ -6i 11 � Aro Svc - a0-
43 C12-1-11)
1CjV\e '"
Building Use (per Int'1 Building Code):
Occupancy (per Intl Building Code):
Utility Purveyor: Water: Sewer
H:\Applications\Porms-Applications On Line\201 I Applications\Plumbing Permit Application Revised 8-9-11.docx
Revised: August 2011
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Page 1 of 2
Indicate 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)
Fixture Type
Qty
Bidet
Drinking fountain or water
cooler (per head)
Lavatory
Urinal
I "...
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 overs
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
1Y'(e ri (ar J1
104 1to, Y i'v'
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 Revie • Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
The Building Official m., grant one extension of time for an additional period not to exceed 180 days. The extension shall be requested in writing
and justifiable cause de onstrlted. Section 103.4.3 International Plumbing Code (current edition).
I HEREBY CERT Y T AT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJ I R BY THE A : 0 THE STS` 'E OF r'' SHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING 0
Signature:
Print Name:
Mailing Address:
UTHO
Date: 7/7
ay Telephone: 27 - '3. P
,oris
H:\Applications\Forms-Applications On Line1201 I Applications\Plumbing Permit Application Revised 8.9.1 I.docx
Revised: August 2011
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City
State
Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
Receipt Number
R11161
DESCRIPTIONS 1 ACCOUNT QUANTITY PAID
PermitTRAK $154.22
PG17-0044 Address: 14108 55TH AVE 5 Apn: 3365900147 $154.22
GAS $99.45
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$33.15
PERMIT FEE
R000.322.100.00.00
0.00
$66.30
PLUMBING $47.43
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$33.15
WATER HEATER FIXTURE FEE
R000.322.103.00.00
0.00
$14.28
TECHNOLOGY FEE $7.34
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R11161
R000.322.900.04.00 0.00 $7.34
$154.22
Date Paid: Tuesday, March 28, 2017
Paid By: ALL CLIMATE HEATING & AC
Pay Method: CHECK 28909
Printed: Tuesday, March 28, 2017 1:13 PM 1 of 1
CRWS
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
B4`7-oczett,
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206)438-9350*g
Pro'ect:
T of Intpection:
Address:
,q Mte
Date Called:
Special Instructions:
Date Wanted:
2-
%
rr
p.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Inspector:
Date:
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
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) 438-9350
q;17.- °Ogg
Project:„�
6 A f ibe 1Iai-
Typg of Inspection:
OAS Pi Pi All- fi%lam
Address:
/4k7b s s-1`'Ave' s
Date Called:
Special Instructions:
Date Wanted:
S7Z /7
c—Z/ 7
p.
Requester:
Phone No:
&Z.61.az-6- L/ql3
Approved per applicable codes. LJ Corrections required prior to approval.
COMMENTS:
01,41
Inspector: 4
Date:s] / 7
I
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
ALL CLIMATE HEATING & A/C
14 Washington State Department of
Labor & industries
Home Espanol Contact
Safety & Health
Page 1 of 3
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Claims & Insurance Workplace Rights
ALL CLIMATE HEATING & A/C
Owner or tradesperson
Principals
BROWN, RUSSELL, PRESIDENT
BROWN, JAMES, VICE PRESIDENT
(End: 02/09/2012)
Doing business as
ALL CLIMATE HEATING & A/C
WA UBI No.
602 284 037
Parent company
ALL CLIMATE INC
17527 NE 67TH CT
REDMOND, WA 98052
425-746-3077
KING County
Business type
Corporation
Governing persons
JAMES
W
BROWN
RUSSELL W BROWN;
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Construction Contractor Active.
Meets current requirements.
License specialties
GENERAL
License no.
ALLCLCH966C6
Effective — expiration
02/26/2004— 02/26/2018
Bond
American States Insurance Co
Bond account no.
32s206347
$12,000.00
Help us improve
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602284037&LIC=ALLCLCH966C6&SAW= 3/28/2017
ALL CLIMATE HEATING & A/C
Received by L&I Effective date
05/07/2012 04/20/2012
Expiration date
Until Canceled
Bond history
Insurance
Ohio Cas Ins Co $1,000,000.00
Policy no.
BK057420339
Received by L&I Effective date
09/27/2016 11/01/2016
Expiration date
11/01/2017
Insurance history
Savings
No savings accounts during the previous 6 year period.
Lawsuits against the bond or savings
Cause no.
12-2-39173-4SEA
Complaint filed by
VARRUS LLC
Complaint date
12/11/2012
L&I Tax debts
Open
Complaint against bond(s) or savings
32s206347
Complaint amount
$21,140.00
Page 2 of 3
No L&I tax debts are recorded for this contractor license during the previous 6 year period, but some debts
may be recorded by other agencies.
License Violations
No license violations during the previous 6 year period.
Workers' comp
Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums.
L&I Account ID
931,160-02
Account is current.
Doing business as
ALL CLIMATE HEATING & AIR COND
Estimated workers reported
Quarter 4 of Year 2016 "31 to 50 Workers"
L&I account representative
T1 / IDA HAYNES (360)902-5635 - Email: HAYN235@Ini.wa.gov
Workplace safety and health
Check for any past safety and health violations found on jobsites this business was responsible for.
Help us improve
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