HomeMy WebLinkAboutPermit PG11-174 - CALIXTO RESIDENCECALIXTO RESIDENCE
3418 S 140 ST
PG1 1 -174
City ofkukwila
•
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.: 8864000635
Address: 3418 S 140 ST TUKW
Project Name: CALIXTO RESIDENCE
PLUMBING /GAS PIPING PERMIT
Permit Number: PG11 -174
Issue Date: 11/30/2011
Permit Expires On: 05/28/2012
Owner:
Name: FEDERAL NATIONAL MORTGAGE A
Address: PO BOX 650043 , DALLAS TX 75265
Contact Person:
Name: DAVID CALIXTO
Address: 3418 S 140 ST , TUKWILA WA 98168
Email: DJCALIXTO @LIVE.COM
Contractor:
Name: GILLESPIE PLUMBING
Address: 2732 124 AV SE , BELLEVUE WA 98005
Contractor License No: GILLEP *910MF
Phone: 206 261 -5615
Phone: 425 749 -2939
Expiration Date: 07/06/2013
DESCRIPTION OF WORK:
REPLACE GALVANIZED PIPE WITH PEX PIPE. REPLACE OLD TUB /SHOWER, WATER CLOSET,
AND (2) SINKS WITH NEW.
Value of Plumbing /Gas Piping:
Fees Collected:
Electrical Service Provided by:
$4,000.00
$164.85
Permit Center Authorized Signature: / /Ifklj
Uniform Plumbing Code Edition:
International Fuel Gas Code Edition: 2009
2009
Date:
I hereby certify that I have read and Iexam1ted this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complie with whether specified herein or not.
The granting of this permit does not pr 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.
P 1
��
Signature: 11: O Date: /1—?4-1/
Print Name:
Le. (2 6- I le sb 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 -174 Printed: 11 -30 -2011
PERMIT CONDITIONS
Permit No. PG11 -174
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 -174 Printed: 11 -30 -2011
CITY OF TUKWI4.
Community Developme,.. _Jepartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.Tukw i laW A. gov
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 **
3 L� n King Co Assessor's Tax No.:
Site Address: J I j g na �r P/1 0 1 "t /
Tenant Name: Da.) IDt C. 4 ! j X"T'D
Suite Number:
New Tenant:
Name: ®4 jd C p �i )C 0
Address: 3 Lite s t' U D st
City: .1-7,44); 14
State:W �,. Zip: 1 dl / e
00
Floor:
❑ Yes ❑.. No
Company Name: G. , I esps 1,2_ ul w1 417_
Name: 40.uik Ca';
City: 6aI'e us_
State:wk Zip :gq ,-
Address: 31.1 () s t ) t i v t' st`
Contr Reg No.: GlaLE Pet. p 0 Pp Date: 7—(01 .. 2 015
1
City: �4 L,; (q State: c Zip: R d l
0
Phone: ZD &_ Ill„ 5-6 a- Fax:
Email: 4, ca..' 1 xi "o(J ii lid t C D WI
00
Floor:
❑ Yes ❑.. No
Valuation of Project (contractor's bid price): $ I j Dod .60
Scope of Work (please provide detailed information): ge. (tee, ' a. Iva wi Le'C �1 �� W ; 4-k �t-1C t e t
99 n !+A
cl4c Wt 4 t
g2ipt,ait Old. +1.1 awt keuWcr 0 ;+k ity,tArt
Building Use (per Int'1 Building Code): f--27
Occupancy (per Int'l Building Code):
Utility Purveyor: Water:
H: \Applications \Forms - Applications On Line \2011 Applications\Plumbing Permit Application Revised 8- 9- 11.docx
Revised: August 2011
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Sewer:
Page 1 of 2
Company Name: G. , I esps 1,2_ ul w1 417_
Address: 2.1 Z 12,x( ave._ s e
City: 6aI'e us_
State:wk Zip :gq ,-
4
Phone: L{ �-s 1 L J'.Z 1 § 9 Fax: y2.r._ 11 /._ /''h.�
Contr Reg No.: GlaLE Pet. p 0 Pp Date: 7—(01 .. 2 015
1
Tukwila Business License No.:
O pv S-1 Li 3 6
Valuation of Project (contractor's bid price): $ I j Dod .60
Scope of Work (please provide detailed information): ge. (tee, ' a. Iva wi Le'C �1 �� W ; 4-k �t-1C t e t
99 n !+A
cl4c Wt 4 t
g2ipt,ait Old. +1.1 awt keuWcr 0 ;+k ity,tArt
Building Use (per Int'1 Building Code): f--27
Occupancy (per Int'l Building Code):
Utility Purveyor: Water:
H: \Applications \Forms - Applications On Line \2011 Applications\Plumbing Permit Application Revised 8- 9- 11.docx
Revised: August 2011
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Sewer:
Page 1 of 2
Indicate type of plumbing fixtures and/or. piping outlets being installed and the quanti0 elow:
Fixture Type "'
4Qty
Bathtub or combination
bath/shower
Drinking fountain or water
cooler (per head)
Dishwasher, domestic with
independent drain
Lavatory
Shower, single head trap
Urinal
Sinks
1
Rain water system — per
drain (inside building)
Repair or alteration of
water piping and/or water
treatment equipment
Grease interceptor for
commercial kitchen ( >750
gallon capacity)
Backflow protective device
other than atmospheric -
type vacuum breakers 2
inch (51 mm) diameter or
smaller
Each additional medical
gas inlets/outlets greater
than 5
Atmospheric -type vacuum
breakers not included in
lawn sprinkler backflow
protections over 5
Atmospheric -type vacuum
breakers not included in
lawn sprinkler backflow
protections (1 -5)
Future Type
._.
Qty-
Bidet
Drinking fountain or water
cooler (per head)
Lavatory
I
Urinal
Water heater and/or vent
Repair or alteration of
water piping and/or water
treatment equipment
Backflow protective device
other than atmospheric -
type vacuum breakers 2
inch (51 mm) diameter or
smaller
•
Atmospheric -type vacuum
breakers not included in
lawn sprinkler backflow
protections over 5
uture Type "i •`.,KS:,9ty
x -^
r:
Clothes washer,
domestic
Food -waste grinder,
commercial
Wash fountain
Water closet
Industrial waste
treatment interceptor,
including trap and vent,
except for kitchen type
grease interceptors
Repair or alteration of
drainage or vent piping
Backflow protective
device other than
atmospheric -type .
vacuum breakers over 2
inch (51 mm) diameter
•
Gas piping outlets
•, ^Fixture Type.-
•
Qty
Dental unit, cuspidor
Floor drain
Receptor, indirect waste
Building sewer and each
trailer park sewer
Each grease trap
(connected to not more
than 4 fixtures - <750
gallon capacity
Medical gas piping
system serving 1 -5
inlets /outlets for a specific
gas
Each lawn sprinkler
system on any one meter
including backflow
protection devices
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 OWN4R OR AUT ED E T:
Signature:
Print Name:
Leo Cr- Ilese.1£e-
I�-
Mailing Address: 2
1
Q,,) Z.
S�
H:1Applications.Forms- Applications On Line12011 Applications\Plumbing Permit Application Revised 8- 9- 11.dacx
Revised: August 2011
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Day Telephone:
�e!1et -
City
Date: IF 30 -11
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State Zip
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.: 8864000635
Address: 3418 S 140 ST TUKW
Suite No:
Applicant: CALIXTO RESIDENCE
RECEIPT
Permit Number: PG11 -174
Status: PENDING
Applied Date: 11/30/2011
Issue Date:
Receipt No.: R11-02592
Payment Amount: $164.85
Initials: JEM Payment Date: 11/30/2011 02:54 PM
User ID: 1165 Balance: $0.00
Payee: LEO A GILLESPIE
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 05531C
ACCOUNT ITEM LIST:
Description
164.85
Account Code Current Pmts
PLUMBING - RES
000.322.103.00.00 164.85
Total: $164.85
doc: Receipt -06 Printed: 11 -30 -2011
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
• 6300 Southcenter Blvd., #100, Tukwila. WA 98188 • r' (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
PG -III
Project:
i _ /
Type spe al n; n iv g
-
Address:
'i''1
Date Called:
Special instructions:
•
•
Date .
'"• 7 --- l �-•
a.m
p.m.
Requester:
Phone No:
Apprroved-per applicable codes. "Corrections required prior to approval.
COMMENTS:
Wit_ tinr r 2 )A 1 4p
Inspe' tor:
REINSPECTION FEE REQUIRED. Prior to next inspecTion. fee must be
paid at 6300Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
• CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 r (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project: -
19 C
Type Inspection:
P e
Address:
•K
Date Called:
'--
--a-..
Special Instructions:
Date Wanted:.
..-
'
"( .1.
m
;')n.
p.m.
Requester:
r
Phone No:
Approved per applicable codes. Corrections required prior to approval. • '
COMMENTS:
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Inspector:
(Date: f r ( (
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
,.:
I,.
pISPECTION RECORD
Retain a copy with permit
INSPECTION N0.'• ' '.s • PERMIT NO.G
• .CITY,- .Ctr :%TUKWILA BUILDING DIVISION C�
00 Southcenter;Bvd.., #100, Tukwila. WA 98188 (206) 431 -3670
•63Permit Inspection- Request Line (206) 431 -2451
•
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Project:. Al/ t
( 171:1)6Z).' Alt s -
Type of Inspection:
i In / A%15,l `)4'4VA* P 17
d. dress: .. ,,�/
w7 +� 946 i � 7 ? / Q
Date Called:
_1
Special Instructions: : •
• •
•
Date Wanted: .
a.m.
Requester:
Phone No: _
6 1Z 6/ -5'6 /-
IJApproved per applicable codes.
COMMENTS: ,
orrections required prior to approval.
Afo,. 1-x`7 tid'e.J `7
(.4.:(r t.�-u 3 ;� ,��r vet.�.,�z-
/LMT Ai-ref-1-04_ -04_ (a
•
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•
•
•
•
lInsikctor:
IDate:-2
REINSPECTION :FEE REQUIRED. Prior to next inspection. fee must be
paid. at4300',Southcenter Blvd.. Suite 100. Call to schedule reinspection. •
•
Contractors or Tradespeople P 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 GILLESPIE PLUMBING UBI No. 602936513
Phone 4257492939 Status Active
Address 2732 124 Ave Se License No. GILLEP *910MF
Suite /Apt. License Type Construction Contractor
City Bellevue Effective Date 7/6/2009
State WA Expiration Date 7/6/2013
Zip 98005 Suspend Date
County King Specialty 1 Plumbing
Business Type Individual Specialty 2 Unused
Parent Company
Business Owner Information
Name
Role
Effective Date
Expiration Date
GILLESPIE, LEO ADDISON W
Owner
07/06/2009
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
WESTERN SURETY CO
15325553
07/06/2009
Until Cancelled
$6,000.00
07/06/2009
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
2
Truck Ins
Exchange
604749356
06/29/2010
06/29/2012
$300,000.00
05/03/2011
1
TRUCK INS
EXCHANGE
604749356
06/29/2009
06/29/2010
$300,000.00
07/06/2009
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 11/30/2011