HomeMy WebLinkAboutPermit PG08-118 - RAMSEY RESIDENCERAMSEY RESIDENCE
14040 33 AV S
PGO8-1 18
Parcel No.:
Address:
Suite No:
CRAM' 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
1523049112
14040 33 AV S TUKW
PLUMBING /GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On:
PG08 -118
04/14/2008
10/11/2008
Tenant:
Name: RAMSEY RESIDENCE
Address: 14040 33 AV S , TUKWILA WA
Owner:
Name: RAMSEY DANA +COLLIER VALERIE J
Address: 14040 33RD AVE S , TUKWILA WA
Contact Person:
Name: LINDA HAYES
Address: 276 SW 43 ST , RENTON WA
Contractor:
Name: A HAYES HEATING & COOLING LLC
Address: 276 SW 43 ST , RENTON WA
Contractor License No: HAYESHC939JR
Phone:
Phone: 206 - 244 -4328
Phone: 253 893 -0051
Expiration Date: 04/19/2009
DESCRIPTION OF WORK:
REPLACE WATER HEATER, RUN GAS PIPING FOR 4 OUTLETS BOILER, WATER HEATER AND 2
FIREPLACES
Value of Plumbing /Gas Piping:
Fees Collected:
$15,500.00
$184.00
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.)
0 Building sewer and each trailer park sewer 0
0 Rain water system - per drain (inside bldg) 0
0 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
0 Repair or alteration of drainage or vent piping 0
0 Medical gas piping system serving (1 -5)
0 inlets /outlets for a specific gas 0
0 Medical gas piping (6 +) inlets /outlets 0
0 Gas Piping
0 Gas piping outlets (0 -5) 3
0 Gas piping outlets (6 +) 0
* *continued on next page **
doc: UPC -10/06
PG08 -118 Printed: 04 -14 -2008
City ofTukwila
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 -118
Issue Date: 04/14/2008
Permit Expires On: 10/11/2008
Permit Center Authorized Signature:
C�! Date: 4^ L g V U
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 performance of work. I am authorized to sign and obtain this plumbing /gas piping permit.
Signatur .
Print Name: ///7 _ Cr, %es
Date /'/) .- 7&
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 -118 Printed: 04 -14 -2008
Parcel No.: 1523049112
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
14040 33 AV S TUKW
RAMSEY RESIDENCE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
PG08 -118
ISSUED
04/14/2008
04/14/2008
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 m 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 m 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 -118 Printed: 04 -14 -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.
Signatur
Print Name: /'y%/ e-ric /6
Date/ '/
ordinances governing
or local laws regulating
doc: Cond -10/06 PG08 -118
Printed: 04 -14 -2008
CITY OF TUKWILA
Community Developmen�partment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://wWw.ci.tukwila.wa.us
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: / 4/0%/0 3 3 Gkr S
Tenant Name: - 77gA), ' 2044-15 y
Property Owners Name: /N/vy° 331 Gvr 5
Mailing Address:
King Co Assessor's Tax No.: /,57.304/5"//2
Suite Number:
1 K -, /q.
Floor:
New Tenant: fl .... Yes
W A4 9- 616F'
..No
Name: L/.t /D/¢ m9y4 S
Mailing Address:776 SIA/
E -Mail Address:
-5'T
City
State
Day Telephone: 32P
Zip
2t-7)./7in / 1,4/ 4 .1.57
City State Zip
Fax Number: q2..5 237 '/03 57
Company Name: g !-/j 4 /LS /-//;477/VG- (
Cv0L /A /G LLC
Mailing Address: 27C s0^/ 4 /31-L .5-7-
Contact Person: L- //' /Di- /4,4>/4-1:-- S
E -Mail Address:
Contractor Registration Number: RgV2- SI C .T /Z
City
State Zip
Day Telephone: 2v 4. •t//
Fax Number: 4/25 2.5 / 4703 /
Expiration Date: I/1/
s '16tnnYp.(. KE.•+. cy +.. v K 1"
p�ata. a bye chtt r
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
City
Day Telephone:
Fax Number:
State
Zip
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Q:'Applications\Forms- Applications On Line\3 -2006 - Plumbing -Gas Piping Permit Application.doc
Revised: 4 -2006
bh
City
Day Telephone:
Fax Number:
State
Zip
Page 1 of 2
Valuation of Project (contractor's bid price): $ /5) 5-170
Scope of Work (please provide detailed information): VC lef
/ � ✓r p' /"•' t)
Building Use (per Intl Building Code):
Occupancy (per Int'l Building Code):
Utility Purveyor: Water:
Sewer:
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
i itt#re TXR &; ,
Qty:::
x O:4::pe ..
Qty :
,fix Type:
Qty.
. Fi 100 I'ype '
Qty
Bathtub or combination
bath/shower
Drinking fountain or water
cooler (per head)
Wash fountain
Gas piping outlets
3
Bidet
Food -waste grinder,
commercial
Receptor, indirect
waste
Clothes washer, domestic
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
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).
1 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 AUTHORIZED AGENT:
Signature:
Dater / 4»- v h,
Print Name: /A/l7 /-if?<I= S Day Telephone: 2c r` 29"( ¥32-E
Mailing Address: 2 7C Sl // 4/3 sr �L- NT�/�/ I � /lE?c 57 •
City State Zip
Date Application Accepted:
Date Application Expires: Staff Initials:
Q:1Apphcanons\Forms- Applications On Lme\ -2006 - Plumbing -Gas P,ping Perm, Application 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.ci.tukwila.wa.us
Parcel No.: 1523049112
Address: 14040 33 AV S TUKW
Suite No:
Applicant: RAMSEY RESIDENCE
RECEIPT
Permit Number: PG08 -118
Status: PENDING
Applied Date: 04/14/2008
Issue Date:
Receipt No.: R08 -01175
Initials: WER
User ID: 1655
Payment .Amount: $184.00
Payment Date: 04/14/2008 03:23 PM
Balance: $0.00
Payee: A HAYES HEATING AND COOLING
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 5571 184.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
GAS - RES
PLUMBING = RES
000.322.103.00.0 92.00
000.322.103.00.0 92.00
Total: $184.00
'14/14 0711 TOTAL ,ict n '1
doc: Receiot -06 Printed: 04 -14 -2008
INSPECT!
N NO.
CITY O TUKWILA BUILDING DIVISION Ts
INSPECTION RECORD
Retain a copy with permit
Ogi )C6
PERMIT NO.
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)431 -3670
Proj C.
n ��� r�P�
Type of�Inspection:
N4 1 k� 6
Address:
/V e/d 33au <Z
Date Cailed:
Special Instructions:
/
Date Wanted:
,O O
l
a.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Insp
Date L �V
$58.00 REINSPECTION FEE REQUIRED. Prior o inspection. fee must be
(paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection.
Receipt No.:
Date:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION EIZ,-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project h 1- S 4/ J
/
Type of Inspection: 6A I
/� .
Address: Pd ,.
)4 )43 33- � i-
Called:
Special Instructions:
/
Date Wanted:/ (Z C)
S
'p m' f
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Inspect�ir:
��� j1
/� .
Date_ , t
��
0 $58.00 REINSPECTION FEE REQUIRED. Prior o inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection.
Receipt No.:
Date:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION 1.
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project p P S .
AA 1
Type of Insupecti 4 :
/
��/
Address: ��
Md43 .3
Date Called:
Special Instructions:
/ /
/
Date Wanted:
,2 `UCr-
a.m.
pm
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Inspect
Date:
$58.00 REINSPECTION FEE REQUIRED. Prior o inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection.
Receipt No.:
Date:
2/
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION -
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (2 06)43 1 -3670
Par
Project:
/AAASC.q iePje," (1.
Type of Inspection:
g,k, GA 1`-71 f 1,.Zi .t
Address: J r ®
Date Call d:
Special Instructions:
/
Date Wanted:
,a.m�
/ Jt� p.m.
Requester:
Phone No:
7 ,0 (P - -Y 2
—J Z-7 I.
l2li (Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
Inspect4'r: 1
a,t,k Ak/
Date: De-
$58.00 REINSPECTION FEE REQUIRED. Prior o inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection.
Receipt No.:
Date:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. P MIT NO.
CITY OF TUKWILA BUILDING DIVISION 1��
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)43 1 -3670
Pro'ect:
A- j6-1 (t P is �e t(L
Type of Inspe tion: , ,
i20� K LA G A. ! p,pt ,
Address:
14 3 vL saw
Date Called(
_--.,
Special Instructions:
Date Wanted:
(_ D --
AIL
p.m.
Requester:
PI ear;
Phone
_
ri -Q2 T
❑ Approved per applicable codes. ❑ Corrections required prior to approval.
COMMENTS: P ��-/,�'
Arlprd 144
IN {tte. /../ jr LAe
014 er i;' ep(Tc 0
i
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C
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Look Up a Contractor, Electrician 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
HAYESHC939JR
Licensee Name
A HAYES HEATING & COOLING LLC
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
602694369
Ind. Ins. Account Id
#1
Business Type
LIMITED LIABILITY COMPANY
Address 1
276 SW 43RD ST
Address 2
City
RENTON
County
KING
State
WA
Zip
98057
Phone
2538930051
Status
ACTIVE
Specialty 1
GENERAL
Specialty 2
UNUSED
Effective Date
4/19/2007
Expiration Date
4/19/2009
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
Business Owner Information
Name
Role
Effective Date
Expiration Date
HAYES, LINDA S
PARTNER/MEMBER
04/19/2007
Bond
Amount
•
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
#1
TRAVELERS
CASUALTY
INSURANCE
C
103490975
04/11/2007
Until
Cancelled
$12,000.00
04/19/2007
Page 1 of 2
https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= HAYESHC939JR 04/14/2008