The URL can be used to link to this page

Home My WebLink AboutPermit PG10-140 - GREEN RESIDENCEGREEN RESIDENCE 15625 42 AV S EXPIRED 04 -11 -11 PG1O-140 City otikukwila • 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.: 4293500000 Address: 15625 42 AV S TUKW Project Name: GREEN RESIDENCE PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: PG 10 -140 10/08/2010 04/06/2011 Owner: Name: LEWIS & CLARK CONDOMINUMS Address: PO BOX 58406 , SEATTLE WA 98138 Contact Person: Name: Address: Email: Contractor: Name: Address: Contractor JOSE HERNANDEZ 1400 WITHWORTH AV S , RENTON WA 98055 JJCREATIVEC ONSTRUCTION @YAHOO.COM JJ CREATIVE CONSTRUCTION 1400 WITHWORTH AV S , RENTON WA 98055 License No: ICREJC943KZ Phone: 206 - 258 -1933 Phone: 206 - 250 -1933 Expiration Date: 09/30/2011 DESCRIPTION OF WORK: REPLACE EXISTING BATHTUB WITH NEW SHOWER PAN. REPLACE MIXER VALVE. REPLACE TOILET FLANGE AND RESET TOILET Value of Plumbing /Gas Piping: Fees Collected: Permit Center Authorized Signature: $850.00 $123.90 Uniform Plumbing Code Edition: 2009 International Fuel Gas Code Edition: 2009 Date: 110-0-110 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 t permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or ty performance of work. I am auth•, ed o sign/And obtain this plumbing /gas piping permit. Signature: Print Name: Date: ' & --oSs2 --; ,c' 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 -140 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 Parcel No.: 4293500000 Address: 15625 42 AV S TUKW Suite No: Tenant: GREEN RESIDENCE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: PG10 -140 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 m 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 -140 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: Ofd/ Print Name: I C—'� Date: /, —09 -- C D doc: Cond -10/06 PG10 -140 Printed: 10 -08 -2010 CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 httn://www.ci.tukwila.wa.us Building Permit No. Mechanical Permit No. Plumbing /Gas Permit No. 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 ** King Co Assessor's Tax No.: Site Address: 15625 42nd Ave S, Tukwila WA 98188 Tenant Name: Property Owners Name: Lori Green Mailing Address: 15625 42nd Ave S #E24 Suite Number: E24 Floor: 1 New Tenant: ❑ Yes ❑..No Tuktp City State 98188 Zip CONTACT PERSON — who do we contact when your permit is ready to be issued. Name: Mailing Address: t L't.ofl O � � k 4lQ S Da Teleph ne: 2� t' $ 0 - tC(3 3 030( goss, � City State Zip E -Mail Address: e�--�'Q tie rOvANC.4`) v\Fax Number: GENERAL CONTRACTOR INFORMATION — (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) Company Name: JJ Creative Construction Mailing Address: 1400 Whitworth Ave S Contact Person: Haan Hernandez E -Mail Address: iicreativeconstruction @yahoo.com Contractor Registration Number: Renton City Day Telephone: Fax Number: Expiration Date: WA State (206) 250 -1933 98055 Zip ARCHITECT OF RECORD — All plans must be stamped by Architect of Record Company Name: n/a 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: n/a Mailing Address: city Contact Person: E -Mail Address: H:\ Applications\Forms- Applications On Line\2010 Applications \7 -2010- Permit Application.doc Revised: 7 -2010 bh State Zip Day Telephone: Fax Number: Page 1 of 6 PLUMBING AND GAS PIPING PERMIT INFORMATION — 206 - 431 -3670 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: Valuation of Plumbing work (contractor's bid price): $ �s Valuation of Gas Piping work (contractor's bid price): $ Scope of Work (please provide detailed information): I•c" r 4, cA, Valy ( t Building Use (per Intl Building Code): Occupancy (per Intl 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 t 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:\ApplicationsWorms- Applications On Line \20I0 Applications \7 -2010- Permit Application.doc Revised: 7 -2010 bh Page 5 of 6 PERMIT APPLICATION NOTES — Applicable 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 OWNE Signature. HORIZED AGENT: /t.-12—QA/1 Date: 10/6/2010 Print Name: Lori Green Day Telephone: 206- 215 -9168 El aaAll l a Mailing Address: 15625 42nd Ave S #E24 City WA 98188 State Zip Date Application Accepted: Date Application Expires: Staff Initials: H: \Applications\Forms- Applications On Line \2010 Applications \7 -2010- Permit Application.doc Revised: 7 -2010 bh Page 6 of 6 o C 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 Parcel No.: 4293500000 Address: 15625 42 AV S TUKW Suite No: Applicant: GREEN RESIDENCE RECEIPT Permit Number: PG10 -140 Status: PENDING Applied Date: 10/08/2010 Issue Date: Receipt No.: R10 -02026 Payment Amount: $123.90 Initials: WER Payment Date: 10/08/2010 03:52 PM User ID: 1655 Balance: $0.00 Payee: JJ CREATIVE CONSTRUCTION TRANSACTION LIST: Type Method Descriptio Amount Payment Cash Authorization No. ACCOUNT ITEM LIST: Description 123.90 Account Code Current Pmts PLUMBING - RES 000.322.103.00.00 123.90 Total: $123.90 doc: Receiot -06 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: htqx//www.ci.tukwila.wa.us Parcel No.: 4293500000 Address: 15625 42 AV S TUKW Suite No: Applicant: GREEN RESIDENCE RECEIPT Permit Number: Status: Applied Date: Issue Date: PG10 -140 ISSUED 10/08/2010 10/08/2010 Receipt No.: R10 -02027 Initials: User ID: Payee: WER 1655 Payment Amount: $.10 Payment Date: 10/08/2010 03:54 PM Balance: $0.00 JJ CREATIVE CONSTRUCTION TRANSACTION LIST: Type Method Descriptio Amount Payment Cash Authorization No. ACCOUNT ITEM LIST: Description Account Code .10 Current Pmts MAPS /PUBLIC /MAILING 000.341.500 Total: $.10 .10 doc: Receipt -06 Printed: 10 -08 -2010 (1; INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION / -0 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431 -2451 (206) 431 -3670 Proje t: B �j Q ier.J ,& Jam` Ty of Inspection: %� r r,)c� r �� f (J�tf Ad ress:- IS.'7 [, C 42,ES, Date Called: Special Instructions: ec �rQC� ( /� J �7J8 W/ � .>f---" c e (j), RA-At "Phone Date Wanted: 1 0 -( 3 -(0 p.m. Requester: No: ?t0 Co - 25 0 --1 c133 Approved per applicable codes. orrections required prior to approval. COMMENTS: 1 w I i " Inspe( tor: " Date: REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 03 -02 -2011 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director JOSE HERNANDEZ 1400 WITHWORTH AV S RENTON WA 98055 RE: Permit No. PG10 -140 15625 42 AV S 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 04/11/2011. 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 04/11/2011, 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, Bill Rambo Permit Technician File: Permit File No. PG10 -140 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 Contractors or Tradespeople Pf 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 J & J CREATIVE CONSTRUCTION UBI No. 602594441 Phone 2062501933 Status Active Address 1400 Withworth Ave S License No. JJCREJC943KZ Suite /Apt. License Type Construction Contractor City Renton Effective Date 5/9/2006 State WA Expiration Date 9/30/2011 Zip 98055 Suspend Date County King Specialty 1 Cabinets, Millwork And Finish Carpentry Business Type Individual Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date HERNANDEZ, JOSE LUIS Owner 05/09/2006 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 2 AMERICAN CONTRACTORS INDEM CO 100021820 04/26/2007 Until Cancelled $6,000.0006/22/2007 /15/2010 1 LINCOLN GEN INS CO 661117400 04/26/2006 Until Cancelled 05/17/2007 $6,000.0005/09/2006 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 5 AMERICAN STATES INS CO 01CH11802550 04/26/2010 04/26/2011 $1,000,000.0003 /15/2010 4 AMERICAN STATES INS CO 01CH11802540 04/26/2009 04/26/2010 $1,000,000.0003 /18/2009 3 AMERICAN STATES INS CO 01CH11802502 04/25/2008 04/25/2009 $1,000,000.00 03/21/2008 2 AMERICAN STATES INS CO 01CH11802501 04/12/2007 04/12/2008 $1,000,000.00 04/05/2007 1 GENERAL INSURANCE COMPANY OF A 01CH11802501 04/26/2006 04/26/2007 $1,000,000.0005 /09/2006 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 10/08/2010