HomeMy WebLinkAboutPermit PG11-128 - TORRANCE 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 -128
Torrence Residence
1384937 1h Avenue South
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
17
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.
TORRENCE RESIDENCE
13849 37 AV S
EXPIRED 07 -31 -12
PG1 1 -128
Parcel No.:
Address:
City .Tukwila
•
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
8864000660
13849 37 AV S TUKW
Project Name: TORRENCE RESIDENCE
PLUMBING /GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On:
PG11 -128
08/25/2011
02/21/2012
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Email:
RABOIN MARCIA
13849 37TH AVE S , SEATAC WA 98168
WILLIAM SMITH
18404 SE 264 PL , COVINGTON WA 98042
THOMASHAYES201 @COMCAST.NET
Contractor:
Name: DEMORE PLUMBING LLC
Address: 20015 10 AV NW , SHORELINE WA 981772
Contractor License No: DEMORPL935ML
Phone: 360 941 -6947
Phone: 206 369 -4094
Expiration Date: 08/08/2013
DESCRIPTION OF WORK:
INSTALL NEW WATER SERVICE PIPE AND MAIN SHUT OFF VALVE
Value of Plumbing /Gas Piping:
Fees Collected:
Electrical Service Provided by:
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complie
$5,700.00
$192.15
x-
with,
Uniform Plumbing Code Edition:
International Fuel Gas Code Edition: 2009
2009
Date:
ed this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
The granting of this permit does not pr e 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 • ermit.
Signature:
Print Name: t);1 ( \C lN∎.
s,�
Date: cdp�s/
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 -128 Printed: 08 -25 -2011
PERMIT CONDITIONS
Permit No. PG11 -128
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 -128 Printed: 08 -25 -2011
CITY OF TUKWILA
Community Dev ment Department
Public Works D rtment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.clov
Building tit No.
Mechanical Permit No.
Plumbing/Gas Permit No.
Public Works Permit No.
Project No.
P11- 21/
(For office use only)
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 **
ISITE LOCATION / 3/ L 7 3 771-4/ S % v,'i.ve A
King Co Assessor's Tax No.:
I ��aa ° OW/0
Site Address: / 3 I Y 57 2 2 j' cf s: 2-04/, A Suite Number:
Floor:
Tenant Name: New Tenant:
❑ Yes ❑..No
Property Owners Name:
Mailing Address: /.Z 6„2.2 eat c /' vc S Sr .t'f //c ttz-4 9, - / %'"
City State Zip
I CONTACT PERSON — who do we contact when your permit is ready to be issued
Name:
Mailing Address: C�-2 (o A
E -Mail Address:
Day Telephone: .J G 0 - ,9%.- G ? y %
Coy,, 49 4 ✓A i' ,P° ,--?
City State Zip 4-)/e".3 20 /0 C,-i sl. sly ..
>� Fax Number: „ 2�'3 -02,3 �' - y/
IGENERAL CONTRACTOR INFORMATION —
(Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5))
Company Name: 4 2 C4, - :.'1,?C / 167 A / 'f'
Mailing Address: // 5'T 5/ 5 G ,.2 a V " / C'o`;il /,� (,, J
` City..J State Zip
2
Contact Person: s , /1, :y #7 5,.•, , y�� Day Telephone: ? CG - , %' 5'C'7
E -Mail Address: 71 e .vetS ,4aZ,/c -S ;2. 0/ 0 e�,,,,t s,�l Fax Number: 25-3 - 02 3 a- �//2,5
Contractor Registration Number: .2 c/./.2--./1..7C / F ,./ti -
Expiration Date: /D /jam/ ,2 0 //
iARCHITECT 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:
[ENGINEER OF RECORD — All plans must be stamped by Engineer of Record
State
Zip
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
H.\ A.pplications\Ponns_Applications On Line\2010 Applications \7 -2010 - Permit Application.doc
Revised: May 2011
bh
City
Day Telephone:
Fax Number:
State
ZiP
Page 1 of 6
Valuation of Project (contractor's bid pri $ 37 Q!9!,
Existin lding Valuation: $ f
Scope of Work (please provide detailed in ormation): /tie k,, flee ! it, / `--T 3 41e4--1 3, •)1q t,/,A oeti3 •
• L. rs 4/e i " , :n , i et-- 4cSct 6 ,F', ` G 4 r./ . I /
� /e .' e /mac. /r. � 2 - //e ®S /e- 1� - 22 o v //e s - s 74z-- �-e,/ot y
e / �' I&9 G°�4 G� /'J - // ' / It
C' •° � P/ �- t'; Alec,/ IitS` c.% � nH %� � C h � .3 .ill
i
Will there be new rack storage? ❑ ....Yes
�..No If yes, a separate permit and plan submittal will be required.
Provide All Building Areas in Square Footage Below
PLANNING DIVISION:
Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches)
For an Accessory dwelling, provide the following:
Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling:
*Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence.
Number of Parking Stalls Provided: Standard: Compact: Handicap:
Will there be a change in use? ❑ Yes ❑ No If "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑ Sprinklers ❑ Automatic Fire Alarm
14 None ❑ Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? 0 Yes ❑ No
If "yes', attach list of materials and storage locations on a separate 8 -1/2" x 11 " paper including quantities and Material Safety Data Sheets.
SEPTIC SYSTEM
❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health
Department.
H:\Applications\ Forma - Application On Line12010 Applicationsl7 -2010 - Permit Application.doc
Revised. May 2011
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Page 2 of 6
Existing
Interior Remodel
Addition to
Existing
Structure
New
Type of
Construction per
IBC
Type of
Occupancy per
IBC
1' Floor
2nd Floor
3`d Floor
Floors thru
Basement
Accessory Structure*
Attached Garage
Detached Garage
Attached Carport
Detached Carport
Covered Deck
Uncovered Deck
PLANNING DIVISION:
Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches)
For an Accessory dwelling, provide the following:
Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling:
*Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence.
Number of Parking Stalls Provided: Standard: Compact: Handicap:
Will there be a change in use? ❑ Yes ❑ No If "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑ Sprinklers ❑ Automatic Fire Alarm
14 None ❑ Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? 0 Yes ❑ No
If "yes', attach list of materials and storage locations on a separate 8 -1/2" x 11 " paper including quantities and Material Safety Data Sheets.
SEPTIC SYSTEM
❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health
Department.
H:\Applications\ Forma - Application On Line12010 Applicationsl7 -2010 - Permit Application.doc
Revised. May 2011
bh
Page 2 of 6
i
I PUBLIC WORKS PERMIT INFORMATION - 206 -433 -0179
•
Scope of Work (please provide detailed information i 40
lJ e. Ch �..� G -�hc"r C ! � � CS 4,R L �c'i' , t! �7 ��.i1 ��
h z.,/ 71d-r4 A, ' /�9/
,Q F. yiv4 <5 4.1 rr .2 6r) S / 4 e e 4 .,cell .` .
AL /( 4e41 'ate e"
W er District
. Tukwila ❑ ...Water District #125
❑ .. Water Availability Provided
/77e 9 "14.��
Call before you Dig: 1- 800 -424 -5555
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
Se er District
.. Tukwila
■ .. Sewer Use Certificate
❑... Highline
❑ ...Valley View 0... Renton
❑ ...Sewer Availability Provided
0... Renton
0... Seattle
Septic System:
❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department
Submitted with Application (mark boxes which annlvl:
❑ .. Civil Plans (Maximum Paper Size — 22" x 34")
❑ .. Technical Information Report (Storm Drainage)
❑ .. Bond 0... Insurance 0... Easement(s)
Proposed Activities (mark boxes that apply):
❑ .. Right -of -way Use - Nonprofit for less than 72 hours
❑ .. Right -of -way Use - No Disturbance
❑ .. Construction/Excavation/Fill - Right -of -way ❑
Non Right -of -way ❑
❑ .. Total Cut
❑ .. Total Fill
cubic yards
cubic yards
❑ .. Sanitary Side Sewer
❑ .. Cap or Remove Utilities
❑ .. Frontage Improvements
❑ .. Traffic Control
❑ .. Backflow Prevention - Fire Protection
Irrigation
Domestic Water
❑ .. Permanent Water Meter Size.. •>
❑ .. Temporary Water Meter Size . '>
❑ .. Water Only Meter Size
❑ .. Sewer Main Extension Public ❑
❑ .. Water Main Extension Public ❑
>,
0... Geotechnical Report
0... Maintenance Agreement(s)
❑ .. Traffic Impact Analysis
❑ .. Hold Harmless — (SAO)
❑ .. Hold Harmless — (ROW)
0... Right-of-way Use - Profit for less than 72 hours
0... Right-of-way Use — Potential Disturbance
0... Work in Flood Zone
0... Storm Drainage
0... Abandon Septic Tank
❑...Curb Cut
0... Pavement Cut
❑... Looped Fire Line
»
0... Grease Interceptor
0... Channelization
0... Trench Excavation
0... Utility Undergrounding
WO #
WO #
WO # ❑ .. Deduct Water Meter Size
Private ❑
Private ❑
»
FINANCE INFORMATION
Fire Line Size at Property Line
❑ .. Water ❑ .. Sewer
Monthly Service Billing to:
Name:
Number of Public Fire Hydrant(s)
❑ .. Sewage Treatment
Mailing Address:
Day Telephone:
Water Meter Refund/Billing:
Name:
Mailing Address:
City
State
Zip
Day Telephone:
H: ApplicationsWormrApplications On Line12010 Application,7-2010 - Permit Application.doc
Revised: May 2011
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City
State
Zip
Page 3 of 6
MECHANICAL PERMIT INFORMATION — 206 -431 -3670
MECHANICAL CONTRACTOR INFOVVIATION
Company Name:
Mailing Address:
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
Valuation of Mechanical work (contractor's bid price): $
Scope of Work (please provide detailed information):
Use: Residential: New .... ❑ Replacement .... ❑
Commercial: New .... ❑ Replacement .... ❑
Fuel Type: Electric ❑ Gas.... ❑ Other:
Indicate type of mechanical work being installed and the quantity below:
Unit Type:
Qty
Unit Type:
Qty
Unit Type:
Qty
Boiler /Compressor:
Qty
Furnace <100K BTU
Air Handling Unit >10,000
CFM
Fire Damper
0 -3 HP /100,000 BTU
Furnace>100K BTU
Evaporator Cooler
Diffuser
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan Connected
to Single Duct
Thermostat
15 -30 HP /1,000,000 BTU
Suspended/Wall/Floor
Mounted Heater
Ventilation System
Wood/Gas Stove
30 -50 HP /1,750,000 BTU
Appliance Vent
Hood and Duct
Emergency
Generator
50+ HP /1,750,000 BTU
Repair or Addition to
iieat/Refrig/Cooling
System
Incinerator - Domestic
Other Mechanical
Equipment
Air Handling Unit
<10,000 CFM
Incinerator — Comm/Ind
H:1Applications\Forms- Applications On Line12010 Applications17.2010 - Permit Application.doc
Revised: May 2011
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Page 4 of 6
1
PLUMBING AND GAS PIPING PEWT INFORMATION — 206 - 431 -3670
PLUMBING AND GAS PIPING CONTRACTOR INFORMATION
Company Name: b,-.474/-e R ".7 ;!1
Mailing Address: 2 /.5/ /G /4vj y; t.J
Contact Person: 1/, //c' P i ? Q c ,'' o ,•
E -Mail Address:
Contractor Registration Number:
Mmoil-PLVAAAL
City
Day Telephone:
Fax Number:
Expiration Date:
w,' 98/> >
State Zip
2 -3 (of -We/
,vbl`3
Valuation of Plumbing work (contractor's bid price): $ ,�, ?CYO. Od
Valuation of Gas Piping work (contractor's bid price): $ 9
Scope of Work (please provide detailed information):
?4fit st d/ n4' v". /ve
5C' of cC
Building Use (per Int'l Building Code):
Occupancy (per Intl Building Code):
Utility Purveyor: Water:
Sewer:
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
Fixture Type:
Bathtub or combination
bath/shower
Qty
Fixture Type:
Dishwasher, domestic,
with independent drain
Shower, single head trap
Sinks
Bidet
Qty
Fixture Type:
Clothes washer, domestic
QtY
Drinking fountain or
water cooler (per head)
Food -waste grinder,
commercial
Lavatory
Wash fountain
Rain water system — per
drain (inside building)
Urinals
Water Closet
Grease interceptor for
commercial kitchen ( >750
gallon capacity)
Each additional medical
gas inlets/outlets greater
than 5
Water heater and/or vent
Repair or alteration of
water piping and/or water
treatment equipment
/
Industrial waste treatment
interceptor, including trap
and vent, except for kitchen
type grease interceptors
Repair or alteration of
drainage or vent piping
Atmospheric -type vacuum
breakers not included in
lawn sprinkler backflow
protections (1 -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
Atmospheric -type
vacuum breakers not
included in lawn
sprinkler backflow
protections over 5
Gas piping outlets
H:\ ApplicationsTonns- Applications On Line\2010 Applications \7 -2010 - Permit Application.doc
Revised: May 2011
bb
Fixture Type:
Qty
Dental unit, cuspidor
Floor Drain
Receptor, indirect waste
Building sewer and each
trailer park sewer
Each grease trap
(connected to not more
than 4 fixtures - <750
gallon capacity)
Medical gas piping
system serving 1 -5
inlets/outlets for a
specific gas
Each lawn sprinkler
system on any one meter
including backflow
protection devices
Page 5 of 6
PERMIT APPLICATION NOTES — AEI 'cable to all permits in this application
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.
Building and Mechanical Permit
The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be
requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition).
Plumbing Permit
The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested
in writing and justifiable cause demonstrated. Section 103.4.3 Uniform Plumbing Code (current edition).
I HEREBY CERTIFY THAT 1 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 O AUTHO
Signature:
Print Name: ! (i ci_ Nl. S nn
Mailing Address: /rib y s E (-74. /)L.
Date Application Accepted: US
Date: ‘3/7o? 5l
Day Telephone:C.C. O) - 6 c((-1-7-
State Zip
Date Application Expires: 02_11,., 1 I
H:\Apptications\Fonns- Applications On Line\2010 Applications\7 -2010 • Permit Application.doc
Revised: May 2011
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Staff Initials:
Page 6 of 6
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.: 8864000660
Address: 13849 37 AV S TUKW
Suite No:
Applicant: TORRANCE RESIDENCE
RECEIPT
Permit Number:
Status:
Applied Date:
Issue Date:
PG11 -128
ISSUED
08/25/2011
08/25/2011
Receipt No.: R12 -00393
Initials: WER
User ID: 1655
Payment Amount:
Payment Date:
Balance:
$63.00
01/31/2012 02:31 PM
$0.00
Payee: RICHARD TORRANCE
TRANSACTION LIST:
Type Method
Descriptio Amount
Payment Check
Authorization No.
ACCOUNT ITEM LIST:
Description
1067 63.00
Account Code
Current Pmts
PLUMBING - NONRES
000.322.103.00.00
Total: $63.00
63.00
doc: Receipt -06
Printed: 01 -31 -2012
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
SET RECEIPT
Copy Reprinted on 08 -25 -2011 at 12:20:37 08/25/2011
RECEIPT NO: R11 -01869
Initials: JEM
Payment Date: 08/25/2011
User ID: 1165 Total Payment: 1,895.33
Payee: RICHARD TORRANCE
SET ID: S000001562 SET NAME: TORRANCE RES
SET TRANSACTIONS:
Set Member Amount
D11 -291 1,703.18
PG11 -128 192.15
TOTAL: 1,703.18
TRANSACTION LIST:
Type Method Description Amount
Payment Check 1019 1,895.33
TOTAL: 1,895.33
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
BUILDING - RES
PLAN CHECK - RES
PLUMBING - NONRES
STATE BUILDING SURCHARGE
000.322.100
000.345.830
000.322.103.00.0
640.237.114
TOTAL:
1,029.50
669.18
192.15
4.50
1,895.33
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
Rr.oject: '
t ar'r- A cL 4 is kkAtt
Type of Inspection:
u 6 if -Al PLC. A.
Address:
13 4�r
n
3'1 -
Date ailed
6raJAI Wart'
Special Instructions:
Date Wanted: ,,y ( r a.m.
L- <13.315
Phone CP _ 1 Z --72- l4
Approved per applicable codes. Corrections required prior to approval. //'
COMMENTS:
�rrecY, dAJ A4A-h
Inspector:
I
i.
❑ REt�1SPECTION + FEE REQUIRED. Prio 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. 6
CITY OF TUKWILA BUILDING DIVISION
• 6300 Southceriter Blvd.; #100, Tukwila. WA 98188 /z. (206) 431 -3670
Permit inspection Request Line (206) 431 -2451
P61( -r2-�y
•-
■
•
•
PrOj r
c r c .._- RfirL4CL
Type of Inspection:
(0.W. 4 R,i P14.448
A ddt 3 •
ri sak ve.
Date Called:
Special Instructions:
._:,Dr- A !,, 11J! s` e re) y 3/ S 3 uxP
Date Wanted:. �� ( � 'l/ / a.m.
J p.m.
Requester:
Ph266,eia4I 401+47
QApproved per applicable codes.
12 erections required prior to approval.
COMMENTS:
:.;' . ,. � pt ere R. Jul L. —r- A i"� ;
._:,Dr- A !,, 11J! s` e re) y 3/ S 3 uxP
'/
Nos( Le AvA uti1e.) FOL
_ V'-
..)._-
_f__ 1, . .
gAfr_ --r-D --res-f-
1 -.- X.4-4_0 t
I i I ..SCI /yet.' R u/ u2
_- _t4(41:1 _.. -_ 4-A J f e j AA J(' p6 AIlse a c5 Jr
- ►s`i" -i1 preSSyre reovice r- Jva AJ(`
IIhsPor:
Ok.4 •
1Date:, 2 $ -
EINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
1
•
•
•
�..'1NSPECTION RECORD
!Retain a copy with permit
P6I(-
2g
INSPECTION.NO:.:.:: *; PERMIT NO.
OF TUKWILA BUILDING DIVISION
6300 Southcente, Rid., #100, Tukwila. WA 98188 , (206) 431 -3670
• Permit.inspection lie juest Line (206) 431 -2451
wet!: . ' • -
���ll c' .: -if_ .
TYP of Inspection: C- I� J
g•
.'l
3 QA_(
Dat Iled� TO ' r/ q �)
Special Instruction
•
le
0
-yam- _"_ lr _- ..�...j.+�
Date Wanted:/
(t - (.4 _ t1
a.m.
p.m.
Requester:
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pproved •per applicable codes. •
ections required prior to approval.
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REINSPECTI,ON.ir:EE REQUIRED. P for to next inspection. fee must be
'paid at 6300'So0hcenter Blvd.. Suite 100. Call to schedule reinspection.
•
•
06 -01 -2012
City of Tukwila Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
WILLIAM SMITH
18404 SE 264 PL
COVINGTON WA 98042
RE: Permit No. PG11 -128
TORRANCE RESIDENCE
13849 37 AV S TUKW
Dear Permit Holder:
In reviewing our current records, the above noted permit has not received a fmal inspection by the City of Tukwila Building
Division. Per the International Building Code, Intemational 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 07/31/2012.
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 07/31/2012, 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,
er Marshall
Technician
File: Permit File No. PG 11 -128
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206 -431 -3670 • Fax 206 - 431 -3665
Contractors or Tradespeople liter Friendly Page
1
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 DEMORE PLUMBING LLC UBI No. 602677608
Phone 2063694094 Status Active
Address 20015 10Th Ave Nw License No. DEMORPL935ML
Suite /Apt. License Type Construction Contractor
City Shoreline Effective Date 7/12/2007
State WA Expiration Date 8/8/2013
Zip 981772110 Suspend Date
County King Specialty 1 Plumbing
Business Type Limited Liability Company Specialty 2 Unused
Parent Company
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty 2
Effective
Date
Expiration
Date
Status
VINCEDP081K7VINCE
DEMORE
PLUMBING
Construction
Contractor
plumbing
Sanitation
System Side
Sewer
5/27/1992
6/7/2007
Re-
Licensed
Business Owner Information
Name
Role
Effective Date
Expiration Date
DEMORE, VINCENT THOMAS
Partner /Member
07/13/2007
Bond Information No records found for the previous 6 year period
Assignment of Savings Information
Page 1 of 2
Savings
Assignment of Savings Account Number
Effective Date
Release Date
Assignment Type
Impaired Date
Amount
Received Date
2
7/12/2007
9/23/2009
Bond
9/23/2009
$6,000.00
7/12/2007
Insurance Information
Insurance
Company Name
Policy Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Amount
Received Date
5
Contractors
Bonding&
Insuranc
C11519555
04/27/2011
04/27/2012
$1,000,000.00
05/04/2011
4
WESTERN
HERITAGE INS
CO
457709
04/26/2010
04/26/2011
$1,000,000.00
06/09/2010
3
NATIONWIDE
MUTUAL INS CO
ACP2503400290
04/26/2009
04/26/2010
$1,000,000.00
07 /14/2009
2
NATIONWIDE
MUTUAL INS CO
ACP2503400290
04/26/2008
04/26/2009
$1,000,000.0005
/22/2008
1
TRUCK INS
EXCHANGE
604044617
04/26/2007
04/26 /2008
$1,000,000.0007
/12/2007
Summons /Complaint Information
Cause
County
Complaint
Judgment
Status
Payment
Paid By
09 -2- 19570 -6SEA
KING
Date: 05 /20/2009
Amount: $584.83
Date: 07/20/2009
Closed /Satisfied
Date: 09/01/2009
Savings
Account
https: // fortress .wa.gov /lni/bbip/Print.aspx
08/25/2011