HomeMy WebLinkAboutPermit PG11-136 - CHUMKING RESIDENCECHUNKING RESIDENCE
4245 S 160 ST
PG1 1 -136
City olk ukwila
•
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.: 5379800065
Address: 4245 S 160 ST TUKW
Project Name: CHUMKING RESIDENCE
PLUMBING /GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On:
PG11 -136
09/20/2011
03/18/2012
Owner:
Name: CHUMKING- CORNILLEZ SOMPIT +NITTAYA
Address: 4245 S 160TH ST , TUKWILA WA 98188
Contact Person:
Name:
Address:
Email:
JOHN EVANS
1425 BLAINE AV NE , RENTON WA 98056
N/A
Contractor:
Name: WASHINGTON CORROSION SRVC INC
Address: 1425 BLAINE AVE NE , RENTON, WA 98056
Contractor License No: WASHICS055KC
Phone: 425 228 -1393
Phone: 425 - 228 -1392
Expiration Date: 05/04/2012
DESCRIPTION OF WORK:
REPLACE GAS WATER HEATER LIKE FOR LIKE
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
$1,100.00
$47.25
with
The granting of this permit does not pre
construction or the performance of work.
on the back of ti 's pgfmit.
SignaturI t%h
Uniform Plumbing Code Edition: 2009
International Fuel Gas Code Edition: 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.
e to give authority to violate or cancel the provisions of any other state or local laws regulating
I am authorized to sign and obtain this plumbing /gas piping permit and agree to the conditions
Date:
P-2o -/l
Print N. u Z \�. 7 -7 61e 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 -136 Printed: 09 -20 -2011
• 41
PERMIT CONDITIONS
Permit No. PG 11 -136
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 -136 Printed: 09 -20 -2011
CITY OF TUKW
Community Develop11111nt Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www. T u kw i l a W A. coy
Y W bl PI it No. VC 1 I ')
l
Project No.
(For office use only)
•
MECHANICAL 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 4 t L sr ‘,0
,, King Co Assessor's Tax No.:
Site Address: 5 5`, / sy. Suite Number:
Tenant Name: �l r T'T A y A C AI o m I< 1 717
Property Owners Name:
Mailing Address:
i
geo -
Floor:
New Tenant: ❑ Yes D..No
City
State
Zip
CONTACT PERSON - who do we contact when your permit is ready to be issued
Name: -0 LI ti
Mailing Address: l `F25- (3(Q r, p Ai A) 61--.-
E -Mail Address:
Day Telephone: 2S 2 a X -/ 3 9 3
City
State Zip
Fax Number: 11-2-S- 1-3 D- D rj 6 9
MECHANICAL CONTRACTOR INFORMATION
Company Name: l.L) (N-C1-1 1 n Tr r (2o,eLo S
Mailing Address: t' 2S 166T/P_ I (lam 4t) ti E
Contact Person:
t.S'(f ct
E -Mail Address:
Contractor Registration Number: Lt l e
City
w A-
State
9.8',Os 6
Day Telephone: 1/-2-.S-
Fax Number: -2.5 4-36
Expiration Date: 4L ^ / Z
Zip
135- 3
/76,
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 - Mechanical Permit Application.doc
Revised: May 2011
bh
City State Zip
Day Telephone: \
■
Fax Number:
Page 1 of 2
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
r � ti� �k� n�rte
1.1 ��
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
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
..EDRMIT 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).
1 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 OWN R 0
Signature:
Print Name
J01-7ti !`D, vit-tnS
Date: 9 -zO -/ l
Day Telephone: 4-2-5- 22 / S
State Zip
Mailing Ad
evt'7avl
City
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: 7.2010
bh
Page 2 of 2
• 0
C 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
Parcel No.: 5379800065
Address: 4245 S 160 ST TUICW
Suite No:
Applicant: CHUMKING RESIDENCE
RECEIPT
Permit Number: PG11 -136
Status: PENDING
Applied Date: 09/20/2011
Issue Date:
Receipt No.: R11 -02059
Initials:
User ID:
Payee:
JEM
1165
Payment Amount: $47.25
Payment Date: 09/20/2011 12:53 PM
Balance: $0.00
JOHN D EVANS, WASHINGTON CORROSION SER
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 029527
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: 09 -20 -2011
INSPECTION RECORD
Retain a copy with permit P6//`/.3�
INSPECTION NO. PERMIT NO.
CITY OFTUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 A (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project:
n_ N2/ w/ 1, s
Type of Inspection:
f-'N# L- "V?.•
.
•v b
Address:
i/a2 4' S
/tio Cr
Date Called:
Special Instructions:
Date Wanted: .
Requester:
Phone No:
,22C -24/g-
26.,
3
liKlApproved per applicable codes. El Corrections required prior to apprpyal.
COMMENTS:
�0-111
f %/
EIN ' ECTION FEE REQU RED. Prior to/hext inspection, fee must be
pa' at 6300 Southcenter Blvd:, Suite 100. Call to schedule reinspection.
4'
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
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
WASHINGTON CORROSION SRVC INC
4252281393
1425 Blaine Ave Ne
Renton
WA
980562774
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601577751
Active
WASHICS055KC
Construction Contractor
5/3/1995
5/4/2012
Appliances/ Equipment
Unused
Business Owner Information
Name
Role
Effective Date
Expiration Date
EVANS, NANCY J
President
01/01/1980
Amount
EVANS (LUDWIG), ANGELA M
Secretary
01/01/1980
NPP1315461
EVANS, JOHN D
Vice President
01/01/1980
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
4
CBIC
SD6182
05/02/2002
Until Cancelled
$6,000.00
05/02/2002
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
10
Western World
Ins Co
NPP1315461
05/04/2011
05/04/2012
$1,000,000.00
04 /21/2011
9
WESTERN
WORLD INS CO
NPP1241170
05/04/2010
05/04/2011
$500,000.00
04/23 /2010
8
WESTERN
WORLD INS CO
NPP1210194
05/04/2009
05/04/2010
$500,000.00
04/28 /2009
7
WESTERN
WORLD INS CO
NPP1154438
05/04/2008
05/04/2009
$500,000.00
04/21 /2008
6
WESTERN
WORLD INS CO
NPP1091007
05/04/2007
05/04/2008
$300,000.00
05/01/2007
5
WESTERN
WORLD INS CO
NPP0934474
05/04/2006
05/04/2007
$300,000.00
04/17 /2006
4
WESTERN
WORLD INS CO
NPP0934474
05/04/2005
05/04/2006
$300,000.00
05/02/2005
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
Infractions /Citations Information
Infraction / Citation
Date
RCW Code
Type
Status
Violation Amount
ENESM00355
8/29/2011
19.28.041 RCW
ELECTRICAL CITATION
Satisfied
$500.00
https: // fortress .wa.gov /lni/bbip/Print.aspx
09/20/2011