HomeMy WebLinkAboutPermit PG09-021 - HEATHERWOOD APARTMENTSHEATHERWOOD APTS
5841 S 152 ST
PGO9-02 1
Parcel No.:
Address:
Suite No:
Tenant:
Name:
Address:
1157200380
5841 S 152 ST TUKW
HEATHERWOOD APARTMENTS
5841 S 152 ST , TUKWILA WA
Owner:
Name: TUKWILA REALTY LLC
Address: C/O SUHRCO RESIDENTIAL , 2010 156TH AVE NE STE 100
Contact Person:
Name: RORY MACIASKYK
Address: 211 185 PL SW , BOTHELL WA
Contractor:
Name: EMERALD CITY PLUMBING INC
Address: 211 185 PL SW , BOTHELL WA
Contractor License No: EMERACP964DJ
DESCRIPTION OF WORK:
REPLACE 6 WATER HEATERS IN BUILDING 'F.
Value of Plumbing /Gas Piping:
Fees Collected:
doc: UPC -10/06
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
CitAf 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
$6,000.00
$170.00
PLUMBING /GAS PIPING PERMIT
Uniform Plumbing Code Edition: 2006
International Fuel Gas Code Edition: 2006
FIXTURE TYPE AND OUANTITY
* *continued on next page **
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 425 - 776 -3344
Phone: 425 - 776 -3344
Expiration Date: 03/08/2010
PG09 -021
02/19/2009
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 6
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 -021 Printed: 02 -19 -2009
Permit Center Authorized Signature:
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
const i• r e perfo - • nce o wor m authorized to sign and obtain this plumbing /gas piping permit.
Signature:
Print Name:
doc: UPC -10/06
City ofTukwila
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
4 14 1/11 et <0/0--
/lac (•,52
Permit Number: PG09 -021
Issue Date: 02/19/2009
Permit Expires On:
Date: /1- 4-1-21
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 -021 Printed: 02 -19 -2009
Parcel No.: 1157200380
Address: 5841 S 152 ST TUKW
Suite No:
Tenant:
HEATHERWOOD APARTMENTS
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 -021
ISSUED
02/19/2009
02/19/2009
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 -021 Printed: 02 -19 -2009
Print Name:
doc: Cond -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
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. •
• m
Date:
PG09 -021 Printed: 02 -19 -2009
SITE LOCATION
Q/� / King Co Assessor's Tax No.:
5<l %
Site Address: L�� �� Suite Number: Floor:
Tenant Name: D ,, ' ' ��
Property Owners Name: ,a4elP/ ) QQcL / ]�}� /� / `� g i
Mailing Address: Air
Name:
Mailing Address:
E -Mail Address:
Company Name:
Mailing Address:
Contact Person:
E -Mail Address: ri
Contractor Registration Number: J7�-1 ��? � lD e--/D7
Contact Person:
E -Mail Address:
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
r
/1 (5/0
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 **
•
''Q
s
H:\Applications\Forms- Applications On Line\2009 Applications \1.2009 - Plumbing -Gas Piping Permit Application.doc
Revised: 1 -2009
bh
Plumbing /Gas Permit No. . /. VII •
Proj ect No.
(For office u;e on, y)
City
CONTACT PERSON - Who do we contact when your permit is ready to be issued
PLUMBING / GAS PIPING CONTRACTOR INFORMATION, •
Contact Person:
E -Mail Add . :
ENGINEER OF RECORD - All plans must be wets by Engineer of Record
State
New Tenant: ❑ Yes �,No
Zip
Day Telephone: — _ r e /
City State Zip
Fax Number: 4 �72( 3 >>"
cebMe. 11 G-A TPA /z
City ta te Zip
@OcA 7/P D //lam
Fax Number: [AK-- ?7 --
Day Telephone:
Expiration Date:
ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record
Company Name:
Mailing Address:
State
Zip
City
Day Telephone:
Fax Number:
Company Name:
Mailing Address:
City State Zip
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 d/or vent
{- , ,tf4 Gi/
: ; t i & ---
(
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
BUILDIN i s E OR • 1' I D A r.
Signature: A IA, ± /iL.�
Print Name: d2/1 / L
Date Application Accepted:
1-14-01
Valuation of Project (contractor's bid price): $ — /, � // ��
Scope of Work (please provide detailed information): Z .S C ` /�� sec_) ,4- tAld
Building Use (per Int'I Building Code):
Occupancy (per Int'I Building Code):
Utility Purveyor: Water: Sewer:
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).
1 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.
Mailing Address: /( / 1S //
H:Upplications \Forms- Appbcations On Line12009 Application\/ -2009 - Plumbing -Gat Piping Permit Application.doc
Revised. -2009
bb
City
Date: 0 /9! 6
Day Telephone: </2r-- 77-' "V
/A1 f‘f. --
State Zip
Staffrals:
Date Application Expires:
Page 2 of 2
RECEIPT NO: R09 -00287
Initials: BLH
Payment Date: 02/19/2009
User ID: ADMIN Total Payment: 666.00
Payee: EMERALD CITY PLUMBING
SET ID: S000001173 SET NAME: Tmp set/Initialized Activities
SET TRANSACTIONS:
Set Member Amount
PG09 -019 300.00
PG09 -020 196.00
EG.097 0:21 170.00
TOTAL: 300.00
TRANSACTION LIST:
Type Method Description Amount
Payment Check 6086 666.00
TOTAL: 666.00
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
SET RECEIPT
0905101-1 0011 02/20/2009 001 101
C'CD Permits Plus - Gener•a.i Fund $6666.00
Account Code Current Pmts
000.322.103.00.0 666.00
TOTAL: 666.00
COMMENTS:
lr� /0 to k" / l)/ v ie._ .
7 v7 - o -7_67,-
/
\
Address:
S714) 5
/
V l,It Lori J [ e--(3 6 -j AA A*
Date Called:
_
ef ). 6? A- p l CA
\`
l
Date Wanted: 2
teav K I livs e
bd
P
r
Phone No
7,(>-- 1
6
A A j
Proj t:
Type of I
/
\
Address:
S714) 5
/
f " 0
5 ---"St---
Date Called:
_
Special Instructions:
(/
/.
\`
Date Wanted: 2
Z)�/ p.m.
Requester:
r
Phone No
7,(>-- 1
6
— o 1 r 0
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)431-36 0
Approved per applicable codes.
P601- 02
Inspecto � ' •
Date:
ri $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:
U N; r± ..3c)2 —Ae J srva: /wr
t)iN ,T U I - CA-J(f St .) (Al e ' Sa//d,,.
e �---: (P _ r � t AJ A-(‘ )A M( U 4 i i r.
ICAr1
LIA 2I)1 — l )&
V im, '�.4 Z
U n ( I v / — Stil t,.J Aikei" Tat k du
`,.
ti A I 0 �. - A ee4 p . , :J' - se) mil°
r PP A ,-: Q. r r13.) r s :) 4 e- 1 A ,c .
/A ) r A,1-tiP 1 rn.h I -. A S-
A.,.4 ex SC A1 , r O J• 1 e ; G i'2&0(
S (U 7 ,.)
Lk) MI/\ - �,udI It
Requester:
%
Project
/f /h', / 0,74
Type of Inspecjion:
,c,
(- 7'/7
„1,4
Address:
;..f5q/ --z is2_s-f
Date Called:
Special Instructions:
(Z U
..
Date Wanted:
Em,,.
Requester:
Phone No
2//
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION g
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
El Approved per applicable codes.
Corrections required prior to approval.
Inspe( tor:
(Date
I
El $60.00 REINSPECTIO.FEEBEOUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
4
Date:
RORY MACIASKYK
211 185 PL SW
BOTHELL WA 98012
RE: Permit No. PG09 -021
5841 S 152 ST TUKW
Dear Permit Holder:
In reviewing our current records, the above noted permit has not received a final inspection by the City of
Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform
Plumbing Code and /or the National Electric Code, every permit issued by the Building Division under the
provisions of these codes shall expire by limitation and become null and void if the building or work authorized
by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work
authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 08/26/2009.
Based on the above, you are hereby advised to:
Sincerely,
1) Call the City of Tukwila Inspection Request Line at 206 -431 -2451 to schedule for the next or final
inspection. Each inspection creates a new 180 day period.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is
due to expire. Address your extension request to the Building Official and state your reason(s) for
the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is
determined that your extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and /or receive an extension prior to 08/26/2009, 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.
Bill Rambo
Permit Technician
File: Permit File No. PG09 -021
City •f Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
1,Az
h.? no .Snathcenter Boulevard. Suite #100 o Tukwila. Washington 98188 o Phone: 206 - 431 -3670 o Fax: 206 - 431 -3665
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
1
STATE
FARM FIRE
&t 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
FARM
98BCP4458
12/07/2008
12/07/2009
$1,000,000.00
10/27/2008
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 EMERALD CITY PLUMBING
INC
Phone 4257763344
Address 211 185TH PL SW
Suite /Apt.
City
State
Zip
County
Business Type
Parent
Company
BOTHELL
WA
980126219
SNOHOMISH
Corporation
UBI No.
Status
License No.
License Type
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