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HomeMy WebLinkAboutPermit PG09-064 - HIHN RESIDENCEHIHN ESIDE CE 13508 37 AV S PGO9-064 Parcel No.: 7340601044 Address: Suite No: Tenant: Name: Address: Owner: Name: Address: 13508 37 AV S TUKW Citylf Tukwila HIHN RESIDENCE 13508 37 AV S , TUKWILA WA HIHN KATHLEEN R 13508 37TH AVE S , TUKWILA WA Contact Person: Name: KATHY HIHN Address: 13508 37 AVE S , TUKWILA WA Contractor: Name: T P J I N C Address: 351 UNION AVE NE , RENTON WA Contractor License No: TPJIN * *981NR Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http://www.citukwila.wa.us PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: DESCRIPTION OF WORK: INSTALL PRESSURE REDUCING DEVICE INSIDE OF RESIDENCE ON MAIN WATER LINE IN CLOSET Value of Plumbing /Gas Piping: $300.00 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 FIXTURE TYPE AND QUANTITY * *continued on next page ** Phone: Phone: 206 - 241 -6058 Phone: (425)228 -3204 Expiration Date: 08/19/2010 PG09 -064 06/24/2009 12/21/2009 Uniform Plumbing Code Edition: 2006 $45.00 International Fuel Gas Code Edition: 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 1 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 -064 Printed: 06 -24 -2009 Permit Center Authorized Signature: The granting of this permit doc: UPC -7/07 City ofI'ukwila Signature: Print Name: N\'�V \V� �Y null and void if the work 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: PG09 - 064 Issue Date: 06/24/2009 Permit Expires On: 12/21/2009 Date: constructi� or perf : - �` of work. I am authorized to sign and obtain this plumbing /gas piping permit. Date: troui-O? 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. not presume to give authority to violate or cancel the provisions of any other state or local laws regulating This p ermit shall become k 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 -064 Printed: 06 -24 -2009 Parcel No.: Address: Suite No: Tenant: 7340601044 13508 37 AV S TURIN HIHN 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 Permit Number: Status: Applied Date: Issue Date: PG09 -064 ISSUED 06/24/2009 06/24/2009 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. 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. doc: Cond -10/06 * *continued on next page ** PG09 -064 Printed: 06 -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 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: 1 \ \N�^\NN doc: Cond -10/06 PG09 -064 Date: of law and ordinances governing other work or local laws regulating Printed: 06 -24 -2009 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.clitukwila.wa.us SITE LOCATION Q -7 S King Co Assessor's Tax No.: I V 0 (eO 1O LA� Site Address: 1 -5 () U 2 ` - J t Suite Number: Tenant Name: `. y E i L v� 1' Property Owners Name: Y.A-� N L Mailing Address: 13 5 ? 3? A-v.Q._ 5 Plumbing/Gas Permit No. Project No. 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 ** City Floor: New Tenant: ❑ Yes ❑..No State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: 45 t4w.e._ Mailing Address: E -Mail Address: Company Name: / PS) n C. Mailing Address: 5 — J 1 / fOK 4 e //Z ll Contact Person: a , V t y K ✓� E -Mail Address: r / Contractor Registration Number: T/ /'V~ --7� Y3/ /V . Company Name: Mailing Address: Contact Person: E -Mail Address: H.\Applications \Forms - Applications On Line \2009 Applications 1-2009 - Plumbing -Gas Piping Permit Applicalion.doc Revised: 1 -2009 bh Day Telephone ,) (42 � 6057 City Fax Number: City Day Telephone: Fax Number: Expiration Date: State PLUMBING / GAS PIPING CONTRACTOR INFORMATION State Zip YZr aG Y- a/81' 5/.7 -mac . 8— 0) 7 O , - /7-.Z0/C ARCHITECT OF RECORD - All plans must be wet stamped by Architect Qf Record City Day Telephone: Fax Number: State Zip Zip ENGINEER OF RECORD MI plans must be et 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: . 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 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 Valuation of Project (contractor's bid price): $ 0 1 Scope of Work (please provide detailed information): 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: 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 ` R OR U Signature: \ t \ —_ _._ •te: Print Name: I lk.A ,N Mailing Address: 351 Date Application Expires: Date Application Accepted: H:\Applications \Forms - Applications On Line \2009 Applications \1 -2009 - Plumbing -Gas Piping Permit Application.doc Revised: 1 -2009 bh Day Telephone: City • State Staff Initials: Zip Page 2 of 2 Parcel No.: 7340601044 Permit Number: PG09 -064 Address: 13508 37 AV S TUKW Status: PENDING Suite No: Applied Date: 06/24/2009 Applicant: HIHN RESIDENCE Issue Date: Receipt No.: R09 -00962 Initials: User ID: Payee: doc: Receiot - 06 WER 1655 TPJINC • 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 46072 45.00 Authorization No. ACCOUNT ITEM LIST: Description PLUMBING - RES RECEIPT Account Code Current Pmts 000.322.103.00.0 45.00 Total: $45.00 Payment Amount: $45.00 Payment Date: 06/24/2009 01:28 PM Balance: $0.00 T ECEIVED Printed: 06 -24 -2009 Project: ,ei9 //1(/ M 4ti Type of erection: P / Address: /3 4° — 3 7 Av Date Called: Special Instructions: e Date Wanted: --.2.5- Q9 aC' p.m. Requester: Phone No: 106-- ?c —Zj /- 66 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION l' 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 COMMENTS: 4 rrl 4 'Date; 0.00 REINSPECTION F REAUIRED. Prior to inspection, fee must be aid at 6300 Southcenter lvd., Suite 100. Call to schedule reinspection. eceipt No.: 'Date: \\L Approved per applicable codes. Corrections required prior to approval. . 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 Specialty 2 Effective Expiration 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 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 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 Page 1 of 2 https://fortress.wa.gov/lni/bbip/Detail.aspx 06/24/2009