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Home My WebLink AboutPermit PG07-074 - JOHNSON RESIDENCEJOHNSON RESIDENCE 5110 S 163 PL PGO7-074 Parcel No.: 8700500050 Address: Suite No: Tenant: Name: Address: 5110 S 163 PL TUKW 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 JOHNSON RESIDENCE 5110 S 163 PL , TUKWILA WA Owner: Name: JOHNSON CALVIN M Address: 5110 S 163RD PL , SEATTLE WA Contact Person: Name: ACTION WATER HEATERS Address: 12704 NE 124 ST, #43 , KIRKLAND WA Contractor: Name: ACTION WATER HEATERS ONLY INC Address: 12704 NE 124 ST #43 , KIRKLAND WA Contractor License No: ACTIOWHO55DP DESCRIPTION OF WORK: REPLACE ELECTRIC WATER HEATER IN BASEMENT Value of Plumbing /Gas Piping: Fees Collected: Shower, single head trap Lavatory Wash fountain Receptor, indirect waste Sinks Urinals Water Closet doc: UPC -10/06 City of Tukwila $1,093.98 $88.00 Plumbing Bathtub or combination bath/shower 0 Bidet 0 Clothes washer, domestic 0 Dental unit, cuspidor 0 Dishwasher, domestic, with independent drain Drinking fountain or water cooler (per head) Food -waste grinder, commercial Floor drain PLUMBING /GAS PIPING PERMIT Uniform Plumbing Code Edition: 2003 International Fuel Gas Code Edition: 2003 FIXTURE TYPE AND OUANTITY * *continued on next page ** Permit Number: Issue Date: Permit Expires On: Phone: Phone: 425 820 -8848 Phone: 425 820 -8848 Expiration Date: 11/17/2007 Steven M Mullet, Mayor Steve Lancaster, Director PG07 -074 03/23/2007 09/19/2007 Plumbing (cont) Building sewer and each trailer park sewer 0 Rain water system - per drain (inside bldg) 0 Water heater and/or vent 1 Industrial waste treatment interceptor, including 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 Repair or alteration of drainage or vent piping 0 0 Medical gas piping system serving (1 -5) 0 inlets /outlets for a specific gas 0 0 Medical gas piping (6 +) inlets /outlets 0 0 Gas Piping 0 Gas piping outlets (0 -5) 0 0 Gas piping outlets (6 +) 0 PG07 - 074 Printed: 03 -23 -2007 Permit Center Authorized Signature: permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be compile r specified herein or not. I hereby certify that I have read and The granting of this pe • es not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the perf ce of work. I am aut3orized to ign and obtain this plumbing /gas piping permit. ,L -iC. Signature: Print Name: 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 PQula SID& ( Permit Number: PG07 -074 Issue Date: 03/23/2007 Permit Expires On: 09/19/2007 Steven M Mullet, Mayor Steve Lancaster, Director Date: Date: 3/2 Vo 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 -074 Printed: 03 -23 -2007 Parcel No.: 8700500050 Address: Suite No: Tenant: doc: Cond - 10/06 5110 S 163 PL TUKW JOHNSON RESIDENCE 1: ** *PLUMBING AND GAS PIPING * ** 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 -074 ISSUED 03/23/2007 03/23/2007 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 bacldilled 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 -074 Printed: 03-23 -2007 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provision of any other work or local laws regulating construction or the performance of work. Signature: , ..)/?‘ Date: 3/ Print Name: -Pau SlocJoimi doc: Cond -10/06 PG07 -074 Printed: 03-23 -2007 CITY OF TUKWILA Community Developme lepartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Site Address: /0 •t• / 6 3 rc p Tenant Name: CQ i ✓1 h �o hrt Son 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** Property Owners Name: [, VI hD 1 YIS 0 p Mailing Address: S/ / d S. / 6 3 p / f k_lcl i l a. LJ 4 / ?/ �' ? City State Zip CONTACT PERSON -Who do we contact when your permit is ready to be issued Name: } i W0.4CV Ua S Mailing Address: 1 ,21-014- t E S+ E -Mail Address: kevtlly @ OJ on I, , l-ev (Hea d . Gov» Mailing Address: ( 2 -3"Z) - /J c t a N44:2 t4-L4 3 Contact Person: 141/1 4 -e Q ' / E -Mail Address: ICI 9 6 C ClC Cio i w a-1 ht? *4err, Le. ryl Contractor Registration Number: A- C77 012) /4 0 55 - t) . 4 -4 3 IG. O <layLd w PLUMBING / GAS PIPING CONTRACTOR INFORMATION Company Name: City ARCHITECT OF RECORD - All plans must be wet stamped by Architect of R ec Company • a e: Mailing Address: Contact Person: -- E -Mail Addr�ess: Suite Number: New Tenant: City Day Telephone: Fax Num , er: ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record Name: Mailing Address: Contact Person: E -Mail Address: Q:\ApplicationsWorms- Applications On Linel3 -2006 - Plumbing -Gas Piping Permit Application.doc Revised: 4-2006 bh King Co Assessor's Tax No.: 00S Floor: ❑ ...Yes Day Telephone: 1 -112 g -0 ° 8'03L4 7clep City State Fax Number: 2—S _ $2_0 0 — V i e-K(a W c1 S State Zip Day Telephone: 1. 425 -- 7_C) ;; : Fax Number: 42--5 8 - — Co Expiration Date: t / / 7- ! z 00 9 City State State Zip Zip Day Telephone: F Page 1 of 2 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 1 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 Medical gas piping system serving one to five inlets/outlets for specific gas Valuation of Project (contractor's bid Ai" $ Oc 3 • 9 ? ( Scope of Work (please provide detailed information): tr 1 Q C.Q. l e i L- ub atc ✓ H. 01/44 V•-• i IA bas-e wie Building Use (per Intl Building Code): Occupancy (per Intl 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 OWNER OR AUTHORIZED AGENT: Signature: Date: V0 Day Telephone: ` s -e Zo ` Pe-70f wA 9 3 2-1 City State Zip Print Name: 'Le VI Mailing Address: l ° ( ■ 19- 44-1 3 Date Application Expires: I Date Application Accepted: Q:\Applications\Forms- Applications On Line\3 -2006 - Plumbing -Gas Piping Permit Application.doc Revised: 4 bh Staff Initials: Page 2 of 2 Doc: RECSETS -06 RECEIPT NO: R07 -00450 Initials: JEM User ID: 1165 Payee: JULIE H. QUACH SET TRANSACTIONS: Set Member Amount ACCOUNT ITEM LIST: Description 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:/lwww.citukwila.wa.us D06 -246 26,995.66 M06 -138 175.56 PG06 -074 266.00 TOTAL: 27,437.22 SET RECEIPT Payment Check 2390 27,437.22 TOTAL: 27,437.22 BONDS /DEPOSITS 000/386.908 BUILDING - RES 000/322.100 CASCADE WATER ALLIANCE 401/386.550 GAS - RES 000/322.100 MECHANICAL - RES 000/322.100 PLAN CHECK - RES 000/345.830 PLAN CHECK - WATER METER 000/345.830 PLUMBING - RES 000/322.100 PW LAND ALT PERMIT FEE 000/342.400 PW PERMIT /INSPECTION FEE 000/342.400 PW PLAN REVIEW 000/345.830 SEWER - ALLENTOWN /RYAN 402/379.004 STATE BUILDING SURCHARGE 000/386.904 TRAFFIC MITIGATION FEES 104.367.120 Account Code Current Pmts Payment Date: 03/27/2007 Total Payment: 27,437.22 SET ID: 0327B SET NAME: NGO RESIDENCE TRANSACTION LIST: Type Method Description Amount 1,500.00 2,772.66 4,648.00 88.00 175.56 473.66 10.00 178.00 23.50 125.00 80.00 10,189.20 4.50 1,023.94 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 - ALLENTOWN /RYAN WATER CONNECTION WATER INSPECTION FEE WATER INSTALLATION (DEP) WATER TURN -ON FEE 401/379.004 5,555.20 401/379.002 60.00 401/342.400 15.00 401/386.520 490.00 401/343.405 25.00 TOTAL: 27,437.22 Receipt No.: R07 -00425 Initials: JEM User ID: 1165 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.: 8700500050 Permit Number: PG07 -074 Address: 5110 S 163 PL TUKW Status: PENDING Suite No: Applied Date: 03/23/2007 Applicant: JOHNSON RESIDENCE Issue Date: Payee: ACTION WATER HEATERS ONLY INC. Amount Payment Check 35063 88.00 Account Code Current Pmts 000/322.100 88.00 Total: $88.00 Payment Amount: $88.00 Payment Date: 03/23/2007 01:34 PM Balance: $0.00 ;23 '1710 TOTAL 38.00 doc: Receiot -06 Printed: 03 -23 -2007 Project: �&l ti saiv 4.-e . Type of Inspection: /-/7v'7 / U Address: -//6 ,s /4, 3 ?L Date Called: Special Instructions: Date yilantt 1/ Q- .m, Requester: ('/1 /U /n/ Phone � - 2 / 6 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (2 Approved per applicable codes. Corrections required prior to approval. COMMENTS: spect Receipt No.: INSPECTION RECORD Retain a copy with permit yi4 4-2-1-7,,D 'Date: /�4 7 -6 7/ Date; 22/ $5 .00 REINSPECTION F y E REQUIRED Prior to inspection, fee must be d at 6300 Southcenter Blvd., Suit 00. Call to sechedule reinspection. License Information License ACTIOWH055DP Licensee Name ACTION WATER HEATERS ONLY INC Licensee Type CONSTRUCTION CONTRACTOR UBI 601609114 Ind. Ins. Account Id Business Type CORPORATION Address 1 12704 NE 124TH ST #43 Address 2 City KIRKLAND County KING State WA Zip 98034 Phone 4258208848 Status ACTIVE Specialty 1 PLUMBING Specialty 2 UNUSED Effective Date 3/17/1995 Expiration Date 1/17/2009 Suspend Date Separation Date Parent Company Previous License Next License Associated License Business Owner Information Name Role Effective Date Expiration Date MEDLAND, BRETT P 01/01/1980 Look Up a Contractor, Electric; an 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 #5 Bond Company Name COLONIAL AM CAS & SURETY OF MD Bond Account Number LPM4042735 Effective Date 12/31/2001 Expiration Date Until Cancelled Cancel Date Impaired Date Bond Amount $6,000.00 Received Date 01/17/2002 https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= ACTIOWHO55DP 03/23/2007