HomeMy WebLinkAboutPermit PG11-112 - QUYNN RESIDENCEQUYNN RESIDENCE
3214 S 132 ST
PG11-112
CD
City oilkukwila
•
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.TukwilaWA.gov
Parcel No.: 1523049280
Address: 3214 S 132 ST TUKW
Project Name: QUYNN RESIDENCE
PLUMBING /GAS PIPING PERMIT
Permit Number: PG11 -112
Issue Date: 07/26/2011
Permit Expires On: 01/22/2012
Owner:
Name: QUYNN SERENA S
Address: 3214 S 132ND ST , SEATTLE WA 98168
Contact Person:
Name: JEREMY ANTHONY
Address: 2400 NW 80 #286 , BArLARD WA 98117
Email: N/A
Contractor:
Name: LOYAL MECHANICAL INC
Address: 6747 15 AV NW , SEATTLE WA 98117
Contractor License No: LOYALMI141OK
Phone: 206 789 -8029
Phone: 206 - 789 -8029
Expiration Date: 01/07/2013
DESCRIPTION OF WORK:
REPIPE HOT AND COLD WATER PIPING THROUGHOUT HOUSE. INSULATE ALL PIPING.
Value of Plumbing /Gas Piping: $2,000.00 Uniform Plumbing Code Edition: 2009
Fees Collected: $60.90 International Fuel Gas Code Edition: 2009
Electrical Service Provided by:
Permit Center Authorized Signature:
I hereby certify that I have read an ex
governing this work will be compli
The granting of this permit does not
construction or the performance of wor
on the back of this permit.
Date:
'ned this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
e to give authority to violate or cancel the provisions of any other state or local laws regulating
am authorized to sign and obtain this plumbing /gas piping permit and agree to the conditions
Date: '.7•67f//
This permit shall become null art 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
PG11 -112 Printed: 07 -26 -2011
• 1
PERMIT CONDITIONS
Permit No. PG11 -112
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.
doc: UPC -4/10
PG 11 -112 Printed: 07 -26 -2011
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.Q0V
Plumbing/Gas Permit No, P(5-U
'" t
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 **
King Co Assessor's Tax No.: 61--V-1 — q2W
Site Address: "3`1 [f . 13D-Bvk 54, Suite Number: Floor:
Tenant Name: New Tenant: ❑ Yes ❑..No
Property Owners Name:
Mailing Address:
City
State
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name:
Mailing Address:
E -Mail Address:
PLUMBING / GAS PIPING CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Contractor Registration Number: L-01 -* (�� Q
Vwct),\firlocArriN,ftocc,..c__
Day Telephone:
City
Fax Number:
State
Zip
PArt C11111
City State Zip
Day Telephone:
Fax Number:
Expiration Date: 011 D11 IS
ARCHITECT OF RECORD - All plans must be stamped by Architectof Record
Company Name:
Mailing Address:
City
Contact Person:
State
Zip
Day Telephone:
E -Mail Address: Fax Number:
ENGINEER OF RECORD - All plans must be stamped by Engineer of Record
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
City
State
Zip
Day Telephone:
Fax Number:
H:\Applications \Forms - Applications On Line \2010 Applications \7 -2010 - Plumping -Gas Piping Permit Application :doe
Revised: 7 -2010
bh
Page 1 of 2
Valuation of Project (contractor's bid price): $ aoaO 4
Scope of Work (please provide detailed information):
a'''‘ et CC, (d w C e v-
J2h k-xtc e F` el �g
Building Use (per Int'1 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 backtlow
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 OWNER OR AUTHORIZED AGENT:
Signature:
Print Name: t.�P�� c I2 !r �
Mailing Address: Z4q /v--4 C'.' — sod'
Date Application Accepted:
Date: oW(/'
DayTelephone:206 zOC? —6402-'3
See,
City
boa 4F-te
State Zip
11
Date Application Expires:
H:\Applications \Forms - Applications On Line \2010 Applications \7 -2010 - Plumping -Gas Piping Permit Application.doc
Revised: 7 -2010
hh
Staff Initials: )
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.TukwilaWA.gov
Parcel No.: 1523049280
Address: 3214 S 132 ST TUKW
Suite No:
Applicant: QUYNN RESIDENCE
RECEIPT
Permit Number: PG11 -112
Status: APPROVED
Applied Date: 07/26/2011
Issue Date:
Receipt No.: R11 -01581
Initials: JEM
User ID: 1165
Payment Amount: $60.90
Payment Date: 07/26/2011 04:05 PM
Balance: $0.00
Payee: BRIAN L LARSON
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 0051D 60.90
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
PLUMBING - RES
000.322.103.00.00 60.90
Total: $60.90
doc: Receiot -06 Printed: 07 -26 -2011
• •
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.TukwilaWA.gov
Parcel No.: 1523049280
Address: 3214 S 132 ST TUKW
Suite No:
Applicant: QUYNN RESIDENCE
RECEIPT
Permit Number:
Status:
Applied Date:
Issue Date:
PG11 -112
ISSUED
07/26/2011
07/26/2011
Receipt No.: R11 -01582
Initials: JEM
User ID: 1165
Payment Amount:
Payment Date:
Balance:
$60.90
07/26/2011 04:28 PM
$0.00
Payee: BRIAN L LARSON
TRANSACTION LIST:
Type Method
Descriptio Amount
Payment Credit Crd VISA
Authorization No. 00551D
ACCOUNT ITEM LIST:
Description
60.90
Account Code
Current Pmts
PLUMBING - RES
000.322.103.00.00
Total: $60.90
60.90
doc: Receipt -06
Printed: 07 -26 -2011
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. - PERMIT NO.
CITY OF TUKWILA BUILDING: DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 .. ...a.:• (206) 431 =3670
Permit Inspection Request Line (206) 431 -2451
Pr Je"
nfinspectiont
Ad e
Date Called:
Special Instructions:
Date Wanted: �asri;,
~p
x.
in.
.'mot �J r [ .:.._
Requester:
Phone No: (.0 •"" 2.;45...Sa "*"...
.. / i
Approved per applicable codes.
Corrections ref wired prior to approval. ,
COMMENTS:
-dr AAA
IA) (
b
•
•
•
•
..
INSPECTION RECORD
Retain a copy with permit
I( ■ 1 t zir
INSPECTI0■•N0; PERMIT NO. n
-, •• •. • :r: ,CITY OF TUKWILA BUILDING DIVISION
`,.'•. -
Pr . ' . . N t _f •
Typ Jof' Inspection
v i
'i 1,
Ad r s:] 132, 3
Date Called:
Special instru0:52,103. ctions:
: PVC
•
• •
Date Wanted:
((
--�a ry
rum
Requester:
Phone No
Approved per.applicabie codes.
Corrections required prior to approval.
COMMENTS: .
lxlhi.-er`
te,JSti ( c-to L.
?s,4- P� `
)(IL 5N-et G--br r
D 1
REINSPECTION FEE REQUIRED. P ior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION NO.
INSPECTION RECORD ,, I
Retain a copy with permit P� ( (.�-
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION v-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
PCZ `, A ` Ai '„ r �.
rIt,v
Type InspectiA on: ��
1 N-1 "� -�.-- , At .
Address:
Address:
3214 S- c32 �C
�in,S P P,...(_t ;,.)A �L• f E, 0 1\
Date Called:
05.t' 5'.. 6g (-1)/ ` 1-e ss ,f e 4
Special Instructions:
g e e �J (R_
N-%)4,s06— G .k. s. (A
� e s ..
4 •
rP
Date Wanted:
2 r-(
p.m.
Requester:
/ e/' L'7-.'
1 iY y 1 /. ) diva ----Ksisq4
4_,31- Cskve)A `t-i) rAc roof,
"7� 0
2.4 Z --
..5' (A/
c,omu
DApproved per applicablA codes.
Corrections required prior to approval.
COMMENTS: I
t. . J(e Rj±, J
�in,S P P,...(_t ;,.)A �L• f E, 0 1\
05.t' 5'.. 6g (-1)/ ` 1-e ss ,f e 4
a-t1� ,,. . cM re,. 4. C ��er ?-
�. ' : 04 I_ t - r 4.4)
ktit p-e-<- , ..
/�- s { ( 5 p
/ e/' L'7-.'
1 iY y 1 /. ) diva ----Ksisq4
4_,31- Cskve)A `t-i) rAc roof,
-r- iresLrer0 ol'.sk &''
Inspecto
Date: , ,2 — (/
El $60.00 REINSPECTION FE REQUIRE . Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 00. Call to schedule reinspection.
Receipt No.:
Date:
�.
Contractors or Tradespeople ter Friendly Page
•
General /Specialty Contractor
A business registered as a construction contractor with LEI 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 LOYAL MECHANICAL INC UBI No. 600636538
Phone 2067898029 Status Active
Address 6747 15Th Ave Nw License No. LOYALMI141 OK
Suite /Apt. License Type Construction Contractor
City Seattle Effective Date 9/12/1986
State WA Expiration Date 1/7/2013
Zip 98117 Suspend Date
County King Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company
Business Owner Information
Name
Role
Effective Date
Expiration Date
LARSON, BRIAN L
Cancel Date
01/01/1980
Bond Amount Received Date
LARSON, SONIA K
Secretary
09/12/1986
06/27/2000
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
8
RLI INS CO
SRS1017122
11/25/2009
Until Cancelled
09/19/2011
$12,000.0011 /30 /2009
7
RLI INS CO
SRS1017122
05/26/2005
11/25/2009
09/19/2010
09/19/2011
$6,000.0005/26/2005
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
29
Continental
Western Ins Co
CNP2894699
09/19/2010
09/19/2011
$1,000,000.00
09/28/2010
28
TRUCK INS
EXCHANGE
035143064
09/19/2010
09/19/2011
$2,000,000.00
09/16/2010
26
TRUCK INS
EXCHANGE
035143064
09/19/2007
09/19/2010
$2,000,000.00
09/23/2009
25
NATIONWIDE
MUTUAL INS CO
ACP7560780383
01/01/2007
01/01/2008
$1,000,000.00
12/29/2006
24
NATIONWIDE
MUTUAL INS CO
ACP7550780383
01/01/2006
01/01/2007
$1,000,000.0001
/12/2006
23
NATIONWIDE
MUTUAL INS CO
ACP7500780383
01/01/2005
01/01/2006
$1,000,000.0012
/27/2004
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/lninkip/Print.aspx
07/26/2011