HomeMy WebLinkAboutPermit PG07-213 - FLESCH RESIDENCEFLESCH RESIDENCE
4225 S 150 ST
PGO7-2 13
Parcel No.: 0042000250
Address:
Suite No:
4225 S 150 ST TUKW
Tenant:
Name: FLESCS RESIDENCE
Address: 4225 S 150 ST , TUKWILA WA
City•-of Tukwila
Owner:
Name: FLESCB WAYNE H
Address: 4225 S 150TH ST , TUKWILA WA
Contact Person:
Name: SHAWN WETTON
Address: PO BOX 1410 , ENUMCLAW WA
Contractor:
Name: DOUGLAS PLUMBING
Address: PO BOX 1410 , ENUMCLAW WA
Contractor License No: DOUGLP *045B9
DESCRIPTION OF WORK:
RUN NEW KITCHEN AND LAUNDRY ROUGH -IN.
Value of Plumbing /Gas Piping:
Fees Collected:
doc: UPC -10/06
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
$6,420.00
$98.00
Plumbing
Bathtub or combination bath/shower 0
Bidet 0
Clothes washer, domestic 1
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 1
Urinals 0
Water Closet 0
PLUMBING /GAS PIPING PERMIT
FIXTURE TYPE AND OUANTITY
0
* *continued on next page **
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 360 825 -1493
Phone: 360 825 -1493
Expiration Date: 03/03/2009
PG07 -213
08/15/2007
02/11/2008
Uniform Plumbing Code Edition: 2006
International Fuel Gas Code Edition: 2006
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) 0
Gas piping outlets (6 +) 0
PG07 -213 Printed: 08 -15 -2007
Permit Center Authorized Signature: (AA
City oeTukwila
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 an
governing this work will be complie • wi , h her specified herein or not.
Permit Number: PGO7-213
Issue Date: 08/15/2007
Permit Expires On: 02/11/2008
Date: 03 (t
permit and know the same to be true and correct. All provisions of law and ordinances
The granting of this permit does not • resume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or a peerforman ork. I am authorized to sign and obtain this plumbing /gas piping permit. Q
g Date: V lI S/ l�J 7
Skl(4) PIC-46
Signature:
Print Name:
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.
doc: UPC -10/06
PG07 -213 Printed: 08 -15 -2007
Parcel No.: 0042000250
Address: 4225 S 150 ST TUKW
Suite No:
Tenant: FLESCH 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
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.
* *continued on next page **
Permit Number:
Status:
Applied Date:
Issue Date:
PG07 -213
ISSUED
08/15/2007
08/15/2007
PG07 -213 Printed: 08-15 -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.
Signature: Date: ?AS - 47
Print Name: '3 kc1 v
doe: 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
PG07 -213 Printed: 08 -15 -2007
Site Address:
Tenant Name:
Property Owners Name:
Mailing Address:
LI 22S 5 t
FI
E-Mail Address:
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Name: S - CACU-AiXA (
Contact Person: Yu-) Of-
E-Mail Address:
Contractor Registration Number: X)0(.0 Lp-ik (y4 c 6 7
Contact Person:
E-Mail Address:
Company Name:
Mailing Address:
Contact Person:
E-Mail Address:
QAApplieations \Forms-Applications On LineO-2006 - Plumbing-Gas Piping Permit Application.doc
Revised: 4-2006
bh
Plumbing/Gas Permit No.
Project No,
(For office use Y)
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 P *
King Co Assessor's Tax No.: 60 2.0o o2Sz)
Suite Number:
New Tenant:
City
CONTACT PERSON —Who do we contact when your permit is ready to be issued
Day Telephone: 2 c zsc)
Mailing Address:
Zip
City
Fax Number:
Company Name: ) C"\-`" CA ■-) v
Mailing Address: « D DX. ILI It) u cict
ARCIIITECT OF RECORD — All plans must be wet stamped by Architect of Record
Floor:
D .... Yes D..No
State
State
PLUMBING / GAS PIPING CONTRACTOR INFORMATION
19 9w22-
City State Zip
Day Telephone: 3(.,0- r- iq 73
Fax Number: (0 0- 8" O Z-- (.9 o 3
Expiration Date: 1-- 0
Company Name:
Mailing Address:
State
City
Day Telephone:
Fax Number:
City
Day Telephone:
Fax Number:
State
Zip
Zip
Zip
Page 1 of 2
Fixture Type:!'
QtY :.
fixture Type:
Qty
Fixture Type;
Qty
Fixture Type;
city
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
I
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
Repair or alteration
of drainage or vent
piping
Medical gas piping system
serving one to five
inlets/outlets for specific gas
// vo
Valuation of Project (contractor's bid price): $ (.0`i ---
Scope of Work (please provide detailed information):
t�V1 pct l� e�1
� )(A. Virc ) U vtark( t OV 4 k
Building Use (per Intl 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:
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 AUTHORIZFIbAGENT:
Signature:
Date Application Accepted:
t6I �sl�-
Q:\Applications\Forms- Applications On Line\3 -2006 - Plumbing -Gas Piping Permi Application.doc
Revised: 4 -2006
bh
Print Name: `, L \' lk.! ' 1
Mailing Address: Po ta-)6X 14(C £ '1 U✓1AdC w W 4- 1i Z
Day Telephone: 25
City
Date: I --0 7
State
Zip
Date Application Expires:
Staff Initials:
& 2
Receipt No.: R07 -01708
Payee: DOUGLAS PLUMBING
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.: 0042000250 Permit Number: PG07 -213
Address: 4225 S 150 ST TUKW Status: PENDING
Suite No: Applied Date: 08/15/2007
Applicant: FLESCH RESIDENCE Issue Date:
Initials: JEM Payment Date: 08/15/2007 10:31 AM
User ID: 1165 Balance: $0.00
TRANSACTION LIST:
Type Method Description Amount
Payment Cash 98.00
Account Code Current Pmts
000/322.100 98.00
Total: $98.00
Payment Amount: $98.00
1561 08/15 9710 TOTAL 98.00
doc: Receiot -06 Printed: 08 -15 -2007
Project:
r L r5 � "S
Type ounspection• v
/ //,/-1 7-- - /l / j
Address:
!/7_25.. /5 9/
Date Called:
Special Instructions:
Date Want
a.
Requ ster:
Phone No:
112.5'
- 63/ - 06`7
4 - 4
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO. r
CITY OF TUKWILA BUILDING DIVISION (L
(206)431 -3
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Pk
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
Inspector: i _ 0
I Date: l t 1 / O l
$58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection.
(Receipt No.:
'Date:
Proje /
/— l s X- A.0 (� P<
l C ,_o
Type of Inspe n: n /,
S 4ec /i.- &Alf L
Ad ress: 5-
/SO Jt
Date Called:
Special Instructions:
Date Wa7d:
a.m.
/}— ?
Requester:
Phor25-----7‘—.5-2--- e o:
� i f
INSPECTION RECORD
Retain a copy with permit
INSPE.' 'N NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION �-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
COMMENTS:
Approved per applicable codes. El Corrections required prior to approval.
$58.00 REINSPECTION f`EE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection.
'Receipt No.:
'Date:
Project:
/-1? -5 A i2 5
Type of In ection: _
r / 'I -IA)
il l
Address:
61225- s /3vs.f
Date Called:
Special Instructions:
Date Wanted:
--Ill- 0
.m.
Requester:
Phone No:
6 - 71,E - ' 7 ;22 y
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3 7
El Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
/I4, - 4( 1t, o
or:
ziA^cr t A "Lot .4 I
00 REINSPECTI FEE REQUIRED. Prior to inspection, fee must be
id at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection.
(Receipt No.:
'Date:
Date:
—
COMMENTS:
Type of nspection:
� '" 4/
,&
Addr s:
- 6"!-"I /mod
l/. < !' ,off
Special Instructions:
Date Wanted
L/3 p77
(
F/7/ / 7 �� e
,rd re' 7 . _
f e, ., /i
/ c2= .
353
Project: i
ie
Type of nspection:
� '" 4/
,&
Addr s:
Date Called:
Special Instructions:
Date Wanted
L/3 p77
(
/� .�,�
m.
Requester: /
Phone No:
zs3 -2
353
2
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PER IT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (2 6)431 -3670
El Approved per applicable codes.
paid at 6300
$58.0 REINSP ° ION FEE REQUIRED. Prior to inspection, fee must be
outhcenter Blvd., Suite 100. Call the schedule reinspection.
'Receipt No.:
'Date:
Corrections required prior to approval.
Date:
����.�
Pro'ec :
/c5 h 7?,-s
Type of Inspecti n:
/20/V)— JA„
\.
Address:
G l2Z5
LSO
Date Called_
Special Instructions:
Date Wanted:
— 7
m.
p.m
Requester:
Phone No:
2 5 —26/ -- 3O3fi
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -370
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
5��,: -tee 1' 4/6 l')
Insp cfor:
$g. J( REINSPECTION FEE REQUIRED. P or to inspection, fee must be
•di• -t 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection.
Date:
t No.: 'Date:
License Information
License
DOUGLP *045B9
Licensee Name
DOUGLAS PLUMBING
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
601681756
Ind. Ins. Account Id
#3
Business Type
INDIVIDUAL
Address 1
P 0 BOX 1410
Address 2
City
ENUMCLAW
County
KING
State
WA
Zip
98022
Phone
3608251493
Status
ACTIVE
Specialty 1
PLUMBING
Specialty 2
UNUSED
Effective Date
1/29/1996
Expiration Date
3/3/2009
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
#3
CBIC
P00867
01/29/2001
Until
Cancelled
$6,000.00
10/17/2001
#2
CBIC
P00867
01/29/1998
01/29/2001
$4,000.00
#1
CBIC
P00867
01/29/1996
01/29/1998
$4,000.00
Business Owner Information
Name
Role
Effective Date
Expiration Date
WETTON, SHAWN
OWNER
01/01/1980
Look Up a Contractor, Electrici 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= DOUGLP *045B9 08/15/2007