HomeMy WebLinkAboutPermit PG09-125 - MIX RESIDENCEMIX
ESIDENCE
14426 57 AV S
PGO9-125
Parcel No.: 3365900570
Address:
Suite No:
14426 57 AV S TUKW
Tenant:
Name: MIX RESIDENCE
Address: 14426 57 AV S , TUKWILA WA
City* Tukwila
Owner:
Name: MIX CORY +ELIZABETH +LANNY +KA
Address: 14426 57TH AVE S , TUKWILA WA
Contact Person:
Name: KERRY BURK
Address: 126 SW 148 #C100 -125 , BURIEN WA
Contractor:
Name: ABUNDANT HEATING & A/C INC
Address: 126 SW 148 ST #C100-125 , BURIEN WA
Contractor License No: ABUNDHA022CK
Value of Plumbing /Gas Piping:
Fees Collected:
doc: UPC -7/07
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
$1,200.00
$105.00
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
PLUMBING /GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On:
DESCRIPTION OF WORK:
INSTALL GAS PIPING FROM NEW METER TO FURNACE, WATER HEATER, (2) KITCHEN RANGES,
AND FIREPLACE/BBQ.
FIXTURE TYPE AND OUANTITY
0
* * continued on next page **
Phone:
Phone: 206 244 -3393
Phone:
Expiration Date: 09/16/2010
PG09 -125
10/21/2009
04/19/2010
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 0
Medical gas piping (6 +) inlets /outlets 0
Gas Piping
Gas piping outlets (0 -5) 5
Gas piping outlets (6 +) 1
PG09 -125 Printed: 10 -21 -2009
Permit Center Authorized Signature:
I hereby certify that I have read and e
governing this work will be complied
Signature:
Print Name:
doc: UPC -7/07
City orrukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206-431-3665
Web site: http://www.c.i.tulcwila.wa.us
arm
'th,
Permit Number: PG09 -125
Issue Date: 10/21/2009
Permit Expires On: 04/19/2010
/ / Date: 1 01
ed this permit and know the same to be true and correct. All provisions of law and ordinances
hether 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 peyformanc of rk. I am authorized to sign and obtain this plumbing /gas piping permit.
Date: M6 4101
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 -125 Printed: 10 -21 -2009
Parcel No.:
Address:
Suite No:
Tenant:
3365900570
14426 57 AV S TUKW
MIX 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 -125
ISSUED
10/21/2009
10/21/2009
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 -125 Printed: 10 -21 -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 -125
Date: 10/Z-‘10
ordinances governing
or local laws regulating
Printed: 10 -21 -2009
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://vVww.bitukwila.Wa.us
Site Address:
Tenant Name:
Property Owners Name: Cen
Mailing Address:. 64..u.4._
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
1 e2r.
Gl
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name:
Mailing Address:
E -Mail Address:
1,2-v hta 4 `- Ws— h2
hkii_4, 1 +A cOv.0 •- t 1.91
PLUMBING / GAS PIPING CONTRACTOR:INFORMATION
Company Name:
Mailing Address:
t,&4� 'k — 4-✓ t&c
1?.(,, �t b�4" ` � C lqn • p
Contact Person:
E -Mail Address:
Contractor Registration Number: "CR t t AI,Mictsa (
Contact Person:
E -Mail Address:
H: \Applications \Forms - Applications On Line \2009 Applications \l -2009 - Plumbing -Gas Piping Permit Application doc
Revised: 1 -2009
bh
Plumbing /Gas Permit No.
Project No.
(For office use only)
King Co Assessor's Tax No.: �J � t D �VS1
Suite Number: - Floor:
New Tenant: ❑ Yes ❑..No
City
Day Telephone:
City
"z- wtt' -.V‘■
City
Day Telephone:
Fax Number:
Expiration Date:
V.16 --- - t$�
State Zip
2nie WIG Voss2
tNYt' 'TV lcdo
State Zip
Fax Number:
State
0( Z...44-.77.35
ARCHITECT OF RECORD All plans must be wet stamped by Architect of. Record
Company Name:
Mailing Address:
State
City
Day Telephone:
Fax Number:
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:
State
Zip
Zip
Zip
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 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
PERMIT APP LICATION NOTES .-
• -t:
•
do
Valuation of Project (contractor's bid price): $ 1'2"
Scope of Work (please provide detailed information):
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:
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 OWN R AUT I D AGENT:
id ,
Signature:
Print Name:
1'7 wl(ta_
Mailing Address: ■4 144 e-(66.12,6
-(66. 126
Date Application Accepted:
10121I0
H: 1Apptications\Forms- Applications On Line12009 Applications// -2009 • Plumbing -Gas Piping Permit Application. doc
Revised: 1 -2009
bh
Sewer:
Date: t alzt l el
Day Telephone:
City State Zip
Date Application Expires:
Staff Initials:
of Tukwila,
RECEIPT NO: R09 -01643
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
Copy Reprinted on 10 -21 -2009 at 11:35:41 10/21/2009
Payment Date: 10/21/2009
User ID: 1165 Total Payment: 318.61
Initials: JEM
Payee: KERRY P BURK
SET ID: S000001315 SET NAME: ABUNDANT
SET TRANSACTIONS:
Set Member Amount
M09 -137
PG09 -125
TOTAL:
ACCOUNT ITEM LIST:
Description
213.61
105.00
105.00
SET RECEIPT
•
TRANSACTION LIST:
Type Method Description Amount
Payment Credit C VISA - - 318.61
TOTAL: 318.61
Account Code Current Pmts
GAS - RES 000.322.103.00.0
MECHANICAL - RES 000.322.102.00.0
105.00
213.61
TOTAL: 318.61
Project:
/ (/V eS•
Type of Inspectio
I- /A /4""
Address:
/1,1Y2 5
7//' S
Date Called:
Special Instructions:
Date Wanted:
a — l!'
/ d
p.m.
Requester:
Phone No:
IN CTION NC).
INSPECTION RECORD
Retain a copy with permit
-/L5
PERMIT' NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Approved per applicable codes.
COMMENTS:
P e , cni ;7 4)49
9
r
.00 REINSPECTION FEE QUIREo ;PH . o inspection, fee must be
id at 6300 Southcenter Blv'., Suite 100. Call the schedule reinspection.
Rec eipt No.:
Date:
Date:
El Corrections required prior to approval. e
..,. . . •
Project
Ale 4
Type of Inspection
• , 1
Address: s s:
� y226- 7 4— S f
Date °
Special Instructions:
Date Wanted: .(ES).
10-2A-0,9' p.m
Requester:
Phone No:
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
COMMENTS:
•
Approved per applicable codes. Corrections required prior to approval.
El $60.00 REINSPECTIOIdFEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
5
COLONIAL
AM CAS Et
SURETY OF
MARYLAND
LPM4075137
02/09/2008
C
Can
$6,000.00
02/01/2008
4
NATIONWIDE
MUTUAL INS
CO
7900312926
02/09/2007
02/09/2007
06/20/2008
$6,000.00
05/19/2008
3
MERCHANTS
BONDING CO
(MUTUAL)
WAl2492
02/09/2005
02/09/2007
$6,000.0012/08/2004
2
CUMBERLAND
CAS Et
SURETY CO
MB008000664
02/09/2002
02/09/2005
$6,000.00
02/01/2002
Name
Role
Effective Date
Expiration Date
BURK, KERRY P
01/01/1980
BURK, MONICA C
01/01/1980
Untitled Page
so
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
BURIEN
WA
Zip 98166
County KING
Business Type Corporation
Parent
Company
ABUNDANT HEATING Et A/C
INC
2062443394
126 SW 148TH ST #0100=
125
UBI No
Status
License No.
License Type
Effective Date
Expiration
Date
Suspend Date
Specialty 1
Specialty 2
601848381
ACTIVE
ABUNDHA022CK
CONSTRUCTION
CONTRACTOR
2/12/1998
9/16/2010
INSULATION AND
ACOUSTICAL
UNUSED
Business Owner Information
Bond Information
https://fortress.wa.gov/lni/bbip/Detail.aspx
Page 1 of 2
10/21/2009