HomeMy WebLinkAboutPermit PG06-208 - GOUGH DEVELOPMENT - LOT 2GOUGH DEVELOPMENT
16668 53 AV S
PG06 -208
Parcel No.:
Address:
Suite No:
City of 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: http: //www.cLtukwila.wa.us
8858800077
16668 53 AV S TUKW
PLUMBING /GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On:
Steve Lancaster, Director
PG06 -208
11/07/2006
05/06/2007
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
GOUGH DEVELOPMENT, LOT 2
16668 53 AV S , TUKWILA WA
GOUGH DEVELOPMENT INC
3002 S WALKER ST , SEATTLE WA
JEREMY GATCHELL
PO BOX 7888 , TACOMA WA
BEAR PLUMBING & HEATING INC
Address: PO BOX 7888 , TACOMA WA
Contractor License No: BEARPHI973JJ
Phone:
Phone: 253 255 -1884
Phone: 253 255 -1884
Expiration Date: 04/11/2007
DESCRIPTION OF WORK:
PLUMBING FOR NEW SFR
Value of Plumbing /Gas Piping:
Fees Collected: $228.00
$0.00 Uniform Plumbing Code Edition: 2003
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 2
Urinals 0
Water Closet 3
International Fuel Gas Code Edition: 2003
E
Plumbing (cont.)
3 Building sewer and each trailer park sewer 0
0 Rain water system - per drain (inside bldg) 0
1 Water heater and/or vent 1
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
1 Medical gas piping system serving one to five
4 inlets/outlets for a specific gas 0
0
Gas Pininq
Gas piping outlets (0-6)
Gas piping outlets (8 +)
* *continued on next page**
0
0
doc: UPC-10 /06
PGO6 -208 Printed: 11 -07 -2006
City of 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: http: / /www.cttukwila.wa.us
Steve Lancaster, Director
Permit Number: PGO6 -208
Issue Date: 11/07/2006
Permit Expires On: 05/06/2007
Permit Center Authorized Signature:
I hereby certify that I have read and
Date: ILYcn'lotp
permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied v/jkh, w'hetlter specified herein or not.
The granting of this permit do
construction or
Signature:
Print Name:
of presume to give authority to violate or cancel the provisions of any other state or local laws regulating
of work. I am authorized to sign and obtain this plumbing /gas piping permit. J
Date: PA lap
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-10 /06 PG06.208 Printed: 11 -07 -2006
Parcel No.:
Address:
Suite No:
Tenant:
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: / /www.ci.tukwila.wa.us
8858800077
16668 53 AV S TUHW
GOUGH DEVELOPMENT, LOT 2
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
PG06 -208
ISSUED
11/07/2006
11/07/2006
1: ** *PLUMBING AND CAS 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: Cond -10/06
PG06 -208 Printed: 11 -07 -2006
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: / /www.ci.tukwila.wa.us
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: ,/n� /- /
Print Name: / " e^' ✓ v /
Date: 1 /ilk S°
doc: Cond -10/06
PGO6 -208 Printed: 11 -07 -2006
a 4 c Community Developmer `epartment
it Permit Center
■Iagi
II, l 6300 Southcenter Blvd., Suite 100
loos Tukwila, WA 98188
,•
htta://www.ci.tukwila.wa.us
riumunivti- renan NO. re, Lki
- ,
Project No.
(For ewe-tat
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"
King Co Assessor's Tax No.: 91R510 0014-
ss, Suite Number: Floor:
Site Address
Tenant Name: New Tenant: 0 ...• Yes 0 ..No
Coil-- Audi) (fraal--
Property Owners Name:
Mailing Address:
City
-CONTACT TER$ON„ ;=.,' who de:We canted Ny 4erliaui5lier,Mit is ready to beisieed,
Name:
dwail on,
Mailing Address: PO ;.or lad b
State
. Zip
E-Mail Address: I•eoirmeelvu-€ Kw- Am.&
Day Telephone: -2--c C-i P9
IAC00.4/4-
WA-' 'eferoc9
City State Zip
Fax Number: 73762 015-9
PLIJIVIBING / GAS PIPING CONTRACTORTNFORMATION
Eneety- Plikm6n) +4445
1,0)0 -78ff sr"
eit,4441
Company Name:
Mailing Address:
Contact Person:
E-Mail Address: .€lLrflStCSfle� tnviC1tA
Contractor Registration Number: 'Lair p1C1 crnss
-c-A&A,0_, vii- 9s4N.
City State Zip 1117
Day Telephone: 244-Qdar-Sweigerni-2-.21:5--e- n
Fax Number: 7.-C3 —7 CZ - 01 nf
Expiration Date:
ARCHITECT OF RECORD ThAll plans must be wet stamped by Architect of Record
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E-Mail Address: 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
Q0ApplicationsW0mmapplications On LinM3-2006 - Plumbing-Gas Piping Pcnuit Application.doc
Revised: 4-2006
bb
Page 1 of 2
p
Valuation of Project (contractor's bid price): $ U 1eO Q„
Scope of Work (please provide detailed information): Pfitftnh'%ti
Building Use (per Int'I Building Code):
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:
r4tare p$ .. .>..
Qty.--
Etztnre `YPe
4 } ,:!
Store 7 o: .
Qt
n1%tItCC
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
L
Floor drain
Sinks
'%j
Dental unit, cuspidor
Shower, single head trap
I
Urinals
Dishwasher, domestic,
with independent drain
Lavatory
jef.
Water Closet
Building sewer or trailer
park sewer
Rain water system — per
drain (inside building)
Water heater and/or
vent
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 0
Signature.
Print Name:
THORIZED AGENT:
Cokie1ri
Mailing Address: (O oC iV fig
Day Telephone:
'rgra w.a-t
City
Date:
fib b
%3 -2tert nh1
( SNP 840-kp
Date Application Accepted:
Date Application Expires:
Staff Initials:
QMpplintioneWonn- Applirnion On LineV -2006 - Plumbing-Gas Piping Petmi Applicetion.doc
Revised: 0-2006
bh
Page 2 of 2
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: //www.ci.tukwilawa.ut
SET RECEIPT
RECEIPT NO: 1106 -01776
Initials: JEM
User ID: 1165
Payee: BEAR PLUMBING & HEATING
Payment Date: 11/07/2006
Total Payment: 458.00
SET ID: 1107 SET NAME: BEAR PLUMBING
SET TRANSACTIONS:
Set Member Amount
PG06 -208 + 228.00
PG06 -209 228.00
TOTAL: 228.00
TRANSACTION LIST:
Type Method Description Amount
Payment Check 2034 456.00
TOTAL: 456.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
PLUMBING - RES
000/322.100 456.00
TOTAL: 456.00
Doc: RECSE15-06
1548 11/08 9710 10141. 456.00
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
Prof- cx /f . 4 •
TYPe of Inspection:
Ai J /
X
at /® 53 Artf S
Date Called:
Speciiial Instructions:
Date Wanted:
a.m.
Requester:
Phone No:
02453-2.44—C4/57
4Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
o4 -/s-rid
Q $58.00 REINSPECT! OII FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
te-
1
-..�Gtat•°akti•
7
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (2
INSPECTION RECORD
Retain a copy with permit
Pro' t:
Type f Inspection:
Address:
/4c < f 0-3 Av S
Date Called:
P /v», ti ;Ai
Special Instructions:
Date Wanted:
-6 _)
Sm.
m.
Requester:
Phone No:
32 %—/272
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
£ $tt A' % sa 6,1�i.v�
r7..4, p u s
beet 4 C(,.a ry °� •t'
hist Ad,
2
2/) Ara uc/ TrP 4eA fl . n M/e 2fl1
a,.- 5,'d4 /4.4 u".P
Prim. M v1-2,1 h? kir4
Inspector:
M- l Date: ‘'b%
LI $58.00 REINSPECTION FE'E REQUIRED. Prior to inspection, fed must be
paid at 6300 Southcenter Blvd., 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
(206)431 - 6
Project:
d? /5h A°Cle .
Type of In pection: v
ivy,* - /,/
Address:
//.6646 ,-j gv 5
Date Called:
Special Instructions:
.
Date Wanted: ` a.IDS
/ / —/Y -oC. p.m.
Requester:
Phone No:
e, s3- 2l,4 -6er>7
proved per applicable codes. Corrections required prior to approval.
COMMENTS:
$l EINSPECTION P'EE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
;Date:
s
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
(206)431 -3
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
Inspector:
Date: / /_ /r
Fl $58.00 REINSPECTIOIYFEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
Type of Inspection:'
{Pr�o�ie�'cftt::
dres
/■G B At s
Date Called:
Special Instructions:
Date Wanted:
//. 14/-0 Cr
P.m.
Requester:
Phone No:
ozs1 —z 4, gvs 7
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
Inspector:
Date: / /_ /r
Fl $58.00 REINSPECTIOIYFEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwi a, WA 98188
(206)431 -36
Project:
Go' &'
/t
Type of Inspection:
/2oajh — /et,
Address:
/4‘49 5-3
A71/ 5
Date Called:
Special Instructions:
Date Wanted: ('a.m.-.'
//— /9— O (i p.m.
Requester:
Phone No:
as 3 -2 G/- G7w
Approved per applicable codes.
Corrections required prior to approval.
❑ $58.00 REINSPECTION FE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcepter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
INSPE •N NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188-.
INSPECTION RECORD
Retain a copy with permit
Project:
6.02/ cg e-Weio,a.JrrS
Type of Inspection:
/..) eV !-
I
Address:
/6, OosS 53 4u 5
Date Called:
Special Instructions:
Date Wanted:
//-47- O 6,
Cam:
p.m.
Requester:
Phone No:
a53 -2 G/- 6770
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
4,14 ,4 - z/4n'r1
rto_t" 4‘1410:473,
Inspector
Date:
A L _ did 4,/ As
-/
$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 NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98185'
INSPECTION RECORD
Retain a copy with permit
6)431-
Project:
60716A/ d rUfitf' A&
Type of I_n`sp�e.ction,: / V
.lei/ (...-.91(
Address:
/Oe 4f sj 4u 5
Date Called:
Special Instructions:
Date Wanted:
//- /3 -06.
a.rtf.-
p.m.
Requester:
Phone No:
. S3 -zG /— 6770
w[ (Approved per applicable codes. 0Corrections required prior to approval.
COMMENTS:
7
$58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
s
INSPECIO N NO.
INSPECTION RECORD
Retain a topy,' with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PER
(206)431 -36
Pro'ect:
e�c y A L' /.
Type of n$pection:
h — /;1,
ddress:
/‘‘dg 1/4.57,44/ 5
Date Called:
Special Instructions:
Date Wanted:
//_ co _U(
ra.m.,
gym.
Requester:
Phone No:
253-x$5 — /aSV
4
Approved per applicable codes.
COMMENTS:
l
MCorrectlons required prior to approval.
t()/717.1 i f ijden -7
7u�
3�� f 4-7. / /s
;2-7 il1at
. / 7t..,oie041/
Inspector:
Date:
El $58.00 REINSPECTIO f EE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
VtJ Y LVL1l1 f4YIAJL L+lYY 111. 1 V1 J. 11.41114JY1 LLYYLLOY LY\pls 1 6VY 1 VL 4
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
BEARPHI973A
Licensee Name
BEAR PLUMBING & HEATING INC
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
602274674
Ind. Ins. Account Id
0
Business Type
CORPORATION
Address 1
PO BOX 7888
Address 2
City
TACOMA
County
PIERCE
State
WA
Zip
98406
Phone
2532551884
Status
ACTIVE
Specialty 1
PLUMBING
Specialty 2
OTHER (SPECIFY)
Effective Date
4/11/2003
Expiration Date
4/11/2007
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
Business Owner Information
Name
Role
Effective
Date
Expiration
Date
GATCHELL, JEREMY
PRESIDENT
04 /11/2003
GATCHELL,
KRISTINA
VICE
PRESIDENT
04 /11/2003
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
Until
https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= BEARPHI973JJ 11/07/2006