HomeMy WebLinkAboutPermit PG09-123 - PAQUETTE RESIDENCEPAQUETFE RESI
6360 S 151 PL
PGO9-1 23
ENCE
Parcel No.: 5122100120
Address:
Suite No:
6360 S 151 PL TUKW
Tenant:
Name: PAQUETTE RESIDENCE
Address: 6360 S 1541 PL , TUKWILA WA
Owner:
Name: PAQUETTE BRUCE A +MARY BETH
Address: 6360 S 151ST PL , SEATTLE WA
Contact Person:
Name: ANDY ANDERSON
Address: 13324 BINGHAM AV E , TACOMA WA
Contractor:
Name: PUGET SOUND GAS PIPING INC
Address: 13324 BINGHAM AVE E , TACOMA WA
Contractor License No: PUGETSG956MA
DESCRIPTION OF WORK:
INSTALL 38 FT OF GAS PIPING TO GENERATOR
Value of Plumbing /Gas Piping: $930.00
Fees Collected: $92.00 International Fuel Gas Code Edition:
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
Cityef 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: 253 - 539 -4488
Phone: 253 - 539 -4488
Expiration Date: 07/07/2011
PG09 -123
10/13/2009
04/11/2010
Uniform Plumbing Code Edition: 2006
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 -123 Printed: 10 -13 -2009
Permit Center Authorized Signature:
Signature:
Print Name:
doc: UPC -7/07
q�. 1146N
City ol
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 -123
Issue Date: 10/13/2009
Permit Expires On: 04/11/2010
Date: 10- , -0
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 rform of work. I am authorized to sign and obtain this plumbing /gas piping permit.
Date: fo1)31O
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 -123 Printed: 10 -13 -2009
Parcel No.: 5122100120
Address:
Suite No:
Tenant:
1: ** *PLUMBING AND GAS PIPING * **
doc: Cond -10/06
6360 S 151 PL TUKW
•
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
PAQUETTE RESIDENCE
PERMIT CONDITIONS
* * continued on next page **
Permit Number:
Status:
Applied Date:
Issue Date:
PG09 -123
ISSUED
10/13/2009
10/13/2009
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 -123 Printed: 10 -13 -2009
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 performancepf work.
doc: Cond -10/06
Signature:
Print Name: I P\ ' ..1 ,6 \
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
PG09 -123
Date: NI 0 jOa\
ordinances governing
or local laws regulating
Printed: 10 -13 -2009
Site Address:
Tenant Name: >\VOAe_,
Property Owners Name:
Mailing Address: ' �`*
Name:
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Plumbing /Gas Permit No. T60C— 1 c2-3
Project No.
(For office 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 **
SITE LOCATION
636 )). ► S } 4 '1,
E -Mail Address:
Company Name: `j
Yu js.. 6\5
Mailing Address: J.
J 5 )- 1 \ �� k1z - J
t ,.c\ t.
Contact Person:
E -Mail Address: put,FszYb �q(p
Contractor Registration Number: �U — 1 �I \Sh i 1
<r�--
Contact Person:
E -Mail Address:
Contact Person:
E -Mail Address:
H:\Applications \Forms - Applications On Line \2009 Applications \1 -2009 - Plumbing -Gas Piping Permit Application. doe
Revised: 1 -2009
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King Co Assessor's Tax No.:
-1 LL oNSyqzg
City State
Si 1l() 0u1O
Suite Number: Floor:
New Tenant: ❑ Yes ❑ ..No
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Day Telephone: S\ ' I4
Zip
Mailing Address:
Zip
City
State
Fax Number:
City State Zip
Day Telephone: Q. CS J c \ '\k q
Fax Number:
Expiration Date C
ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record
Company Name:
Mailing Address:
State
Zip
City
Day Telephone:
Fax Number:
ENGINEER OF RECORD All plans must be wet stamped by Engineer of Record
Company Name:
Mailing Address:
State
Zip
City
Day Telephone:
Fax Number:
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)
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 as
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
j
PERMIT APPLICATION NOTES - i • • . - - = ' ..
Valuation of Project (contractor's bid price): $ O tE {Q��
Scope of Work (please provide detailed information): " 3 � v4) -6 eta k92 o .(
Building Use (per Int'I 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:
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 OWNERM AUTHiOBrfZED AGENT:
Signature: Q
Print Name: r lr (
Mailing Address: C 1
Date Application Expires:
Date Application Accepted:
•
E
H: VApplications \Forms-Applications On Line \2009 Applications \1.2009 - Plumbing -Gas Piping Permit Application.doc
Revised 1.2009
bh
Sewer:
Date:
1
Day Telephone: - 5 i 1°
City State Zip
Staff Initials:
Page 2 of 2
Parcel No:: 5122100080
Address: 6321 S 151 PL TUKW
Suite No:
Applicant: WHEELER RESIDENCE
Receipt No.: R09 -01590
Payee: PUGET SOUND 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
TRANSACTION LIST:
Type Method Descriptio Amount
doc: Receipt -06
Payment Check 4727 92.00
Authorization No.
ACCOUNT ITEM LIST:
Description
GAS - RES
RECEIPT
Total: $92.00
Permit Number: PG09 - 122
Status: PENDING
Applied Date: 10/13/2009
Issue Date:
Payment Amount: $92.00
Initials: WER Payment Date: 10/13/2009 10:01 AM
User ID: 1655 Balance: $0.00
Account Code Current Pmts
000.322.103.00.00 92.00
PAYMENT
RECEIVE
Printed: 10 -13 -2009
Pro p Q uk
' ' .
1Qe fk
Type of lgsp
/ AT ---vA
Addr ss:
3 rD S�
Isl A
Date Called:
' 4),.„.
, , f Tfr
Special Instructions:
3 g p :p.
b r
' j�
GeAci -y/
Date Wafted:
p.m.
Requester:
Phone No:
, 5
3
1
—44
•
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISIO
6300 Southcenter Blvd., #100, Tukwila, WA 98188
P601-123
PERMIT NO.
N
(206)431 -3 7
E 6 Approved per applicable codes. 0 Corrections required prior to approval.
COMMENTS:
Q1 dk 1) Q)-f
r
3
Ak,A
Inspect
Date :r ►4 Of
El $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
'Date:
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
PUGETSG974C7
PUGET
GAS
PIPING
CONSTRUCTION
CONTRACTOR
OTHER
(SPECIFY)
UNUSED
2/27/2003
2/27/2005
EXPIRED
CLASSGP986JP
CLASS
A GAS
PIPING
CONSTRUCTION
CONTRACTOR
OTHER
(SPECIFY)
UNUSED
4/17/2002
4/17/2004
OUT OF
BUSINESS
Name
Role
Effective Date
Expiration Date
BRADLEY, ANTHONY
PRESIDENT
07/01/2005
Bond
Amount
BISCARRET, DOMINIC
SECRETARY
07/01/2005
919233
ANDERSON, ANDY
VICE PRESIDENT
07/01/2005
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
$6,000.0003/08/2006
1
ACCREDITED
SURETY Et CAS
1003409102/11/2005
Until
02/11/2006
$6,000.0007/01/2005
Untitled Page
S
•
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
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
Specialty 1
Specialty 2
602435577
ACTIVE
PUGETSG956MA
CONSTRUCTION
CONTRACTOR
7/1/2005
7/7/2011
PLUMBING
UNUSED
Other Associated Licenses
Business Owner Information
Bond Information
Page 1 of 2
https: // fortress .wa.gov /lni /bbip/Detail.aspx 10/13/2009