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Home My WebLink AboutPermit PG09-012 - HARTY RESIDENCEHARTY RESIDENCE 13119 MACADAM RD S PGO9-012 Parcel No.: 7340600860 Address: Suite No: Tenant: Name: Address: DESCRIPTION OF WORK: RUN A GAS LINE TO BOILER Fees Collected: doc: UPC -10/06 CitAbf 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 13119 MACADAM RD S TUKW HARTY RESIDENCE 13119 MACADAM RD S , TUKWILA WA Owner: Name: HARTY LAUREN G Address: 13119 42ND AVE S , TUKWILA WA Contact Person: Name: LAUREN G HARTY Address: 13119 MACADAM RD S , TUKWILA WA Contractor: Name: DEISLER PLUMBING LLC Address: 6485 E HILLDALE RD , PORT ORCHARD WA Contractor License No: DEISLPL956BG Value of Plumbing /Gas Piping: $200.00 Plumbing Bathtub or combination bath/shower 0 Bidet 0 Clothes washer, domestic 0 Dental unit, cuspidor 0 Dishwasher, domestic, with independent drain 0 Drinking fountain or water cooler (per head) 0 Food -waste grinder, commercial 0 Floor drain 0 Shower, single head trap 0 Lavatory 0 Wash fountain Receptor, indirect waste 0 Sinks 0 Urinals 0 Water Closet 0 PLUMBING /GAS PIPING PERMIT FIXTURE TYPE AND QUANTITY 0 * *continued on next page ** Permit Number: Issue Date: Permit Expires On: Phone: Phone: 206 241 -9321 Phone: 360 871 -7683 Expiration Date: 01/07/2011 PG09 -012 02/03/2009 08/02/2009 Uniform Plumbing Code Edition: 2006 $92.00 International Fuel Gas Code Edition: 2006 Plumbing (cont.) Building sewer and each trailer park sewer 0 Rain water system - per drain (inside bldg) 0 Water heater and /or vent 0 Industrial waste treatment interceptor, including its trap and vent, except for kitchen type grease interceptors 0 Repair or alteration of water piping and/or water treatment equipment 0 Repair or alteration of drainage or vent piping 0 Medical gas piping system serving (1 -5) inlets /outlets for a specific gas 0 Medical gas piping (6 +) inlets /outlets 0 Gas Piping Gas piping outlets (0 -5) 1 Gas piping outlets (6 +) 0 PG09 -012 Printed: 02 -03 -2009 Permit Center Authorized Signature: I hereby certify that I have read and e governing this work will be complied 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 o the • erformance of work./I am au orized to sign and obtain this plumbing /gas piping permit. Signature: doc: UPC -10/06 City 8 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 arrt path Permit Number: PGO9 -012 Issue Date: 02/03/2009 Permit Expires On: 08/02/2009 Date: 02-1/ ? 4 c r ed this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. Date: Print Name: — #4 v(I EN (T • // 4/ / y 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 -012 Printed: 02 -03 -2009 Parcel No.: 7340600860 Address: Suite No: Tenant: 13119 MACADAM RD S TUKW HARTY 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 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 -012 ISSUED 02/03/2009 02/03/2009 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 -012 Printed: 02 -03 -2009 Signature: Print Name: • 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. y U( AI //AA doc: Cond -10/06 PG09 -012 • Date: g ordinances governing or local laws regulating Printed: 02 -03 -2009 Company Name: Mailing Address: Contact Person: • 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 Site Address: 23111 M a Ca d am Rd. S. Tenant Name: Property Owners Name: Lauren &. Party a Mailing Address: 13 II 9 Macadam Rd . S. 174 kw 1 a Buzz PeiSJer E -Mail Address: II Contractor Registration Number: U t° i s P 1'1 5 L b 9 ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record. Contact Person: E -Mail Address: Contact Person: E -Mail Address: H:\Apptications\Fomo- Applications On Line \2009 Applications \1-2009 - Plumbing -Gas Piping Permit Application.doc Revised: 1 -2009 bh Plumbing /Gas Permit No. t U V . d tZ' Project No. (For office trvc only) a King Co Assessor's Tax No.: 734 O r7 - 0 S'60-06 Suite Number: Floor: New Tenant: ❑ Yes ❑..No q8/4.6 City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: L 0 U re 11 &. Ha r � . 1 / / Day Telephone: 2.06- 2 4 I - 9321 / Mailing Address: I M aC4d / � d am , . S TUkl�t /Q INA 9v13 I City State Zip E -Mail Address: 15 Y1 a t4 ye e D in Ca 54% n e -i Fax Number: PLUMBING / GAS PIPING CONTRACTOR INFORMATION.:: Deisler rhArn6ih 6 5 E i i Rid P ->'' Ore hard wq 98316 City State Zip 310-7?I- hp 152 Day Telephone: Fax Number: Expiration Date: )— 7- 2011 Company Name: Mailing Address: City Day Telephone: Fax Number: State Zip ENGINEER OF` RECORD - All plans must be wet stamped by Engineer 'of Record-,, Company Name: - Mailing Address: State 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 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 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' • 4 [ - ' PERMIT APPLICATION NOTES - . Valuation of Project (contractor's bid price): $ o 0 Scope of Work (please provide detailed information): ra let DI j q S !jot Building Use (per Int'I Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: Indicate type of plumbing fixtures and /or gas piping outlets being installed and the quantity below: 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 LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR AUTHORI A Signature: Date Application Accepted: D • 11 % Print Name: t L R uR gN G. f/A '% Mailing Address: /3/19 frig Gaofq!h H:'Appli cations\Forms- Applications On Lme Applications11-2009 • Plumbing -Gas Piping Permit Application, doe Revised: 1 -2009 bh Sewer: Date: -- .l " .09 Day Telephone: .2 o 6 S . /a tAIA 1 N Q City State Zip Date Application Expires: Staff Initials: age 2 of 2 Parcel No.: 7340600860 Permit Number: PG09 -012 Address: 13119 MACADAM RD S TUKW Status: PENDING Suite No: Applied Date: 02/03/2009 Applicant: HARTY RESIDENCE Issue Date: Receipt No.: R09 - 00180 Payee: LAUREN G HARTY 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.tulcwila.wa.us TRANSACTION LIST: Type Method Descriptio Amount Payment Check 11135 92.00 RECEIPT Account Code Current Pmts 000.322.103.00.0 92.00 Initials: JEM Payment Date: 02/03/2009 12:58 PM User ID: 1165 Balance: $0.00 Total: $92.00 I Payment Amount: $92.00 doc: Receipt -06 Printed: 02 -03 -2009 Project: �? % 's Type of ection: / �/ti77- (nom s \,16 ,�A Address: /� / /c7 1774//4i)47,1,4 Date Called t f V 1 /� G r Special Instructions: Date Wanted: a a.rr�, Requester: Phone No: •-tt ( INSPECTION RECORD Retain a copy with permit i9L ,Lo ail PERMIT NO. INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)43 -3 70 Approved per applicable codes. Corrections required prior to approval. COMMENTS: G t - Sic , (.I f Inspectorn ok. V AA Date: _ 4 __ d 1 $60.00 REINSPECTION FEE REQUIRE!". Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: _ - Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 3 AMERICAN STATES INS CO 6431338 01/08/2007 Until • Cancelled 01/07/2005 $6,000.00 03/27/2007 2 AMERICAN STATES INS CO 6431339 01/08/2007 01 /08/2007 $6,000.0012/20/2006 1 ACCREDITED SURETY Et CAS CO 10033236 01/08/2005 Until Cancelled 01/08/2007 $6,000.00 01/07/2005 Name Role Effective Date Expiration Date DEISLER, JANELLE 01/07/2005 DEISLER, CLIFF PARTNER /MEMBER 01/07/2005 DEISLER, BRET PARTNER /MEMBER 01/07/2005 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. Business and Licensing Information Name Phone Address Suite /Apt. City State Zip County Business Type Parent Company DEISLER PLUMBING LLC UBI No. 3608717683 Status 6485 E HILLDALE RD License No. License Type PORT ORCHARD WA 98366 KITSAP Limited Liability Company Effective Date Expiration Date Suspend Date Previous License Next License Associated License Specialty 1 Specialty 2 602425616 ACTIVE DEISLPL956BG CONSTRUCTION CONTRACTOR 1/7/2005 1/7/2011 DEISLP *142B3 PLUMBING UNUSED Business Owner Information Bond Information Insurance Information I Company I • I Effective I Expiration ICancelJImpairedl https: // fortress .wa.gov /lni/bbip/Detail.aspx ?License= DEISLPL956BG S Page 1 of 2 I Received 02/03/2009