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Home My WebLink AboutPermit PG07-128 - DOAK HOMESDOAK HOMES 11635 35 LN S CANCELLED 05 - 29 - 07 PGO7-1 28 Parcel No.: Address: Suite No: Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: doc: UPC - 10/06 0733000031 11635 35 LN S TUKW Value of Plumbing /Gas Piping: Fees Collected: City of Tukwila DOAK HOMES 11635 35 LN S , TUKWILA WA DOAK HOME SINC 1181226 AV BURIENWA DARRYL DOAK SR 1181226AVSW, BURIENWA Contractor: Name: MONARCH PLUMBING Address: 2415 INTER AV , PUYALLUP WA Contractor License No: MONARP *062D8 Plumbing Bathtub or combination bath/shower 0 Bidet 0 Clothes washer, domestic 0 Dental unit, cuspidor 0 Dishwasher, domestic, with independent drain 0 Drinking fountain or water cooler (per head) 0 Food -waste grinder, commercial 0 Floor drain 0 Shower, single head trap 0 Lavatory 0 Wash fountain Receptor, indirect waste 0 Sinks 0 Urinals 0 Water Closet 0 Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila.wa.us $2,000.00 $88.00 PLUMBING /GAS PIPING PERMIT 0 * *continued on next page ** Permit Number: Issue Date: Permit Expires On: Expiration Date: 03/23/2009 DESCRIPTION OF WORK: INSTALLATION OF GAS PIPING TO RANGE FIREPLACE AND HOT WATER TANK (RENEWAL OF PG06 -152) International Fuel Gas Code Edition: 2003 Phone: Phone: 206 372 -2280 Phone: 253 770 -2400 Uniform Plumbing Code Edition: 2003 FUTURE TYPE AND QUANTITY Steven M Mullet, Mayor Steve Lancaster, Director PG07 -128 05/10/2007 11/06/2007 Plumbing (cont.) Building sewer and each trailer park sewer 0 Rain water system - per drain (inside bldg) 0 Water heater and/or vent 0 Industrial waste treatment interceptor, including its trap and vent, except for kitchen type grease interceptors 0 Repair or alteration of water piping and/or water treatment equipment 0 Repair or alteration of drainage or vent piping 0 Medical gas piping system serving (1 -5) inlets /outlets for a specific gas 0 Medical gas piping (6 +) inlets /outlets 0 Gas Piping Gas piping outlets (0 -5) 2 Gas piping outlets (6 +) 0 PG07 -128 Printed: 05-10 -2007 Permit Center Authorized Signature: � OVV I hereby certify that I have read and k V " ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied , whether 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 const • - . - - _ - - ormance of wo . •••. authorized to sign and obtain this plumbing /gas piping permit. Date: C 1/ 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 - 128 Issue Date: 05/10/2007 Permit Expires On: 11/06/2007 Steven M Mullet, Mayor Steve Lancaster, Director Date: V f t0` 04 Print Name: Glr r j ` c,ct,k - Tr 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 -128 Printed: 05-10 -2007 Parcel No.: 0733000031 Address: 11635 35 LN S TU1CW Suite No: Tenant: DOAK HOMES 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 -128 ISSUED 05/10/2007 05/10/2007 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. S: 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 -128 Printed: 05-10 -2007 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. 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 Date: S/ B(- PG07 -128 Printed: 05-10 -2007 Name: CITY OF TUKWILA Community Develop t Department Public Works Depart, 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 ** 35— 'SS M t 14 3 uk K\ in Site Address: / Tenant Name: ``// Property Owners Name: � t,F— , Vl°r1'�S �'�• Mailing Address: lie (Z ZCf ` - ` 5 W CONTACT PERS who do We contact when your permit is ready to be issued Mailing Address: 1 e (Z 2... 171 SLA) E -Mail Address: ` 411e s »'& (, C-6-/ Company Name: • Mailing Address: fX D -vtc. Iic31Z 7- 51» Ar \ Contact Person: E -Mail Address: 1 5:01.6-h.,114 GS � �7' i y, ( CD✓4 Contractor Registration Number: .1.1 - OCYZ N - Company Name: Mailing Address: Contact Person: - E -Mail Address: Mailing Address: ►� (II + n tn1l Contact Person: ..e E -Mail Address: 'CVP. @ '" 1 G C Q:\Applicatiom\Forms- Applications On Line\3 -2006 - Permit Application.doc Revised: 9 -2006 bh Company Name: all I Uhl Co Assessor's Tax No.: 0^x33 C 3 f og Suite Number: Floor: New Tenant: .... Yes ..No City l/". State 781L-1‘ Zi p Day Telephone: 71 37 .00 City State Zip Fax Number: Z Z Y6 59 f GENERAL CONTRACTOR INFORMATION — (Contractor Infer ation for Mechanical (pg 4) for Plumbing and Gas Piping (pg 3v r; ( '78 1 4/c City State Zip Day Telephone: 02_15 3 7 Z Z Z f b Fax Number: Z 96 ZC,64 - ( Expiration Date: EVS (C. - ;ARCHITECT OF RECORD — All plans must be wet stamped by Architect of Record ENGINEER OF RECORD `All Glaris must be wet stamped by Engineer of lEteca c v St)J �n Vot City State Zip Day Telephone: 1 42S Fax Number: , rig City State Zip Day Telephone: 14 25 LISS Ili Fax Number: Page 1 of 6 Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): Will there be new rack storage? ❑.... Yes Existing Building Valuation: $ ❑.. No If yes, a separate permit and plan submittal will be required. 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): Floor area of principal dwelling: Floor area of 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: Q:\Applications\Forms- Applications On Line\3 -2006 - Permit Application.doe Revised: 9 -2006 bh Compact: Handicap: Will there be a change in use? ❑ Yes ❑ No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑ Sprinklers ❑ Automatic Fire Alarm ❑ None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes ❑ No If `yes', attach list of materials and storage locations on a separate 8 -1/2 "x 11 " paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM ❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. Page 2 of 6 $ r . Future Type:. , ;, -Qty ., Fixture Type.' ; , Qty Fixture T e. y� ' � _ ` .QtY Fixture Type: +� 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 5 Dental unit, cuspidor Shower, single head trap Urinals Dishwasher, domestic, with independent drain Lavatory - Water Closet Building sewer or trailer sewer Rain water system — per d (inside building) Water heater and/or vent ` Additional medical gas inlets/outlets — six or more park 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 PIP , G C,Q � TOR INFORMATION Company Name: f 2 1 W4O_ C 1 1 bl/19 cf Mailing Address: � iS � (�I,, Contact Person: , l l PCB C Phi i I t E -Mail Address: ,/� n ` f Contractor Registration Number: r b AI A KP 06 2 t �/ Valuation of Plumbing work (contractor's bid price): $ Valuation of Gas Piping work (contractor's bid price): $ Zc-DOU Scope of Work (please provide det 'led )nformation): — � (ace et t w fersI viL Q:\ Applications \Forms - Applications On Line'3 -2006 - Permit Application.doc Revised: 9 -2006 bh al(a) UJo 18 2 State Zip Day Telephone: 28 7 70 Z ((OO Fax Number: 2 - 770 n CS4 Expiration Date: 323/0 Building Use (per Intl Building Code): Occupancy (per Int'l Building Code): pp L Utility Purveyor: Water: a OT 1 ( J W t Sewer: CI: e of plumbing fixtures and/or gas piping outlets being installed and the quantity below: p'Pl"rto v�"yrz Page 5 of 6 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. 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 Intemational 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). 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. BUILDINGUIlkWNER Signature Print Name: Mailing Address: [ l Date Application Expires: Date Application Accepted: AUTHO ' D NT: t7 2 fJt SW Ftw Lu- Q:\Applicatons\Fonns-AppIication On Line\3 -2006 - Permit Application.doc Revised: 9 - 2006 bh Date: S/iwT Day Telephone: 2c D6 902 3 C ( I goi eel lidot City State Zip Staff Initial : Page 6 of 6 1 Doc: RECSETS -06 RECEIPT NO: R07 -00792 User ID: 1165 Payee: DOAK HOMES, INC. SET TRANSACTIONS: Set Member Amount ACCOUNT ITEM LIST: Description GAS - RES City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 -431 -3665 Web site: http : / /www. ci. tukwila. wa. us SET RECEIPT Initials: JEM Payment Date: 05/10/2007 Total Payment: 352.00 SET ID: 0510 SET NAME: DOAK HOMES PG07 -128 88.00 PG07 -129 88.00 PG07 -130 88.00 PG07 -131 88.00 TOTAL: 352.00 TRANSACTION LIST: Type Method Description Amount Payment Check 5466 352.00 TOTAL: 352.00 Account Code Current Pmts 000/322.100 TOTAL: 352.00 352.00 8081 05/10 0 710 TOTAL 352.00 Project: 'Oa- oA Type of Inspection: "15 1 -. Address: � � Ai S Date Called: Speci Instructions: • Date Wanted: -5 2I-7 r"". Requester: Phone No 2, - 3,2. -2 INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISIO 6300 Southcenter Blvd., #100, Tukwila, WA 98188 pproved per applicable codes. Corrections required prior to approval. COMMENTS: $58.00 REINSPEtfION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. 'Receipt No.: 'Date: May 29, 2007 To Whom It May Concern: Ctly r MAY 2 9 2007 I would like to request a refund of �'E s a ` . " f req permit charges for the following permits, there was a misunderstanding between our heating contractor and us regarding who would pull permits. Now we have 4 lots which have two Gas Piping Permits issued on each lot. The addresses and permit numbers requested for refund are listed below. 11635 35 Ln S Tukwila Wa 98168 PG07 -128 11641 35 Ln S Tukwila Wa 98168 PG07 -129 11647 35 Ln S Tukwila Wa 98168 PG07 -130 11653 35 Ln S Tukwila Wa 98168 PG07 -131 -083- Thank you very much for your help. P� - I OS License Information License MONARP *062D8 Licensee Name MONARCH PLUMBING Licensee Type CONSTRUCTION CONTRACTOR UBI 601531614 Ind. Ins. Account Id #7 Business Type CORPORATION Address 1 2415 INTER AVE Address 2 City PUYALLUP County PIERCE State WA Zip 98372 Phone 2537702400 Status ACTIVE Specialty 1 PLUMBING Specialty 2 AIR HEAT,VENTILATION,EVAPORAT Effective Date 3/28/1994 Expiration Date 3/23/2009 Suspend Date Separation Date Parent Company Previous License Next License Associated License Business Owner Information Name Role Effective Date Expiration Date SVEDARSKY, STEVEN M PRESIDENT 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 #7 WESTERN SURETY CO 70247293 03/23/2007 Until Cancelled $6,000.00 04/06/2007 AMERICAN Look Up a Contractor, Electric;an 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= MONARP *062D8 05/10/2007