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