HomeMy WebLinkAboutPermit PG11-129 - FOSTER RIDGE - LOT 3FOSTER RIDGE
LOT 3
4601 S 139 ST
EXPIRED
04 -11 -12
PG1 1 -129
Parcel No.:
Address:
City di/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
3229200092
4601 S 139 ST TUKW
PLUMBING /GAS PIPING PERMIT
Project Name: REHABITAT NORTHWEST
Permit Number:
Issue Date:
Permit Expires On:
PG11 -129
08/29/2011
02/25/2012
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Email:
REHABITAT NORTHWEST INC
3601 WEST MARGINAL WAYS , SEATTLE WA 98106
CHAD DETWILLER
3601 WEST MARGINAL WY SW , SEATTLE WA 98106
CHAD @REHABITATNORTHWEST. C OM
Contractor:
Name: NORTHWEST PLMBNG SOLUTIONS LLC
Address: 3904 S 254 ST , KENT WSA 98032
Contractor License No: NORTHPS903L1
Phone: 425 - 829 -5298
Phone: 206 - 228 -1293
Expiration Date: 06/21/2012
DESCRIPTION OF WORK:
INSTALL NEW PLUMBING AND GAS PIPING IN NEW SINGLE FAMLIY RESIDENCE
Value of Plumbing /Gas Piping:
Fees Collected:
Electrical Service Provided by:
Permit Center Authorized Signature:
$7,000.00
$394.80
Uniform Plumbing Code Edition: 2009
International Fuel Gas Code Edition: 2009
Date: ')P- ` 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:
aad - / ; ff er-
Date: 6/Z./iX-O /l
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 -129 Printed: 08 -29 -2011
• •
PERMIT CONDITIONS
Permit No. PG 11 -129
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 -4110
PG11 -129 Printed: 08 -29 -2011
CITY OF TUKWW
Community Develop ent Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: / /www.TukwilaWA.gov
Plumbing/Gas Permit No. -TL
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: 401 S /39 -5‘d- Suite Number: Floor:
Tenant Name: A% // / / New Tenant: ❑ Yes ❑ .. No
Property Owners Name: Pc- LA.CtG -d jUotf- tUs.-1.51,
.c_ Mailing Address: 360/ l). A/J ,' 4" S l/
State
Zip
CONTACT PERSON -Who do we contact when your permit is ready to be issued
Name: aA 4 ,lle f-
Mailing Address: 3(3o i 7c). �%t-1 /A-id 4)4 SG.)
E -Mail Address: eA4471 reL b/d�Y /�ruS Est
Day Telephone: / /J
SeP F (9- J A r /v%
City State Zip
Fax Number: (mac) 933 - 7.35.1S-
PLUMBING / GAS PIPING CONTRACTOR INFORMATION
Company Name: "Jo P4L eS't" Pkg., 4; .11 So laI, o N � li e— /
Mailing Address: Z90 q 5 `f S' - e4- k N`�
ff II'' City State Zip
Contact Person: /1(e �c., N d r IJ4S y k lC- Day Telephone: ( ) oIoZ9 - /c9 93
E -Mail Address: l Fax Number: CdS 3) 94E6 - /may /6
lJ� 9?03
Contractor Registration Number: A.)0 R-714 PS 90 3 L
Expiration Date:
ARCHITECT OF RECORD — All plans must be stamped by Architect of Record
Company Name: ?3 / P
Mailing Address:
City
State
Zip
Contact Person: Day Telephone:
Fax Number:
E -Mail Address:
ENGINEER OF RECORD — All plans must be stamped by Engineer of Record
Company Name: gP( E9S;ueer;UL
Mailing Address: /'I 735 /68, A v.e /U.E
iutlr'ilc 4)4 9g07
City State Zip
Contact Person: /1 i j, 4J4 of v Day Telephone: & S) '/g9 - 012-- 7
E -Mail Address: Fax Number:
H:\Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Plumbing -Gas Piping Permit Application.doc
Revised: May 2011
bh
#. q u • Page 1 of 2
Valuation of Project (contractor's bid pt• $ 7,000 (p k° / Jij9 // •
Scope of Work (please provide detailed information): Jts4 t ki as-4 ry4.4� -t Cis O(Pl ,11 Cr SFIe_
Building Use (per Intl Building Code):
Occupancy (per Int'l Building Code):
Utility Purveyor: Water: Kc -I0iJ * /as Sewer:
O'
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
1
Drinking fountain or
water cooler (per head)
Food -waste grinder,
commercial
Floor Drain
Shower, single head trap
Lavatory
l
Wash fountain
Receptor, indirect waste
Sinks
Urinals
Water Closet
, /
`�
Building sewer and each
trailer park sewer
i
Rain water system — per
drain (inside building)
Water heater and/or vent
l
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
Backf low 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 Intemational 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: �9(•�
Print Name:Adlv,!/ed'
Mailing Address: 3‘0( Earl; ),,,
S)
Dayy /Telephone:
ja�P (N
City
Date: 04/w
�Ya5} 2.5. -S-02?,8
State Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
H:\ Applications\Forms- Applications On Line \2010 Applications \7 -2010 - Plumbing -Gas Piping Permit Application.doc
Revised: May 2011
bb
Page 2 of 2
•
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.: 3229200092 Permit Number: PG 11 -129
Address: 4601 S 139 ST TUKW Status: PENDING
Suite No: Applied Date: 08/29/2011
Applicant: REHABITAT NORTHWEST Issue Date:
Receipt No.: R11 -01884
Initials:
User ID:
WER
1655
Payment Amount: $394.80
Payment Date: 08/29/2011 10:08 AM
Balance: $0.00
Payee: REHABITAT NORTHWEST
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 058 394.80
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
GAS - RES
PLUMBING - RES
000.322.103.00.00 96.60
000.322.103.00.00 298.20
Total: $394.80
doc: Receipt -06 Printed: 08 -29 -2011
INSPECTION RECORD
Retain a copy with permit
INSPECTION N0. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
. • . 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
.. Permit lnspedion Request Line (206) 431 -2451
Project: iZ
Type,of Inspection:
Address: 11.
4...t . iii
Date Called:
Pf
Special ;Inst`ructions:
iatd , " Q •
.
Date WantedJ
/4 � ! a.m.
Requester:
--(°
Phone 2,g —.2 7,q--5 Z IU
Approved per applicable codes.
Corrections required prior to appro
COMMENTS: .
N-n.ttA
6"
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Pf
i t
- ..`C-6. -S`.r 1 o t
Nom? J I\ ` iNgS , ,
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Inspeftor: _ .
.IDate:
io -`4 --(\
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
.paid.at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD L
Retain a copy with permit (/r /2 ,
. INSPECTmoil NO. PERMIT NO.
• • CITY QF TUKWILA BUILDING DIVISION
6300'Southce ;inter- 6lvd., #100, Tukwila. WA 98188 0 (206) 431 -3670
' Rermii Inspection Request Line (206) 431 -2451
•
Project: " •
r %�. -_, Q, I/ ba i i'
Type of Inspection:
015 — / I1
A d d r e s
Date
Speeiaf I`rR's. "tructions:
.
• • •
Date Wante :
/O //3'// /
"Fii
p
Requester:
Phone No:
Approved per applicable codes.
c.OMMENTS
Corrections required prior to approval.
,Y.S7 PM6, B /sue_. tePve"iC i v
•
L
4 -.
'Date:
SPECTION. FEE REQUIRED. Prio o next inspection. fee must be .
id at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
p6g -X25
PERMIT N0. ` /
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451 �'
INSPEC TION NO.
Project: _.4. �,.` woe--
Type I a Inspection: , l..* 6AI
Address: t.
--16e1 /3 /---7`
Date Called:
Special Instructions:
/ .3�3
Date Wanted:. ' `m.
/ O - I (� 1 1 p.m.
Requester: '
Phone No :c /4 2A' 'r J C-qcs-
Approved per applicable codes. E Corrections required prior to approval.
COMMENTS:
m —sr A pro `' 64(A p3.
Ii
Insp =ctor:
Date:
ri REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
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
Project:
1 --C-IC 2 R% ct c ' La-23
Type of Inspection:
ev (Lehi. b knew, -
Address:
L_IiO1 139 ST—
Date Called:
Special Instructions:
Date Wanted:. aa:m-
Requester:
Phone No:
4425 -ezc -6; 25 . ®. _ _ .: _
proved per applicable codes. 0 Corrections required prior to approval:
COMMENTS:
spectoj:
E
IN
aidii
Date:
.«- Jai .g.1?-3 a1(
PECTION FEE REQUIRE . Prior to t inspection. fee must be
t 6300 Southcenter Blvd., uite 100. Call to schedule reinspection.
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
CHAD DETWILLER
3601 WEST MARGINAL WY SW
SEATTLE WA 98106
RE: Permit No. PG11 -129
FOSTER RIDGE LOT 3
4601 S 139 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 04/11/2012.
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 04/11/2012, 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 -129
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
Contractors or Tradespeople Peter Friendly Page
•
General /Specialty Contractor
A business registered as a construction contractor with LEI 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 NORTHWEST PLMBNG SOLUTIONS LLC UBI No. 603011702
Phone 2062281293 Status Active
Address 3904 5 254Th St License No. NORTHP5903L1
Suite /Apt. License Type Construction Contractor
City Kent Effective Date 6/21/2010
State WA Expiration Date 6/21/2012
Zip 98032 Suspend Date
County King Specialty 1 General
Business Type Limited Liability Company Specialty 2 Unused
Parent Company
Business Owner Information
Name
Role
Effective Date
Expiration Date
DENISYUK, ALEKSANDR V
Partner /Member
06/21/2010
Bond Amount
DENISYUK, ALLA P
Partner /Member
06/21/2010
SI6576
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
2
Contractors Bonding
& Insurance Co
SI6576
06/30/2011
Until Cancelled
$12,000.0007/05
/2011
1
Contractors Bonding
& Insurance Co
SI6576
06/17/2010
06/30/2011
$6,000.0006/21/2010
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
1
Contractors
Bonding &
Insuranc
C1 1 SI6576
06/17/2010
06/17/2012
$1,000,000.00
05/17/2011
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 08/29/2011