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Home My WebLink AboutPermit PG10-068 - DEMPERE RESIDENCEDEMPERE RESIDENCE 13217 40 AV S EXPIRED 12 -OS -10 PG1 0-068 City oftukwila 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.: 7340600901 Address: 13217 40 AV S TUKW Project Name: DEMPERE RESIDENCE PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: PG 10 -068 06/10/2010 12/07/2010 Owner: Name: Address: Contact Person: Name: Address: Email: Contractor: Name: Address: Contractor DEMPERE JACKIE L 4033 S 128TH ST , TUKWILA WA 98168 MIKE LADINES 24057 193 PL SE , COVINGTON WA 98042 INTEGRITYTLM @C OMCAST. NET INTEGRITY PLUMBING 24057 193 PL SE , COVINGTON WA 98042 License No: INTEGP *066QN Phone: 206 - 406 -9042 Phone: 425 - 432 -5609 Expiration Date: 11/28/2011 DESCRIPTION OF WORK: REMOVE A PORTION OF 1" BLACK IRON GAS PIPE WHERE IT IS LEAKING AND REPLACE WITH LIKE IN KIND. PRESSURE TEST ENTIRE LINE Value of Plumbing /Gas Piping: $500.00 Fees Collected: $96.60 Permit Center Authorized Signature: Uniform Plumbing Code Edition: 2006 International Fuel Gas Code Edition: 2006 Date: l!1 (V 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 e..perfor - nce of work I am azithorized to sign and obtain this plumbing /gas piping permit. Signature: Date: Co (' d / e Print Name: r(t tc 444 T L.Ab i i 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 -068 Printed: 06 -10 -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 Parcel No.: 7340600901 Address: Suite No: Tenant: 13217 40 AV S TUKW DEMPERE RESIDENCE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: PG 10 -068 ISSUED 06/10/2010 06/10/2010 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 -068 Printed: 06 -10 -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.tulcwila.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: r4 (04 4 El D C (,1046- LS Date: 6(10 f�? doc: Cond -10/06 PG 10 -068 Printed: 06 -10 -2010 CITY OF TUKWILO Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 . Tukwila, WA 98188 http://www.ci.tukwila.wa.us uipbing /Gas Permit: Project No (For off ce 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 Address: (3 1 7 Tenant Name: (S (S "A Property Owners Name: ACK1 C Mailing Address: Zip King Co Assessor's Tax No.: —73 k{O (p Q - 090 Suite Number: Floor: New Tenant: ❑ Yes ❑..No City State :CONTACT PERSON Who do.we contact when your permit is ;ready to be issued- Name: at 1 KE L'Ai) It,1c5 Mailing Address: aa4051 1q17�(2.4) i L v� Day Telephone: 1C' '`1Df °f 2 1/01./ jCrJt.I 6,1/19. ?YCI'. City State Zip E -Mail Address: — 1— t∎ITi-GR 1 'lamT J. YL a C,rvtC A ST ' & b7 Fax Number: la..5' -I ..PLUMBING;/ GAS PIPING CONTRACTOR INFORMATIO] Company Name: I Mailing Address: c)110517 y3�� PL- S& Contact Person: F f l t(1 LA 17 t t1 i cJ E -Mail Address. —/ /7 6g./ j `i 7—I1 a ("came-A f)F: Contractor Registration Number:J_ATTeiCTp f C,6 it gb Coy I r1.iG7orl 0.49 %X 1 City State Zip Day Telephone: ,02DY, -Ian %1 51 Z Fax Number: ) J `%.3)- S6 0 q Expiration Date: ' 0`1 O'\/. 8.0 / l 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 plans•must 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 \I-2009 - Plumbing-Gas Piping Permit Application.doc Revised: 1.2009 bh Page 1 of 2 Valuation of Project (contractor's bid price): $ neIZ0?C Scope of Work (please provide detailed information): `3, �, r', GA5 Pi ( iJ r T l �5A/ RF PE 55eg.6- i7-/g s- //7s 6 Building Use (per Int'I Building Code): Occupancy (per Int'l Building Code): I films 00.l /9 P am l Is W9 K,nIG fg,J7 Gr4c L/#'/6 -) J 1Z> - PD1 ) T 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 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. BUILDI OW ER,ORiTHQRIZED GENT: Signature: //�I /l''I�Qjj �� \\ Print Name jl I C I,9 2 7 I LAD 01/4) rS Mailing Address J W 1' 93/21) el_ C D a t e : ( / d Day Telephone: (32.0-6, i/ , q74 2- /D IJ le97-b7i qPia City a Zip Date Application Accepted: Date Application Expires: Staff Initials: H:\Applicat ions\Forms- Applications On Line\2009 Applications \1 -2009 - Plumbing -Gas Piping Permit Application.doc Revised: 1.2009 bh Page 2 of 2 1 r-*"A wq� City of Tukwila Z 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 Parcel No.: 7340600901 Address: 13217 40 AV S TUKW Suite No: Applicant: DEMPERE RESIDENCE RECEIPT Permit Number: PG 10 -068 Status: PENDING Applied Date: 06/10/2010 Issue Date: Receipt No.: R10 -01022 Payment Amount: $96.60 Initials: WER Payment Date: 06/10/2010 08:29 AM User ID: 1655 Balance: $0.00 Payee: INTEGRITY PLUMBING TRANSACTION LIST: Type Method Descriptio Amount Payment Check 2026 96.60 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts GAS - RES 000.322.103.00.00 96.60 Total: $96.60 PAYMENT RECEIVED doc: Receiot -06 Printed: 06 -10 -2010 INSPECTION RECORD Retain a copy with permit ItSSPECT10N NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 cM P6 /d -o68 Project: 2o' ! R .5' , Type..gf Inspection: hcveo.-/--..z A 1 64 S Addr ss: 1)2/7 5'0 qv 5 Date Called: Special Instructions: " �-� Date Wanted: - // /0 C-m- p.m. Requester: Phone N c)62 —yob - 5-61yz Approved per applicable codes. 0 Corrections required prior to approval. g. COMMENTS: 6 A C 7 nit' CSJ /C@ Lc Inspector: J / ri $60.00 REINSPECTION FEE REQUIRED. iior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Dater (f Receipt No.: Date: 11 -01 -2010 City of Tukwlla Jim Haggerton, Mayor Department of Community Development MIKE LADINES 24057 193 PL SE COVINGTON WA 98042 RE: Permit No. PG10 -068 1321740 AV S TUKW Dear Permit Holder: Jack Pace, Director 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 12/08/2010. 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 12/08/2010, 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, fer Marshall P . it Technician File: Permit File No. PG10 -068 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 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 Phone Address Suite /Apt. City State Zip County Business Type Parent Company Integrity Plumbing 4254325609 24057 193Rd Pt Se Kent Wa 98042 King Individual UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601585465 Active INTEGP *066QN Construction Contractor 11/15/1994 11/28/2011 Plumbing Unused Business Owner Information Name Role Effective Date Expiration Date Ladines, Michael D Owner 01/01/1980 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 3 DEVELOPERS SUR a INDEM CO 178023C 11/14/2001 Until Cancelled $6,000.00 11/28/2001 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 12 OOHIO CAS INS BH053026118 11/14/2009 11/14/2010 $300,000.0010/23 /2009 11 OOHIO CAS INS BH053026118 11/14/2008 11/14/2009 $300,000.00 10/13/2008 10 OHHIO CAS INS BH053026118 11/14/2004 11/14/2008 $300,000.00 09/24/2007 9 OHIO CASUALTY GROUP BH00453026118 11/14/2003 11/14/2004 $300,000.00 10/27/2003 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 06/10/2010