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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: iyVSi.5 - V Rtl S Date Called: Special Instructions: Date Wanted: y- ,z6. -v a. A cU Phone No: he 'Art 0 ✓'c' kr Y -C.- r 77 7 Vc7 - lP/YIAK / v ®.-- .5"/"" 4 /f3 Project: tug 74 „ v s >°s • Type o Inspec n: CY /1- 'AI Address: iyVSi.5 - V Rtl S Date Called: Special Instructions: Date Wanted: y- ,z6. -v a. A 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 7 '-h r ../ �n .. lo ,p / . ".... ti.1 ,o A "z,r -- 3 LG 1 , q,.n, 249 /CS /,dc !!f% 155 ( Ps- & n /6 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.