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Home My WebLink AboutPermit PG09-009 - HEATHERWOOD APARTMENTS - CLUBHOUSEHEATHERWOOD APTS CLUBHOUSE 5841 S 152 ST PGO9-009 Parcel No.: Address: Suite No: 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 Contact Person: Name: RORY MACIASZYL Address: 211 185 PL SE , BOTHELL WA 1157200380 5841 S 152 ST TUKW Value of Plumbing /Gas Piping: Fees Collected: doc: UPC -10/06 CityMf Tukwila Contractor: Name: EMERALD CITY PLUMBING INC Address: 211 185 PL SW , BOTHELL WA Contractor License No: EMERACP964DJ 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 Tenant: Name: HEATHERWOOD APTS CLUBHOUSE Address: 5841 S 152 ST , TUKWILA WA $2,000.00 $144.00 • PLUMBING /GAS PIPING PERMIT Owner: Name: TUKWILA REALTY LLC Address: C/O SUHRCO RESIDENTIAL , 2010 156TH AVE NE STE 100 DESCRIPTION OF WORK: ROUGH -IN NEW KITCHEN - ELIMINATE TOILET, INSTALL KITCHEN SINK, ETC. FIXTURE TYPE AND QUANTITY * *continued on next page ** Permit Number: Issue Date: Permit Expires On: Phone: Phone: 206 718 -0110 Phone: 425 - 776 -3344 Expiration Date: 03/08/2010 PG09 -009 01/22/2009 07/21/2009 Uniform Plumbing Code Edition: 2006 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 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 1 0 Medical gas piping (6 +) inlets /outlets 1 1 Gas Piping 0 Gas piping outlets (0 -5) 0 0 Gas piping outlets (6 +) 0 PG09 -009 Printed: 01 -22 -2009 Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complie City oPTukwila 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 -009 Issue Date: 01/22/2009 Permit Expires On: 07/21/2009 Date: 1TI I 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 pres o give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performa of wor authorized to sign and obtain this plumbing /gas piping permit. Date: / -0) 0 1— algC 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. Signature: Print Name: doc: UPC -10/06 PG09 -009 Printed: 01 -22 -2009 Parcel No.: 1157200380 Address: Suite No: Tenant: 5841 S 152 ST TUKW HEATHERWOOD APTS CLUBHOUSE 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 doc: Cond -10/06 PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: 5: No portion of any plumbing system or gas piping shall be concealed until inspected and approved. * *continued on next page ** PG09 -009 ISSUED 01/22/2009 01/22/2009 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. 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 -009 Printed: 01 -22 -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 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. Print Name: (40(c--y Signature: doc: Cond -10!06 PG09 -009 Date: /-00.-- ordinances governing or local laws regulating Printed: 01 -22 -2009 Site Address: Tenant Name: CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us 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 LOCATION O' t iAk i 58 SO4 \sa �rY t'►4r wOD Property Owners Name: Mailing Address: CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: Mailing Address: L !SY- m$ L)-.) E -Mail Address: Contact Person: E -Mail Address: Contractor Registration Number: E M' . 4.' C- (04 J Contact Person: E -Mail Address: Contact Person: E -Mail Address: H:Wpplications \Forms - Applications On Line \2009 Applications \1 -2009 - Plumbing -Gas Piping Permit Application.doc Revised: 1 -2009 bh Plumbing /Gas Permit No. ?l col Project No. (For officc use only,) King Co Assessor's Tax No.: Suite Number: New Tenant: City lephone: mil City Fax Number: PLUMBING / GAS PIPING CONTRACTOR INFORMATIO Company Name: 61MC ►41 c� Mailing Address: • � City Day Telephone: Fax Number: Expiration Date: I tc; 20 - 02o ❑ Yes ❑..No State _lkC6("\ ° C (B0 I0)-- State Zip State Zip sot 1 .O �17 � 33ti Lf `�- `ea— to ARCHITECT OF RECORD _ All plans must be wet stamped by Architect of Record Company Name: Mailing Address: City Day Telephone: Fax Number: State Zip Zip State Floor: ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record Company Name: Mailing Address: Zip City Day Telephone: Fax Number: Page 1 of 2 Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty 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 1 Urinals Water Closet Building sewer and each trailer park sewer Rain water system - per drain (inside building) Water heater and /or vent \ Industrial waste treatment interceptor, including trap and vent, except for kitchen type grease interceptors Each grease trap (connected to not more than 4 fixtures - <750 gallon capacity) Grease interceptor for commercial kitchen (>750 gallon capacity) Repair or alteration of water piping and/or water treatment equipment Repair or alteration of drainage or vent piping f 1 Medical gas piping system serving 1-5 inlets/outlets for a specific gas Each additional medical gas inlets /outlets greater than 5 Backflow protective device other than atmospheric -type vacuum breakers 2 inch (51 mm) diameter or smaller Backflow protective device other than atmospheric -type vacuum breakers over 2 inch (51 mm) diameter Each lawn sprinkler system on any one meter including backflow protection devices Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections (1 -5) Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections over 5 Gas piping outlets Date Application Accepted: 01 (Z - �� Date Application Expires: Staff Initials: V I Valuation of Project (contractor's bid price): $ a,Oco Scope of Work (please provide detailed information): Y_S Building Use (per Int'l Building Code): Occupancy (per Int'I Building Code): Utility Purveyor: Water: Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: PERMIT APPLICATION NOTES -. 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 International 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 OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING R O; AUTHO D AGENT: Date: / H:\Applications\Forms- Applications On Line \2009 Applications \1.2009 - Plumbing -Gas Piping Permit Application.doc Revised: 1.2009 bh Sewer: Signature: Print Name: r RP- /lc/ 4-s t. Mailing Address: / Zip Day Telephone: o�� 71 80 l lb City State Pal 2 of 2 Receipt No.: R09 -00122 Payee: EMERALD CITY PLUMBING ACCOUNT ITEM LIST: Description PLUMBING - NONRES 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 Payment Cash 144.00 TRANSACTION LIST: Type Method Descriptio Amount RECEIPT Parcel No.: 1157200380 Permit Number: PG09 -009 Address: 5841 S 152 ST TUKW Status: APPROVED Suite No: Applied Date: 01/22/2009 Applicant: HEATHERWOOD APTS CLUBHOUSE Issue Date: Initials: JEM Payment Date: 01/22/2009 01:52 PM User ID: 1165 Balance: $0.00 Account Code Current Pmts 000.322.103.00.0 144.00 Total: $144.00 Payment Amount: $144.00 1771 01/22 9707 TOTAL 14400 doc: Receiot -06 Printed: 01 -22 -2009 Pro j5 c �` / /` dress: 7�/J�P /Lv00�` : Type of� ,i4 l /t/ ) / /)l frt t 6j Address: Date Called: Special Instructions: i / Date Wanted: 4/ -9 — Requester: Phone No: ,z, a6 o6--,..),5 {// / I 67 �o INSPECTION RECORD Retain a copy with permit INSPECTION NO PERMIT NO. CITY OF TUKWILA BUILDING DIVISION la- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Approved per applicable codes. Corrections required prior to approval. 7 COMMENTS: ( O ! r AJ fit / 1 ' 1 — P Inspector: �.1 Dater 4 q , 3 ❑ $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: Project: N V' �J d A �T Type f Inspection: L '[..AA '[..AA r (� Address: 4 ' 34 S - i 2 Date Called: /‘.\ / Special Instructions: 03 1m- 0( $ (i ,J PA .' ( 0k C ''re-' - r' i � V_.0-1,.(42-"\ ()% i Date Wanted: `a.m�, /— 73 -v % p.m. Requester: Phone 0 2 r l' ( ( 0 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 -3670 Approved per applicable codes. Corrections required prior to approval. COMMENTS: lnsp ctor: Date: r 2 3 — 0 7 ci.X kki1/4",A $60.00 REINSPECTION FEE QUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: IDate: Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 STATE FARM FIRE EC CAS CO 98CT66135 03/05/2004 Until Cancelled $12,000.00 03/08/2004 Name Role Effective Date Expiration Date MACIASZYL, RORY T PRESIDENT 03/11/2004 Amount MACIASZYK, MARCI L SECRETARY 03/11/2004 98BCP4458 Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 6 STATE 98BCP4458 12/07/2008 12/07/2009 $1,000,000.0010 /27/2008 FARM 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 Phone Address Suite /Apt. City State Zip County Business Type Parent Company EMERALD CITY PLUMBING UBI No. INC 4257763344 Status 211 185TH PL SW License No. License Type BOTHELL WA 980126219 SNOHOMISH CORPORATION Effective Date Expiration Date Suspend Date Previous License Next License Associated License Specialty 1 Specialty 2 602305181 ACTIVE EMERACP964DJ CONSTRUCTION CONTRACTOR 3/8/2004 3/8/2010 EMERACP015B7 GENERAL UNUSED Business Owner Information Bond Information Insurance Information • Page 1 of 2 https: // fortress .wa.gov /lni/bbip/Detail.aspx ?License= EMERACP964DJ 01/22/2009