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Home My WebLink AboutPermit PG07-317 - MITCHELL RESIDENCEMITCHELL RESIDENCE 15123 62 AV S PGO7-3 17 Parcel No.: 3597000142 Address: Suite No: Tenant: Name: MITCHELL RESIDENCE Address: 15123 62 AV S , TUKWILA WA Owner: Name: MITCHELL JENNIFER +MILES Address: 15125 62ND AVE S , SEATTLE WA Contact Person: Name: HOWARD BOREN Address: 1115 NW 51 ST , SEATTLE WA Value of Plumbing /Gas Piping: Fees Collected: doc: UPC /06 15125 62 AV S TUKW Cit f 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 Contractor: Name: FISCHER PLUMBING CO INC, THE Address: 1115 NW 51ST ST , SEATTLE WA Contractor License No: FISCHPC131R1 DESCRIPTION OF WORK: REPLACE WATER SERVICE FROM ME1 TO SHUT -OFF VALVE $4,200.00 $88.00 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 PLUMBING /GAS PIPING PERMIT FIXTURE TYPE AND QUANTITY * *continued on next page ** Permit Number: Issue Date: Permit Expires On: Phone: Phone: 206 510 -5810 Phone: (206)783 -4129 Expiration Date: 02/22/2008 PG07 -317 11/28/2007 05/26/2008 Uniform Plumbing Code Edition: 2006 International Fuel Gas Code Edition: 2006 Plumbing (cont.) 0 Building sewer and each trailer park sewer 0 O Rain water system - per drain (inside bldg) 0 0 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 O treatment equipment 1 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 0 Gas piping outlets (0 -5) 0 0 Gas piping outlets (6 +) 0 PG07 -317 Printed: 11 -28 -2007 Permit Center Authorized Signature: City orTukwila 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 and -x- ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complie wi , 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 p r of work. I am authorized to sign and obtain this plumbing /gas piping permit. Signature: Print Name: doc: UPC -10/06 ! /1'72:7 Sowe Permit Number: PGO7 -317 Issue Date: 11/28/2007 Permit Expires On: 05/26/2008 Date: L 112- Date: / 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. PG07 - 317 Printed: 11 -28 -2007 Parcel No.: 3597000142 Address: Suite No: Tenant: 15125 62 AV S TUKW 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 MITCHELL RESIDENCE I: ** *PLUMBING AND GAS PIPING * ** City of Tukwila PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: 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. PG07 -317 ISSUED 11/28/2007 11/28/2007 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 * *continued on next page ** PG07 -317 Printed: 11 -28 -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.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: Print Name: doc: Cond -10/06 ‘4,5 p ub /P0-e/ Date: !C/ / PG07 -317 Printed: 11 -28 -2007 CITY OF TUKWIL L) Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Plumbing/Gas Permit No. Project No. For office use only 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 Site Address: AC/ Z S 'Z 4, 4j /p .S Tenant Name: Property Owners Name: Mailing Address: CONTACT PERSON Wii do we contact when your permit is ready to be issued Name: /j44c//J vPA Mailing Address: / //5" .lU6tJ E -Mail Address: PLUMBING "Z GAS PIPING CONTRACTOR INFORMATION Company Name: /41 -c2:21.-- /%,6»j- Mailing Address: / //r 4./Ga ,S`AL'T SY Contact Person: di- mefrt, Adv <N E -Mail Address: r,.-Li ('� AC- 1,4:31,.vsdt f CQ� Contractor Registration Number: // S</J /3 /i/' Contact Person: E -Mail Address: E -Mail Address: Tt°H,,; 1/ "AL // 4s72s /z9f. S' Q:WpplicationAPonns- Applications On Line'3 -2006 - Plumbing -Gas Piping Permit Application.doc Revised: 4 -2006 bh King Co Assessor's Tax No.: !J� 1 ITO . () f t(2 Suite Number: Floor: New Tenant: ❑ .... Yes ❑ . .No Yeif ftz City ARCHITECT OF RECORD - All plans must be wet stamped by Architect Day Telephone: Svcr City Fax Number: City Day Telephone: Fax Number: Expiration Date: lid State //a 91/07 0o6 -s' / ST /0 A/X 9F/07 State Zip State Zip zo6 73 V /Z7 othil o? Zip Company Name: Mailing Address: State City Day Telephone: Fax Number: ENGINEER OF RECORD All plans must be wet stamped by Engineer of Recor Company Name: Mailing Address: City Day Telephone: Fax Number: State Zip Contact Person: Zip Page 1 of 2 F ixture Type:' 3' _: Fixture Type: Qty :.Fixture .Type Qty Fixture Type. Qty 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 l 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): /� / Aplic e Am-me ert- `ce �fl'D�1 site% ' 4 .540---eye, / /fJG 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 OWNE OR AGENT: Signature: ��-- Print Name: Airehor-eo /4":"A- Mailing Address: 4 /lf $*- .- % ?woi City I Date Application Accepted: Q:Wpplications'Forms- Applications On Line\3 -2006 - Plumbing -Gas Piping Permi Application.doc Revised: 4 -2006 bh Date: a /y1767 Day Telephone: 7,2)6.- S •-- STYd State Zip Date Application Expires: Staff Initials: Project,,/ / // , /2r° S Type of Ins ection: Address: / 57z _ &24u S Date Called: --, Special Instructions: Date Wante /ZGA'7 Requester: Phone No: INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION f` 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36 Approved per applicable codes. Corrections required prior to approval. COMMENTS: C _/J /fiP , ib / QUIRED.rio Date: / — /L /� El $5 : . i i • ' EINS P E CTION FEE R r to inspection, fee must be p • at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. `Receipt No.: 'Date: Project: j /�yC // R I( s Type of s �.4? /�lic/C) , Address: /5 zs 24 u S' Date Called: Special Instructions: Date Wanted: Requester: Phone No: i INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION gl= 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3 COM MENTS: Approved per applicable codes. Q Corrections required prior to approval. (lInspect � ID7A/t I r, .00 REINSPECT' FEE REQU D. Prior to inspection, fee must be aid at 6300 Southcenter Blvd., ite 100. Call the schedule reinspection. 'Receipt No.: 'Date: Payee: FISCHER PLUMBING, 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 Parcel No.: 3597000142 Permit Number: PG07 -31 7 Address: 15125 62 AV S TUKW Status: PENDING Suite No: Applied Date: 11/28/2007 Applicant: MITCHELL RESIDENCE Issue Date: Receipt No.: R07 -02598 Payment Amount: 388.00 Initials: JEM Payment Date: 11/28/2007 11:58 AM User ID: 1165 Balance: 30.00 TRANSACTION LIST: Type Method Description Amount Payment Check 70334 88.00 Account Code Current Pmts 000/322.100 88.00 Total: $88.00 5433 11/28 9710 TOTAL .00 doc: Receipt -06 Printed: 11- 28-2007