HomeMy WebLinkAboutPermit PG09-136 - FLICK RESIDENCEFLICK ]RESIDENCE
13325 56 AV S
PGO9-136
Parcel No.: 2172000115
Address:
Suite No:
doc: UPC -7/07
13325 56 AV S TUKW
Tenant:
Name: FLICK RESIDENCE
Address: 13325 56 AVE S , TUKWILA WA
Owner:
Name: FLICK KEITH
Address: 13325 56TH AVE S , TUKVVILA WA
Contact Person:
Name: BRIAN PEARCE
Address: 21134 NE 78 ST , REDMOND WA
DESCRIPTION OF WORK:
GAS PIPING TO TANKLESS WATER HEATER
Value of Plumbing /Gas Piping:
Fees Collected:
Cityllif Tukwila
Plumbing
Bathtub or combination bath/shower 0
Bidet 0
Clothes washer, domestic 0
Dental unit, cuspidor 0
Dishwasher, domestic, with independent drain 0
Drinking fountain or water cooler (per head) 0
Food -waste grinder, commercial 0
Floor drain 0
Shower, single head trap 0
Lavatory 0
Wash fountain
Receptor, indirect waste 0
Sinks 0
Urinals 0
Water Closet 0
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
Contractor:
Name: PEARCE HEATING & A/C
Address: 21134 NE 78TH STREET , REDMOND, WA
Contractor License No: PEARCHA066PM
$1,800.00
$92.00
PLUMBING /GAS PIPING PERMIT
FIXTURE TYPE AND QUANTITY
0
* * continued on next page **
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 425 868 -6328
Phone: 206 868 -6328
Expiration Date: 10/13/2011
PG09 -136
11/16/2009
05/15/2010
Uniform Plumbing Code Edition: 2006
International Fuel Gas Code Edition: 2006
Plumbing (cont.)
Building sewer and each trailer park sewer 0
Rain water system - per drain (inside bldg) 0
Water heater and /or vent 0
Industrial waste treatment interceptor, including
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
Medical gas piping system serving (1 -5)
inlets /outlets for a specific gas 0
Medical gas piping (6 +) inlets /outlets 0
Gas Piping
Gas piping outlets (0 -5) 1
Gas piping outlets (6 +) 0
PG09 -136 Printed: 11 -16 -2009
Permit Center Authorized Signature:
I hereby certify that I have read and e
governing this work will be complied
The granting of this permit does not pres
construction or th • erformance of
Print Name: r 1 6(.171
Signature:
doc: UPC -7/07
City oPTukvaila
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
h
1 ,6i\,\c, &Si
Permit Number:
Issue Date:
Permit Expires On:
PG09 -136
11/16/2009
05/15/2010
Date: 11 ill I
d this permit and know the same to be true and correct. All provisions of law and ordinances
hether specified herein or not.
r�?e to give authority to violate or cancel the provisions of any other state or local laws regulating
I am authorized to sign and obtain this plumbing /gas piping permit.
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.
PG09 -136 Printed: 11 -16 -2009
Parcel No.:
Address:
Suite No:
Tenant:
2172000115
13325 56 AV S TUKW
FLICK RESIDENCE
1: ** *PLUMBING AND GAS PIPING * **
doc: Cond -10/06
01
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:
5: No portion of any plumbing system or gas piping shall be concealed until inspected and approved.
* *continued on next page **
PG09 -136
ISSUED
11/16/2009
11/16/2009
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.
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.
PG09 -136 Printed: 11 -16 -2009
•
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
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
construction or the performance of work.
Signature:
Print Name:
P ea-r c,
doc: Cond -10/06 PG09 -136
of law and ordinances governing
other work or local laws regulating
Printed: 11 -16 -2009
SITE LOCATION
Site Address: 13 3 2C ." S
Tenant Name: {Q .► r l ► i'\ _
Property Owners Name: 2,l V ( `
Mailing Address: J S Z �� �6 Si
Name: ✓�
Mailing Address:
Company Name:
Mailing Address:
Contact Person:
CITY OF TUKWILA
Community Development Department
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 **
E -Mail Address:
Contact Person:
E -Mail Address:
Contractor Registration Number:
ARCHITECT. OF RECORD - All plans inust be wet Stamped by Architect of Record
E -Mail Address:
H:\Applications\Forms- Applications On Line \2009 Applications \1 -2009 - Plumbing -Gas Piping Permit Application.doc
Revised: 1 -2009
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King Co Assessor's Tax No.: 2-11.Q. — Ott'
Suite Number:
City
Day Telep
Floor:
New Tenant: ❑ Yes
CONTACT PERSON - Who do we contact when your permit is ready to be issued
City � Zip
((
Fax Number: 6 0 �t� 9 ,
PLUMBING /.GAS•PIPING CONTRACTOR INFORMATION
City
Day Telephone: L t2S
Fax Number:
Expiration Date:
State
Zip
OLT
State Zip
33
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
State
State
Zip
0
ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Zip
Page 1 of 2
Fixture Type:
Qty
Fixture Type:
Qty
Fixture Type:
Qty
Fixture Type:
Qty
Bathtub or combination
bath/shower
Bidet
Clothes washer, domestic
Dental unit, cuspidor
Dishwasher, domestic,
with independent drain
Drinking fountain or
water cooler (per head)
Food -waste grinder,
commercial
Floor Drain
Shower, single head trap
Lavatory
Wash fountain
Receptor, indirect waste
Sinks
Urinals
Water Closet
Building sewer and each
trailer park sewer
Rain water system — per
drain (inside building)
Water heater and /or vent
Industrial waste treatment
interceptor, including trap
and vent, except for kitchen
type grease interceptors
Each grease trap
(connected to not more
than 4 fixtures - <750
gallon capacity)
Grease interceptor for
commercial kitchen ( >750
gallon capacity)
Repair or alteration of
water piping and /or water
treatment equipment
Repair or alteration of
drainage or vent piping
Medical gas piping
system serving 1 -5
inlets/outlets for a
specific gas
Each additional medical
gas inlets /outlets greater
than 5
Backflow protective
device other than
atmospheric -type vacuum
breakers 2 inch (51 mm)
diameter or smaller
Backflow protective device
other than atmospheric -type
vacuum breakers over 2
inch (51 mm) diameter
Each lawn sprinkler
system on any one meter
including backflow
protection devices
Atmospheric -type vacuum
breakers not included in
lawn sprinkler backflow
protections (1 -5)
Atmospheric -type
vacuum breakers not
included in lawn
sprinkler backflow
protections over 5
Gas piping outlets
•
Valuation of Project (contractor's bid price): $
Sze of ork (please paiiled information):
Building Use (per Int'l Building Code):
Occupancy (per Int' l Building Code):
Utility Purveyor: Water:
Indicate type of plumbing fixtures and /or gas piping outlets being installed and the quantity below:
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 OWNER OR AUT 0 I ED AGENT:
Signature:
Print Name:
Mailing Address:
Date Application Expires:
Date Application Accepted:
7 t r3` -{ ML:c_
akueGo
av
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H:IApplicationeiForms- Applications On Lnet2009 Applications11-2009 • Plumbing -Gas Piping Permit Application.doc
Revised. 1 -2009
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Sewer:
City
•
Date:
a4_15S
(ate
Staff Initials:
ge 2 of 2
Parcel No.: 217200011S
Address: 13325 56 AV S TUKW
Suite No:
Applicant: FLICK RESIDENCE
Receipt No.: R09 -01824
Initials:
User ID:
Payee:
JEM
1165
ACCOUNT ITEM LIST:
Description
GAS - 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.citukwila.wa.us
BRIAN PEARCE, PEARCE HEATING AND AIR
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA -
Authorization No. 055836
RECEIPT
92.00
Payment Amount: $92.00
Account Code Current Pmts
000.322.103.00.00 92.00
Total: $92.00
Permit Number: PG09 -136
Status: PENDING
Applied Date: 11/16/2009
Issue Date:
Payment Date: 11/16/2009 03:25 PM
Balance: $0.00
PAYMENT
RECEIVE
doc: Receipt -06 Printed: 11 -16 -2009
Project: . J
Type of Inspection:
//
Add! es s: ��
I
Date Called:
--
Special Instructions:
/
Date Wanted:
/ ? -.
7 4
-0
- a.m.
pm
Requester:
Phone No:
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
p�v5- iJb
PERMIT NO.
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36
Approved per applicable codes. ❑ Corrections required prior to approval.
COMMENTS:
ei
Date:
n $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
'Date:
..,
COMMENTS:
Type of Inspection:
Ic 4 -I )
GA 5
Address:
X3325 Sim Au S
-A (,) J n j
, s ?V
--t-. C
Date Wanted:
1 1 / 1 f3 iI 09
� �""'
()L.)r
- "SOrt_ (i) 1
" dn0
I) c
t. — v ti- - - T1)
e --, J y r
v ',. rTt ;
- 11A f `
_____
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Project: -
Fl_1CK RE S
Type of Inspection:
Ic 4 -I )
GA 5
Address:
X3325 Sim Au S
Date Called:
Special Instructions:
Date Wanted:
1 1 / 1 f3 iI 09
� �""'
p.m.
Requester:
Phone No:
-I
PGA -13 Ca
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 -36'0
El
Approved per applicable codes. 0 Corrections required prior to approval.
J
Inspeci{Or:
Date:
I
El $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
'Date:
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
4
DEVELOPERS
SURETY It
INDEM CO
177861C
07/25/2001
Until
Cancelled
$6,000.00
09/26/2001
3
DEVELOPERS
SURETY It
INDEM CO
177861C
12/29/2000
07/25/2001
$4,000.00
08/17/2001
2
DEVELOPERS
INS CO
177861C
10/13/199712/29
/2000
$4,000.00
1
DEVELOPERS
INS CO
177861C
10/13/199410/13
/1997
$4,000.00
Name
Role
Effective Date
Expiration Date
PEARCE BRIAN K
OWNER
01/01/1980
Amount
Insurance
Company
Name
Policy
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Amount
Received
Date
AMERICAN
Untitled Page
General /Specialty Contractor
A business registered as a construction contractor with Lai 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
PEARCE HEATING it UBI No. 601579409
A/C
Phone 4258686328 Status ACTIVE
Address 21134 NE 78TH ST License No. PEARCHA066PM
Suite /Apt. License Type CONSTRUCTION CONTRACTOR
City REDMOND Effective Date 10/14/1994
State WA Expiration 10/22/2011
Date
Zip 98053 Suspend Date
County KING Specialty 1 HTG /VENT /AIR
CONDITIONING
Business Type Individual Specialty 2 UNUSED
Parent
Company
Name
Business Owner Information
Bond Information
Insurance Information
•
•
Page 1 of 2
https: // fortress .wa.gov /lni/bbip/Detail.aspx
11/16/2009