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Home My WebLink AboutPermit PG10-062 - MELLINGER RESIDENCEMELLINGER RESIDENCE 4402 S 122 ST PG1 0-062 City (*Tukwila • 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.: 3347401165 Address: 4402 S 122 ST TUKW Project Name: MELLINGER RESIDENCE PLUMBING /GAS PIPING PERMIT Permit Number: PG 10 -062 Issue Date: 05/24/2010 Permit Expires On: 11/20/2010 Owner: Name: MELLINGER JUDY A Address: 4402 S 122ND ST , SEATTLE WA 98178 Contact Person: Name: STARI.A MUIR Address: 6921 51 AV S , SEATTLE WA 98118 Email: Contractor: Name: TOTAL HOME IMPROVEMENT INC Address: 6921 51 AV S , SEATTLE WA 98118 Contractor License No: TOTALHI973JH Phone: 206 - 941 -3791 Phone: 206 941 -3791 Expiration Date: 04/08/2011 DESCRIPTION OF WORK: DEMO OLD TUB AND SURROUND, REPLACE TUB & SURROUND Value of Plumbing /Gas Piping: Fees Collected: Permit Center Authorized Signature: $2,500.00 $47.25 Uniform Plumbing Code Edition: 2006 International Fuel Gas Code Edition: 2006 Date: t---c)-11'-'1 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. Signature: Print Name: Ul Date: ��t 7 //Q 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 -062 Printed: 05 -24 -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: ht4x/Iwww.ci.tukwila.wa.us Parcel No.: 3347401165 Address: 4402 S 122 ST TUKW Suite No: Tenant: MELLINGER RESIDENCE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: PG10 -062 ISSUED 05/24/2010 05/24/2010 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 -062 Printed: 05 -24 -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: '" Date: \ (4 /(C Print Name: ��` % ID L` . (Y) doc: Cond -10/06 PG10 -062 Printed: 05 -24 -2010 CITY OF TUKWILL Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us umbing /Gas Permit' 'Project No `` F =: . h (For off c6ise only) iS 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.: 331-17 (J 6`� S Site Address: H Z /c c ? /V-- -- 71 V ) U kv \ t Suite Number: Floor: Tenant Name: ..70N frf. C E Property Owners Name: C'\ Q, Mailing Address: k) a - )c) ,-DA/A T) K) i/ Zip New Tenant: Yes q.. No City State .CONTACT_ PERSON ,Who:dowe contact when your permit is ready to be issued_ Name: c=7779 C:ji rn or E._ Mailing Address: )0-P 11N Day Telephone: (Qc�P)? U' - E -Mail Address: PLUMBING / GAS - PIPING CONTRACTOR hN•E•RMATIO City State Zip Fax Number: Company Name: Ttsi �L HCU7'?, -. 111 P,28ve A) r I AJC_ Mailing Address: 0 ! a I Contact Person: / I' 2 L79 / r / 1) ( r E -Mail Address: JJ Contractor Registration Number: TcTT'/ r____)--4r 9 7 3�H ( ( t_ q?.//? City State Zip Day Telephone: (C4 / 7 / 37q Fax Number: ()&a J dQ�- 3aS7 Expiration Date: Ll l 0 (ac.) i ARCHITECT'OF RECORD All plans;must•be wet 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 plansinust be wet stamped ,by: Engineer of Record Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: State Zip H:\Applications \Forms - Applications On Line \2009 Applications \1-2009 - Plumbing-Gas Piping Permit Application.doc Revised: 1 -2009 bh Page 1 of 2 Uv • Valuation of Project (contractor's bid price): $ SO Scope of Work (please provide detailed information): 'Q-J' )C7 Di- (,f Tab f c JfU) l 1 I� �a . Building Use (per Int'I 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 'Typec' Qty Fixttire.Type: • :Qty- Fixture Type: Qty: Bathtub or combination bath/shower J 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 OW Signature: OR AUTHORI ED AGENT: VY1. Print Name: *-14 e i /ji _ r' ) U I e Mailing Address: Lpq a ! S.1 ST fi pP ,5— Day Telephone: Date: ,Va `t / /0 City g ? /4 State Zip Date Application Accepted: I Date Application Expires: Staff Initials: I H:\Applications\Fonns- Applications On Line \2009 Applications \I -2009 - Plumbing -Gas Piping Permit Application.doc Revised: 1 -2009 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: ht43://www.ci.tukwila.wa.us Parcel No.: 3347401165 Address: 4402 S 122 ST TUKW Suite No: Applicant: MELLINGER RESIDENCE RECEIPT Permit Number: PG 10 -062 Status: PENDING Applied Date: 05/24/2010 Issue Date: Receipt No.: R10 -00917 Payment Amount: $47.25 Initials: WER Payment Date: 05/24/2010 03:42 PM User ID: 1655 Balance: $0.00 Payee: TOTAL HOME IMPROVEMENT INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 149 47.25 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts PLUMBING - NONRES 000.322.103.00.00 47.25 Total: $47.25 PAYMENT R CI doc: Receipt -06 Printed: 05 -24 -2010 INSPECTION NO. INSPECTION RECORD Retain a copy with permit 6 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION ock 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project:��r Type of Inspection: Address c 6 4,2.....R Date Called: / �� Special Instructions: L4000/--- c- pg4)&_ 0 t_ / t 2. /jr / 1 Date Wanted: /� .... 3 (a.m` Requester: /on,,,‘ o / ....63 ' R Approved per applicable codes. Corrections required prior to approval. 9 COMMENTS: r1_,� 1/4.‘ , 1-\ -tJ Ail A OPr 7 (D 2Y-Ar Inspector: Date: (0 ❑ $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: {-- INSPECTION RECORD Retain a copy with permit INSPECTIO NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION \/ 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3(6 PG/O - n62I Project: e_1(, i' of Re5.Je/Ac% Type of Inspectio \ 1G, I (�C� -M!3 .� Addr s : �'- LCj� C. �2Z Date Called fv JG tt d aAC s� Special Instructions: n( & C e I ✓ /` � j Date Wanted: %� C7 a.m, p.m. Requester: Phone , q 3 1/ ❑ Approved per applicable codes. Corrections required prior to approval. COMMENTS: ( J k tt d aAC n ')Pve . - ,r- , R-€) I. -r- J ;; e - c� - it_-e —_,1 c :I, et Lk.P t 6:j-e_ _, y 1 Inspecto r /{ Date: _.- �f r� J \ $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid. at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: ,_. Contractors or Tradespeople liter Friendly Page General /Specialty Contractor A business registered as a construction contractor with LEt1 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 Total Home Improvement Inc UBI No. 602055473 Phone 2069413791 Status Active Address 6921 51St Ave S License No. TOTALHI973JH Suite /Apt. License Type Construction Contractor City Seattle Effective Date 4/8/2003 State Wa Expiration Date 4/8/2011 Zip 98118 Suspend Date County King Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date Muir, Starla C Partner /Member 04/08/2003 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 4 OLD REPUBLIC SURETY CO YLI249030 04/01/2006 Until Cancelled $12,000.0003/13 /2006 3 OLD REPUBLIC INSURANCE CO YL1249030 04/01/2005 04/01/2006 $12,000.00 02/22/2005 2 ACCREDITED SURETY & CAS CO 10014615 04/01/2004 Until Cancelled 04/22/2005 $12,000.0003/26 /2004 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 8 NEVADA CAPITAL INS CO 77NPP4004654 04/04/2009 04/04/2011 $1,000,000.00 03/24/2010 7 Nevada Capital Ins Co NCIC000450 04/04/2009 04/04/2010 $1,000,000.00 03/31/2009 6 NATIONWIDE MUTUAL INS CO ACPACT07503344532 04/04/2008 04/04/2009 $1,000,000.00 03/25/2008 5 NATIONWIDE MUTUAL INS CO ACPACT0753152800904/04/2007 04/04/2008 $1,000,000.00 03/14/2007 4 NATIONWIDE MUTUAL INS CO ACPACT07521528009 04/04/2006 04/04/2007 $1,000,000.00 03/24/2006 3 NATIONWIDE MUTUAL INS CO ACPACT07511528009 04/04/2005 04/04/2006 $1,000,000.00 03/23/2005 2 NATIONWIDE MUTUAL INS CO ACPACT07501528009 04/04/2004 04/04/2005 $1,000,000.00 03/31/2004 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 05/24/2010