HomeMy WebLinkAboutPermit PG09-003 - CODIGA RESIDENCECODIGA RESIDENCE
12529 50 PL S
EXPIRED
07 -OS -09
PGO9-003
Parcel No.: 0179002890
Address:
Suite No:
12529 50 PL S TUKW
Tenant:
Name: CODIGA RESIDENCE
Address: 12529 50 PL S , TUKWILA WA
CityV Tukwila
Owner:
Name: CODIGA JAMES A
Address: 12529 50TH AVE S , SEATTLE WA
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
Contact Person:
Name: RITA WALTERS
Address: 12462 DES MOINES MEMORIAL DR , SEATTLE WA
Contractor:
Name: GLENDALE HEATING & A/C
Address: 12462 DES MOINES WY S , SEATTLE, WA
Contractor License No: GLENDHA053Q2
DESCRIPTION OF WORK:
RUN GAS LINE FROM METER TO NEW FURNACE
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
doc: UPC -10/06
FIXTURE TYPE AND QUANTITY
* * continued on next page **
PLUMBING /GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 206 - 243 -7700
Phone: 206 - 243 -7700
Expiration Date: 11/02/2009
PG09 -003
01/06/2009
07/05/2009
Uniform Plumbing Code Edition: 2006
Value of Plumbing /Gas Piping: $500.00
Fees Collected: $92.00 International Fuel Gas Code Edition:
2006
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 0
0 Medical gas piping (6 +) inlets /outlets 0
0 Gas Piping
0 Gas piping outlets (0 -5) 1
0 Gas piping outlets (6 +) 0
PG09 -003 Printed: 01 -06 -2009
Permit Center Authorized Signature:
doc: UPC -10/06
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
Permit Number: PG09 -003
Issue Date: 01/06/2009
Permit Expires On: 07/05/2009
L3 Date: 1` tY V
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 granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the / � p � J err � formance of wor I am authorized to sign and obtain this plumbing /gas piping permit. /
Signature di'
A/ 4 Date: /( 6 /0)
Print Name: SOt K1/` TbC 17 /eV
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.
PG09 -003 Printed: 01 -06 -2009
Parcel No.: 0179002890
Address:
Suite No:
Tenant:
doc: Cond -10/06
1252950PLSTUKW
CODIGA RESIDENCE
1: ** *PLUMBING AND GAS PIPING * **
•
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
PERMIT CONDITIONS
* * continued on next page **
Permit Number:
Status:
Applied Date:
Issue Date:
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.
PG09 -003
ISSUED
01/06/2009
01/06/2009
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.
PG09 -003 Printed: 01 -06 -2009
•
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 performance of work.
Signature: CJ I ��/< C-k "(ny,/) Date: //6 /" y
Print Name: W( v a v\ r ru. V
doc: Cond -10/06
PG09 -003 Printed: 01 -06 -2009
Site Address: /c • ✓ �C�
Tenant Name:
Property Owners Name:
Mailing Address:
Name:
Mailing Address: 12-
E -Mail Address:
Company Name:
Mailing Address:
CITY OF TUKWIL
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Q:\Applications\Fonns- Applications On Line \3 -2006 - Permit Application.doc
Revised: 9 -2006
bh
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 **
b'lnL
JCw► (vote \
lc:i s g- 9 G -)e-- Pi/ 9n
Contact Person: f VS
E -Mail Address:
Contractor Registration Number:
c / -7 King Co Assessor's Tax No.: V 1 - c C7 g`9 U
S /Y /7 '
Lt -. l O CU2-,
Suite Number: Floor:
City
New Tenant: .... Yes ❑ ..No
State
State
State
Zip
edy.to be issue
Day Telephone:
7
Dr Sea 7 14
�, a ant State p Zip
�' �{ . d%t.l.Lb l.A ^ C Fax Number: c> G j O � ({
(Co
E AI` CONT
or. Info
awe
• pg.,4
'RMATTON --
for Plumbing and,,G
City
Day Telephone: — L 1 3 77/10
Fax Number: .. 3 3 t-{ Lf
Expiration Date: / / 09
State Zip
'must be vet stamped by' Architect of Recp
Company Name:
Mailing Address:
Zip
Contact Person:
E -Mail Address:
cit
Day Telephone:
Fax Number:
Company Name:
Mailing Address:
Zip
Contact Person:
E -Mail Address:
City
Day Telephone:
Fax Number:
Page 1 of 6
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
Will there be new rack storage? ❑.... Yes
Prof'
11 Building Arch
{.notuge, I
DIVISION:
building footprint (area of the .undation of all structures, plus any decks over 1. ' ches and overhangs greater than 18 inches)
sory dwelling, provide the '.11owing:
be
Type Of
:upancy per
IBC
Standard: Compact: Handicap:
❑ Yes ❑ No If "yes ", explain:
PLANNING
Single family
*For an Acces
Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling:
*Provide documentation tha ows that the principal owner lives in one of the dwellings as his or her primary residence.
Number of Parking Stalls Provi
Will there be a change in use?
Existing Building Valuation: $
FIRE PROTECTIO AZARDOUS MATERIALS:
❑ Spri rs ❑ Automatic Fire Alarm ❑ None ❑ Other (specify)
Will there be storat or use of flammable, combustible or hazardous materials in the building? ❑ Yes ❑ No
If `yes', attach list of materials and storage locations on a separate 8 - 1/2" x 11 " paper including quantities and Material Safety Data Sheets.
SEPTIC SYSTEM
❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health
Department.
Q:\Applications'Forms- Applications On Line\3 -2006 - Permit Application.doc
Revised: 9 -2006
bh
❑.. No If yes, a separate permit and plan submittal will be required.
Page 2 of 6
Fixture Type:;
Qty
Fixture Types
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
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
PLUMBING AND GAS PIPING CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Contractor Registration Number:
Valuation of Plumbing work (contractor's bid price): $
Valuation of Gas Piping work (contractor's bid price): $
Scope of Work (please provide detailed information): V (A it 4 J l G ` !/V, a Co
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:
Q:\Applications\Forms- Applications On Line \3 -2006 - Permit Application.doc
Revised: 9 -2006
bh
City State Zip
Day Telephone:
Fax Number:
Expiration Date:
Page 5 of 6
in lica
PE IT APPLICATION 1 0Applicable to all p "ermi
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 OR AUTHOR/IZ D AGEN
L � ` l
Signature:
Print Name: r k
Mailing Address:
City
Date Application Expires:
Date Application Accepted:
Q:\Applications\Forms- Applications On Linel3 -2006 - Permit Application.doc
Revised: 9 -2006
bh
Date:
Day Telephone:
State
Staff Initials:
Zip
Page 6 of 6
i
Parcel No.: 0179002890 Permit Number: PG09 -003
Address: 12529 50 PL S TUKW Status: PENDING
Suite No: Applied Date: 01/06/2009
Applicant: CODIGA RESIDENCE Issue Date:
Receipt No.: R09 -00010
Initials: WER Payment Date: 01/06/2009 10:27 AM
User ID: 1655 Balance: $0.00
Payee: GLENDALE HEATING
ACCOUNT ITEM LIST:
Description
GAS - RES
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
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 61333 92.00
RECEIPT
Account Code Current Pmts
000.322.103.00.0 92.00
Total: $92.00
Payment Amount: $92.00
doc: Receiot -06 Printed: 01 -06 -2009
Proje t:
ck/ iC- - afl A
Type of Inspection:
9' /— 6 S
A ress:
/2 2 .S�UOL
Date Called:
Special Instructions:
Date Wanted:
•
a.m.
Requester:
Phone No:
- 7o4
-2y3
-2200
r
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
/960 �c
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (6)431 -3670
'—Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
-- 600E(
nspector:
EINSPECTION FEE R
6300 Southcenter Blvd.,
UIRED. P
uite 10
Re ei • No.:
Date),
for to inspection, fee must be
Call to schedule reinspection.
Date:
06 -03 -2009
RITA WALTERS
12462 DES MOINES MEMORIAL DR
SEATTLE WA 98168
RE: Permit No. PG09 -003
12529 50 PL S TUKW
Dear Permit Holder:
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila Building Division.
Per the Uniform Plumbing Code and /or International Fuel Gas Code, every permit issued by the Building Division under the
provisions of this code shall expire by limitation and become null and void if the building or work authorized by such permit is not
commenced within 180 days from the date of such permit, or if the building or work authorized by such permit is suspended or
abandoned at any time after the work is commenced for a period of 180 days.
Based on the above, you are hereby advised to:
Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection.
This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if
the project should be considered abandoned.
If such determination is made, the Plumbing and/or Gas Code does allow the Building Official to approve one extension of time for an
additional period not exceeding 180 days. Extension requests must be in writing and provide satisfactory reasons why circumstances
beyond the applicants control have prevented action from being taken.
In the event you do not call for the above inspection and receive an extension prior to 07/06/2009 , your permit will become null and
void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
( T rA
Bill Rambo
Permit Technician
xc: Permit File No. PG09 -003
6300 Southcenter Boulevard, Suite #100 o Tukwila, Washington 98188 • Phone: 206 - 431 -3670 ® Fax: 206 - 431 -3665
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
1
FIDELITY a
DEPOSIT
CO
30132423
11/02/1987
11/02/1988
01/01/1980
ATWOOD, STANLEY
AGENT
Name
Role
Effective Date
Expiration Date
HOEFER, ARTHUR A
01/01/1980
HOEFER, GERALD A
01/01/1980
FULTON, DAVID C
01/01/1980
ATWOOD, STANLEY
AGENT
01/01/1980
Untitled Page
General /Specialty Contractor
A business registered as a construction contractor with L£tI 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 GLENDALE HEATING ft
A/C INC
Phone 2062437700
Address 12462 DES MOINES WY S
Suite /Apt.
City
State
Zip
County
Business Type
Parent
Company
SEATTLE
WA
981682266
KING
CORPORATION
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Previous
License
Next License
Associated
License
Specialty 1
Specialty 2
600003167
ACTIVE
GLENDHA053Q2
CONSTRUCTION
CONTRACTOR
11/22/1995
11/2/2009
GLENDH0110PU
GENERAL
UNUSED
Business Owner Information
Bond Information
Assignment of Savings Information
Assignment of
•
Effective
Release IAssignmentlImpaired
https: / /fortress.wa. gov /lni/bbip/Detail. aspx ?License= GLENDHA05 3 Q2
Received
Page 1 of 2
01/06/2009