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Home My WebLink AboutPermit PG07-055 - KENT RESIDENCEKENT RESIDENCE 16372 53 PL S PGO7-055 Parcel No.: 7796400210 Address: Suite No: 16372 53 PL S TUKW Tenant: Name: KENT RESIDENCE Address: 16372 53 PL S , TUKWILA WA Owner: Name: KENT RONALD R & TAMARA I Address: 16372 53RD PL S , TUKWILA WA Contact Person: Name: HOWARD BOREN Address: 1115 NW 51 ST , SEATTLE WA 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: FISCHER PLUMBING CO INC, THE Address: 1115 NW 51ST ST , SEATTLE WA Contractor License No: FLSCHPC 13 1 R 1 DESCRIPTION OF WORK: REPLACE MAIN WATER SERVICE FROM METER TO HOUSE Value of Plumbing /Gas Piping: Fees Collected: doc: UPC -10/06 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 City of Tukwila $2,500.00 $88.00 PLUMBING /GAS PIPING PERMIT 0 Permit Number: Issue Date: Permit Expires On: Phone: Phone: 206 570 -5810 Phone: (206)783 -4129 Expiration Date: 02/22/2008 PG07 -055 02/22/2007 08/21/2007 Uniform Plumbing Code Edition: 2003 International Fuel Gas Code Edition: 2003 FIXTURE TYPE AND OUANTITY 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 1 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) 0 Gas piping outlets (6 +) 0 * *continued on next page ** Steven M Mullet, Mayor Steve Lancaster, Director PG07 -055 Printed: 02 -22 -2007 Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be compile 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: Issue Date: Permit Expires On: Steven M Mullet, Mayor Steve Lancaster, Director PG07 -ass 02/22/2007 08/21/2007 Date: D2-1 7i24 permit and know the same to be true and correct. All provisions of law and ordinances r specified herein or not. The granting of this permit does not pre me 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. Date: 2 — z- Print Name: / ,a `' )`9V4 ✓t 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 -055 Printed: 02 -22 -2007 Parcel No.: 7796400210 Address: 16372 53 PL S TUICW Suite No: Tenant: KENT RESIDENCE 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 * *continued on next page ** Permit Number: Status: Applied Date: Issue Date: PG07 -055 ISSUED 02/20/2007 02/22/2007 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 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 -055 Printed: 02 -22 -2007 Signature: Print Name: 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. �7/�kJl� ✓r> Date: 2 .-22 cs7 PG07 -055 Printed: 02 -22 -2007 CITY OF TUKW Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.eLtukwila.wa.us SITE LOCATION Site Address: /6372 5344 / S Tenant Name: eio Property Owners Name: I -i.) l - fc. �t ' Mailing Address: Ohre 4a Name: et 1,4-7-w , ..et 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** Mailing Address: 5 / /4' 'til.) 75T tf E -Mail Address: 4A.)1 1 P' 64,) ✓ , 4 tt orj • Cv A 0 - 4 Company Name: S GI ✓ / 4 .,1, �r Mailing Address: //r5 4140 S'/S Y �' Contact Person: 41se o gt E -Mail Address: Contractor Registration Number: F I S C 1-I Pe I l R 1 Company Name: Mailing Address: Contact Person: E -Mail Address: Company Name: Mailing Address: Contact Person: E -Mail Address: Q:\Applications\Fonns- Applications On Line\3 -2006 - Permit Application.doc Revised: 9 -2006 bh Building Perh... Mechanical Permit No. Plumbing/Gas Permit No. Public Works Permit No. Project No. (For office use only) King Co Assessor's Tax No.: 11 1/ 4 - 621 Suite Number: City Day Telephone: City Fax Number: Floor: New Tenant: ❑ Yes 'R..No !ti0 °gp� State Zip V CONTACT PERSON — who do we contact when your permit is ready to be issued Z" —SCO !O State Zip Z" 7S5Y--1 GENERAL CONTRACTOR INFORMATION - (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) S 98l City State Zip Day Telephone: 51O Fax Number: T" 6 •Y f Z-Y Expiration Date: % a 3I' O ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record State Zip City Day Telephone: Fax Number: ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record State Zip City Day Telephone: Fax Number: Page 1 of 6 Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Bathtub or combination bath/shower Drinking fountain or water cooler (per head) Wash fountain Gas piping outlets Bidet Food -waste grinder, commercial Receptor, indirect waste Clothes washer, domestic Floor drain Sinks Dental unit, cuspidor Shower, single head trap Urinals 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 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 r Repair or alteration of drainage or vent piping Medical gas piping system serving one to five inlets/outlets for specific gas F ICUMBING AND GAS PIPING ERMIT INFORMATION - 206 - 43,;70 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: - fi .,4.-- ��414 y Mailing Address: /4i Net. S`Y.r,...0 m/4_ Gtin- 9ff 6-7. /� City State Zip Contact Person: d' a2 Aa /Pirt_. Day Telephone: 2■7Go -- 57" " S'eto E -Mail Address: 6s.!2 e flrfs c4" / .. �r j . C o'-- • Contractor Registration Number: F I SC 14 Pe I 3 1 Fax Number: Z' 6 r 7/ '7L f Expiration Date: 1a/31/07 Valuation of Plumbing work (contractor's bid price): $ 2`;t30 Valuation of Gas Piping work (contractor's bid price): $ Scope of Work (please provide detailed information): ,W..Crr)/ tj F .& 4'/c e 4 ,4_- t, Building Use (per Int'1 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: Q:\ApplicationsWorms- Applications On Line\3 -2006 - Permit Application.doc Revised: 9 -2006 bh Page 5 of 6 PERMIT APPLICATION NOTES — Applicable to all permits in this allilication 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. 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 OWNER ORAUTHORIZED AGENT: Signature: Print Name: Building and 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 105.3.2 International Building Code (current edition). Plumbing Permit The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 Uniform Plumbing Code (current edition). Mailing Address: /WI / 0 4 1 J 57 Date Application Accepted: I I Q: Applications\Fonns- Applications On Line\3 -2006 - Permit Application.doc Revised: 9 -2006 bh Date: g"r Day Telephone: Z.. 57c)– 51(l0 Date Application Expires: City State Zip Staff Initials: Page 6 of 6 Receipt No.: R07 - 00262 Initials: JEM User ID: 1165 Payee: FISCHER PLUMBING, INC. TRANSACTION LIST: Type Method Description 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 RECEIPT Parcel No.: 7796400210 Permit Number: PG07 -055 Address: 16372 53 PL S TUKW Status: APPROVED Suite No: Applied Date: 02/20/2007 Applicant: KENT RESIDENCE Issue Date: Amount Payment Check 68438 88.00 Account Code Current Pmts 000/322.100 88.00 Total: $88.00 Payment Amount: $88.00 Payment Date: 02/22/2007 08:38 AM Balance: 50.00 _ v2/i2 771'; fiiti..._ doc: Receiot -06 Printed: 02 -22 -2007 P ept: ' Type of Inspection: YIN e c ' 40 )3 Address: ICP377 53 Pi. So. Date Called: VI' fa� )l 01 Special nstructions: Date Wante¢11 V ' ai QQ a.m. p.m. Reques�gr1 j't1- Phpne No � Rio "5V0 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Approved per applicable codes. Corrections required prior to approval. COMMENTS: eceipt No.: INSPECTION RECORD Retain a copy with permit vr- Date: e Inspe r: Date: 58.00 REINSPECTION EE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. License Information License FISCHPC131R1 Licensee Name FISCHER PLUMBING CO INC, THE Licensee Type CONSTRUCTION CONTRACTOR UBI 601058759 Ind. Ins. Account Id Business Type CORPORATION Address 1 1115 NW 51ST ST Address 2 01/01/1980 City SEATTLE County KING State WA Zip 98107 Phone 2067834129 Status ACTIVE Specialty I PLUMBING Specialty 2 UNUSED Effective Date 12/21/1987 Expiration Date 2/22/2008 Suspend Date Separation Date Parent Company Previous License PLUMBC *236J9 Next License FISCHL *987D1 Associated License Business Owner Information Name Role Effective Date Expiration Date ROBERTSON, BRUCE D 01/01/1980 MILLER, DARYL J 01/01/1980 HARRELL, DON 01/01/1980 01/01/1980 Look Up a Contractor, Electri' in or Plumber License Detail Page 1 of 3 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. Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date OLD REPUBLIC https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= FISCHPC 131 R1 02/22/2007