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Permit PG11-076 - HEATHERWOOD APARTMENTS - BUILDING
HEAThERWOO APARTMENTS 5851 S 152 ST Parcel No.: Address: City oftukwila 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.TukwilaWA.gov 5851 S 152 ST TUKW PLUMBING /GAS PIPING PERMIT Project Name: HEATHERWOOD APARTMENTS - BLDG B Permit Number: PG11 -076 Issue Date: 06/01/2011 Permit Expires On: 11/28/2011 Owner: Name: Address: Contact Person: Name: MARCUS SEGARRA Address: 11831 SE 32 ST , BELLEVUE WA 98005 Email: NOT PROVIDED Contractor: Name: PIPELINE PLUMBING & CONSULTING, INC. Address: 11831 SE 32 ST , BELLEVUE WA 98005 Contractor License No: PIPELPC 101BW Phone: 253 - 880 -6136 Phone: 425 644 -2622 Expiration Date: 09/13/2012 DESCRIPTION OF WORK: REMOVE POLYBUTALINE WATER PIPING AND REPLACE WITH PEX PIPING. ADD STACK SHUT OFF VALVES. UNITS 102, 202, 302, 103, 203 & 303 Value of Plumbing /Gas Piping: Fees Collected: Electrical Service Provided by: $12,000.00 Uniform Plumbing Code Edition: 2009 $47.25 International Fuel Gas Code Edition: 2009 Permit Center Authorized Signature: 0 Date: io--(-(1 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 of this permit. Signature: Print Name: ,,,,f7.1- - Date: 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 PG11 -076 Printed: 06 -01 -2011 • • PERMIT CONDITIONS Permit No. PG11 -076 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 -076 Printed: 06 -01 -2011 CITY OF TUKWII Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Plumbing/Gassermit No. 'PG 'b—O 7 c (p 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.: Site Address: eB J ) S /6- 54 tWIVA, Suite Number: Floor: Tenant Name: ,, // � New Tenant: ❑ Yes ❑ .. No Property Owners Name: •PB17 -4-( r V1r0od °i Pwr-d-PhG {1 Mailing Address: City State Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: %?O"12 he s ,61, yr D y Telephone: oC .))2"- ego- G/g Mailing Address: ); c3 3 / S e - 3 v� ?it./ ,S4- ` /l en 1D1 ojg©os, City State Zi E -Mail Address: Fax Number: Ct p 'J ' C --o2.7156. PLUMBING / GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: Contact Person: E -Mail Address: eii lily- 2l(tm )i 9 11 g 5 - ,,- ;and 57L p,,el /9k 'e ril 5e t City Day Telephone: 5 v-,{ co.D. 19;149., rit,,,.0.0 .ecitrax Number: ka� %dc,t_z5' State Zip Contractor Registration Number: Expiration Date: ARCHITECT 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 Day Telephone: Fax Number: Contact Person: E -Mail Address: H:\ Applications \Forms- Applications On Line\2010 Applications \7 -2010 - Plumbing -Gas Piping Permit Application.doc Revised: 7 -2010 bh State Zip Page 1of2 IDate Application Accepted: Valuation of Project (contractor's bid pip: $ 102j ©o 0 • Scope of Work (please provide detailed information): (g...e ryi p VP f 2 J y /1,1,h /1-h -e. 147-ot7TiI prpail olnd re 19 lat w r -1) a.dci Sivz e s/& 4- off- vo. 1 �� w-1,' / 0a, „20,2).F002, / 0 3 0! ?0 , 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 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 OW 1 ' A • -, lr • GENT: Signature: / / /� � LIOV Print Name: 92.01 ILL 5 Mailing Address: j 1 g 3 - ' n c 57 Date: (7014-e / ) Day Telephone: 9e0- lk > 0,8005 City State Zip Date Application Expires: Staff Initials: H:1ApplicationsVorms- Applications On Line \2010 Applications17.2010 - Plumbing -Gas Piping Permit Applicationdoc Revised: 7 -2010 bb Page 2 of 2 1 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.TukwilaWA.gov RECEIPT Parcel No.: Permit Number: PG11 -076 Address: 5851 S 152 ST TUKW Status: PENDING Suite No: Applied Date: 06/01/2011 Applicant: HEATHERWOOD APARTMENTS - BLDG B Issue Date: Receipt No.: R11 -01100 Initials: WER User ID: 1655 Payment Amount: $47.25 Payment Date: 06/01/2011 03:26 PM Balance: $0.00 Payee: PIPELINE PLUMBING (PHONE) TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 711052 ACCOUNT ITEM LIST: Description 47.25 Account Code Current Pmts PLUMBING - NONRES 000.322.103.00.00 47.25 Total: $47.25 doc: Receiot -06 Printed: 06 -01 -2011 •• • • • 7..."• 4" INSPECTION RECORD Retain a copy with permit INSP CTION 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 P61 Proj t: efkAiOdD Type of I nspection: F:IJAA___ Ptui-tg, Address: pre Date C.616a.a ( Special Instructions: Date Wanted d6,- 2 2 —11 ---1 a.m. P.m. Requester: Phone No: 7 s3-sw 2 6 ' 2r- Approved per applicable codes. Corrections required prior to approval. COMMENTS: fi 2, Vag, *3p1, r eMit" tA)fit-vpl Inspcctor: 014 11V-V rat) 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 TUKWI•LA BUILDING DIVISION C- 6300 Southcenter Blvd., #100, Tukwila. WA 98188 12. (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 P t - 070 Pro{ect: VVA �" -o4 Type of Inspection: R otJ61#- . P(-) 8. Ad�dr�e�sS � s (� �� Date Called: Special Instructions: Date Wanted -- r / aim. 69 Requester: Ph 2 e-S3 - YEQ -613( Approved per applicable codes. LJ Corrections required prior to approval. COMMENTS: -� ca3J1'\ t (\ (,••■ pi2.re -4,3, 0 Inspector: Date:/ t o (-7 _ n 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 r6, 1 -07k, INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 p.., (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Pr ject: elLAJ DO A. Type L of,Inspection: et , ri,JJ-Agf Address: 5 KS I S. -- sl- Date Called: i 5 7_ Special Instructions: Date Wanted: ,............n Requester: Phone No: 7S3 - MI - (0 13A. 0 Approved per applicable codes. Corrections required prior to approval. COMMENTS: (4\fr'fe 3 73 3 inspector: Dateto c REINSPECTION FEE REQUIRED. Prior to next inspection. fee must t3e paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. • .0...pe-er114.,V11 rkkei-Atog .1-17.57115.5..5,7,T7Wff.77.r .17k-A r.,.:7••••7 • -7- aTN.r INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Projqq: 1"-v- Lueocz4 Tyq.kof Inspection: K01-- 17-4\1 pl.-, to"-it / Address. / ti- 5 Et 1 - 5 .4. 7., Date Called Special Instructions: Date Wantel: ( , a.m. / &--./ ( „,......n. Requester: Phone No 2.53 — r210 -6, 9fey 11 Approved per applicable codes. [' Corrections required prior to approval. COMMENTS: AJA tiY3 '2D3 3k ) , Ef Crke-4( Inspec Date: 1 kg Er- 1( • • • • • 2 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be ' paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 7. • ;'ire: °'•'`'r`"' r?r:C.'}7mr,`:•- +� -t. -+: -.N .- .�t.,,- ,.,.�.:-- ..�.ssp+�• —^r.. s. •�f, ?,eamc, - r�ac• =•^�+�.,yc•.°T• ''. INSPECTION RECORD Retain a copy with permit INSPE TIIN 0. PERMIT NO. �( CITY OF' TUKWILA BUILDING DIVISION v 6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Projggct: �Vmd Type Inspection: ,_,_� Au M! fCvv 6 f - - . T Address: ai Date Called: Special Instructions: Date Wanted: ( -2-If a.m. f Requester: Phon NJ Wr-- 0 — ( {3k, ElApproved per applicable codes. Corrections required prior to approval. • COMMENTS: 7 ~ f 3 R (t') •7,0.3 1 3 "3 A A • Insp 'Actor: Date: / ✓ "� y 1/ REINSPECTION FEE REQUIRE for to next inspection. fee must be paid at 6300 Southcenter-B vd.. Suite 100. Call to schedute:reinspection. Contractors or Tradespeople Prater 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 PIPELINE PLUMBNG /CONSULTNG INC UBI No. 601189310 Phone 4256442622 Status Active Address 11831 Se 32Nd St. License No. PIPELPC101BW Suite /Apt. License Type Construction Contractor City Bellevue Effective Date 1/16/1990 State WA Expiration Date 9/13/2012 Zip 98005 Suspend Date County King Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company License Name Type Specialty 1 Specialty 2 Ef Dateve Ex iirat on Status PIPELP'159NT PIPELINE PLUMBING Construction Contractor plumbing Fire Protect System 8/30/1985 8/30/1990 Archived SSCALP'1640E S & S ON CALL PLUMBING Construction Contractor Plumbing Fire Protect System 9/5/1984 8/30/1985 Archived Business Owner Information Name Role Effective Date Expiration Date FOWLER, STEVEN T B 01/01/1980 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 6 LEXON INS CO 9800271 08/30/2009 Until Cancelled $12,000.0009/16 /2009 5 DEVELOPERS SURETY & INDEM CO 748001C 08/30/2007 Until Cancelled $12,000.0009/05 /2007 4 CBIC 658195 08/30/2001 08/30/2007 10/12/2009 $12,000.0009/10 /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 19 NATIONWIDE MUTUAL INS CO ACPGL7852354529 08/30/2010 08/30/2011 $1,000,000.00 08/31/2010 18 NATIONWIDE MUTUAL INS CO ACPGL7832354529 08/30/2009 08/30/2010 $1,000,000.00 09/01/2009 17 NATIONWIDE MUTUAL INS CO ACPGL7812354529 08/30/2007 08/30/2009 $1,000,000.00 09/09/2008 16 NATIONWIDE MUTUAL INS CO ACPGL07511599155 08/30/2005 08/30/2007 $1,000,000.0008 /15/2006 15 NATIONWIDE MUTUAL INS CO ACPGL07501599155 08/30/2004 08/30/2005 $1,000,000.00 09/01/2004 14 SECURITY NATIONAL INS CO CPA05370300007 08/30/2003 08/30/2005 $1,000,000.00 07/26/2004 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 /lniThbip /Print.aspx 06/01/2011