Loading...
HomeMy WebLinkAboutPermit PG11-078 - KIEHLBAUCH RESIDENCEKIEHLBAUCH RESIDENCE 15630 47 AV S PG1 1 -078 Parcel No.: Address: City of/Tukwila O 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 8108600802 15630 47 AV S TUKW PLUMBING /GAS PIPING PERMIT Project Name: KLIENBAUCH RESIDENCE Permit Number: Issue Date: Permit Expires On: PG11 -078 06/02/2011 11/29/2011 Owner: Name: Address: Contact Person: Name: Address: Email: KIEHLBAUCH JOSEPH A+MARILYN 15630 47TH AVE S , TUKWILA WA 98188 ROBERT HOLMGREN Phone: 253 - 261 -5114 4322 SW HOLLY ST , SEATTLE WA 98136 Contractor: Name: O'NEILL PLUMBING CO Address: 6056 CALIFORNIA AVE SW , SEATTLE WA 98136 -1613 Contractor License No: ONEILP *253DP Expiration Date: 03/17/2013 Phone: (206)932 -5283 DESCRIPTION OF WORK: REPLACE HOT & COLD WATER LINES Value of Plumbing /Gas Piping: $7,700.00 Fees Collected: $47.25 Electrical Service Provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: W Uniform Plumbing Code Edition: 2009 International Fuel Gas Code Edition: 2009 Date: VI-1A 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: Date: 2 (/ Print Name: 1 e. (trxz c.- G 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 -078 Printed: 06 -02 -2011 0 • PERMIT CONDITIONS Permit No. PG11 -078 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 Boor /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 -078 Printed: 06 -02 -2011 CITY OF TUKWIA Community DevelopW Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Plumbing/Gas Omit No. .V6 [ l -- 07 O 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: C �7 to 7? j9 - so. Tenant Name: / 4aell Property Owners Name: 5 91M g 1 g 4 bpoe Mailing Address: / la; d L-12-741 /91)6 S/) King Co Assessor's Tax No.: Suite Number: New Tenant: Floor: ❑ Yes I .. No City State Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: Mailing Address: 4'3 22- Sr Le--).. 7 (-6 Co City E -Mail Address: A/ J�b G M d a $ AA , Fax Number: 01.d to 2,2. 3 66Fq / 74L V��2 -F�, Day Telephone: 9036 State Zip PLUMBING / GAS PIPING CONTRACTOR INFORMATION Company Name: D/ VS) - PLU JtiD Mailing Address: (0 ( 5 4 / / iiiZ I � � %A L . S W' Contact Person: E -Mail Address: [A) L 'L , DNe /LL /)r.,1) IW',j1 A)� ► h) Contractor Registration Number: r% N / L p * AA),81-y / 0413p 5 orpte 9t/3 6 City Day Telephone: Fax Number: Expiration Date: j Z - 3) a61 // State Zip o 6 q3 z Sa.0 2-o4 4.37 `t563 [—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 Permit Application.doc Revised: 7 -2010 bh City Day Telephone: Fax Number: State Zip Page 1 of 2 Valuation of Project (contractor's bid 410): $ 7� 7 DD , • Scope of Work (please provide detailed information): g4pL I C HUT ( L8- w47,572-/ L/ Nb:S Building Use (per Int'l Building Code): Occupancy (per Int'I 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 I ` 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 OWNER OR AUTHORIZED AGENT: Signature: J ©C `e (l b w Print Name: 1 -i'e Mailing Address: /5-6 3 O 0-"? c4 Date Application Accepted: Date: Co—cZ- 1/ Day Telephone: ,2.06 -. (43 3 4.3g-3 City State Zip Date Application Expires: Staff Initials: HAApplications\Forms-Applications On Line12010 Applications17 -2010 - Plumbing -Gas Piping Permit Application.doc Revised: 7 -2010 bh 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. &ov Parcel No.: 8108600802 Address: 15630 47 AV S TUKW Suite No: Applicant: KLIENBAUCH RESIDENCE RECEIPT Permit Number: PG11 -078 Status: PENDING Applied Date: 06/02/2011 Issue Date: Receipt No.: R11 -01112 Payment Amount: $47.25 Initials: WER Payment Date: 06/02/2011 01:05 PM User ID: 1655 Balance: $0.00 Payee: JOSEPH KLIENBAUCH TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 00533C 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: 06 -02 -2011 INSPECTION NO INSPECTION RECORD Retain a copy with permit P6{f--«i PERMIT N0. CITY OF TUKWILA BUILDING DIVISION C 6300 Southcenter Blvd., #100, Tukwila. WA 98188 , (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 P k:e 'ect: AFL &w�' (7 Type f Inspection: ' f Pt ,J AN& i Address: IS (030 4r ',lam Date Call d: RJc - ,.-- --, Special Instructions: o 5 c)--/ 517 — b( Date Wanted: a.rr 10-1.-f--- i( pain. Requester: Phone No: 253 -2C —SII/4 Approved per applicable codes. Q ya EiCorrections required prior, to approval. V r COMMENTS: - r oj k& LA) J,„. (4 13 pdA (Te -t , DnS A4 4 f r r / ) . , � / •` 1A` P 1 ,`ii 1, I Insp¢ctor: Date: [0 ::v 4'g k . a F . • n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must bk. '1" paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection,. : - rtIV:r7771"7MtiqP•":;%,"77 ''''.4`r 7'.741W-t" ." 7- ' : ';'; 1,1-5 5.- 'V= 7 '''74''.7.71`. '7;.- 9.'Vf.. 1 INSPECTION RECORD n ‘ ti o y r --i • •• Retain a copy with permit INSPECTION NO. PERMIT NO. - CITY OF TUKWILA BUILDING DIVISION C"A. 6300 Southcenter Blvd., #100, Tukwila. WA 98188 431-3670 . ': Permit Inspection Request Line (206) 431-2451 1' Project: IS-116141_,CSA-u4 i /Lei. Type of Inspection: R-ou6i-t -t--4,-) Pku Ak8 Address: Date Called: --ro & j 6\ t,M.s ck er. • 401-ii-; 1 3A . lc .n Special Instructions: Date Wanted:(0 2....., , t — I( a.m. ‹.-11......9".4 Requester: AS ik--‘/4` -& ' Phone No: EiApproved per applicable codes. Corrections required prior to approval. COMMENTS: e c..; r-. e E.,( (—le : • - (--;) tk,q6otk -Ty) (1.A-Gti( e _sk 0 G3 E,!_,L.- .7.- -----tvetil ,sjaitiff-,ei(a) A-ft GA--p --ro & j 6\ t,M.s ck er. • 401-ii-; 1 3A . lc .n ) TrA-c-FA't ( )-4 4 IA-, ^ -e7 __ • 1 --0, 1),‘ k) A fie. el • Ken "r.N.2T A -ti .5 hi 6 r tk c) es 41 . .7,-1, ,Ct ! / _A)—e•ii( . . ( -.7-..vii-4-4 t ski A-,! 1 D 1 •-J 60) Ek`Tei/ 0 1 AS ik--‘/4` -& ' ,.............,, • , Inspe tor: rate: 1 ri REINSPECTION FEE REQUIRED. Prior to next inspection, fee must.be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. 3 3 7! • Contractors or Tradespeople Peter 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 O'NEILL PLUMBING CO UBI No. 600144508 Phone 2069325283 Status Active Address 6056 Calif Ave Sw License No. ONEILP *253DP Suite /Apt. License Type Construction Contractor City Seattle Effective Date 3/17/1975 State WA Expiration Date 3/18/2013 Zip 981361613 Suspend Date County King Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date O'NEILL, TERRY C Cancel Date 01/01/1980 Amount O'NEILL, WENDY 22 01/01/1980 602471001 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 7 WESTERN SURETY CO 69778008 02/20/2007 Until Cancelled $12,000.00 03/01/2007 6 WESTERN SURETY CO 69778008 03/17/2005 02/20/2007 $6,000.00 03/22/2005 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 22 Truck Ins Exchange 602471001 04/26/2007 04/26 /2012 $2,000,000.00 03/10/2011 21 TRUCK INSURANCE EXCHANGE 602471001 04/26/2006 04/26/2007 $2,000,000.00 04/26/2006 20 TRUCK INS EXCHANGE 602471001 04/26/2005 04/26 /2006 $2,000,000.00 04/25/2005 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 06/02/2011