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HomeMy WebLinkAboutPermit PG08-157 - SIMPSON RESIDENCESIMPSON RESIDENCE 11840 42 AV S PGO8-1 57 Parcel No.: 3347400250 Address: Suite No: Cityllf 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 11840 42 AV S TUKW PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: PG08 -157 05/20/2008 11/16/2008 Tenant: Name: Address: SIMPSON RESIDENCE 11840 42 AV S , TUKWII,A WA Owner: Name: SIMPSON IRENE A Address: 11840 42ND AVE S , SEATTLE WA Contact Person: Name: IRENE SIMPSON Address: 11840 42 AVE S , TUKWILA WA Contractor: Name: EASTSIDE PLUMBING SERVICES Address: 1420 NW GILMAN BL , ISSAQUAH WA Contractor License No: EASTSPS980NA Phone: Phone: 206 - 763 -1451 Phone: 425 644 -3517 Expiration Date: 08/04/2008 DESCRIPTION OF WORK: REROUTE DRAIN LINE AS NECESSARY TO ACCOMODATE NEWLY INSTALLED SEWER LINE Value of Plumbing /Gas Piping: Fees Collected: $2,600.00 $92.00 Uniform Plumbing Code Edition: 2006 International Fuel Gas Code Edition: 2006 FIXTURE TYPE AND QUANTITY Plumbing Bathtub or combination bath/shower 0 Bidet 0 Clothes washer, domestic 0 Dental unit, cuspidor 0 Dishwasher, domestic, with independent drain 0 Drinking fountain or water cooler (per head) 0 Food -waste grinder, commercial 0 Floor drain 0 Shower, single head trap 0 Lavatory 0 Wash fountain Receptor, indirect waste 0 Sinks 0 Urinals 0 Water Closet 0 0 Plumbing (cont.) Building sewer and each trailer park sewer 0 Rain water system - per drain (inside bldg) 0 Water heater and/or vent 0 Industrial waste treatment interceptor, including its trap and vent, except for kitchen type grease interceptors 0 Repair or alteration of water piping and/or water treatment equipment 0 Repair or alteration of drainage or vent piping 0 Medical gas piping system serving (1 -5) inlets /outlets for a specific gas 0 Medical gas piping (6 +) inlets /outlets 1 Gas Piping Gas piping outlets (0 -5) 0 Gas piping outlets (6 +) 0 * *continued on next page ** doc: UPC -10/06 PGO8 -157 Printed: 05 -20 -2008 City oPTukwila o 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: PGO8 -157 Issue Date: 05/20/2008 Permit Expires On: 11/16/2008 Permit Center Authorized Signature: Ua-(11_, Date: ,0 S 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 p - unit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the • -rformance ok. I am authorized to sign and obtain this plumbing /gas piping permit. Signature: Print Name: z?' ?, Je /., S' //���a1 Date: 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 -157 Printed: 05-20 -2008 Parcel No.: 3347400250 Address: Suite No: Tenant: • o 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 11840 42 AV S TUKW SIMPSON RESIDENCE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: PG08 -157 ISSUED 05/20/2008 05/20/2008 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 -157 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: / /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: oK =' G dg7 Date: ° "i0g Print Name: TM/Ile /V i L.74/% doc: Cond -10/06 PG08 -157 Printed: 05-20 -2008 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Plumbing /Gas Permit No. ?‘ 6 g- Is? Project No. (For office use only) 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 LOCATION pp �//II�� // King Co Assessor's Tax No.:33h /'7 -CG C - fJ i Site Address: //g T1 ?r�1'/11 /"1l/`` , �Q, Suite Number: Floor: Tenant Name: _,4 4. J/ #%%1- 2- cd7/6/ New Tenant: 0 .... Yes Property Owners Name: TX3C i/ 4, vS/ /jJf'.S©/e / Mailing Address: 1'gYC' 4/20t/t) ; f (ole. 2, ®,..No 'KiJ/ IA City k' 9. /fig State Zip CONTACT PERSON -Who do we contact when your permit is ready to Name: 564/,49_549,0 Mailing Address: E -Mail Address: / /16 4/'2, ) &L'e S4 Day Telephone: 72.11<40/44 City Fax Number: $57 State Zip PLUMBING / GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: ST�S'1) PL u';/ & //U v / /Cf S 1- 2 4/Id /L/nd/0 Zcl/'o 4/ 21g 3'f J55 /4/4, -/ .A Ly t,2'�% City State Zip • Contact Person: //-xti Ki uPP Day Telephone: 4/2 la L/ 57'7 E -Mail Address: �] Contractor Registration Number: EA ST S t' 7 S cy g a,1f /7 Fax Number: ZCrb 240 - 55304013th) Expiration Date: g - 1 ARCHITECT OF RECORD All plans must be wet stamped by Architect of 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: 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 1 Valuation of Project (contractor's bid price): $ 2, boa- a a Scope of Work (please provide detailed information): r4STS /7J:E i sG i 8 //06 7—Q fee -/e0"LzrC 4444's /95 /u4e..vess,I,< y 7Z ffc_°co/1�i1op,4 /tom4c1Z y i/USM- 1.c.CD Building Use (per Int'l 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: Fixture Type: Qty Fixture Type: Qty Fixture Type: YP Qty Fixture Type: Qty 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 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 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 OWN R OR THORIZED AGENT: Signature: Print Name: : z� -5 /#4/e%./ Mailing Address: 7/84) /,&%t7' Date: d k Day Telephone: Z66 7b % T 5 l 77i1,Klv/c IV* ?.I/&k City State Zip Date Application Accepted: Date Application Expires: Staff Initials: Q.\Applications\Forms- Applications On LineV -2006 - Plumbing -Gas Piping Permit 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.: 3347400250 Address: 11840 42 AV S TUICW Suite No: Applicant: SIMPSON RESIDENCE RECEIPT Permit Number: PG08 -157 Status: PENDING Applied Date: 05/20/2008 Issue Date: Receipt No.: R08 -01723 Initials: WER User ID: 1655 Payment Amount: $92.00 Payment Date: 05/20/2008 09:47 AM Balance: $0.00 Payee: IRENE SIMPSON TRANSAC'PION LIST: Type Method Descriptio Amount Payment Cash 92.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts PLUMBING - RES 000.322.103.00.0 92.00 Total: $92.00 2639 05/20 9711 TOTAL 9200 doc: Receiot -06 Printed: 05 -20 -2008 INSPECTION NO. INSPECTION RECORD Retain' a copy with permit PGA-- PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 ' (206)431 -3670 Proje(.t: ak�s n ,��' ., :(�.�. Type of I pection: 114. t,cAQi • r. Ai...A b A re n Date Called: Special Instructions: Date Wanted: ` , a m , p.m• Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: per Inspec(or: Date: L Ci El $58.00 REINSPECTION`FEE REQ1 IRED. Prior o inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. Receipt No.: Date: INSPECTI N NO. CITY O TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit g2 g" 7 PERMIT NO. (206)431 -3670 Project: ."--S, m.2Son, Re.--, TypeA Inspection: , iefx 4-i,,, . r r11Y1 J L ZAJ (vt-r(eA s(a y e Address- eye `/2 5 — ' / 671 61 d 1-6'&41 Date Called: 71 2r( Special Instructions: 1 v f� it [ e '" 1 a Date Wanted: �% � ° P.m. Requester: 4 PhsaAee6 7.3-/q5/ pproved per applicable codes. Corrections required prior to approval. COMMENTS: r r11Y1 J L ZAJ (vt-r(eA s(a y e ile O J c J i -.1._ A ,, 6,/ e_J . — ' / 671 61 d 1-6'&41 4 J o - "t 71 2r( / SJ 913 t % - )MJ f306 GI AIDE J, ) i)r 5 Jr .jA .f. 7 5r 4 4.'' Inspecto Date: / El $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: Look Up a Contractor, ElectriI 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 EASTSPS980NA Licensee Name EASTSIDE PLUMBING SERVICES Licensee Type CONSTRUCTION CONTRACTOR UBI 600396279 Ind. Ins. Account Id Business Type INDIVIDUAL Address 1 1420 NW GILMAN BLVD Address 2 City ISSAQUAH County KING State WA Zip 98027 Phone 4256443517 Status ACTIVE Specialty 1 PLUMBING Specialty 2 UNUSED Effective Date 8/1/2002 Expiration Date 8/4/2008 Suspend Date Separation Date Parent Company Previous License EASTSPS 150P5 Next License RENOVSL966J1 Associated License Business Owner Information Name Role Effective Date Expiration Date KRUPP, GARY J OWNER 08/01/2002 it Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date #2 FEDERATED MUTUAL INS CO 9319697 09/27/2003 Until Cancelled $6,000.00 09/29/2003 GREAT 790- Page 1 of 2 https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= EASTSPS980NA 05/20/2008