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Home My WebLink AboutPermit PG11-139 - DOHMS RESIDENCEDORMS RESIDENCE 4237 S 160 ST EXPIRED 03 -25 -12 PG1 1 -139 ,�J��1LA wqs City (Prukwila ti Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 190E Inspection Request Line: 206 - 431 -2451 Web site: http: / /www.TukwilaWA.gov Parcel No.: 5379800040 Address: 4237 S 160 ST TUKW Project Name: DOHMS RESIDENCE PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: PG11 -139 09/27/2011 03/25/2012 Owner: Name: Address: Contact Person: Name: Address: Email: Contractor: Name: Address: Contractor DOHMS JUNE E 4237 S 160TH , SEATTLE WA 98188 JOHN EVANS 1425 BLAINE AVE NE , RENTON WA 98056 WASHINGTON CORROSION SRVC INC 1425 BLAINE AVE NE , RENTON, WA 98056 License No: WASHICS055KC Phone: (425)228 -1393 Phone: 425 - 228 -1392 Expiration Date: 05/04/2012 DESCRIPTION OF WORK: REPLACE ELECTRIC WATER HEATER Value of Plumbing /Gas Piping: Fees Collected: Electrical Service Provided by: Permit Center Authorized Signature: $1,100.00 $47.25 Uniform Plumbing Code Edition: 2009 International Fuel Gas Code Edition: 2009 Date: 0.7427//, 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: C-9 (). Date: - 27- 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. Print Name: doc: UPC -4/10 PG11 -139 Printed: 09 -27 -2011 PERMIT CONDITIONS Permit No. PG 11 -139 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 bacldilled 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 -139 Printed: 09 -27 -2011 CITY OF TUK Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: / /www.TukwilaWA.gov c ? Plumbing/Gas Permit No. P&/ — 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: 9 '2 r� 3 / 5, / Suite Number: Floor: New Tenant: ❑ Yes ❑.. No Tenant Name: Property Owners Name: C �s o D o 474-7 S Mailing Address: 1/ 2 37 S /6 n 3 rs- City State Ye/ ea Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: Mailing Address: Day Telephone: -,g 22_r /39 City «2 /., �— �/� E -Mail Address: Fax Number: �� 0 6 g6' g State PLUMBING / GAS PIPING CONTRACTOR INFORMATION Company Name: /,e),,$,W/ ,'% 77,E g/',e r> $ le,-7 L5 C. Mailing Address: �7� � (i < df e --� City State Zip Contact Person: " 51l tiJ //3'7 S Day Telephoi( -25J 2 Z d'" - S E -Mail Address: (//Q70-373-A- Fax Number: Contractor Registration Number: /%AS c Expiration Date: 7 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 priill$ 110 0 Scope of Work (please provide detailed information): ,q_70 e O T t Ze47- Building Use (per Int'1 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: 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 1 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. BUILDING OWNER?) R • Signature: ` ' 't Print Name: Mailing Address' HOED A!ir1►w' Jok �. Day Telephone: Date: 27 1Zs'- 22Yi2�'� Date Application Accepted: City State Zip Date Application Expires: 03/; //�2- Staff Initials: H'Wpplications\Forms- Application, On Line12010 Appiications17 -2010 - Plumbing -Gas Piping Permit Application.doc Revised: May 2011 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.gov RECEIPT ParcelNo.: 5379800040 Permit Number: PG11 -139 Address: 4237 S 160 ST TUKW Status: PENDING Suite No: Applied Date: 09/27/2011 Applicant: DOHMS RESIDENCE Issue Date: Receipt No.: R11 -02113 Initials: User ID: LAW 1632 Payment Amount: $47.25 Payment Date: 09/27/2011 01:41 PM Balance: $0.00 Payee: WASHINGTON CORROSION TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 023450 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 -27 -2011 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director JOHN EVANS 1425 BLAINE AVE NE RENTON WA 98056 RE: Permit No. PG11 -139 DOHMS RESIDENCE 4237 S 160 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 03/25/2012. 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 03/25/2012, 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. PG11 -139 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 Contractors or Tradespeople P, ter 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 09/27/2011