HomeMy WebLinkAboutPermit PG09-022 - SAARI RESIDENCESAARI RESIDENCE
13535 53 AV S
PGO9-022
Parcel No.: 0003000100
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
13535 53 AV S TUKW
CityOf 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
SAARI RESIDENCE
13535 53 AV S , TUICWILA WA
SAARI NORRIS
13535 53RD AVE S , SEATTLE WA
PLUMBING /GAS PIPING PERMIT
Contact Person:
Name: CHRIS LEIBEL
Address: 12462 DES MOINES MEMORIAL DR , SEATTLE WA
Contractor:
Name: GLENDALE HEATING & A/C
Address: 12462 DES MOINES WY S , SEATTLE, WA
Contractor License No: GLENDHA053Q2
DESCRIPTION OF WORK:
REPLACE ELECTRIC WATER HEATER WITH NEW GAS WATER HEATER AND PROVIDE GAS LINE TO
WATER HEATER
Value of Plumbing /Gas Piping:
Fees Collected:
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
doc: UPC -10/06
$1,250.00
$197.00
Uniform Plumbing Code Edition: 2006
International Fuel Gas Code Edition: 2006
FIXTURE TYPE AND OUANTITY
0
Plumbing (cont.)
Building sewer and each trailer park sewer 0
Rain water system - per drain (inside bldg) 0
Water heater and /or vent 1
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
* *continued on next page **
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 206 - 243 -7700
Phone: 206 - 243 -7700
Expiration Date: 11/02/2009
PG09 -022
02/20/2009
08/19/2009
PG09 -022 Printed: 02 -20 -2009
Permit Center Authorized Signature:
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
Permit Number: PGO9 -022
Issue Date: 02/20/2009
Permit Expires On: 08/19/2009
Date:
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
construction or the performance of work. I am authorized to sign and obtain this plumbing /gas piping permit. ////
Signature: ! /0,74,a- Date: 2/ 77 �//U�
Print Name:
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.
doc: UPC -10/06
PG09 -022 Printed: 02 -20 -2009
Parcel No.:
Address:
Suite No:
Tenant:
0003000100
13535 53 AV S TUKW
SAARI RESIDENCE
1: ** *PLUMBING AND GAS PIPING * **
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
PERMIT CONDITIONS
* * continued on next page **
Permit Number:
Status:
Applied Date:
Issue Date:
PG09 -022
ISSUED
02/20/2009
02/20/2009
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.
PG09 -022 Printed: 02 -20 -2009
•
City of Tukwila
Signature: ( I,44, L Ji/(/),niA
Print Name: c cA MA fvu/
doc: Cond -10/06
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.
2_o OD
Date:
PG09 -022 Printed: 02 -20 -2009
CITY OF TUKWIl
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.citukwila.wa.us
King Co Assessor's Tax No.: ?)OO 3006 1
Site Address: ( 6 M) C� g Suite Number:
Tenant Name: G�CA�(` �
Property Owners Name: SOL-
Mailing Address:
Name:
Mailing Address: 1 9..41C2. S (ro {noiC ,3 Q � I.A) 4 ea--168
City State Zip
E -Mail Address: Fax Number: 9,0C - t.. r-3 Lf y
GENES CONTRAC'
{Contractor l nformbtion for 'Mecliani,
or 'tubing and Ga
i g(Pg5 )
Company Name: (O e e i J-�
Mailing Address: 1 29 ‘,
Contact Person: 0/6 S La, j 1
E -Mail Address:
Contractor Registration Number:
Contacf Person:
E -Mail Address:
Comp
Mail'
g
Co act Person:
E -Mail Address:
LL_ l / ' I
Q:\Applications\Forms- Applications On Line \3 -2006 - Permit Application.doc
Revised: 9 -2006
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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 **
City
Day Telephone: .9z6 • ,W3- 77%6f
' � orb '/3- 0LC5149
Zip
City
State
Day Telephone: 2-.o c; 9-(1 3 7 70:9
Fax Number: Ow 02-1/ 3 s-34/9
Expiration Date:
Company ame:
Mailing ddress:
City
Day Telephone:
Fax Number:
City
Day Telephone:
Fax Number:
New Tenant: fl .... Yes Z..No
State
State
Floor:
Zip
Zip
y Name:
Address:
State
Zip
Page 1 of 6
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
Will there be new rack storage? E.... Yes
Existing Building Valuation: $
Floors
:PI ft
Attached.Carpo
;tfV d
din
All II
reas412
1
Fe Foota
eloj
Lot Area (sq ft):
Covi
Uncovered
addition
sti
Structure
PLANNING DIVISION:
Single family building footprint ea of the foundation of all structures, plus any decks over 18 inches d overhangs greater than 18 inches)
*For an Accessory dwelling, ovide the following:
ype.of
upattcy per
IBC
.. No If yes, a separate permit and plan su s ittal will be required.
Floor area of principal dwelling: Floor area of accessory dwelling:
*Provide docu s tation that shows that the principal owner lives in one of the dwellings as his or her primary residence.
Number of Parking Stalls Provided:
Will there be a change in use?
Standard:
❑ Yes
Compact:
Handicap:
❑ No If "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑ Sprinklers ❑ Automatic Fire Alarm ❑ None ❑ Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes ❑ No
If `yes', attach list of materials and storage locations on a separate 8 .x II" paper including quantities and Material Safety Data Sheets.
SEPTIC SYSTEM
❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health
Department.
Q:Wpplications\Forms- Applications On Line\3 -2006 - Permit Application.doc
Revised: 9 -2006
bh
Page 2 of 6
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
/
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
PLUMBING
PLUMBING AN GAS PIPING CONTRACTOR INFORMATION
Company Name: l
Mailing Address:
GAS PIPE
Contact Person: �
E -Mail Address:
Contractor Registration Number:
Valuation of Plumbing work (contractor's bid price): $
Valuation of Gas Piping work (contractor's bid price): $
Scope of Work (please provide detailed information):
Building Use (per Intl 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:
Q:\Applications\Forms- Applications On Line \3 -2006 - Permit Application.doc
Revised: 9 -2006
bh
9o, op
9)fiOz)
Sewer:
City State Zip
Day Telephone:
Fax Number:
Expiration Date:
Page 5 of 6
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 72R AURIZ
Signature:
0/9
Z 7700
Print Name:
Mailing Address:
GENT:
Q:\Applications\Forms- Applications On Line \3 -2006 - Permit Application.doc
Revised: 9.2006
bh
Day Telephone:
City
Date:
20
State
Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
Page 6 of 6
Payee: GLENDALE HEATING
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
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 61569 197.00
ACCOUNT ITEM LIST:
Description
GAS - RES
PLUMBING - RES
RECEIPT
Parcel No.: 0003000100 Permit Number: PG09 -022
Address: 13535 53 AV S TUKW Status: PENDING
Suite No: Applied Date: 02/20/2009
Applicant: SAARI RESIDENCE Issue Date:
Receipt No.: R09 -00295 Payment Amount: $197.00
Initials: WER Payment Date: 02/20/2009 10:14 AM
User ID: 1655 Balance: $0.00
Account Code Current Pmts
000.322.103.00.0 92.00
000.322.103.00.0 105.00
Total: $197.00
doc: Receiot -06 Printed: 02 -20 -2009
Project: -- ) • % i
S , k y" � - , �s ,
Type of Inspection:
. . (.
,�,
1
■ : i2 . r
Address: • .k
Date Called:
j
Special Instructions:
/
Date Wanted:
'
; J `
4 . a m
Requester:
Phone No:
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 -3670
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
1 Vp
Inspector:
Date: 4 v G
❑ $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:
4
S -/ "
Type of Inspectio : .
2 ,c —,' fir /, 4
Address:
/- 3_5
'._ F 4, e
Date Called:
Special Instructions:
Date Wanted:
2- -25—aS
r yr
p.m.
Requester:
Phone No:
-2-0 4 --1 4/3- -..----
INSPECTION RECORD
Retain a copy with permit
PERM NO.
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
A pproved per applicable codes. 0 Corrections required prior to approval. 7
COMMENTS:
J/1 65; S
•
Inspector:
ti
Date: z S - -31
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:
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
1
FIDELITY Et
DEPOSIT
CO
30132423
11/02/1987
11/02/1988
01/01/1980
Date
ATWOOD, STANLEY
AGENT
Name
Role
Effective Date
Expiration Date
HOEFER, ARTHUR A
Impaired
01/01/1980
Received
HOEFER, GERALD A
Savings Account
01/01/1980
Date
FULTON, DAVID C
Date
01/01/1980
Date
ATWOOD, STANLEY
AGENT
01/01/1980
Savings
Assignment of
Effective
Release
Assignment
Impaired
Amount
Received
Savings Account
Date
Date
Type
Date
Date
Untitled Page
Is
•
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
GLENDALE HEATING a
A/C INC
2062437700
12462 DES MOINES WY S
SEATTLE
WA
981682266
KING
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Previous License
Next License
Associated
License
Specialty 1
Specialty 2
600003167
ACTIVE
GLENDHA053Q2
CONSTRUCTION
CONTRACTOR
11/22/1995
11/2/2009
GLENDHO110PU
GENERAL
UNUSED
Business Owner Information
Bond Information
Assignment of Savings Information
https: // fortress .wa.gov /lni/bbip/Detail.aspx ?License= GLENDHA053Q2
Page 1 of 2
02/20/2009