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Permit PG09-063 - HIHN RESIDENCE
HINH RESIDE CE 13508 37 PGO9-063 VS Parcel No.: Address: Suite No: Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: 7340601044 1350837 AVSTUKW HIHN RESIDENCE 13508 37 AV S , TUKWILA WA HIHN KATHLEEN R 13508 37TH AVE S , TUKWILA WA ANTHONY FLYNN 351 UNION AV NE , RENTON WA Contractor: Name: T P J INC Address: 351 UNION AVE NE , RENTON WA Contractor License No: TPJIN * *981NR DESCRIPTION OF WORK: REPLACE GAS HOT WATER THANK WITH AN ADDITION OF EXPANSION TANK AND EARTHQUAKE STRAPS. Value of Plumbing /Gas Piping: $750.00 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 -7/07 Citylif 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 FIXTURE TYPE AND QUANTITY 0 * * continued on next page ** 0 PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: Phone: Phone: 425 864 -2184 Phone: (425)228 -3204 Expiration Date: 08/19/2010 PG09 -063 06/23/2009 12/20/2009 Uniform Plumbing Code Edition: 2006 $45.00 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 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) 0 Gas piping outlets (6 +) 0 PG09 -063 Printed: 06 -23 -2009 I Permit Center Authorized Signature: / 1 l i• .: a • governing this work will be complied whether specified herein or not. I hereby certify that I have read and e doc: UPC -7/07 construe he perf City o 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 S Permit Number: PG09 - 063 Issue Date: 06/23/2009 Permit Expires On: 12/20/2009 Date: ed t s permit and know the same to be true and correct. All provisions of law and ordinances The granting of this permit cWs not presume to give authority to violate or cancel the provisions of any other state or local laws regulating of work. I am authorized to sign and obtain this plumbing /gas piping permit. Signatur � � `� `�—ti_ Date: (\TV \0� Print Name: Ik c J \ h K\ This ermit shall become mull and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended P Y P or abandoned for a period of 180 days from the last inspection. PG09 -063 Printed: 06 -23 -2009 Parcel No.: Address: Suite No: Tenant: 7340601044 13508 37 AV S TURIN HIHN 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 CONDITIIONS 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 -063 ISSUED 06/23/2009 06/23/2009 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 -063 Printed: 06 -23 -2009 • 1110 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 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 construction or the performance of work. Signature: Print Name: I^\v\ %\ doc: Cond -10/06 PG09 -063 Date: of law and ordinances governing other work or local laws regulating Printed: 06 -23 -2009 SITE LOCATION S �+ ^ )€. c King Co Assessor's Tax No.: Site Address: I3p 5 37 A • Suite Number: Tenant Name: '4LV ` N i h in New Tenant: Property Owners Name: TO-6,` \\ 0vv. InAco R[)u �'MP�vt p lifer Mailing Address: l0 7 ° (!� W� ( b 14 Akt S. S . City State CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: CA V\V\t e Mailing Address: ( ; Qa 1 51 A of S. City E -Mail Address: Fax Number: PLUMBING / GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: InT 357 �iv�ww. Contact Person: 4 vvo �, v kv E -Ma l Address: /J Contractor Registration Number: 1/4.3 , • `7 b 1 l�►� ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record Company Name: Mailing Address: CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://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 ** TP 3 L Contact Person: E -Mail Address: 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: H:\Applicelions\Forms- Applications On Line \2009 Applications \1 -2009 - Plumbing -Gas Piping Permit Application.doc Revised. I -2009 Oh Plumbing /Gas Permit No. V&M -6./3 Project No. (For office use only) (5C& -} Day TeJephone:0o Floor: ❑ Yes -8-No State State State Zip City State / Zi / Day Telephone: ¥.2.5 E -al y 7 Fax Number: 4 1 1 , � 5 - as 0 r 01 Expiration Date: Q Jici /ao to City Day Telephone: Fax Number: Zip Zip Page I 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 Building sewer and each trailer park sewer Rain water system — per drain (inside building) Water heater and /or vent r I Industrial waste treatment interceptor, including trap and vent, except for kitchen type grease interceptors Repair or alteration of drainage or vent piping Each grease trap (connected to not more than 4 fixtures - <750 gallon capacity) Medical gas piping system serving 1 -5 inlets /outlets for a specific gas Grease interceptor for commercial kitchen ( >750 gallon capacity) Repair or alteration of water piping and /or water treatment equipment 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 Valuation of Project (contractor's bid price): $ (} /�� �( Sco e f Work (please provide detailed information):le j L (pir Qj\I I GA/ - C'1 t.3+" 1 G7x,a_, [Tt&A, C3 rte,,— fa P rx .. i_ ,Q. 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: 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). 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. BUILDIN tt ER OR U'IN RIZED AGENT: Signature: i1 ` Print Name: 441AcJ \"( j I' V\ Day Telephone: :, ? Mailing Address57 / w � .rn,. A v' Date Application Accepted: Date Application Expires: H \Applications\Forms- Applications On Line \2009 App 'cations \1 -2009 - Plumbing -Gas Piping Permit Application.doc Revised- 1 -2009 bh Sewer: City Date: qa3i0q yes itY 2 /OV Stale Zip Staff Initials: Page 2 of 2 Parcel No.: 7340601044 Address: 13508 37 AV S TUKW Suite No: Applicant: HIHN RESIDENCE Receipt No.: R09 -00953 Initials: User ID: Payee: JEM 1165 TPJ INC. • 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 46069 45.00 Authorization No. ACCOUNT ITEM LIST: Description PLUMBING - NONRES RECEIPT Account Code Current Pmts 000.322.103.00.0 45.00 Total: $45.00 • Permit Number: PG09 - 063 Status: PENDING Applied Date: 06/23/2009 Issue Date: Payment Amount: $45.00 Payment Date: 06/23/2009 01:35 PM Balance: $0.00 •AYIV4ENT ECEIVED doc: Receiot -06 Printed: 06 -23 -2009 Project: Type of Inspection: Address: /3 5c 3 7 1'S Date Called: Special Instructions: 4 Date Wanted: 2 Y - © c a.m . (,a .m Requester: Phone No: ? — V - - 27 jX / INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 dos 66 3 PERMIT NO. W- (206)431 -3670 Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: eceipt No.: Date: 2 J ' 60.00 REINSPELTION E REQUIRED. Prior to inspection, fee must be paid at 6300 Sout center Blvd., Suite 100. Call to schedule reinspection. Date: 1�- Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 7 CONTINENTAL WESTERN INS CO CNP2698764 08/20/200708/20 /2009 2/3/1987 ARCHIVED $1,000,000.00 06/26/2008 6 NATIONWIDE MUTUAL INS CO ACP7521578277 08/20/2006 08/20/2008 $1,000,000.0008 /06/2007 5 NATIONWIDE MUTUAL INS CO ACP751157827708 /20/200608/20/2007 $1,000,000.0006 /19/2006 License Name Type Specialty 1 S 2 Effective Date Expiration Date Status PLUMBI *213B5 PLUMBING JOINT INC, THE CONSTRUCTION CONTRACTOR PLUMBING SANITATION SYSTEM SIDE SEWER 1/25/1979 2/3/1987 ARCHIVED Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 CBIC FA5583 08/20/2002 Until Cancelled $12,000.00 08/19/2002 Name Role Effective Date Expiration Date PALMER, DONALD L PRESIDENT 08/19/2002 PALMER, CANDANCE L VICE PRESIDENT 08/19/2002 Untitled Page • General /Specialty Contractor A business registered as a construction contractor with LQi 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 T P J INC UBI No. 602212259 Phone 4252283204 Status ACTIVE Address 351 UNION AVE NE License No. TPJIN * *981NR Suite /Apt. License Type CONSTRUCTION CONTRACTOR City RENTON Effective Date 8/19/2002 State WA Expiration Date 8/19/2010 Zip 98059 Suspend Date County KING Specialty 1 GENERAL Business Type Corporation Specialty 2 UNUSED Parent Company Other Associated Licenses Business Owner Information Bond Information Insurance Information https: // fortress .wa.gov /lni/bbip/Detail.aspx Page 1 of 2 06/23/2009