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Home My WebLink AboutPermit PG10-141 - SHERIDAN RESIDENCESHERIDAN RESIDENCE 13013 57 AV S EXPIRED 04 -16 -11 PG1O-141 City oilkukwila 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.: 2137000030 Address: 13013 57 AV S TUKW Project Name: SHERIDAN RESIDENCE PLUMBING /GAS PIPING PERMIT Permit Number: PG10 -141 Issue Date: 10/18/2010 Permit Expires On: 04/16/2011 Owner: Name: SHERIDAN PHILLIP ROBERT Address: 13013 57TH AVE S , TUKWILA WA 98178 Contact Person: Name: PHIL SHERIDAN Address: 13013 57 AV S , TUKWILA WA 98178 Email: Contractor: Name: GREEN RIVER CONST COMPANY INC Address: 6402 S 144 ST; SUITE 1 , TUKWILA, WA 98168 Contractor License No: GREENRC 148MM Phone: 206 999 -7615 Phone: 206 - 246 -9456 Expiration Date: 07/14/2012 DESCRIPTION OF WORK: REROUTE PLUMBING TO FACILITATE SIDE SEWER CONNECTION Value of Plumbing /Gas Piping: $0.00 Uniform Plumbing Code Edition: 2009 Fees Collected: $47.25 International Fuel Gas Code Edition: 2009 Permit Center Authorized Signature: v .666t- Date: /0/4f1/6) 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 autho ty to violate or cancel the provisions of any other state or local laws regulating construction or performance of vy9rk. I . authorize to sign and obtain this plumbing /gas piping permit. Signature. Print Name: Date/0' /8 - /b 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 -141 Printed: 10 -18 -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.: 2137000030 Address: Suite No: Tenant: 1301357AVSTUKW SHERIDAN RESIDENCE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: PG10 -141 ISSUED 10/12/2010 10/18/2010 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 -141 Printed: 10 -18 -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: PA/ / 1 J 4 C✓ /2 Date• ' �Q : �✓ �0 -/ -- /0 6 doc: Cond -10/06 PG10 -141 Printed: 10 -18 -2010 LA/\ CITY OF TUKWI Community DevelopriNt Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Plumbing/GaMrmit No. Project No. P(2-l0 -loll (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/50/3 5 7 77 / cX Tenant Name: /�'&: /; tiZtG�% ✓� Property Owners Name: ./ � G� Mailing Address: /3' /3 5--2"-- A �o King Co Assessor's Tax No.2/3 700 — 0 030 Suite Number: Floor: / New Tenant: ❑ Yes 4No City l State -wz?,1f3r' CONTACT PERSON — Who do we contact when your permit is ready to be issued % n, Name: Day Telephone ?O C p7 - 7 o V$ Mailing Address: E -Mail Address: City State Zip Fax Number: PLUMBING / GAS PIPING CONTRACTOR INFORMATION Company Name: 6tGcru // Mailing Address: City Day Telephone: Fax Number: Expiration Date: Contact Person: E -Mail Address: Contractor Registration Number:6,e,PG/1/ C./ y- r/1�/✓7 State Zip 7- / % - /-Y ARCHITECT OF RECORD — All plans must be stamped by Architect of Record Company Name: Mailing Address: Contact Person: E -Mail Address: City Day Telephone: Fax Number: State Zip ENGINEER OF RECORD — All plans must be stamped by Engineer of Record Company Name: Mailing Address: Contact Person: E -Mail Address: H:\Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Plumbing -Gas Piping Perrnit Application.doc Revised: 7 -2010 bh City Day Telephone: Fax Number: State Zip Page 1 of 2 Valuation of Project (contractor's bid pri$ / • l 1, Scope of Work (please provide detailed information). /�Ljj L Pl (os'/ �/1 S /iit Building Use (per Int'l 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 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 1 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' HIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS O THE STATE OF ASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING Signatur Print Name: AGENT: l Date:/ 67 --/2 - /6 Day Telephone: ?c C 1 i l`' 7 �/ Mailing Address: Date Application Accepted: City State Zip l2 Date Application Expires: 1.2- H:\Applications\Forms- Applications On Line \2010 Applications \7 -2010 - Plumbing -Gas Piping Permit Application.doc Revised: 7 -2010 bh (' Staff Initials: Gi 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 RECEIPT Parcel No.: 2137000030 Permit Number: PG 10 -141 Address: 13013 57 AV S TUKW Status: APPROVED Suite No: Applied Date: 10/12/2010 Applicant: SHERIDAN RESIDENCE Issue Date: Receipt No.: R10 -02104 Initials: User ID: Payee: LAW 1632 Payment Amount: $47.25 Payment Date: 10/18/2010 04:26 PM Balance: $0.00 PHIL SHERIDAN TRANSACTION LIST: Type Method Descriptio Amount Payment Cash Authorization No. ACCOUNT ITEM LIST: Description 47.25 Account Code Current Pmts PLUMBING - RES 000.322.103.00.00 47.25 Total: $47.25 doc: Receiot -06 Printed: 10 -18 -2010 03 -02 -2011 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director PHIL SHERIDAN 13013 57 AV S TUKWILA WA 98178 RE: Permit No. PG10 -141 13013 57 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 04/16/2011. 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 04/16/2011, 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, R—‘'L Bill Rambo Permit Technician File: Permit File No. PG10 -141 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 Contractors or Tradespeople Per Friendly Page 1 General /Specialty Contractor A business registered as a construction contractor with LltI 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 GREEN RIVER CONST COMPANY INC UBI No. 600582949 Phone 2062469456 Status Active Address 6402 S 144Th St Ste 1 License No. GREENRC148MM Suite /Apt. License Type Construction Contractor City Seattle Effective Date 7/14/1986 State WA Expiration Date 7/14/2012 Zip 98168 Suspend Date County King Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status GREENRC158NACONSTRUCTION GREEN RIVER CO Construction Contractor General Unused 8/1/1985 7/14/1986 Archived GREENC'231CZ GREENRIVER CONSTRUCTION CO Construction Contractor Excavation /Grading Unused 2/9/1977 7/14/1985 Archived Business Owner Information Name Role Effective Date Expiration Date KNUDSON, GERRY C President 01/01/1980 Bond Amount PARSHALL, NOEL P Secretary 01/01/1980 YLI240695 Bond Information Page 1 of 2 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 7 OLD REPUBLIC SURETY CO YLI240695 07/19/2005 Until Cancelled $12,000.0006/03 /2005 6 OLD REPUBLIC INS CO YLI240695 07/14/2002 07/19/2005 $12,000.0004/15 /2002 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 20 ALASKA NATIONAL INS CO 08LPS32086 12/08/2008 12/08/2010 $1,000,000.00 12/07/2009 19 NORTH PACIFIC INS CO C06158305 07/14/2008 07/14/2009 $1,000,000.0007 /14/2008 18 UNDERWRITERS AT LLOYDS CJ0677054 07/14/2007 07/14/2008 $1,000,000.00 07/13/2007 17 UNDERWRITERS LLOYDS LONDON CJ0426116 07/14/2006 07/14/2007 $1,000,000.00 07/14/2006 16 NAVIGATORS INSURANCE COMPANY 16318A 07/14/2005 07/14/2006 $1,000,000.0007 /13/2005 15 UNDERWRITERS AT LLOYDS CJ0426116 07/14/2005 07/14/2006 $1,000,000.00 07/06/2005 https://fortress.wa.gov/lni/bbip/Print.aspx 10/18/2010