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HomeMy WebLinkAboutPermit PG09-005 - STURGEON RESIDENCESTURGEON RESIDENCE 13232 40 AV S PGO9-005 Parcel No.: Address: Suite No: 7340600966 13232 40 AV S TUKW Tenant: Name: STURGEON RESIDENCE Address: 13232 40TH AVE S , TUKWILA WA Owner: Name: STURGEON j Address: 13232 40TH AVE S , SEATTLE WA Contact Person: Name: MICHAEL MERRELL Address: 351 UNION AV NE , RENTON WA Contractor: Name: T P J I N C Address: 351 UNION AVE NE , RENTON WA Contractor License No: TPJIN * *981NR DESCRIPTION OF WORK: CHANGE OUT EXISTING 50 GALLON WATER ELECTRIC WATER HEATER. INSTALL NEW ONE, HAVE A LITTLE PIPE REWORK AT WATER CONNECTION AT TANK. Value of Plumbing /Gas Piping: $2,500.00 Uniform Plumbing Code Edition: 2006 Fees Collected: $105.00 International Fuel Gas Code Edition: 2006 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 Cityeif 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 PLUMBING /GAS PIPING PERMIT FIXTURE TYPE AND QUANTITY * * continued on next page ** Permit Number: Issue Date: Permit Expires On: Phone: Phone: 425 864 -2186 Phone: (425)228 -3204 Expiration Date: 08/19/2010 PG09 -005 01/14/2009 07/13/2009 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 1 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) 0 0 Gas piping outlets (6 +) 0 PG09 -005 Printed: 01 -14 -2009 Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complied Signature: 2- 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 a ith, Print Name: 1,9/6#/Pi l.- /YI E2 FZ(1 Paz Permit Number: PGO9 - 005 Issue Date: 01/14/2009 Permit Expires On: 07/13/2009 Date: 01 I K it D1 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 permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the pexfo ance of vy1rk. I am authorized to sign and obtain this plumbing /gas piping permit. 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. PG09 -005 Printed: 01 -14 -2009 Parcel No.: 7340600966 Address: Suite No: Tenant: 13232 40 AV S TUKW 1: ** *PLUMBING AND GAS PIPING * ** S 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: httpr / /www.ci.tukwila.wa.us STURGEON RESIDENCE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: PG09 -005 ISSUED 01/14/2009 01/14/2009 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. doc: Cond -10/06 * *continued on next page ** PG09 -005 Printed: 01 -14 -2009 Signature: Print Name: M /G rl ,VhL, Mkgain& • ! 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 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 construction or the performance of work. doc: Cond -10/06 PG09 -005 Date: /- 1 4 4- 09 ordinances governing or local laws regulating Printed: 01 -14 -2009 CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http:/Avivw.citukwila.wa.us Site Address: 0 3 Z32 y6 AVE Tenant Name: H E LA. STti2 V-E. r� Property Owners Name: Catr, Mailing Address: `& Mailing Address: g J� LiN E -Mail Address: Contact Person: E -Mail Address: Contractor Registration Number: Contact Person: E -Mail Address: Contact Person: E -Mail Address: Q: Applications\Forms- Applications On Line\3 -2006 - Permit Application.doc Revised: 9 -2006 bh Plurnbin, Building Permit No. Mechanical Permit No. ) Gas Permit No. 1 4 1," Q Public orks Permit No. Project No. (For office use only) 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 OCATION King Co Assessor's Tax No.: 1 O — O c t Le( (7 Suite Number: Floor: New Tenant: ❑ Yes ❑ .. No T�1L \,a ' LA City state sA� State State State State Zip CONTACT PERSON - w ho do we contact when your permit is ready to be issu Name: iv11c1 -AFL r'1 ER L Day Telephone: 425 " SC' `+ - 2- 1`� `O cz t.-Tcs hj City Fax Number: Zip GENERAL CONTRACTOR INFORMATION — (Contractor Information for Mechanical (pg 4) for Plumbing, and Gas Piping (pg 5)) Company Name: Mailing Address: City Day Telephone: Fax Number: Expiration Date: Zip ARCHITECT OF RECORD -- All plans must be wet stamped by Architect o Record Company Name: Mailing Address: City Day Telephone: Fax Number: Zip ENGINEER OF RECORD All plans must be wet stamped by Engineer Record Company Name: Mailing Address: City Day Telephone: Fax Number: Page 1 of 6 Zip 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 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 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 Repair or alteration of drainage or vent piping Medical gas piping system serving one to five inlets /outlets for specific gas Contact Person: C"'1∎GNA'FL rn E 2 2 ELL PLUMBING AND GAS PIPING PERMIT INFORMATION - :206 -43 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: E PLL .4i t r~ S� ti VT' Mailing Address: 3 5 1 'sN RJE, N�� tZE'r-To Is) VIA ( 0S9 City State Zip Day Telephone: U 2 6 `tl‘' Z I (p E -Mail Address: n Fax Number: C� TP3I F A- C1 ? 1 n1 R Expiration Date: t�" l el` 2010 Contractor Registration Number: Valuation of Plumbing work (contractor's bid price): $ Z-, 5 Oa = 0 0 Valuation of Gas Piping work (contractor's bid price): $ Scope of Work (please provide detailed information): C- N lam f 6x)sTt �. S o Garr- E LLE C . 1a W 1 — �J SrALL N i v v i ZONE r4-ANIE A 2srrt pi (3• 1r - irv2 Cc7N rK TI url 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 Line3-2006 - Permit Application.doc Revised: 9 -2006 bh Page 5 of 6 Print Name: 1 ' C H 4=> E L rn E 2 e,. L PERMIT APPLICATION NOTES — Applicable to all permits 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 OWNE R UTH • :: ZED AGENT: Signature: Date: 14-0 '\ Day Telephone: Mailing Address: City State Zip Date Application Expires: Date Application Accepted: Q:\Applications\Forms- Applications On Line\3 -2006 - Permit Application.doc Revised: 9 -2006 bh Staff Initials: Page 6 of 6 Parcel No.: 7340600966 Address: 13232 40 AV S TUKW Suite No: Applicant: STURGEON RESIDENCE Receipt No.: R09 -00068 Payee: TPJ INC. ACCOUNT ITEM LIST: Description PLUMBING - 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 RECEIPT Initials: JEM Payment Date: 01/14/2009 12:23 PM User ID: 1165 Balance: $0.00 TRANSACTION LIST: Type Method Descriptio Amount Payment Check 45707 105.00 Account Code Current Pmts 000.322.103.00.0 105.00 Total: $105.00 Permit Number: PG09 -005 Status: PENDING Applied Date: 01/14/2009 Issue Date: Payment Amount: $105.00 1461 01/14 9707 TOTAL 10500 doc: Receiot -06 Printed: 01 -14 -2009 Project: •S Reis• Type of Inspection: p• 4- - 0 2 Address: S 132,32 L i U :v Date Called: Special Instructions: Date Wanted: a.m Requester: Phone No: Liz INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 0142 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Approved per applicable codes. Corrections required prior to approval. COMMENTS: P "' (7,/rr 7i Inspector t/'"'''t \ Date: � ( 7 3 G, ri LI $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: 'Date: COMMENTS: Type of In pection Address: r 2 2� `K � 0 kvi S Date Called: J OA L 1( - D . % .- Special Instructions: Date Wanted: / ` 1 f D ( ;. C /1-1i ^ r /.e - , / s I) r / I, A , k Phone No: 4-7, - C/(to 4 --.1 / # 6 f 0 �-, ft I Project: Type of In pection Address: r 2 2� `K � 0 kvi S Date Called: Special Instructions: Date Wanted: / ` 1 f D ( _ ry p.m. Requester: Phone No: 4-7, - C/(to 4 --.1 / # 6 f INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION I 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36 Approved per applicable codes. Inspecto( }� 1 I Corrections required prior to approval. Date: $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee mustbe paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: 'Date: 06 -03 -2009 MICHAEL MERRELL 351 UNION AV NE RENTON WA 98059 RE: Permit No. PG09 -005 13232 40 AV S TUKW Dear Permit Holder: In reviewing our current records the above noted permit has not received a fmal 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 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 07/13/2009 , 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, 1 R•Cel/vi- Bill Rambo Permit Technician xc: Permit File No. PG09 -005 City of f TukwiPa Jim Haggerton, Mayor Department of Community Development Jack Pace, Director 6300 Southcenter Boulevard, Suite #100 • 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 CBIC FA5583 08/20/2002 Until Cancelled $12,000.00 08/19/2002 Name Role Effective Date Expiration Date PALMER, DONALD L PRESIDENT 08/19/2002 Amount PALMER, CANDANCE L VICE PRESIDENT 08/19/2002 CNP2698764 Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 7 CONTINENTAL WESTERN INS CO CNP2698764 08/20/200708/20 /2009 $1,000,000.00 06/26/2008 6 NATIONWIDE MUTUAL INS CO ACP752157827708 /20/200608/20/2008 $1,000,000.0008 /06/2007 5 NATIONWIDE MUTUAL INS CO ACP751157827708 /20/200608/20/2007 $1,000,000.0006 /19/2006 4 NATIONWIDE MUTUAL INS CO ACP7501578277 08/20/2005 08/20/2006 $1,000,000.0007 /29/2005 NATIONWIDE Untitled Page General /Specialty Contractor A business registered as a construction contractor with L£tl 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 Business Type Parent Company T P J INC 4252283204 351 UNION AVE NE RENTON WA 98059 KING CORPORATION UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Previous License Next License Associated License Specialty 1 GENERAL Specialty 2 UNUSED 602212259 ACTIVE TPJIN* *981 NR CONSTRUCTION CONTRACTOR 8/19/2002 8/19/2010 PLUMBI *213B5 Business Owner Information Bond Information Insurance Information S • Page 1 of 2 https: / /fortress.wa. gov /lni/bbip/Detail. aspx ?License= TPJIN* * 981 NR 01/14/2009