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Permit PG07-005 - CONDON
CONDON 4042 S 148 ST PGO7-005 Parcel No.: Address: Suite No: Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: 0040000961 4042 $ 148 ST TUKW Contractor License No: COLLIPI003MA DESCRIPTION OF WORK: HOT & COLD RE -PIPE, REMOVING BUILDING DRAIN FROM SEPTIC AND STUB -OUT TO SEWER Value of Plumbing /Gas Piping: Fees Collected: 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 CONDON 4042 S 148 ST , TUKWILA WA OLEARY 4042 S 148TH , TUKVVILA WA MIKE COLLIER 10814 5 AV S , SEATTLE W COLLIER PLUMBER INC. 108145AVS,SEATTLEWA $3,500.00 $148.00 Plumbing Bathtub or combination bath/shower 1 Bidet 0 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 1 Wash fountain 0 Receptor, indirect waste 0 Sinks 1 Urinals 0 Water Closet 1 PLUMBING /GAS PIPING PERMIT FIXTURE TYPE AND OUANTITY * *continued on next page ** Permit Number: Issue Date: Permit Expires On: Phone: Phone: 206 246 -5325 Phone: 206 246 -5325 Expiration Date: 03/18/2007 Uniform Plumbing Code Edition: 2003 International Fuel Gas Code Edition: 2003 Steven M Mullet, Mayor Steve Lancaster, Director PG07 -005 01/09/2007 07/08/2007 Plumbing (cont.) Building sewer and each trailer park sewer 0 Rain water system - per drain (inside bldg) 0 1 Water heater and/or vent 1 0 Industrial waste treatment interceptor, including 0 its trap and vent, except for kitchen type 0 grease interceptors 0 0 Repair or alteration of water piping and/or water 0 treatment equipment 0 0 Medical gas piping system serving one to five inlets /outlets for a specific gas 1 Gas Piping Gas piping outlets (0 -5) 0 Gas piping outlets (6 +) 0 PG07 -005 Printed: 01 -09 -2007 Permit Center Authorized Signature I hereby certify that I have read an The granting of this permit do construction or t perfo 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 Permit Number: PG07 -005 Issue Date: 01/09/2007 Permit Expires On: 07/08/2007 Steven M Mullet, Mayor Steve Lancaster, Director Date: 01 this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complie . th, h they specified herein or not. not presume to give authority to violate or cancel the provisions of any other state or local laws regulating I jm authorized to sign and obtain this plumbing /gas piping permit. Date: `Q 7 Print Name: , * (� CLI 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. PG07 -005 Printed: 01 -09 -2007 Parcel No.: 0040000961 Address: 4042 S 148 ST TUKW Suite No: Tenant: CONDON 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: 5: No portion of any plumbing system or gas piping shall be concealed until inspected and approved. * *continued on next page ** PG07 -005 ISSUED 01/09/2007 01/09/2007 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. 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. PG07 -005 Printed: 01 -09 -2007 Signature: Print Name: /'` itk14 (2 i&Q 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 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. Date: /— 9 " & 7 PG07 -005 Printed: 01 -09 -2007 SITE LOCATION Site Address: — i© 4.a., S o ( q e S r Tenant Name: Property Owners Name: Vac 1.‘ Ct7[.tA crl Mailing Address: ((� $ ( 6 AU2 &I /CF CONTACT'PERSON - Wh do • we contact when your permit is ready to be issued Name: MrIG C c L1 t Mailing Address: !EVIL{ 'A SO E -Mail Address: PLUMBING GAS PIPING CONTRACTOR INFORMATION Company Name: ` tx c ( ( Z 3( t'L Mailing Address: teJ(y Lj es g 0 Company Name: Mailing Address: Contact Person: E -Mail Address: Company Name: Mailing Address: Contact Person: E -Mail Address: CITY OF TUKWI Community Developmentyiepartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us 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 ** Plumbing/G'ermit No. Project No. PLUMBING / GAS PIPING PERMIT APPLICATION Q:\Applications\Ponns- Applications On Line\3.2006 - Plumbing -Gas Piping Permit Application.doc Revised: 4 -2006 bh King Co Assessor's Tax No.: 6G1 D0 0 CA (C' Suite Number: Floor: New Tenant: 0 .... Yes fit..No eStioacc,A City Day Telephone: Z.c - 2y (p- S 32_ r SeArR = uum g City Fax Numbk 2 to 12 1ZZ City uJ State State Zip Zip State Zip Contact Person: I/( t.LC6: 0..V.S.-t(. t Day Telephone: 2 0 4,.2 4 t -s 3z t- E -Mail Address: Fax Numbe( 204, 2 &roc Contractor Registration Number: Ct-tPLO031/ Expiration Date: 3 '(O. Q Z ARCHITECT OF RECORD All plans must be wet stamped by Architect of Record State State Zip City Day Telephone: Fax Number: ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Recor Zip City Day Telephone: Fax Number: Page 1 of 2 Fixture Type: Qty Fixture Type: - Qty Fixture Type; Qty Fixture Type: Qty Bathtub or combination bath/shower C Drinking founta or water cooler (per head) Wash fountain Gas piping outlets Bidet Food -waste grinder, commercial Receptor, indirect waste Clothes washer, domestic j Floor drain Sinks I Dental unit, cuspidor Shower, single head trap Urinals Dishwasher, domestic, with independent drain Lavatory 1 Water Closet Building sewer or trailer park sewer Rain water system — per drain (inside building) Water heater and/or vent 1 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 treating equipment Repair or alteration of drainage or vent piping l Medical gas piping system serving one to five inlets/outlets for specific gas Valuation of Project (contractor's bid price): $ 3, SC- Scope of Work (please provide detailed information): 14 CST �CO�a� lke ^i..tf ( Wb U(ALtt. SO? t (N6 °EA Kj PRIDINL St -VM Aiu S'IA t TcD SEwL— Building Use (per Intl Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: Sewer: 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). 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 0 R OR ` 1 /ZE ' ' T: Signatur / Date: ( -49 7 Print Name: , (C[ & a tt- Mailing Address: ( 3g( S N AUK „co Date Application Expires: Date Application Accepted: b I 0 Q:\Applications\Forms- Applications On Line'3 -2006 - Plumbing -Gas Piping Permit Application.doc Revised: 4 -2006 bh Day Telephone: (2�,) 2 City State Zip Parcel No.: 0040000961 Address: 4042 S 148 ST TUICW Suite No: Applicant: CONDON Receipt No.: R07 -00045 Initials: JEM Payment Date: 01/09/2007 03:40 PM User ID: 1165 Balance: $0.00 Payee: COLLIER PLUMBER, INC. RECEIPT TRANSACTION LIST: Type Method Description Amount Payment Check 5894 148.00 ACCOUNT ITEM LIST: Description PLUMBING - NONRES 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 Account Code Current Pmts 000/322.100 148.00 Total: $148.00 Permit Number: PG07 -005 Status: PENDING Applied Date: 01/09/2007 Issue Date: Payment Amount: $148.00 3604 01/09 7716 TOTAL 140.0) doc: Receipt -06 Printed: 01 -09 -2007 COMMENTS: Type of Inspection: /-7 /,//q prove IV h W1/ — 4 ,& Address: , 6 4 7' g, 1,0A (a 1 1 kv - 6) pp4m-P Date Wanted: Ca.rrr. g Pe° (M( 4 0 , [Me /4;,„ -,/ Phone No: C -7/5 --S 1/1), _ N ProjesA: , :. r / 04i DO 4/ Type of Inspection: /-7 /,//q 7 — 1 titIMAfr, Address: , 6 4 7' g, Date Called: pecial Instructions: Date Wanted: Ca.rrr. pan. Requester: Phone No: C -7/5 --S 1/1), INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 P667--c29s gl Approved per applicable codes. 0 Corrections required prior to approval. t. r: 44 58.00 REINSPECTI Date: FEE RE RED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: License Information License COLLIPI003MA Licensee Name COLLIER PLUMBER INC Licensee Type CONSTRUCTION CONTRACTOR UBI 602040442 Ind. Ins. Account Id SECRETARY Business Type CORPORATION Address 1 10814 5TH AVE S Address 2 City SEATTLE County KING State WA Zip 98168 Phone 2062465325 Status ACTIVE Specialty 1 PLUMBING Specialty 2 UNUSED Effective Date 7/1/2000 Expiration Date 3/18/2007 Suspend Date Separation Date Parent Company Previous License COLLIP * 119DT Next License Associated License Business Owner Information Name Role Effective Date Expiration Date COLLIER, JANET PRESIDENT 07/01/2000 Bond Amount COLLIER, MICHEAL SECRETARY 07/01/2000 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date TRAVELERS CAS & SURETY CO Until Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 2 4' 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 /lnilbbip /printer.aspx ?License= COLLIPI003MA 01/09/2007