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HomeMy WebLinkAboutPermit PG08-246 - HART RESIDENCEHART RESIDENCE 13215 40 AV S EXPIRED 04 -14-09 PGO8-246 Parcel No.: 7340600900 Address: Suite No: Citylif 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 13215 40 AV S TUKW PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: PG08 -246 10/06/2008 04/04/2009 Tenant: Name: Address: HART RESIDENCE 13215 40 AVE S , TUKWILA WA Owner: Name: HART MADOLIN F Address: 13215 40TH AVE S , TUKW!LA WA Contact Person: Name: BRUCE ROBERTSON Address: 1115 NW 51 ST , SEATTLE WA Contractor: Name: FISCHER PLUMBING CO INC, THE Address: 1115 NW 51ST ST , SEATTLE WA Contractor License No: FLSCHPC131R1 Phone: Phone: 206- 783 -4129 Phone: (206)783 -4129 Expiration Date: 02/22/2010 DESCRIPTION OF WORK: REPLUMB EXISTING PLUMBING FOR TWO BATHROOMS Value of Plumbing /Gas Piping: Fees Collected: $3,500.00 $214.00 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 0 0 Rain water system - per drain (inside bldg) 0 0 Water heater and /or vent 0 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 2 Medical gas piping system serving (1 -5) 0 inlets /outlets for a specific gas 1 0 Medical gas piping (6 +) inlets /outlets 1 0 Gas Piping 0 Gas piping outlets (0 -5) 0 2 Gas piping outlets (6 +) 0 * *continued on next page ** doc: UPC -10/06 PG08 -246 Printed: 10 -06 -2008 City 041P 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 -246 Issue Date: 10/06/2008 Permit Expires On: 04/04/2009 Permit Center Authorized Signature: I hereby certify that I have read and e governing this work will be complied •th Date: 1,010(61 L Deb ed this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. The gr. . ting •f this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating constru tion r the performance of worlr I am authorized to sign and obtain this plumbing /gas piping permit. Signatur Print Name: Date: l01 !o /OPj 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 -246 Printed: 10 -06 -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.: 7340600900 Address: 13215 40 AV S TUKW Suite No: Tenant: HART RESIDENCE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: PG08 -246 ISSUED 09/05/2008 10/06/2008 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 -246 Printed: 10 -06 -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. 1/2-4S 15■- Date: 10/100) Print Name: 1 Q Q S 7%' V ordinances governing or local laws regulating doc: Cond -10/06 PG08 -246 Printed: 10 -06 -2008 CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 hup://www.ci.tiilcwila.wa.us Building Permit No. / Mechanical Permit No. Plumbing /Gas Permit No. loco g- 22-10 Public Works Permit No. Project No. (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 Site Address: 1 3a 15 1-10-41 S Tenant Name: Property Owners Name: PICA T King Co Assessor's Tax No.:—.7 3 `I Q ecn `d0 Suite Number: Floor: New Tenant: ❑ Yes ❑ .. No Mailing Address: S OtYV.Q_ City State Zip CONTACT PERSON - who do we contact when your permit is ready to be issued Name: Day Telephone: Mailing Address: City E -Mail Address: State Zip Fax Number: GENERAL CONTRACTOR INFORMATION — (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: State Zip Expiration Date: ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record Company Name: Mailing Address: _ City Day Telephone: _ Fax Number: Contact Person: E -Mail Address: State Zip ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record Company Name: Mailing Address: City Day Telephone: E -Mail Address: Fax Number: Q:Wpplications\Forms- Applications On Line\3 -2006 - Permit Application.doc Revised: 9 -2006 bh Contact Person: State Zip Page 1 of 6 PLUMBING AND GAS PIPING PERMIT INFORMATION - 206 -431 -3670 PLUMBING AND GAS PIPING RACTOR INFORMATION Company Name: FT .S.aP • _ 10 1144 Mailing Address: (M � S N_\ - 5) 5 T J sp Gl il c7 � City State Zip y Contact Person: 1 J &t, O/ •0i) Day Telephone: Q6"* ?' — // act I Fax Number: 3C , /� � IaL) Contractor Registration Number: 'FI SC.V1 pCI 31 la) Expiration Date: E -Mail Address: Valuation of Plumbing work (contractor's bid price): $ 3,509 Valuation of Gas Piping work (contractor's bid price): $ Scope of Work (please provide detailed information): _ b ��{� U-)1 p mnJoi -co( 1'1.1 0 YSa1' c0G\m4) 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 r1 p( 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 R. 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 Q:\Applications \Forms - Applications On Line\ -2006 - Permit Application.doc Revised: 9 -2006 bh Page 5 of 6 PERMIT APPLICATION NO — 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 0 : I THORIZE Signature: Date: Print Name: t"j,((�ifj,y'�jclj gic �1 ST Mailing Address: Day Telephone: City State � 75/o7 Zip Date Application Accepted: q� S -�� Date Application Expires: 6 -S -09 Staff Initials: u4e. 1 Q:\Applications\Forms- Applications On Line\3 -2006 - Permit Application.doc Revised: 9 -2006 bh Page 6 of 6 13-1641MINGJVIDWALS' NiOtOftt Lr'• • • h..: Y: • Ni; • )1 • ■*.•••••• . • •":'',1 • • • t.: 's.•••;-1. •• ' PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: Contact Person: E-Mail Address: Contractor Registration Number: city Day Telephone: Fax Number: Expiration Date: State Zip Valuation of Plumbing work (contractor's bid price): $ Valuation of Gas Piping work (contractor's bid price): $ Scope of Work (please provide detailed information): Building Use (per Intl 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: QAApplications\Forms-Applications On Line13-2006 - Permit Application.doc Revised: 9-2005 bh Page 5 of 6 Qty. 2, ..-, — . ,.Q.ts," yixorfilRyti0:-:, :14V2-..7 ";..,}20g: • ' ... ., .-QtY",i, 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 RaM 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 QAApplications\Forms-Applications On Line13-2006 - Permit Application.doc Revised: 9-2005 bh Page 5 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.: 7340600900 Address: 13215 40 AV S TUKW Suite No: Applicant: HART RESIDENCE RECEIPT Permit Number: PG08 -246 Status: PENDING Applied Date: 09/05/2008 Issue Date: Receipt No.: R08 -03158 Payment Amount: $214.00 Initials: WER Payment Date: 09/05/2008 02:53 PM User ID: 1655 Balance: $0.00 Payee: FISCHER PLUMBING TRANSACTION LIST: Type Method Descriptio Amount Payment Check 72213 214.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts PLAN CHECK - RES PLUMBING - RES 000/345.830 38.00 000.322.103.00.0 176.00 Total: $214.00 7250 )9/08 ?707 TOTAL 214 OO doc: Receipt-06 Printed: 09 -05 -2008 INSPECTION RECORD Retain a copy with permit 19L PCO82L( INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: Type of Inspection: PL1.4'w Address: r321 S 110 /10 C Date Called: Special Instructions: Date Wanted: ap.m.. ()'t�A -%T t,-)4 i I )(7,. -,_J ( Requester: IA r Phone No: DApproved per applicable codes. O Corrections required prior to approval. COMMENTS: p J JN ,� f (J a. k l f)&'f1AAt ,J J S P 11 A-+- ! / J 3 M S — te,th -- .. X 17-A I. j f LA.J =- A -r4 sIV u d 1-1 O n ()'t�A -%T t,-)4 i I )(7,. -,_J ( ()e •], IA r t � � 1 Inspect �A Date: !c -f-� ❑$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: NSPECTION NO. INSPECTION RECORD Retain a copy with permit Re-L13-ztie, PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -367 Project: HA QT (Z e c> Tyke of Inspection: ,. N l)., "Lc, k- 1 NI PiltA4 b Address: \ ZIG Ld A u Date Called: Special Instructions: �- Date Wan d: 1C 1i_ I 0 ecs a. /(,.,. Requester: Phone No L12 S -5 1 -(`-5 7 Approved per applicable codes. El Corrections required prior to approval. COMMENTS: ,1 A ) P Inspector: 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: INSPECT' I N NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (20,6)431 -3670 INSPECTION RECORD Retain a copy with permit Pro fM/T /2 - TYpe�g41 Inspection: /� �2i S : - -L £' c.. ;i 1 a v. a Y , / i5 ) `) ! 5 Date Called. r:t--1-A Special Instructions: • Date Wanted: /// 7^ dG a.t p.m. Requester: _ . . Phone No 405 sii -/-337 Approved per applicable codes. Corrections required prior to approval. COMMENTS: OLA)J liSr. ��0 ,J4 ( 5u ;it S : - -L £' c.. ;i 1 a v. a Y , ( () IAA (. °f4 -1-)) r � I �. � ✓ T vc, &kf i h (3 le') t IA i--A -- �i i' 1 .-t P, ..0( r:t--1-A ,.... _ . . Inspec>�r: Date: r J— „`j A. El $60.00 REINSPECTION FEE EQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter B d., Suite 100. CaIL to schedule reinspection. Receipt No.: 'Date: 1 September 9, 2008 Bruce Robertson 1115 NW 51St Seattle, WA 98107 • City of Tub ila • Jim Haggerton, Mayor apartment of Community ,''evelopment Jack Pace, Director RE: Letter of Incomplete Application # 1 Development Permit Application PG08 -246 Hart Residence — 13215 — 40th Avenue S Dear Mr. Robertson, This letter is to inform you that your permit application received at the City of Tukwila Permit Center on September 5, 2008 is determined to be incomplete. Before your application can continue the plan review process the following items from the following department need to be addressed: Building Department: Allen Johannessen at 206 433 -7163 if you have any questions concerning the attached comments. Please address the comment above in an itemized format with applicable revised plans, specifications, and /or other documentation. The City requires that two (2) sets of revised plans, specifications and/or other documentation be resubmitted with the appropriate revision block. In order to better expedite your resubmittal a `Revision Submittal Sheet' must accompany every resubmittal. I have enclosed one for your convenience. Revisions must be made in person and will not be accepted through the mail or by a messenger service. If you have any questions, please contact me at the Permit Center at (206) 431 -3670. Sincerely, Brenda Holt Permit Coordinator Enclosures File: PG08 -246 P:\Permit Center\Incomplete Letters\2008\PG08 -246 Incomplete Ltr # 1.DOC jem 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 • • Tukwila ',Building Division Allen Johannessen, Plan Examiner Determination of Completeness Memo Date: September 9, 2008 Project Name: Hart Residence Permit #: PG08 -246 Plan Review: Allen Johannessen, Plans Examiner The Building Division has deemed the subject permit application incomplete. To assist the applicant in expediting the Department plan review process, please forward the following comments. (GENERAL NOTE) PLAN SUBMITTALS: (Min. size 1 1x17 to maximum size of 24x36; all sheets shall be the same size). (If applicable) Structural Drawings and structural calculations sheets shall be original signed wet stamped, not copied.) 1. The permit application indicated to re -plumb two bathrooms. Only one bathroom is shown on the plan. If an additional bathroom is to be added, a building permit shall be required or a revision to the existing building permit may be accepted complete with revised plans. 2. Provide schematics for the plumbing of the two bathrooms that identifies pipes, pipe sizes and points of connection. Should there be questions concerning the above requirements, contact the Building Division at 206 - 431 -3670. No further comments at this time. • • PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG08 -246 DATE: 09 -05 -08 PROJECT NAME: HART RESIDENCE SITE ADDRESS: 13215 40 AVE S X Original Plan Submittal Response to Correction Letter # Revision # After Permit Issued Response to Incomplete Letter # DEPARTMENTS: : AMA Public Works s q -4 -o Fire Prevention Structural Planning Division n Permit Coordinator n III; DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Incomplete DUE DATE: 09 -09 -08 Not Applicable Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: __ � LETTER OF COMPLETENESS LEp: Departments determined incomplete: Bldg Ldl Fire ❑ Ping ❑ PW ❑ Staff Initials: TUESITHURS ROUTING: Please Route Structural Review Required No further Review Required r REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: DUE DATE: 1 0-07 -08 Approved n Approved with Conditions n Not Approved (attach comments) n Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents/routing slip.doc 2 -28 -02 • City of Tukwila Steven M Mullet, Mayor 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 Steve Lancaster, Director Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fad etc. Date: Plan ChecWPermit Number: 176_,c)p____YC Response to Incomplete Letter # t' ❑ Response to Correction Letter # ❑ Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: Project Address: Contact Person: Phone Number: Summary of Revision: %J / CeAorhl�'Ze C�PrheA Za `• _ G f Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by: ❑ Entered in Permits Plus on lapplicationslforms- applications on Iinelrevision submittal Created: 8 -13 -2004 Untitled Page • General /Specialty Contractor A business registered as a construction contractor with Lai 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. Business and Licensing Information Name Phone Address Suite /Apt. City State Zip FISCHER PLUMBING CO INC, THE 2067834129 1115NW51STST SEATTLE WA 98107 County KING Business Type CORPORATION Parent Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Previous License Next License Associated License Specialty 1 Specialty 2 601058759 ACTIVE FISCHPC131 R1 CONSTRUCTION CONTRACTOR 12/21/1987 2/22/2010 PLUMBC *236J9 FISCHL *987D1 PLUMBING UNUSED Business Owner Information Name Role Effective Date Expiration Date ROBERTSON, BRUCE D Cancel Date 01/01/1980 Bond Amount MILLER, DARYL J 4 01/01/1980 YL1243047 HARRELL, DON Until Cancelled 01/01/1980 01/01/1980 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 4 OLD SURETY REPUBLIC CO YL1243047 12/27/2001 Until Cancelled $6,000.00 01/08/2002 3 WESTERN SURETY CO 68722727 04/27/1998 Until Cancelled 12/27/2001 $4,000.00 2 AMERICAN STATES INS CO EX613211 04/29/198804/29 /1998 $4,000.00 1 CBIC 603576 04/29/198704/29 /1988 Insurance Information Page 1 of 2 Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date https: // fortress. wa. gov /lni/bbip/Detail.aspx ?License= FISCHPC 131 R 1 10/06/2008