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HomeMy WebLinkAboutPermit PG10-155 - THEPBOUPHA RESIDENCE (COTTAGE CREEK HOA)THEBOUPHA RESIDENCE COTTAGE CREEK 6259 S 153 ST EXPIRED 05 -08 -11 PG1O-155 wq Citf OPT ukwila k 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.: 1770500000 Address: 6259 S 153 ST TUKW PLUMBING /GAS PIPING PERMIT Project Name: THEPBOUPHA RESIDENCE (COTTAGE CREEK) Permit Number: PG10 -155 Issue Date: 11/09/2010 Permit Expires On: 05/08/2011 Owner: Name: COTTAGE CREEK HOA Address: PO BOX 88344 , TUKWILA WA 98138 Contact Person: Name: JACKIE DANIELS Phone: 425 533 -0100 Address: 101 ANDOVER PK E , TUKWILA WA 98188 Email: Contractor: Name: WASHINGTON WATER HEATERS INC Phone: 800 978 -8588 Address: 1800 RICHARDSON RD STE A , BELLEVUE WA 98005 Contractor License No: WASHII*9800P Expiration Date: 09/17/2012 DESCRIPTION OF WORK: ELECTRIC WATER HEATER CHANGE OUT Value of Plumbing /Gas Piping: $1,200.00 Uniform Plumbing Code Edition: 2009 Fees Collected: $47.25 International Fuel Gas Code Edition: 2009 Permit Center Authorized Signature: Date: 1 t l 'V l t 10 I hereby certify that I have read and a ami ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied ith, 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. n� Signature: j7 c Date: //' Print Name: .S°� 9v7 GH/9 y 771Z, S0 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 -155 Printed: 11 -09 -2010 City of Tukwila ?. y Department of Community Development Gl 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.: Address: Suite No: Tenant: 1770500000 6259 S 153 ST TUKW PERMIT CONDITIONS THEPBOUPHA RESIDENCE (COTTAGE CREEK) Permit Number: Status: Applied Date: Issue Date: PG10 -155 ISSUED 11/09/2010 11/09/2010 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 -155 Printed: 11 -09 -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: sv1 G`-iqr y 6 I4 r Date: doc: Cond -10/06 PG 10 -155 Printed: 11 -09 -2010 CITY OF TUN►14.4 Community Devekpflfent Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Building Petn.o. Mechanical Permit No. Plumbing/Gas Permit No. (kit 0 lqC Public Works Permit No. Project No. (For office use only) 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 C('x o o p ' „' �+ u/�►' {nr/ King Co Assessor's Tax No.: I11 °00 Site Address: U 2 V? Suite Number: Floor: New Tenant: ❑ Yes El ..No Tenant Name: Property Owners Name: S ©VP) Gll i9 y 7/t 8ou f# 9 Mailing Address: 6,q S-9 so - / r 34' Sit • 1-1-4410 410 L✓1 ?F/ 72 City State Zip CONTACT PERSON — who do we contact when your permit is ready to be issued Name: Day Telephone: Mailing Address: City Stale Zip E -Mail Address: Fax Number: GENERAL CONTRACTOR INFORMATION — (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: State Zip ARCHITECT OF RECORD — All plans must be stamped by Architect of Record Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: State Zip ENGINEER OF RECORD — All plans must be stamped by Engineer of Record Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: State Zip H:Wpplications1Forms- Applications On Line12010 ApplicatiomV -2010 - Permit Application.doc Revised: 7 -2010 bh Page 1 of 6 PLUMBING AND GAS PIPING PE ' INFORMATION — 206-431-3670 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: L. 0 l/■1 C-‘ w qc,w YL Mailing Address: /O/ A Y) C t /el f/4/(k , 33 ' 991 P2 Contact Person: -71 ��- • l �. f-rt(i _ city Day Telephone: State Zip gas' _ , 33 - %/a-0 E -Mail Address: Fax Number: Contractor Registration Number: VIA-- 1 k .)6- t 1) 0 ®r Expiration Date: (111 l fl 1147 Z Valuation of Plumbing work (contractor's bid price): $ I S--00 Valuation of Gas Piping work (contractor's bid price): $ Scope of Work (please provide detailed information): jJ DA-G,/ 7/./Tfe-r- CINA,, _ AAA- bit ) 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 H:1Applicatioos\Fonns- Applications OnLine\2010 Applications \7 -2010 - Permit Applicationdoc Revised: 7 -2010 bh Page 5 of 6 PERMIT APPLICATION NOTES — AWcable to all permits in this application 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 OVER OR Signature: 0/'7 UTHORIZED AGENT: Print Name: „5o l''') C N My T/f F 'o h‘di- Mailing ng Address: 6-2 S' / fO • % S' .3 s' s, IDate Application Accepted: Date: /- f —/a Day Telephone: ..� ®G — 0- 9 — p✓A • 9 d' n / i- City state zip Date Application Expires: Staff Initials: A: Applications\Forms- Application On Line 12010 Applicalions17-2010 - Permit Application. doe Revised: 7 -2010 bh i Page 6 of 6 04 -01 -2011 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director JACKIE DANIELS 101 ANDOVER PK E TUKWILA WA 98188 RE: Permit No. PG10 -155 6259 S 153 ST TUKW Dear Permit Holder: 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 05/08/2011. 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 05/08/2011, 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, 4-1)fra Bill Rambo Permit Technician File: Permit File No. PG10 -155 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 Contractors or Tradespeople Peer Friendly Page • 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 WASHINGTON WATER HEATERS INC UBI No. 602214757 Phone 8009788588 Status Active Address 1800 Richardson Rd Ste A License No. WASHII'9800P Suite /Apt. License Type Construction Contractor City Bellevue Effective Date 9/17/2002 State WA Expiration Date 9/17/2012 Zip 98005 Suspend Date County King Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date HAGAR, THOMAS JEFFREY President 09/17/2002 Bond Amount SKEEN, STEVEN ROGER Vice President 09/17/2002 LPM4062425 SKEEN, STEVE Secretary 09/17/2002 09/02/2010 HAGAR„ THOMAS Treasurer 09/17/2002 09/02/2010 Bond Information Page 1 of 2 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 2 COLONIAL AM CAS & SURETY OF MARYLAND LPM4062425 08/28/2007 Until Cancelled $12,000.00 09/20/2007 1 COLONIAL AM CAS & SURETY OF MD LPM4062425 09/16/2002 08/28/2007 $6,000.0009/17/2002 01/19/2010 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 9 AMERICAN STATES INS CO 01CH0329644 02/18/2010 02/18/2011 $1,000,000.00 01/20/2010 8 AMERICAN STATES INS CO 01CH0329644 02/18/2009 02/18/2011 $1,000,000.00 01/19/2010 7 AMERICAN STATES INS CO 01CH0329643 02/18/2008 02/18/2009 $1,000,000.00 01/31/2008 6 AMERICAN STATES INS CO 01CH03296408 02/18/2007 02/18/2008 $1,000,000.00 02/21/2007 5 AMERICAN STATES INS CO 01CH03296408 02/18/2006 02/18/2007 $1,000,000.00 02/14/2006 4 AMERICAN STATES INS CO CL51051475 02/18/2005 02/18/2006 $1,000,000.00 08/24/2005 3 MA CAS 5CP041222424 09/09/2004 09/09/2005 $1,000,000.00 08/18/2004 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/lni/bbip/Print.aspx 11/09/2010 • 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 RECEIPT Parcel No.: 1770500000 Permit Number: PG10 -155 Address: 6259 S 153 ST TUKW Status: PENDING Suite No: Applied Date: 11/09/2010 Applicant: THEPBOUPHA RESIDENCE (COTTAGE CREEK) Issue Date: Receipt No.: R10 -02264 Initials: User ID: JEM 1165 Payment Amount: $47.25 Payment Date: 11/09/2010 04:21 PM Balance: $0.00 Payee: SOMCHAY THEPBOUPHA TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 002119 ACCOUNT ITEM LIST: Description 47.25 Account Code Current Pmts PLUMBING - RES 000.322.103.00.00 47.25 Total: $47.25 doc: Receiot -06 Printed: 11 -09 -2010