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Home My WebLink AboutPermit PG08-224 - BLAKE ADDITIONThis record contains information which is exempt from public disclosure pursuant to the Washington State Public Records Act, Chapter 42.56 RCW as identified on the Digital Records Exemption Log shown below. PG08 -224 Blake Addition 4214 South 122nd Street RECORDS DIGITAL D- ) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION Page # tode Exemption = 8rlef Explanatory DeSclriptiop �t�tutel ule The Privacy Act of 1974 evinces Congress' intent that social security numbers are a private concern. As such, individuals' social security Personal Information — numbers are redacted to protect those Social Security Numbers individuals' privacy pursuant to 5 U.S.C. sec. 5 U.S.C. sec. DR1 Generally — 5 U.S.C. sec. 552(a), and are also exempt from disclosure 552(a); RCW 552(a); RCW under section 42.56.070(1) of the Washington 42.56.070(1) 42.56.070(1) State Public Records Act, which exempts under the PRA records or information exempt or prohibited from disclosure under any other statute. Redactions contain Credit card numbers, debit card numbers, electronic check numbers, credit Personal Information — expiration dates, or bank or other financial RCW 12 DR2 Financial Information — account numbers, which are exempt from 42.56.230(5) RCW 42.56.230(4 5) disclosure pursuant to RCW 42.56.230(5), except when disclosure is expressly required by or governed by other law. BLAKE ADDITION 4214 S 122 ST CANCELLED PGO8-224 Parcel No.: Address: Suite No: CRAW 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 -224 08/12/2008 02/08/2009 Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: BLAKE ADDITION 4214 S 122 ST , TUKWILA WA BLAKE SALLEY H 810 NM ST, TACOMA WA STEVE SUEDARSKY 2415 INTER AVE , PUYALLUP WA MONARCH PLUMBING 2415 INTER AV , PUYALLUP WA Contractor License No: MONARP *062D8 Phone: Phone: 253 - 770 -2400 Phone: 253 770 -2400 Expiration Date: 03/23/2009 DESCRIPTION OF WORK: PLUMBING ROUGH -IN AND FINISH Value of Plumbing /Gas Piping: Fees Collected: $4,837.00 $224.00 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 1 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 3 Medical gas piping system serving (1 -5) 0 inlets /outlets for a specific gas 1 0 Medical gas piping (6 +) inlets /outlets 1 1 Gas Piping 0 Gas piping outlets (0 -5) 0 2 Gas piping outlets (6 +) 0 * *continued on next page ** doc: UPC -10/06 PG08 -224 Printed: 08-12 -2008 City ofTukwila 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 -224 Issue Date: 08/12/2008 Permit Expires On: 02/08/2009 Permit Center Authorized Signature: Date: 6 9 I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The grantin construction Signature: Print Name: of this • does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating r the • - 4 •� •�ce • w • rk. I • - authorized to sign and obtain this plumbing /gas piping permit. 'n ��► I' Date: £S 1Z-b6 Phi 1[-1 P NA o i D 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 -224 Printed: 08-12 -2008 • City of 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 Parcel No.: 3347400370 Address: 4214 S 122 ST TUKW Suite No: Tenant: BLAKE ADDITION PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: PG08 -224 ISSUED 08/12/2008 08/12/2008 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 -224 Printed: 08 -12 -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 4 e • : ormance of work. .4V r - Signature: Print Name: wi .4)`()'ip villvi-c_ioloi/,-- Date: Dc---12 -o€ doc: Cond =10/06 PG08 -224 Printed: 08 -12 -2008 CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: / /tivtiti��. -ci:t kvilci ivci us Building Permit No. Mechanical Permit No. n! Plumbing/Gas Permit No. 'CCe• R /2-4 Public Works Permit No. Project No. (For office use only) Applieations 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 Address: L/cq" Tenant Ni: ae_ GI. V{ ft- Property Owners Name: .2 //e7 Mailing Address: (1Q /L/ King Co Assessor's Tax No.: 33 L17 V6d 3 7 Suite Number: _ Floor: New Tenant: ❑ Yes X..No TG ate ; /4 City State Zip CONTACT PERSON - who do we contact when your permit is ready to be issued Name: C CJ_CAo y_ Mailing Address: 241 L S — :{=%V_I e _ E -Mail Address: 's/ - M aVlWtt/I IDEA wl �� - C c�tvl Day Telephone: _ Z = Z yo City r State Zip Fax Number: Z S 3— "7-70— 06 GENERAL CONTRACTOR.INFORMATION - (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) Company Name: Mailing Address: City State Zip Day Telephone: Fax Number: - Expiration Date: Contact Person: —__ E -Mail Address: Contractor Registration Number: 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: Contact Person: E =Mail Address: Q:t ApplicationsWForms= ApplicatioikOn Lihe'3-2006 - Permit Application.doe Revised: 9 -2006 bh City Day Telephone: Fax Number: Page 1 of 6 State Zip PLUMBING AND GAS PIPING PERMIT INFORMATION - 206 - 431 -3670 PLUMBING AND GAS PIPING /-CONTRACTOR INFORMATION %% Company Name:, OM %G vl rh,144 ✓r !�t q i G Mailing Address: oC E7 J5 .��h / ed.-- c J - City 78372 State Zip Contact Person: 90./ e eray-s I Day Telephone: 2 5-3--_7 ^ 021/O _ E -Mail Address:,Vott,C efr)9NNalh4C/OvJ/ -.uy . CO 141 Fax Number: of 770 0636 Contractor Registration Number: /r' 014 ek - p e16,2 0 8 Expiration Date: 3 4,2 3 /0 9 Valuation of Plumbing work (contractor's bid price): $ 1-4537 00 Valuation of Gas Piping work (contractor's bid price): $ p / _� Scope of Work (please provide detailed information): et r i!'1 �y G- i � Q t^-�/' T� ��-�h Building Use (per Intl Building Code): 2 t e.J,%►eu14 Occupancy (per lnt'l Building Code): / Utility Purveyor: Water: 7• f w0/ 4 Sewer: t4414A 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 - - Bidet Food -waste grinder, commercial Receptor, indirect waste Clothes washer, domestic J Floor drain Sinks f Dental unit, cuspidor Shower, single head trap Urinals Dishwasher, domestic, with independent drain Lavatory Water Closet a Building sewer or trailer park sewer gar Rain water system — per drain (inside building) Water heater and /or vent I 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 I Repair or alteration of drainage or vent piping I Medical gas piping system serving one to five inlets /outlets for specific gas Q:\Applications\Forms- Applications On Line'3 -2006 - Permit Application.doc Revised' 9 -2006 bh Page 5 of 6 PERMIT APPLICATION NOTES — 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 1053.2 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). 1 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OW ■ • Rj : RIZED AGENT: Signature: Print Name: Mailing Address: a w Date: l 0 O Day Telephone: Q 3- 770 - c/ Ga i0c *4-/lyg 1.4,E 9'6'372 State Zip Date Application Accepted: Date Application Expires: Staff Initials: Q\Applications\Forms- Applications On Line\3 -2006 - Permit Application.doc Revised: 9 -2006 bh Page 6 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.: 3347400370 Address: 4214 S 122 ST TUKW Suite No: Applicant: BLAKE ADDITION RECEIPT Permit Number: PG08 -224 Status: PENDING Applied Date: 08/12/2008 Issue Date: Receipt No.: R08 -02911 Initials: WER User ID: 1655 Payment Amount: $224.00 Payment Date: 08/12/2008 02:14 PM Balance: $0.00 Payee: MONARCH PLUMBING TRANSACTION LIST: Type Method Descriptio Amount Payment Check 6487 224.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts PLUMBING - RES 000.322.103.00.0 224.00 Total: $224.00 6020 08/12 ?710 TOTAL 224.00 doc: Receiot -06 Printed: 08 -12 -2008 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director September 3, 2008 DeeAnn Svedarsky Monarch Plumbing 2415 Inter Avenue Puyallup, WA 98372 RE: Permit Fee Refund Dear Ms. Svedarsky: Enclosed is a check in the amount of $179.20 for the permit fee paid for the project located at 4214 South 122nd Street, Tukwila, Washington. The scope of work under Permit No. PG08 -224 has been cancelled. If you have any questions, please feel free to contact our office at 206 -431 -3670. Sincerely, Brenda Holt, Permit Coordinator encl xc: Permit No. PG08 -224 H:\Documents\Letters\PG08 -224 - refund Ietter.doc bh Ann Cnnthr•ontor Rnii1oltord Cnito J1/1/1 • Tirlruiih LV2chinotnn OR1RR • Phnno• 211A- 4?1 -7A71) • F,v• 71M- 471 -7AAS CITY OF TUKWILA, WA 98188 -2544 ACCOUNTS PAYABLE CHECK NO. r IN1%OICE.NUMBER, ;; rt r " DATE "_yWin °P: OTNUMBER$�'',,;5 ,.. _ °DES_CgIPTION�{',,' - • e3".,,: - _..:2M ;,',Y� AMOUNT:... ;`:., 090208311 08/27/2008 01,1193 PG08 -224 80% REFUND 179.20 PAY PLEASE DETACH BEFORE DEPOSITING .. •.. - .0 ABLETROUGH .`. .. . US SANK 19 -'t0 1 e1 Ari 04 PeAc East - CITY; OF T UKWI LA Tukwila WA Bd1e8 1250 �g , 6200 SbUthcenter Boulevard:' Tukwila. WA 98188 -2544 3 yy��isvEnfgor# ' i +NDAT�y ei €cKs MUMBER t�sGHEGK A�ylO��T 09/02/2008 * * * * * * ** *179.20 01,1193 One: Hundred Seventy Nine Dollars and Tv✓enty Cents City of Tukwila Permit Center Memo August 25, 2005 To: Laurie Anderson From: Brenda Holt vv,,„,fir Re: PG08 -224 Please refund $179.20 which equals 80% of the permit fee paid for the above reference permit. This permit was cancelled. Please make the check out to the following and I will forward it to them: Monarch Plumbing 2415 Inter Avenue Puyallup, WA 98372 Xc: File No. PG0 8-224 H:\DocumentslLetters\PG08 -224 - refund memo.doc bh August 14, 2008 City of Tukwila Department of Community Development 6300 Southcenter Blvd. Suite #100 Tukwila,WA 98188 RECEIVED AUG 18 2008' cOMMUNITY DEVELOPR6 To Whom It May Concern: This is a written request to cancel permit #PG08 -224 which was applied for on 8/12/2008 under Monarch Plumbing's name. The check amount was for $224.00.If possible send a refund check to Monarch Plumbing 2415 Inter Ave. Puyallup,WA 98372 If you have any questions please call me at Monarch Plumbing 253- 770 -2400. Thank you, DeeAnn Svedarsky O, /1, To YeERINP go7 prtemtr-r, //6> Untitled Page • 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. MONARCH PLUMBING Business and Licensing Information Name MONARCH UBI No. 601531614 PLUMBING Phone 2537702400 Status ACTIVE Address 2415 INTER AVE License No. MONARP *062D8 Suite /Apt. License Type CONSTRUCTION CONTRACTOR City PUYALLUP Effective Date 3/28/1994 State WA Expiration Date 3/23/2009 Zip 98372 Suspend Date County PIERCE Separation Date Business Type CORPORATION Previous License Parent Next License Company 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/Detail. aspx ?License= MONARP* 062D 8 08/12/2008