HomeMy WebLinkAboutPermit PG09-108 - ROSS RESIDENCEROSS RESIDENCE
12253 47 AV S
PGO9-108
Parcel No.: 0179001025
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name: ROSE ROSS
Address: 12253 47 AV S , TUKWILA WA
Value of Plumbing /Gas Piping:
Fees Collected:
doc: UPC -7/07
12253 47 AV S TUKW
Citylk 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
ROSS RESIDENCE
12253 47 AV S , TUKWILA WA
ROSS ROSE MARIE
12253 47TH AVE S , SEATTLE WA
Contractor:
Name: O'NEILL PLUMBING CO
Address: 6056 CALIFORNIA AVE SW , SEATTLE WA
Contractor License No: ONEILP *253DP
DESCRIPTION OF WORK:
REROUTE DRAIN PLUMBING FOR SEPTIC TO SEWER CONNECTION
$1,800.00
$45.00
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
FIXTURE TYPE AND QUANTITY
0
* * continued on next page **
PLUMBING /GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 206 763 -6677
Phone: (206)932 -5283
Expiration Date: 03/17/2011
PG09 -108
09/11/2009
03/10/2010
Uniform Plumbing Code Edition: 2006
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 0
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 1
Medical gas piping (6 +) inlets /outlets 0
Gas Piping
Gas piping outlets (0 -5) 0
Gas piping outlets (6 +) 0
PG09 -108 Printed: 09 -11 -2009
Permit Center Authorized Signature:
I hereby certify that I have read and ex
governing this work will be complied wi
The granting of this pe
construction or the p
Signature:
doc: UPC -7/07
City offukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #1100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.ci.tukwila.wa.us
oes not pres
ance of wor
Print Name: / A
•
Permit Number: PGO9 -108
Issue Date: 09/11/2009
Permit Expires On: 03/10/2010
Date:
d this permit and know the same to be true and correct. All provisions of law and ordinances
ether specified herein or not.
o give authority to violate or cancel the provisions of any other state or local laws regulating
am authorized to sign and obtain this plumbing /gas piping permit. ,,
Date: 7/< /a
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 -108 Printed: 09 -11 -2009
Parcel No.:
Address:
Suite No:
Tenant:
1: ** *PLUMBING AND GAS PIPING * **
doc: Cond -10/06
0179001025
12253 47 AV S TUKW
ROSS RESIDENCE
111
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
5: No portion of any plumbing system or gas piping shall be concealed until inspected and approved.
* *continued on next page **
Permit Number:
Status:
Applied Date:
Issue Date:
PG09 -108
ISSUED
09/11/2009
09/11/2009
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.
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 -108 Printed: 09 -11 -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: // ✓+
doc: Cond -10/06 PG09 -108
Date: �f
ordinances governing
or local laws regulating
Printed: 09 -11 -2009
F r
Site Address:
Tenant Name:
Property Owners Name: - 7
Mailing Address: 2:5AN--
Name: \)W CZ-tog
Mailing Address: 1 LSD) L i — 1 v
E -Mail Address:
Company Name: 0' JUIL ■, ' \ Ql N IV1 bl Cu
Mailing Address: t k.9 C 1� 1 ')V 1
Contact Person: ,jV \ 1° r n O{ Y h
E -Mail Address: Cw\r ? D f' a' W IU\0"/ 1 0 it • i
Registration Number: 11 LP 2
ARCHITECT OF RECORD - Ali plansjmust wet stamped by Architect of Record
Company Name:
Mailing Address:
City
Contact Person:
E -Mail Address:
Contact Person:
E -Mail Address:
•
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwilawa.us
1-51. -17 `j 7 � /Q 7
H \Applications \Forms- Applicannns On Line \2009 Applications \1 - plumbing -Gas Piping Permit Application :doe
Revised: 1 -2009
bh
Plumbing /Gas Permit No. 1 &01
Project No.
(For ofce use only)
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.: Q f 1 elm( OV$
Suite Number:
City
New Tenant:
Floor:
❑ Yes ❑ ..No
WA
State
Zip
CONTACT PERSON -Who do we contact when your perm it istrea'dy to be issued
r l �
Day Telephone: 2ov � • 4. 67'� 1 '
State Zip
City
Fax Number:
'PLUMBING / GAS PIPING CONTRACTOR:INFORMATION
City
Day Telephone:
Fax Number:
Expiration Date:
8813(2
Zip
Z�(o 9 .51, 511 )
1-ISII"5
State
State
Zip
Day Telephone:
Fax Number:
ENGINEER OF RECORD - All plans`must stamped by Engineer of Record
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
State
Zip
Page 1 of2
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)
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
I
•
• to
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
5 ] �^ I
rt Mk . f, DCG I►1.— � 1 h Men r Sy
- IL Q -I L 1 0 f)(1 11 U 4 1 5 1 t'-
Building Use (per Intl Building Code):
Occupancy (per Int'I 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 1 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
Signatur
Date Application Accepted:
R AUTH
ED AGENT:
Print Name: i ffi-') 1.-Joe Ih Day Telephone: o� / ' / ✓L t'3
pe'/3‘
State Zip
Mailing Address: /,; ' (41 1- 4i/'t 5A/ r � �
City
mitt 11,'s
4 ism*
Date Application Expires:
Hi\Applications \Forms - Applications On Line \2009 Applications \12009 - Plumbing -Gas Piping Permit Applicalinn.doc
Revised 1 -2009
bh
Date: 9 /0f
Staff Initials:
Page 2 of 2
RECEIPT NO: R09 -01432
Initials:
Payee: ONEILL PLUMBING CO
SET TRANSACTIONS:
Set Member
PG09 -108
PW09 -088
TOTAL:
ACCOUNT ITEM LIST:
Description
Cifit 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. tukw ila. wa. us
Amount
45.00
250.00
45.00
PLUMBING - RES
PW BASE APPLICATION FEE
SET RECEIPT
Payment Date: 09/11/2009
User ID: 1165 Total Payment: 295.00
SET ID: S000001298 SET NAME: Tmp set/Initialized Activities
TRANSACTION LIST:
Type Method Description Amount
Payment Credit C MC - - - 295.00
TOTAL: 295.00
Account Code Current Pmts
000.322.103.00.0
000/322.100
45:00
250.00
TOTAL: 295.00
PAY. ENT
RECEIVED
Pro' ct:
' OSS QC's
Type of Inspection:
r= 1 n.1 A I
Address:
W
Date Called:
Specia structions:
Date Wanted: .
1- _a y- C) tp • �
Requester:
Phone o� 9 3 7 -S 2S 3
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION V-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
I ]Q.�4pproved per applicable codes. Corrections required prior to approval.
COMMENTS:
( eirm 4 ( /c- / t (4JPf /
Inspect
6 .00 REINSPECTION FEE ` QUIRED • rior to inspection, fee must be
id at 6300 Southcenter Blv:., Suite 1 .0. Call to schedule reinspection.
Receipt No.:
Dat
2
Date:
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
7
WESTERN
SURETY CO
6 9778008
02/20/2007
Until
Cancelled
$12,000.00
03/01/2007
6
WESTERN
SURETY CO
69778008
03/17/200502/20/2007
$6,000.00
03/22/2005
5
DEVELOPERS
SURETY 8
INDEM CO
416330C
03/17/2002
Until
Cancelled
05/06/2005
$12,000.0003/12
/2002
4
DEVELOPERS
SURETY 8
INDEM CO
416330C
12/29/200003/17
/2002
$6,000.00
09/13/2001
3
DEVELOPERS
INS CO
416330C
03/17/199812/29
/2000
$6,000.00
2
DEVELOPERS
INS CO
416330C
03/17/199603/17
/1998
$6,000.00
1
AMERICAN
STATES INS
CO
EX33301603/17/1981
03/17/1996
$6,000.00
Name
Role
Effective Date
Expiration Date
O'NEILL, TERRY C
01/01/1980
O'NEILL, WENDY
01/01/1980
Untitled Page
General /Specialty Contractor
A business registered as a construction contractor with L8I 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 Owner Information
Business and Licensing Information
Name
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
O'NEILL PLUMBING CO
2069325283
6056 CALIF AVE SW
SEATTLE
WA
981361613
KING
Corporation
UBI No. 600144508
Status ACTIVE
License No. ONEILP *253DP
License Type CONSTRUCTION CONTRACTOR
Effective Date 3/17/1975
Expiration Date 3/17/2011
Suspend Date
Specialty 1 GENERAL
Specialty 2 UNUSED
Bond Information
Insurance Information
1 I 1
Page 1 of 2
https: // fortress .wa.gov /lni/bbip/Detail.aspx 09/11/2009