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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