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HomeMy WebLinkAboutPermit PG06-025 - PFAFF RESIDENCEPFAFF RESIDENCE 4012 S 158 ST PG06 -025 Parcel No.: 1508000000 Address: 4012 S 158 ST TUKW Suite No: City Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Fax: 206 - 431 -3665 Web site: cttukwila.wa.us Tenant: Name: PFAFF RESIDENCE Address' 4012 S 158 ST, UNIT 3 -27, TUKWILA WA Owner: Name: CHALET SOUTH CONDO COMPLEX Address: C/O PHILLIPS RE SVCES, 312 FAIRVIEW AVE N Contact Person: Name: JANET WRIGHT Address: 11831 SE 32 ST, BELLEVUE WA Plumbing Bathtub or combination bath /shower 1 Bidet 0 Clothes washer, domestic 0 Dental unit, cuspidor 0 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 0 Receptor, indirect waste 0 Sinks 1 Urinals 0 Water Closet 0 Contractor: Name: PIPELINE PLUMBING & CONSULTING, INC. Address: 11831 SE 32 ST, BELLEVUE WA Contractor License No: PIPELPC101BW DESCRIPTION OF WORK: ROUGH -IN (1) KITCHEN SINK AND (1) TUB /SHOWER Value of Plumbing /Gas Piping: $0.00 Fees Collected: $98.00 doe: UPC - Permit PLUMBING /GAS PIPING PERMIT FIXTURE TYPE AND QUANTITY * *continued on next page ** Permit Number: Issue Date: Permit Expires On: Phone: (206)282 -8600 Phone: 425 644 -2622 Phone: 425 644 -2622 Expiration Date: 09/11/2006 Steven M. Mullet, Mayor Steve Lancaster, Director PGO6 -025 05/19/2006 11/15/2006 Uniform Plumbing Code Edition: 2003 International Fuel Gas Code Edition: 2003 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 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 Medical gas piping system serving one to five 0 inlets /outlets for a specific gas 0 Gas Piping Gas piping outlets (0 -5) 0 Gas piping outlets (6 +) 0 PG06 -025 Printed: 07 -27 -2006 City O 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 Steven M. Mullet, Mayor Steve Lancaster, Director Permit Number: PGO6 -025 Issue Date: 05/19/2006 Permit Expires On: 11/15/2006 Permit Center Authorized Signature: ( ALf f I IAAS�I,itk..,Q Date: IS tap 1 hereby certify that I have read and xa in d is permit and know the same to be true and correct. All provisions of law and ordinances governing this work will b mp with, 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: i— Date: 7 (2-? /6 C Print Name: 7v-C.7J£1 `?" C 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 - Permit PGO6 -025 Printed: 07 -27 -2006 Parcel No.: 1508000000 Address: 4012 5 158 ST TUKW Suite No: 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: cLtukwila.wa.us Tenant: Name: PFAFF RESIDENCE Address: 4012 S 158 ST, UNIT 3 -27, TUKWILA WA PLUMBING /GAS PIPING PERMIT Owner: Name: CHALET SOUTH CONDO COMPLEX Address: C/O PHILLIPS RE SVCES, 312 FAIRVIEW AVE N Contact Person: Name: 3ANET WRIGHT Address: 11831 SE 32 ST, BELLEVUE WA Contractor: Name: PIPELINE PLUMBING & CONSULTING, INC. Address 11831 SE 32 ST, BELLEVUE WA Contractor License No: PIPELPC101BW DESCRIPTION OF WORK: ROUGH -IN ONE KITCHEN SINK Value of Plumbing /Gas Piping: $0.00 Fees Collected: $88.00 Plumbing Bathtub or combination bath /shower sewer 0 Bidet 0 Clothes washer, domestic 0 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 0 Wash fountain 0 Receptor, indirect waste 0 Sinks 1 Urinals 0 Water Closet 0 doc: UPC - Permit FIXTURE TYPE AND QUANTITY Permit Number: Issue Date: Permit Expires On: Phone: (206)282 -8600 Phone: 425 644 -2622 Phone: 425 644 -2622 Expiration Date:09 /11/2006 Uniform Plumbing Code Edition: International Fuel Gas Code Edition: plumbing (cont.l 0 Steven M. Mullet, Mayor Steve Lancaster, Director PG06 -025 05/19/2006 11/15/2006 2003 2003 Building sewer and each trailer park Rain water system - per drain (inside bldg) 0 Water heater and /or vent 0 Industrial waste treatment interceptor, including 0 its trap and vent, except for kitchen type 0 grease interceptors Repair or alteration of water piping and /or water treatment equipment 0 0 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 -025 Printed: 05 -19 -2006 Print Name: doe: 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: ct.tukwila.wa.us & c Cw Steven M. Mullet, Mayor Steve Lancaster, Director Permit Number: PGO6 -025 Issue Date: 05/19/2006 Permit Expires On: 11/15/2006 Permit Center Authorized Signature: AVIA Ad—✓ ✓ 6kA, /`q, J Date: �I I hereby certify that I have read and m e this permit and know the same to be true and correct. All provisions of law and ordinance •overning this work will be complied with, whether specified herein or not. The grantin• •f this pe regulating co truction Signature: & a -ta. �. does not presume to give authority to violate or cancel the provisions of any other state or local laws r the pe •rmance of work. I am authorized to sign and obtain this plumbing /g•s pipin• permit. j. I 0 Date: 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. PG06 -025 Printed: 05 -19 -2006 doc: Conditions City of Tukwila Nfew Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 1508000000 Address: 4012 S 158 ST TUKW Suite No: Tenant: PFAFF RESIDENCE 1: ** *PLUMBING AND GAS PIPING * ** PERMIT CONDITIONS Permit Number: PG06 -025 Status: ISSUED Applied Date: 05/19/2006 Issue Date: 05/19/2006 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 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: 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 ** PG06 -025 Printed: 05 -19 -2006 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 e performance of work. Signature: Print Name: doc: Conditions City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 C . Date: , 57/ 10 6 PG06 -025 Printed: 05 -19 -2006 Sent By: PIPELINE PLUMBING & CONS. INC ; 425 844 2788; NNW Site A Tenant Contact P Ii-Mail A ame: Mailing ddtess: Property Owners Na 6: a•j 0 • eerri d )11/pc 73t 312- Name: Mailing Address: E-Mail &dress: :':0•14 ias Company Mailing Alddress: Contract() Registration Number: P „. . . : • 4 R 0111 . 7 gCtil l t4c0P.W . ;;Anlit4Vii!StV.Vitii4fit • Company N41110: Mailing A Idress: Contact Person: E-Mail Address: CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.waus o Vkaskateits levied 4-2CO5 dress: 1 Company amc: Mailing A ldress: Contact Peirson: E-Mail Ad ress: 0/ 2- 5 ) segark-S+ Aar 1 son: .APolications On 1 n1.1%1411116 ...emit Appliesemak4 1■121ZN ..•• May-19-06 2:04PM; 4ar Page 2/3 /11101,LA w 14o • r" "••• :"" • Applicatinns and plans must he complete in order to be accepted for plan review. Applications will not be hictxpted through the mail or by fax. s*Please Print** King Co Assessor's Tax No • iso g Suite Numbcna: 2-1 Floor: New Tenant: 0 Yes City State -• • •••• • • ""*.*'"••"':'•'•F• •• • -•••• • • •••-••••.••••••••••••••::::::::::.......r...: • •••••• Day Telephone: car Fax Number: • s litt4111.4. " • ••••••.:-.r.: •"" 'T.ii!i!!Aff.?g • - City Day Fax Number: Expiration Date; City Day Telephone: Fax Number: Sew .. ... . .. Sine :• RECtall'e411;01EilikOwic°1iilyvvAiitip!!..11k1.;:400.440;0 • "••••••• • • • "" • • •• • •••• • •••••" ••••°••••••••••• • . Day Telephone: Fax Number: Beau oOO Zip Zip Zip Zip l e eh 1 or 6 Fixture Type: Qty Fixture Type: Qty Fixture Type: ON Fixture Type: Qty Bathtub or combination bath/showi r Drinking fountain or water cooler (per head) Wash fountain Gas piping outlets Bidet Food -waste grinder, commercial Receptor, indirect waste Clothes washer, dotnestic Floor drain Sinks t Dental unit cuspidor Shower, single head trap Urinals Dishwashe , domestic, • with independent drain Lavatork Water Closet Building sewer or Mailer park sewer Rain water system - per drain (inside building) Water heater and/or vent Indusnial *taste prctreaonet t inerceptor, including iu trap and vent, except for kitchen type grease intereptors 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/outlet, for specific Ras Additional medicd gas inlets/outlet, • six or more Sent By: PIPELINE PLUMBING & CONS.INC ; 425 644 2788; rtai rPLUM$ AND GAS PIPING PERMIT INFORMATION — 206 431 - 3670 II PLUMB AN t_ PIPING CONTRAC :R I F ORMATION Comp� Name: ri (Lin S WIS MailingGlddressW &b t S n /l City C r a'•m . . 7 a 72.r Contact Q erS E -Mail A ddress: / Fax Number: Contractbr Registration Number: - F ( � J ' oJ !N Expiration Date: Vahan of Project (contractor's bid price): S 7. Scope of Work (please provide detailed information): _ Indicate t c of plumbing fixtures and(or gas piping outlets being installed and the vanity below • Q :Nfplic I ps 'YR[•ayylieYiaY On UiS -2M6 • Fvmui atgtioi inn.ax Revised: 4-2o06 as May -19 -06 2:O5PM; Nue Page 3/3 -1044 2n' Page 5 of 6 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. Building and Mechanical Permit The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition). Plumbing Permit The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 Uniform 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 OW Signature: Print Name: Mailing Address: R s ' r H ' RIZED AGENT: i CET . Orin fs 5/ 3257' Date Application Expires: Date Application Accepted: pc / tot t Q :Applications Forms- Applications On Line V -2006 - Permit Application.doe Revised' 4 -2006 bh Date: 9z5- ( ' Day Telephone: ti 2(, U)=-t( (Pe^. City State Staff Initials: Zip Page 6 of 6 1 Fixture Type: Qty .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 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 Additional medical gas inlets/outlets — six or more PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: city Day Telephone: Fax Number: Expiration Date: Contact Person: E -Mail Address: Contractor Registration Number: Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quan ity below: State Zip Q: ApplicstimnWonm- Applications On Line\3 -2006 - Permit Applies doe Revised: 4-2006 bb Page 5 of 6 RECEIPT NO: R06 -01129 Initials: JEM User ID: 1165 Payee: IDEAL SERVICES, INC. SET ID: 0727 SET NAME: IDEAL CONSTRUCTION SET TRANSACTIONS: Set Member Amount PGOb -025 PG06 -026 PG06 -104 PG06 -105 TOTAL: 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 10.00 20.00 98.00 98.00 226.00 SET RECEIPT Payment Date: 07/27/2006 Total Payment: 226.00 TRANSACTION LIST: Type Method Description Amount Payment Check 18634 226.00 TOTAL: 226.00 Account Code Current Pmts 000/322.100 TOTAL: 226.00 226.00 Steven M. Mullet, Mayor Steve Lancaster, Director 7841 37/27 4716 TOTAL 226.00 ACCOUNT ITEM LIST: Description City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 1508000000 Address: 4012 S 158 ST TUKW Suite No: Applicant: PFAFF RESIDENCE Receipt No.: R06 -00696 Payment Amount: 88.00 Initials: JEM Payment Date: 05/19/2006 11:22 AM User ID: 1165 Balance: $0.00 Payee: PIPELINE PLUMBING & CONSULTING, INC. TRANSACUON:L15Ts Type Method Description Amount Payment Check 31032 88.00 PLUMBING - RES RECEIPT Account Code Current Pmts 000/322.100 88.00 Permit Number: PG06 -025 Status: APPROVED Applied Date: 05/19/2006 Issue Date: Total: 88.00 5617 05/19 9716 TOTAL 206.00 doc: Receipt Printed: 05 -19 -2006 Project: /JJf4ry= , Ores- Type of Inspection: V F/ A/4 / r j he n.al „:j' Ad ' 7 D / Z $ ,' SISD 5 I Date Called: Special Instructions: - - Date Wanted; //` /— 0 6 a.m. p.m. Requester: Phone No: y 2...) - 0 o / -<°1 3 7 INSPECTION RECORD Retain a copy with permit PERMIT NO. c 025 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -370 El Approved per applicable codes. adorrections required prior to approval. COMMENTS: /ra 8.00 REIN I ON FEE REQUIRED. Prior to inspection, fee must be paid at 6300 authcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: Project: PFp F Rcc. Type of Inspection: jCc74/? i A/ beets 1 ,°- '- Address: 4 /0 12- S. , t58 54 Date Called: Special Instructions: Date Wanted: // a.m. el- r7- d Go P.m. Requester: Phone No: a s3- a8G -52o - 7 INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PGa, 015 P T O. (206)431 -36X0 Approved per applicable codes. Corrections required prior to approval. COMMENTS: specto Date / p r.wH i7"/ -1 7D $5 .00 REINSPECTION UIREr to inspection, fee must be id at 6300 Southcenter Blvd , Suite Call to sechedule reinspection. Receipt No.: Date: Project: Project: Qr c Type of Inspection: Bent i- , A) V Address: OAn lei .C&/% (l Date Called: Qne 7?,T /�cly" c -jd • F1 Special Instructions: Date Wanted: T -- /L-�-�.Cr. eel Ca P.m. Requester: z Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: Qne 7?,T /�cly" c -jd • F1 --S s I- e,— ,? y 8 d /gra e1/ e,v4 1 / /iV'T /ii« / u 9 x Z INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 P oG -6t C PE T (2 r 6)431 -36 Inspector: - 4JG b 0 REINSPECTION FEE REQUIRED. Priofto inspection, fee must be at 6300 Southcenter Blvd., Suite 100. all to sechedule reinspection. Receipt No.: Date: �— /G —aL Date: Project: al r"� RCS . Type of Inspection: vR MN W 0S.r f,,i T Address: C /7 /f1 +-i(/t ( U Date Called: Special Instructions: Date Wanted: g — /G - oC.. arty P.m. Req uester: Phone No: 253 —GJ —� z a 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. PER 06)431 - 367 Corrections required prior to approval. COMMENTS: 6 ?) % i n iAl (A/4S Kcevr -- tpaot/ c at . .00 REINSPECTION FEk REQUIRED. Prio to inspection, fee must be d at 6300 Southcenter B d., Suite 100 all to sechedule reinspection. R:>•eipt No.: Date: P— /L — cri Date: 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:/Avww.cltukwila.wa.us Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: 747 /C Plan Check/Permit Number: PG 0 (0 ' Q ZS ❑ Response to Incomplete Letter # ❑ Response to Correction Letter # .2r Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner /� FEAMiT CENTER Project Name: C' WA(,Et SOUT4} CO N Do c O rt\ ?CAS- K Project Address: 4 0 ( Z S. 5 8 r t ST Contact Person: 3pco Er ( A ) 6 E4:r Phone Number: €42-0 644 — 26 2Z Summary of Revision: TO p,bb TO E.S<Scl "f ern cc l - Tu18 /NocA tj2 Sheet Number(s): "Cloud" or highlight all areas of revision Including date of revision Received at the City of Tukwila Permit Center by: KI Entered in Permits Plus on Old t.Y,IIaP applications\forms- applications on line\revision submittal Created: 8 -13 -2004 Revised: Steven M Mullet, Mayor Steve Lancaster, Director RECENED CITY OF TUKWILA JUL 2 7 2006 License Information License PIPELPC101BW Licensee Name PIPELINE PLUMBNG /CONSULTNG INC Licensee Type CONSTRUCTION CONTRACTOR UBI 601189310 Ind. Ins. Account Id 1 Business Type CORPORATION Address 1 11831 SE 32ND ST. Address 2 City BELLEVUE County KING State WA Zip 98005 Phone 4256442622 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 1/16/1990 Expiration Date 9/11/2006 Suspend Date Separation Date Parent Company Previous License PIPELP• 159NT Next License Associated License Business Owner Information Name Role Effective Date Expiration Date FOWLER, STEVEN T B Cancel Date 01/01/1980 Bond Amount Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 CBIC 658195 08/30/2001 Until Cancelled $12,000.00 09/10/2001 #3 CBIC 658195 08/30/1990 08/30/2001 $6,000.00 DEPENDABLE Look Up a Contractor, Electric -n or Plumber License Detail vir 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. `•' Page 1 of 2 https: // fortress. wa. gov/ lni/ bbip/ printer.aspx7License= PIPELPC101BW 05/19/2006