HomeMy WebLinkAboutPermit PG09-140 - NGUYEN RESIDENCENGUYEN RESIDENCE
12057 44 AV S
PG09 -140
Parcel No.: 3347400420
Address:
Suite No:
12057 44 AV S TUKW
Tenant:
Name: NGUYEN RESIDENCE
Address: 12057 44 AV S , TUKWILA WA
City.f Tukwila
Owner:
Name: NGUYEN THANH D
Address: 12055 44TH AVE S , SEATTLE WA
Contact Person:
Name: MIKE TSCHOHL
Address: PO BOX 634 , LYNNWOOD WA
Contractor:
Name: EAGLE GAS MECHANICAL INC
Address: 7503 228 ST SW , EDMONDS WA
Contractor License No: EAGLEGM077DT
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
doc: UPC -7/07
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Inspection Request Line: 206 - 431 -2451
Web site: http: / /www.ci.tukwila.wa.us
PLUMBING /GAS PIPING PERMIT
DESCRIPTION OF WORK:
RUN GAS LINE FROM EXISTING FUEL LINE TO NEW GAS METER LOCATION. PSE TO MOVE
METER
Uniform Plumbing Code Edition: 2006
Value of Plumbing /Gas Piping: $400.00
Fees Collected: $92.00 International Fuel Gas Code Edition:
FIXTURE TYPE AND QUANTITY
0
* *continued on next page **
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 425 -776 -9689
Phone: 425 776 -9689
Expiration Date: 06/16/2010
PG09 -140
12/01/2009
0S/30/2010
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) 1
Gas piping outlets (6 +) 0
PG09 -140 Printed: 12 -01 -2009
Permit Center Authorized Signature:
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 performance o work. I am authoriz to sign and obtain this plumbing /gas piping permit.
Signature:
Print Name:
doc: UPC -7/07
City ofTukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Inspection Request Line: 206 - 431 -2451
Web site: http: / /www.ci.tukwila.wa.us
Permit Number: PG09 -140
Issue Date: 12/01/2009
Permit Expires On: 05/30/2010
Date:
Date:
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 -140 Printed: 12 -01 -2009
Parcel No.: 3347400420
Address:
Suite No:
Tenant:
doc: Cond -10/06
12057 44 AV S TUKW
NGUYEN 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 -140
ISSUED
12/01/2009
12/01/2009
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 -140 Printed: 12 -01 -2009
Signature: 7/7
r 0
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.
‘4 Date: fil /
f
Print Name: 'L ( *et ' s c4,3, k C
doc: Cond -10/06 PG09 -140
ordinances governing
or local laws regulating
Printed: 12 -01 -2009
Company Name:
Mailing Address:
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
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
Site Address: t2ts / 4 ,1/
Tenant Name: A1LJl( /k) I )(1 >�1
Property Owners Name: ' YYt S
Mailing Address: (2 14-(-1- 4 -
Name: Mt. k-Q
Address: Po B G C..f
E -Mail Address: M YSC_ +6 �'1L
eat 5 AA cc-a
Contact Person: t _F � L0
E -Mail Address: lk-lre hL FAe ^C G.ben.
Contractor Registration Number: E lte CCE -- &7 l07? I 'T
Contact Person:
E -Mail Address:
Plumbing /Gas Permit No. P(00 r' f. 140
Project No.
(For office use only)
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes ❑..No
City
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Day Telephone: 42C 7 76 -S‘: /
art3A.x.Dre,l3 al .
p
City
@Q
• C-001 Fax Number: mss - 9,7 - 59 _3
PLUMBING / GAS PIPING CONTRACTOR INFORMATIO
avwua0 wl°r q PICAK
Ci State Zip
Day Telephone: 4Z 2C0'
Fax Number:
Expiration Date:
33z-( 7L/OO e/zo
State
q Z5'- b'] S ce
'I t
ARCHITEC.T:OF RECORD- All plans must be wet stamped by Architect of Record.-
Company Name:
Mailing Address:
State
Zip
Zip
City
Day Telephone:
Fax Number:
ENGINEER OF RECORD — All plans must be wet stamped by Engineer of Record r '
Company Name:
Mailing Address:
H:'Applications \Forms - Applications On Line \2009 Applications \I-2009 - Plumbing -Gas Piping Permit Application.doc
Revised: 1 -2009
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City
State
Zip
Day Telephone:
Contact Person:
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
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
Valuation of Project (contractor's bid price): $
•
4 o
Scope of Work (please provide detailed information):
ear /a cef-r7e ,
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:
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 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 O NER OR AUTHORI
Signature: .>� tie
Print Name: P, L 4-Lt- V 4
Mailing Address: PO F3e:}L 403'4
f Date Application Accepted:
H:1Applications\Forms- Applications On Line12009 Applications \1-2009 - Plumbing -Gas Piping Permit Application,doc
Revised: 1 -2009
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S 6 duotie= /11
Sewer:
LIINUOLOUD
City
Date: f Z1/ a
Day Telephone: ( "ZS -- 7.50.-774, V
ea oq
Zip
State
Date Application Expires:
Staff Initials:
Page 2 of 2
Receipt No.: R09 -01917
Initials:
User ID:
Payee:
WER
1655
ACCOUNT ITEM LIST:
Description
GAS - RES
•
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
EAGLE GAS MECHANICAL INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 5329 92.00
Authorization No.
RECEIPT
Total: $92.00
Parcel No.: 3347400420 Permit Number: PG09 -140
Address: 12057 44 AV S TUKW Status: PENDING
Suite No: Applied Date: 12/01/2009
Applicant: NGUYEN RESIDENCE Issue Date:
Payment Amount: $92.00
Account Code Current Pmts
000.322.103.00.00 92.00
Payment Date: 12/01/2009 12:12 PM
Balance: $0.00
PAYMENT
RECEIVED
doc: Receipt -06 Printed: 12 -01 -2009
Proj ct:
/�J y�, c
Type of spectio
h�& (, AS pi ,,f
L i
Address: �Z
/Zo S') 4 -!
Date Called:
Special Instructi ns:
Date Wanted:
Requester:
Phone No: 5 — 7-c° - . ! ! V4
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
P6-0q -140
,, PEERMIT NO.
��W-•
(206)431 -3670
proved per applicable codes. ❑ Corrections required prior to approval.
COMMENTS:
$ 6p.00 REINSPECTION FE REQUIRED. fr rior to inspection, fee must be
aid at 6300 Southcenter B d., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
Project:
, ,/G z/ y V � E5
Type of Inspection:
A sV C4 S
Address:
/257 4iy6'v 5
Date Called:
Special Instructions;
Date Wanted
/ /2 /et
�
,aim~
(per,,
Requester:
Phone No:
a 66- 2.53
�/6?
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
OMMENT'S:
/ /? /
Inspector: Date; 7 C J
0 $6 00 REI SPECTION FEE EQUIRED. for to inspection, fee must be
pa d at 6 i 0 Southcenter B vd., Suite 1 . Call to schedule reinspection.
Recei : o.: / 1Date:
roved per applicable codes.
If�Sf�ECTION RECORD
Retain a copy with permit
PERMIT NO.
(206)431 -3670
Corrections required prior to approval.
MIKE TSCHOHL
PO BOX 634
LYNNWOOD WA 98046
RE: Permit No. PG09 -140
12057 44 AV S TUKW
Dear Permit Holder:
city of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
In reviewing our current records, the above noted permit has not received a final inspection by the City of
Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform
Plumbing Code and /or the National Electric Code, every permit issued by the Building Division under the
provisions of these codes shall expire by limitation and become null and void if the building or work authorized
by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work
authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 05/31/2010.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final
inspection. Each inspection creates a new 180 day period.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is
due to expire. Address your extension request to the Building Official and state your reason(s) for
the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is
determined that your extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 05/31/2010, your permit will
become null and void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
Bill Rambo
Permit Technician
File: Permit File No. PG09 -140
e A.
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
Name
Role
Effective Date
Expiration Date
TSCHOHL, MICHAEL V
Cancel
Date
01/01/1980
Bond
Amount
DUKES, SUSAN
4
01/01/1980
980911089
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
4
STATE
FARM FIRE
a CAS CO
980911089
09/02/2009
Until
Cancelled
$12,000.00
09/28/2009
3
STATE
FARM FIRE
a CAS CO
980911089
03/23/200209/02
/2009
$6,000.00
04/15/2002
2
STATE
FARM FIRE
a CAS CO
980911089
03/23/199803/23
/2002
$4,000.00
1
STATE
FARM FIRE
a
CASUALTY
980911089
03/23/1993
03/23/1998
$4,000.00
Untitled Page
•
•
General /Specialty Contractor
A business registered as a construction contractor with Lai 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
EAGLE GAS MECHANICAL
INC
4257769689
7503 228TH ST SW
EDMONDS
WA
98026
SNOHOMISH
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration
Date
Suspend Date
Specialty 1
Specialty 2
601454859
ACTIVE
EAGLEGM077DT
CONSTRUCTION
CONTRACTOR
3/30/1993
6/16/2010
GENERAL
UNUSED
Business Owner Information
Bond Information
Page 1 of 3
https: // fortress .wa.gov /lni/bbip/Detail.aspx 12/01/2009