HomeMy WebLinkAboutPermit PG10-018 - STERNIK RESIDENCESTERNIK RESIDENCE
1621151 AV S
PG1O-018
Parcel No.: 5379800330
Address:
Suite No:
City% Tukwila
M
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: / /wwwci.tukwila.wa.us
16211 51 AV S TUKW
PLUMBING /GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On:
PG 10 -018
02/09/2010
08/08/2010
Tenant:
Name:
Address:
Owner:
Name:
Address:
STERNIK RESIDENCE
16211 51 AV S , TUKWILA WA
KIL PUSUN
16211 51ST AVE S , TUKWILA WA
Contact Person:
Name: ZEKE STERNIK
Address: 16211 51 AV S , TUKWILA WA
Contractor:
Name: OWNER AFFIDAVIT - ZEKE STERNIK
Address:
Contractor License No:
Phone:
Phone: 206 241 -3560
Phone:
Expiration Date:
DESCRIPTION OF WORK:
TWO BATHROOMS, LAUNDRY ROOM, AND KITCHEN PLUMBING WITH (1) GAS PIPING OUTLET
(RENEWAL OF PG06 -139)
Value of Plumbing /Gas Piping:
Fees Collected: $178.50
$0.00 Uniform Plumbing Code Edition: 2006
International Fuel Gas Code Edition: 2006
FIXTURE TYPE AND QUANTITY
Plumbing
Bathtub or combination bath/shower 2
Bidet 0
Clothes washer, domestic 0
Dental unit, cuspidor 0
Dishwasher, domestic, with independent dram 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 2
Urinals 0
Water Closet 2
0
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
* *continued on next page **
doc: UPC -7/07
PG10 -018 Printed: 02 -09 -2010
City olic'ukwila
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: PG10 -018
Issue Date: 02/09/2010
Permit Expires On: 08/08/2010
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complie
xa
wit
A,J/(. Date: `io
ed thfs permit and know the same to be true and correct. All provisions of law and ordinances
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 pe rmance pfap+ork. I am authorized to sign and obtain this plumbing /gas piping permit.
Signature:
Print Name:
-Zap ,SY&i-Akti<
Date:
.2/9
oolo
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.
doc: UPC -7/07
PG10 -018 Printed: 02 -09 -2010
Parcel No.: 5379800330
Address:
Suite No:
Tenant:
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
16211 51 AV S TUKW
STERNIK RESIDENCE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
PG 10 -018
ISSUED
02/09/2010
02/09/2010
1: ** *PLUMBING AND GAS PIPING * **
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.
* *continued on next page **
doc: Cond -10/06
PG10 -018 Printed: 02 -09 -2010
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: J!/
Print Name:
Date: 42
ordinances governing
or local laws regulating
doc: Cond -10/06 PG10 -018
Printed: 02 -09 -2010
CITY OF TUKWILP
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Plumbing /Gas Permit No
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 Address: / `—"< I.—
Tenant Name:
_S/ 31
Property Owners Name: L4,- 1'tea,vl 14 1
Mailing Address / C": c -2 // S7 S,f 4 1!f S
King Co Assessor's Tax No.: o U O - 0
Suite Number:
Floor:
New Tenant: ❑ Yes El „No
“41Lircb-
City y
AlState %q P
tp
CONTACT: PERSON - Who do we contact when your permit ii ready to be issued
c.
Name: Q'�< S 0 elf /k
Mailing Address: /6—t-21/ — 5-7.S1 ? C -S
/(1
E -Mail Address:
Day Telephone: ,C,t!i16- :2441-1(6"(9
7` kAdf N
City State Zip
Fax Number: /V 4
UMBI'NG:/ GAS- PIPIN G��C.ONTRACTOR,INFORMATIONti'
Company Name: Ze /. "S- /'"( r�L2r r,
Mailing Address: /62fi S l S'
Contact Person:
E -Mail Address:
-2eh .SYerni
Avik
771 yi
City
Day Telephoner-
Fax Number:
Contractor Registration Number:
/177
State
Expiration Date:
ARCHITECT'OF'RECORD- All plans Milk' be wet stamped by Architect of Record
Company Name:
Mailing Address:
Contact Person: / 1'
E -Mail Address:
City
Day Telephone:
Fax Number:
State
Zip
ENGINEER OF RECORD = All'plans must be wet stamped by. Engineer,' of Record.'
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
H:\ApplicationsTorms- Applications On Line\2009 Applications \1 -2009 - Plumbing -Gas Piping Permit Application.doc
Revised: 1-2009
bh
City
Day Telephone:
Fax Number:
State
Zip
Page 1 of 2
Valuation of Project (contractor's bid price): $ 0001. 0
Scope of Work (please provide detailed information): �j L
l A d }SOD / /Lf� r/ �'`�� G1.1/ / /
Building Use (per Int'1 Building Code):
Occupancy (per Int'1 Building Code):
Utility Purveyor: Water: Sewer:
Indicate type of plumbing fixtures and /or gas piping outlets being installed and the quantity below:
Fixture T ype :
Qty..'Fxture;T
YPe:�
Q ty
Fixture T YP e:
Qty
FixtureT YP '
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
a
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
l
,
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 0,141A2OR AUTHORIZ GENT:
Signature: �
Print Name: Day Telephone:
Mailing Address:
State
Date:
City
Zip
Date Application Accepted:
(?2
VI
Lo
Date Application Expires:
Staff Initials:
limo-'
H:\Applications \Forms - Applications On tine \2009 Application \I -2009 - Plumbing -Gas Piping Permit Applicatian.doc
Revised: 1 -2009
bh
Page 2 of 2
• 1004001- IW 02/09/2010 001 1101
DqCD Perm Plus - General Fund $89.25
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
Parcel No.: 5379800330
Address: 16211 51 AV S TUKW
Suite No:
Applicant: STERNIK RESIDENCE
RECEIPT
Permit Number: PG10 -018
Status: APPROVED
Applied Date: 02/09/2010
Issue Date:
Receipt No.: R10 -00220
Payment Amount: $89.25
Initials: JEM Payment Date: 02/09/2010 01:08 PM
User ID: 1165 Balance: $0.00
Payee: ZEKE STERNIK
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Cash
Authorization No.
ACCOUNT ITEM LIST:
Description
89.25
Account Code Current Pmts
PLUMBING - RES
000.322.103.00.00 89.25
Total: $89.25
doc: Receiot -06 Printed: 02 -09 -2010
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
?(D10 'Dt'
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION 112--
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -367
Project:
Type of Inspection:
RA.dj nt ,,;G‘.s /AJ
5 "ej ; K I2es'� ei J
Address:
Date Called: i
Special Instructions:
Date Wanted: --f � 6 Q a.m.
.m
Requester:
Phone No:`' / _ U
QApproved per applicable codes. Corrections required prior to approval.
COMMENTS:
Inspector:
Date: 2
LI $60.0 MEINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
d+. xs xas t 'f Pi, c •: n 5 b xa= _ zy r ° Tz �2 .n o • .`�,Gr