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Home My WebLink AboutPermit PG10-160 - HORTON RESIDENCENORTON RESIDENCE 1441557AVS PG10 -160 Parcel No.: Address: City ofikukwila 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 3365900470 1441557AVSTUKW Project Name: HORTON RESIDENCE PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: PG 10 -160 11/22/2010 05/21/2011 Owner: Name: Address: Contact Person: Name: Address: Email: Contractor: Name: Address: WOYVODICH MARY 14415 57TH AVE S , TUI{WILA WA 98168 RICK MOORE 7501 2 AV S ; SEATTLE WA 98108 RICKM @FOXPH.COM Phone: 206 767 -3311 FOX PLUMBING & HEATING Phone: 206 767 -3311 7501 2 AV S , SEATTLE WA 98108 Contractor License No: FOXPLH* 163LO Expiration Date: 11/16/2011 DESCRIPTION OF WORK: REPLACEMENT OF EXISTING WATER PIPE (GALVANIZED) Value of Plumbing /Gas Piping: $12,000.00 Uniform Plumbing Code Edition: 2009 Fees Collected: $47.25 International Fuel Gas Code Edition: 2009 Permit Center Authorized Signature:. Date: 42-, V2 I hereby certify that I have read and xami ed 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 and agree to the conditions on the back of t • ermit. Date: #k- Print Name: 7.170(0a1-7-- 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 PG 10 -160 Printed: 11 -22 -2010 • • PERMIT CONDITIONS Permit No. PG 10 -160 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. doc: UPC -4/10 PG10 -160 Printed: 11 -22 -2010 CITY OF TUKWI Community Developmen Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Plumbin Gasormit No. (� 0 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: 'Y/5 y Z A)& -S • Tenant Name: .3 i2/4 /115,270/1-} , Property Owners Name: �,%� ��r4F_33Q4 � 7N King Co Assessor's Tax No.: ' 4'gl 0 Suite Number: Floor: New Tenant: ❑ Yes ❑..No Mailing Address: �5l9)-,9/- ,'5 /*OJ(` City State Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: 77/01 /%%D C— Mailing Address: 752"( 2 '� /�..t= S• E -Mail Address: AC /2 h'1 e C,,L Day Telephone: - 0 7- 33/ / TZC= ??/OE City State Zip ' c Fax Number:26 —9 — ,2,54,`? PLUMBING / GAS PIPING CONTRACTOR INFORMATION Company Name: I?X PGuh11/3/ C.6- /'1 ?.(f 6r Mailing Address: 75OV 9 Z— 5- Contact Person:37/0 /2 /ZQzV2& E -Mail Address: "Jae °��i'�i •C - Contractor Registration Number:,i,4L1) ( A, 3 LO City State Zip Day Telephone:- v2 55: E, 5' % Fax Number: 0(t)— 1-263--49-5(0 Expiration Date: ARCHITECT OF RECORD — All plans must be stamped by Architect of Record Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: 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\Forms- 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 prii $ j 000.°D Scope of Work (( please provide detailed • formation): �E'�� iylL _ l') F ' 1577r/6-- G(r�27 G rz t°/,1-----5 • �C ' i1/9,0 7.13) • Lt6 4-120) ov-)(-) 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 / J 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 g Lavatory Wash fountain Receptor, indirect waste Sinks 3 Urinals Water Closet 3 Building sewer and each trailer park sewer Rain water system — per drain (inside building) /fit "tit Water heater and /or vent I 1 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. BUILDINL`OWNIJ'ROR AUTHORIZED ENT: Signature: Print Name: 2 Mailing Address: Date: /4 / %_r ` Day Telephone: 9- -2. E:19'.9 9 6,c4. d� r-2_50/ ?N7 /12-E=5: Date Application Accepted:// 0 City State Zip Date Application Expires: l Staff Initials: H:\ApplicationsWorms- Applications On Line\2010 Applications \7 -2010 - Plumbing -Gas Piping Permit Application.doc Revised: 7 -2010 bh Uage 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.: 3365900470 Address: 14415 57 AV S TUKW Suite No: Applicant: HORTON RESIDENCE RECEIPT Permit Number: PG10 -160 Status: APPROVED Applied Date: 11/22/2010 Issue Date: Receipt No.: Initials: User ID: R10 -02368 JEM 1165 Payment Amount: $47.25 Payment Date: 11/22/2010 12:00 PM Balance: $0.00 Payee: FOX PLUMBING & HEATING TRANSACTION LIST: Type Method Descriptio Amount Payment Check 47927 47.25 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts PLUMBING - RES 000.322.103.00.00 47.25 Total: $47.25 doc: Receiot -06 Printed: 11 -22 -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 P6410 Ago() Proj5ct: Res tt-0r(0d rt ( Type o Inspectio (vt /N .- ;A A- . � L Address: -4I I S 51 _ $ , Date Ca n _ J� 1 �� .---- Special Instructions: I f.), e„,_e � �� 4 ' e /''. Date Wanted: � .m. fq— ( gy. Requester: Pho a No: o�—So-7'Z Approved per applicable codes. Corrections required prior to approval. 7 COMMENTS: cm,,PAPL°1-C Inspei tor: Date: J, r 4 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION I' 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 P6;0 --(tio Project: 1-10q. TOO ReS . Type of Inspection: 14. okci >1 - %1,.., -Plum/0-, ---c.C---A b 6 0A 11,60, Address: ILti(IS 57 6v-'S Date Called: f -P .r r ,ii-v ,' �- -./�J,i k i I „L,1 /v0 r-s / S � I Special Instructions: --n) 1--7> ( � C f4 kI Date Wanted: I i— 3o — l C7 p.m. Requester: h Phone No: 206 - 7(07 -3311 Approved per applicable codes. Corrections required prior to approval. COMMENTS: ---c.C---A b 6 0A 11,60, i(---‘_._ 4 (-13 r ,P,&-eLk AA,Jt_ -1-4,i-e_. 6(0 ( k2 , L ) e Ro) r - Fe f -P .r r ,ii-v ,' �- -./�J,i k i I „L,1 /v0 r-s / S � I PP � ti --n) 1--7> ( � C f4 kI h Inspeftor: Date: n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 04 -01 -2011 • City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director RICK MOORE 7501 2 AV S SEATTLE WA 98108 RE: Permit No. PG10 -160 14415 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 05/29/2011. 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 05/29/2011, 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 -160 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 Contractors or Tradespeople Per 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 FOX PLUMBING & HEATING UBI No. 578073402 Phone 2067673311 Status Active Address 7501 2Nd Ave 5 License No. FOXPLH'163L0 Suite /Apt. License Type Construction Contractor City Seattle Effective Date 6/20/1984 State WA Expiration Date 11/16/2011 Zip 98108 Suspend Date County King Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company ther Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status FOXCUI'163L0 FOX CUSTOM INTERIORS Construction Contractor General Unused 6/20/1984 9/1/1999 Archived FOXSPR *161L0 FOX SPEEDY ROOTER Construction Contractor Other (Specify) Plumbing 6/20/1984 5/15/1986 Archived FOXPLI "242NT FOX PLUMBING /HEATING, INC Construction Contractor General Unused 8/3011976 5/15/1984 Archived FOXPLH'946Q7 FOX PLUMBING & HEATING Construction Contractor General Domestic Pump 11/27/2006 1/1/2011 Out Of Business Business Owner Information Name Role Effective Date Expiration Date BROWN, DAVID N President 06/20/1984 01/02/2007 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 10 CBIC P00980 09/01/2001 Until Cancelled $12,000.00 08/07/2001 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 30 TRUCK INS EXCHANGE 604760788 09/01/2009 09/01/2011 $2,000,000.0009 /01/2010 29 CONTINENTAL WESTERN INS CO CNP247400228 09/01/2006 09/01/2007 $1,000,000.00 08/29/2006 28 CONTINENTAL WESTERN CNP247400227 09/01/2005 09/01/2006 $1,000,000.00 08/31/2005 27 CONTINENTAL WESTERN INS CO CNP247002 09/01/2004 09/01/2005 $1,000,000.0009 /03/2004 26 CONTINENTAL WESTERN INS CO CNP2474002 09/01/2004 09/01/2005 $1,000,000.0009 /03/2004 Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 11/22/2010