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Permit PG08-072 - MARTIN RESIDENCE
MARTIN RESIDENCE 5619 S 149 ST PGO8-072 Parcel No.: 8088600075 Address: Suite No: CityOf 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 5619 S 149 ST TUKW PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: PG08 -072 05/22/2008 11/18/2008 Tenant: Name: MARTIN RESIDENCE Address: 5619 S 149 ST , TUKWILA WA Owner: Name: MARTIN KELLY L Address: 5619 S 149TH ST , TUKWILA WA Contact Person: Name: KELLY MARTIN Address: 5619 S 149 ST , TUKVVILA WA Contractor: Name: M & S CUSTOM REMODELING INC Address: 12821 NE 108 PL , KIRKLAND WA Contractor License No: MSCUSRI010L1 Phone: Phone: 425 709 -2500 Phone: 425 - 737 -0262 Expiration Date: 11/14/2008 DESCRIPTION OF WORK: PLUMBING AND GAS PIPING FOR 1384 SF ADDITION AND REMODEL Value of Plumbing /Gas Piping: Fees Collected: $8,400.00 $429.00 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 Sinks Urinals Water Closet Uniform Plumbing Code Edition: 2006 International Fuel Gas Code Edition: 2006 FIXTURE TYPE AND QUANTITY Plumbing (cont.) 2 Building sewer and each trailer park sewer 1 0 Rain water system - per drain (inside bldg) 0 1 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 0 Repair or alteration of drainage or vent piping 0 2 Medical gas piping system serving (1 -5) 0 inlets /outlets for a specific gas 0 0 Medical gas piping (6 +) inlets /outlets 4 Gas Piping 0 Gas piping outlets (0 -5) 2 2 Gas piping outlets (6 +) 0 * *continued on next page ** 0 doc: UPC -10/06 PG08 -072 Printed: 05-22 -2008 City ofTukwla 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 Permit Number: PG08 -072 Issue Date: 05/22/2008 Permit Expires On: 11/18/2008 Permit Center Authorized Signature: Date: 'a)—)- -d 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 perf rmance of rk. I am authorized to sign and obtain this plumbing /gas piping permit. , , fl Date: 22T�J Signature: Print Name: 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 PG08 -072 Printed: 05-22 -2008 Parcel No.: 8088600075 Address: Suite No: Tenant: a a 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 5619S149STTUKW MARTIN RESIDENCE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: PG08 -072 ISSUED 03/07/2008 05/22/2008 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: Cond -10/06 PG08 -072 Printed: 05-22 -2008 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 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 construction or the performance of work. Signature: 4 Zic- Print Name: Date: .F-02 - �(J ordinances governing or local laws regulating doc: Cond -10/06 PG08 -072 Printed: 05-22 -2008 CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: / /www. ci. tukwila. wa. us Building Permit No. Mechanical Permit No. Plumbing /Gas Permit No. Public Works Permit No. Project No. env -off, (For office use only) 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 LOCATION King Co Assessor's Tax No.: g860007 Floor: N ❑ Yes X.No Property Owners Name: �� /Z '►'e7//% - Site Address: 5-mc e Tenant Name: t%v 74/ y . - z Suite Number: New Tenant: Mailing Address: 5 /' '5. / Strger 77,-- tik e City State Zip CONTACT PERSON — who do we contact when your permit is ready to be issued Name: Mailing Address: �% 5, 57: 41,k :I7 / Day Telephone: -71( — 14//44 City .4 _ 2.000. 4-51 .047ov -H ►,tom, 7 State Zip E -Mail Address: 614 R r2 3i 7 40 dvrn U444,711 Fax Number: GENERAL CONTRACTOR INFORMATION — • (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) Company Name: Mailing Address: City Day Telephone: Fax Number: Expiration Date: Contact Person: E -Mail Address: Contractor Registration Number: State Zip ARCHITECT OF RECORD — All plans must be wet stamped by Architect of Record Company Name: LAJ D 7tetOreati -� Mailing Address: PO ¢7/, Contact Person: W7 Ai55412 E -Mail Address: 4'/ 'ead44 h6)c elo f:I2It City State ziP Day Telephone: S . Fax Number: -ThGr59'1 /72 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: Q: Applications\Pornts- Applications On Line \3-2006 - Permit Applicatioa.doc Revised: 9 -2006 bh State Zip Page 1of6 BUILDING PERMIT INFORPTION — 206 - 431 -3670 Valuation of Project (contractor's bid price): $ Existing Buildin Valuation: $ 1 / 7 Tv( t%�f 14i " l Scope of Work (please provide detailed information):SOML t`P�t n Y‘ 1 • • (loft A-06 c c ),x3tic ncc.h / 1 / lve) f j uMb\ f� c\ x- Will there be new rack storage? ❑ Yes ❑.. No If yes, a separate permit and plan submittal will be required. Provide All Building Areas in Square Footage Below PLANNING DIVISION; Single family building footprint ea of the foundation of all structures, plus any decks over 1 *For an Accessory dwelling : a vide the following: Lot Area (sq ft): ' ' 020 Floor area of principal dwelling: *Provide ig entation that shows that the principal owner lives in one of the dwellings as in • 'r her primary residence. ches and overhangs greater than 18 inches) /477/f. 7/5f. Floor area of accessory dwelling: Number of Par • _ tails Provided: Standard: Compact: Will there a - • change in use? ❑ Yes ❑ No If `yes ", explain: FIRE kROTECTION/FIAZARDOUS MATERIALS: ❑ Sprinklers ❑ Automatic Fire Alarm ' None ❑ Oth -' (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes No If `yes', attach list of materials and storage locations on a separate 8-1/2" x 11 " paper including quantities and Material Safety ata Sheets. Handicap: SEPTIC SYSTEM ❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. Q: Applications\Ponns- Applications On Line\3.2006 - Permit Application.doc Revised: 9 -2006 be Page 2 of 6 isting Interior Remodel Addition to Existing Structure New T : of Co.. . ction per IBC Type of Occupancy per IBC 1s` Floor ` ; /00 760 -Iln"B —3 rd Floor "I/A 3rd Floor A/A Floors thru Basement /Q/A Accessory Structure* Attached Gar agNe /A Detached Garage t ,// Attached Carport �/ ` 1 toi oDetached Carport x Covered Deck 7 V129 (A U ncovered Deck ,V,4 PLANNING DIVISION; Single family building footprint ea of the foundation of all structures, plus any decks over 1 *For an Accessory dwelling : a vide the following: Lot Area (sq ft): ' ' 020 Floor area of principal dwelling: *Provide ig entation that shows that the principal owner lives in one of the dwellings as in • 'r her primary residence. ches and overhangs greater than 18 inches) /477/f. 7/5f. Floor area of accessory dwelling: Number of Par • _ tails Provided: Standard: Compact: Will there a - • change in use? ❑ Yes ❑ No If `yes ", explain: FIRE kROTECTION/FIAZARDOUS MATERIALS: ❑ Sprinklers ❑ Automatic Fire Alarm ' None ❑ Oth -' (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes No If `yes', attach list of materials and storage locations on a separate 8-1/2" x 11 " paper including quantities and Material Safety ata Sheets. Handicap: SEPTIC SYSTEM ❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. Q: Applications\Ponns- Applications On Line\3.2006 - Permit Application.doc Revised: 9 -2006 be Page 2 of 6 PLUMBING AND GAS PIPING PERMIT INFORMATION - 206 - 431 -3670 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: dz) Valuation of Plumbing work (contractor's bid price): $ 9a ©�a ?2 Valuation of Gas Piping work (contractor's bid price): $ Scope of Work (please provide detailed information): Amu-t ( 6/-'4 4ade > d f / 4 fi zkI of g Building Use (per Int'l 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: Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty a_ Bathtub or combination bath/shower fountain or water cooler (per head) Wash fountain Gas piping outlets Bidet Food -waste grinder, commercial Receptor, indirect waste Clothes washer, domestic t 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 i1 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 Q:tApplieations\Forms- Applications Oa Lne3 -2006- Permit Applieation.doc Revised: 9-2006 bh Page 5 of 6 PERMIT APPLICATION NOTES — Applicable to all permits in this application 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. Building and Mechanical Permit The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition). Plumbing Permit The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 Uniform 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 OWNER OR A ORIZED AGENT: 4.7 Signature: rn Print Name: rC & L 4 L. MAR 7'1 N Mailing Address: 5/ i 4 45, /Y9 671 • Date: .3/7/05 Day Telephone: 1■06. -- 439 -el D Z Tu Kw.G.,c1 City twA 9S%i6r State Zip Date Application Accepted: 01'10/ Date Application Expires: I . r Staff Initials: I Q:1Applications\Form3. Applications On Line 3.2006 - Permit Application.doc Revised. 9-2006 bh Page 6 of 6 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 Parcel No.: 8088600075 Address: 5619 S 149 ST TUKW Suite No: Applicant: MARTIN RESIDENCE RECEIPT Permit Number: PG08 -072 Status: APPROVED Applied Date: 03/07/2008 Issue Date: Receipt No.: R08 -01744 Payment Amount: $350.00 Initials: WER Payment Date: 05/20/2008 04:26 PM User ID: 1655 Balance: $0.00 Payee: KELLY MARTIN TRANSACTION LIST: Type Method Descriptio Amount Payment Check 5584 350.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts GAS - RES PLUMBING - RES 000.322.103.00.0 92.00 000.322.103.00.0 258.00 Total: $350.00 2701 05/21 9710 TOTAL 2076.80 doc: Receipt-06 Printed: 05-20 -2008 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:/lwww.ci.tukwila.wa.us SET RECEIPT RECEIPT NO: R08 -00660 Initials: JEM User ID: 1165 Payee: KELLY L. MARTIN Payment Date: 03/07/2008 Total Payment: 858.53 SET ID: S000000975 SET NAME: Tmp set/Initialized Activities SET TRANSACTIONS: Set Member Amount D08 -123 736.45 M08 -068 43.08 4essipagz,vraram 79.00 TOTAL: 858.53 TRANSACTION LIST: Type Method Description Amount Payment Check 5554 858.53 TOTAL: 858.53 ACCOUNT ITEM LIST: Description Account Code Current Pmts PLAN CHECK - RES 000/345.830 TOTAL: 858.53 858.53 ?' 03/10 710 TOTAL -, 53 4--‘f INSPECTION NO. INSPECTION RECORD Retain a copy with permit Po6 -t' 2- PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 1R 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 ProRt/ , I Cs rv1ilY 1 < Csl Cdr Type�gf Ins�ction� p • `-yAd T fAv143... Address: •Tt. Date Called: Special Instructions: / - Date Wanted: 01 a.m. ,itio Requester: Phone 1 4 s' 5J4 -40 55- Approved per applicable codes. ElCorrections required prior to approval. I() COMMENTS: 0 �P1e.'t� Inspector Aukk* (Date: 0i ri $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: P6os -J72, INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 11-'— JK` 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36 ?0 Project• t0 Z,l„r)N -/ i fAj.4 ->�cf 14-4-01-k Ad .er 4(r -ji,i L') ,,ti tf - Type of Inspec on: i .-.1144,(\ ,f .t r ,r. r G Address: / i Date Called: Special Instructions: A t1 Date Wanted: a m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: t0 Z,l„r)N -/ i fAj.4 ->�cf 14-4-01-k Ad .er 4(r -ji,i L') ,,ti tf - AJ -�( i` a -1 J�.- . 31 ,,,„k v, .1,` S ,, A, �^ tj , /,, f--c.- , ,f .t r ,r. r G _A T 04-1i U 0 /i / /114 /Uf^ e% il,i/D-Pj'iNifj LJAf G. e_J - (L. ii-`-- G.-e 0 . &A-� A. re) Lkei- d . A t1 Inspeyfor: � ` d Date: $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: 'Date: INSPECTION NO. INSPECTION RECORD Retain a copy with permit P645-- o'l PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 1- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: Mh.r11 A ,e k' S. t-e4.(e Typ of Inspection: I K oc, 4G1 .• - Address: -il Date Callect / Spec al Instructions: rRequester: pp I` e� A!^p e_q Date Wanted: a.m. '? SIQ vel s 1 A.I., 12/d'-'71 I-el.,. A—A•4;7-- \ A bdj) t ' 1 It 2( / I kr didlf ". Phone No - 425- ■!?(4941-25.T Approved per applicable codes. Corrections required prior to approval. b 3 COMMENTS: A ( / k ?oJ (.0_ fl -5 6.. ��idV•a IA la t >>'1� Re. s tf r . 1 `v ►) N 5'Lici. h-e AZ ( ( e S r A-� C 4--� 1 I 1 (f -e,cie J A /ln� -Id '? SIQ vel s 1 A.I., 12/d'-'71 I-el.,. A—A•4;7-- \ A bdj) t ' 1 It 2( / I kr didlf ". r J A _ 7-1) ✓‘sr -(4 ti)) 1 a t 11 k Date: ri $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: rPERMI� C:UUIriu vVi'e 411 PLAN REVIEW/ROUTING SLIP ACTIVITY NUMBER: PG08 -072 PROJECT NAME: MARTIN RESIDENCE DATE: 03 -07 -08 SITE ADDRESS: 5619 S 149 ST X Original Plan Submittal Response to Correction Letter # Response to Incomplete Letter # Revision # After Permit Issued DEPARTMENTS: is Buil ing vision Pb is Works Fire Prevention Structural Planning Division Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Incomplete Comments: DUE DATE: 03-11-08 Not Applicable Permit Center Use Only INCOMPLETE LETTER MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: LETTER OF COMPLETENESS MAILED: TUES/THURS ROUT NG: Please Route Structural Review Required n No further Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved Approved with Conditions Notation: REVIEWER'S INITIALS: DUE DATE: 04 -08-08 Not Approved (attach comments) n DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:_ _ _ Documents/routing slip.doc 2 -28 -02 Look Up a Contractor, Elect. or Plumber License Detail 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 MSCUSR1010L1 Licensee Name M & S CUSTOM REMODELING INC Licensee Type CONSTRUCTION CONTRACTOR UBI 601820356 Ind. Ins. Account Id Business Type CORPORATION Address 1 12821 NE 108 PL Address 2 City KIRKLAND County KING State WA Zip 98033 Phone 4257370262 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 6/21/1999 Expiration Date 11/14/2008 Suspend Date Separation Date Parent Company Previous License MSCUSR*099CN Next License Associated License Business Owner Information Name Role Effective Date Expiration Date PREUETT, STEVE A 01/01/1980 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date #3 CBIC SD9378 08/24/2004 Until Cancelled $12,000.00 08/03/2004 COLONIAL AM CAS & Page 1 of 2