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