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HomeMy WebLinkAboutPermit PG08-221 - BLAKE RESIDENCEBLAKE RESIDENCE 4214 S 122 ST PGO8-22 1 Parcel No.: Address: Suite No: Cityif 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 3347400370 4214 S 122 ST TUKW PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: PG08 -221 08/11/2008 02/07/2009 Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: BLAKE RESIDENCE 4214 S 122 ST , TUKWILA WA BLAKE SALLEY H 810 NM ST, TACOMA WA DAN KOCH 425S19ST,RENTONWA Contractor: Name: MONARCH PLUMBING Address: 2415 INTER AV , PUYALLUP WA Contractor License No: MONARP *062D8 Phone: Phone: 425 - 277 -8596 Phone: 253 770 -2400 Expiration Date: 03/23/2009 DESCRIPTION OF WORK: INSTALL PLUMBING FOR REMODEL OF RESIDENCE. Value of Plumbing /Gas Piping: Fees Collected: $6,000.00 $280.00 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.) 1 Building sewer and each trailer park sewer 0 0 Rain water system - per drain (inside bldg) 0 1 Water heater and /or vent 0 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 0 4 Gas Piping 0 Gas piping outlets (0 -5) 2 0 Gas piping outlets (6 +) 0 * *continued on next page ** doc: UPC -10/06 PG08 -221 Printed: 08-11 -2008 City It 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: PG08 -221 Issue Date: 08/11/2008 Permit Expires On: 02/07/2009 Permit Center Authorized Signature Date: Olt t I IDS I hereby certify that I have ead and xa>kuned this permit and know the same to be true and correct. All provisions of law and ordinances governing this work be complie 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 perfo ance�o. wq;k I ar}Z authorized to sign and obtain this plumbing /gas piping permit. Signature: Print Name: 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 -221 Printed: 08-11 -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 Parcel No.: 3347400370 Address: 4214 S 122 ST TUKW Suite No: Tenant: BLAKE RESIDENCE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: PG08 -221 ISSUED 08/08/2008 08/11/2008 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 m 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 -221 Printed: 08 -11 -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 • o • ance of work. Signature: �r , 4Zr ��- Print Name: 4//1-1((�L L kd ezZ_ Date: /`lf% 7/ doc: Cond -10/06 PG08 -221 Printed: 08 -11 -2008 CITY OF TUKW /L-4 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. (Far office use on 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: 4Z i l $ / Z 2 RIA JALLy fAk. Property Owners Name: Mailing Address: King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: ❑ .... Yes 0 ..No City State Zip CONTACT PERSON - Who do,we contact permit is ready to be issued;,. Name: DA 1--) Lam. Mailing Address: E -Mail Address: Day Telephone: City State Zip Fax Number: `{"L c 77 g C PLUMBING / GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: Contact Person: E -Mail Address: (M OA /� 2C. i-( �Lctivu,Ljl i2. G1 2 5 lc- k./VIVO, Contractor Registration Number: City State Zip Day Telephone: 2 5-3 -7 70 - (-1 v v Fax Number: C- �' 3.77- 3 Z l Expiration Date: ARCHITECT OF;.RECORD -All plans must be wet 'stamped by Architect of Kecor Company Name: Mailing Address: Contact Person: E -Mail Address: ENGINEER OF RECORD All phi City Day Telephone: Fax Number: State Zip Company Name: Mailing Address: Contact Person: E -Mail Address: Q:\Applications\Porms- 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): $ Scope of Work (please provide detailed information): (i (10C) Building Use (per Int'l 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 Fixture Type: Qty Fixture Type: Qty Fixture Type: ; Qty Bathtub or combination bath /shower i Drinking fountain or water cooler (per head) Wash fountain Gas piping outlets 2. Bidet Food -waste grinder, commercial Receptor, indirect waste Clothes washer, domestic I Floor drain Sinks - Dental unit, cuspidor Shower, single head trap Urinals Dishwasher, domestic, with independent drain Lavatory Z. 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 CERTIF T I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJ, Y B THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR AUTHOR ZED AGENT: L-t-- Signature: iZ GL_ Print Name: /)A v, //. Mailing Address: Date: lic-1 ',ST S - Day Telephone: L'}-4Y4/ City State Zip Date Application Accepted: Date Application Expires: Staff Initials: Q:Wpplications\Forms- Applications On Line \3 -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.: 3347400370 Address: 4214 S 122 ST TUKW Suite No: Applicant: BLAKE RESIDENCE RECEIPT Permit Number: PG08 -221 Status: PENDING Applied Date: 08/08/2008 Issue Date: Receipt No.: R08 -02893 Payment Amount: $280.00 Initials: JEM Payment Date: 08/11/2008 12:13 PM User ID: 1165 Balance: $0.00 Payee: DANSCO CONSTRUCTION TRANSACTION LIST: Type Method Descriptio Amount Payment Check 7719 280.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts GAS - RES PLUMBING - RES 000.322.103.00.0 92.00 000.322.103.00.0 188.00 Total: $280.00 5931. 96/11 ^710 TOTAL 260.00 doc: Receipt -06 Printed: 08-11 -2008 INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Pro (t e itto ` Type f Inspection: 0, Q cr 641 Addreess: _,..ti D to Called: Special Instrdctions: Date Wanted: c� Z- - Z--O / oa, m p.m. Requester: Phone No: Approved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: CAD! reiX OAS AA erAt (e> ❑$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: —14e AlLIBLaveth,JVI- Meat,- — INSPECTION RECORD Retain a copy with permit INSPECTION NO. PatMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 PG©' -221 Proje t: tt, / 1 ) Aik /)-,'r b () 4`sLlJAft, Type of Inspection: (-403n . ((,, e Address: 4}2(1 S , r ZZ —Date Called: ! A5 tI/ k'A ' .ry �( Special Instructions: Date Wanted: d SY 4 j ) p.m. Requester: ._u r- e_f%,- .. R - 1/4-/ P—A7i'�r� r J .I P ?') _ Phone o_ _ '228 -3935 Approved per applicable codes. Corrections required prior to approval. COMMENTS: / 1 ) Aik /)-,'r b () 4`sLlJAft, 2 cA -✓(l'C /A. � =� � tA .1 A (-403n . ((,, e '7 4 " /I A A,X D cal n e iz— 11 A 0 e trek TU (- e. e. .L_ (,J Jt. t, e_r/ fci P_r -- /J Jff h ey °i) u/ Y) ( AJ' ._u r- e_f%,- .. R - 1/4-/ P—A7i'�r� r J .I P ?') _ M AF-- -4 (v a; -- /1Sr `N") Af c Inspecto( V 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. CITY OF TUKWILA BUILDING DIVISION INSPECTION RECORD Retain a copy with permit P646-z2( PERMIT NO. Y"-• 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 ti Project: aLA � " 1�G Type of Inspection: RexAci l/N.- A..1 PL Address: Date Called: Special Instructions: Date Wanted: — (2 - )9 nr. p.m. Requester: '- Phone No: Al 2 5 - 7 -p -7 - / 1:A Approved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: (i 1 2A19i- ;nJ64s. - oppe V0 '.z.L,) _ctw2-! k -1\A/ il L--- A-PAA/ „el 1_J (94INsick L o - A--- .. Pre-61)44 0-4- / r: 1 Dat O) 0.00 REINSPECTIO FEE REQ IRED. Prior to inspection, fee must be id at 6300 Southcen er Blvd., Suite 100. Call to schedule reinspection. Re "Ipt No.: / 1Date: I' t . Untitled Page 1 • General /Specialty Contractor A business registered as a construction contractor with L£tI 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. MONARCH PLUMBING Business and Licensing Information Name Phone Address Suite /Apt. City State Zip County Business Parent Company MONARCH PLUMBING 2537702400 2415 INTER AVE PUYALLUP WA 98372 PIERCE Type CORPORATION UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Separation Date Previous License Next License 601531614 ACTIVE MONARP*062D8 CONSTRUCTION CONTRACTOR 3/28/1994 3/23/2009 Associated License Specialty 1 PLUMBING AIR HEAT, VENTI LATION, EVAPORAT Specialty 2 Business Owner Information Name Role Effective Date Expiration Date SVEDARSKY, STEVEN M PRESIDENT 01/01/1980 Bond Amount Bond Information Page 1 of 2 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 7 WESTERN SURETY CO 70247293 03/23/2007 Until Cancelled $6,000.00 04/06/2007 6 AMERICAN STATES INS CO 6091462 03/23/2002 Until Cancelled 04/06/2007 $6,000.00 01/29/2002 5 AMERICAN STATES INS CO 6091492 03/23/200103/23 /2002 $4,000.0002/21/2001 COLONIAL https : / /fortress. wa. gov /lni/bbip/Detai 1. aspx ?License =MONARP * 062D 8 08/08/2008