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Home My WebLink AboutPermit PG10-072 - HEBARD RESIDENCEHEBARD RESIDENCE 14435 42 AV S PG1O-072 City oPI'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 Parcel No.: 0040000231 Address: 14435 42 AV S TUKW Project Name: HEBARD RESIDENCE PLUMBING /GAS PIPING PERMIT Permit Number: PG10 -072 Issue Date: 06/24/2010 Permit Expires On: 12/21/2010 Owner: Name: HEBARD MICHAEL J Address: 17837 1ST AVE S PMB 131 , SEATTLE WA 98148 Contact Person: Name: BEV GORDON Address: PO BOX 2579 , IURKLAND WA 98083 Email: NOT PROVIDED Contractor: Name: PILCHUCK CONTRACTORS INS Address: P.O. BOX 2579 , KIRKLKAND WA 98083 Contractor License No: PILCHCI101MA Phone: 253 - 405 -6568 Phone: 425 - 952 -6235 Expiration Date: 02/20/2011 DESCRIPTION OF WORK: GAS FUEL LINE EXTENSION Value of Plumbing /Gas Piping: $1,000.00 Uniform Plumbing Code Edition: 2006 Fees Collected: $96.60 International Fuel Gas Code Edition: 2006 Permit Center Authorized Signature: AR; 4- Date: CP '.In -1 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 the perfor ance of work. I am authorized to sign and obtain this plumbing /gas piping permit. % Signaturai:`�L �`� Date: o 24- - /0 Print Name: 66 V &, k'00)--. 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 -4/10 PG10 -072 Printed: 06 -24 -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 Parcel No.: 0040000231 Address: Suite No: Tenant: 14435 42 AV S TUKW HEBARD RESIDENCE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: PG10 -072 ISSUED 06/24/2010 06/24/2010 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 PG 10 -072 Printed: 06 -24 -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 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 provision of any other work or local laws regulating construction or the performance of work. Signature: Print Name: & V C—J Dri�O n Date: —2 doc: Cond -10/06 PG 10 -072 Printed: 06 -24 -2010 CITY OF TUKWILA° Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us rPlumbing /Gas Permit Ntr =h 10 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: / / �S Tenant Name: k%, King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: ❑ Yes ❑..No (V4 000 - 0.13 Property Owners Name: Mailing Address: 1 4_4-3s— 9-2-1-4 rte- S City ,''CONTACT PERSON - Who do we contact when your permit is ready to be issued State Zip Name: 66 V (1-)0,-0,07., p 1 LG UC . Day Telephone: zcs 3 4-bs- Co s---6 2 Mailing Address: / t) 6c) x Z-S-79 !G/t>' /G % -1L) IX- q S Q g 3 City State Zip E -Mail Address: Fax Number: PLUMBING./ GAS PIPING` CONTRACTOR INFORMATION Company Name: P// C OCC-C1C a5/7 '47f ae_..S Mailing Address: -f-- nk ZS `7 61 /6 r /G /09,--,L) u'r^- 98 a 8 /1 '� City State Zip Contact Person: %'E(/ D /00 Day Telephone: Z.5-3 *OS 6 S-G o E -Mail Address: Fax Number: Expiration Date: /0 / 0 Contractor Registration Number:/' /LC /ACT_ /O / M 4 ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record Company Name: Mailing Address: Contact Person: 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: City Contact Person: Day Telephone: E -Mail Address: Fax Number: State Zip H:\Applications\Porms- Applications On Line\2009 Applications \1 -2009 - Plumbing -Gas Piping Permit Application.doc Revised: 1 -2009 bh Page 1 of 2 Valuation of Project (contractor's bid price): $ / 00 Scope of Work (please provide detailed information): 44--s ' �1'1.� ��/"1 -sI Al Building Use (per Int'l Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: Sewer: Indicate type of plumbing fixtures and /or gas piping outlets being installed and the quantity below: 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 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 ER OR THORIZED AGENT: Signatur • Print Name: 66 V �oK••c '1 Date:6 -z4 -!d Day Telephone: —3 4-03- 6 cS G O Mailing Address: PO 65o.�C Z.5- 7 �1 !Gta�� (� ci S0 8 3 v City State Zip Date Application Accepted: Date Application Expires:. Staff Initials: H:Wpplications\Fomss- 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.tukwi la.wa.us Parcel No.: 0040000231 Address: 14435 42 AV S TUKW Suite No: Applicant: HEBARD RESIDENCE RECEIPT Permit Number: PG10 -072 Status: PENDING Applied Date: 06/24/2010 Issue Date: Receipt No.: R10 -01148 Initials: User ID: Payee: WER 1655 Payment Amount: $96.60 Payment Date: 06/24/2010 02:40 PM Balance: $0.00 BEV GORDON TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd MC Authorization No. 078574 ACCOUNT ITEM LIST: Description 96.60 Account Code Current Pmts GAS - RES 000.322.103.00.00 96.60 Total: $96.60 PAYMENT RECEIVED doc: Receiot -06 Printed: 06 -24 -2010 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 Project: T y p e s ! Inspection: ^ `[t/ Address: /9 1 ' 1 1 3 5 4 -' A --s Date Called: . Special Instructions: .. / Date Wanted: :-3 c.3 r T .m. Requester: Phone No' 5 3 4 6-5 -6/5- G �C Approved per applicable codes. El Corrections required prior to approval. ? COMMENTS: Ins Date: 3 / J ri $60.00 REINSPECTION FEEREQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION k� 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 P610'Ori 2_ Proj ct: 1 (t r2eS \k ?(1 " dl Type of Inspection: ,� j GAS' ,p,, Address: n..' i 1 3 135 4 Z-",ek.e-- s, Date Called:( 6 Special Instructions: p G AS `i't t,• , L A T i.5'r: ,,,\J C C` / / ' �(. Date Wanted: -7 -23' —(3 , a.m.. p.m. Requester: Phone No: ii) CO -3 1 -40 8/ Approved per applicable codes. Corrections required prior to approval. // COMMENTS: • ■ Ct' (s p S, Insp =ctor: VP V Date: -7„"z.:3 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: Contractors or Tradespeople Prjyier Friendly Page • Page 1 of 2 General /Specialty Contractor A business registered as a construction contractor with L &I 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. License Type Construction Contractor City Kirkland Effective Date 7/1/1990 State Wa Expiration Date 2/20/2011 Zip 98083 Suspend Date County King Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status JCMULUJ912DB Jcm U-Link Joint Venture Construction Contractor General Unused 3/2/2009 3/2/2011 Active DATATTS925JW Data Tel Tech Services Inc Construction Contractor General Unused 4/15/2008 4/15/2012 Active BMWCCI *985QH Bmwc Constructors Inc Construction Contractor General Unused 11/8/2002 7/12/2011 Active * MICHEC*999JB Michels Corp p onstruction Contractor General Unused 4/2/2001 4/5/2012 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 2/1 /2001 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 06/24/2010