HomeMy WebLinkAboutPermit PG07-035 - PITZER HOMES - LOT 3PITZER HOMES, LOT 3
14727 56 AV S
PGO7-035
Parcel No.: 1157200178
Address:
Suite No:
14727 56 AV S TUKW
Tenant:
Name: PITZER HOMES, LOT 3
Address: 14727 56 AV S , TUKWILA WA
Owner:
Name: JOHAL KARNAIL +SINGH GURPA
Address: 17818 NE 116 ST , REDMOND WA
Contact Person:
Name: JONATHAN M. HARAKOVICH
Address: 1201 MONSTER RD SW, STE 320 , RENTON WA
Contractor:
Name: MARK'S PLUMBING
Address: 204 6 AV N , ALGONA WA
Contractor License No: MARKSP*077LM
DESCRIPTION OF WORK:
PLUMBING AND GAS PIPING FOR NEW 2010 SF SFR
Value of Plumbing /Gas Piping: $150,000.00
Fees Collected: $413.50
City of Tukwila
Plumbing
Bathtub or combination bath/shower 2
Bidet 0
Clothes washer, domestic 1
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
doc: UPC -10/06
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
PLUMBING /GAS PIPING PERMIT
FIXTURE TYPE AND OUANTITY
* *continued on next page **
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 253 315 -3170
Phone: 253 393 -5391
Expiration Date: 01/09/2008
PG07 -035
06/05/2007
12/02/2007
Uniform Plumbing Code Edition: 2003
International Fuel Gas Code Edition: 2003
Steven M Mullet, Mayor
Steve Lancaster, Director
Plumbing (cont.)
Building sewer and each trailer park sewer 1
Rain water system - per drain (inside bldg) 0
Water heater and/or vent 1
0 Industrial waste treatment interceptor, including
1 its trap and vent, except for kitchen type
0 grease interceptors 0
1 Repair or alteration of water piping and/or water
0 treatment equipment 0
1 Repair or alteration of drainage or vent piping 0
4 Medical gas piping system serving (1 -5)
0 inlets /outlets for a specific gas 0
0 Medical gas piping (6 +) inlets /outlets 0
1 Gas Piping
0 Gas piping outlets (0-5) 3
3 Gas piping outlets (6 +) 0
PG07 -035 Printed: 06-05 -2007
Permit Center Authorized Signatur
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 -035
Issue Date: 06/05/2007
Permit Expires On: 12/02/2007
Steven M Mullet, Mayor
Steve Lancaster, Director
Date: O1Q ` Mtn"
I hereby certify that I have read and - x - . ' _ • s permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied = w _ er 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.
Signature: Date: c /75%7
Print Name: Pot LA r to i1 t.7 ✓ '
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 -035 Printed: 06-05 -2007
Parcel No.: 1157200178
Address:
Suite No:
Tenant:
1472756AV
PITZER HOMES, LOT 3
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
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.
* *continued on next page **
Permit Number:
Status:
Applied Date:
Issue Date:
PG07 -035
ISSUED
02/02/2007
06/05/2007
PG07 -035 Printed: 06-05 -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 goveming
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.
�7 S ��
Signature: Date: 6/
Print Name:
doc: Cond -10/06
o 1
PG07 -035 Printed: 06-05 -2007
5ITELOGATI
CITY OF TUKWILA
Community Development I,,iartment
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
or #3 King Co Assessor's Tax No.: 7/5 pool
Site Address: /97 56 td 52 l Div /G4 eo14 Suite Number: Floor:
Tenant Name: New Tenant: ❑..... Yes ❑ ..No
Property Owners Name: P /rZik 110/65, /Mi
Mailing Address: .V65 33 Z*90 5.e.
Name: Tir/.¢Tf/ /t/ /fri A4,e
Mailing Address: � /)/4tk/ 2'/0 t:/ e X 5 £ - 3
E -Mail Address: _ V/4f* , 4 4 - bet ee
GENERAL, CONTRACTOR INFORMATION - (Mechanical Contractor information on back page)
Company Name: / �76/wwt //f/t
Mailing Address: ��y� 5 33 ZZ#' .5:
Contact Person: 07/ R// Z
E -Mail Address: / /lZet'I 5Z-40e a4/ /
G e m v Fax Number: 3 O- 81,2 - VfOY
Contractor Registration Number: 'i zee!_ 793.e6 Expiration Date: /Z- Z4- e 7
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
%permits plusticc bhanges%permit application (7 -2004)
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 **
ARCHITECT OF RECORD dill plans must be wet stamped by Architect of Record
}
Company Name: • .P54/1/ 5 41-/I/1107 // /
Mailing Address: 003
Contact Person:
E -Mail Address:
Company Name: rn// 7.-// ,6,v 'I/, 0- Ave-
City
Mailing Address: 72-/ - /ag'g . Alt
City
Page 1
4/
City
Fax Number: ' Z $
tag MzZ
State Zip
Day Telephone: 257 - 3/5-
State
6- 9 7
ZZ
EAge.yrzs Gv i &Dz2
Zip
City
State
Day Telephone: 053- l0 3Z- 9/57
,e•
fferz
City State Zip
Day Telephone: 253 - e7Z '2 5 O
Fax Number:
4'1 2
State Zip
Contact Person: M/E 4/7 V, 4 Day Telephone: y2$ 7'/7 /
7
ENGINEER OF RECORD All plans must be wet stamped by Engineer of Record .
E -Mail Address: Fax Number:
BUILDING PERMIT INFORMATTnN 206- 431 -3670
C
Valuation of Project (contractor's bid price): $ �50 OOO Existing Building Valuation: $
Scope of Work (please provide detailed information): /0 Nge./ 57404 ,0909 /4;I
60/1fi' //UG/.D /Vf 6 ' i ,GZ/fini /.�,�/ 4' 4.//94e5 41/1
/$ Ogee-
Will there be new rack storage? U ..Yes
\permits plus\icc changes\permit application (7 -2004)
If "yes ", see Handout No. for requirements.
Provide All Building Areas in Square Footage Below
PLANNING DIVISION:
Single - family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches)
*For an Accessory dwelling, provide the following:
Lot Area (sq ft): /S 0/5 Floor area of principal dwelling: 2_09 Floor area for accessory dwelling:
*Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence.
Number of Parking Stalls Provided: Standard: Z Compact: Handicap:
Will there be a change in use? ('....Yes ❑ ..No If "yes ", explain: t/,Gfa LOr /t/ 4e) /2-e
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑.. Sprinklers 0...Automatic Fire Alarm (..None ❑ . Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑..Yes S afety Data Sheets.
Page 2
Existing
Interior
Remodel
Addition to
Existing
Structure
New
Type of
Construction
per IBC
Type of
Occupancy per
IBC
1" Floor
4
0 GZ y
VI j
1'`
2' Floor
/ NA.
3 Floor
Floors / thru Z
7-o/D
Basement
Accessory Structure*
Attached Garage
li /y
Detached Garage
Attached Carport
Detached Carport
Covered Deck
Uncovered Deck
BUILDING PERMIT INFORMATTnN 206- 431 -3670
C
Valuation of Project (contractor's bid price): $ �50 OOO Existing Building Valuation: $
Scope of Work (please provide detailed information): /0 Nge./ 57404 ,0909 /4;I
60/1fi' //UG/.D /Vf 6 ' i ,GZ/fini /.�,�/ 4' 4.//94e5 41/1
/$ Ogee-
Will there be new rack storage? U ..Yes
\permits plus\icc changes\permit application (7 -2004)
If "yes ", see Handout No. for requirements.
Provide All Building Areas in Square Footage Below
PLANNING DIVISION:
Single - family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches)
*For an Accessory dwelling, provide the following:
Lot Area (sq ft): /S 0/5 Floor area of principal dwelling: 2_09 Floor area for accessory dwelling:
*Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence.
Number of Parking Stalls Provided: Standard: Z Compact: Handicap:
Will there be a change in use? ('....Yes ❑ ..No If "yes ", explain: t/,Gfa LOr /t/ 4e) /2-e
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑.. Sprinklers 0...Automatic Fire Alarm (..None ❑ . Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑..Yes S afety Data Sheets.
Page 2
Scope of Work (please provide detailed information): A /11. efi �_,4 e- , / 9 S/O 'z' (
/ //) /4 /1/li 4 1.�2ivF�i/9
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
Water District
($... Tukwila 0... Water District # 125
❑ ...Water Availability Provided
Sewer District
(,� ...Tukwila 0... ValVue ❑ .. Renton ❑ ...Seattle
❑ ...Sewer Use Certificate 0... Sewer Availability Provided ❑ .. Approved Septic Plans Provided
❑ :..Septic System - For onsite septic system, provide 2 copies of a current septic design approval by King County Health Department.
Submitted with Application (mark boxes which apply):
Pg.-Civil Plans (Maximum Paper Size - 22" x 34 ")
❑...Technical Information Report (Storm Drainage)
❑ ...Bond ❑ .. Insurance ❑ .. Easement(s)
Proposed Activities (mark boxes that apply):
❑ ...Right -of -way Use - Nonprofit for less than 72 hours
❑ ...Right -of -way Use - No Disturbance
❑ ...Construction/Excavation/Fill - Right -of -way
Non Right -of -way X
❑ ...Total Cut
❑ ...Total Fill
o cubic yards
n cubic yards
Sanitary Side Sewer
Cap or Remove Utilities
Frontage Improvements
Traffic Control
Backflow Prevention - Fire Protection
Irrigation
Domestic Water
®...Permanent Water Meter Size... 3/4 "
❑ ...Temporary Water Meter Size .. "
❑ ...Water Only Meter Size
2 ...Sewer Main Extension Public X
® ...Water Main Extension Public X
%permits ptus%iec change .permit application (7 -2004)
Call before you Dig: 1- 800 -424 -5555
❑ .. Abandon Septic Tank
❑ .. Curb Cut
❑ .. Pavement Cut
❑ .. Looped Fire Line
11
f)
WO#
WO#
WO#
Private
Private
❑ .. Highline
❑ ...Renton
❑ .. Geotechnical Report ❑...Traffic Impact Analysis
❑ .. Maintenance Agreement(s) ❑...Hold Harmless
❑ .. Right -of -way Use - Profit for less than 72 hours
❑ .. Right -of -way Use - Potential Disturbance
❑ .. Work in Flood Zone
❑ .. Storm Drainage
FINANCE INFORMATION
Fire Line Size at Property Line
❑...Water ❑...Sewer
Monthly Service Billing to:
/' /1 Abolos /4/c
Mailing Address: S 35 Zee/ t. S4
Name:
Water Meter Refund/Billing:
Name: ciott #
Mailing Address:
Number of Public Fire Hydrant(s)
❑ ...Sewage Treatment
Day Telephone: 253 - do 3Z- 9/5
L tc/ , z z
City ' State Zip
Day Telephone:
City State Zip
Page 3
❑ .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
❑...Deduct Water Meter Size
7 ; Fixture Type:
;Qty
Fixture Type
Qty .
` Fixture Type;
;Fixture'Type : ''
:;Q
'ty
Bathtub or combination
bath/shower
Drinking fountain or water
cooler (per head)
Wash fountain
Gas piping outlets
3
Bidet
Food -waste grinder,
commercial
i
/
Receptor, indirect
waste
Clothes washer, domestic
/
Floor drain
Sinks
y
Dental unit, cuspidor
Shower, single head trap
Urinals
Z
Dishwasher, domestic,
with independent drain
Lavatory .
Water Closet
Building sewer or trailer
park sewer
!
Rain water system — per
drain (inside building)
Water heater and/or
vent
/
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
Medical gas piping system
serving one to five
inlets/outlets for specific gas
PLUMBING AND GAS PIPING CONTRACTOR INFORMATION
Company Name: /2fr7— A11 /J
Mailing Address: 966 3 3 J6 /! ' 5
Contact Person:
E -Mail Address: ,9/ /Ze4
Contractor Registration Number: / /zee /'3,e6
Valuation of Plumbing work (contractor's bid price): $ �2
Valuation of Gas Piping work (contractor's bid price): $
Scope of Work (please provide detailed information): j /%"6z / //J 4.-
a1 /7Y l2W12A -, V , l,e 7 /�/`- AV //,11)61 /11
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:
Q:\Applications\Forms- Applications On Line3-2006 - Permit Application.doc
Revised: 9 -2006
bh
Ge/.� 1ZZ
City State Zip
✓ //T D ay Telephone: 7 5 ' 3 ' - /5
Fax Number:
Expiration Date: /Z — Z -- 6 7
Sewer:
Page 5 of 6
Unit Type:
Qty
Unit Type:
Qty
Unit Type:
Qty
Boiler /Compressor:
Qty
Furnace <100K BTU
/
Air Handling Unit >10,000
CFM
Fire Damper
0 -3 HP /100,000 BTU
Furnace>100K BTU
Evaporator Cooler
Diffuser
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan Connected
to Single Duct
f
I
Thermostat
/
15 -30 HP /1,000,000 BTU
Suspended/Wall/Floor
Mounted Heater
Ventilation System
Wood/Gas Stove
30 -50 HP /1,750,000 BTU
Appliance Vent
Hood and Duct
t
Water Heater
/
50 +HP /1,750,000 BTU
Repair or Addition to
Heat/Refrig/Cooling
System
Incinerator - Domestic
Emergency
Generator
Air Handling Unit
<10,000 CFM
Incinerator — Comm/Ind
Other Mechanical
Equipment
F MECHANICAL PERMIT INFOR.TION - 206 -431 -3670
MECHANICAL CONTRACTOR INFORMATION
Company Name: Teo
Mailing Address:
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
Valuation of Project (contractor's bid price): $ 1 7 / 200
Scope of Work (please provide detailed information): 54€6 4 /4/S F`F e
Use: Residential: New ....❑ Replacement ❑
Commercial: New .... ❑ Replacement ❑
Fuel Tvpe: Electric ❑ Gas —.0 Other:
Indicate type of mechanical work being installed and the quantity below:
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 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 extend the time for action by the applicant for a period not exceeding 180 days upon written request by the applicant as
defined in Section 107.4 of the Uniform Building Code (current edition). No application shall be extended more than once.
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
ER OR UTHORIZED GE T:
Si gn ature: ' � P/r e � & &b5) Date: 0/%9 a 7
� ". -- ��
Print Na - tT /v#0 l Day Telephone:
Mailing Address: /Z9/ /1441577;€ "40 ie / b olt 9 $'57
State Zip
Date Application Accepted:
\permits plus\ice changes\permit application (7 -2004)
Page 4
City State Zip
City
Date Application Expires: all
Staff Initials: .'
RECEIPT NO: R07 -01021
Initials: JEM
User ID: 1165
Payee: PITZER HOMES, INC.
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
SET ID: 0524 SET NAME: PITZER HOMES, LOT 3
SET TRANSACTIONS:
Set Member Amount
D07 -031 9,854.50
M07 -019 175.56
PG07 -035 344.50
TOTAL: 10, 374.56
TRANSACTION LIST:
Type Method Description Amount
Payment Check 2416 10,374.56
TOTAL: 10, 374.56
ACCOUNT ITEM LIST:
Description
BUILDING - RES
CASCADE WATER ALLIANCE
GAS - RES
MECHANICAL - RES
PLAN CHECK - RES
PLAN CHECK - WATER METER
PLUMBING - RES
PW LAND ALT PERMIT FEE
PW PERMIT /INSPECTION FEE
STATE BUILDING SURCHARGE
TRAFFIC MITIGATION FEES
WATER - ALLENTOWN /RYAN
WATER CONNECTION
WATER INSPECTION FEE
Account Code Current Pmts
000/322.100
401/386.550
000/322.100
000/322.100
000/345.830
000/345.830
000/322.100
000/342.400
000/342.400
000/386.904
104.367.120
401/379.004
401/379.002
401/342.400
Payment Date: 06/05/2007
Total Payment: 10,374.56
1,919.04
5,297.00
88.00
175.56
7.50
10.00
249.00
23.50
225.00
4.50
1,285.46
500.00
60.00
15.00
8973 06/05 9710 TOTAL_ 10374.56
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
WATER INSTALLATION (DEP)
WATER TURN -ON FEE
401/386.520 490.00
401/343.405 25.00
TOTAL: 10, 374.56
Initials:
User ID:
Doc: RECSETS - 06
RECEIPT NO: R07 -00151
JEM
1165
Payee: PITZER HOMES, INC.
SET ID: S000000676 SET NAME: Tmp set/Initialized Activities
SET TRANSACTIONS:
Set Member Amount
City �i 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
D07 -031 1,722.38
M07 -019 36.39
PG07 -035 69.00
TOTAL: 1,827.77
ACCOUNT ITEM LIST:
Description
PLAN CHECK - RES
PW BASE APPLICATION FEE
PW PLAN REVIEW
SET RECEIPT
Payment Date: 02/02/2007
Total Payment: 1,827.77
TRANSACTION LIST:
Type Method Description Amount
Payment Check 2352 1,827.77
TOTAL: 1,827.77
Account Code Current Pmts
000/345.830 1,352.77
000/322.100 250.00
000/345.830 225.00
TOTAL: 1,827.77
ri
Proje t:, y .� j �� (�
l G-YJ ! ' +� 41.1 -
Type of Insptct
A n 1--4
i
e � u� • /l
Ad ress: 'A
Date Called:
Special Instructions:
/
Date Wanted
�/
a
Requester:
Phone N
7,53
7.�
(e - (P 1 S
P6v7— 4351
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION 8-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
M1 l.2 r i k /u-P MAJL,
prim . _J
. I `
rika
A
Date:3 , Z! - vcf
$58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection.
(Receipt No.:
!Date:
Project
p: j - t-E
Type o lnspec "on:
n 6A! Pi 7
Address:
14 r lZ r 1
y =
3 r — IUE
D to Called:
Special Instructions:
Date Wanted:
a.m.
Requester:
Phone No:
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
j InsPec ? �r:
INSPECTION RECORD
Retain a copy with permit
'Date:
El $58.00 REINSPECTION FEE REQUIRED. Prior to inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection.
'Receipt No.:
!Date:
P 6 o rl -0
PERMIT NO.
IZ
(206)431 -3670
C OMMENTS:
Type of Inspect'on:
1= , pl u �t b ,
Address: ail,
/4')2 5 /kuc Sd
Date Called:
4 ', -k-e.im S 4),.t ±_S NI-A et' A Ai 2 Aid L,t r .
S e
.1.1.i ES .
w
r 4, feej
77)
A 7 C . « ,
---,' 1 r. s e r cj: 1 n e e--el
1
-il
� ,,c.�.E_ . rk
4. / l' —r ^s P c r c,..n
�
P ' :J•-•
df
Project
P; r7 1' 1-1-04-e_5
Type of Inspect'on:
1= , pl u �t b ,
Address: ail,
/4')2 5 /kuc Sd
Date Called:
!
Special Instructions:
Date Wanted:
3 rid -v0 L
a.m.
0•m:
Requester:
Phone No:
(�G o'i - 635
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
El Approved per applicable codes. Corrections required prior to approval.
Inspect
Date: 3 - 2
-v J
$58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection.
'Receipt No.:
'Date:
COMMENTS:
t .5 - 7 1 1//til(h//c — "V, IN -- 5--; k A ,1 65 -
e; oe 4- / A..,e/9
71_
go >A4-
i
D te Called:
Special Instructions:
( St— 3
Date Wanted: a.m.
-13 - .08 /tr
Requester:
Phone No'
7 .53 — 2Ve - L739
•,
Projet:
1 rzs—e_. 1-1-04.&5
Type of Inspection:
vi Am -A n
Address
e _ a r
1
71_
go >A4-
Sa
D te Called:
Special Instructions:
( St— 3
Date Wanted: a.m.
-13 - .08 /tr
Requester:
Phone No'
7 .53 — 2Ve - L739
P4 or/ - 35j
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION R
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3670
Approved per applicable codes. \ 10 Corrections required prior to approval. 3
'Receipt No.:
de A.4
0 RE1NSPECTIONEE REQUIRE . Prior to inspection. fee must be
id at 6300 Southcente)) Blvd.. Sui 100. Call the schedule reinspection.
'Date:
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Address: at
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Date Called:
Special' Instructions:
1
151
Date Wanted
{ , ��
a.m.
Requester:
Phone No:
?A
- 244- (01'S11
PGo'1 -ohs
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION r-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Approved per applicable codes.
Corrections required prior to approval.
El $58.00 REINSPECTION FE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection.
(Receipt No.:
Date:
Project- , . z
7 /re 4/6//f S /,/-
Type of Inspection:, ,
? •44W • //0
Address:
N727 -
Date Called:
Special Instructions:
Date Wanted:
/ --- 3- 6'7
Requester:
Phone No:
25:S -- 26 , - -
tc...)--5
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Er Approved per applicable codes.
El Corrections required prior to approval.
COMMENTS:
(-) t' ( )
'Inspector:0_
INSPECTION RECORD
Retain a copy with permit
/6
PERMIT NO.
(206)431-3670
'Date: tcri
El $58.00 REINSPECTION FEE REQUIRED. Prior to inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection.
Receipt No.:
!Date:
Projepi v
i Pen? Cc
Type of �t f � �
)�j
Q d7 - ' Il
Addr s. r
Date Called:
~
Special Instructions:
Date Wanted
, �
/ 2./2/
Requester.
Phone No: G 6 - 65.5 C
X 53 - 2 7
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., # 100, Tukwila, WA 98188 (206)
Approved per applicable codes.orrections required prior to approval.
COMMENTS:
AN (97 2/4/ S
'Receipt No.:
INSPECTION RECORD I A �
/
Retain a copy with permit PERMIT NO.
0
$ .00 t INSPECTION FEE REQ IRED. Prior to inspection, fee must be
pa 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection.
'Date:
Probe • ��// /
Type o nspection••^
\.-
Address:
//7Z7 5(,
Date Called:
Special Instructions:
Date Wanted: //
/21 /el)
a.m.
Requester:
Phone No:
253 - 76
- 6'5 - 5
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (266)431 -3 7
1-
INSPECTION RECORD
Retain a copy with permit
El Approved per applicable codes.
rrections required prior to approval.
COMMENTS:
N U-r f ovs oftirf
rspec
/2 n
$ . EINSPECTION FEE Prior to inspection, fee must be
p d at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection.
Receipt No.:
Date:
Projec .
Type of I ecti
Address:
Date Called:
Special Instructions:
Date /ed / z r /0-")
P
Requester:
Phone No:
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-
proved per applicable codes.
COMMENTS:
1 pecto
I 'Dace: 2
'Receipt No.:
REINSPECTION FE REQUIRED Prior to inspection, fee must be
id at 6300 Southcenter lvd., Suite 100. Call the schedule reinspection.
'Date:
El Corrections required prior to approval.
11 -06 -2007
JONATHAN M. HARAKOVICH
1201 MONSTER RD SW, STE 320
RENTON WA 98057
RE: Permit No. PG07 -035
14727 56 AV S TUICW
Dear Permit Holder:
In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila Building Division.
Per the Uniform Plumbing Code and/or International Fuel Gas Code, every permit issued by the Building Division under the
provisions of this code shall expire by limitation and become null and void if the building or work authorized by such permit is not
commenced within 180 days from the date of such permit, or if the building or work authorized by such permit is suspended or
abandoned at any time after the work is commenced for a period of 180 days.
Based on the above, you are hereby advised to:
Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection.
This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if
the project should be considered abandoned.
If such determination is made, the Plumbing and/or Gas Code does allow the Building Official to approve one extension of time for an
additional period not exceeding 180 days. Extension requests must be in writing and provide satisfactory reasons why circumstances
beyond the applicants control have prevented action from being taken.
In the event you do not call for the above inspection and receive an extension prior to 12/02/2007 , your permit will become null and
void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Permit Technician
Xc:
Permit File No. PG07 -035
City of Tukwila
Steven M. Mullet, Mayor
Department of Community Development Steve Lancaster, Director
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
ACTIVITY NUMBER: PG07 -035 DATE: 02 -02 -07
PROJECT NAME: PITZER HOMES, LOT 3
SITE ADDRESS: 14727 56 AV S
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter #
Revision # After Permit Issued
DEPARTMENTS: .22.07
► r i X1
Bui IV
�;f n: +ision
Pu lic Works Structural
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
Comments:
h ''PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES/THURS ROU NG:
Please Route Structural Review Required
REVIEWER'S INITIALS:
Documents/routing slip.doc
2-28-02
Fire Prevention
Incomplete ❑
APPROVALS OR CORRECTIONS:
Approved E Approved with Conditions
Notation:
REVIEWER'S INITIALS:
DATE:
DATE:
Planning Division
❑ Permit Coordinator
Li
DUE DATE: 02-06-07
Not Applicable ❑
No further Review Required
El
DUE DATE: 03-06-07
Not Approved (attach comments) n
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
License Information
License
MARKSP *077LM
Licensee Name
MARK'S PLUMBING
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
601472389
Ind. Ins. Account Id
#3
Business Type
INDIVIDUAL
Address 1
204 6TH AVE N
Address 2
City
ALGONA
County
KING
State
WA
Zip
98001
Phone
2539395391
Status
ACTIVE
Specialty 1
PLUMBING
Specialty 2
SANITATION SYSTEM SIDE SEWER
Effective Date
6/14/1993
Expiration Date
1/9/2008
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
Business Owner Information
Name
Role
Effective Date
Expiration Date
GREINER, MARK A
OWNER
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
#3
CBIC
PO0155
12/30/2001
Until
Cancelled
$6,000.00
01/09/2002
#2
CBIC
PO0155
06/14/1995
12/30/2001
$4,000.00
HARTFORD
Look Up a Contractor, Electrician 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= MARKSP *077LM 06/05/2007
PITZER HOMES, LOT 3
14727 56 AV S
PGO7-035
Parcel No.: 1157200178
Address:
Suite No:
14727 56 AV S TUKW
Tenant:
Name: PITZER HOMES, LOT 3
Address: 14727 56 AV S , TUKWILA WA
Owner:
Name: JOHAL KARNAIL +SINGH GURPA
Address: 17818 NE 116 ST , REDMOND WA
Contact Person:
Name: JONATHAN M. HARAKOVICH
Address: 1201 MONSTER RD SW, STE 320 , RENTON WA
Contractor:
Name: MARK'S PLUMBING
Address: 204 6 AV N , ALGONA WA
Contractor License No: MARKSP*077LM
DESCRIPTION OF WORK:
PLUMBING AND GAS PIPING FOR NEW 2010 SF SFR
Value of Plumbing /Gas Piping: $150,000.00
Fees Collected: $413.50
City of Tukwila
Plumbing
Bathtub or combination bath/shower 2
Bidet 0
Clothes washer, domestic 1
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
doc: UPC -10/06
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
PLUMBING /GAS PIPING PERMIT
FIXTURE TYPE AND OUANTITY
* *continued on next page **
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 253 315 -3170
Phone: 253 393 -5391
Expiration Date: 01/09/2008
PG07 -035
06/05/2007
12/02/2007
Uniform Plumbing Code Edition: 2003
International Fuel Gas Code Edition: 2003
Steven M Mullet, Mayor
Steve Lancaster, Director
Plumbing (cont.)
Building sewer and each trailer park sewer 1
Rain water system - per drain (inside bldg) 0
Water heater and/or vent 1
0 Industrial waste treatment interceptor, including
1 its trap and vent, except for kitchen type
0 grease interceptors 0
1 Repair or alteration of water piping and/or water
0 treatment equipment 0
1 Repair or alteration of drainage or vent piping 0
4 Medical gas piping system serving (1 -5)
0 inlets /outlets for a specific gas 0
0 Medical gas piping (6 +) inlets /outlets 0
1 Gas Piping
0 Gas piping outlets (0-5) 3
3 Gas piping outlets (6 +) 0
PG07 -035 Printed: 06-05 -2007
Permit Center Authorized Signatur
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 -035
Issue Date: 06/05/2007
Permit Expires On: 12/02/2007
Steven M Mullet, Mayor
Steve Lancaster, Director
Date: O1Q ` Mtn"
I hereby certify that I have read and - x - . ' _ • s permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied = w _ er 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.
Signature: Date: c /75%7
Print Name: Pot LA r D to rJ v ✓'
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 -035 Printed: 06-05 -2007
Parcel No.: 1157200178
Address:
Suite No:
Tenant:
14727 56 AV S TUKW
PITZER HOMES, LOT 3
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
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.
* *continued on next page **
Permit Number:
Status:
Applied Date:
Issue Date:
PG07 -035
ISSUED
02/02/2007
06/05/2007
PG07 -035 Printed: 06-05 -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.
7 5 ��
Signature: Date: 6/
Print Name:
doc: Cond -10/06
o 1
PG07 -035 Printed: 06-05 -2007
5ITELOGATI
CITY OF TUKWILA
Community Development I,,iartment
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
or #3 King Co Assessor's Tax No.: 7/S pool
Site Address: /97 56 td SG T 4iv /G4 eo14 Suite Number: Floor:
Tenant Name: New Tenant: ❑..... Yes ❑ ..No
Property Owners Name: P /rZik 110/65, /,,/-
Mailing Address: .V65 33 Z*90 5.e.
Name: Tir/.¢Tf/ /t/ /fri A4,e
Mailing Address: / � /)/4tk/ 2'/0 £ e X 5R1 - 3
E -Mail Address: _ %O/l�ifit.4vd . UIS - bet ee
GENERAL, CONTRACTOR INFORMATION - (Mechanical Contractor information on back page)
Company Name: / �76/wwt /4t
Mailing Address: ��y� 5 33 ZZ#/ .5:
Contact Person: tZ ' / , //�Lg
E -Mail Address: / /'Zef'I 5Z-40e a4/ /
G e m v Fax Number: 3 O - YfOY
Contractor Registration Number: / ZCe!_ 793.e6 Expiration Date: /Z - Z4 - e 7
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
%permits plusticc bhanges%permit application (7 -2004)
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 **
ARCHITECT OF RECORD dill plans must be wet stamped by Architect of Record
}
Company Name: •.P$ 4/1/ 5 41-/I/1/07 // /
Mailing Address: 003
Contact Person:
E -Mail Address:
Company Name: rn// '/ ,64/611/~440- Ave -
City
Mailing Address: 72-/ - /ag m Att.
City
Page 1
4/
City
Fax Number: ' Z $
tag MzZ
State Zip
Day Telephone: ZS 3 - 3/5-
State
6- 9 7
ZZ
EAge.yrzs Gv i &Dz2
Zip
City
State
Day Telephone: ZS3 - l0 3Z- 9/57
,e•
fferz
City State Zip
Day Telephone: 253 - e7Z '2 5 O
Fax Number:
4'1 2
State Zip
Contact Person: A/- 4'/7V,4 Day Telephone: y2$ 7'/7- /
7
ENGINEER OF tE CORD ;411 plans musf be wet "stamped by Engineer of Record .
E -Mail Address: Fax Number:
BUILDING PERMIT INFORMATTnN 206- 431 -3670
C
Valuation of Project (contractor's bid price): $ �50 OOO Existing Building Valuation: $
Scope of Work (please provide detailed information): /0 Nge./ 57404 ,0909 /4;I
60/1fi' //UG/.D /Vf 6 ' # ,GZ/fini /.�,�/ 4' 4.//94e5 41/1
/$ Ogee-
Will there be new rack storage? U ..Yes
\permits plus\icc changes\permit application (7 -2004)
If "yes ", see Handout No. for requirements.
Provide All Building Areas in Square Footage Below
PLANNING DIVISION:
Single - family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches)
*For an Accessory dwelling, provide the following:
Lot Area (sq ft): /S 0/5 Floor area of principal dwelling: 2_09 Floor area for accessory dwelling:
*Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence.
Number of Parking Stalls Provided: Standard: Z Compact: Handicap:
Will there be a change in use? ('....Yes ❑ ..No If "yes ", explain: t/Gf. LOr /t/ 4e) /2-e
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑.. Sprinklers 0...Automatic Fire Alarm (..None ❑ . Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ ..Yes S afety Data Sheets.
Page 2
Existing
Interior
Remodel
Addition to
Existing
Structure
New
Type of
Construction
per IBC
Type of
Occupancy per
IBC
1" Floor
4
0 GZ y
VI j
1'`
2 Floor
/ NA.
3 Floor
Floors / thru Z
7-o/D
Basement
Accessory Structure*
Attached Garage
li /y
Detached Garage
Attached Carport
Detached Carport
Covered Deck
Uncovered Deck
BUILDING PERMIT INFORMATTnN 206- 431 -3670
C
Valuation of Project (contractor's bid price): $ �50 OOO Existing Building Valuation: $
Scope of Work (please provide detailed information): /0 Nge./ 57404 ,0909 /4;I
60/1fi' //UG/.D /Vf 6 ' # ,GZ/fini /.�,�/ 4' 4.//94e5 41/1
/$ Ogee-
Will there be new rack storage? U ..Yes
\permits plus\icc changes\permit application (7 -2004)
If "yes ", see Handout No. for requirements.
Provide All Building Areas in Square Footage Below
PLANNING DIVISION:
Single - family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches)
*For an Accessory dwelling, provide the following:
Lot Area (sq ft): /S 0/5 Floor area of principal dwelling: 2_09 Floor area for accessory dwelling:
*Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence.
Number of Parking Stalls Provided: Standard: Z Compact: Handicap:
Will there be a change in use? ('....Yes ❑ ..No If "yes ", explain: t/Gf. LOr /t/ 4e) /2-e
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑.. Sprinklers 0...Automatic Fire Alarm (..None ❑ . Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ ..Yes S afety Data Sheets.
Page 2
Scope of Work (please provide detailed information): A /1/�fi(J x_,41 : 7s / #SZaFvev (
/ //) /4 /1/li 4 1.�2ivF�i/9
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
Water District
($ ... Tukwila 0... Water District #125
❑ ...Water Availability Provided
Sewer District
(,� ...Tukwila 0... ValVue ❑ .. Renton ❑ ...Seattle
❑ ...Sewer Use Certificate 0... Sewer Availability Provided ❑ .. Approved Septic Plans Provided
❑ :..Septic System - For onsite septic system, provide 2 copies of a current septic design approval by King County Health Department.
Submitted with Application (mark boxes which apply):
Pg.-Civil Plans (Maximum Paper Size — 22" x 34 ")
❑...Technical Information Report (Storm Drainage)
❑ ...Bond ❑ .. Insurance ❑ .. Easement(s)
Proposed Activities (mark boxes that apply):
❑ ...Right -of -way Use - Nonprofit for less than 72 hours
❑ ...Right -of -way Use - No Disturbance
❑ ...Construction/Excavation/Fill - Right -of -way
Non Right -of -way X
❑ ...Total Cut
❑ ...Total Fill
o cubic yards
n cubic yards
Sanitary Side Sewer
Cap or Remove Utilities
Frontage Improvements
Traffic Control
Backflow Prevention - Fire Protection
Irrigation
Domestic Water
®...Permanent Water Meter Size... 3/4 "
❑ ...Temporary Water Meter Size .. "
❑ ...Water Only Meter Size
2 ...Sewer Main Extension Public X
® ...Water Main Extension Public X
%permits ptus%iec changa.permit application (7 -2004)
Call before you Dig: 1- 800 -424 -5555
❑ .. Abandon Septic Tank
❑ .. Curb Cut
❑ .. Pavement Cut
❑ .. Looped Fire Line
11
f)
WO#
WO#
WO#
Private
Private
❑ .. Highline
❑ ...Renton
❑ .. Geotechnical Report ❑...Traffic Impact Analysis
❑ .. Maintenance Agreement(s) ❑...Hold Harmless
❑ .. Right -of -way Use - Profit for less than 72 hours
❑ .. Right -of -way Use — Potential Disturbance
❑ .. Work in Flood Zone
❑ .. Storm Drainage
FINANCE INFORMATION
Fire Line Size at Property Line
❑...Water ❑...Sewer
Monthly Service Billing to:
/' /TZere AioloS /4/c
Mailing Address: S 33 Zee/ C.E.
Name:
Water Meter Refund/Billing:
Name: ciott #
Mailing Address:
Number of Public Fire Hydrant(s)
❑ ...Sewage Treatment
Day Telephone: 253 — do 3Z- 9/5
L tc/ , z z
City • State Zip
Day Telephone:
City State Zip
Page 3
❑ .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
❑...Deduct Water Meter Size
7 ; Fixture TYPe- .. , . ;..
=Qty
Fixture Type
Qn' .
` Fixture Type:
f2ty .
;Fixture'Type : ''
:;Q
'ty
Bathtub or combination
bath/shower
Drinking fountain or water
cooler (per head)
Wash fountain
Gas piping outlets
3
Bidet
Food -waste grinder,
commercial
i
/
Receptor, indirect
waste
Clothes washer, domestic
/
Floor drain
Sinks
y
Dental unit, cuspidor
Shower, single head trap
Urinals
Z
Dishwasher, domestic,
with independent drain
Lavatory .
Water Closet
Building sewer or trailer
park sewer
!
Rain water system — per
drain (inside building)
Water heater and/or
vent
/
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
Medical gas piping system
serving one to five
inlets/outlets for specific gas
PLUMBING AND GAS PIPING CONTRACTOR INFORMATION
Company Name: /2f77— A11 /J
Mailing Address: 996 3 3 f /4 5
Contact Person:
E -Mail Address: ,9/ /Ze4
Contractor Registration Number: / /zee /'3,e6
Valuation of Plumbing work (contractor's bid price): $ �2
Valuation of Gas Piping work (contractor's bid price): $
Scope of Work (please provide detailed information): I //it j /%"6z / to e- -
Fir1/7Y l2W124?V>' - 1,e 7 //1/`- j� u�27 /// ri /- //,11)61 /11
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:
Q:\Applications\Forms- Applications On LinM3-2006 - Permit Application.doc
Revised: 9 -2006
bh
Ge/.� 1ZZ
City State Zip
' //T D ay Telephone: 7 5 ' 3 ' /5
Fax Number:
Expiration Date: /Z — Z -- 6 7
Sewer:
Page 5 of 6
Unit Type:
Qty
Unit Type:
Qty
Unit Type:
Qty
Boiler /Compressor:
Qty
Furnace <100K BTU
/
Air Handling Unit >10,000
CFM
Fire Damper
0 -3 HP /100,000 BTU
Furnace>100K BTU
Evaporator Cooler
Diffuser
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan Connected
to Single Duct
l
I
Thermostat
/
15 -30 HP /1,000,000 BTU
Suspended/Wall/Floor
Mounted Heater
Ventilation System
Wood/Gas Stove
30 -50 HP /1,750,000 BTU
Appliance Vent
Hood and Duct
t
Water Heater
/
50 +HP /1,750,000 BTU
Repair or Addition to
Heat/Refrig/Cooling
System
Incinerator - Domestic
Emergency
Generator
Air Handling Unit
<10,000 CFM
Incinerator — Comm/Ind
Other Mechanical
Equipment
F MECHANICAL PERMIT INFOR.TION - 206 -431 -3670
MECHANICAL CONTRACTOR INFORMATION
Company Name: Teo
Mailing Address:
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
Valuation of Project (contractor's bid price): $ 1 7 / 200
Scope of Work (please provide detailed information): 54€6 4 /4/S F`F e
' !v z' D' - T a.' WL
Use: Residential: New ....❑ Replacement ❑
Commercial: New .... ❑ Replacement ❑
Fuel Tvpe: Electric ❑ Gas —.0 Other:
Indicate type of mechanical work being installed and the quantity below:
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 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 extend the time for action by the applicant for a period not exceeding 180 days upon written request by the applicant as
defined in Section 107.4 of the Uniform Building Code (current edition). No application shall be extended more than once.
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
ER OR a UTHORIZED GE T:
Si gn ature: ' � P/r e � & &b5) Date: 0/%9 a 7
� ". -- ��
Print Na - tT /v#0 l Day Telephone:
Mailing Address: /Z9/ /1441577;€ "40 ie ,1,7zva / b olt 9 $'57
State Zip
Date Application Accepted:
\permits plus\ice changes\permit application (7 -2004)
Page 4
City State Zip
City
Date Application Expires: all
Staff Initials: �'
RECEIPT NO: R07 -01021
Initials: JEM
User ID: 1165
Payee: PITZER HOMES, INC.
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
SET ID: 0524 SET NAME: PITZER HOMES, LOT 3
SET TRANSACTIONS:
Set Member Amount
D07 -031 9,854.50
M07 -019 175.56
PG07 -035 344.50
TOTAL: 10, 374.56
TRANSACTION LIST:
Type Method Description Amount
Payment Check 2416 10,374.56
TOTAL: 10, 374.56
ACCOUNT ITEM LIST:
Description
BUILDING - RES
CASCADE WATER ALLIANCE
GAS - RES
MECHANICAL - RES
PLAN CHECK - RES
PLAN CHECK - WATER METER
PLUMBING - RES
PW LAND ALT PERMIT FEE
PW PERMIT /INSPECTION FEE
STATE BUILDING SURCHARGE
TRAFFIC MITIGATION FEES
WATER - ALLENTOWN /RYAN
WATER CONNECTION
WATER INSPECTION FEE
Account Code Current Pmts
000/322.100
401/386.550
000/322.100
000/322.100
000/345.830
000/345.830
000/322.100
000/342.400
000/342.400
000/386.904
104.367.120
401/379.004
401/379.002
401/342.400
Payment Date: 06/05/2007
Total Payment: 10,374.56
1,919.04
5,297.00
88.00
175.56
7.50
10.00
249.00
23.50
225.00
4.50
1,285.46
500.00
60.00
15.00
8973 06/05 9710 TOTAL_ 10374.56
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
WATER INSTALLATION (DEP)
WATER TURN -ON FEE
401/386.520 490.00
401/343.405 25.00
TOTAL: 10, 374.56
Initials:
User ID:
Doc: RECSETS - 06
RECEIPT NO: R07 -00151
JEM
1165
Payee: PITZER HOMES, INC.
SET ID: S000000676 SET NAME: Tmp set/Initialized Activities
SET TRANSACTIONS:
Set Member Amount
City �i 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.citukwi/a.wa.us
D07 -031 1,722.38
M07 -019 36.39
PG07 -035 69.00
TOTAL: 1,827.77
ACCOUNT ITEM LIST:
Description
PLAN CHECK - RES
PW BASE APPLICATION FEE
PW PLAN REVIEW
SET RECEIPT
Payment Date: 02/02/2007
Total Payment: 1,827.77
TRANSACTION LIST:
Type Method Description Amount
Payment Check 2352 1,827.77
TOTAL: 1,827.77
Account Code Current Pmts
000/345.830 1,352.77
000/322.100 250.00
000/345.830 225.00
TOTAL: 1,827.77
ri
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'
Date Wanted
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a
Requester:
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7,53
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P607— 4351
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION 8-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
M1 l.2ri /U-P MAJL,
p 'r lit .X _J ( P
. I `
rika
A
Date:3 , Z! - vcf
$58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection.
(Receipt No.:
!Date:
Project
P1 j lib oLtcf
Type o lnspec "on:
n (�A! P P 7
Address: y =
I 4 r lZ r 1 Sr- E
D to Called:
Special Instructions:
Date Wanted:
a.m.
Requester:
Phone No:
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
j lnsPec ? �r:
INSPECTION RECORD
Retain a copy with permit
'Date:
El $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection.
'Receipt No.:
!Date:
F , o r l -0
PERMIT NO.
IZ
(206)431 -3670
C OMMENTS:
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Date Wanted:
3 rid -v0 L
a.m.
0•m:
Requester:
Phone No:
Project
P; r7 1' 1-1-6).4-e_5
Type of Inspect'on:
1= , pl u �t b ,
Address: ail,
/44 ')2 5 /kuc Sd
Date Called:
!
Special Instructions:
Date Wanted:
3 rid -v0 L
a.m.
0•m:
Requester:
Phone No:
(�G o'i - 635
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
El Approved per applicable codes. Corrections required prior to approval.
Inspect
Date: 3 - 2
-v J
$58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection.
'Receipt No.:
'Date:
COMMENTS:
t .5 2)\--
e; oe 4- / A..,e/9
Address
e _ a r
1
i
Sa
D te Called:
Special Instructions:
(st 3
Date Wanted:
a.m.
Requester:
•,
Project:
1),1 1-1-04.&5
Type ofInspeclion:
vi AmA n
Address
e _ a r
1
71_
go >A4-
Sa
D te Called:
Special Instructions:
(st 3
Date Wanted:
a.m.
Requester:
Phone No
7:3 '-- 2Ve -o159
P4 or/ - 35J
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION R
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3670
Approved per applicable codes. \ 10 Corrections required prior to approval. 3
'Receipt No.:
de A.4
0 RE1NSPECTIONEE REQUIRE . Prior to inspection. fee must be
id at 6300 Southcente)) Blvd.. Sui 100. Call the schedule reinspection.
'Date:
COMMENT Q R ::::: k1 ife 1; s(, nv't 1-,, Aq
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Address: a t
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Date Called:
Specia Instructions:
1
151
Date Wanted { , ��
a.m.
Requester:
Phone No:
? A 3 - 2 - (ol'S1
PGo'1 -ohs
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION r-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Approved per applicable codes.
Corrections required prior to approval.
El $58.00 REINSPECTION FE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection.
(Receipt No.:
Date:
Project- , . /
7 /re S
46//9 /,/-
Type of Inspection:, ,
? •44W • //0
Address:
N727 -
Date Called:
Special Instructions:
Date Wanted:
/ --- 3- 6 '7
Requester:
Phone No:
25:S -- 26 , - -
tc...)--5
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Er Approved per applicable codes.
El Corrections required prior to approval.
COMMENTS:
(-) t' ( )
'Inspector:0_
INSPECTION RECORD
Retain a copy with permit
/6
PERMIT NO.
(206)431-3670
'Date: tcri
El $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection.
Receipt No.:
!Date:
Projepi v
i PP�Cc
Type of � Il f
Q Cf - V � -'
t ��
Addre s. r
Date Called.
~
Special Instructions:
Date Wanted
, �
/ 2./2/
Requester.
Phone No: 53 - 2 7
G 6 - 65.5 C
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., # 100, Tukwila, WA 98188 (206)
Approved per applicable codes.orrections required prior to approval.
COMMENTS:
AN (97 2/4/ S
'Receipt No.:
INSPECTION RECORD I AG 63S �
/
Retain a copy with permit PERMIT NO.
0
$ .00 t INSPECTION FEE REQ IRED. Prior to inspection, fee must be
pa 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection.
'Date:
Probe
/ /3 P/ /477 S i 4 5
Type oo nspection••^
C. fil)e. (1/ (.A.
✓�--
\.-
Address:
//7Z7 S(,
Date Called:
Special Instructions:
Date Wanted: //
/21 /el)
a.m.
Requester:
Phone No:
253 - 76
- 6'5 - 5
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (266)431 -3 7
1-
INSPECTION RECORD
Retain a copy with permit
El Approved per applicable codes.
rrections required prior to approval.
COMMENTS:
N U-r f ovs oftirf
rspec
/2 n
$ . EINSPECTION FEE Prior to inspection, fee must be
p d at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection.
Receipt No.:
Date:
Projec .
Type of I ecti
Address:
Date Called:
Special Instructions:
Date /ed / z r /0-")
P
Requester:
Phone No:
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-
pAp proved per applicable codes.
COMMENTS:
I pecto
I 'Dace: 2
'Receipt No.:
REINSPECTION FE REQUIRED Prior to inspection, fee must be
id at 6300 Southcenter lvd., Suite 100. Call the schedule reinspection.
'Date:
El Corrections required prior to approval.
11 -06 -2007
JONATHAN M. HARAKOVICH
1201 MONSTER RD SW, STE 320
RENTON WA 98057
RE: Permit No. PG07 -035
14727 56 AV S TUICW
Dear Permit Holder:
In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila Building Division.
Per the Uniform Plumbing Code and/or International Fuel Gas Code, every permit issued by the Building Division under the
provisions of this code shall expire by limitation and become null and void if the building or work authorized by such permit is not
commenced within 180 days from the date of such permit, or if the building or work authorized by such permit is suspended or
abandoned at any time after the work is commenced for a period of 180 days.
Based on the above, you are hereby advised to:
Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection.
This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if
the project should be considered abandoned.
If such determination is made, the Plumbing and/or Gas Code does allow the Building Official to approve one extension of time for an
additional period not exceeding 180 days. Extension requests must be In writing and provide satisfactory reasons why circumstances
beyond the applicants control have prevented action from being taken.
In the event you do not call for the above inspection and receive an extension prior to 12/02/2007 , your permit will become null and
void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Permit Technician
Xc:
Permit File No. PG07 -035
City of Tukwila
Steven M. Mullet, Mayor
Department of Community Development Steve Lancaster, Director
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
ACTIVITY NUMBER: PG07 -035 DATE: 02 -02 -07
PROJECT NAME: PITZER HOMES, LOT 3
SITE ADDRESS: 14727 56 AV S
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter #
Revision # After Permit Issued
DEPARTMENTS: .22.07
r i X1
Bui IV
�;f n: +ision
Pu lic Works Structural
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
Comments:
h ''PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES/THURS ROU NG:
Please Route Structural Review Required
REVIEWER'S INITIALS:
Documents/routing slip.doc
2-28-02
Fire Prevention
Incomplete ❑
APPROVALS OR CORRECTIONS:
Approved E Approved with Conditions
Notation:
REVIEWER'S INITIALS:
DATE:
DATE:
Planning Division
❑ Permit Coordinator
Li
DUE DATE: 02-06-07
Not Applicable ❑
No further Review Required
El
DUE DATE: 03-06-07
Not Approved (attach comments) n
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
License Information
License
MARKSP *077LM
Licensee Name
MARK'S PLUMBING
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
601472389
Ind. Ins. Account Id
#3
Business Type
INDIVIDUAL
Address 1
204 6TH AVE N
Address 2
City
ALGONA
County
KING
State
WA
Zip
98001
Phone
2539395391
Status
ACTIVE
Specialty 1
PLUMBING
Specialty 2
SANITATION SYSTEM SIDE SEWER
Effective Date
6/14/1993
Expiration Date
1/9/2008
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
Business Owner Information
Name
Role
Effective Date
Expiration Date
GREINER, MARK A
OWNER
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
#3
CBIC
PO0155
12/30/2001
Until
Cancelled
$6,000.00
01/09/2002
#2
CBIC
PO0155
06/14/1995
12/30/2001
$4,000.00
HARTFORD
Look Up a Contractor, Electrician 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= MARKSP *077LM 06/05/2007