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HomeMy WebLinkAboutPermit PG10-139 - ZELLER RESIDENCEZELLER RESIDENCE 13309 56 AV S PG1O-139 City olkukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Inspectio n Request Line: 206 - 431 -2451 Web site: http: / /www.ci.tukwila.wa.us Parcel No.: 2172000095 Address: 13309 56 AV S TUKW Project Name: ZELLER RESIDENCE PLUMBING /GAS PIPING PERMIT Permit Number: PG10 -139 Issue Date: 10/08/2010 Permit Expires On: 04/06/2011 Owner: Name: ZELLER JILL M Address: 13309 56TH AVE S , TUKWILA WA 98178 Contact Person: Name: MARVIN MOTLEY Address: 18133 NE 68 ST #D , REDMOND WA 98052 Email: NOT PROVIDED Contractor: Name: DOUGLAS PLUMBING Address: PO BOX 1410 , ENUMCLAW WA 98022 Contractor License No: DOUGLP *045B9 Phone: 425- 864 -2444 Phone: 360 825 -1493 Expiration Date: 03/03/2011 DESCRIPTION OF WORK: FIRE DAMAGE REPAIR: REPAIR WATER PIPING AND DRAINAGE AS NEEDED Value of Plumbing /Gas Piping: $4,100.00 Uniform Plumbing Code Edition: 2009 Fees Collected: $60.90 International Fuel Gas Code Edition: 2009 Permit Center Authorized Signature: Date: 6' U 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: 7'1 Date: (0/5/7„ This permit shall become null and void if the work is not P6mmenced 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 ins ection. doc: UPC -4/10 PG 10 -139 Printed: 10 -08 -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:/lwww.ci.tukwila.wa.us Parcel No.: 2172000095 Address: 13309 56 AV S TUKW Suite No: Tenant: ZELLER RESIDENCE PERMIT CONDITIONS • Permit Number: Status: Applied Date: Issue Date: PG10 -139 ISSUED 10/08/2010 10/08/2010 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 -139 Printed: 10 -08 -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: MA,---c./ 4) "%377 Date: lam/ 6 /l6 doc: Cond -10/06 PG10 -139 Printed: 10 -08 -2010 CITY OF TUKWILA Community Developm . Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Plumbing/Gag/Omit No. T6 to- 13q 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 Site Address: 3 3 ©`l S 01' Tenant Name: Property Owners Name: 0- LL . King Co Assessor's Tax No.: .)-1-1).D O 60 .q( Suite Number: New Tenant: Floor: ❑ Yes ❑.. No Mailing Address: 1'3301 S-611 /41-5,e So ?v Y w u_A. City (.)—N .4-- State qi /7 Fi Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: M QrwI AJ 11-4-071 y ALUamc'- k�s 1oa,iHo,, Mailing Address: i if L 3 3 i3L (.11:1' 5 r. D Day Telephone: City LA3 ? 8 5Z— State Zip E -Mail Address: Fax Number: PLUMBING / GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: � U (JA4 C.L4-t...i W Rt- (�"�__ 1l,, City State Zip Contact Person: ��`-' (N�7`ra Day Telephone: Z63- Z (/ - �cD3� E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: ARCHITECT OF RECORD — All plans must be stamped by Architect of Record Company Name: Mailing Address: City Day Telephone: Fax Number: Contact Person: E -Mail Address: 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:\Applications\Porms- Applications On Line\2010 Applications \7 -2010 - Plumbing -Gas Piping Permit Application.doc Revised: 7 -2010 bh Page 1 of 2 Valuation of Project (contractor's bid p•: $ • Scope of Work (please provide detailed information): e-10-12A4 tl , W °"""e-v— Sue() I►a a 5 Nom, Building Use (per Int'l Building Code): Occupancy (per Int'I 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 .p 1 Bidet Clothes washer, domestic '7 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 ,g 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 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 OWNER OR AU ORIZED AGENT: Signature: '7 Date: /D/ 6P ° Print Name: 71/121,/,/ d 77 Day Telephone: 67 L S 1%4 a Sicly Mailing Address: iii 3 3 ■e 6 r . , ed•do..)11) W `%S-6 SZ City State Zip Date Application Accepted: Date Application Expires: Staff Initials: H:\Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Plumbing -Gas Piping Permit Application.doc Revised: 7 -2010 bh Page 2 of 2 • • \"'qs 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 . tukwi la. wa. us Parcel No.: 2172000095 Address: 13309 56 AV S TUKW Suite No: Applicant: ZELLER RESIDENCE RECEIPT Permit Number: PG10 -139 Status: PENDING Applied Date: 10/08/2010 Issue Date: Receipt No.: R10 -02017 Initials: User ID: WER 1655 Payment Amount: $60.90 Payment Date: 10/08/2010 10:34 AM Balance: $0.00 Payee: MARVIN MOTLEY TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 006197 ACCOUNT ITEM LIST: Description 60.90 Account Code Current Pmts PLUMBING - RES 000.322.103.00.00 60.90 Total: $60.90 doc: Receiot -06 Printed: 10 -08 -2010 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: 2 2 Type of Inspection: F- //v# 1- - 5A-1/4/AN 8 Address: ,/ 0.369 .la f51-a 5 Date Called: Special Instructions: /. / .,.> Date Wanted: / _0�_// cripn p.m. Requester: Phone No: VIApproved per applicable codes. Ei Corrections required prior to approval. 1 wi COMMENTS: flue Inspecifor: Date: --■�— (/ n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. 6 INSPECTION RECORD p / Retain a copy with permit ` G INSPECT N NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 P : n 1 ?2.S• Ty a of Inspection:_ j c.)v Co K .�" piU'(.1 Address: I 3 3 )9 5c 5 Date Called: Special Instructions: Date Wanted: /( s a.m. - ( O P.m. Requester: Phone No: r2-41 M Approved per applicable codes. Corrections required prior to approval. COMMENTS: kkiJ 10 1—k—(t)\ 4 f 7 A-Pp e rer JA. Inspect cyk jrk Date: -1'J REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople Pre 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 DOUGLAS PLUMBING UBI No. 601681756 Phone 3608251493 Status Active Address P 0 Box 1469 License No. DOUGLP'045B9 Suite /Apt. License Type Construction Contractor City Buckley Effective Date 1/29/1996 State WA Expiration Date 3/3/2011 Zip 98321 Suspend Date County Pierce Specialty 1 Plumbing Business Type Individual Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date WETTON, SHAWN Owner 01/01/1980 Amount 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 CBIC P00867 01/29/2001 Until Cancelled $6,000.00 10/17/2001 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 15 AMERICAN STATES INS CO 01CG2916728 01/16/2009 01/16/2011 $1,000,000.00 01/07/2010 14 NATIONWIDE MUTUAL INS CO 01CG2916726 01/16/2008 01/16/2009 $1,000,000.0012 /18/2007 13 SAFECO /AMERICAN STATES 01CG2916725 01/16/2007 01/16/2008 $1,000,000.0012 /14/2006 12 AMERICAN STATES INS CO 01CG291672-4 01/16/2006 01/16/2007 $1,000,000.00 12/21/2005 11 SAFECO /AMERICAN01CG291672 -3 STATES INS CO 01/16/2005 01/16/2006 $1,000,000.00 12/21/2004 10 SAFEC0/AMERICAN01CG2916722 STATES INS CO 01/16/2004 01/16/2005 $1,000,000.0001 /21/2004 9 SAFECO /AMERICAN01CG2916722 STATES INS CO 01/16/2004 01/16/2005 $1,000,000.0001 /20/2004 Summons /Complaint Information Cause County Complaint Judgment Status Payment Paid By 10-2-33147-6SEA KELLER SUPPLY COMPANY InterPlead: No KING Date: 09/21/2010 Amount: $5,064.54 Bond(s): P00867 Date: Amount: $0.00 Open Date: Amount: Warrant Information No unsatisfied warrants on file within prior 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 10/08/2010