Loading...
HomeMy WebLinkAboutPermit PG08-182 - ANDERSON RESIDENCEANDERSON RESIDENCE 12533 51 PL S PGO8-182 Parcel No.: 0179002345 Address: Suite No: CitOof 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 12533 51 PL S TUKW PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: PG08 -182 06/18/2008 12/15/2008 Tenant: Name: ANDERSON RESIDENCE Address: 12533 51 PL S , TUKVVILA WA Owner: Name: ANDERSON DONNA M Address: 12533 - 51ST PL S , SEATTLE WA Contact Person: Name: AARON BUSHONG Address: PO BOX 3231 , RENTON WA Contractor: Name: BLAKE PLUMBING Address: PO BOX 3231 , RENTON WA Contractor License No: BLAKEP *939DE Phone: Phone: 425 531 -0805 Phone: 425 531 -0805 Expiration Date: 03/05/2009 DESCRIPTION OF WORK: REPLACE ELECTRIC WATER HEATER Value of Plumbing /Gas Piping: Fees Collected: $0.00 Uniform Plumbing Code Edition: $92.00 International Fuel Gas Code Edition: 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 FIXTURE TYPE AND QUANTITY 2006 2006 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) 0 0 Gas piping outlets (6 +) 0 * *continued on next page ** doc: UPC -10/06 PG08 -182 Printed: 06 -18 -2008 City 1111 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 Permit Number: PGO8 -182 Issue Date: 06/18/2008 Permit Expires On: 12/15/2008 Permit Center Authorized Signature: I hereby certify that I have read and e governing this work will be complied Date: b&(1i6 ed this permit and know the same to be true and correct. All provisions of law and ordinances 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 tit performance of work. I am authorized to sign and obtain this plumbing /gas piping permit. Signature: L�ir<,L.. i _ _ Print Name: i),e1 - .4ti().e,s,11 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 -182 Printed: 06 -18 -2008 Parcel No.: 0179002345 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 12533 51 PL S TUKW ANDERSON RESIDENCE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: PG08 -182 ISSUED 06/17/2008 06/18/2008 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 -182 Printed: 06 -18 -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: i (/ //" Print Name:-/0/6 Date: 4,7r,2ddor--- doc: Cond -10/06 PG08 -182 Printed: 06 -18 -2008 CITY OF TUKWIL ) Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Plumbing/Gas Permit No. 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 Site Address: Tenant Name: /75-33 s i PI, S Po ply( AA 301. -� King Co Assessor's Tax No.: ()R/ 00 -- 2-97-4C Suite Number: Property Owners Name: Se...A-. c Floor: New Tenant: fl .... Yes D ..No Mailing Address: S€. -mac. City State Zip CONTACT: PERSON. -Who d`o °we.contacf when your permit is.ready.tq :be issued Name: Mailing Address: E -Mail Address: Day Telephone: City Fax Number: State Zip PLUMBING / GA$"PIPING CONTRACTOR3INF! Company Name: Mailing Address: 13141..t. P(..A,, b t'..t.t f . b i3ox 3 23 / Contact Person: E -Mail Address: Contractor Registration Number: 13t-A k-E P4-939 Ds.- Company Name: Mailing Address: Contact Person: E -Mail Address: `tv w/4 .. 98as -5 City State Zip Day Telephone: `47 J S3/ —O$6 S Fax Number: (Y2S 2 S —/3 21 Expiration Date: "3 3-169 Company Name: Mailing Address: Contact Person: E -Mail Address: City Day Telephone: Fax Number: State Zip Q: \ ApplicationsWorms- Applicaiioos On Line U- 2006 -- Plumbing -Gas Piping Permit Appiication.dod Revised: 4 -2006 bh City Day Telephone: Fax Number: State Zip Page 1 of 2 Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): eta, /cc c t r fe c. _ Die.l7.1 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: Fixture:Type: Qty i;tFixture Type :. Qty Fixture Type . }Qty ' 41tzture Type: Q,ty. 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). I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY B E LAWS OF THE STATE OF WASHINGTON, AND 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER UTHORI DENT: Signature: Print Name • -7? u- Mailing Address: C� Rc» 323; Date: % -/ %- 0 o Day Telephone: l i - ©$'05 IAA: a"a3_$ Date Application Accepted: City State Zip cu l ra-doi? Date Application Expires: it./ r Staff Initials: Q: Applications\Forms- Applications On Line13 -2006 - Plumbing -Gas Piping Permi 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.citukwila.wa.us Parcel No.: 0179002345 Address: 12533 51 PL S TUKW Suite No: Applicant: ANDERSON RESIDENCE RECEIPT Permit Number: PG08 -182 Status: APPROVED Applied Date: 06/17/2008 Issue Date: Receipt No.: R08 -02165 Initials: JEM User ID: 1165 Payment Amount: $92.00 Payment Date: 06/18/2008 08:35 AM Balance: $0.00 Payee: DONNA M. ANDERSON TRANSACTION 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 3771 06/18 9711 TOTAL 92.00 rinr.: RArsint -OR Printari: OR-1 R -7008 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION g 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 ti Projec ' le/fir/7'/-141 len es Type of Inspection: / --/ /V Aa f PAA "•-/ 6 „A. j 1+11.0. A/ r2 53 3 / 6/ Date Called: e Special Instructions: / Date Wanted: (/, " /.9 - -Ce, ali Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: t pc' K.`,--r" c-01-, ) '''kt - „A. j 1+11.0. , -1— AIL 46eJ (-- e Se,s c S - °'ep ' ki 'OSCC1 r _51\A-1( 0-4 _ A 9 Inspect cL Date: El $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule relnspection. Receipt No.: Date: Look Up a Contractor, Electri 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 BLAKEP *939DE Licensee Name BLAKE PLUMBING Licensee Type CONSTRUCTION CONTRACTOR UBI 602695110 Ind. Ins. Account Id PRESIDENT Business Type CORPORATION Address 1 2301 VASHON AVE NE Address 2 City RENTON County KING State WA Zip 98059 Phone 2065508457 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 3/5/2007 Expiration Date 3/5/2009 Suspend Date Separation Date Parent Company CISTERN CORPORATION Previous License BLAKEPI962LJ Next License Associated License Business Owner Information Name Role Effective Date Expiration Date CAMERER, JOHN AGENT 03/05/2007 CAMERER, JOHN PRESIDENT 03/05/2007 CAMERER, JOHN SECRETARY 03/05/2007 BUSHONG, AARON TREASURER 03/05/2007 BUSHONG, AARON VICE PRESIDENT 03/05/2007 • Bond Information Bond Company Bond Account Effective Expiration Cancel Impaired Bond Received Page 1 of 2 https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= BLAKEP *939DE 06/18/2008