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Home My WebLink AboutPermit PG10-098 - CARGILL RESIDENCECARGILL RESIDENCE 13765 MACADAM RD S PG1 0-098 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 PLUMBING /GAS PIPING PERMIT Parcel No.: 3229200040 Address: 13765 MACADAM RD S TUKW Project Name: CARGILL RESIDENCE Permit Number: PG 10 -098 Issue Date: 08/04/2010 Permit Expires On: 01/31/2011 Owner: Name: FINDLAY RACHEL +SEAN Address: 5304 50TH AVE S , SEATTLE WA 98118 Contact Person: Name: MARCUS SEGARRA Address: 301 5TH AV N , ALGONA WA 98001 Email: MARCUSSEGARRA @AOL.COM Contractor: Name: ERIK D PLUMBER LLC Address: 6229 NE 198 ST , KENMORE WA 98028 Contractor License No: ERIKDDP901KS Phone: 253 - 880 -6136 Phone: 206 -719 -5758 Expiration Date: 05/10/2012 DESCRIPTION OF WORK: INSTALL GAS PIPING FROM CURRENT GAS PIPING SYSTEM TO SUPPLY FUEL TO GAS OVEN IN KITCHEN AND A STUB OUT FOR A FUTURE OUTDOOR PIT. LOCATION OF EXISTING PIPING IS IN BASEMENT AND THE KITCHEN IS ON THE SECOND FLOOR. Value of Plumbing /Gas Piping: $900.00 Fees Collected: Permit Center Authorized Signature: Uniform Plumbing Code Edition: 2009 $96.60 International Fuel Gas Code Edition: 2009 Date: 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: Date: Print Name: 1 Ai%C M. s Se rrrA_ 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 -098 Printed: 08 -04 -2010 • City of Tukwila Department of Community Developinent 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.: 3229200040 Address: Suite No: Tenant: 13765 MACADAM RD S TUKW CARGILL RESIDENCE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: PG10 -098 ISSUED 08/04/2010 08/04/2010 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 -098 Printed: 08 -04 -2010 • • �J�.�► wq� 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: (hi tre tit S Se7arr- Date: V rs t(— 10 doc: Cond -10/06 PG10 -098 Printed: 08 -04 -2010 CITY OF TUKVAIII Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Plumbing/Gas Permit No. G to-098 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 King Co Assessor's Tax No.: -V-2--q)-0 00 . o Site Address:13 265 InatcAd 0.01 IC S • reAkirl a ")0 168 Suite Number: Tenant Name: S Co-,71;1( a T,..÷. P rAt. 6t� 1 U Property Owners Name: s--4-44.r Mailing Address: (3745- frte-ca ,„ . of S T' kid ilt New Tenant: Floor: Yes ❑..No City w4-- State 21168 Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: 7V& n 14 S SL° rr& Mailing Address: 30/ Si-4 t'tVe /V. Day Telephone: g53-- g X30 -673( t'va 9e 00 City State Zip E -Mail Address: -Marc S S t?�jGt ►'-Y� Gt (� -�0h7 Fax Number: PLUMBING / GAS PIPING CONTRACTOR INFORMATION Company Name: 1-';-k r/Ot I•ljt' I� LL. Mailing Address: 6,q021 h i F i 1 S'b SS- teki i'n or?' Q) e0C77e City State Contact Person: t i) p o l,r Day Telephone: c9-06*- 7/ 5— 5 7 ?0 E -Mail Address: Contractor Registration Number: �; k 1) D P 010/ Ks Fax Number: Expiration Date: 5/ 10l a O / 02 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 H: Applications\Fome- Applications On Line \2010 Applications \7 -2010 - Plumbing -Gas Piping Patna Applicanon.doc Revised: 7 -7010 bh Page 1 of 2 Valuation of Project (contractor's bid prl $ goo, 00 410 Scope of Work (please provide detailed information): It/ Siet. / 1 /45 f) P/ 4 9 0147 Gctrrea+ 9415 Pi PI g SYS71e4n to Sr1Poy fke/ 1-o '"5 Cve4i j +1 k 4-cl i , LoCa -/-►vh PiPT44 i5 itii 1045'eh7M71- and / c - i S fit? ,, pp Second • -P/06 r, Building Use (per Int'I Building Code): e?S'i dett Occupancy (per Int'l Building Code): T VV`O Utility Purveyor: Water: Sewer: Cr e�- Tkw ,'A 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 - 450 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 O` 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. Print Name: S 44/ P Mailing Address: 13145 Mtcadeut R.L. S Date Application Accepted: Day Telephone: rU kt City Date: 19 — 3 -1 D 2o6- 450 -0 3 2/ w4 state 48 (CO Zip Date Application Expires: Staff Initials: H: Wpplications\Forms- Applications On Line \2010 Applications17.2010 - Plumbing -Gas Piping Permit Applicatioadoc Revised: 7-2010 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.ci.tukwila.wa.us Parcel No.: 3229200040 Address: 13765 MACADAM RD S TUKW Suite No: Applicant: CARGILL RESIDENCE RECEIPT Permit Number: PG10 -098 Status: PENDING Applied Date: 08/04/2010 Issue Date: Receipt No.: R10 -01486 Initials: WER User ID: 1655 Payment Amount: $96.60 Payment Date: 08/04/2010 09:36 AM Balance: $0.00 Payee: MARCUS SEGARRA TRANSACTION LIST: Type Method Descriptio Amount Payment Cash Authorization No. ACCOUNT ITEM LIST: Description 96.60 Account Code Current Pmts GAS - RES City of Tukwila 6200 Southcenter Blvd, Tukwila, WA 1 Finance Department 1021601 -1 08/04/2010 BR1 T101 Wed Aug04,2010 09 :40AM Trans #4 -4 4 $96.60 DCDGEN - DCD Permits Plus - General Fund ID: MARCUS SEGARRA R10 01486 1 ITEM(S): TOTAL: $96.60 Cash PAID $100.00 CHANGE DUE: $3.40 www.ci.tukwila.wa.us 206 - 433 -1835 000.322.103.00.00 Total: $96.60 96.60 PAYMENT K doc: Receiot -06 Printed: 08 -04 -2010 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION t" 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 [k /0 -0 Pr ject: c 4R :I ( geo_r e Type f "Inspection: r r ,� vu { �-�.J — Address: ry J-4 ( (s O.rr Date ed: ` Special Instructions: Date Wanted: _ 9 r(/ v p.m. m. Requester: ! i " Approved per applicable codes. D Corrections required prior to approval. COMMENTS: — ry J-4 ( (s O.rr ! i " f,.. / .-, 2,,,,___e. /— „_---___---- 1 t 1 A Inspec �or: Date: ❑ $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 Pri ter 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 ERIK D PLUMBER LLC UBI No. 603010982 Phone 2067195758 Status Active Address 6229 Ne 198Th St License No. ERIKDDP901KS Suite /Apt. License Type Construction Contractor City Kenmore Effective Date 5/10/2010 State WA Expiration Date 5/10/2012 Zip 98028 Suspend Date County King Specialty 1 General Business Type Limited Liability Company Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date DOW, ERIK BIRGER Partner /Member 05/10/2010 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 PLATTE RIVER INS CO A270002673 05/06/2010 Until Cancelled $12,000.00 05/10/2010 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 1 TRUCK INS EXCHANGE 604818439 05/05/2010 05/05/2011 $1,000,000.00 05/10/2010 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 08/04/2010