HomeMy WebLinkAboutPermit PG07-218 - GRENSTEAD RESIDENCEGRENSTEAD RESIDENCE
4007 S 117 PL
PGO7-218
Parcel No.: 7340600102
Address:
Suite No:
4007 S 117 PL TUKW
Tenant:
Name: GRENSTEAD RESIDENCE
Address: 4007 S 117 PL , TUKWILA WA
Contact Person:
Name: STARLA MUIR
Address: 6921 51 AV S , SEATTLE WA
DESCRIPTION OF WORK:
WATER HEATER CHANGEOUT
Value of Plumbing /Gas Piping: $700.00
Fees Collected: $88.00
doc: UPC-10 /06
Cityf Tukwila
Owner:
Name: GRENSTEAD TRACEY D
Address: 4007 S 117TH PL , SEATTLE WA
Contractor:
Name: T P J INC
Address: 351 UNION AVE NE , RENTON WA
Contractor License No: TPJIN * *981NR
Plumbing
Bathtub or combination bath/shower 0
Bidet 0
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
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
PLUMBING /GAS PIPING PERMIT
FIXTURE TYPE AND OUANTITY
* *continued on next page **
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 206 941 -3791
Phone: (425)228 -3204
Expiration Date: 08/19/2008
PG07 -218
08/24/2007
02/20/2008
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
0 Water heater and/or vent 1
O 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
O Medical gas piping (6 +) inlets /outlets 0
0 Gas Piping
O Gas piping outlets (0 -5) 0
O Gas piping outlets (6 +) 0
PG07 -218 Printed: 08-24 -2007
Permit Center Authorized Signature:
I hereby certify that I have read an ex ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be compli th, 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
construction or the performance of work. I am authorized to sign and obtain this plumbing /gas piping permit.
Signature: Date: l J I of
Print Name: l 4 f / 41 t' 1 6
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
City oftukwila
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 -218
Issue Date: 08/24/2007
Permit Expires On: 02/20/2008
Date: 0512
PG07 -218 Printed: 08-24 -2007
Parcel No.: 7340600102
Address:
Suite No:
Tenant:
4007 S 117 PL TUKW
GRENSTEAD RESIDENCE
1: ** *PLUMBING AND GAS PIPING * **
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.
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 -218
ISSUED
08/24/2007
08/24/2007
PG07 -218 Printed: 08 -24 -2007
'spiv
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: 14a, , ' L 1 ' Date: WQ9 /Di
Print Name:
doc: Cond -10/06
✓lC )1'1c)
PG07 -218 Printed: 08 -24 -2007
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Contact Person:
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
Mailing Address: o5 0 gyjL
Contact Person:
E -Mail Address:
Contractor Registration Number:
Plumbing /Gas Permit No.
Project No .
ro
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 **
SITE LOCATION
J I (� ` King Co Assessor's Tax No.: 1 C./1 O ( ~
Site Address: "1 e)( l (i 1 i" l . 3 \_7 L Ii\ I VI Suite Number: Floor:
Tenant Name: T - (y, z.. flit Q New Tenant: 0 .... Yes 41 ..No
Property Owners Name: �Q , C` l 1 Di r aQ ,�'1 ,\kQ a.
t SrIS * 9 ?/A/C
Q:\ApplicationssFonns- Applications On Line\3 -2006 - Plumbing -Gas Piping Permit Application.doc
Revised: 4-2006
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City
ice use only)
State
CONTACT PERSON —Who do we contact when your permit is ready to be issued
Name: . 2A j Y ' l U 1 J2 (1. Day Telephone: �, 0) y I — 3� 9
Mailing Address: L5) 1 — 5 � ,� AND (`g
pp __ r / city
E -Mail Address: k I i'icD O_ ( C _ O Y)\ Fax Number:
State Zip
PLUMBING / GAS PIPING CONTRACTOR INFORMATIO
city
Day Telephone:
Fax Number:
Expiration Date:
State
ARCHITECT OF RECORD
-- All plans must b wet s tamped by :Architect of Record
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
State
ENGINEER OF RECORD — All plans must be wet stamped by Engineer,of Recor
Company Name:
Mailing Address:
city
Day Telephone:
Fax Number:
State
Zip
Zip
Zip
Zip
Page 1 of 2
Fixture Type: -.
Qty :
, Fixture Type:
Qty >
Fixture Type -
:Qty:
Fixture Type: ,
Q � :.
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
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): $
Scope of Work (please provide detailed information): K
BUILDING OWNS OR AUTHORIZED AGENT:
Signature: ' (Llj'..
Print Name:
Mailing Address:
Date Application Accepted:
(24 01-
Q:\Applications\Fonns- Applications On Line\3 -2006 - Plumbing -Gas Piping Permit Application.doc
Revised: 4 -2006
bh
016,1-6, 1-drTh
Building Use (per Int'l 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.
Day Tele• hone:
Staff Initials:
Date Application Expires:
Parcel No.: 7340600102
Address: 4007 S 117 PL TUKW
Suite No:
Applicant: GRENSTEAD RESIDENCE
Receipt No.: R07 - 01792
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
Payee: TOTAL HOME IMPROVEMENT, INC.
TRANSACTION LIST:
Type Method Description
ACCOUNT ITEM LIST:
Description
PLUMBING - RES
RECEIPT
Initials: JEM Payment Date: 08/24/2007 08:57 AM
User ID: 1165 Balance: $0.00
Amount
Payment Check 4302 88.00
Account Code Current Pmts
000/322.100 88.00
Total: $88.00
Permit Number: PG07 -218
Status: PENDING
Applied Date: 08/24/2007
Issue Date:
Payment Amount: $88.00
2030 08/24 8710 TOTAL 80.00
doc: Receipt -06 Printed: 08 -24 -2007
Project:
6`-e V 7 '9( °s -
Type of Inspection:
/ /
V ■
Address:
Date Called:
Special Instructions:
Date Waned:
-0
p.m.
Requester:
Phone No:
/
7q /
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3 70
COMMENTS:
'Inspect
1 Date 2 0:1 0. 67
Approved per applicable codes. Corrections required prior to approval. k
El $58.00 REINSPECTIO *EE REQUIRED. Prior to inspection. fee must be
paid at 6300 Southce er Blvd.. Suite 100. Call the schedule reinspection.
'Receipt No.:
'Date:
J
/ 7 Zw
PERMIT NO.
'� „•�y:,}..x "'afa�,'...J�.
Project:
6-rae7 ?O r-
Type of Inspectin /
6) `c--/...v+ ,
17Leo E.
Address:
'7/007 //7 'PL.
Date Called:
Special Instructions:
Date Wanted:
,--,27-O
n
p.m.
Requester:
Phonelg ,...,?z/7 _ 7
77/
,INSPECTION RECORD
Retain a copy with permit
INSPECTIOI NO. PE MIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter-Blvd., #100, Tukwila, WA 98188 (206)431-36
Approved per applicable codes.
COMMENTS:
Inspecto
)21 Corrections required prior to approval.
T e - b -- I ("-r
/-0
, ce-77.1
4
h /4) 7/7 V'? .1-1/7.A-to
1.7
car I Date
$58.00 REINSPECTIOItEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection.
'Receipt No.:
'Date:
License Information
License
TPJIN * *981NR
Licensee Name
T P J INC
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
602212259
Ind. Ins. Account Id
VICE
PRESIDENT
Business Type
CORPORATION
Address 1
351 UNION AVE NE
Address 2
City
RENTON
County
KING
State
WA
Zip
98059
Phone
4252283204
Status
ACTIVE
Specialty 1
GENERAL
Specialty 2
UNUSED
Effective Date
8/19/2002
Expiration Date
8/19/2008
Suspend Date
Separation Date
Parent Company
Previous License
PLUMB ** 132CB
Next License
Associated License
Business Owner Information
Name
Role
Effective
Date
Expiration
Date
PALMER, DONALD L
PRESIDENT
08/19/2002
PALMER, CANDANCE
L
VICE
PRESIDENT
08/19/2002
Look Up a Contractor, Electrician 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.
Until
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= TPJIN * * 981NR 08/24/2007