HomeMy WebLinkAboutPermit PG09-032 - PARRISH RESIDENCEPARRISH RESIDENCE
4430 S 150 ST
PGO9-032
Parcel No.: 0042000072
Address:
Suite No:
Tenant:
Name: PARRISH RESIDENCE
Address: 4430 S 150 ST , TUKWILA WA
Owner:
Name: PARRISH CHARLES +MARIE
Address: 4430 S 150TH ST , TUKWILA WA
Contact Person:
Name: CHUCK PARRISH
Address: 4430 S 150 ST , TUKWILA WA
Contractor:
Name: PUGET SOUND GAS PIPING INC
Address: 13324 BINGHAM AVE E , TACOMA WA
Contractor License No: PUGETSG956MA
DESCRIPTION OF WORK:
GAS PIPING TO (1) OUTLET
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
4430 S 150 ST TUKW
Citylf 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
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 206 - 244 -8427
Phone: 253 - 539 -4488
Expiration Date: 07/01/2009
Value of Plumbing /Gas Piping: $900.00
Fees Collected: $92.00 International Fuel Gas Code Edition:
FIXTURE TYPE AND QUANTITY
* *continued on next page **
PG09 -032
03/24/2009
09/20/2009
Uniform Plumbing Code Edition: 2006
2006
Plumbing (cont.)
0 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
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) 1
0 Gas piping outlets (6 +) 0
0
0
0
PG09 -032 Printed: 03 -24 -2009
Permit Center Authorized Signature:
Signature:
Print Name:
doc: UPC -10/06
City olkukwila
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 7 L/0 , -!. 8r c J� y
Permit Number: PG09 -032
Issue Date: 03/24/2009
Permit Expires On: 09/20/2009
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 arty other state or local laws regulating
construction or the performance of work. I am authorized to sign and obtain this plumbing /gas piping permit.
Date: 3/2-zik 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 -032 Printed: 03 -24 -2009
Parcel No.: 0042000072
Address:
Suite No:
Tenant:
4430 S 150 ST TUKW
PARRISH 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
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 -032
ISSUED
03/24/2009
03/24/2009
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 -032 Printed: 03 -24 -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.
Signature:
Print Name:
// 2,n'C/ j
doc: Cond - 10/06 PG09 - 032
Date: 3V/0 y
ordinances governing
or local laws regulating
Printed: 03 -24 -2009
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
httn://www.citukwila.wa.us
Site Address: 3D S. 1 SO
Tenant Name: (Lt, ,, k
Property Owners Name: C_L 1 ?c - L,
Mailing Address: •
Name: 4 �r„rr■5L
Mailing Address: e /N3Q S. /SD - `"
E -Mail Address:
Company Name: P -1- ()t„J- G . Pipe,,, ^ T
Mailing Address: 1332 4 13t n�L..6,.,, A 1.-.... E
Contact Person: An-4'ttvj rr //
E -Mail Address: 'f�i,gm- 1-sn..,,d ije. �ipt/ c (rnb..,p c -u,•1„
Contractor Registration Number: RUB F S l,cr / MA
H:Wpplications'Ponns- Applications On Line \2009 Applications \1 -2009 - Plumbing -Gas Piping Permit Application.doc
Revised: 1.2009
bh
Plumbing /Gas Permit No.
Project No.
rbr office use Cn )
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
King Co Assessor's Tax
Suite Number: Floor:
New Tenant: ❑ Yes ®.. No
City
State
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Day Telephone: 2n4 " 5 .- /2 7
71.t
City
, 1X7
State
Zip
Fax Number:
PLUMBING. / GAS P IPING C ,INF
/Gtcaw.G.
City
GJA 9 7fya/
State Zip
Day Telephone: 7 s U-/•
Fax Number: /
Expiration Date: 7/3i/ )
ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record
Company Name:
Mailing Address:
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
State
Zip
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)
Lavatory
Food -waste grinder,
commercial
Wash fountain
Floor Drain
Receptor, indirect waste
Shower, single head trap
Sinks
Urinals
Water Closet
Industrial waste treatment
interceptor, including trap
and vent, except for kitchen
type grease interceptors
Building sewer and each
trailer park sewer
Each grease trap
(connected to not more
than 4 fixtures - <750
gallon capacity)
Rain water system — per
drain (inside building)
Water heater and/or vent
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 lawn sprinkler
system on any one meter
including backflow
protection devices
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
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
Valuation of Project (contractor's bid price): $ 900 U `'
Scope of Work (please provide detailed information): ( , s +-o 1 6LA-41e7 -
Building Use (per Int'l 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:
PERMITAPPLICATION NOTES -
Print Name: 4 at 01•1 jj
Mailing Address: 13324 1�l
Date Application Accepted:
Date Application Expires:
H: Applications\Forms- Applications On I.tne12009 Applications1l -2009 - Plumbing -Gas Piping Permit Application.doc
Revised'. 1 -2009
bh
Sewer:
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 OWN R OR HORIZED AGENT:
Signature: ) Date: 3/2V/09
Day Telephone: Zs' 3 5 cie-Pg '
7A a
City
State Zip
Staff Initials:
Page 2 of 2
Parcel No.: 0042000072
Address: 4430 S 150 ST TUKW
Suite No:
Applicant: PARRISH RESIDENCE
Payee: PUGET SOUND GAS
•
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 4505 92.00
RECEIPT
Receipt No.: R09 -00468 Payment Amount: $92.00
Initials: WER Payment Date: 03/24/2009 01:41 PM
User ID: 1655 Balance: $0.00
ACCOUNT ITEM LIST:
Description Account Code Current Pmts
GAS - RES 000.322.103.00.0 92.00
Total: $9200
Permit Number: PG09 -032
Status: APPROVED
Applied Date: 03/24/2009
Issue Date:
PAYMENT
ECEIVED
doc: Receiot -06 Printed: 03 -24 -2009
Projec
CY htL e. k PP,/'i
6--.
Type of Inspection:
F , Aj A
O
Address:
;'
ei csC
Date Called:
Special Instructions:
Date Wanted:
--
Z 7_. d
p.m-
Requester:
Phone No:
*
r
COMMENTS:
Receipt No.:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Approved per applicable codes. EJ Corrections required prior to approval.
0 REINSPECTION ` EE REQ IRED. Prior to inspection, fke must be
at 6300 Southcent- Blvd., S ite 100. Call to schedule reinspection.
Date:
'3 'Z.
(Date:
P6o5 -6iL
PERMIT NO.
- . .4400- xnvaaatiwi
COMANTS:
7) //i M M.A." -- 0✓
a 4 —/ v /,j
i) /I2 y
Address:
' /4'3, 5
g -g: /14 de ,$+tfileitre r -,
!'P di* *I/ Add .6 % f Aid/7 Dy.S
3
d / A .v (v4ar ? /.v./ As /).„ ,97
P /�i r 2 s -.4/4/
Special Instructions:
/
Date Wanted _
2 - 2 .. - Ol
p.m.
Pro
/ ,,17 / , S h it- S ,
Type f Inspection:
�� 6G/, - , V d /Is
Address:
' /4'3, 5
•
/3 -sue'
Date Called:
Kl'\w
Special Instructions:
/
Date Wanted _
2 - 2 .. - Ol
p.m.
Requester:
Phone No:
.3-53 535- V
se
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION .I?C
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36
Approved per applicable codes. fJ Corrections required prior to approval. / -
$ 00 REINSPECTION FE REQUIRED. Prior to inspection, fee ust be
d at 6300 Southcenter lvd., 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
2
CAPITOL
INDEMNITY
CORPORATION
919233
03/02/2006
Until
Cancelled
07/01/2005
$6,000.0003/08/2006
/15/2008
1
ACCREDITED
SURETY & CAS
CO
10034091
02/11/2005
Until
Cancelled
02/11/2006
$6,000.00
07/01/2005
Name
Role
Effective Date
Expiration Date
BRADLEY, ANTHONY
PRESIDENT
07/01/2005
Amount
BISCARRET, DOMINIC
SECRETARY
07/01/2005
25CC1551801004
ANDERSON, ANDY
VICE PRESIDENT
07/01/2005
Insurance
Company
Name
Policy
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Amount
Received
Date
6
AMERICAN
STATES INS
CO
25CC1551801004
/11/200804/11/2009
$1,000,000.0004
/15/2008
FIRST
Untitled Page
General /Specialty Contractor
A business registered as a construction contractor with L &I 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
PUGET SOUND GAS
PIPING INC
2535394488
13324 BINGHAM AVE. E
TACOMA
WA
98446
PIERCE
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Previous License
Next License
Associated
License
Specialty 1
Specialty 2
602435577
ACTIVE
PUGETSG956MA
CONSTRUCTION
CONTRACTOR
7/1/2005
7/1/2009
PLUMBING
UNUSED
Business Owner Information
Bond Information
Insurance Information
•
•
Page 1 of 2
https: // fortress .wa.gov /lni/bbip/Detail. aspx ?License= PUGETSG956MA
03/24/2009