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Home My WebLink AboutPermit PG09-058 - FANCEY RESIDENCEFANCEY RESIDENCE 4418 S 164 5T PGO9-05 8 Parcel No.: 5379800580 Address: Suite No: 4418 S 164 ST TUKW Tenant: Name: FANCEY RESIDENCE Address: 4418 S 164 ST , TUKWILA WA Owner: Name: FANCEY LINDA B Address: PO BOX 68455 , SEATTLE WA Contact Person: Name: LINDA FANCEY Address: PO BOX 68455 , SEATTLE WA Contractor: Name: ADVANCED INSTALLATION INC. Address: 16504 HWY 99 STE 101 , LYNNWOOD WA Contractor License No: ADVANII033DU DESCRIPTION OF WORK: RUN GAS PIPING TO NEW FIREPLACE Value of Plumbing /Gas Piping: $500.00 Fees Collected: 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 -7/07 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 FIXTURE TYPE AND QUANTITY * *continued on next page ** Permit Number: Issue Date: Permit Expires On: Phone: Phone: 206 -246 -6013 Phone: Expiration Date: 03/13/2010 Uniform Plumbing Code Edition: 2006 $60.00 International Fuel Gas Code Edition: PG09 -058 06/11/2009 12/08/2009 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 0 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 PG09 -058 Printed: 06 -11 -2009 Permit Center Authorized Signature: Signature: doc: UPC -7/07 City ofI'ukwila 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 n 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. Print Name: J_ r hCd Q Fa/1? Q_a, Permit Number: PG09 -058 Issue Date: 06/11/2009 Permit Expires On: 12/08/2009 Date: Date: ! 1 t J�•tin�� 0U9 This permit shall become null and void if the wotk 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 -058 Printed: 06 -11 -2009 Parcel No.: 5379800580 Address: Suite No: Tenant: doc: Cond -10/06 4418 S 164 ST TURIN FANCEY 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 PERMIT CONDITIONS * *continued on next page ** Permit Number: Status: Applied Date: Issue Date: PG09 -058 ISSUED 06/11/2009 06/11/2009 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 -058 Printed: 06 -11 -2009 Signature: C.5 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. d �iv` (11 Aa� / 7 6 Date: // v- Q- c.._dn � PG09 -058 Printed: 06 -11 -2009 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.cLtukwila.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 ** �- King Co Assessor's Tax No.: g 37 q Sd - Q`_ Site Address: 44 / r F J, ��'t S/ Suite Number: Tenant Name: Property Owners Name: . 'lcla 0..02/ Mailing Address: r, b. ep )( 11, 4 S1 — Name: J; y dq rGf L4i Mailing Address: ( ; 0 , tD x E -Mail Address: Company Name: /9c Vet n C Thsfa / lc?fi :I:w. H:\ApplicationsWorms- Applications On Line \2009 Applications \1 -2009 - Numbing-Gas Piping Permit Application.doc Revised: I -2009 bh Plumbing /Gas Permit No. O O Project No (For office use only) fS Ip City Mailing Address: /6 sa4 i'fLot.) 10 / Floor: New Tenant: ❑ Yes ❑..No State Zip CONTACT PERSON - Who do we contact When your permit is ready to be issued Telephone: c 2O 4 g 46- 6 d /3 g a % S` City State Zip Fax Number: PLUMBING / GAS PIPING CONTRACTOR INFORMATION 4---ii 10,0x1 O 9a�-7 n( City State Zip Contact Person: the ✓l, - I1 Day Telephone: s - 745 .- - 77 E -Mail Address: T Fax Number: nn Contractor Registration Number: i*'! t) V n N .11 033 b Expiration Date: ARCHITECT OF RECORD A11 plans must be wet stamped by Architect of Record Company Name: Mailing Address: Zip Contact Person: E -Mail Address: City Day Telephone: Fax Number: State ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: Page 1 of 2 Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty ' Fixture Type: Dental unit, cuspidor Qty Bathtub or combination bath/shower Bidet Clothes washer, domestic 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 PERMIT APPLICATION NOTES - Valuation of Project (contractor's bid price): $ 5 a Scope of Work (please provide detailed information): ruivt 'v r e -e p)a c Building Use (per Int'l Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: Sewer: 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 0 NER OR AUTHORI ED AGENT: Signature: , / 1 7 -74-1-e_49.1 Print Name: ) - r`hcia t F n eto ,� ,p Mailing Address: T I), pv ( 1p ��t- S� I Date Application Accepted: H:\Applications\Forms- Applications On Line \2009 Applications \1 -2009 - Plumbing -Gas Piping Permit Application.doc Revised: 1 -2009 bh Date: / 1 ■ 0900 Day Telephone: OD6 cP '7(6 _6 0 /� .�'ecL tle to A q g -- City State Zip Date Application Expires: Staff Initials: Page 2 of 2 1 Receipt No.: R09 -00878 Initials: User ID: Payee: WER 1655 ACCOUNT ITEM LIST: Description GAS - RES LINDA FANCEY • 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 Check 7118 60.00 Authorization No. Parcel No.: 5379800580 Permit Number: PG09 -058 Address: 4418 S 164 ST TUKW Status: PENDING Suite No: Applied Date: 06/11/2009 Applicant: FANCEY RESIDENCE Issue Date: TRANSACTION LIST: Type Method Descriptio Amount RECEIPT Account Code Current Pmts 000.322.103.00.0 60.00 Total: $60.00 Payment Amount: $60.00 Payment Date: 06/11/2009 02:57 PM Balance: $0.00 PAYMENT ECEIVED doc: Receiot -06 Printed: 06 -11 -2009 Project: , 7 A / r l y AP e42.5 • Type of Inspection: / — / / i 2 — 4S Address: yy,/,a 5 /6V %S% Date Called: Special Instructions: Date Wanted: -� / — 4 / p.m. Requester: Phone No: fa0 -5'6 62 y' ........ 1 „ ,..„-INSPECTION RECORD Retain a copy with permit ,Go 9 6 INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -360 Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: Rowfh —v,ti — 4,/mt769 Inspector: Dat�_ .00 REINSPECTION FEE t QUIRED. Prior to inspection, fee must be aid at 6300 Southcenter B d., Suite 100. Call to schedule reinspection. eceipt No.: 'Date: Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 4 DEVELOPERS SURETY 8 INDEM CO 437546C 02/28/2002 Until Cancelled 03/31/1997 $12,000.0003/13 /2002 3 DEVELOPERS SURETY & INDEM CO 437546C 12/29/200002/28 /2002 $6,000.00 07/18/2001 2 DEVELOPERS INS CO 437546C 03/01/199812/29 /2000 $6,000.00 1 DEVELOPERS INS CO 437546CO3/01/199703/01/1998 $6,000.00 Name Role Effective Date Expiration Date TAYLOR, ROBERT S Cancel Date 01/01/1980 Amount TAYLOR, ROBERT W PRESIDENT 02/14/2002 01CG3190131005/31/2004Until TAYLOR, ASHLEY D SECRETARY 03/31/1997 Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 7 CO AMERICAN STATES INS 01CG3190131005/31/2004Until Cancelled $1,000,000.0003 /18/2004 6 AMERICAN STATES INS 01CG3190131005 /31/200305/31/2004 $1,000,000.0003 /21/2003 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 ADVANCED INSTALLATION INC 4257455977 16504 HWY 99 STE 101 LYNNWOOD WA 98037 SNOHOMISH Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601749093 ACTIVE ADVANII033DU CONSTRUCTION CONTRACTOR 3/31/1997 3/13/2010 GENERAL UNUSED Business Owner Information Bond Information Insurance Information 41 • Page 1 of 2 https: // fortress .wa.gov /lni/bbip/Detail.aspx 06/11/2009