HomeMy WebLinkAboutPermit PG10-034 - STRIPE RESIDENCESTRIPE RESIDENCE
13873 37 AV S
PG1 0-034
Parcel No.: 8864000640
Address:
Suite No:
City.f 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
13873 37 AV S TUKW
PLUMBING /GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On: ,
PG 10 -034
03/08/2010
09/04/2010
Tenant:
Name: STRIIQ(ESIDENCE
Address: 13873 37 AV S , TUKWILA WA
Owner:
Name: STRIPE ALICE SHARON
Address: 13873 37TH AVE S , SEATTLE WA
Contact Person:
Name: BEV GORDON
Address: PO BOX 2579 , KIRKLAND WA
Contractor:
Name: PILCHUCK CONTRACTORS INS
Address: P.O. BOX 2579 , KIRKLKAND WA
Contractor License No: PILCHCI101MA
Phone:
Phone: 253 - 405 -6568
Phone: 425 - 952 -6235
Expiration Date: 02/20/2011
DESCRIPTION OF WORK:
GAS FUEL LINE EXTENSION. RELOCATE GAS METER FROM FRONT OF HOUSE TO RIGHT SIDE
OF HOUSE.
Value of Plumbing /Gas Piping:
Fees Collected:
$1,000.00
$96.60
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
Uniform Plumbing Code Edition: 2006
International Fuel Gas Code Edition: 2006
FIXTURE TYPE AND QUANTITY
Plumbing (cont.)
0 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
0 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
0 Medical gas piping system serving (1 -5)
0 inlets /outlets for a specific gas 0
0 Medical gas piping (6 +) inlets /outlets 0
0 Gas Piping
0 Gas piping outlets (0 -5) 1
0 Gas piping outlets (6 +) 0
* *continued on next page **
doc: UPC -7/07
PG10 -034 Printed: 03 -08 -2010
City o?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
Permit Number: PG 10 -034
Issue Date: 03/08/2010
Permit Expires On: 09/04/2010
Permit Center Authorized Signature:
Date: v gl 0
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 t performance of w rk. I am authorized to sign and obtain this plumbing /gas piping permit.
Signature:
Print Name:
Date: 3 8- /U
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 -034 Printed: 03 -08 -2010
Parcel No.:
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
8864000640
13873 37 AV S TUKW
STRIP RESIDENCE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
PG 10 -034
ISSUED
03/08/2010
03/08/2010
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 -034 Printed: 03 -08 -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:
Print Name:
/( )i
e-v-e-k- / /C 40
U`
7
Date: 3 -6- /U
ordinances governing
or local laws regulating
doc: Cond -10/06 PG10 -034
Printed: 03 -08 -2010
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
Plumbing /Gas Perniif
•
'- 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: /3 8 7 .
Tenant Name: STL-1/E
Property Owners Name:
Mailing Address:
22PS/ 7&- ,CP_s
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes 0..No
City
CONTACT PERSON - Who do we contact when your permit is ready to be issued
State
Zip
Name: Day Telephone:
Mailing Address:
Zip
City
State
E -Mail Address: Fax Number:
PLUMBING : /'GAS PIPIN.G`CONTRACTOR INFORMATION
Company Name: AL- Lut -tCI(
Mailing Address: 0 Sax 2S 7 ecl
//�� City State Zip
Contact Persons__ '�� AL)/000) Day Telephone: �3 40S– 6.S-6U
E -Mail Address:&&01 (10,c0-, @ ios6 • 'r" Fax Number:
Contractor Registration Number:P/1-0'1Z /O/ M/-
Expiration Date:
'ARCHITECT OF 'RECORD - All plans must be wet"stamped by Architect of Recori
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
State
Zip
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
H:\Applications\Porms- Applications On Line\2009 Applications \I -2009 - Plumbing -Gas Piping Permit Application.doc
Revised: 1 -2009
bh
Page 1 of 2
0
/
Valuation of Project (contractor's bid price): 0�
fS�l ope of Work (please proyide detailed information): 1 14--S J ✓e_L tie � `� I o ^ U CcA_
t' l m * "U M Ou.- "-Kbn y 41) 0 g h
Building Use (per Int'l 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 e.
Type:
Qty i.
Fixture T e:.
Type:-
Qty
Fixture T
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 ; 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/»NE AUTHORIZED AGENT:
Signaturd=��(/
Print Name 4" £wOUn
Mailing Address: /" ' O .
Date3 gr�U
Day Telephone: 2<S3 40S 6s-66
City
1/<)r✓
State
Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
H:Wpplications \Forms - Applications On Line \2009 Applications \I -2009 - Plumbing -Gas Piping Permit Application.doc
Revised: 1 -2009
bh
Page 2 of 2
•
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.: 8864000640
Address: 13873 37 AV S TUKW
Suite No:
Applicant: STRIP RESIDENCE
RECEIPT
Permit Number: PG 10 -034
Status: PENDING
Applied Date: 03/08/2010
Issue Date:
Receipt No.: R10 -00397
Initials:
User ID:
Payee:
WER
1655
Payment Amount: $96.60
Payment Date: 03/08/2010 02:36 PM
Balance: $0.00
PILCHUCK CONTRACTORS INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 4105 96.60
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
GAS - RES
000.322.103.00.00 96.60
Total: $96.60
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 03 -08 -2010
INSPECTION NO.
INSPECTION RECORD 1'G 0314
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project `!
Les 164
�pe o_i`n s pectiprr 6
n , 1 t
rJ
Address:
-v,
Date Called:
Special Instructions:
Date Wanted:
� (
—...c �
p.m.
Requester:
Phon ,.2.
0
tO�ioC
Kr Approved per applicable codes. ❑ Corrections required prior to approval.
COMMENTS:
Inspectdr:
Dat
ri $60.00 REINSPECTION FEE REQUIRED. Prior. to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
mot..- :.-".So!>, �3•_ _ ..a"" _ ._.,��nYa4 - ra�..n rr,•..�P.�,. -.cr: _..�..- 1 8. rt t�:4.•..'•riz>it�n. r.+m. --., C^- %_-��r..eL 2,7x7 `1:41.1 .0
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431p670
Project: n n
1
Type o Inspect2 n:
Address:
13R')3 317 A,-c. s,
Date Called:
__
Special Instructions:
Date Wanted: /,,�
"-I-140 p.m.
Requester:
Phone z 5:3 ,4 0-5-- 65141
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
kLL—:GAS
f sf_
g
J
v I 1
Inspector:
v
Date: 2 _2_2_ 40
El $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100.;Call to schedule reinspection.
Receipt No.:
Date:
�,,._ ra�tts�M __a- ywar>2'uo�azL'.?c"rs nGvRx�-wf.
i ............._. _......,..m...".t` .cam,._" `
08 -02 -2010
BEV GORDON
PO BOX 2579
KIRKLAND WA 98083
City of Tukwila
Department of Community Development
RE: Permit No. PG10 -034
13873 37 AV S TUKW
Dear Permit Holder:
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 Uniform Plumbing Code and /or International Fuel Gas Code, every permit issued by the Building Division under the
provisions of this code shall expire by limitation and become null and void if the building or work authorized by such permit is not
commenced within 180 days from the date of such permit, or if the building or work authorized by such permit is suspended or
abandoned at any time after the work is commenced for a period of 180 days.
Based on the above, you are hereby advised to:
Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection.
This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if
the project should be considered abandoned.
If such determination is made, the Plumbing and /or Gas Code does allow the Building Official to approve one extension of time for an
additional period not exceeding 180 days. Extension requests must be in writing and provide satisfactory reasons why circumstances
beyond the applicants control have prevented action from being taken.
In the event you do not call for the above inspection and receive an extension prior to 09/19/2010 , 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
xc: Permit File No. PG10 -034
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
Contractors or Tradespeople PPter Friendly Page
•
Page 1 of 2
General /Specialty Contractor
A business registered as a construction contractor with L81 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 Pilchuck Contractors Inc UBI No. 600585298
Phone 4259526235 Status Active
Address Po Box 2579 License No. PILCHCI101MA
Suite /Apt.
City Kirkland
State Wa
Zip 98083
County King
Business Type Corporation
Parent Company
License Type Construction Contractor
Effective Date 7/1/1990
Expiration Date 2/20/2011
Suspend Date
Specialty 1 General
Specialty 2 Unused
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
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Construction
Contractor
General
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3/2/2009
3/2/2011
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DATATTS925JW
Data -Tel Tech
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Bmwc
Constructors Inc
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General
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11/8/2002
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Active
MICHEC*999JB
Michels Corp
p
onstruction
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General
Unused
4/2/2001
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Active
PILCHMI101NH
Pilchuck
Mechanical Inc
Construction
Contractor
General
Unused
8/8/1990
7/1/1999
Archived
MICHEPC126JQ
Michels Pipeline
Const Inc
Construction
Contractor
General
Unused
4/18/1988
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Archived
PILCHMI159MB
Pilchuck
Mechanical Inc
Construction
Contractor
General
Unused
7/2/1985
1/1/1991
Archived
BMWCPPF975LT
Bmwc Process
Fabrications Inc
Construction
Contractor
General
Unused
6/20/2003
6/20/2005
Expired
PILCHDS0550Q
Pilchuck
Diversified Srvcs
Inc
Construction
Contractor
General
Unused
9/18/1995
10/4/2008
Expired
PMICOI *022BN
P M I Constructors
Inc
Construction
Contractor
General
Unused
1/15/1998
7/12/2003
Inactive
SUPEREN016MK
Superior Electric
Nw Inc
Construction
Contractor
General
Unused
7/12/1999
2/20/2007
Out Of
Business
Business Owner Information
https:// fortress .wa.gov /lni/bbip /Print.aspx
03/08/2010