HomeMy WebLinkAboutPermit PG09-124 - SPIKER RESIDENCESPIKER RESIDENCE
5145 S 162 ST
PGO9-1 24
Parcel No.: 8125200035
Address:
Suite No:
5145 S 168 ST TUKW
Tenant:
Name: SPIKER RESIDENCE
Address: 5145 S 168 ST , TUKWILA WA
Owner:
Name: SPIKER CATHY J
Address: 5145 S 168TH ST , SEATTLE WA
Contact Person:
Name: ROD KIPPES
Address: 18103 NE 68 ST #C -200 , REDMOND WA
Contractor:
Name: M M COMFORT SYSTEMS
Address: 18103 NE 68 C -200 , REDMOND WA
Contractor License No: MMCOMMC934B4
DESCRIPTION OF WORK:
REPLACE 40- GALLON WATER HEATER
Value of Plumbing /Gas Piping:
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
Citylef 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: 425 881 -7920
Phone: 425 881 -7920
Expiration Date: 01/24/2011
$0.00 Uniform Plumbing Code Edition:
$45.00 International Fuel Gas Code Edition:
PG09 -124
10/20/2009
04/18/2010
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 1
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) 0
0 Gas piping outlets (6 +) 0
PG09 -124 Printed: 10 -20 -2009
Permit Center Authorized Signature:
I hereby certify that I have read and ex
governing this work will be complied
The granting of this permit does not pres
construction or the.perfo - anc of Xverk.
Print Name:
doc: UPC -7/07
City oPfukwila
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
th,
C— t uc�n.QS
Signature: �
Permit Number:
Issue Date:
Permit Expires On:
PG09 -124
10/20/2009
04/18/2010
Date: t O I L
d this plermit and know the same to be true and correct. All provisions of law and ordinances
hether specified herein or not.
e to give authority to violate or cancel the provisions of arty other state or local laws regulating
I ern authorized to sign and obtain this plumbing /gas piping permit.
Date:
lD
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 -124 Printed: 10 -20 -2009
Parcel No.:
Address:
Suite No:
Tenant:
doc: Cond -10/06
8125200035
5145 S 168 ST TUKW
SPIKER 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 -124
ISSUED
10/20/2009
10/20/2009
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 -124 Printed: 10 -20 -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:
cLOS
�e(,je C ��Aclnos
doc: Cond -10/06 PG09 -124
Date:
00(dai0 l
ordinances governing
or local laws regulating
Printed: 10 -20 -2009
•
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www. ci. tukwila. wa. us
MECHANICAL 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
Site Address: S A (jS S 16 Q S 3.
Tenant Name: /�
Property Owners Name: Ce..1 5r. Il ^ ip 3 :
Mailing Address: 5 . / 6 r 11 5' t'
Mechanical Permit No. 1v 10 — 1
EFordeINET 10,1,1A2 1
City
•
(For office use only)
King Co Assessor's Tax No.: g / 2 SZ c)JO 3S
Suite Number: Floor:
New Tenant: ❑ Yes ❑..No
State
a 0 a'4 `?
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name:
Mailing Address:
E -Mail Address:
MECHANICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
/v+ ' oil Ca.'. rf S jf 4e.r. j
Contractor Registration Number: /tt CoP.,,, Col j 4 a .4
H: Applications\Poinis- Applications On Line\2009 Applications \1 -2009- Mechanical Pennit Application.doc
Revised: 1 -2009
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Day Telephone: 24:36 ° Zyl — I L I
City
1 l o DU b 6r' S t C-2
Fax Number:
R tji t£J4
`{ City State Zip
Contact Person: JJ le \f Pe) Day Telephone: ` 1 L 5 . g'Y 1 — 7 %2
E -Mail Address: f SP`s . Fax Number: -1 Z S 5 - 8 - u; 6' Z
Expiration Date:
S tate
LJ
Zip
ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
State
Zip
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:
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
I
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
•
H:\Applicat ions \Forms - Applications On-Line \2009 Applications \I -2009 Permit Application.doc
Revised: 1 -2009
bh
•
ING AND GAS•PIPING.ARMlIT INEF -1UUt 'ON ' 2.06= 4
Y
PLUMBING AND GAS PIPING CONTRACTOR INFORMATION
Company Name:
Mailing Address:
State Zip
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
Valuation of Project (contractor's bid price): $ 1uaD
Scope of Work (please provide detailed information): &� Ct.( ri-- i Lt Y1 Q ' T LV UCLUIJK"
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:
Page 5 of 6
Unit Type:
Qty
Unit Type:
Qty
Unit Type:
Qty
Boiler /Compressor:
Qty
Furnace <100K BTU
Air Handling Unit >10,000
CFM
Fire Damper
0 -3 HP /100,000 BTU
Furnace >100K BTU
Evaporator Cooler
Diffuser
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan Connected
to Single Duct
Thermostat
15 -30 HP /1,000,000
BTU
Suspended/Wall/Floor
Mounted Heater
Ventilation System
Wood/Gas Stove
30 -50 HP /1,750,000
BTU
Appliance Vent
Hood and Duct
Emergency Generator
50+ HP /1,750,000 BTU
Repair or addition to
Heat/Refrig/Cooling System
Incinerator — Domestic
Other Mechanical
Equipment
Air Handling Unit <10,000
CFM
Incinerator — Comm/Ind
00
Valuation of Project (contractor's bid price): $ to 5-5—'7 ! r� 5
Scope of Work (please provide detailed information): gt,z-L •• � `� C �� �v - 4
° L c (o '"n4 4__ q Sa, fl n L r
Use: Residential: New ❑ Replacement
Commercial: New ❑ Replacement ❑
Fuel Type: Electric - ❑ Gas
BUILDING OWNER OI;„AUTHORIZED AGENT:
Signature: J` / c -1
Print Name:
Date Application Accepted:
• •
Indicate type of mechanical work being installed and the quantity below:
Day Telephone:
Mailing Address: 1 IPJ 1,73 48 S + Cao.. t ), .�•.. )
H:Wpplicalions\Forms- Applications On Line12009 ApplicationsU -2009 - Mechanical Permit Application.doc
Revised: 1 -2009
bh
City
Staff Initials:
Other:
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 additional periods not to exceed 90 days each. The extension shall be requested in writing
and justifiable cause demonstrated. Section 105.3.2 International Building 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.
Date: q Zy - 07
State Zip
Date Application Expires:
RECEIPT NO: R09 -01632
Initials: JEM
Payee: M M COMFORT SYSTEMS
SET TRANSACTIONS:
Set Member
M09 -136
PG09 -124
TOTAL:
ACCOUNT ITEM LIST:
Description
Ci0 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
Amount
194.25
45.00
194.25
SET RECEIPT
MECHANICAL - RES 000.322:102:00.0
PLUMBING - RES 000.322.103.00.0
Payment Date: 10/20/2009
User ID: 1165 Total Payment: 239.25
SET ID: 1020 SET NAME: M &M COMFORT
TRANSACTION LIST:
Type Method Description Amount
Payment Check 10296 239.25
TOTAL: 239.25
Account Code Current Pmts
194.25
45.00
TOTAL: 239.25
PAYMENT
RECEIVED
Project:
Ty of Inspection:
Address: - rL _
5(-x{5 S. 1(0$
Date Called:
r—\
Special Instructions:
Date Wanted: a.m�
3 -3( -ID p.m.
Requester:
Phone 7/06 — 21-2 -612
�
P60q-I2A
PECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT . NO.
CITY OF TUKWILA BUILDING DIVISION - C�
6300 Southcenter Blvd., #100, Tukwila WA 98188 (206)431 -36
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
S :"=" 1' r w.; 4 `hlr-.1...b.( 6"`E' ti-TrAltri
$60.00
paid a
INSPECTION FEE R QUIRED.�rior to inspection, fee must be
300 Southcenter Blvd., Suite 10 Call to schedule reinspection.
Receipt No.:
Date:
Date:
COMMENTS:
AS
S c -7)_■ J W
A n J r e 6
rukAk ( U '' j ? ,
( - 0 — J e1CA
1 p A / , s k /a
mt ,,. Om h( c
(6tc ?t,,. (7 — , 6r,
Special Instructions:
Date Wanted:
"�
m.
Requester:
Phone No _
4
-s-I2 i
. --� I\ n I l
Project:
S Pi Kefk '
AS
Type 0c111spectivc
r it
P / -
L
Address: 4
5 (-4 c
JDate
504t1 1c®(s'
Called:
sue.
Special Instructions:
Date Wanted:
"�
m.
Requester:
Phone No _
4
-s-I2 i
43,4
Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Inspector:
C
ri $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:
r
. .. � _. , _- - -
?GoC -'M
PERMIT NO.
Corrections required prior to approval.
Date: 24 - !3
Insurance
Company
Name
Policy
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Amount
Received
Date
3
CENTURY
Co ETY
(CENS)
CCP583791
02/01/2009
02/01/2010
$1,000,000.00
02/02/2009
2
FIRST
MERCURY
INS CO
FMMA001124
02/01/200702/01
/2009
$1,000,000.0001
/15/2008
1
FIRST
MERCURY
INS CO
FMMA0001302
01/24/2007
01/24/2008
$1,000,000.0001/24/2007
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
1
AMERICAN
STATES INS
CO
6470956
01/24/2007
Until
Cancelled
$12,000.00
01/24/2007
Name
Role
Effective Date
Expiration Date
WILLIAMSON, CRAIG
PRESIDENT
01/24/2007
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 98052
County KING
Business Type Corporation
Parent
Company
M M COMFORT SYSTEMS
4258817920
18103 NE 68TH C -200
REDMOND
WA
WILLIAMSON ACQUISITION
CORP
UBI No.
Status
License No.
License Type
Effective Date
Expiration
Date
Suspend Date
Specialty 1
Specialty 2
602682815
ACTIVE
MMCOMMC934B4
CONSTRUCTION
CONTRACTOR
1/24/2007
1/24/2011
GENERAL
UNUSED
Business Owner Information
Bond Information
Insurance Information
https: / /fortress.wa. gov /lni/bbip/Detail. aspx
Page 1 of 1
10/20/2009