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Home My WebLink AboutPermit PG09-146 - PALANCHUK RESIDENCEPALANCHUK RESIDENCE 15315 64 AV S EXPIRED 06 -21 -10 PGO9-146 Parcel No.: 4997500035 Address: Suite No: 15315 64 AV S TUKW Tenant: Name: PALANCHUK RESIDENCE Address: 15315 64 AV S , TUKWILA WA Owner: Name: PALANCHUK STANISLAV +GALINA Address: 15315 64TH AVE S , TUKWILA WA Contact Person: Name: STAN PALANCHUK Address: 15315 64 AV S , TUKWILA WA Contractor: Name: S P CONSTRUCTION Address: 15315 64 AVE S , TUKWILA WA Contractor License No: SPCONPC947DZ DESCRIPTION OF WORK: PLUMBING FOR ADDITION. 5 NEW FIXTURES Value of Plumbing /Gas Piping: Fees Collected: $2,000.00 $123.00 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 CityQf Tukwila 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 Uniform Plumbing Code Edition: 2006 International Fuel Gas Code Edition: 2006 FIXTURE TYPE AND OUANTITY * *continued on next page ** Permit Number: Issue Date: Permit Expires On: Phone: Phone: 425 - 681 -9774 Phone: 206 - 244 -2671 Expiration Date: 02/25/2011 PG09 -146 12/21/2009 06/19/2010 Plumbing (cont.) 1 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 1 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 1 Medical gas piping system serving (1 -5) 0 inlets /outlets for a specific gas 1 0 Medical gas piping (6 +) inlets /outlets 1 1 Gas Piping 0 Gas piping outlets (0 -5) 0 1 Gas piping outlets (6 +) 0 PG09 -146 Printed: 12 -21 -2009 Permit Center Authorized Signature: 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 -146 Issue Date: 12/21/2009 Permit Expires On: 06/19/2010 Date: I ) —�)—� `fJ 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 of work. I am authorized to sign and obtain this plumbing /gas piping permit. Signature: Date: Print Name: /� �v �/ L //r / c'/1 6--/e3S 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 -146 Printed: 12 -21 -2009 Parcel No.: 4997500035 Address: Suite No: Tenant: 15315 64 AV S TUKW PALANCHUK RESIDENCE 1: ** *PLUMBING AND GAS PIPING * ** 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.tulcwila.wa.us PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: PG09 -146 ISSUED 12/21/2009 12/21/2009 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 -146 Printed: 12 -21 -2009 S 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: .g7 / 0 d6 r er//&, - doc: Cond- 10/06 PG09 -146 Date: / 2 4 A ordinances governing or local laws regulating Printed: 12 -21 -2009 CONTACT PERSON —Who do we contact when your permit is ready to be issued Name: J 7.4 / 2/4144 / , e /-e 0 /C Mailing Address: E -Mail Address: ARCHI"TECT OF RECORD - All plans must be wet'stamped by Architect of Record Company Name: Mailing Address: Contact Person: CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us S' p c'7 > E -Mail Address: H:\Applications \Forms - Applications On Line \2009 Applications \1 -2009 - Plumbing -Gas Piping Permit Application.doc Revised_ 1 -2009 bh Plumbing /Gas Permit No. VG12 9— l L 4 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 7 � j �j / ,<I ,1 King Co Assessor's Tax No.: Site Address: / J , 6 ` e 4' L _ 7 VA Suite Number: Floor: 7 /. Tenant Name: , �/; , /1 "5 /� / / X` 4 1 j //lv New Tenant: ❑ Yes ❑..No Property Owners Name: Mailing Address: Zip City Day Telephone: City State State Zip Fax Number: PLUMBING / GAS PIPING CONTRACTOR INFORMATION.' Company Name: t� Mailing Address: / M 6 ,/ -- / U/ %Z---„,/ ,1 18/i City State Zip Contact Person: Day Telephone: ( 60 p / E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: State Zip City Contact Person: 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: 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 f Bidet Clothes washer, domestic Dental unit, cuspidor Dishwasher, domestic, with independent drain yi I Drinking fountain or water cooler (per head) Food -waste grinder, commercial Floor Drain Shower, single head trap Lavatory f Wash fountain Receptor, indirect waste Sinks 'V 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 ` I 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): S 0 // fry C p'6 , /t Scope of Work (please provide detailed information): 4 .60/»74`oj. 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 OWNER,OR AUTHORIZED AGENT: Signature: Mailing Address: • Print Name: 37 P / " / / 1/e/( Date Application Accepted: H:1Applications\Fomu- Applications On Line12009 Applications\1.2009 - Plumbing -Gas Piping Permit Application.doc Revised: 1 -2009 bh Sewer: City Date: l Day Telephone: State Zip Date Application Expires: Staff Initials: Page 2 of 2 Parcel No.: 4997500035 Address: 15315 64 AV S TUKW Suite No: Applicant: PALANCHUK RESIDENCE Receipt No.: R09 -02033 Initials: User ID: Payee: WER 1655 STAN PALANCHUK Payment Credit Crd VISA - Authorization No. 143944 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 TRANSACTION LIST: Type Method Descriptio Amount RECEIPT 123.00 Total: $123.00 Permit Number: PG09 -146 Status: PENDING Applied Date: 12/21/2009 Issue Date: Payment Amount: $123.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts PLUMBING - RES 000.322.103.00.00 123.00 Payment Date: 12/21/2009 02:41 PM Balance: $0.00 P YM ENT RECEIVED rinr. Rr?raint -OA Printari• 17-21-2009 COMMENTS: Type of Inspection: RAI h - ;Al -Ph/ At 6\ Address: ‘y/ v !p A - n -- k y� r O NA b n pv4 04e). k‘r 0 g — r&.5 - r --- e , \Q}— tzo P ...t..6 5 D �s , 1) ,je4 A a-` \ flk iA P) M5 CA �i - U.� `I %r5 c-4Q1-/■.t --1 , 4 1 I Z Project: Type of Inspection: RAI h - ;Al -Ph/ At 6\ Address: ‘y/ v Date Called: Special Instructions: Date Wanted: /2 -z3 -- 0 1 p.m. Requester: Phone No 1 - 68/ — 5 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 0 Approved per applicable codes. Receipt No.: INSPECTION RECORD Retain a copy with permit Date: PERMIT NO. (206)431- Corrections required prior to approval. Date: 12 —Z. 3 `I ri $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. • STAN PALANCHUK 15315 64 AV S TUKWILA WA 98188 RE: Permit No. PG09 -146 15315 64 AV S TUKW Dear Permit Holder: Based on the above, you are hereby advised to: Sincerely, -or- Bill Rambo Permit Technician File: Permit File No. PG09 -146 City of Tukwila Department of Community Development 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. Thank you for your cooperation in this matter. Jim Haggerton, Mayor 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 06/21/2010. 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. 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. In the event you do not call for an inspection and /or receive an extension prior to 06/21/2010, your permit will become null and void and any further work on the project will require a new permit and associated fees. 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 4 WESTERN WORLD INS CO npp1210075 02/23/200902/23 /2010 $300,000.00 02/23/2009 3 WESTERN WORLD INS CO NPP1154269 02/23/2008 02/23/2009 $300,000.0002/15 /2008 2 WESTERN WORLD INS CO NPP1090775 02/23/2007 02/23/2008 $300,000.00 02/23/2007 1 WESTERN WORLD INS CO NPP0995587 02/23/2006 02/23/2007 $300,000.00 03/09/2006 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date DEVELOPERS SURETY 8 INDEM CO 740590C 02/23/2006 Until Cancelled $12,000.00 03/09/2006 Name Role Effective Date Expiration Date PALANCIUC, STANISLAV K OWNER 03/09/2006 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 S P CONSTRUCTION UBI No. 602591789 Phone 2062442671 Status ACTIVE Address 15315 64TH AVE S License No. SPCONPC947DZ Suite /Apt. License Type CONSTRUCTION CONTRACTOR City TUKWILA Effective Date 3/9/2006 State WA Expiration Date 2/25/2011 Zip 98188 Suspend Date County KING Specialty 1 GENERAL Business Type Individual Specialty 2 UNUSED Parent Company Business Owner Information I • Bond Information Insurance Information https://fortress.wa.gov/lni/bbip/Detail.aspx Page 1 of 1 12/21/2009