HomeMy WebLinkAboutPermit PG06-008 - WATKINS RESIDENCEWATKINS RESIDENCE
14431 58 AV S
PG06 -008
Parcel No.:
Address:
Suite No:
doc: UPC - Permit
City or Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: ci.tukwila.wa.us
3365900595
14431 58 AV S TUKW
Tenant:
Name: WATKINS RESIDENCE
Address: 14431 58 AV S, TUICWILA WA
Owner:
Name: GILLIS THOMAS C +ADRIENNE
Address: 14431 58TH AV S, SEATTLE WA 98168
Contact Person:
Name: DERRYN VAN SICKLE
Address PO BOX 1022, LYNNWOOD WA
Contractor:
Name: D T PLUMBING
Address: PO BOX 1022, LYNNWOOD WA
Contractor License No: DTPLU * *982C5
Plumbing
Bathtub or combination bath /shower
sewer 0
Bidet 0
Clothes washer, domestic 1
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
Lavatory 3
Wash fountain 0
Receptor, indirect waste 0
Sinks 1
Urinals 0
Water Closet 3
Permit Number:
Issue Date:
Permit Expires On:
Value of Plumbing /Gas Piping: $0.00
Fees Collected: $198.00
PLUMBING /GAS PIPING PERMIT
Expiration Date:
DESCRIPTION OF WORK:
REPLUMB EXISTING HOME WITH NEW DWV AND COPPER WATER PIPING. ALSO ADD SEWAGE
EJECTOR IN BASEMENT FOR BATHROOM.
Uniform Plumbing Code Edition: 2003
International Fuel Gas Code Edition: 2003
FIXTURE TYPE AND QUANTITY
Phone:
Phone: 425 773 -0134
Phone: 425 773 -0139
Steven M. Mullet, Mayor
Steve Lancaster, Director
PG06 -008
04/17/2006
10/14/2006
Plumbing (cont.1
2 Building sewer and each trailer park
Rain water system - per drain (inside bldg) 0
Water heater and /or vent 1
Industrial waste treatment interceptor, including
1 its trap and vent, except for kitchen type
0 grease interceptors
Repair or alteration of water piping and /or water
treatment. equipment 3
1 Medical gas piping system serving one to five
inlets /outlets for a specific gas 0
Gas Piping
Gas piping outlets (0 -5) 0
Gas piping outlets (6 +) 0
PG06 -008 Printed: 04 -17 -2006
Permit Center Authorized Signature:
I hereby certify that I have read an
City oil Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 - 431 -3665
Web site: ci.tulcwila.wa.us
„44
ordinances governing this work will beEomplied with, whether specified herein or not.
doc: UPC - Permit
Steven M. Mullet, Mayor
Steve Lancaster, Director
Permit Number: PG06-008
Issue Date: 04/17/2006
Permit Expires On: 10/14/2006
Date: �lI
this permit and know the same to be true and correct. All provisions of law and
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 constr i or the performance of work. I am authorized to sign and obtain this plumbing/gas piping permit.
or Z
Signature: - `� Date: %/7 -6
Print Name: `J-r'opy -7. ✓C- S "efeG
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.
PGO6 -008 Printed: 04 -17 -2006
Tukwila
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 3365900595
Address: 14431 58 AV 5 TUKW
Suite No:
Tenant: WATKINS RESIDENCE
1: ** *BUILDING DEPARTMENT CONDITIONS * **
PERMIT CONDITIONS
Permit Number: PG06 -008
Status: ISSUED
Applied Date: 04/17/2006
Issue Date: 04/17/2006
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 systems shall be installed in compliance with the Uniform Plumbing Code.
5: No portion of any plumbing system shall be concealed until inspected and approved.
6: All plumbing systems shall be tested and approved as required by the Plumbing 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: 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 any other ordinance of the jurisdiction.
doc: Conditions
* *continued on next page **
PG06 -008 Printed: 04-17-2006
doc: Conditions
Tukwila
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
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.
Date: 1 /1 7 U 4
PG06 -008 Printed: 04-17-2006
CITY OF TUKWILA
Community Developmen +partment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
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 Address: t Q, 4 3) s_eah ave 5
Tenant Name: "0 r CA) ()MC n5
Property Owners Name: ,/er n t o 1 r_ V' n
Mailing Address: L 44 31 5 P -h AVC 5
Name: — DPrrytn \irr, S trACt r
E -Mail Address: TIT Van e (- larnnc.,t •Ct'
PLUMBING / GAS 'LPING CON
Company Name: !� 't in tin)
Mailing Address: • - O - 416 L I, 00 2
Contact Person: - pron.)/ n \inn ScVLY
E -Mail Address: DTVCfry.1c -K4 llor rnc.\ Lbv
Contractor Registration Number: - 17T4PL it a A 4 A 7 CS
Contact Person:
E -Mail Address:
Q: Applicatione'Fmms- Applications On Line\3-2006 - Plumbing-Gas Piping Permit Application.doc
Revised: 4-2006
bb
King Co Assessor's Tax No.: 20(.81 (.7 x
Suite Number:
City
CONTACT PE
ho do
contact when your permit lsx2ady be issued
Day Telephone: 4 2r 17 3 -0 L ao
Mailing Address: -- V• 6. 43atc lO7.-2 tAtnnt.t6n 9c C/.E[1
State Zip
City
Fax Number: 4 - toi0- Oct o3
liz 1,1c C864k
State Zip
Day Telephone: 42$ ) 7 3 - 34
Fax Number: 4Z,x-- L07 6 - 6ct.6 I i
Expiration Date: 7 /7e>oe
City
Floor:
New Tenant: .... Yes 0 ..No
State
Zip
ARCHITECT OF RECORD' — All plans must be s vet etaynped by Architect o
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
State
State
Zip
ENGIN
OFRECORD
1 plans mu be wet sta mped'by Engineer of Recotd
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Zip
Page 1 of2
Fixture Type:
Qty
Fixture Type: .
Qty
- Fixture Type:
Qty
Fixture Type:
Qty
Bathtub or combination
bath/shower
a
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
I
Urinals
Dishwasher, domestic,
with independent drain
1
Lavatory
3
Water Closet
3 y
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): $ #40.66 06
Scope of Work (please provide detailed information): Re
the /1
LAU / 1 1'
Wf3 /
ipak 1
o skr -
Signature:
Print Name: . / /Pr- r„ VL1 sick.
�D 1 R3G to
PLICATION NOTE
Mailing Address: Y 22
I Date Application Accepted:
(—lose 6,6f- ///
. /
ocye e; r -- )
BUILDING OWN ' O AUTHORMEDD AGE a
Q \Appliatione\Fotme- Applicstiom On Line 3.2006 - Plumbing -Gas Piping Pmmi Appliation.doc
Revised' 4 -2006
bh
c
e . 4-
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
7nntasdc /�)(
city
( (n ret.
C �c L n 106
Building Use (per bit' 1 Building Code):
Occupancy (per Int'I Building Code):
Utility Purveyor: Water: Sewer:
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.
Date: y' 6 6
Day Telephone:
4 7 3 -6(3
yc
State
Zip
Date Application Expires:
l xi- r;1a
Page 2 of 2
City. of Tukwila
Parcel No.: 3365900595
Address: 14431 58 AV S TUKW
Suite No:
Applicant: WATKINS RESIDENCE
Receipt No.: R06 -00511 Payment Amount: 188.00
Initials: 3EM Payment Date: 04/17/2006 09:47 AM
User ID: 1165 Balance: $0.00
Payee: D.T. PLUMBING
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
RECEIPT
TRANSACT1ONIIST:
Type Method Description Amount
Payment Check 2458 188.00
ACCOUNT 176Mt1Sr:
Description
doc: Receipt
PLUMBING - RES
Account Code Current Pmts
000/322.100 188.00
Permit Number: PG06 -008
Status: PENDING
Applied Date: 04/17/2006
Issue Date:
Total: 188.00
4626 04/18 9710 TOTAL 188.00
Printed: 04 -17 -2006
Project:
Type of Inspection:
Address:
/ ` it/ 3(( ` t s g r 1 S
Date Cal /
Special Instructio�7s:
Date Wanted:
2 --7-o-.0 r'
a
Requester
Phone No:
3
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Approved per applicable codes. 0Corrections required prior to approval.
44
COMMENTS:
0/
20. 4 1 -36X0
_P y �Ti1�
El $58.00 REINSPECTION fEE REQUIRED. Prior to inspection, fee must be
paid at 6300 SouthcenterBlvd., Suite 100. Call to sechedute reinspection.
Receipt No.:
Date:
Project: //
tie
Type of I ection:
i
V
Address: 11 S{t 17. 5
Date Ca le
Special Instructions:
Date Wanted:
a.t
m
Requester:
Phone No:
2
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
Approved per applicable codes.
PERMIT NO.
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3$
Corrections required prior to approval.
COMMENTS:
rivn, ho vim - 6hHV !2-c._
t er-r, etst
�•�,�/ e. x „ 6 9 f- ! 5 1 7.r .
,Zi c., "r /.! A.rn 1(
0 $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
'Date:
Project:
Ctin /K��Ns ,Q,°5 ,
Type of Ins ection:
FRAhg /
Address:
/ / St Av 5
Date Called:
Special Instructions:
Date Wanted
/0 - 3 <.v C.
e`a.rrr'
p.m.
Requester:
Phone No:
0106 - )5 ' 6 - 4 /36
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
El Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
(206)431 -36 { 0
❑ Corrections required prior to approval.
COMMENTS:
IL fl, / `r fnri '{
J-1-o
of tie:14
Inspector: /J J Date
pi $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
COMMENTS:
Type o Inspec n:
CY /1- 'AI
Address:
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Date Called:
Special Instructions:
Date Wanted:
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Phone No:
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Project:
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Type o Inspec n:
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Address:
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Date Called:
Special Instructions:
Date Wanted:
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Requester:
Phone No:
CITY OF TUKWILA BUILDING DIVISION PER N .
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3
INSPECTION NO.
Approved per applicable codes.
nspecto9
INSPECTION RECORD
Retain a copy with permit
❑ Corrections required prior to approval.
Date:
i
L
$58.00 REI CTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
'Date:
Project:
H / .
Type of Inspection:
,Q
Address:
Date Called:
1/2- ter. /4fi�y
Special Instructions:
Date Wanted: s -7
/'
a.m.
Requester:
Phone No:
INSPECTION NO.
Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (2
O Corrections required prior to approval.
COMMENTS:
0 . Sr, /e,. hvasls- ✓hq i k1 �r /,Ij
7.5 i' /,.../c e c., re
. 7 Cf4°4$ L. / s -„'7 LZ t� ,
ro -: J i .1..--, Ff� i / 0 E
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3 LG 1 , q,.n, 249 /CS /,dc
!!f% 155
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El $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
03 -01 -2007
DERRYN VAN SICKLE
PO BOX 1022
LYNNWOOD WA 98046
RE: Permit No. PG06 -008
14431 58 AV S TUKW
Dear Permdt Holder:
Thank you for your cooperation in this matter.
Sincerely,
Y1%
Permit Te
XC:
Permit File No. PG06 -008
City of Tukwila
Steven M. Mullet, Mayor
Department of Community Development Steve Lancaster, Director
In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila Building Division.
Per the International Building Code and/or the International Mechanical Code, every permit issued by the Building Division under the
provisions of this code shall expire by limitation and become null and void if the building or work authorized by such permit is not
commenced within 180 days from the date of such permit, or if the building or work authorized by such permit is suspended or
abandoned at any time after the work is commenced for a period of 180 days.
Based on the above, you are hereby advised to:
Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection.
This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if
the project should be considered abandoned.
If such determination is made, the Building Code does allow the Building Official to approve one or more extensions of time for
additional periods not exceeding 90 days each. Extension requests must be In writing and provide satisfactory reasons why
circumstances beyond the applicants control have prevented action from being taken.
In the event you do not call for the above inspection and receive an extension prior to 04/28 /2007, your permit will become null and
void and any further work on the project will require a new permit and associated fees.
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206-431-3670 • Fax: 206 - 431 -3665
License Information
License
DTPLU * *982C5
Licensee Name
D T PLUMBING
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
602184255
Ind. Ins. Account Id
Business Type
INDIVIDUAL
Address 1
PO BOX 1022
Address 2
City
LYNNWOOD
County
SNOHOMISH
State
WA
Zip
980461022
Phone
4257730139
Status
ACTIVE
Specialty 1
PLUMBING
Specialty 2
SANITATION SYSTEM SIDE SEWER
Effective Date
2/25 /2002
Expiration Date
2/25 /2008
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
Business Owner Information
Name
Role
Effective Date
Expiration Date
VANSICKLE, DERRYN
OWNER
02/25/2002
Look Up a Contractor, Electrician or Plumber License Detail
ti'
Washington State Department of Labor and Industries
GenerallSpecialty 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.
Bond Information
Bond
Bond
Company
Name
ACCREDITED
SURETY &
CAS CO
Bond
Account
Number
10011700
Effective
Date
02/14/2004
Expiration
Date
Until
Cancelled
Cancel
Date
Impaired
Date
Bond
Amount
$6,000.00
Received
Date
02/26/2004
Until
Page 1 of 2
https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= DTPLU* *982C5 04/17/2006
REGISTERED AS PROVIDED BY NLAW AS I
CONST.CONT::SPECIALTY:* 4
REGIST. # EXP. DA -"
CCADAE DTPLU * *982C5 /25/200
EFFECTIVE DATE -- J25/2002
D T PLUMBING
PO BOX 1I
LYNNWOIS 9804 102
Signature
Issued by DEPARTME
OF LABOR AND INDUSTRIES.