HomeMy WebLinkAboutPermit PG06-108 - PITZER HOMESPITZER HOMES
1183444PLS
PG06 -108
Parcel No.:
Address -
Suite No:
cr Y OF TtJYVili A
DEPT. OF CO` ::11* "., I'
6300 C,C.1.11HO.T.N ELVD.
TUKWILA, WA 93188
3347400755
11834 44 PL S TUKW
PERMIT CENTER
PLUMBING /GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On:
PG06 -108
08/03/2006
01/30/2007
Tenant:
Name: PITZER HOMES
Address: 11834 44 PL S, TUKW ILA WA
Owner:
Name: SAXTON SHIRLEY A
Address' 16167 122ND AVE SE, RENTON WA
Contact Person:
Name: TOM MILLER
Address: 2609 59 AV NE, TACOMA WA
Contractor:
Name: HEAT N AIR TECHS
Address: 2609 59 AV NE, TACOMA WA
Contractor License No: HEATNAT044QF
Phone:
Phone: 253 - 677 -5829
Phone: 253 927 -8265
Expiration Date: 11/06/2006
DESCRIPTION OF WORK:
INSTALLATION OF 5 GAS PIPING OUTLETS.
Value of Plumbing /Gas Piping: $0.00
Fees Collected: $88.00
Uniform Plumbing Code Edition: 2003
International Fuel Gas Code Edition: 2003
FIXTURE TYPE AND QUANTITY
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 0
Sinks 0
Urinals 0
Water Closet 0
Plumbing (cont.)
0 Building sewer and each trailer park sewer 0
0 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
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
0
Gas Piping
Gas piping outlets (0 -5) 5
Gas piping outlets (6 +) 0
* *continued on next page **
doe: UPC - Permit
PG06 -108 Printed: 08-03-2006
Not ‘roi
Permit Number PGO6 -108
Issue Date: 08/03/2006
Permit Expires On: 01/30/2007
Permit Center Authorized Signature:
elkkok
Date: %— 3-op
I hereby certify that I have read and examined this permit and know the same to be true and correct. 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 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: —1 `'' -^- Date: ' -3 -oL.
Print Name:
"fr-.4„1/4,4, Vv.%-)0A/\--krj
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 -108 Printed: 08 -03 -2006
CITY OF TUKV.P..t A
DEFT CF CC: :.:',li;: - D::`I i O^tOENT
63CO C .UTI -I WA i 88188 OLVD.
TUKWILA
PERMIT CONDITIONS
PERMIT CENTER
Parcel No.: 3347400755 Permit Number: PG06 -108
Address: 11834 44 PL S TUKW Status: ISSUED
Suite No: Applied Date: 08/03/2006
Tenant: PITZER HOMES Issue Date: 08103/2006
1: ** *PLUMBING AND GAS PIPING * **
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: 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.
* *continued on next page **
doc: Conditions
PG06.108 Printed: 06-03 -2006
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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:
Date: 6 -3 • a1,,
doe: Conditions
PGO6 -108 Printed: 08 -03 -2006
(.111' lit t URWILA
Community Developmer� epartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
FG-�t -106
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: k D l U
Tenant Name:
Property Owners Name:
Mailing Address:
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ .... Yes ❑ ..No
City
State
Zip
CONTACT PERSON
when your permit iir
Name: Q vv. h"' II U-r.
Mailing Address: 24 CO1 %a w v
Day Telephone: `13) - 47,7 S21A9
Tt 9 V/ -
City Stare Zip
E -Mail Address: —V n U\ \-¢.ry Cj ri & e, A U& ' Fax Number: 2.5 1 — ' LH ''cVl .5 Y
Company Name: 4e Lk
Mailing Address: 2L. col
Contact Person: dw.
V\ f TCZ)...s
—1-41>•• LONas "., W' v ICell"
City State Zip
Day Telephone: Co1n ' rffi -11
Fax Number: 2-3-1 • `i2`t— oN sS
Expiration Date: i " 1 C
E -Mail Address: t`
{-ket:AA^ aA,' oy4 A S
Contractor Registration Number:
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
City
Day Telephone:
Fax Number:
State
Zip
. ENGINEER OE
;ORU , A11 piaas must be we
taped by
glneer of Record -
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Q: Applicetions Fonm- Applications On LineU -3006 - Plumbing -GU Piping Permit Application.doc
Revised: 4-2006
b6
City
Day Telephone:
Fax Number:
State
Zip
Page 1 of 2
Valuation of' Project (contractor's bid price): $ I5 O a p
Scope of Work (please provide detailed information): -17,s a A l� c S \ F a r� Cope -"As )
Building Use (per Int'l Building Code):
Occupancy (per Int'I Building Code):
Utility Purveyor: Water: Sewer:
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
Fixture Type:
Date Application Expires:
2 -3-v�
Fixture Type:
ixturetType:
Qty .
Fixture Tyne: ' - -_
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
_
Repair or alteration
of drainage or vent
piping
Medical gas piping system
serving one to five
inlets/outlets for specific gas
PERMIT .APPLICATION NOTES
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 O NER OR AUTHORIZED AGENT:
Signature: `1
Print Name: Fr-4.,,,,S Yom.
Mailing Address- 210 oq
two
Day Telephone:
(Ari A
City
Date: /3 /G b
ZS3 -G 7 510
State tip
Date Application Accepted:
g- 3
Date Application Expires:
2 -3-v�
Staff Ini
Q Applications WFomu- Application On LineVd006 - Plumbing -Go Piping Pami Application
Revived: 4 -2006
bh
Page 2 of 2
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
RECEIPT
Parcel No.: 3347400755
Address: 11834 44 PL S TUKW
Suite No:
Applicant: PITZER HOMES
Permit Number: PGO6 -108
Status: ISSUED
Applied Date: 08/03/2006
Issue Date: 08/03/2006
Receipt No.: RO6 -01485 Payment Amount: 58.00
Initials: JEM Payment Date: 09/21/2006 03:31 PM
User ID: 1165 Balance: 50.00
Payee: HEAT N AIR TECHS
TRANSACTION LIST:
Type Method Description
Amount
Payment Check 4615 58.00
ACCOUNT ITEMtIST:
Description
Current Pmts
Account Code
GAS - RES
000/322.100 58.00
Total: 58.00
9978 09/21 9716 TOTAL 58.00
doc: Receipt
Printed: 09-21 -2006
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
RECEIPT
Parcel No.: 3347400755
Address: 11834 44 PL S TUKW
Suite No:
Applicant: PITZER HOMES
Permit Number: PGO6 -108
Status: ISSUED
Applied Date: 08/03/2006
Issue Date: 08/03/2006
Receipt No.: R06 -01443 Payment Amount: 58.00
Initials: JEM Payment Date: 09/1512006 02:04 PM
User ID: ADMIN Balance: 50.00
Payee: JESSE M PITZER
TRANSACTION UST:
Type Method Description
Amount
Payment Check 807 58.00
ACCOUNT ITEM LIST:
Description
Current Pmts
Account Code
GAS - RES
000/322.100 58.00
Total: 58.00
9725 09/15 9716 TOTAL 58.00
doc: Receipt
Printed: 09-15 -2006
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
RECEIPT
Parcel No.: 3347400755
Address: 11834 44 PL S TUKW
Suite No:
Applicant: PITZER HOMES
Permit Number: PGO6 -108
Status: PENDING
Applied Date: 08/03/2006
Issue Date:
Receipt No.: R06 -01178 Payment Amount: 88.00
Initials: BLH Payment Date: 08/03/2006 01:28 PM
User ID: ADMIN Balance: 50.00
Payee: HEAT N AIR TECHS
TRANSACTION LIST:
Type Method Description
Amount
Payment Check 4580 88.00
ACCOUNT ITEM LIST:
Description
Current Pmts
Account Code
GAS - RES
000/322.100 88.00
Total: 88.00
)3 97 6 TOTi ?`... ,°_ -P S
doe: Receipt
Printed: 08-03 -2006
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
,oG- /dam
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Pro Act: -
/1/2'-/Z,/ / /o,np s
Type of Inspection: V
Tin%FJ/ 6A..5 -r i:7.rVh
Address:
/ /SJY %' /"z 5
Date Called:
Special Instructions:
Date Wanted:
. `- :
Requester:
Phone No:
[74q3proved per applicable codes. El Corrections required prior to approval.
COMMENTS:
. (tit
❑ $5 I r REINSPECTION FEE QUIRED. Pnor to inspection, fee must be
pai• at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Insp
Date:
Receipt No.:
Date:
INSP
ION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)431 -3
Proje - ,
9e,- ikon
S
Type f Inspection:
,'n y% — %A, ,A 1'
Address:
433 V yy ,"
s
Date Called:
Special Instructions:
Date Wanted:
2'
.
.2 4-.0
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
O MENTS:
8.00 REINSPECTIOIi FEE REQUIRED. PriJr to inspection, fee must be
:aid at 6300 Southcenter Blvd., Suite 10 . Call to sechedule reinspection.
Receipt No.:
Date:
ry
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
1kSPECTION RECORD
Retain a copy with permit
•
Project:
Phit /-it4
Type of Inspection:
2 ,4 n i( ,),
41i
Address:
/161.341- 4'y- C.
Date Called:
Special Instructions:
Date Wanted: ��/
�i3T5v
a.m
P.m.
Requester:
Phone No:
2S,3- 257-x?
Approved per applicable codes.
COMMENTS:
Corrections required prior to approval.
/4N7 . /34 /A
/1 :95 // L �h
nspector
Date: e7.7006
❑$58.If0 REINSPECTION F`EE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PE
(206)431 -3L6
Proje941
•,- /2"fr deed
Type of Inspection:
g( nd �i%+ 2 7
/
(04<
Address:
//
1y--4' 't
Date Called:
Special
tructions:
Date Wanted' _ ��
r
a.m
m.
Requester:
Phone No:
EjApproved per applicable codes. UCorrections required prior to approval.
COMMENTS:
3 0
Inspector:
Inr
jJ $58.00 REINSPECTION EE REQUIRED. Prior to inspection, fee must be
y� paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Date:
Receipt No.:
Date:
2-
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD �y
Retain a copy with permit let9 " l
PE ._
(206)431 -367
Project:
?� , / rize
7
Type of Inspection:
9ar� .�y ,z 64 s
Addr ss:
Date Called:
Special Instructions:
Date Wanted: am:
y/3"-a
Requester:
Phone No:
53 7<TS -ei7
0 Approved per applicable codes.
llwCorrections required prior to approval.
COMMENTS: A /3 L. /6
—7 51® /°,1 -
7-.°5r1 �',e.' /fin,/
- ,•nt4_ a Gp-c...*
rte, , 4,4 _e__
Inspector:
1 di 1/Date:
ce i nets
$58.00 REINSPECTION F, REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
INSPECTION RECORD ,,y�yy--
Retain a copy with permit /—`ia 2?"
INSPECTION NO. PERM!- "-
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -367
Project:
/&, 7-Teri /a1h�irQ
Type of Inspection:
9tZ2� iZ tr<
Date Calle
Address /83 t/ 9 /�%' �
Special Instructions:
Date Wanted: a.r�
.,/
9''�wb �P..m��
Requester:
Phone No:
0Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
71,6 ft; /(,-� - q ���. 7L-0-
v
Date:' //
$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:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PERM
(206)431 -36
P ect:
P. f oAS
Corrections required prior to approval.
Type of Inspection: ."
a/vy b „, G�
sfe,
Addres .
//g39 fl/p/ 5
a) Ren#ve 1200 E _.5vs z/ /A/
Date Called:
Special Instructions:
(a5)
Date Wanted:
i -2-9-0C-
a.m.
Cry"'
Requester:
,Phone No:
-2ss-6" 5
7 '
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
a) Ren#ve 1200 E _.5vs z/ /A/
— /24yA — /a, - /NS®eeP4
s
1 i /tic.>O./.S,
Da "
58.00 REINSPEC.#ION FEE RF@i11RED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date: