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HomeMy WebLinkAboutPermit PG11-120 - PUKI RESIDENCEThis record contains information which is exempt from public disclosure pursuant to the Washington State Public Records Act, Chapter 42.56 RCW as identified on the Digital Records Exemption Log shown below. PG 11 -120 Puki Residence 3748 South 152nd Street RECORDS DIGITAL D- ) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION Page # tode Exemption = 8rlef Explanatory DeSclriptiop �t�tutel ule The Privacy Act of 1974 evinces Congress' intent that social security numbers are a private concern. As such, individuals' social security Personal Information — numbers are redacted to protect those Social Security Numbers individuals' privacy pursuant to 5 U.S.C. sec. 5 U.S.C. sec. DR1 Generally — 5 U.S.C. sec. 552(a), and are also exempt from disclosure 552(a); RCW 552(a); RCW under section 42.56.070(1) of the Washington 42.56.070(1) 42.56.070(1) State Public Records Act, which exempts under the PRA records or information exempt or prohibited from disclosure under any other statute. Redactions contain Credit card numbers, debit card numbers, electronic check numbers, credit Personal Information — expiration dates, or bank or other financial RCW 10 DR2 Financial Information — account numbers, which are exempt from 42.56.230(5) RCW 42.56.230(4 5) disclosure pursuant to RCW 42.56.230(5), except when disclosure is expressly required by or governed by other law. PUKI RESIDENCE 3748 S 152 ST EXPIRED 02 -05 -12 PG1 1 -120 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 Parcel No.: 0041000640 Address: 3748 S 152 ST TUKW Project Name: PUKI RESIDENCE PLUMBING /GAS PIPING PERMIT Permit Number: PG11 -120 Issue Date: 08/03/2011 Permit Expires On: 01/30/2012 Owner: Name: WELLING MICHAEL G Address: 3748 S 152ND ST , SEATTLE WA 98188 Contact Person: Name: NEAL MARKLEY Address: 13706 27 ST SE , SNOHOMISH WA 98290 Email: PUGETSOUNDGAS @GMAIL.COM Contractor: Name: PUGET SOUND GAS Address: PO BOX 1988 , SNOHOMISH WA 98291 Contractor License No: PUGETSG984N8 Phone: 425 - 343 -5566 Phone: 360 - 565 -5731 Expiration Date: 10/01/2012 DESCRIPTION OF WORK: CONNECT INTO EXISTING METER, RUN PIPE APPROXIMATELY 30 FEET UNDER THE HOUSE TO BACKSIDE. EXIT BACK OF HOUSE AND GO ABOUT 75 FEET UNDERGROUND TO SHOP. Value of Plumbing /Gas Piping: Fees Collected: Electrical Service Provided by: Permit Center Authorized Signature: $1,600.00 $96.60 Uniform Plumbing Code Edition: 2009 International Fuel Gas Code Edition: 2009 Date: 9- 3-1.1 I hereby certify that 1 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: 4/e4 / 1/14 k 4/ This permit shall become null and void if the ork 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. Date: doc: UPC -4/10 PG11 -120 Printed: 08 -03 -2011 • • PERMIT CONDITIONS Permit No. PG 11 -120 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 -120 Printed: 08 -03 -2011 CITY OF TUKWO Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: / /www.TukwilaWA.gov • Plumbin Gas Permit No. T& I— D-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: 3'7 LI7 S. 1.5 *--4 s f Tenant Name: r, Property Owners Name: ,)kV7,t pp Mailing Address: 3 -1 S . 15 ' n/A f King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: ❑ Yes ❑ .. No City 6116t - State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: &ea.` rvV.,,,kk`or Mailing Address: / )50b joZ 5 'a' Li E -Mail Address: us -e-el-5 VA CA r-� Day Telephone: 9;2 S -3 t/ J- .S...57b ., .5no kbw"-' SL. Oa-- -f 5?-.? 0 City State Zip e.0 41---\... Fax Number: 105- 371- J`lO S PLUMBING / GAS PIPING CONTRACTOR INFORMATION Company Name: f us So fj, 4-4.5 Mailing Address: 3') b 6 9..t, f- k S+ SE- Sne 6w,: s wet- g Sr Z9 0 Contact Person: / L e &.' f k k E -Mail Address: v L°�54 i t r• et 5 Contractor Registration Number: 1 ) 0 6 - 4 E ' 1 1 5 9y1 City State Zip Day Telephone: L(' 3 /3 -S- 5- if, Fax Number: L1 X 37t - j9 ®� Expiration Date: C;1 9 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 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: May 2011 bh Page 1 of 2 Valuation of Project (contractor's bid prig" $ /(4 10. 64:7 Scope of Work (please pr ide detailed info ation): • , , e e� r ) O -0 aiav 115".ee --I- v.-‘ v:1 no -0 5 Building Use (per Int'l Building Code): GC.A.45 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. BUILDINGgER R AU 0 Signature: Print Name: D AGENT: 4d Mailing Address: /.750.6 c�a< 5f it' S,t©Jbrs.: 5 City Date: NI' Day Telephone: t S-3 Y 3 -5 .6 Zip L.t./ek State Date Application Accepted: Date Application Expires: Staff Initials: HAApplications\Forms- Applications On Line12010 Applications17 -2010 - Plumbing -Gas Piping Permit Application.doc Revised: May 2011 bh Page 2 of 2 III �J��I�Q "'qs City of Tukwila of �y 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 Parcel No.: 0041000640 Address: 3748 S 152 ST TURIN Suite No: Applicant: PUKI RESIDENCE RECEIPT Permit Number: PG11 -120 Status: PENDING Applied Date: 08/03/2011 Issue Date: Receipt No.: R11 -01664 Initials: User ID: WER 1655 Payment Amount: $96.60 Payment Date: 08/03/2011 11:12 AM Balance: $0.00 Payee: NEAL MARKLEY TRANSACTION LIST: Type Method Descriptio Amount Payment Check 3342 96.60 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts GAS - RES 000.322.103.00.00 96.60 Total: $96.60 doc: Receiot -06 Printed: 08 -03 -2011 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 Pr ect: j� (} rug, .. ieS . _GEC ?. Type of Inspection: • UAJOu r U A* Address: �„� 74 152- Date Called: " Special Instructions: p 1 i_., • % SLl d P Date Wanted: .G ��aTrr, d ,q- I' P.m. Requester: Phone_ N2: 5 _ 313 _SSW,, Approved per applicable codes. a Corrections required prior to approval. COMMENTS: Inspect r: • cHL,r1 • 6 Date: C/', -. ❑ REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director NEAL MARKLEY 13706 27 ST SE SNOHOMISH WA 98290 RE: Permit No. PG11 -120 PUKI RESIDENCE 3748 S 152 ST 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 02/05/2012. 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 02/05/2012, 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. PG11 -120 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206- 431 -3665 Contractors or Tradespeople liter 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 PUGET SOUND UBI No. 601817947 GAS Phone 3605685731 Status Active Address Po Box 1988 License No. PUGETSG984N8 Suite /Apt. License Type Construction Contractor City Snohomish Effective Date 8/28/2002 State WA Expiration 10/1/2012 Date Zip 98291 Suspend Date County Snohomish Specialty 1 Heating /Vent /Air- Conditioning And Refrig (Hvac /R) Business Type Individual Specialty 2 Unused Parent Company Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status MARKLM'022CF MARKLEY MECHANICAL Construction Contractor Metal Fabrication Air Heat,Ventilation,Evaporat 2/6/1998 9/13/2003 Archived PUGETSG0380N PUGET SOUND GAS Construction Contractor Metal Fabrication Air Heat,Ventilation,Evaporat 9/15/1997 9/12/1998 Archived Business Owner Information Name Role Effective Date Expiration Date MARKLEY, NEAL EDWARD Owner 08/28/2002 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 3 CBIC SB1463 09/12/2001 Until Cancelled 09/09/2005 $6,000.00 09/13/2001 Assignment of Savings Information Savings Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 1 8/31/2006 Until Released Bond $6,000.00 9/1/2006 Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 9 FARMERS INS EXCHANGE 035020044 08/03/2009 08/03/2011 $2,000,000.00 07 /02/2010 8 FARMERS INS EXCHANGE 035020044 08/03/2008 08/03/2009 $2,000,000.00 09 /23/2008 7 FARMERS INS EXCHANGE 35020044 08/23/2007 08/23/2008 $2,000,000.00 09 /21/2007 6 FARMERS INS EXCHANGE 35020044 08/23/2006 08/23/2007 $2,000,000.00 09 /01/2006 5 FARMERS INS EXCHANGE 602224044 02/12/2005 02/12/2006 $2,000,000.00 03/18/2005 Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 08/03/2011