HomeMy WebLinkAboutPermit PG07-087 - DOAK HOMESDOAK HOMES
11641 35 LN S
CANCELLED 05 -29 -07
PG07 -087
Parcel No.: 0733000032
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
Contractor
11641 35 LN S TUKW
DESCRIPTION OF WORK:
PLUMBING FOR NEW SFR
Value of Plumbing /Gas Piping:
Fees Collected:
Sinks
Urinals
Water Closet
doc: UPC -10/06
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. ci. tukwila. wa. us
DOAK HOMES
11641 35LNS,TUKWILAWA
DOAK HOMES INC
11812 26 AV SW , BURIEN WA
PHIL
2415 INTER AV , PUYALLUP WA
MONARCH PLUMBING
2415 INTER AV , PUYALLUP WA
License No: MONARP *062D8
$5,200.00
$228.00
Plumbing
Bathtub or combination bath/shower 3
Bidet 0
Clothes washer, domestic 1
Dental unit, cuspidor 0
Dishwasher, domestic, with independent drain
Drinking fountain or water cooler (per head) 0
Food -waste grinder, commercial 0
Floor drain 0
Shower, single head trap 0
Lavatory
Wash fountain
Receptor, indirect waste
PLUMBING /GAS PIPING PERMIT
FIXTURE TYPE AND OUANTITY
* *continued on next page **
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 253 770 -2400
Phone: 253 770 -2400
Expiration Date: 03/23/2009
Uniform Plumbing Code Edition: 2003
International Fuel Gas Code Edition: 2003
Steven M Mullet, Mayor
Steve Lancaster, Director
PG07 -087
04/06/2007
10/03/2007
Plumbing (cont.)
Building sewer and each trailer park sewer 0
Rain water system - per drain (inside bldg) 0
Water heater and/or vent 1
Industrial waste treatment interceptor, including
2 its trap and vent, except for kitchen type
grease interceptors 0
Repair or alteration of water piping and/or water
treatment equipment 0
Repair or alteration of drainage or vent piping 0
3 Medical gas piping system serving (1 -5)
0 inlets /outlets for a specific gas 0
0 Medical gas piping (6 +) inlets /outlets 0
2 Gas Piping
0 Gas piping outlets (0 - 5) 0
3 Gas piping outlets (6 +) 0
PG07 -087 Printed: 04 -06 -2007
Signature:
doc: UPC -10/06
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.ci.tukwila.wa.us
)(104APA-
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complied daith, wh er specified herein or not.
Permit Number: PG07 - 087
Issue Date: 04/06/2007
Permit Expires On: 10/03/2007
Steven M Mullet, Mayor
Steve Lancaster, Director
Date: of [ tal_
permit and know the same to be true and correct. All provisions of law and ordinances
The granting of this permit does not presume to gi e authority to violate or cancel the provisions of any other state or local laws regulating
construction o performances of work. I am auth •rized to sign and obtain this plumbing /gas piping permit.
Date: 4111/
Print Name: Z t. uQe/ /A't
This permit shall become null and void if e 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.
PG07 -087 Printed: 04 -06 -2007
Parcel No.: 0733000032
Address: 11641 35 LN S TUKW
Suite No:
Tenant: DOAK HOMES
1: ** *PLUMBING AND GAS PIPING * **
doc: Cond -10/06
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.ci.tukwila.wa.us
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
PGO7 -087
ISSUED
04/06/2007
04/06/2007
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 bacicfilled 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.
* *continued on next page **
PG07 -087 Printed: 04 -06 -2007
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.ci.tukwila.wa.us
I hereby certify that I have read these conditions and will comply with them as outlined. 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 provision of any other work or local laws regulating
construction or the performance of work.
Signature:
Print Name: R ,i Cj
doc: Cond - 10/06
Date: 4 /
PG07 -087 Printed: 04 -06 -2007
CITY OF TUKWILA
Community Developme
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
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 **
King Co Assessor's Tax No.: 61
Site Address: ` 4 )4\ 1"
Tenant Name: . t t 11 AVU ItAC,
Property Owners Name: Neae Day v \1
Mailing Address:
Mailing Address: /AV, / i r ) '
Name:
Contact Person:
E -Mail Address:
Contact Person:
E -Mail Address:
Q:\Applications Vorms- Applications On Line\3 -2006 - Plumbing -Gas Piping Permit Application.doc
Revised: 4 -2006
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PLUMBING / GAS PIPING CONTRACTOR TNFORNIATION
Suite Number:
City
Day Telephone:
f '\ E -Mail Address: p a , I nto 0AvvI\ •( Fax Number:
New Tenant: Vt... Yes
State
State
State
State
Floor:
D ..No
Zip
CONTACT PERSON —Who do we contact when your permit is ready to be issued
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
Zip
Contact Person:
E -Mail Address:
Contractor Registration Number: Expiration Date:
ARCHITECT OF RECORD —All plans must be wet stamped by Architect of Record
Company Name:
Mailing Address:
Zip
City
Day Telephone:
Fax Number:
ENGINEER OF RECORD All plans must be wet stamped by Engineer of Record
Name:
Mailing Address:
City
Day Telephone:
Fax Number:
Zip
Page I of 2
Valuation of Project (contractor's bid pr $
Scope of Work (please provide detailed information):
Building Use (per Intl Building Code):
Occupancy (per Intl Building Code):
Utility Purveyor: Water:
Indicate type of plumbing
Fixture, Type
Bathtub or combination
bath/shower
Bidet
Clothes washer, domestic
Dental unit, cuspidor
Dishwasher, domestic,
with independent drain
Building sewer or trailer
park sewer
Industrial waste
pretreatment interceptor,
including its trap and vent,
except for kitchen type
grease interceptors
Fixture Type:
Drinking fountain or water
cooler (per head)
Food -waste grinder,
commercial
Floor drain
Shower, single head trap
Lavatory
Rain water system — per
drain (inside building)
Repair or alteration of water
piping and/or water treating
equipment
• Fixture Type:
Wash fountain
Receptor, indirect
waste
Sinks
Urinals
Water Closet
Water heater and/or
vent
Repair or alteration
of drainage or vent
piping
Fixture; Type :
Gas piping outlets
Additional medical gas
inlets/outlets — six or more
Medical gas piping system
serving one to five
inlets/outlets for specific gas
Qty
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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR AUTHORIZED AGENT:
Signature: Date:
Print Name:
fixtures and/or gas piping outlets being
Sewer:
installed and the quantity below:
Day Telephone:
Mailing Address:
Zip
Date Application Accepted:
Q:\Applications\Forms- Applications On Line'3 -2006 - Plumbing -Gas Piping Penni Application.doc
Revised: 4 - 2006
bh
City
State
Date Application Expires:
Staff Initials:
Page 2 of 2
Fixture Type:
Qty
Fixture Type:
Qty
Fixture Type:
Qty
Madam Type:
Qty
Bathtub or combination
bath/shower
Drinlang fountain or water
cooler (per bead)
Wash fountain
Gas piping outlets
Bidet
Food -waste grinder,
commercial
Receptor; indirect
wee
Clothes washer, domestic
1-
Floor drain
Sinks
2
Dental unit, cuspidor
Shower, single head hap
Urinals
Dishwasher, domestic,
with independent drain
2
Lavatory
,
Water Closet
/�
J
Building sewer or trailer
park sewer
Rain water system — per
drain (inside building)
Water heater and/or
vent
l
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 heating
equipment
Repair or alteration
of drainage or vent
piping
Medical gas piping system
serving one to five .
inlets/outlets for specific gas
, .
PLUMBING AND GAS PIPING-PERMIT INFORMATION - 2O6 -431- 7O
PLUMBING AND PIPING CONTRACTOR INFORMATION
S A
Company Name: 1" ` .D.V C Plumb i ' ocfi lam.
Contact Person: phi 1(f y pAt Day Telephone: V D- 9A- OD
E-Mail Address: n . /I /�.I, L I / . I� L/ _ /1 Fax Number: '1,c/2 - 110 �� -,to
Contractor Registration Number. V �% .�1 I Expiration Date: 4 ! / 2iUO
2
Mailing Address: e7,416 lr Y �lv-C
r ' 9! `"1
State
Valuation of Plumbing work (contractor's bid price): $ )
� / 1"
Valuation of Gas Piping work (contractor's bid price): $ IA
Scope of Work (please provide detailed information): it l ( ) E iAJ (.1) c\ 1 AL-TI O h O V-U 1-1F1 N El
Building Use (per Int'l Building Code):
Occupancy (per Intl Building Code):
Utility Purveyor Water
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
Sewer:
Q;Mpp ipbonslFon -Appliationo On rine\S- 2006 - Pewit Appla6on.doc
Revived: 9 -2006
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Page 5of6
PERMIT APPLICATION NOTES — Applicable to all permits in this application
Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed midis subject
to possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review — Appliications for which no permit is issued within 180 days following the date of application shall expire by limitation.
$uildinaand Mechanical Permit
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 10532 International Building Code (current edition).
plumbing Permit
The Building Official may grant one extension offime for an additional period not exceeding 180 days. The extension shall be requested
in writing and justifiable cause demonstrated. Section 103A.3 Uniform 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
Signature: � Oy R OR OA P l
Print Name: r alai e, Mists
Mailing Address: 2 liAt- Ve AA
Date Application Expires:
Lo1btG10'R—
Date Application Accepted k Ut Lc—
catioFbirn-App1i�tioi On 1630-2006 - Pen itAppliationduc
Revised: 9-2006
bh
Date 4 hP ) (r)
Day Telephone:
P'Vu? s� w't oicr-br
Staff Initials•
Page 6 of 6
Doc: RECSE'IS -06
RECEIPT NO: R07 -00524
Initials: JEM
User ID: 1165
Payee: MONARCH PLUMBING
SET ID: 0406 SET NAME: MONARCH PLUMBING
SET TRANSACTIONS:
Set Member Amount
PG07 -087 228.00
PG07 -088 208.00
PG07 -089 228.00
TOTAL: 664.00
TRANSACTION LIST:
Type Method Description Amount
Payment Check 6364 664.00
TOTAL: 664.00
ACCOUNT ITEM LIST:
Description
PLUMBING - RES
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. ci. tukwila. wa. us
SET RECEIPT
Payment Date: 04/06/2007
Total Payment: 664.00
Account Code Current Pmts
000/322.100
TOTAL:
664.00
664.00
__ 's 0 ?710 TOTAL a`.;'`,,! ;
Prckin
Type of Inspectio :
Address:
11to 1 --I 151A)
Date Called:
Special Instructions:
Date Wanted:
c..i _ 17- 6-)
m.
p.m.
Requester:
Phone No:
X5 3= 7)0• '(t,
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Approved per applicable codes. 121Corrections required prior to approval.
COMMENTS:
I • ecto
/
Date _ / 7
.00 REINSPECTION FEE EQUIRED. Pri9fto inspection, fee must be
aid at 6300 Southcenter Blvd., Suite 10 . Call to sechedule reinspection.
Receipt No.:
Date:
INSPECTION RECORD
Retain a copy with permit
P6:s7
May 29, 2007
ti Cg
To Whom It May Concern: off' OP TUIVILA
MAY 2 9 2007
request a refund of �At f "
I would like to
req permit charges for the following permits, there was a
misunderstanding between our heating contractor and us regarding who would pull
permits. Now we have 4 lots which have two Gas Piping Permits issued on each lot. The
addresses and permit numbers requested for refund are listed below.
11635 35 Ln S Tukwila Wa 98168 PG07 -128
11641 35 Ln S Tukwila Wa 98168 PG07 -129
11647 35 Ln S Tukwila Wa 98168 PG07 -130
11653 35 Ln S Tukwila Wa 98168 PG07 -131
o3- -08
Thank you very much for your help. pCrt)-- - I 0
License Information
License
MONARP *062D8
Licensee Name
MONARCH PLUMBING
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
601531614
Ind. Ins. Account Id
#7
Business Type
CORPORATION
Address 1
2415 INTER AVE
Address 2
City
PUYALLUP
County
PIERCE
State
WA
Zip
98372
Phone
2537702400
Status
ACTIVE
Specialty 1
PLUMBING
Specialty 2
AIR HEAT,VENTILATION,EVAPORAT
Effective Date
3/28/1994
Expiration Date
3/23/2009
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
Business Owner Information
Name
Role
Effective Date
Expiration Date
SVEDARSKY, STEVEN M
PRESIDENT
01/01/1980
Bond
Amount
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
#7
WESTERN
SURETY
CO
70247293
03/23/2007
Until
Cancelled
$6,000.00
04/06/2007
AMERICAN
Look Up a Contractor, Electrir'ln or Plumber License Detail Page 1 of 2
Washington State Department of Labor and Industries
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.
https:// fortress .wa.gov /lni/bbip /printer.aspx ?License= MONARP *062D8 04/06/2007