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Home My WebLink AboutPermit PG11-001 - ROMNEY RESIDENCEROMNEY RESIDENCE 14252 59 AV S PG1 1-001 City ooru kwila ti 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.: 3365901355 Address: 14252 59 AV S TUKW Project Name: ROMNEY RESIDENCE PLUMBING /GAS PIPING PERMIT Permit Number: PG11 -001 Issue Date: 01/10/2011 Permit Expires On: 07/09/2011 Owner: Name: ROMNEY DAVID S +PATRICIA S Address: 14252 59TH AVE S , TUKWILA WA 98168 Contact Person: Name: DAVID ROMNEY Address: 14252 59 AV S , TUTKWILA WA 98168 Email: DSROMNEY @YAHOO.COM Contractor: Name: AMERIGAS PROPANE L P Address: 2831 74 DR NE , MARYSVILLE WA 98270 Contractor License No: AMERIPL055LL Phone: 425 466 -3855 Phone: 425 - 212 -9972 Expiration Date: 07/11/2011 DESCRIPTION OF WORK: INSTALL 250 GALLON PROPANE TANK AND GAS LINE FOR PROPANE FURNACE (M11-001). Value of Plumbing /Gas Piping: $200.00 Uniform Plumbing Code Edition: 2009 Fees Collected: $120.75 International Fuel Gas Code Edition: 2009 Permit Center Authorized Signature: Loa r),,,e, 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 and agree to the conditions on the back Signature: /el , � (\1A Date: av� ) 041_2011 IfYi Y1 Print Name: 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 11 -001 Printed: 01 -10 -2011 • • PERMIT CONDITIONS Permit No. PG11 -001 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 PG 11 -001 Printed: 01 -10 -2011 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us Plumbing /Gas Permit No. 1' �l1 -doh 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.: 3 3 (6. f 7 0 f rb I ZS` Z .�9 *Ale Sau Sit Address: � ! /� Suite Number: Floor: t ,� Floor: l ( ult 9 J6ff ➢�I It Vim'` ❑ Yes ❑..No Property Owners Name: ?),A1)./ •�� ' "�J�� } `, ` /x Mailing Address: /11 2 Z Si/ 9 era-4, e "'L t �" w r City / State. Zip CONTACT PERSON Who do we contact when your permit is ready to be issued Name: DA- v i J 1 —o -f L/ Day Telephone(' Z 7 Mailing Address: ! 4/2-6-2— 6'9.74 e ¶ e)2.11-4 b � �(� % City State Zip E -Mail Address: C(S A-()(1 u67)/ 4) aloe, C W Fax Number: PLIJMBING / GAS PIPING CONTRACTOR INF RMATION Company Name: ,4 i k` Z & Ct Ski ��1� CL 't-L �y Mailing Address: 1 9 ZYq 71 qi �UUI k Contact Person: PA V l L -J k& pEtJ E -Mail Address: Contractor Registration Number: r /& tL% 1- ��. 3 Z City State �i Zip Day Telephone: (Z s3) / 2 " 4, /3 Fax Number: Expiration Date: ARCIIITECT 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 Zip H:\Applications\porms- Applications On Line \2010Applications \7 -2010 - Plumbing -Gas Piping Permit Applicadon.dac Revised: 7 -2010 bh Page 1 of 2 Valuation of Project (contractor's bid . $ 0 -- Scope of Work (please provide detailed information): 5(At -L 2S-0 4141 I -5 1/)L Building Use (per Int'l Building Code): Occupancy (per Int'I Building Code): Utility Purveyor: Water: type of plumbing fixtures and /or gas piping outlets being installed and the quantity below: �� ..•• __ T _ .. _ Rol �'I Sewer: «141. • J t/ t F(_UL' Lo( $-?`"c/)�& ft' /A-PgGt- Clothes washer, domestic Dental unit, cuspidor Bathtub or combination bath/shower Dishwasher, domestic, with inde.endent drain Shower, single head trap Drinking fountain or water cooler .er head Lavatory Food -waste grinder, commercial Wash fountain Floor Drain Receptor, indirect waste Water Closet Building sewer and each trailer .ark sewer Rain water system — per drain (inside building) Industrial waste treatment interceptor, including trap and vent, except for kitchen e rease interce.tors Grease interceptor for commercial kitchen ( >750 gallon capacity) Each additional medical gas inlets /outlets greater than 5 Repair or alteration of water piping and/or water treatment equipment Repair or alteration of drainage or vent piping Each grease trap (connected to not more than 4 fixtures - <750 allon ca.aci Medical gas piping system serving 1 -5 inlets /outlets for a s.ecific as Backflow protective device other than atmospheric -type vacuum breakers 2 inch (51 mm) diameter or smaller Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections (1 -5) Atmospheric -type vacuum breakers not included in lawn sprinkler backflow .rotections over 5 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 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 pwiohi n180 days fdlowing the The xtapplic shall be lle x re bynimi tangn. The Building Official may grant one extension of time or an and justifiable cause demonstrated. Section LOAD International I HEREBY CERTIFY THAT I HAVE RE AND E XAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE E LAWS OFD HE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. Date:3'0 BUILDING OWNER OR THORIZ)D �� NT: Signature: it /. Print Name: Mailing Address: Date Application Accepted: 1.4` Z-0 /0 ti�C-�V&7-zz ?9 Day Telephones Date Application Expires: cr us H:\Applications\Forms- Applications On Line\2010'Applications \7 -2010 - Plumbing -Gas Piping Permit Application.doc Revised: 7 -2010 bh Page 2 of 2 Cillof Tukwila. 4 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 SET RECEIPT RECEIPT NO: R11 -00013 Initials: JEM Payment Date: 01/05/2011 User ID: 1165 Total Payment: 414.56 Payee: DAVID S. ROMNEY SET ID: S000001462 SET NAME: Tmp set/Initialized Activities SET TRANSACTIONS: Set Member M11 -002 PG11 -001 TOTAL: Amount 293.81 120.75 293.81 TRANSACTION LIST: Type Method Description Amount Payment Check 2867 414.56 TOTAL: 414.56 ACCOUNT ITEM LIST: Description Account Code Current Pmts GAS - RES MECHANICAL - RES PLAN CHECK - RES 000.322.103.00.0 000.322.102.00.0 000.345.830 96.60 235.05 82.91 TOTAL: 414.56 INSPECTION RECORD Retain a copy with permit INSPECTI NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 "QHX/ PERMIT NO. i.R- (206)431 -3670 Project: 4"7 4%i iC U Type of nspection: /�� . /,Aa I f Address: �� Date Called: i `--Jr/ 14/' Speaallnstrons: " Date Wanted: 1-/-/Y-1/ // p.m. Requester: Phone No: Approved per applicable codes. fJ Corrections required prior to approval. COMMENTS: Olt' Inspector: J Date: _ /Of.1. I ❑ $60.00 REINSPECTION (E REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. L1-1/H/ Receipt No.: Date: — 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 Project: //%� Type nspection: Address: 752 y � . S. Date Ca ed: 9/ C>k - -- ,/ Special structions: • Date Wanted: b../ .--I / a. p.m. Requeste4: ! Phone No: Approved per applicable codes. ❑ Corrections required prior to approval. 24,44 COMMENTS: i)151-€,-1-5% 2;) c/e 749 m (/ /-, s•'4�,1 e.4' 74- /47 ( "fre-AleS r1 , $60.00 REINSPECTION EE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: r. INSPECTION NO. INSPECTION RECORD p6. O Retain a copy with permit PEIJ T NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: Typpee+of Inspecti Address: Date Called: Special Instructions: 1-2,4-, Date Wanted /,6 // ¢r Requester: Phone No: 0 Approved per applicable codes. Corrections required prior to approval. COMMENTS P / st et )71 iffe);1421''';115 0.0 L. f% to k ." /''r el,, A / S Inspector: Date: 1-/ i ✓i/ El $60.00 REINSPECTION E REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERpII I NO.'„ CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206)431- 3670, Permit Inspection Request Line (206) 431 -2451 Project: in e � n Type of Inspection: � yy .; Addres : Uctio*Z � ate Ca lee Special ate Wanted: i /141/ a.m Requester: Phone No: Approved per applicable codes. Corrections required prior to approv COMMENTS: Date: n REINSPE TION FEE R } UIRED. Prior to next inspection, fee must be , d-atb300 outhcenter Blvd., Suite 100. Call to schedutepreinspection. ar 1017 0 • rim t& EL 2 1Nc.Cetiks berk ill o� F_ � " e r 141411)177, 6 P Tao_ t P r ��u0e: c Ate" Iti TAdU- v /g U D a toy- 1-0 ;V0 Tra_i peect„ct (k4 Ha" IMP" to tat kWo_ SERA RAT REQthR E Med ErElec c Pfum D Gas .v of (42 N4cft /of It OT ire REVISIONS ges shall po made to the s rk without prior approval of kwila Building Division. ions will req ire a new p ±3n sub a �'ude addit final plan ravicw f:c 8 REVIEWED FOR CODE COMPLIANCE APPFPA1iED JAN 0 6 2011 ll-S w� Cd,GFTI pAc 'Awe- I c cf.D c4- `a ,cl BUILDING DIVISION O s � a 67- o p_ (fa us ( cxxyRrankxn JAN. 0 5 2011 PERMITCENTER if de 5oral-4 /rodcceic(c, CgA5 p(P^ Pte`( C7t I Do 17 338590 1155 1 82 16 • 4 1475 ,7,9 20 67' P,C1 c •' kfrAgri 1. '1485 s'b ,!..s,7,4• 6568# 1485 /1 • 0.• • 96- ,.•••,•••••■••••• 1,•••,•:•••r• 15 eSi 1145 14 11284-o- 1140 13 1.1284#d 201 1 20 t. , .1. . .1 113 3365901 1131 , eq 1 1 . 201 20. 1 .97 .• • '5:16.596 262.O0i's 1460 338693. 1450 8250#s, 17' 1450 9. 81-50 fa 050#s ev Ock'S 135& 1355: .11.2.85# 134' 12 15 336690.. 1237 12998 SF 1237' 97 • *. -; 338590' Igo .261%. 5 ,1,22,7t 1345 . 6S. 33650. 1445' 16 1445 0 •S; • 9 1435 • 3r453580 i tBD 1425 14 ...2900# 1425 / 12900 • .1420 11 388590- 134' 1346 I 125604s d11, 11! 10.5 •••••• '••• 0 .336590 111.0,4.0.71" CODE COMPLIANCE APRIMVED JAN 06 [oil 19200 SF City of Tukwila 1320 'au ,fi‘ip• 155 CITYRSICRALA JAN. 05 /011 PERMIT CENTER 1330 � PERMiT COORD COPS PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG11 -001 DATE: 01/05/11 PROJECT NAME: ROMNEY RESIDENCE SITE ADDRESS: 14252 59 AV S X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # after Permit Issued EPARTMENTS: rVti\ ullding ivision Public Works ❑ Fire Prevention Structural Planning Division Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: Incomplete n DUE DATE: 01/06/11 Not Applicable Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TOES /THURS ROUTING: Please Route Structural Review Required 1 REVIEWER'S INITIALS: No further Review Required ❑ DATE: APPROVALS OR CORRECTIONS: Approved Notation: REVIEWER'S INITIALS: Approved with Conditions DUE DATE: 02/03/11 Not Approved (attach comments) n DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents/routing slip.doc 2 -28 -02 Contractors or Tradespeople Printer Friendly Page Page 1 of 2 II r 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 AMERIGAS PROPANE L P UBI No. 601619800 Phone 4252129972 Status Active Address 2831 74Th Dr Ne License No. AMERIPL055LL Suite /Apt. License Type Construction Contractor City Marysville Effective Date 6/13/1995 State WA Expiration Date 7/11/2011 Zip 98270 Suspend Date County Snohomish Specialty 1 General Business Type Partnership Specialty 2 Unused Parent Company enses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status AMERI "101 BP AMERIGAS Construction Contractor General Unused 1/17/1990 5/ 1 / 1996 Archived GASSYE'112P7 GAS SYSTEMS ENGINEERING Construction Contractor General Unused 10/27/1989 5/1/1991 Archived CALGA "136RJ CAL GAS Construction Contractor General Unused 12/11/1987 5/1/1990 Archived CALGA "213NMCAL GAS Construction Contractor General Unused 8/14/1979 5/1/1988 Archived Business Owner Information Name Role Effective Date Expiration Date MAUCH, ROBERT C Partner 06/13/1998 Amount GOMEZ, LUIS A Partner 06/13/1998 HDOG24942570 KNAUSS, ROBERT H Partner 06/13/1998 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 2 SAFECO INS CO OF AM 5799215 06/08/2002 Until Cancelled $12,000.00 06/27/2002 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 16 ACE AMERICAN INS CO HDOG24942570 07/01/2010 07/01/2011 $1,000,000.00 06/28/2010 15 ACE AMERICAN INSURANCE CO HD0G2493259A07/01/2009 07/01/2010 $1,000,000.0007 /13/2009 14 ACE AMERICAN HD0G23743759 07/01/2008 07/01/2009 $1,000,000.00 06 /23/2008 13 INDEMNITY INS CO OF N AMERICA HDOG23726701 07/01/2007 07/01/2008 $1,000,000.00 07/02/2007 12 ACE AMERICAN INS CO HDOG21734561 07/01/2006 07/01/2007 $1,000,000.00 07/03/2006 11 ACE AMERICAN INS CO HDOG21718099 07/01/2005 07/01 /2006 $1,000,000.0007 /05/2005 10 ACE AMERICAN INS CO HDOG21707478 07/01/2004 07/01/2005 $1,000,000.00 07/06/2004 https:/ / fortress .wa.gov /lni/bbip /Print.aspx 01/10/2011