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HomeMy WebLinkAboutPermit PG08-292 - PHELAN RESIDENCEPHELAN RESIDENCE 16250 52 AV S PGO8-292 Parcel No.: 6818400070 Address: Suite No: City®f 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 16250 52 AV S TUKW PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: PG08 -292 12/05/2008 06/03/2009 Tenant: Name: PHELAN RESIDENCE Address: 16250 52 AV S , TUKVVILA WA Owner: Name: PHELAN HERBERT W Address: 16250 52ND AVE S , SEATTLE WA Contact Person: Name: MATTHEW CAMACHO Address: PO BOX 23295 , FEDERAL WAY WA Contractor: Name: THRIFTWAY PLMBG /BIO REMEDS INC Address: PO BOX 23295 , FEDERAL WAY WA Contractor License No: THRIFPROO4LT Phone: Phone: 206 510 -0702 Phone: 206 510 -0702 Expiration Date: 09/13/2010 DESCRIPTION OF WORK: ALTERATION REPIPE Value of Plumbing /Gas Piping: Fees Collected: $5,000.00 $92.00 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, conunercial 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.) 0 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 0 Medical gas piping system serving (1 -5) 0 inlets /outlets for a specific gas 1 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 -292 Printed: 12 -05 -2008 City oPI'ukwila • 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 -292 Issue Date: 12/05/2008 Permit Expires On: 06/03/2009 Permit Center Authorized Signature; Date: I hereby certify that I have read an 4exardned this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be compli d wi whether specified herein or not. The granting of this p = 't does not p to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the • erfo .: ce of work. I am 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 -292 Printed: 12 -05 -2008 Parcel No.: 6818400070 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 16250 52 AV S TUKW PHELAN RESIDENCE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: PG08 -292 ISSUED 12/05/2008 12/05/2008 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 m 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 -292 Printed: 12 -05 -2008 1 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 pe(ormance of work. Signature: Print Name: Date: / 3 �" doc: Cond -10/06 PG08 -292 Printed: 12 -05 -2008 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Plumbing /Ga F&Vh- 212 Pro ot.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 LOCATI King Co Assessor's Tax No.: g 1 D/ o C 0 7 0 Site Address: 1 (0 Z S r� A- l% . o . Suite Number: Floor: Tenant Name: }}�' New Tenant: f .... Yes Property Owners Name: l�t R b p Ij r•( Mailing Address: ..No Name: VA At" w ( , City State Zip Day Telephone: 'Zo 4„ S/ a 6 7 C) Z Mailing Address: p.0 . gG Z T Z 4 S e -€Aj -L t `ter City E -Mail Address: 't- F-k- i t --t" LA,,} -y N L (_� C N- Tax Number: Company Name: (L- L -Q / L I/J c: Mailing Address: P ,T c“ Z -2.- ci c Contact Person: V\ t F C- E-Mail Address: T C• W 1 g State Zip Contractor Registration Number: `- I4 R l E IWPOsi Company Name: Mailing Address: Contact Person: E -Mail Address: City i . v l / a t 6 `i 3 State Zip Day Telephone: Z tr, (, s-/ o ) 0 Fax Number: Expiration Date: (19 - J 3 2 6 / CU Company Name: Mailing Address: Contact Person: E -Mail Address: City Day Telephone: Fax Number: State Zip Q:Wpplications\Fonns- Applications On Line\3 -2006 - Plumbing-Gas Piping Permit Application.doc a.v:..d. n_lnnc City Day Telephone: Fax Number: State Zip Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): ure ('.j -7 I Ot 1 ?€,, p n 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: I'latt4reType: 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 4 Clothes washer, domestic 0 r Floor drain Sinks Dental unit, cuspidor Shower, single head trap cas Urinals Dishwasher, domestic, with independent drain Lavatory Water Closet Building sewer or trailer park sewer Rain water system — per Water heater and /or vent Additional medical gas inlets/outlets — six or more mst r e .0 • 'ng Industrial waste pretreatment interceptor, including its trap and vent, except for kitchen type grease interceptors • epair or alteration of water piping and /or water treating equipment i 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 Intemational 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 OWN 1 R UTHORIZED AGENT: Signature: Date: /2, — U Y-0 Print Name: Mailing Address: cp4.Tai got Zsz Day Telephone: Q,4 Cf State Zip Date Application Accepted: Date Application Expires: Staff Initial t le1 Q:\ApplicationsWorms - Applications On Line\3 -2006 - Plumbing -Gas Piping Permi Application.doc Revised: 4 -2006 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.: 6818400070 Address: 16250 52 AV S TUKW Suite No: Applicant: PHELAN RESIDENCE RECEIPT Permit Number: PG08 -292 Status: APPROVED Applied Date: 12/05/2008 Issue Date: Receipt No.: R08 -03887 Initials: JEM User ID: 1165 Payment Amount: $92.00 Payment Date: 12/05/2008 12:02 PM Balance: $0.00 Payee: THRIFTWAY INC. TRANSACTION LIST: Type Method Descriptio Amount Payment Check 5314 92.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts PLUMBING - RES 000.322.103.00.0 92.00 Total: $92.00 0232 12/05 9716 TOTAL 92.00 doc: Receipt -06 Printed: 12 -05 -2008 INSPECTION NO. INSPECTION RECORD Retain a copy with permit P6 O? ,92 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: PAPIG i P/Pr-VA. c Type of Inspection: /2 t—�-, A / ?/4 b,i.‘ Address: /62 S`O 52 /44^`? Date Called: Special Instructions: Date nte pd:� O �,� Cagy p.m. Requester: Phone 20 N : — 5722-- 27o 2_ AFIAPproved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: f Date/ y �� 2.r r El $60.00 REIN :" ECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: T INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION F-- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project / // /� P` !.O % v . ,1 /r/o7 , t- Type of spection: Ka / '-- Addr ss; /62S'CJ vo/` 1 Date Called: Special Instructions: Date Wanted: /2-- 8= v- a.m: p.m. Requester: Phone No: proved per applicable codes. Corrections required prior to approval. COMMENTS: ❑ $58.00 REINSP ON FEE REQUIRED. Prior to inspection, fee must be paid at 6300 'outhcenter Blvd., Suite 100. Call the schedule reinspection. Receipt No.: Date: Untitled Page 0 • General /Specialty Contractor A business registered as a construction contractor with LEtI 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 County THRIFTWAY PLMBG /BIO REMEDS INC 2538383525 PO BOX 23295 FEDERAL WAY WA 980930295 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 601998551 ACTIVE THRIFPROO4LT CONSTRUCTION CONTRACTOR 8/28/2000 9/13/2010 THRIFPH044DD PLUMBING UNUSED Business Owner Information Name Role Effective Date Expiration Date CAMACHO, JESUS A PRESIDENT 08/28/2000 Bond Amount CAMACHO, TERESA A VICE PRESIDENT 08/28/2000 CLB1901351 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 3 CAPITOL INDEMINITY CORP. CLB1901351 08/07/2008 Until Cancelled $6,000.00 08/21/2008 2 MERCHANTS BONDING CO (MUTUAL) WA12281 08/07/2004 Until Cancelled 09/13/2008 $6,000.0009/10/2004 1 CUMBERLAND CAS Et SURETY CO M6008004448 08/07/2000 Until Cancelled 08/07/2004 $6,000.00 Insurance Information I I https: / /fortress.wa.gov /lni/bbip /Detail. aspx ?License= THRIFPR004LT I 12/05/2008