HomeMy WebLinkAboutPermit PG07-141 - DOAK HOMESDOAK HOMES
11635 35 LN S
PGO7-141
Parcel No.:
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Value of Plumbing /Gas Piping:
Fees Collected:
Urinals
Water Closet
doc: UPC - 10/06
0733000031
1163535LNSTUKW
City of Tukwila
DOAK HOMES MC
1163535LNS, TUKWILAWA
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 HOME SINC
1181226 AVSW,BURIENWA
DARRYL DOAK SR
1181226 AV SW,BURIENWA
Contractor:
Name: MONARCH PLUMBING
Address: 2415 INTER AV , PUYALLUP WA
Contractor License No: MONARP *062D8
$2,000.00
$208.00
Plumbing
Bathtub or combination bath/shower
Bidet 0
Clothes washer, domestic 0
Dental unit, cuspidor 0
Dishwasher, domestic, with independent drain
Drinking fountain or water cooler (per head) 0
Food -waste grinder, commercial 0
Floor drain 0
Shower, single head trap 0
Lavatory
Wash fountain
Receptor, indirect waste
Sinks
PLUMBING /GAS PIPING PERMIT
FIXTURE TYPE AND OUANTITY
Permit Number:
Issue Date:
Permit Expires On:
Expiration Date: 03/23/2009
DESCRIPTION OF WORK:
INSTALLATION OF WATER PIPING TO NEW SINGLE FAMILY RESIDENCE, SINK, HOT WATER
HEATER, TOILETS AND SHOWERS.
* *continued on next page **
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
PG07 -141
05/15/2007
11/11/2007
Plumbing (cont.)
3 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
2 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
2 Medical gas piping system serving (1 -5)
0 inlets /outlets for a specific gas 0
0 Medical gas piping (6 +) inlets /outlets 0
5 Gas Piping
0 Gas piping outlets (0 -5) 0
0 Gas piping outlets (6 +) 0
PG07 -141 Printed: 05 -15 -2007
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.citukwilama.us
Permit Center Authorized Signature: /Y I.t.�/ Date: ' 1 07
I hereby certify that I have read and examined this permit and know the same to be true and correct. 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 provisions of any other state or local laws regulating
contra 'n or rformance ork. I am authorized to sign and obtain this plumbing /gas piping permit.
Signature: -r'� Date: ' 7
Print Name: a-ry JGtz E
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.
Permit Number: PGO7 -141
Issue Date: 05/15/2007
Permit Expires On: 11/11/2007
Steven M Mullet, Mayor
Steve Lancaster, Director
PG07 -141 Printed: 05 -15 -2007
Parcel No.: 0733000031
Address: 11635 35 LN S TUKW
Suite No:
Tenant: DOAK HOMES INC
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.tulcwila.wa.us
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
5: No portion of any plumbing system or gas piping shall be concealed until inspected and approved.
* *continued on next page **
PG07 -141
ISSUED
05/15/2007
05/15/2007
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.
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 -141 Printed: 05 -15 -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.citulcwilama.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
Signature:
Print Name:
doc: Cond -10/06 PG07 -141
Date: S
7
ordinances governing
or local laws regulating
Printed: 05 -15 -2007
CITY OF TUKWILi
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Site Address: 1 1 63s 3 tvn S + cio(68
Tenant Name: kto -
Property Owners Name: — }G5—
Mailing Address: (. 2 Z-6e`" . s1/4.A)
CONTACT PERSON -Who do we contact when your permit is ready to be issued
�
Mailing Address: [IV C Z 2,49 /LK --SLA
E -Mail Address:: -Y iTh i Mai I • c.C5rY1
PLUMBING / GAS PIPING CONTRACTOR INFORMATION
Company Name: 0101\04 k
" ,'� it
Mailing Address: 2( 1 S i--t k-a" Pte.
Contact Person: e)ve. O 4 1
E -Mail Address:
E -Mail Address:
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**
Contractor Registration Number: OI)A Otj2
Company Name: C-►��e �S �� t k � ✓ �
Mailing Address: 100 - 7 5
Contact Person:
Person: ` t �� W ' 160/M'
E -Mail Address: 5 L't ( L v 5A • C � •
Q:\Applications\Forms- Applications On Line\3 -2006 - Plumbing -Gas Piping Permit Application.doc
Revised: 4 -2006
bh
King Co Assessor's Tax No.: 0733 coco 3 r
City
Suite Number: Floor:
New Tenant: ❑ .... Yes ..No
• �
State
Zip
Day Telephone: 2& 2'72. ZZ
City State Zip
Fax Number:
20 2 `-1 .5
78742
' o (e 1 Zip
Day Telephone: ■ 3 7 7C) 2'-(0c2
Fax Number: Z -3 '7 0624
Expiration Date: 3/ J 7 / c:9"
ARCHITECT OF RECORD — All plans must be wet stamped by Architect of Record
J4i t4- 2�03Z
City State Zip
Day Telephone: 2(36 z_tied
Fax Number:
ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record
Company Name: t al S
Mailing Address: 17Z3 D NE K ooctr Y I e W ( 1 U Wei Z o z.
U� V
City State Zip
Day Telephone: {j.S C OS 3
Fax Number:
Page 1 of 2
Fixture Type:
Q#y
Fixture Type: "
Qty
,Fixture Type: :.
!Qty
Fixture Type:
Qty
Bathtub or combination
bath/shower
—7
J
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
2
Lavatory
Water Closet
Building sewer or trailer
park sewer
Rain water system — per
drain (inside building)
Water heater and/or
vent
I
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 price): $ 200
0
Scope of Work (please provide detailed inf rmation
Building Use (per Intl Building Code):
Occupancy (per Int'l Building Code):
Utility Purveyor: Water: Gf'f ? --r (2 Sewer: r ,
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.
BUILD Dhl� OR AUTHO ' i GENT:
Signature: , r,
Print Name:
L
Mailing Address: Q_ 2 Cy- 4th S W
I Date Application Accepted:
1c-o7
Q:\ Applications\Forms- Applications On Line\3 -2006 - Plumbing -Gas Piping Penni Application.doc
Revised: 4 -2006
bh
�
Day Telephone:
V'' ' "
City
Date: 57/570�-
7-o 4 403 3 6tl
(�G ? L .
State p
Date Application Expires:
Staff Initials: ( k
Page 2 of 2
1
Parcel No.: 0733000031
Address: 11635 35 LN S TUKW
Suite No:
Applicant: DOAK HOMES INC
Payee: DOAK HOMES INC
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
Receipt No.: R07 -00845 Payment Amount: $208.00
Initials: BLH Payment Date: 05/15/2007 02:31 PM
User ID: ADMIN Balance: $0.00
TRANSACTION LIST:
Type Method Description Amount
Payment Check 5474 208.00
Account Code Current Pmts
000/322.100 208.00
Total: $208.00
Permit Number: PG07 -141
Status: PENDING
Applied Date: 05/15/2007
Issue Date:
8222 05/15 9716 TOTAL 208.00
Project` le—.
L.) l it l -cnn f S
Type o spe�tiQnt
1 4 '"t
Address:
Date Called:
Special Instructions:
Date Wanted:
1
k..,a.m.
P.m.
Requester:
Phone No:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION ;l .
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
proved per applicable codes. Corrections required prior to approval.
COMMENTS:
f , AKA
I __ i :',14 t
05 fi .00 REINSPECTION FED REQUIRED Prior to inspection, fee must be
Id at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection.
'Receipt No.:
'Date:
Project:
/,�i) i nn
Type of Inspection: s
/2o)<6 /A)
Address:
//l 3 5 _ 3 5 Lsv
Date Called:
Special Instructions:
Date Wanted:
fry'
,` — `0 'b 7
p.m.
Requester:
Phone No:
06.-372 Z.2 e
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISIO
6300 Southcenter Blvd., #100, Tukwila, WA 98188
?lam 7 - /y/
(206)431 -3670
COM ENTS:
!Inspector:
Approved per applicable codes. El Corrections required prior to approval.
$58.00 REINSPECTION FE EQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter lvd.. Suite 100. Call the schedule reinspection.
!Receipt No.:
'Date:
Pr oje c /
,4 a 4 !'fir �d
T of Inspe /
it ? � /,
/
F
Address:
/ 3. 5 - 5LA
Date Called:
Special Instructions:
Date Want
0?
P•m•
.,.. �/,,
Requester:
Phone No:
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Approved per applicable codes.
COMMENTS:
$58.1m REINSPECTION FEE REQUIRED. Prior to inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection.
'Receipt No.:
1Date:
INSPECTION RECORD
Retain a copy with permit
Corrections required prior to approval.
Project:
..� _ 1 /� /-/� 4 5
Typ of Inspecyon:.
/ 1 el h — '"v
\
Address:
// 6..7 5 35" L.v S
Date Called:
-____,
Special Instructions:
\-
Date Wanted:
a.ni:;
Requester:
Phone No:
7_0/ -'7
�
22 °C/ 7
-- INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #1 00, Tukwila, WA 98188
0 Approved per applicable codes.
PGe7 - / v/
COMMENTS:
(2) //Fi_1f S L9 ✓Q A/!i--) -Lf l( er
y
�")7'95u Co e 0 iv G(1 /1 4 -/43-
.
'Receipt No.:
Da} (7-(/7
or:
AMA- -,
58.00 REINSPECTION SEE REQUIR . Prior to inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection.
!Date:
Corrections required prior to approval.
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
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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.
License Information
License
Licensee Name
Licensee Type
UBI
Ind. Ins. Account Id
Business Type
Address 1
Address 2
City
County
State
Zip
Phone
Status
Specialty 1
Specialty 2
Effective Date
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Separation Date
Parent Company
Previous License
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Associated License
MONARP *062D8
MONARCH PLUMBING
CONSTRUCTION CONTRACTOR
601531614
CORPORATION
2415 INTER AVE
PUYALLUP
PIERCE
WA
98372
2537702400
ACTIVE
PLUMBING
AIR HEAT,VENTILATION,EVAPORAT
3/28/1994
3/23/2009
https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= MONARP *062D8 05/15/2007