HomeMy WebLinkAboutPermit PG06-209 - GOUGH DEVELOPMENT - LOT 3GOUGH DEVELOPMENT
16674 53 AV S
PG06 -209
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.ci.tukwila.wa.us
8858800079
16674 53 AV S TUKW
PLUMBING /GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On:
Steve Lancaster, Director
PG06 -209
11/07/2006
05/06/2007
Tenant:
Name:
Address:
Owner:
Name:
Address:
GOUGH DEVELOPMENT, LOT 3
16674 53 AV S , TUKVV1LA WA
GOUGH DEVELOPMENT INC
3002 S WALKER ST , SEATTLE WA
Contact Person:
Name: JEREMY GATCHELL
Address: PO BOX 7888 , TACOMA WA
Contractor:
Name: 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: $0.00 Uniform Plumbing Code Edition: 2003
Fees Collected: $228.00 International Fuel Gas 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
FIXTURE TYPE AND OUANTITY
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
O Industrial waste treatment interceptor, including
0 its trap and vent, except for kitchen type
O grease interceptors 0
O Repair or alteration of water piping and/or water
O treatment equipment 0
1 Medical gas piping system serving one to five
4 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 -10/06
PG06.209 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.ci.tukwila.wa.us
Steve Lancaster, Director
Permit Number: PGO6 -209
Issue Date: 11/07/2006
Permit Expires On: 05/06/2007
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complied
Date: ) 11,0lMa
permit and know the same to be true and correct. All provisions of law and ordinances
er 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 th - -,�• - c f work. I am authorized to sign and obtain this plumbing /gas piping permit.
Signature: ��11 °��.� Date: fhAP
Print Name: 4:54h4; u,£M°//
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
PG06.209 Printed: 11 -07 -2006
Parcel No.: 8858800079
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
16674 53 AV S TURW
GOUGH: DEVELOPMENT, LOT 3
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
PG06 -209
ISSUED
11/07/2006
11/07/2006
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 back sled 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
PGO6 -209 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:
Print Name:
4 ca
Date:
doe: Cond -10/06
PGO6 -209 Printed: 11 -07 -2006
\1 Community Developmer opartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
httn://www.ci.tukwila.wa.us
Plumbiug/Gr Fermi iNo I t i{/ kV 1
Project No." 1r -
nn
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��
Tenant Name:
Property Owners Name:
Mailing Address:
King Co Assessor's Tax No.: V 604-1
12 VW S3 o- f>J¢ s1 ice;k14r✓oo- gym), Suite Number. Floor.
New Tenant: ❑ .... Yes o ..No
6eik, �e iG�olnt"`
Cily
State Zip
CONTACT PERSON Who do we ton tacf whe»;your permit to ready to be issued.
Name: -59 (M �teut. 1
Mailing Address: PO %k* /d fl
E -Mail Address: 7>efor t i(' t & n^ .J. Cann
Day Telephone: 2. 663 -WC 188Y
City State Zip
Fax Number: 2-(3 fl - t1 r
PLIJMBTNG /GAS PIPING CONTRACTOR INFORMATION;"::_
Company Name: 7,€4 'Aoki rl + eff ee tj r h a.
Contact Person: RM./ ►'-kk 1
E-Mail Address: ictvnIe J snc- e tttJM• Cow,
Mailing Address:
Contractor Registration Number:. .bc v' 9 i'l *t? in
deco !NJ-
City
Day Telephone:
Fax Number:
wa- `1goo
State Tip
OS-3 - 255"-- / flY
24-3- 2n-02 f
Expiration Date:
ARCImITECT OF RECORD .- All plans must be wet stamped" by Architect o
Company Name:
Mailing Address:
Zip
Contact Person:
E -Mail Address:
City
Day Telephone:
Fax Number:
State
ENGINEER OF RECORD --'Ali 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
QMppliruions1Fonm- Appliatioru On Liae13-2006 - Plumbing -Gm Piping Permit AppliWioa.doc
Ravine: 4-2006
bh
Page 1 of 2
Valuation of Project (contractor's bid price): $
a /to
Scope of Work (please provide detailed information): yi
Building Use (per Intl 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:
"Irixture,, Pe
Qty.
.Fixture Type ., .:
`QtY.
>Fixtuie type: ` ^
`Qty
:7�ixttiroType'1 .: ::
Qty
Bathtub or combination
bath/shower
3
Drinking fountain or water
cooler (per head)
Wash fountain
Gas piping outlets
Bidet
Food -waste grinder,
commercial
Receptor, indirect
waste
Clothes washer, domestic
j
Floor drain
Sinks
Z
Dental unit, cuspidor
Shower, single head trap
/
Urinals
Dishwasher, domestic,
with independent drain
Lavatory
4
Water Closet
Building sewer or trailer
park sewer
Rain water system — per
drain (inside building)
Water heater and/or
vent
i
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 Intemational 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
Signa
Print Name: 4N,9'taN
Mailing Address: S-f -781K
UTHORIZED AGENT:
Date: /1/4/Me
Day Telephone: 70 2Sn rPtI
('p- I gimp
City State
Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
Q *AppliadonsWamn- Applications On Line\3 3006 - Plumbing -Qn Piping Penni Applicntion.doc
Revised: 4-2006
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.cLtukwila.wa.us
SET RECEIPT
RECEIPT NO: R06 -01776
Initials: JEM Payment Date: 11/07/2006
User ID: 1166 Total Payment: 466.00
Payee: BEAR PLUMBING & HEATING
SET 1D: 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: RECSECS -08
1548 11/08 9710 TOTAL 456.00
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)431 -3 7
Project: y<Type
of 5p ec[io[t:
Address:
I(/ t (c.J n/Z-.
Date Called:
Special Instructions:
Date Wanted:
�/
�j�
a.m.
Requester:
Phone No:
Rl Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
(94, T �
Inspector
Date: f' 47
ri $58.0) REINSPECTION FsEE 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 98188
INSPECTION RECORD
Retain a copy with permit
PER
(206)431 -36
Project:
(D9h L) (leil yinfrnr71
Type of Inspection:
A/4 /
Address:
/4677 S3 M' 5
Date Called:
Special Instructions:
Date Wanted:
c7— d7
a�.
ry•m"
Requester:
Phone No:
as 3 -26/- /2
7/
Approved per applicable codes.
RiCorrections required prior to approval. 16
COMMENTS:
j 11 i /ry ete, //
$58.0CREINSPECTION(VEE 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 98188
INSPECTION RECORD
Retain a copy with permit
PER
N
20 • )431 -367
Project: 9/2_1S,4
Ty e of M y�� rile-g" ,,
/ 77 a gU S
D Called:
Special Instructions:
Dante �f �-7 Ca.rrt"i.'
p r!/ / P.m.
Requester:
Phoge Qla-'— 26 /7 -7 /
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:, 3 ifU/, Sr b .,AZ
U huh - /^rine ed‘ 7/2"
6ge C /ate
44 G 4 ti 17A1 r -neott
h<.t%,,t.�
/ao_ Cie- f5,.c& h. ,4O
cn
.7-� '' ANA a--
Date:
7 75-07
El $58. 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 98188
INSPECTION RECORD
Retain a copy with permit
(206)431 -36'0
Project:
G62/6,1/ .fzom
Type of Ins? tion: \J
,gym y ;,/
Address:
,6tii "S3 10 S
Date Called:
_
Special Instructions:
Date Wanted: a.
/ /`i3. O
Requester:
Phone No:
—253- 26 1 -6770
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
%i 4
Inspector: J / 971-1 Date1 /-� 3�>�
$58.00 REIINNSPECTIO FEE 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
INSPECTION RECORD
Retain a copy with permit
Project:
rOr(>// iiikt.aiHFiV7
Type of Inspection:
A-1,94'/ •jW
v
Address:
/�G ?9 S3 9u
Date Called:
Special Instructions:
Date Wanted:
// — /3
- 0 6.
a m.
P.m.
Requester:
Phone No:
Approved per applicable codes. D Corrections required prior to approval.
COMMENTS:
Inspector Date: 1 /) VX
El $58.0 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
Z
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter BIvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
•
431.36Y0
Project:
Cadwa. f/ bc.ili `'ini
Type of Inspection:
1) &i t/
\-1
Address:
/a 4,gSi"7t/5
Date Called:
%
Special Instructions:
Date Wanted:, -- .
// - /j -Ore
Cm-
P.m.
Requester:
Phone No:
Approved per applicable codes. - 0 Corrections required prior to approval.
COMMENTS:
Inspector. /� Date %//
L �
0 $58.00 REINSPECT! FEE REQ IRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
INSPECnON NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
/ka'6 -74
�� /yyy
(2
6)431-3
Project,
(oink, ' �
/�.
of spection:
Lgi.6
/ -)
Addres :
��6
4- C
Dat ailed:
/v
Sp cial Instructions:
iL / t_vza -V /
Date Wanted: ..�j"f�
1 /
i6 m.
i/
Requester:
-S -� ‘.0
Phone No:
CL//
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:/) Z is J Z /�� /l a) v
/
(1.0,0 j/ PL r. 7
9.Vj`
/'
%2t ' /7,- cLl 1r.✓G e({' • Ladd
/+
re d—•t 10 4 U rte O t2 c.f."—
— J otn
/0
C
..0 sin or AZ1 c_ rAt»
r
90 J
, 1 2 1 C-e ihK. Knl"
,.
L) /V1 °',/ 4,1t,
71,--4/ ,,,)//
iL / t_vza -V /
,4 zt'�1 w[�
3�) AA ii x n 1"6
6! -, .�, zt4?
-S -� ‘.0
16
CL//
6r4,41. v741 Loop /hc tt.4— ed „bs
t
ret/ze
/1 A/
nspector:
/ 171` 1 Date /71_ 44
0 $58.00 REINSPECTTII /ONNFE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
LYVM. Vt/ (l /Y111i1WSLAJ1 LiLYYW ll • Yll WI 11V111VY1 LSYYLLJY LY10.11 1 µ5Y 1 •l L
P
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
BEARPHI973JJ
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