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HomeMy WebLinkAboutPermit PG11-152 - MCCULLUM RESIDENCEMCCULLUM RESIDENCE 12816 34 AV S PG1 1 -152 City ATukwila 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.: 7359600175 Address: 12816 34 AV S TUKW Project Name: MCCULLUM RESIDENCE PLUMBING /GAS PIPING PERMIT Permit Number: PG11 -152 Issue Date: 11/03/2011 Permit Expires On: 05/01/2012 Owner: Name: BAC HOME LOANS SERVICING LP Address: 400 NATIONAL WAY , SIMI VALLEY CA 93065 Contact Person: Name: BETSY TENGEE Address: 4635 49 AV S , BELLEVUE WA 98006 Email: INFO @ZENDMERE. C O M Contractor: Name: SILVER 2 GOLD PLUMBING LLC Address: 1419 S 49TH ST , TACOMA WA 98408 Contractor License No: SILVE2G89M3 Phone: 253 249 -6222 Phone: 253- 473 -0740 Expiration Date: 07/05/2013 DESCRIPTION OF WORK: REMOVE EXISTING PIPE AND UPDATE PLUMBING PIPE (DRAIN) AND WATER FOR EXISTING BATHROOM WITH ONE TOILET, SINK AND TUB /SHOWER. ADD NEW WASTE AND DRAIN PIPE FOR A NEW /ADDITIONAL BATHROOM WITH ONE TOILET & SINK. REMOVE AND RELOCATE WASTE AND WATER PIPING FOR KITCHEN. Value of Plumbing /Gas Piping: Fees Collected: Electrical Service Provided by: Permit Center Authorized Signature: $1,570.00 Uniform Plumbing Code Edition: 2009 $282.19 International Fuel Gas Code Edition: 2009 Date: 1//3/P 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: Date: 1( g/// 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 PG11 -152 Printed: 11 -03 -2011 � a PERMIT CONDITIONS Permit No. PG 11 -152 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 m 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 -152 Printed: 11 -03 -2011 CITY OF TUKW Community Developer .. - Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov 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 ** in Co Assessor's Tax No.: 119 _j 61U V —0 n Site Address: 4 02 g /6 3'114 e_ S , / 'J LC't,, G //---Suite Number: Floor: New Tenant: ❑ Yes ❑ .. No Tenant Name: '4e'lE p.i Yt {A .d. 1 q Sl ?3 F , ..: 0 4 P t F: Name: ,5 U0A,± ,X1CC C6e"% Phone: a S 3- , 2 S3' -O2 Z5/Fax: Address: 0206 3 J�airi del,' a - V %SY 13 City: /V ma y, A/ State: w 7- Zip: 9f' /66 '4e'lE p.i Yt {A .d. 1 q Sl ?3 F , ..: 0 4 P t F: Name: D lem iee-- Zip: 9.8c/ Of Phone: a S 3- , 2 S3' -O2 Z5/Fax: 0 Address: y6 3 c Iii` - jve SF V %SY 13 City: e_ vtie, State: 61),7f--- Zip: '40196 Phone: d 53- 9 -62 Ze_Fax: Email: e Z- e-/ -G/mv t.v . GGYlrI 8�g W' �:fi 4Yti" I. Company Name: s/ / 02 fd , „nib? At, L C 4 Address: /i i f I 5 w SA. }.- , I City: 'Tact 4ii State: 4.)7y- Zip: 9.8c/ Of Phone: a S 3- , 2 S3' -O2 Z5/Fax: Contr Reg No.: 52e ye-02 f 4 c13,LExp Date: V %SY 13 Tukwila Business License No.: Valuation of Project (contractor's bid price): $ /J Scope of Work (please provide detailed information): Gov -e_. P: Xi S"1 ,7; pipe I al raj n) it w ee ✓ � i S4-7,6* 8 rocrmLr „` �Id d ,vet w -4. 4„ c/ GCy'74 ii37,e fin, , ,reel,/ P.0.4n rue, zrtzflet are/ MaZ0G -c w� . Building Use (per Int'1 Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: Sewer: 4c,1)6/‹.,e,_/.24-f---4,6- i /re, r” Der e Le / . C/ -/CC/ 41/1/4) Doe 7/4/ze,, �zifit 6/y /9-1,1 }r'Y .Ci 7E/ 2l7 crin4 H:\Applications \Forms - Applications On Line \2011 Applications\Plumbing Permit Application Revised 8- 9- 11.docx Revised. August 2011 bh Page 1 of 2 Indicate type of plumbing fixtures and/o piping outlets being installed and the quantity low: ;Fixture Type . . Qty, • Bathtub or combination bath/shower Dishwasher, domestic with independent drain Shower, single head trap f Sinks 1 Rain water system — per drain (inside building) Grease interceptor for commercial kitchen ( >750 gallon capacity) Each additional medical gas inlets /outlets greater than 5 Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections (1 -5) • t izture Type :. Bidet Drinking fountain or water cooler (per head) Lavatory f Urinal 1 Water heater and/or vent Repair or alteration of water piping and/or water treatment equipment Backflow protective device other than atmospheric - type vacuum breakers 2 inch (51 mm) diameter or smaller Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections over 5 Fl . 're .TYpe -;r, ,Qh' -." Clothes washer, domestic Food -waste grinder, commercial Wash fountain Water closet 1 Industrial waste treatment interceptor, including trap and vent, except for kitchen type grease interceptors Repair or alteration of drainage or vent piping Backflow protective device other than atmospheric -type vacuum breakers over 2 inch (51 mm) diameter Gas piping outlets P Mature 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 TIONNO' 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 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 OWNER OR A ORIZED AGENT: Signature: Print Name: %P s t..e ► O `"` Day Telephone: o2.s3"0 9` 62Z Z Mailing Address: t16 3S- 119 A/.e J -74 9ef OOS Date: H:\Applications\Forms- Applications On Line12011 Applications\Plumbing Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh City State Zip 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 Parcel No.: 7359600175 Address: 12816 34 AV S TUKW Suite No: Applicant: MCCULLUM RESIDENCE RECEIPT Permit Number: Status: Applied Date: Issue Date: PG11 -152 ISSUED 10/11/2011 11/03/2011 Receipt No.: R12 -00914 Initials: TLS User ID: 1670 Payee: Payment Amount: Payment Date: Balance: $63.00 03/06/2012 10:37 AM $0.00 BATTSETSEG TENGEE TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd MC Authorization No. 909205 ACCOUNT ITEM LIST: Description 63.00 Account Code Current Pmts PLUMBING - RES 000.322.103.00.00 Total: $63.00 63.00 doc: Receiot -06 Printed: 03 -06 -2012 Ciff of Tukwila, 4 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 RECEIPT NO: R11 -02403 Initials: JEM Payment Date: 11/03/2011 User ID: 1670 Total Payment: 1,351.23 Payee: STEWART MCCULLUM SET ID: 1103 SET NAME: MCCULLUM RESIDENCE SET TRANSACTIONS: Set Member Amount D11 -333 PG11 -152 TOTAL: 1,096.60 254.63 1,096.60 TRANSACTION LIST: Type Method Description Amount Payment Check 3820 1,351.23 TOTAL: 1,351.23 ACCOUNT ITEM LIST: Description Account Code Current Pmts BUILDING - RES PLAN CHECK - NONRES PLAN CHECK - RES PLUMBING - RES STATE BUILDING SURCHARGE 000.322.100 000.345.830 000.345.830 000.322.103.00.0 640.237.114 TOTAL: 1,092.10 -27.56 34.39 247.80 4.50 1,351.23 3 1 0 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.eov Parcel No.: 7359600175 Address: 12816 34 AV S TURIN Suite No: Applicant: MCCULLUM RESIDENCE RECEIPT Permit Number: PG11 -152 Status: PENDING Applied Date: 10/11/2011 Issue Date: Receipt No.: R11 -02220 Initials: User ID: Payee: TLS 1670 Payment Amount: $27.56 Payment Date: 10/11/2011 01:54 PM Balance: $110.25 GANTUMUR JA AMA A TRANSACTION UST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 05518B ACCOUNT ITEM LIST: Description 27.56 Account Code Current Pmts PLAN CHECK - NONRES 000.345.830 27.56 Total: $27.56 doc: Receiot -06 Printed: 10 -11 -2011 INSPECTION RECORD I G t( - r 5 Retain a copy with permit INSP CTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Ia. (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Proj 'c • CC ea ((A iii n _ s,. TYprnsdpJectt : p .i dut.O► r Address: � 1 3-1 7.3— Date Called: Special Instructions: / Date Wanted: .qa 3 —% — i Z,^.-, p.m. Requester: Phone 3 -2-15 -622z-- Approved per applicable codes. El Corrections required prior to approval. • COMMENTS: Juv'rr LLIA eie IDate_ _ D r7 REINSPECTION FEE REQUIRED. PAior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspectioh. • • • • 4.r • • •1•-• INSPECTION RECORD Retain a copy with permit INSPECTION NO, PERMIT NO. CITY OF' TUKWILA BUILDING DIVISION 6300.Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 r' P6,4- IS?1 Pr 'e Type of inspection! Address: ,. t )4 lie Ilf1A44. 39 Date Called: Special Instructions: • = Date Wanted: a.m. Requester: rip. .--:*- C �J n 'Phone � o, , 2 l ! ' 6722-2_ • E3Approved.per applicable codes. iY Corrections required prior to approval. COMMENTS: • t M.S . r WI------ t) (\ .s a I` 0.-Q--)41 -' 1 rip. .--:*- C �J n f P, - 573/\ e-ltit e ,' s' c-r 1 C.... .ff-e- e.b/1 6' ki r 6 , Ins F. �, 1 ou„.1A Date ✓ S".,,_. j 1_ REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be r... paid.at 6300,Southcenter Blvd., Suite 100. Call to schedule reinspection. '1:.No. .. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 ---15 Project: T Type of I nsp ectin: e Address: D Date C I I d: 4 ,rte, 4( ` ,(3 ! - V f Special Instructions: D Date,�Wanted: 3- Z �% � � p.m. Requester: Phone No: 2 � / / z2,-,f ❑ Approved per applicable codes. 6rrections required prior to approval. COMMENTS: —(Y—IL. ! ` e IDi,.SkL,JA SL. er DO er AM — k 4-ti -0 SA 1 t iter" 6702" U .._� rri ; 4 . G (:-,a: ft 1 4 ,rte, 4( ` ,(3 ! - V f i l e.(3s J ii.r� Q A Al / v 0 Al yS AJd c ii--v (14_ �j L v (Ls 7`b ,S °'1'` c A/e.A-- Vt it j r 4dL / biei AP f( GCe,e Tn _Sv (/ -` : 01 ran ALtil 6 a (7 f •• .■ ,.lt A LI REINSPECTION FEE REQU�RED. Prior to next inspection. fee must be, paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspectioh. is ry• INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. • CITY OF TUKWILA BUILDING DIVISION C 6300 Southcenter Blvd.., #100, Tukwila. WA 98188 (206) 431 -3670 • Permit Inspection Request Line (206) 431 -2451 QG IC - 152_ Proje • ' ' ,�y c6j ��f� /BSI Type 0-inspection: -( Ai AI- p(u,AE,1C- Address: l _ 31 iViL Date Called: `d uirQ%J ---- `r-') c{IndIZ . ::: tr. • .. a ('c'r 1 J A•fl Sep J.‘ C `P Special Instructions: - . r t 6Q J "u Y- Date Wari,te _ Z�_if ��, P.m. Requester: nfJt`. (-(cc c,4 ,. Vii - :,(..r MAP P_d Phone ` , 3 - Z47 .._ o 22 4 aApproved per applicable codes. orrections required prior to approval. COMMENTS: Ma LI A-4 L2 S (r r 6)r _ 40 .• st, vt.J4S k el' ,1n TO A--:r- 614--p C/�C} .. 4 �t�I�+. ( v CC./ f jj � (,1 J T�j� j _ � � p,�� . . I, ,6-4-ti 8 AJ- ' & 1 ,.. S it tJ" v `d uirQ%J ---- `r-') c{IndIZ . ::: tr. • .. a ('c'r 1 J A•fl Sep J.‘ C `P i ` ? t o v S:Xe AD Lid n M'' 6Q J "u Y- ( (t) LS itfe . w--4 tvI pi apt / (4)J {;�_ el' LI a. c • r lA1 1--tO or 65.) c IIC %A-;1. s i JJc J4? . diA444,6 nfJt`. (-(cc c,4 ,. Vii - :,(..r MAP P_d `ro ?'4 oft-)- Q - .' (insPe Date: 2 . REINSPECTION FEE REQUIRED.( Prior to next inspection. fee must be paid at. 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECT C NO. INSPECTION RECORD Retain a copy with permit P(,(I-1$",I CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Pr j ct: JVI cCi I c /A-Ai R6 s - Type of Inspection: .2 n u ar.yd PIS mac& . Address: IC .IZktc 34 Akdi- Date Called: Special Instructions: / Date Wanted:. r—a. I ('' — (1 p.m. J Requester: Phone No _ 2,- 3-?CY -o231 Approved per applicable codes. I- Corrections required prior to approval. COMMENTS: ‘T-17,,cr 6 A e.e4c A-eprhd 6k ..eic\--)\-r_e AA C.1:-(■ , ilk" cLfs 4,,e.-{ 6 4C- t I. .1.--d r trA"Me_ , `71--J\3 Lic,, A ?D coe rck.l, SAP rt, _ RPr 0W I A r -P )(.k ALA f t 1 LI REINSPECTION FE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite'100. Call to schedule reinspectioh. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 P6ti -1 S21 Proje t: rr Ac 6 p/ Typgjof Inspection: p S Address:- "a 1 'LW, (o 34 _ k.- d Date Called: rt) 1--“-r- .3ke4 y.2 1 Sfl Qs. ---= -4 Special Instructions: Date Wanted: ( t r – ._ I/ cialm, m Requester: PCh2ec,— ri3 — 0 n JApproved per applicable codes. Corrections required prior to approval. COMMENTS: L MJ Sr"- keVtJ e a cr--- e.e . ,Ai,f\ -; - i3 A-4R O t+ure a,a AAA_ sup toirs Ar per Z s( 0 4 LeAl`ZJ' ( rt) 1--“-r- .3ke4 y.2 1 Sfl Qs. m,` 1 ! AL4 � 6,k , A,< c zAJA -i el `Ted ra de rf t4 ‘-.1-v-e( tc- 164-t1 e_ p t fA 69 A 3;06 -- aos`r t 45 ' (Date: I n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. ski INSPECTION RECORD Retain a copy with permit 01, INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION c" 6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Pr ect: ac �u ila /`'‘ Type of Inspection: (mac) c./Ad VV 6iik Address: Y'l, ,2_-I, Z4 AL/ I-- Date Called: Special Instructions: Date Wanted .. ^ E---O Requester: Phone N 3 —x`7.3 - 074 Approved per applicable codes. 1[Corrections required prior to approval. COMMENTS: -.T.--s-r-Mrci fInspectck Dater ❑ REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople liter 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 SILVER 2 GOLD PLUMBING LLC UBI No. 603121736 Phone 2534730740 Status Active Address 1419 S 49Th St License No. SILVE2G893ME Suite /Apt. License Type Construction Contractor City Tacoma Effective Date 7/5/2011 State WA Expiration Date 7/5/2013 Zip 98408 Suspend Date County Pierce Specialty 1 Plumbing Business Type Limited Liability Company Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date LOPEZ, JOSE GILDARDO Partner /Member 07/05/2011 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 American Contractors Indem CO 100170061 07/15/2011 Until Cancelled $6,000.0007/18/2011 1 American States Insurance Co 6765010 06/24/2011 Until Cancelled $6,000.0007/05/2011 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 Nationwide Mutual Ins Co ACPGL07105140385 06/24/2011 06/24/2012 $1,000,000.00 07/05/2011 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 11/03/2011