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HomeMy WebLinkAboutPermit PG11-174 - CALIXTO RESIDENCECALIXTO RESIDENCE 3418 S 140 ST PG1 1 -174 City ofkukwila • 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.: 8864000635 Address: 3418 S 140 ST TUKW Project Name: CALIXTO RESIDENCE PLUMBING /GAS PIPING PERMIT Permit Number: PG11 -174 Issue Date: 11/30/2011 Permit Expires On: 05/28/2012 Owner: Name: FEDERAL NATIONAL MORTGAGE A Address: PO BOX 650043 , DALLAS TX 75265 Contact Person: Name: DAVID CALIXTO Address: 3418 S 140 ST , TUKWILA WA 98168 Email: DJCALIXTO @LIVE.COM Contractor: Name: GILLESPIE PLUMBING Address: 2732 124 AV SE , BELLEVUE WA 98005 Contractor License No: GILLEP *910MF Phone: 206 261 -5615 Phone: 425 749 -2939 Expiration Date: 07/06/2013 DESCRIPTION OF WORK: REPLACE GALVANIZED PIPE WITH PEX PIPE. REPLACE OLD TUB /SHOWER, WATER CLOSET, AND (2) SINKS WITH NEW. Value of Plumbing /Gas Piping: Fees Collected: Electrical Service Provided by: $4,000.00 $164.85 Permit Center Authorized Signature: / /Ifklj Uniform Plumbing Code Edition: International Fuel Gas Code Edition: 2009 2009 Date: I hereby certify that I have read and Iexam1ted this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complie with whether specified herein or not. The granting of this permit does not pr 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. P 1 �� Signature: 11: O Date: /1—?4-1/ Print Name: Le. (2 6- I le sb e_ 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 -174 Printed: 11 -30 -2011 PERMIT CONDITIONS Permit No. PG11 -174 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 -174 Printed: 11 -30 -2011 CITY OF TUKWI4. Community Developme,.. _Jepartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.Tukw i laW A. 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 ** 3 L� n King Co Assessor's Tax No.: Site Address: J I j g na �r P/1 0 1 "t / Tenant Name: Da.) IDt C. 4 ! j X"T'D Suite Number: New Tenant: Name: ®4 jd C p �i )C 0 Address: 3 Lite s t' U D st City: .1-7,44); 14 State:W �,. Zip: 1 dl / e 00 Floor: ❑ Yes ❑.. No Company Name: G. , I esps 1,2_ ul w1 417_ Name: 40.uik Ca'; City: 6aI'e us_ State:wk Zip :gq ,- Address: 31.1 () s t ) t i v t' st` Contr Reg No.: GlaLE Pet. p 0 Pp Date: 7—(01 .. 2 015 1 City: �4 L,; (q State: c Zip: R d l 0 Phone: ZD &_ Ill„ 5-6 a- Fax: Email: 4, ca..' 1 xi "o(J ii lid t C D WI 00 Floor: ❑ Yes ❑.. No Valuation of Project (contractor's bid price): $ I j Dod .60 Scope of Work (please provide detailed information): ge. (tee, ' a. Iva wi Le'C �1 �� W ; 4-k �t-1C t e t 99 n !+A cl4c Wt 4 t g2ipt,ait Old. +1.1 awt keuWcr 0 ;+k ity,tArt Building Use (per Int'1 Building Code): f--27 Occupancy (per Int'l Building Code): Utility Purveyor: Water: H: \Applications \Forms - Applications On Line \2011 Applications\Plumbing Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh Sewer: Page 1 of 2 Company Name: G. , I esps 1,2_ ul w1 417_ Address: 2.1 Z 12,x( ave._ s e City: 6aI'e us_ State:wk Zip :gq ,- 4 Phone: L{ �-s 1 L J'.Z 1 § 9 Fax: y2.r._ 11 /._ /''h.� Contr Reg No.: GlaLE Pet. p 0 Pp Date: 7—(01 .. 2 015 1 Tukwila Business License No.: O pv S-1 Li 3 6 Valuation of Project (contractor's bid price): $ I j Dod .60 Scope of Work (please provide detailed information): ge. (tee, ' a. Iva wi Le'C �1 �� W ; 4-k �t-1C t e t 99 n !+A cl4c Wt 4 t g2ipt,ait Old. +1.1 awt keuWcr 0 ;+k ity,tArt Building Use (per Int'1 Building Code): f--27 Occupancy (per Int'l Building Code): Utility Purveyor: Water: H: \Applications \Forms - Applications On Line \2011 Applications\Plumbing Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh Sewer: Page 1 of 2 Indicate type of plumbing fixtures and/or. piping outlets being installed and the quanti0 elow: Fixture Type "' 4Qty Bathtub or combination bath/shower Drinking fountain or water cooler (per head) Dishwasher, domestic with independent drain Lavatory Shower, single head trap Urinal Sinks 1 Rain water system — per drain (inside building) Repair or alteration of water piping and/or water treatment equipment Grease interceptor for commercial kitchen ( >750 gallon capacity) Backflow protective device other than atmospheric - type vacuum breakers 2 inch (51 mm) diameter or smaller Each additional medical gas inlets/outlets greater than 5 Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections over 5 Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections (1 -5) Future Type ._. Qty- Bidet Drinking fountain or water cooler (per head) Lavatory I 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 uture Type "i •`.,KS:,9ty x -^ r: 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 PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWN4R OR AUT ED E T: Signature: Print Name: Leo Cr- Ilese.1£e- I�- Mailing Address: 2 1 Q,,) Z. S� H:1Applications.Forms- Applications On Line12011 Applications\Plumbing Permit Application Revised 8- 9- 11.dacx Revised: August 2011 bh Day Telephone: �e!1et - City Date: IF 30 -11 qz5-- ?t{'7 -2???' w, - ?goes- 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.: 8864000635 Address: 3418 S 140 ST TUKW Suite No: Applicant: CALIXTO RESIDENCE RECEIPT Permit Number: PG11 -174 Status: PENDING Applied Date: 11/30/2011 Issue Date: Receipt No.: R11-02592 Payment Amount: $164.85 Initials: JEM Payment Date: 11/30/2011 02:54 PM User ID: 1165 Balance: $0.00 Payee: LEO A GILLESPIE TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 05531C ACCOUNT ITEM LIST: Description 164.85 Account Code Current Pmts PLUMBING - RES 000.322.103.00.00 164.85 Total: $164.85 doc: Receipt -06 Printed: 11 -30 -2011 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION • 6300 Southcenter Blvd., #100, Tukwila. WA 98188 • r' (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 PG -III Project: i _ / Type spe al n; n iv g - Address: 'i''1 Date Called: Special instructions: • • Date . '"• 7 --- l �-• a.m p.m. Requester: Phone No: Apprroved-per applicable codes. "Corrections required prior to approval. COMMENTS: Wit_ tinr r 2 )A 1 4p Inspe' tor: REINSPECTION FEE REQUIRED. Prior to next inspecTion. fee must be paid at 6300Southcenter 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 r (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: - 19 C Type Inspection: P e Address: •K Date Called: '-- --a-.. Special Instructions: Date Wanted:. ..- ' "( .1. m ;')n. p.m. Requester: r Phone No: Approved per applicable codes. Corrections required prior to approval. • ' COMMENTS: A---6 5- '-- lijA-4 / L.) ik fAbe4 i . h P J 74S / —73 35. r / -,) J Ll ,2-41 _ 7 °I A--Lt l , A ,-) o t) 1,, ( i; rf : , S-'4',.- J/ e ,t...e _I / i ' f li__..4 ,',kri: y fl- s 71)40 Inspector: (Date: f r ( ( n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. ,.: I,. pISPECTION RECORD Retain a copy with permit INSPECTION N0.'• ' '.s • PERMIT NO.G • .CITY,- .Ctr :%TUKWILA BUILDING DIVISION C� 00 Southcenter;Bvd.., #100, Tukwila. WA 98188 (206) 431 -3670 •63Permit Inspection- Request Line (206) 431 -2451 • r'F / /-- /7y Project:. Al/ t ( 171:1)6Z).' Alt s - Type of Inspection: i In / A%15,l `)4'4VA* P 17 d. dress: .. ,,�/ w7 +� 946 i � 7 ? / Q Date Called: _1 Special Instructions: : • • • • Date Wanted: . a.m. Requester: Phone No: _ 6 1Z 6/ -5'6 /- IJApproved per applicable codes. COMMENTS: , orrections required prior to approval. Afo,. 1-x`7 tid'e.J `7 (.4.:(r t.�-u 3 ;� ,��r vet.�.,�z- /LMT Ai-ref-1-04_ -04_ (a • ; • • • • lInsikctor: IDate:-2 REINSPECTION :FEE REQUIRED. Prior to next inspection. fee must be paid. at4300',Southcenter Blvd.. Suite 100. Call to schedule reinspection. • • Contractors or Tradespeople P ter 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 GILLESPIE PLUMBING UBI No. 602936513 Phone 4257492939 Status Active Address 2732 124 Ave Se License No. GILLEP *910MF Suite /Apt. License Type Construction Contractor City Bellevue Effective Date 7/6/2009 State WA Expiration Date 7/6/2013 Zip 98005 Suspend Date County King Specialty 1 Plumbing Business Type Individual Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date GILLESPIE, LEO ADDISON W Owner 07/06/2009 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 1 WESTERN SURETY CO 15325553 07/06/2009 Until Cancelled $6,000.00 07/06/2009 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 2 Truck Ins Exchange 604749356 06/29/2010 06/29/2012 $300,000.00 05/03/2011 1 TRUCK INS EXCHANGE 604749356 06/29/2009 06/29/2010 $300,000.00 07/06/2009 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 11/30/2011