HomeMy WebLinkAboutPermit PG06-120 - PITZER HOMESPITZER HOMES
1183444PLS
PG06 -120
City & Tukwila
Steven M. Mullet, Mayor
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
Parcel No.: 3347400755
Address: 11834 44 PL S TUKW
Suite No:
PLUMBING /GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On:
Steve Lancaster, Director
PG06 -120
08/16/2006
02/12/2007
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: MARK GREINER
Address: 204 6 AV N, ALGONA WA
Contractor:
Name: MARK'S PLUMBING
Address* 204 6 AV N, ALGONA WA
Contractor License No: MARKSP *077LM
Phone:
Phone: 253 740 -5077
Phone: 253 393 -5391
Expiration Date:01 /09/2008
DESCRIPTION OF WORK:
PLUMBING FOR NEW SFR
Value of Plumbing /Gas Piping: $0.00
Fees Collected: $188.00
Uniform Plumbing Code Edition: 2003
International Fuel Gas Code Edition: 2003
FIXTURE TYPE AND QUANTITY
Plumbing
Bathtub or combination bath /shower 2
Bidet 0
Clothes washer, domestic 1
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
Sinks
Urinals
Water Closet
Plumbing (cont.)
Building sewer and each trailer park sewer 0
Rain water system - per drain (inside bldg) 0
Water heater and /or vent 1
0 Industrial waste treatment interceptor, including
1 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
1 Medical gas piping system serving one to five
inlets /outlets for a specific gas 0
0
0
0
2
0
3
Gas Piping
Gas piping outlets (0 -5) 0
Gas piping outlets (6 +) 0
* *continued on next page **
doc: UPC - Permit
PG06 -120 Printed: 08 -16 -2006
City to Tukwila
Steven M. Mullet, Mayor
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: cl.tukwila.wa.us
Steve Lancaster, Director
Permit Number: PGO6 -120
Issue Date: 08/16/2006
Permit Expires On: 02/12/2007
Permit Center Authorized Signature:�� jj tt
Date: DtCl,(pi,(VD
I hereby certify that I have read and xa fined t is permit and know the same to be true and correct. All provisions of law and
ordinances governing this work will b c mpl d ith, 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 perform ce of work. I am authorized to sign and obtain this plumbing /gas piping permit.
Signature:
Print Name:
, %4x q, 6•P����1
Date: 086 VC" o‘
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 -120 Printed: 08-16 -2006
City afriTukwila
Steven M. Mullet, Mayor
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
Parcel No.: 3347400755
Address' 11834 44 PL S TUKW
Suite No:
Tenant: PITZER HOMES
PERMIT CONDITIONS
Steve Lancaster, Director
Permit Number: PG06 -120
Status: ISSUED
Applied Date: 08/16/2006
Issue Date: 08/16/2006
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: 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
PGO6 -120 Printed: 08 -16 -2006
City a r Tukwila
Steven M. Mullet, Mayor
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
Steve Lancaster, Director
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:
i1,77/i-2t
Print Name:
44kfr 6/IC-F11/ 7
Date: Off'- /6- 0 6
doc: Conditions
PG06 -120 Printed: 08 -16 -2006
CII Y Ut I UKWILA
Community Developmerpartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://Www.ci.tukwila.wa.us
p
ermitNo. tritlfr 12°
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: / /$3f y , T4,.Q S.
King Co Assessor's Tax No.: 3 3t7' '7 Vo o }SS—
Suite Number:
Tenant Name: New Tenant:
Property Owners Name:
Mailing Address:
Floor:
.... Yes ❑ ..No
City
State
Zip
CONTACT PE
-Who do WC
ben your permit is ready to
Name: Wi tto k A. 6 %t EZSE4
Mailing Address: aO 4/ S T " /lit; /f ,
E-Mail Address:
Company Name: 01 4 ? k' 5 P/ ✓M 4z.✓L
Mailing Address:
',.lc t 6 /4.. * /Or' /1/. Contact Person: /" l�-0Q K rf_ ME:r din
Day Telephone: c/.5' 3 - 790 're-?' 7
A.C44,v/if hld.. k00%7**e
City State Zip
Fax Number: 615 3 f 3 $ t`fl/
hafIeo.v,/ A/4 Ssoo/ 7tyd
E -Mail Address:
Contractor Registration Number: ,4414's r O ?Lai
City State Zip
Day Telephone: ,7S- 3 - 7%,. .707 7
Fax Number: as 3 - Se? ,' 3f=3`3 S'/
Expiration Date: O /' O 9 - O $
ARC/DUCT OF RECORD AU plans must be wetstamped py
:httect of Record ':_
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
ENGINEER OF RECORD - All`piatts in
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
State
Zip
Contact Person:
E -Mail Address:
QMppliatiaaWRani-Applications On Lix3-2006 - Plumbing-Gas Piping Pennit Application.doc
Revised: 4-2006
bb
City
Day Telephone:
Fax Number:
State
Zip
Page 1 of2
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information): I% 4Jeoest fa6if FAAtxI , goat ,
Rot'b h 2.4/ I /fir M 1 ,if4 ins , kDJ-can s.. st,,ea tr _ f /',y
Building Use (per Inf 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:
Qty ,
Fixture Type:
Qty
F txtare Type:. .::Qty
_
F ixtgre Type:
Qty
Bathtub or combination
bath/shower
'4
IS
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
IC
3
Dental unit, cuspidor
Shower, single head trap
/
�
/ /
Urinals
Water Closet
Dishwasher, domestic,
with independent drain
/
Lavatory
Building sewer or trailer
park sewer
Rain water system — per
drain (inside building)
Water heater and/or
vent
f
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 APPLICATTON:NEITES
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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER�UTH RIZED AGENT:
Signature: ./.2' //J
Print Name: 01 it 4 6 P1z.Vff/7
Mailing Address Re 6 7* * JE /V
IDate Application Accepted: Og r f ^ r
Date: Of•�6•d6
Day Telephone: tS-3 - 7 90 - CTO 7 7
f%Io,t/It A✓.Q, 7n /» ?yy,
City State Zip -
Date Application Expires:
Q: Appliationaffmme-Appliatiom Olt LineV3006 - Plumbing -Oas Piping Penni Appliation.doc
Revised: 1 -3006
bh
Staff lniiti : l
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 -120
Status: APPROVED
Applied Date: 08/16/2006
Issue Date:
Receipt No.: R06 -01275 Payment Amount: 188.00
Initials: JEM Payment Date: 08/1612006 01:42 PM
User ID: 1165 Balance: $0.00
Payee: MARK A GREINER
TRANSACTION LIST:
Type Method Description
Amount
Payment Check 6141 188.00
ACCOUNT ITEM LIST:
Description
Current Pmts
Account Code
PLUMBING - RES
000/322.100 188.00
Total: 188.00
8693 08/16 9716 TOTAL 1:':.00
doc: Receipt
Printed: 08 -16 -2006
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
Project:
y�%75o� !/omt'S
Type oflnspection: v
Ai/VA-7 fah? /�215
Address.
i /83y iir /24 5
Date Called:
Special Instructions:
Date Wanted: a.m.
//— 2 ° -- t7 lj
Requester:
Phone No:
015 3 z.ss -6'27,V
I YlApproved per applicable codes. 0Corrections required prior to approval.
COMMENTS:
dr,01/ 1 &&y,» ,711"
.00 Dateh /9/04‘
itirittf
.00 REINSPECTION EEREEQQUIRF.p. Prior to inspection, fee must be
d at 6300 Southcenter (yd., Suit �Ett 100. Call to sechedule reinspection.
Rec-'pt No.:
Date:
INSPECTION RECORD ,1
Retain a copy with permit [7*ili
INSP ON NO. .- .- PER p�
CITYOF,TUKWILA BUILDING DIVISION l $
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3 7
Projest
t-yrze /2 fi�oine 5
Type of Inspection
/2m /y4 - /%"/
Address:
/183*' «9it5
Date Called:
Special Instructions:
,
.� 7Y0--507,,
Date Wanted: J/V O/ /a.m..
C�
Requester:
3 -ass- -057 L/
►yq�pproved per applicable codes. Corrections
required prior to approval.
YCOMMENTS:
A
/..r� -
Inspecto
Date :
--egi
9?
p
❑$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:
INSPECT' v N NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
(206)431 -36
Project:
r�?/7e, /. ,4
Type of Inspection:
&29? a ;V
-1/4‘....
Address:
/ /g3 9/-17/4/ A. ,5
Date Called:
Special Instructions:
Date Wanted:
a.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Lei, /) na€, J r7 7 e 7/74i-Pt.
4;7- /..,,e,1 -
r` s ry s / /efr
nspector: Date:
66647
pi $58.O0iFEINSPECTION YEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
3
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
l�
INSPECTION RECORD
Retain a copy with permit
Project
r .0 14
,moo
Type of Inspection:
g�,Q' -4 Arcata
Date Calle :
Address:
Special Instructions:
Date Wanted: a.m.
�/ �a
�
/ —/A cr
Requester:
Phone No:
ElApproved per applicable codes. - Corrections required prior to approval.
COMMENTS:
JO o d ,-20(7.4.,/
Inspector:
Date: / //
ri $58.00 REINSPECTION F EREQUIRED, Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
'Receipt No.:
1
Date:
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd.', #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
P6,016-/20
Project: l
P i rzF2 f/Orn,s
Type of Inspection: .. -
,dewy 6 -v,,, 7- )b..0746.
Address:
0"it.34/ 4/Y t/
s
Date Called:
Special Instructions:
4 ,£i,u, vi
Date Wanted: a.m.
0 -may -0C
Requester:
Phone No:
?'L5 -2ss -5'741
Approved per applicable
codes. Corrections required prior to approval.
COMMENTS:
4 ,£i,u, vi
%iaJ2 7 yin/ /j1 -%bn% 47..'r
7-241h -
,.vstow_ sn)
nspect �:
58.00 REINSPECTI#)N FEE REQUIRE/Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Date:
al -24.0
Receipt No.:
'Date:
INSPECTION RECORD
Retain a copy with permit
PER
CITY OF TUKWILA BUILDING DIVISION r .
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3
INSPECTION NO.
PType
P•3C/7 /ots
of Inspection:
depth „y
Address:
/ /8-3Y 4/PLS
Date Called:
Special Instructions:
Date Wanted:
/7-a C.
��
t°•"�
P.m.
Requester:
Phone No:
aS 3 -75/0 -507'7
pApproved per applicable codes. ►� Corrections required prior to approval.
COMMENTS:
L.J,, 7/s hewe Ler..4 /,_
/3'75/.• his 1-a/r /� v, `D !i f2/
1'..g.• , rll,s, s ;1-- 4,4
, n 4 /// / 4-7 5 r / %/-t
s -✓ rnirrr-/
$58. INSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
Look Up a Contractor, blectnel an or Plumber License uetafl rage 1 01 Z
Washington State Department of Labor and Industries
General/Specialty 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.
License Information
License
MARKSP *077LM
Licensee Name
MARK'S PLUMBING
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
601472389
Ind. Ins. Account Id
#3
Business Type
INDIVIDUAL
Address 1
204 6TH AVE N
Address 2
City
ALGONA
County
KING
State
WA
Zip
98001
Phone
2539395391
Status
ACTIVE
Specialty 1
PLUMBING
Specialty 2
SANITATION SYSTEM SIDE SEWER
Effective Date
6/14/1993
Expiration Date
1/9/2008
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
Business Owner Information
Name
Role
Effective Date
Expiration Date
GREINER, MARK A
OWNER
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
#3
CBIC
P00155
12/30/2001
Until
Cancelled
56,000.00
01/09/2002
#2
CBIC
P00155
06/14/1995
12/30/2001
54,000.00
HARTFORD
https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= MARKSP *077LM 08/16/2006