HomeMy WebLinkAboutPermit PG10-096 - SINGH RESIDENCESINGH RESIDENCE
5140 S 172 LN
EXPIRED
02-05-11
PG1 0-096
City otkukwila
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.: 8125200234
Address: 5140 S 172 LN TUKW
Project Name: SINGH RESIDENCE
PLUMBING /GAS PIPING PERMIT
Permit Number: PG10 -096
Issue Date: 08/02/2010
Permit Expires On: 01/29/2011
Owner:
Name: DRAKE SYLVIA M
Address: 21619 4TH AVE S , NORMANDY PARK WA 98198
Contact Person:
Name: HARRY SINGH
Address: 21625 4 AV S , NORMANDY PARK WA 98198
Email:
Contractor:
Name: H S GENERAL CONSTRUCTION INC
Address: 21619 4TH AVE S , NORMANDY PARK 98198
Contractor License No: HSGENSG953LB
Phone: 206 - 261 -7657
Phone: (206)261 -7657
Expiration Date: 06/02/2011
DESCRIPTION OF WORK:
PERMIT ISSUED FOR EXPIRED PERMIT PG08 -213. SUBJECT TO ONLY 1 INSPECTION
REMSINING FOR COMPLETION. MORE INSPECTIONS WILL REQUIRE REINSPECTION FEES. PER
RSB
Value of Plumbing /Gas Piping: $0.00 Uniform Plumbing Code Edition: 2009
Fees Collected: $0.00 International Fuel Gas Code Edition: 2009
Permit Center Authorized Signature:
„d2,
Date: CJ -dvl o
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 pe •r ance •f ork. I am authorized to sign and obtain this plumbing /gas piping permit. /
Date: gi�l
Signature:
Print Name:
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
PG 10 -096 Printed: 08 -02 -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
8125200234
5140 S 172 LN TUKW
SINGH RESIDENCE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
PG 10 -096
ISSUED
08/02/2010
08/02/2010
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 -096 Printed: 08 -02 -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:
doc: Cond -10/06
PG10 -096 Printed: 08 -02 -2010
Site Address:
•
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
hup://www.citukwila.wa.us
Tenant Name:
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**
King Co Assessor's Tax No.: 9 1.../g2-0 -
S/1/6 )&) /72 LAJ
Property Owners Name: 17,247-e/ /1\/..-,c;
Mailing Address: Z/ Z
Name: Of/ Afc - 14/
Mailing Address:
13/4 a /A ez v0,6974r - gek LA
City 91/ 91.P
State Zip
E-Mail Address: 24f):?"' c..-51;t1 H (.) &we-6 ,y7./t4t-Number: 02.6- 4'a.9-zcelic
Suite Number: Floor:
New Tenant: 0 Yes 1.3 „No
Awriwki, Or-zee &IA (41091
City State Zip
Day Telephone: 2067— 2"/----7675,-
GENERAL '& COSTRAC i
(Contractor &'s
Company Name:
Mailing Address: /9 ziAr
Contact Person:
E-Mail Address: e 2e9 (26)vrelif 4)8-fax Number: 22°6 1/2-7• ?efCre
Contractor Registration Number: /1.544F-iv5d7 4?5_34/3 Expiration Date: 6 2, zo /
Accg2-1/10-7J /
Velpiein47 fhled( 4o- 967-7,4
City State Zip
Day Telephone: 94f:PC 2 ,‘ 7 6°45-
ARCHITECT OF RECORD :-All ;tilansninuStifie:..wit;Starnpell by AreSitect:of126e61d:,..c'
Company Name:
Mailing Address:
City
State
Zip
Contact Person: Day Telephone:
,
E-Mail Address: FaxNumber:
Company Name:
gAx(6-0-1A/5
Mailing Address: 2;e11‘01/0
Contact Person: Ari
City
State
Zip
Day Telephone: L./ — q /77
E-Mail Address: Fax Number:
HAApphcationstForms-Applications On Line \ 2009 Applications11-2009 - Permit Applieation.doc
Revised: 1-2009
bh
Page 1 of 6
ILDING PERMIT:INFORl1 ION;' 206=431:3670::
Valuation of Project (contractor's bid price): $ Existing Building Valuation: $ n
fi
Scope of Work (please provide detailed information): I.SSU� D,C -Q 1 R4 t?e�'w�4- QO D OD-0
Will there be new rack storage? ❑ Yes ❑.. No If yes, a separate permit and p submittal will be required.
rovide Alt Building Areas-in Square Footage Below;
r
PLANNING DIVISION:
Single family building footprint (area oft foundation of all structures, plus . any decks over 18 inched and overhangs greater than 18 inches)
*For an Accessory dwelling, provide th-, ollowing:
Lot Area (sq ft):
*Provide documentation tha;F hows that the principal owner lives in one of the dwellings as his or her primary residence.
Floor area of principal dwelling: Floor area of accessory dwelling:
Number of Parking Stalls Provid Standard:
Will there be a change in use? ❑ Yes
FIRE PROTECTION/ • AZARDOUS MATERIALS:
❑ Sprinkler ❑ Automatic Fire Alarm ❑ None ❑ Other (specify)
Will there be storage o use of flammable, combustible or hazardous materials in the building? ❑ Yes ❑ No
If `yes', attach list of materials and storage locations on a separate 8 -1 /2 "x 11 "paper including quantities and Material Safety Data Sheets.
Compact: Handicap:
❑ No If "yes ", explain:
SEPTIC SYSTEM
❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health
Department.
H:\AppltcationsWonns•Apphcanons On Line \2009 Applications \I -2009 - Permit Application.doc
Revised: 1 -2009
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Page 2 of 6
_
ExisnnR' .
Interior. Remodel ,
Odd tion to
a • lsxsstingr
Strricture.,5,
New,
;TYPe of '; :
S Construction .per'
. -IBC `
6 =; Type of f
Occupancy per
IB
.,, C ` ...
1 si Floor
r�i /�
J
2n Floor r
/
%?/
V
� .
` Floor
'F
Floors : thru
Basement ` ;
, F''
'
/
F Accessory Structure''
Attached Garage
`°
t5-5:
Detached Garage
1
Attached Caiport
Detached Carport
Li. Covered Deck;
'
,Uncovered Deck
PLANNING DIVISION:
Single family building footprint (area oft foundation of all structures, plus . any decks over 18 inched and overhangs greater than 18 inches)
*For an Accessory dwelling, provide th-, ollowing:
Lot Area (sq ft):
*Provide documentation tha;F hows that the principal owner lives in one of the dwellings as his or her primary residence.
Floor area of principal dwelling: Floor area of accessory dwelling:
Number of Parking Stalls Provid Standard:
Will there be a change in use? ❑ Yes
FIRE PROTECTION/ • AZARDOUS MATERIALS:
❑ Sprinkler ❑ Automatic Fire Alarm ❑ None ❑ Other (specify)
Will there be storage o use of flammable, combustible or hazardous materials in the building? ❑ Yes ❑ No
If `yes', attach list of materials and storage locations on a separate 8 -1 /2 "x 11 "paper including quantities and Material Safety Data Sheets.
Compact: Handicap:
❑ No If "yes ", explain:
SEPTIC SYSTEM
❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health
Department.
H:\AppltcationsWonns•Apphcanons On Line \2009 Applications \I -2009 - Permit Application.doc
Revised: 1 -2009
bh
Page 2 of 6
n , , .� , ,. ..... ., �. ' �, ..te:
PLUMBING "AND GAS:PIPIN. ERMIT INFQRMATION '2O6 431 =36 i
PLUMBING AND GAS PIPING CONTRACTOR INFORMATION
Company Name:
Mailing Address:
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
Valuation of Project (contractor's bid price): $ / 08-.13
Scope of Work (please provide detailed information): re 1S,.SI%t O-E cif --t V'w`lt 'VG
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
Flxture.I Y P e: ,'
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
H:\Applieauons\Forms- Applications On- Lne\2009 Applications \1 -2009 Permit Application.doe
Revised: 1 -2009
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Page 5 of 6
•
PERMITAPPLICATION. NOTES Aki cable to ali4•ermrtstin thls-appllcatIon
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.
Building and Mechanical Permit
The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be
requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition).
Plumbing Permit
The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested
in writing and justifiable cause demonstrated. Section 103.4.3 Uniform 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 OWNE OR AIIT=ED AGENT:
Signature:
Print Name: frA4f2
. U'r//
'Z/ 2.
(7.0-vg-(-c"
Mailing Address:
Date: 7/ 2/%
Day Telephone: Og 26'i- 76.5- 7'
tty State Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
H:\Applications \Forms - Applications On Line\2009 Applications \1-2009 - Permit Application.doc
Revised: 1 -2009
bh
Page 6 of 6
•
City of Tukwila
0 t Z 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.: 8125200234
Address: 5140 S 172 LN TUKW
Suite No:
Applicant: SINGH RESIDENCE
RECEIPT
Permit Number: PG10 -096
Status: PENDING
Applied Date: 08/02/2010
Issue Date:
Receipt No.: R10 -01464
Initials: WER
User ID: 1655
Payment Amount: $63.00
Payment Date: 08/02/2010 02:07 PM
Balance: $0.00
Payee: H S CONSTRUCTION
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 5517 63.00
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
PLUMBING - RES
000.322.103.00.00 63.00
Total: $63.00
PAYMENT
RECFRIEC)
doc: Receiot -06
Printed: 08 -02 -2010
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
Gam(
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION .>z
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Proje
Type o nspectio
1
Address:
% (4D / r? 7
L A
Date Called:
Special Instructions:
-3,9
i
/
Date Wanted:
#
4)
a
Requester:
Phone No: 7
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
G � k r u ,c4O ,,Jr e ,r✓ffVc,�
tc ( Af CO LAI 1feArer-
Fv(uN c_L .
Inss &tor:
ti
Date:
$66 -60 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
01 -03 -2011
Cit f ila
Depart' 1 ent of Community
HARRY SINGH
21625 4 AV S
NORMANDY PARK WA 98198
RE: Permit No. PG10 -096
5140 S 172 LN TUKW
Dear Permit Holder:
Jim Haggerton, Mayor
11,
evelopment 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 02/05/2011.
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, , provided the inspection shows progress.
-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 02/05/2011, 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
Jai?
File: Permit File No. PG 10 -096
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 o Fax: 206 - 431 -3665
Contractors or Tradespeople Peter Friendly Page
General /Specialty Contractor
A business registered as a construction contractor with LErI 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 H 5 GENERAL CONSTRUCTION INC UBI No. 602481655
Phone 2062617657 Status Active
Address 21619 4Th Ave S License No. HSGENSG953LB
Suite /Apt. License Type Construction Contractor
City Normandy Park Effective Date 6/2/2005
State WA Expiration Date 6/2/2011
Zip 98198 Suspend Date
County King Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company
Business Owner Information
Name
Role
Effective Date
Expiration Date
DRAKE, SYLVIZ
Agent
06/02/2005
Amount
DRAKE, SYLVIZ
President
06/02/2005
C11SG1363
Bond Information
Page 1 of 1
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
1
CBIC
SG1363
05/16/2005
Until Cancelled
$12,000.00
06/02/2005
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information
Insurance
Company Name
Policy Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Amount
Received Date
4
CBIC
C11SG1363
05/16/2009
05/16/2011
$1,000,000.00
04/26/2010
3
CBIC
C11SG1363
05/16/2007
05/16/2009
$300,000.00
05/06/2008
2
CBIC
C11SG1363
05/16/2006
05/16/2007
$300,000.00
08/21/2006
1
CBIC
C11SG1363
05/16/2005
05/16/2006
$300,000.00
06/02/2005
Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period
Warrant Information No unsatisfied warrants on file within prior 6 year period
https: // fortress .wa.gov /lni/bbip /Print.aspx 08/02/2010