HomeMy WebLinkAboutPermit PG06-028 - WESLEY RESIDENCEWESLEY RESIDENCE
13044 34 AV S
PG06 -028
Parcel No.:
Address
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name: RANDY HOEFER
Address: 12462 DES MOINES MEMORIAL DR, SEATTLE WA
Contractor:
Name: GLENDALE HEATING & A/C
Address: 12462 DES MOINES WY S, SEATTLE, WA
Contractor License No: GLENDHA053Q2
DESCRIPTION OF WORK:
EXTEND EXISTING GAS PIPE TO NEW COOK -TOP LOCATION, APPROXIMATELY 10 - 15 FEET.
Value of Plumbing /Gas Piping: $0.00
Fees Collected: $78.00
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 0
Urinals 0
Water Closet 0
doc: UPC - Permit
City s 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
7359600710
13044 34 AV S TUKW
WESLEY RESIDENCE
13044 34 AV 5, TUKWILA WA
WESLEY LORI M
13044 34TH AVE S, SEATTLE WA
PLUMBING /GAS PIPING PERMIT
FIXTURE TYPE AND QUANTITY
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 206 243 -7700
Phone: 206 - 243 -7700
Expiration Date:11 /02/2007
Steven M. Mullet, Mayor
Steve Lancaster, Director
PG06 -028
05/23/2006
11/19/2006
Uniform Plumbing Code Edition: 2003
International Fuel Gas Code Edition: 2003
Plumbing (cont.1
0 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 Pining
Gas piping outlets (0 -5) 1
Gas piping outlets (6 +) 0
PGO6 -028 Printed: 05-23-2006
doe: UPC - Permit
City tom 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
* *continued on next page **
Steven M. Mullet, Mayor
Steve Lancaster, Director
PG06 -028 Printed: 05 -23 -2006
Permit Center Authorized Signature:
I hereby certify that I have read and
ordinances governing this work will b
The granting of p1t it does not pres
g con a� /�• o r th performs
Assredit4,..
regulatin
I
City 11 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
mined
�mplie�
Steven M. Mullet, Mayor
Steve Lancaster, Director
Permit Number: PGO6 -028
Issue Date: 05/23/2006
Permit Expires On: 11/19/2006
Date: ( it?
is permit and know the same to be true and correct. All provisions of law and
with, whether specified herein or not.
o give uthority to violate or cancel the provisions of any other state or local laws
•f •rk/ am authorized to sign and obtain this plumbing /gas piping permit.
Date: S7 2 x/ 6.6
Print Name: (.41-4-01 .111 t A(
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
PG06 -028 Printed: 05 -23 -2006
Parcel No.: 7359600710
Address: 13044 34 AV S TUKW
Suite No:
Tenant: WESLEY RESIDENCE
2: ** *PLUMBING AND GAS PIPING * **
doc: Conditions
City the 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
PERMIT CONDITIONS
5: No portion of any plumbing system or gas piping shall be concealed until inspected and approved.
* *continued on next page **
Steven M. Mullet, Mayor
Steve Lancaster, Director
Permit Number: PG06 -028
Status: ISSUED
Applied Date: 05/23/2006
Issue Date: 05/23/2006
1: 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
6: 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.
7: 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.
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.
PG06 -028 Printed: 05 -23 -2006
Signature:
Print Name:
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
I hereby certify that I have read these conditions and will comply with them as outlined. All provisions
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
regulating constru on or the performance of work.
doc: Conditions PG06 -028
Date:
Steven M. Mullet, Mayor
Steve Lancaster, Director
of law and ordinances
other work or local laws
Printed: 05 -23 -2006
CITY OF TUKWIL r'
Community Development Department
Public Works Department
Permit Center
8300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
emiit No.
Mechanical Permit No.
Public Works Permit No.
Project No.
e use
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: 15 t7
Tenant Name:
Property Owners Name: Lnt" t Y 1 cs
�h^
Mailing Address: 1 3 O 4 y ?, N —
CONTACT PERSON
1
Name: Day Telephone:
Mailing Address:
city
E -Mail Address: Fax Number:
GENERAL CONTRACTOR INFORMATION - (Mechanical Contractor information on back page)
Company Name: Cr Lo nca
Mailing Address: 114( e 1 2
Contact Person li
5 a'Ut S
e 5 p`t .-t➢./J
1
E -Mail Address:
*pi*aeelte exit application (7.2004)
Pack 1
King Co Assessor's Tax No.:I 2 5 /4 7 1 0
Suite Number: Floor:
New Tenant:
City
\AO
State
State
0.-No
C IP
Zip
Zip
1 r t&-et (Act !-d 64"
City State Zip
Day Telephone: 2 047 _ 3' 7700
E -Mail Address: Fax Number: ZO(o - P.43 X311 Y
Contractor Registration Number: LE N b u A O5ni012 . piration Date 11 01
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance"
ARCHITECT OF RECORD — All plans must be wet stamped by Architect of Record
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
Fax Number:
State
Zip
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
State
Zip
ENGINEER 01? RECORD — All plans mast be wet stamped by Engineer of Record
1
Site Address:
Tenant Name:
Property Owners Name:
Mailing Address:
Name:
Mailing Address:
E -Mail Address:
Contact Person:
E -Mail Address:
Contact Person:
E -Mail Address:
CITY OF TUKWILAt
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci tukwila.wa.us
Contractor Registration Number:
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**
Q\AppIi a60ne\Fonne- Appliatione On Line\ -2006 - Plumbing-Gas Piping Permit Application. doe
Revised: 4-2006
bh
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: o .... Yes 0 ..No
City
State
Zip
Day Telephone:
City
Fax Number:
State
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
Expiration Date:
State
Company Name:
Mailing Address:
city
Day Telephone:
Fax Number:
State
Zip
Zip
Zip
Company Name:
Mailing Address:
Zip
Contact Person:
E -Mail Address:
City
Day Telephone:
Fax Number:
State
Page 1 of 2
Fixture Type:
Qty
Fixture Type:
fix lire Ty pe:
:Qty
Fixture Type:
Qty
Bathtub or combination
bath/shower
Drinking fountain or water
cooler (per head)
Wash fountain
Gas piping outlets
1
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): $ ; 5 n
Scope of Work (please provide detailed information): &)« /NCc EX/ 5 %) M& 6 P/ t
w t K 7 (moo c tA ltfP Lc x lb tS Fr
Building Use (per Intl Building Code):
Occupancy (per Int'1 Building Code):
Utility Purveyor: Water: Sewer:
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
LICATION:NO`E
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 C IF HAT 1 HAVE READ AND EXAMINED 11115 APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF ' : U' Y BY LAWS OF TATE OF WPy4)HINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING
Signature:
Print Name: C,144-0 trAc
Cs lnbN
Date: , 4 -Z - d4.
Day Telephone: LOC..- LI j g r -r? OO
Mailing Address:
Date Application Accepted:
Os 1 it 1 oit
Date Application Expires:
MSc o
Staff Initials:
QUppliutbvWorms- Applicuiona On Linet3-2006 - Plumbing-Gas Piping Permi Applicslion.doc
Revised: 4-2006
bb
City
State
Zip
Page 2 of 2
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 7359600710
Address. 13044 34 AV S TUKW
Suite No:
Applicant: WESLEY RESIDENCE
Receipt No.: R06 -00713 Payment Amount: 78.00
Initials: ]EM Payment Date: 05/23/2006 12:47 PM
User ID: 1165 Balance: ;0.00
Payee: GLENDALE HEATING AND AIR CONDITIONING
RECEIPT
Tt ANSAAtilatit/ t
Type Method Description Amount
Payment Check 56742 78.00
ACCOUNT ITEM 11ST:
Description
PLUMBING - RES
Account Code Current Pmts
000/322.100 78.00
Permit Number: PG06 -028
Status: PENDING
Applied Date: 05/23/2006
Issue Date:
Total: 78.00
5733 05/23 9716 TOTAL. 78.00
doc: Receipt Printed: 05-23 -2006
Project:
4ie-
Type of Inspection:
��-e 4 1...Q
Address: j
/ 304 7 y
- co
Date Called: :
Speciai Instructions:
Date Wanted:
29`6
Requester:
Phone No:
cs
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)431 -36
g .Qpproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
$58.00 REINSPECT! Q4V FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
Project:
V.)PS le -, Rem.
Type of Inspection:
F2rh(cj h- 1 h1
Address:
\3o '3 Au S
Date Called:
Special Instructions:
Date Wanted: a.m.
- a- 0 C
Requester:
Pone No:
u25i /2 I - PSG Z
1 01. INSPECTION RECORD
R etain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)4 1.367
ref .—
I ](IApproved per applicable codes. 0 Corrections required prior to approval.
COMMENTS:
E $58.0 EINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
Project:
(,P
a/�
Type of Ins 49
has
Address:
c6 cy
Date Called:
Special Instructions.
a
730
Date Wanted 2-r..6 /a m
n 1 1 p
Requester: `-�
Phone No:
in s - 76/ - 8933
t
INSPE TION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Approved per applicable codes.
PER
(206)431 -36
igi Corrections required prior to approval.
COMMENTS:
AZ#4.444 if' 4 et c ys t
U -� ri, ti r1cJct
cif .: ( dt. rg.{ 4.0(
NA-
Date:J_
❑ $58.00 REINSPECTION FEE REQUIRE'. Prior o inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
A
GLENDALE OIL CO, INC
12462 DES MINES WAY S
D SEATTLE WA 93163 173
ISPLAY CONSPICO"OSLY ArY0PrWcT
p ,. ��,
/ mi J �� le.f. . i l�l`W i 1 v V 4::.. . .. ---� — i)
0 ., ;i' e' GISTRATION CERTIFICATE ; 4 *
I- 625-05 2-00(1 097)
F6?.5- 052-000 00/971
I)cid.li And I) 1.p111v (
I)ri.ir ,An Unp Lil I _ - - - -__�
DEPARTMENT OF LABOR AND INDUSTRIES
LICENSED AS PROVIDED BY LAW AS
ELEC CONTR HVAC /RFRG
LICENSE # EXP. DATE
EC6A GLENDHA003CM 02/14/2008
EFFECTIVE DATE 02/14/2000
GLENDALE HEATING & A/C
12462 DES MOINES MEMORIAL DR
SEATTLE WA 98168 -2266
DEPARTMENT OF LABOR AND INDUSTRIES
REGISTERED AS PROVIDED BY LAW AS
CONST CONT GENERAL
REGIST. "# EXP. DATE
CCO1 GLENDHA053Q2 11 /02/2007
EFFECTIVE DATE 11/22/1995
GLENDALE HEATING & A/C INC
12462 DES MOINES WY S
SEATTLE WA 98168 -2266
! -
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