HomeMy WebLinkAboutPermit PG07-131 - DOAK HOMESDOAK HOMES
1165335LNS
CANCELLED 05 -29 -07
PGO7-131
Parcel No.:
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Value of Plumbing /Gas Piping:
Fees Collected:
0733000034
11653 35 LN S TUICW
plumbing
Bathtub or combination bath/shower
Bidet
Clothes washer, domestic
Dental unit, cuspidor
Dishwasher, domestic, with independent drain
Drinking fountain or water cooler (per head)
Food -waste grinder, commercial
Floor drain
Shower, single head trap
Lavatory
Wash fountain
Receptor, indirect waste
Sinks
Urinals
Water Closet
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
DOAK HOMES
11653 35 LN S , TUKVVILA WA
DOAK HOMES INC
11812 26 AV SW , BURIEN WA
DARRYL DOAK SR
1181226 AVSW, BURIENWA
Contractor:
Name: MONARCH PLUMBING
Address: 2415 INTER AV , PUYALLUP WA
Contractor License No: MONARP *062D8
$2,000.00
$88.00
FIXTURE TYPE AND QUANTITY
* *continued on next page **
PLUMBING /GAS PIPING PERMIT
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 -155)
Phone:
Phone: 206 372 -2280
Phone: 253 770 -2400
Uniform Plumbing Code Edition: 2003
International Fuel Gas Code Edition: 2003
Steven M Mullet, Mayor
Steve Lancaster, Director
PGO7 -131
05/10/2007
11/06/2007
Plumbing (cont.)
0 Building sewer and each trailer park sewer 0
0 Rain water system - per drain (inside bldg) 0
O Water heater and/or vent 0
0 Industrial waste treatment interceptor, including
0 its trap and vent, except for kitchen type
O grease interceptors 0
0 Repair or alteration of water piping and/or water
0 treatment equipment 0
O 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
O Medical gas piping (6 +) inlets /outlets 0
0 Gas Piping
0 Gas piping outlets (0 -5) 2
0 Gas piping outlets (6 +) 0
PG07 -131 Printed: 05-10 -2007
Permit Center Authorized Signature 0
_ _
Print Name: ' YN ' \� °� r
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
or abandoned for a period of 180 days from the last inspection.
Permit Number: PG07 -131
Issue Date: 05/10/2007
Permit Expires On: 11/06/2007
Steven M Mullet, Mayor
Steve Lancaster, Director
Date: 051 j tb
I hereby certify that I have read and ! x�auned this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complie , whether specified herein or not.
The granting of this • ermit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
constructio or the pe ormance of o am authorized to sign and obtain this plumbing /gas piping permit.
Signature: G'� Date: S /iv /a
N
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
PG07 - 131 Printed: 05-10 -2007
Parcel No.: 0733000034
Address: 11653 35 LN S TUKW
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
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 m
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 -131
ISSUED
05/10/2007
05/10/2007
PG07 -131 Printed: 05-10 -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
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
construction or the performance of work.
Date: 574 27 --
ordinances governing
or local laws regulating
PG07 - 131 Printed: 05-10 -2007
CITY OF TUKWr' 4
Community DevelopLit Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188 .
http://www.ci.tukwila.wa.us
�^- Gm ( y Assessor's Tax No.: 07. 3 0r A3
Site Address: bS3 7 1 `/4 '71 Suite Number: Floor:
New Tenant: ❑ .... Yes El ..No
Tenant Name: U
Property Owners Name: ' nab
Mailing Address: / (,ft 2 2.-6
CONTACT PERS
Name: -r� /�} C
Mailing Address: 11 ( 2 / . ` ,/ 4 5
E -Mail Address: yak I t e-S Pf7)14,a/i Ct'9'h
GENERAL CONTRACTOR INFORMATION
(Contractor Information for Mechanical (pg #) for Plum 'a
bingnd Gas Piping (pg
Company Name: tZ D 4"
Mailing Address: i ( i2 _a
Contact Person:
E - Mail Address:
Contractor Registration Number:
ARCIIITECT OF RECORD All plans must be wet stamped by Architect of Record
Company Name: (r 2 ' 1 e_ S\ CI r1
Mailing Address:
Contact Person: 7 0-6
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 **
� 40-ale5 j/l c •
fihVe 514)
ho do-we contact when your ".permit is ready to be issue
E -Mail Address:
Contact Person: i t 1 p�� 1 41 ,, Sid °L - ' - 1 v ex
E -Mail Address: �C;v Ir I ��� �° ►" l N • C 01
QAApplications \Forms - Applications On Line\3 -2006 -Permit Application.doc
Revised: 9 -2006
611
r (3u(' e�
City
State Zip
Day Telephone: 372 2 27 (�
Fax Number: - 2 - Oe 2 t te(0 S yOf'
City
State
Day Telephone: " Z(. & Z a
Fax Number: 2D6 2_((4, 5991
Expiration Date: 878/09"
City State zip
Day Telephone: 142 S 63-, d5
Fax Number:
ENGINEER OF RECORD All plans must be wet stamped by Engineerof Record
Company Name: -(( C fl 1 V1eee. L c is .- & )i
`/� ` lie- (( wee/. t ��(e I/�a�1 ' c� `
Mailing Address: Z d N� i Zip
M g 1J State
City �
Day Telephone: -1 I
Z 5 Lies / O?
Fax Number:
Page 1 of 6
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
Existing Building Valuation: $
Will there be new rack storage? ❑.... Yes p.. 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:
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.
Q:\Applications\Forms- Applications On Line\3 -2006 - Permit Application.doc
Revised: 9 -2006
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Page2of6
Fixture Type: `
Qty ..
Fixture T y p e : : ;
Qty
Fixture Type: ; . : . ,
Qty :
° F i x t u r e Type:
61 c\I
Bathtub or combination
bath/shower
3
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
3
Water Closet
Building sewer or trailer
sewer
Rain water system — per
drain (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
,rye NFORMATION
I
Company Name: ' tV n V1 ��'m:/ n
Mailing Address: VA ( ��
Contact Person: rAf E. 1 1 oNr
PLUMBING AND GAS PIPING COI I ,ACT
E-Mail Address: n l
Contractor Registration Number: r „ON P R V o12 b 4
Valuation of Plumbing work (contractor's bid price): $
Valuation of Gas Piping work (contractor's bid price): $ 2 U�V
Sc a of Work lease provide detaile inf ation):
r. \ac e ark vA ink
Building Use (per Int'l Building Code):
Occupancy (per Int'l Building Code): C
Utility Purveyor: Water: - i7'� \V- t' Sewer:
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
Q:Vtpplications\Forns- Applications On Line.3 -2006 - Permit Application.doe
Revised: 9 -2006
bh
?p 101 kik 1 4-2
state . 1)
Day Telephone: 25I 770 2 `f0
Fax Number: 2S 3 1 7 a o E;'3 C
Expiration Date: 3/
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.
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).
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.
BUILD R AUT
Signature:
Date Application Accepted:
GENT:
Mailing Address: I i g( 2-6 Ate,
e,
Q:\Applications\Forms- Applications On Line\3 -2006 - Permit Application.doc
Revised: 9 -2006
bh
Date: 5/ /0 /0Z
Day Telephone: 2-4D6 // ('v3 (' (
01c/‘
City
State Zip
Date Application Expires:
Page 6 of 6
ornerme no
RECEIPT NO: R07 -00792
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
Initials: JEM Payment Date: 05/10/2007
User ID: 1165
Payee: DOAK HOMES, INC.
SET ID: 0510 SET NAME: DOAK HOMES
SET TRANSACTIONS:
Set Member Amount
PG07 -128 88.00
PG07 -129 88.00
PG07 -130 88.00
PG07 -131 88.00
TOTAL: 352.00
SET RECEIPT
Total Payment: 352.00
TRANSACTION LIST:
Type Method Description Amount
Payment Check 5466 352.00
TOTAL: 352.00
ACCOUNT ITEM LIST:
Description
GAS - RES
Account Code Current Pmts
000/322.100
TOTAL:
352.00
352.00
8 081 05/10 /710 TOTAL 352.00
Project
, /2j� /C / <
ype of Inspection)
/ .�, j `?- / N �c.
Address:
//( 3 _.?SL/tJ S
Date Called:
Special Instructions:
Date Wanted:
`a / 5 -D—)
/
.m.
Requester:
Phone No:
64 -372- 22 130
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
A pproved per applicable codes. El Corrections required prior to approval.
COMMENTS:
$58.00 REINSPE ION 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: (ON rikwiLA
MAY 2 9 2007
I would like to request a refund of perm charges for the following permits, there v a a ` ` °
it erf
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
WI - 04-004-
Thank you very much for your help. fl } - I 0
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, Electri"ian 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