HomeMy WebLinkAboutPermit PG06-125 - JONES RESIDENCEJONES RESIDENCE •
13039 56 AV S
PG06 -125
•
•
•
City tiled Tukwila
Steven M. Mullet, Mayor
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206431 -3670
Fax: 206 -431 -3665
Web site: ci.tukwila.wa.us
Parcel No.: 2172000050
Address: 13039 56 AV S TUKW
Suite No:
PLUMBING /GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On:
Steve Lancaster, Director
PG06 -125
08/21/2006
02/17/2007
Tenant:
Name: JONES RESIDENCE
Address: 13039 56 AV S, TUKWILA WA
Owner:
Name: JONES THOMAS A
Address' 13039 56TH AVE S, TUKWILA WA
Contact Person:
Name: TIM DELAHANTY
Address' PO BOX 2440, WOODINVILLE WA
Contractor:
Name: DELSTAR PLUMBING INC
Address: PO BOX 2440, WOODINVILLE WA
Contractor License No: DELSTPI972OJ
Phone:
Phone: 206 919 -5759
Phone: 425 486 -2268
Expiration Date: 09/11/2007
DESCRIPTION OF WORK:
RE -PLUMB EXISTING HOUSE: (1) BATHROOM, (1) KITCHEN, (1) LAUNDRY WASHER, AND
WATER LINE FROM METER TO HOUSE.
Value of Plumbing /Gas Piping: $0.00
Fees Collected: $158.00
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 1
Urinals 0
Water Closet 1
Plumbing (cont.)
O Building sewer and each trailer park sewer 0
0 Rain water system - per drain (inside bldg) 0
1 Water heater and /or vent 1
O Industrial waste treatment interceptor, including
1 its trap and vent, except for kitchen type
O grease interceptors 0
0 Repair or alteration of water piping and /or water
0 treatment equipment 1
1 Medical gas piping system serving one to five
1 inlets /outlets for a specific gas 0
0
Gas Piping
Gas piping outlets (0 -5) 0
Gas piping outlets (6 +) 0
* *continued on next page**
doc: UPC - Permit
PG06 -125 Printed: 08 -21 -2006
City cat' 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
Permit Number: PGO6 -125
Issue Date: 08/21/2006
Permit Expires On: 02/17/2007
Permit Center Authorized Signature:
D
Date: otki 18�
I hereby certify that I have read and lied is permit and know the same to be true and correct. All provisions of law and
ordinances governing this work will b - • om a 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 t e 1prmance of work. 1 am authorized to sign and obtain this plumbing /gas piping permit.
Signature:
Print Name:
Date: 8-a 21 ^ Oh
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 -125 Printed: 08-21-2006
City &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
Parcel No.: 2172000050
Address: 13039 56 AV S TUKW
Suite No:
Tenant: JONES RESIDENCE
PERMIT CONDITIONS
Steve Lancaster, Director
Permit Number: PG06 -125
Status: ISSUED
Applied Date: 08/21/2006
Issue Date: 08/21/2006
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
PG06 -125 Printed: 08 -21 -2006
City cifTukwila
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: ct.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: ( O \ �SL2�CCLj(�p_
Print Name: 1 ► 'r . L JE1,-A 1.511
Date: &- 2_I - 0 (O
doc: Conditions
PG06 -125 Printed: 08-21-2006
CITY OF TUKWILA
Community Developmenrbepartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
Plumbing/GW /bet -mit
Project No
.12
or o ee ust iriYpj
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 Prints*
SITE LOCATION
Site Address: G3O3q 56 A\)E 5D,
Tenant Name: ,OM E� A6 30
Property Owners Name: N Es
Mailing Address:
King Co Assessor's Tax No.: -1 1 vw
Suite Number:
Floor:
New Tenant: .... Yes 0..No
City
State
Zip
CONTACT PERSON -Who do we contact when your permit is ready to be is
Name: I M DEi nmt. r/
Mailing Address: R 0 . t os 44D
Day Telephone: (ZOO 919 " 5759
Wooer >,ut 1 le LOA. _98071
city Zip FaxNumber(42S'486 -Z2
E -Mail Address:
PLUMBING/ GAS' PIPING _CONTRACTOR INFORMATION-
Company Name: bEU5 %AQ- R ci. T1.1C.
Mailing Address: Pe `z.44b INSDorn1 -s MU_E KSA. 98072.
City State
Zip
Contact Person: 1111 bEL.ANA ?Sr/ Day Telephone: (266) q I q -575(9
E -Mail Address: Fax Number: (42S) 486- 29 68
Contractor Registration Number: DEELS T P; 9'7 Cl'
Expiration Date: 9' i I - 07
Agar TECT OF:RECORA LAD plans must be wet stamped by Architect bf Record •
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
City
Day Telephone:
Fax Number:
State
Zip
ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: - Fax Number:
State
Zip
Q: ApplieniontForm.- Applications On LincU -2006 - Plumbing -Gee Piping Permit Applintion.doe
Revised: 4-2006
bb
Page 1 of 2
Valuation of Project (contractor's bid price): $ (41 3 b 0 i� (9°
Scope of Work (please provide detailed information): Re- YLU t-t 8 Et t 5'1) KS Et 1'I OU 5 6
I- BA-114 RCA M — 1- K I-rcn, - j LAD f■S DR-1 1A) ae.
Building Use (per Int'I Building Code): 114 lA ki I Lk
Occupancy (per Intl Building Code):
Utility Purveyor: Water:
Sewer:
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
Fixture f pe .
Qty
; Fixtare Typc: '
Qty:'
Fixture Type:
Qty
Fixture per
Qty
Bathtub or combination
0,
Drinking fountain or water
cooler (per head)
Wash fountain -
Gas piping outlets
Bidet
Food -waste grinder,
commercial
Receptor, indirect
waste
Clothes washer, domestic
I
Floor drain
Sinks
j
Dental unit, cuspidor
Shower, single head trap
I
Urinals
Dishwasher, domestic,
with independent drain
I
Lavatory
J.
1
Water Closet
1
Building sewer or trailer
park sewer
Rain water system — per
drain (inside building)
Water heater and/or
vent
A
1
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
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 g WNER s ' AUT{ (HBO GENT:
Signature: 1 -- 11b 0
Print Name: 1 111 �' )� ti A T-1 j �l
Mailing Address: Po o , En?c a440 tDeoO t tJ 0)1 l E ,
Date: g- -06
Day Telephone: (,tit) q {Q " 57.S
98o7Z
City State
Zip
Date Application Accepted: N In'
/�
f cb
Date Application Expires: �Ia
Staff Initials: f
Q: Appliwione\Fmms- Appliaetions On Line \3 -3006 - Plumbing -fins Piping Perini Application.doc
Revised: 4-2006
bh
Page 2 of 2
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
RECEIPT
Parcel No.: 2172000050 Permit Number: ' PG06 -125
Address: 13039 56 AV S TUKW Status: PENDING
Suite No: Applied Date: 08/21/2006
Applicant: JONES RESIDENCE Issue Date:
Receipt No.: R06 -01306 Payment Amount: 158.00
Initials: JEM Payment Date: 08/21/2006 11:22 AM
User ID: 1165 Balance: 50.00
Payee: DELSTAR PLUMBING, INC.
TRANSACTION LIST:
Type Method Description
Amount
Payment Check 6061 158.00
ACCOUNT ITEM UST:
Description
Current Pmts
Account Code
PLUMBING - RES
000/322.100 158.00
Total: 158.00
8854 08/21 9716 TOTAL 158.00
doc: Receipt Printed: 08 -21 -2006
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
IISOECTION RECORD
Retain a copy with permit
PERM
NO
6431 -36
Project: l
,4./ p .
Type of Insp �
' riot /
Address
%i e S'
Date Calle d/r0r9
Special Instructions:
Date Wanted:
4-9 41— a-7'
a.m.
Requester:
Phone No:
Approved per applicable codes. El Corrections creed prior to approval. ,
COMMENTS:
ri $58.00 REIN -- CTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt,[Jo.:
'Date:
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
INSPECTION RECORD
Retain a copy with permit
/7664 -d2
PERMIT NO.
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206 1 -3670
Pro'ect: T t//fv
�D .l%�S •
Type of Inspection: U
/ in/.a /
Address:
c% /2 S •
_
i5P s/
Date Called: \
,
Special Instructions:
Date Wanted:
/ /—z-0 6 p.m.
Requester:
Phone No:
//2S —63 / —BIZ T
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
Pe 2-7/ l-0- 1-t.r,D /f
00 REINSPECTION EE REQUIRED. rior to inspection, fee must be
id at 6300 Southcenter Blvd., Suite 00. Call to sechedule reinspection.
Receipt No.:
Date:
I INSPECTION RECORD
Retain a copy with permit B0G' I 1 s
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila; WA 98188
(206)431 -367
Profjct:
CONts (2e S
Type of Ins ection:
12.au01 In — Iry
A� d ess:o 3 C1
S� A V 5
Date Called:
Special Instructions:
Date Wanted:
a
Requester:
Phone No
..C) (a 3sO °1415
Approved per applicable codes.
0Corrections required prior to approval. 2i
MMENTS: (1
f-
wV- A ppeaJ PIJ
Liana- P retO
3 Vtttq fn- ► —Apr.»
co
1,1106 -eg YlA1d1 OveraD
0 REINSPECTION F REQUIRED. Prjbr to inspection, fee must be
t 6300 Southcenter lvd., Suite 100 Call to sechedule reinspection.
Receipt No.:
!Date:
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
Projpet:
c7"O NFS 2es `
Type of Ins ection: /,
c ,rdt,,.r lildyet-
Address:
343q jl_AV S
Date Called:
Special Instructions:
Date War d: f�O / a.m.`
yy (r p.m.
Requester:
Phone No:
ace. sg0 -obi
Approved per applicable codes. ❑ Corrections required prior to approval.
OMMENTS:
pe
tor:
\ Date:
11A45 —
8.00 REINSI ECT10 EE REQUIR . Prior to inspi'ction, fee m rstbe
id at 6300 Southcen r Blvd., Sul 100. Call to sechedule reinspection.
[Rec ipt No.:
!Date:
L.VG1l Vi/ u •V1LILaGLVI, LLVGYr '11 VL 1 1LL111VG1 L1VY11JG LGLalI ragc 1 Vl O
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
DELSTPI972OJ
Licensee Name
DELSTAR PLUMBING INC
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
602322265
Ind. Ins. Account Id
#1
Business Type
CORPORATION
Address 1
PO BOX 2440
Address 2
City
WOODINVILLE
County
KING
State
WA
Zip
98072
Phone
4254862268
Status
ACTIVE
Specialty 1
PLUMBING
Specialty 2
SANITATION SYSTEM SIDE SEWER
Effective Date
9/11/2003
Expiration Date
9/11/2007
Suspend Date
Separation Date
Parent Company
Previous License
DELSTP *131JN
Next License
Associated License
Business Owner Information
Name
Role
Effective Date
Expiration Date
DELAHANTY, TIMOTHY J
PRESIDENT
09/11/2003
Bond
Amount
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
#1
RLI INS
CO
SRS1018633
09/11/2003
Until
Cancelled
56,000.00
09/11/2003
Savings Information
https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= DELSTPI972OJ 08/21/2006