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Home My WebLink AboutPermit PG11-155 - RUDOLPH AND MILLER RESIDENCERUDOLPH & MII.i.F,R RESIDENCE 13737 45 AV S PG1 1 -155 City gt 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: httu: / /www.TukwilaWA.gov PLUMBING /GAS PIPING PERMIT Parcel No.: 7347600215 Address: 13737 45 AV S TUKW Project Name: RUDOLPH & MILLER RESIDENCE Permit Number: Issue Date: Permit Expires On: PG11 -155 10/13/2011 04/10/2012 Owner: Name: RUDOLPH JOSHUA +MILLER JORDA Address: 13737 45TH AVE S , TUKWILA WA 98168 Contact Person: Name: Address: Email: Contractor: Name: Address: JOSHUA RUDOLPH 13737 45 AV S , TUKWILA WA 98168 MILLER. JORDAN88 @YAHOO. C OM ADVANCED INSTALLATION INC. 16504 HWY 99 STE 101 , LYNNWOOD WA 98037 Contractor License No: ADVANII033DU Phone: 206 778 -2922 Phone: Expiration Date: 03/13/2012 DESCRIPTION OF WORK: RUN GAS PIPING FROM METER TO HOUSE - RUN GAS PIPING OUTLET TO GAS FIREPLACE INSERT Value of Plumbing /Gas Piping: $0.00 Uniform Plumbing Code Edition: Fees Collected: Electrical Service Provided by: Permit Center Authorized Signature: $96.60 International Fuel Gas Code Edition: I hereby certify that I have read and ex governing this work will be complied vt Date: 2009 2009 t911i1 11 d this permit and know the same to be true and correct. All provisions of law and ordinances hether specified herein or not. The granting of this permit does not pres construction or the performance of work. on the back of this pe Signature: Print Name: 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 SDStiuc. Putio(f L1 Date: 16 /l j / / 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 -155 Printed: 10 -13 -2011 • r PERMIT CONDITIONS Permit No. PG11 -155 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 -155 Printed: 10 -13 -2011 CITY OF TUKWILA *t+... Community Development . _partment 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 ** 2 r- King Co Assessor's Tax No.: '1 1 �1eo o -1tj Site Address: 1Y/ m/4- J !'-3, S_ TU K(,t? Suite Number: Floor: Tenant Name: JOS(nVt, la,ctolpk. /.iosdcu'i k i (e-V- New Tenant: Yes ❑.. No Address: 13? -34. U 15111 Ave. 5 City: T4Xvo > L State: tWA Zip: .1k a King M ■llew •,_ t7 Company Name: Address: I I , U�cTi , i t 1' * 1 l 0 `� V 1 � 1 Zip: G q� 0 ji City: Phone: WOO "1,1-1C girrax: Contr Reg No.: 11 I ^ Exp Date: 029 Tukwila Business License No.: (9) Z Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): (OAV\ vAA VVV\ oe 11 tA� j M Aff A �-�.ek-c.Q Building Use (per Int'I Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: Mi. �, �. b , Sewer: \f (x\ \2y %ek) H \Applications \Forms - Applications On Line \2011 Applications\Plumbing Permit Application Revised 8- 9- 11.docx Revised. August 2011 bh Page 1 of 2 Name: 3o dcL.V\ \ \ \tC,r /3Jsh Al KUdOrp.1I Address: 1,h--f1 (151 -{,l Ace, s City: Tell, {c,„ S State: jA)A Zip: Cas 166 P Phone: {.9 _ 7:.sraC� F Fax: Email: V t6t !) N o { cow- Company Name: Address: I I , U�cTi , i t 1' * 1 l 0 `� V 1 � 1 Zip: G q� 0 ji City: Phone: WOO "1,1-1C girrax: Contr Reg No.: 11 I ^ Exp Date: 029 Tukwila Business License No.: (9) Z Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): (OAV\ vAA VVV\ oe 11 tA� j M Aff A �-�.ek-c.Q Building Use (per Int'I Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: Mi. �, �. b , Sewer: \f (x\ \2y %ek) 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/aas piping outlets being installed and the quail .,.,Fixture Type %. ' :Qty. Bathtub or combination bath/shower Dishwasher, domestic with independent drain Shower, single head trap Sinks 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) . ,•..flitture Type Qty, Bidet Drinking fountain or water cooler (per head) Lavatory Urinal 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 Ftxtpre i&ylle' i t 1 Clothes washer, domestic Food -waste grinder, commercial Wash fountain Water closet 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 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 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 PERJU . HE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWN " ' as�ZED AGENT: Signature: Print Name: Mailing Address: k 57 37 LOtt- Mg- S. Date: / //3 / ii Day Telephone: 120(9'` 77D- 029,912 WA ?Wit City H 1Appiications\Forms •Applications On Line12011 Applications\Plumbing Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh 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 RECEIPT Parcel No.: 7347600215 Permit Number: PG11 -155 Address: 13737 45 AV S TUKW Status: PENDING Suite No: Applied Date: 10/13/2011 Applicant: RUDOLPH & MILLER RESIDENCE Issue Date: Receipt No.: R11 -02248 Initials: User ID: JEM 1165 Payment Amount: $96.60 Payment Date: 10/13/2011 02:58 PM Balance: $0.00 Payee: MR JOSH J RUDOLPH TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd MC Authorization No. 095817 ACCOUNT ITEM LIST: Description 96.60 Account Code Current Pmts GAS - NONRES 000.322.103.00.00 96.60 Total: $96.60 doc: Receiot -06 Printed: 10 -13 -2011 • . . INSPECTION RECORD INSPECTION NO. Retain a copy with permit ' �?`L' f P1- 15NO�. - .CITY OF TUKWILA BUILDING DIVISION 6300 Southcenfe? Blvd.; #100, Tukwila. WA 98188 (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 Pr'ect; . .W o ?ti_ . r 11.... R Type ofjnspection: F) 'QA L _ CA.• S A' ddress: • - ' • •. • Date Called: Special Irist`rUCtions: • • - Date W nted:.y - 2 17 p.m. Requester: Phone No: IJApproved Or applicable codes. • • • El Corrections required prior to approval. COMMENTS: e 6_4,; A g-kP f rr•/.,01 • Inspect • REI SPECTION FEE REQUIRED. Pr' r to next inspection. fee must be • • , a baiaat 6300 SOitthcenter Blvd.. Suite 100. Call to schedule reinspection. D te: -...2 6_ 117 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 P6//-/.5-5 Project: . • - • R21,64 Ahs 1/414"," 4.1% Type of Inspection: rc:31VA4 .—'GAS d , mevo ci Address: 4'737. V s 41/ 5 Date Called: 73.9,11 A 7D y�st/.9 L Special Instructions: • • . • / / -•/24/6 Date Wanted:. /D —� Ca — // a.m p.m. Requester: Phone No: aa6 -708 =6808 QApproved per applicable codes. aCorrections required prior to approval. COMMENTS: p 4 , 4410 ?i)44 -/S g / - i, / rt. / / �s , d , mevo ci ,Ft.,le e✓r A/ - A / - ?pc/14H ,&,g- % c/ . • _ _. 73.9,11 A 7D y�st/.9 L • "Date: EINSPECTION FEE REQUIRED: Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Gity of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director JOSHUA RUDOLPH 1373745AVS TUKWILA WA 98168 RE: Permit No. PG11 -155 RUDOLPH & MILLER RESIDENCE 13737 45 AV S 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 04/23/2012. 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 04/23/2012, 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, ---b/W ---gsp.,._ Bill Rambo Permit Technician File: Permit File No. PG11 -155 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 Contractors or Tradespeoplinter Friendly Page General /Specialty Contractor a 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 ADVANCED INSTALLATION INC UBI No. 601749093 Phone 4257455977 Status Active Address 16504 Hwy 99 Ste 101 License No. ADVANII033DU Suite /Apt. License Type Construction Contractor City Lynnwood Effective Date 3/31/1997 State WA Expiration Date 3/13/2012 Zip 98037 Suspend Date County Snohomish Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date TAYLOR, ROBERT STEPHEN Agent 01/01/1980 Bond Amount TAYLOR, ROBERT STEPHEN President 02/14/2002 100113673 TAYLOR, ASHLEY DEBIN Secretary 03/31/1997 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 5 American Contractors Indem CO 100113673 03/01/2010 Until Cancelled $12,000.0003/11 /2010 4 DEVELOPERS SURETY & INDEM CO 437546C 02/28/2002 Until Cancelled 03/17/2010 $12,000.0003/13 /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 8 American States Insurance Co 01CG3190139 05/31/2011 05/31/2012 $1,000,000.0005 /09/2011 7 American States Insurance Co 01CG31901310 05/31/2004 05/31/2011 $1,000,000.0003 /18/2004 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 10/13/2011