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HomeMy WebLinkAboutPermit PG08-260 - FINN RESIDENCEFINN RESIDENCE 1332456AVS PG08260 Parcel No.: 2172000210 Address: Suite No: CityQf 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 13324 56 AV S TUKW PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: PG08 -260 09/29/2008 03/28/2009 Tenant: Name: FINN RESIDENCE Address: 13324 56 AV S , TUKWILA WA Owner: Name: FINN SANDRA L Address: 13324 56TH AVE S , SEATTLE WA Contact Person: Name: LARRY BELLACH Address: 1501 NW 46 , SEATTLE WA Contractor: Name: JIM DANDY SEWER SERVICES INC Address: 1501 NW 46TH , SEATTLE, WA Contractor License No: JIMDASS 153L4 Phone: Phone: 206 633 -1141 Phone: (206)633 -1141 Expiration Date: 11/26/2008 DESCRIPTION OF WORK: REPLACE DRAINS AND WATER PIPING IN CRAWL SPACE Value of Plumbing /Gas Piping: Fees Collected: $2,000.00 $140.00 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 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 1 Medical gas piping system serving (1 -5) 0 inlets /outlets for a specific gas 0 0 Medical gas piping (6 +) inlets /outlets 0 1 Gas Piping 0 Gas piping outlets (0 -5) 0 1 Gas piping outlets (6 +) 0 * *continued on next page ** doc: UPC -10/06 PG08 -260 Printed: 09 -29 -2008 City oPTukwila 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 -260 Issue Date: 09/29/2008 Permit Expires On: 03/28/2009 Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be co Date: cPt 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 perfo • • 'r I am e to authority to violate or cancel sign and obtain this plumbing/gas piping permitstate or local laws regulating construction or the erfo i��"'� rigriWie /a(r )7i2/4 Signature: Print Name: Date: Q 4J-- 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 -260 Printed: 09 -29 -2008 Parcel No.: 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 2172000210 13324 56 AV S TUI{W FINN RESIDENCE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: PG08 -260 ISSUED 09/29/2008 09/29/2008 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 -260 Printed: 09 -29 -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 d • • • e to give authority to violate or cancel the provision of any other work or local laws regulating construction or the perfo Signature: Print Name: /arr. goPeec4 Date: doc: Cond -10/06 PG08 -260 Printed: 09 -29 -2008 CITY OF TUKWIL' Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Plumbing/- Permit No. PCB — Zc¢�u Project No. 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: /37).y 5,‘-',52 Mailing Address: Q )2) .e King Co Assessor's Tax No.: 2/ 7 2,004 Z /0 New Tenant: fJ .... Yes ..No Suite Number: Property Owners Name: Floor: City State Zip CONTACT PERSON -Who do we contact when you Name: permit is ready to be issued / / 5- Day Telephone: d C� � ? 3 //9 ` Mailing Address: / 5© ! l / 1-(1 � - - 'tt7e/(-e Lci 9'67 U 2 // City State Zip E -Mail Address: h a. b�f j .,j 0./2} Pet �f ;zc2C 7-'e/‘ -2-O 9 S� PLUMBING / GAS PIING CONTRACTOR INFORMATION Company Name: Mailing Address: t/ 1 i Pc( el y 5 p t,� 7 / 150/ 1V G/ / V City Contact Person: L C 47 Day Telephone: 1 5 3 7 E -Mail Address: Fax Number: 7Y9 2 0 ?5- Contractor Registration Number: J / /17 y Expiration Date: %0^ 6/ C State Zip ARCHITECT OF ;RECORD ` All plans roust 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:1Applications\Forms- Applications On Line13 -2006 - Plumbing -Gas Piping Permit Application.doc Revised: 4 -2006 bh City Day Telephone: Fax Number: State Zip Page 1 oft Valuation of Project (contractor's bid price): $ ,_ (,9 ad Scope of Work (please provide detailed information): R -e f /c c F Pnt (i S LL., to >L0 y/, Poz " c ett L(..4 5 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 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 1 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 PERMIT APPLICATION NOTE 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 ' EX MINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE .T OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR AUT Signature: Print Name: I cur /3-e/ / Mailing Address: Vl Date: 9- Day Telephone: .02-0 g / 9 ? 5 J ?C- u 4 ?-',HC) State Zip city Date Application Accepted: iPt tOki? Date Application Expires: Staff Initials: 01 /I" Q:\ Applications \Forms - Applications On Line \3 -2006 - Plumbing -Gas Piping Penni 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 RECEIPT Parcel No.: 2172000210 Permit Number: PG08 -260 Address: 13324 56 AV S TUKW Status: PENDING Suite No: Applied Date: 09/29/2008 Applicant: FINN RESIDENCE Issue Date: Receipt No.: R08 -03385 Initials: JEM User ID: 1165 Payment Amount: $140.00 Payment Date: 09/29/2008 03:33 PM Balance: $0.00 Payee: JIM DANDY SEWER SERVICES, INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 7864 140.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts PLUMBING - RES 000.322.103.00.0 140.00 Total: $140.00 )9/30 2 �" 1 1i7Ar. .-. 3c ,v doc: Receiot -06 Printed: 09 -29 -2008 INSPECTION RECORD Retain a copy with permit P� oS -2 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PERMIT NO. f" (206)431-3670 Project: r, ,.,IV CAS Type of Inspection: i NIA c - -P EIS.. to Address: } .332U 45 4 Q-�� Date Called: Special Instructions: Date Wanted: 1 — I'�j..Q m p:m Requester: Phone N� 2L7137 54.Approved per applicable codes. EiCorrections required prior to approval.' COMMENTS: t -4 iow.0*4e .-``)'4- Ins .e tor: i 0.00 REINSPECTIOt;I F id at 6300 Southcenter Blvd., Date Q cc.v i o- -t3-89 EE RE UIRED. Prior to inspection, fee must be Suite 100. Call to schedule reinspection. Receipt No.: 'Date: Untitled Page Page 1 of 3 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. Business and Licensing Information Name Phone Address Suite /Apt. City State Zip JIM DANDY SEWER SERVICES INC 2066331141 1501 NW 46TH 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 600505896 ACTIVE JIMDASS153L4 CONSTRUCTION CONTRACTOR 6/24/1985 11/26/2008 SANITATION SYSTEM SIDE SEWER PLUMBING Business Owner Information Name Role Effective Date Expiration Date HARRIS, D W 01/01/1980 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 8 CBIC SB1868 12/29/2005 Until Cancelled $12,000.00 01/08/2008 7 CBIC SB1868 10/26/200112/29 /2005 $6,000.00 11/01/2001 6 CBIC SB1868 10/26/199710/26 /2001 $4,000.00 5 DEVELOPERS INS CO 111877C 10/26/1992 10/26/1997 11/06/1997 $4,000.00 4 INDIANA LUMBERMENS MUTUAL INS SBP12112397 05/05/1991 10/26/1992 $4,000.00 3 UNITED PACIFIC INS CO U559540 10/26/198710/26 /1991 $4,000.00 2 UNITED PACIFIC INS CO U559504 11/26/1986 11 /26/1987 1 WESTERN SURETY CO 28070084 06/05/198510/26 /1988 https: // fortress .wa.gov /lni/bbip etail.aspx ?License= JIMDASS 153L4 4 09/29/2008