HomeMy WebLinkAboutPermit PG11-130 - HOLADAY PARKSHOLADAY PARKS
4600 S 134 PL
PG1 1 -130
Parcel No.:
Address:
City okukwila
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
2616600035
4600 S 134 PL TUKW
Project Name: HOLADAY PARKS
PLUMBING /GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On:
PG11 -130
08/30/2011
02/26/2012
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Email:
Contractor:
Name:
Address:
Contractor
HOLADAY -PARKS INC
4600 S 134TH PL , SEATTLE WA 98168
BRAD PRICE
980 S HARNEY , SEATTLE WA 98108
NOT PROVIDED
HOLADAY PARKS, INC.
PO BOX 69208 , SEATTLE, WA 98188
License No: HOLADPI379NO
Phone: 206 - 498 -8170
Phone: 206 248 -9700
Expiration Date: 09/03/2011
DESCRIPTION OF WORK:
REPLACE FIXTURES REMOVED FOR FLOOD DAMAGE REPAIR. LIKE FOR LIKE.
Value of Plumbing /Gas Piping: $500.00 Uniform Plumbing Code Edition: 2009
Fees Collected: $47.25 International Fuel Gas Code Edition: 2009
Electrical Service Provided by:
Permit Center Authorized Signature:
Date: g' 30 I /
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 performance of work. I am authorized to sign and obtain this plumbing /gas piping permit and agree to the conditions
on the back of this permit.
Signature: r �1� � Date: v /3o//
Print Name: e/ /
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 11 -130 Printed: 08 -30 -2011
• •
PERMIT CONDITIONS
Permit No. PG11 -130
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
PG11 -130 Printed: 08 -30 -2011
CITY OF TUKWI,
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: / /www.TukwilaWA.gov
Plumbing/Gas Permit No. -% C 1-
l l�
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 LOCATION il-(00 5 i! a Li 1
Site Address: 4(r:200 - 5 1 -bu 1' 1�
Tenant Name: 14-0 i 11-0 i'Ar ' 9 2-1
Property Owners Name: J4011 0)911 /n )G
Mailing Address: 4000 s / 3 L r
King Co Assessor's Tax No.:
Suite Number:
New Tenant:
Floor:
❑ Yes 121.. No
City
I1,
State
Zip
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name: 21(2A -0 U ►`fc
Mailing Address: i00 5 1 2Y)/ 7 .s r
E -Mail Address:
Day Telephone: 2c9C0 ` 'I' l
c -7iGM- WA'
City State
Zip
Fax Number:
PLUMBING / GAS PIPING CONTRACTOR INFORMATION
Company Name: /Io /n 1919-'/ ff542Rs
Mailing Address: 4/6) S / 3 T f/
w14
Contact Person:
E -Mail Address:
Contractor Registration Number:
City State
Day Telephone:
Fax Number:
Expiration Date:
Zip
ARCHITECT OF RECORD - All plans must be 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 stamped by Engineer of Record
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
H:\ Applications\Forns- Applications On Line\2010 Applications \7 -2010 - Plumbing -Gas Piping Permit Application.doc
Revised: May 2011
bh
city
Day Telephone:
Fax Number:
State
Zip
Page 1 of 2
oa
Valuation of Project (contractor's bid pri $ 50d •
Scope of Work (please provide detailed information): rmtt
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
I
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 OWN R AUTHO • ZE
Signature:
Print Name: 91MK2 P /C J ,/
Mailing Address: 7J O S� /7/41Z/2k-
NT:
7/4'2 /2'
NT:
Date: e5/3d //
Day Telephone: PC, sa V91 c / 70
City State Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
HAApplications\Forms- Applications On Line\2010 Applicationsl7 -2010 - Plumbing -Gas Piping Permit Application doc
Revised. May 2011
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.TukwilaWA.gov
Parcel No.: 2616600035
Address: 4600 S 134 PL TUKW
Suite No:
Applicant: HOLADAY PARKS
RECEIPT
Permit Number: PG11 -130
Status: PENDING
Applied Date: 08/30/2011
Issue Date:
Receipt No.: R11 -01896
Initials: WER
User ID: 1655
Payment Amount: $47.25
Payment Date: 08/30/2011 11:55 AM
Balance: $0.00
Payee: CHARTER CONSTRUCTION
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 25066 47.25
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
PLUMBING - NONRES
000.322.103.00.00 47.25
Total: $47.25
doe: Receipt -06 Printed: 08 -30 -2011
.• •
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
1t
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36
Permit Inspection Request Line (206) 431 -2451
Project: (
Type of Inspection: {
Address: 1
Date Called:
Special Instructions:
Date Wanted:
0 -31 -11
' a.m.
m.
Requester:
Phone No:
13Approved per applicable codes. a Corrections required prior to approval.
COMMENTS:
1
( ""\ (ctal■404-1/4e'(ci 1
Inspe for:
Date*
eNi., A ..-.ar _ - 1-
REINSIECTION FEE REQUI ED. Prior t next inspection. fee must be
paid t 6300 Southcenter Blvd., Suite 1 0. Call to schedule reinspection.
Contractors or Tradespeople P ter Friendly Page
•
Page 1 of 2
General /Specialty Contractor
A business registered as a construction contractor with L8I 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 HOLADAY PARKS INC UBI No. 578004089
Phone 2062489700 Status Active
Address 4600 S 134Th Pl License No. HOLADPI379NO
Suite /Apt. License Type Construction Contractor
City Seattle Effective Date 1/21/1983
State WA Expiration Date 9/3/2013
Zip 98168 Suspend Date
County King Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company
Other Associated Licenses
License
Name
Type
Specialty 1
Specialty
2
Effective
Date
Expiration
Date
Status
HOLADI "00105
HOLADAY PARKS
INC
Electrical
Contractor
Hvac /Rfrg Ltd
Energy
Unused
9/25/2000
4/21/2013
Active
HOLADPF376NO
HOLADAY PARKS
FABRCTRS INC
Construction
Contractor
General
Unused
8/20/1963
1/1/1983
Archived
Business Owner Information
Name
Role
Effective Date
Expiration Date
PARKS, GERALD T JR
Chief Executive Officer
01/21/1983
VAN DER VEEN, JULIE ELIZABETH
Member
08/26/2011
CONNELL, DANIEL AARON
Member
08/26/2011
GIRI, BUIT
Member
08/26/2011
KIEL, RINALD HOWARD
Member
08/26/2011
WHITMYRE, CHRISTIAN
Member
08/26/2011
BECK, DAVID CLARENCE
Vice President
01/21/1983
OCONNOR, BONNY K
Vice President
01/21/1983
NAILON, JUNE ANNETTE
Vice President
01/21/1983
VAN DER VEEN, ERIC M
Vice President
11/04/2010
PIZZEY, GRACE KATHERINE
Vice President
08/26/2011
NELSON, MICHAEL
Secretary
01/01/1980
11/04/2010
PARKS, DAVID L
Treasurer
01/01/1980
11/04/2010
TALBOT, PAUL
Treasurer
01/01/1980
11/04/2010
Bond Information
https://fortress.wa.gov/lni/bbip/Printaspx
08/30/2011