The URL can be used to link to this page

Home My WebLink AboutPermit PG11-176 - CHAUFTY RESIDENCECHAUFTY RESIDENCE 14702 51 AV S PG1 1 -176 City oikukwila 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.: 7661600029 Address: 14702 51 AV S TUKW Project Name: CHAUFTY RESIDENCE PLUMBING /GAS PIPING PERMIT Permit Number: PG11 -176 Issue Date: 12/07/2011 Permit Expires On: 06/04/2012 Owner: Name: CHAUFTY JIM L Address: 14702 51ST AVE S , TUKWILA WA 98168 Contact Person: Name: BEV GORDON Address: 8001 S 212 ST , KENT WA 98032 Email: BEVERLY.GORDON @PSE.COM Phone: 253 -370 -2991 Contractor: Name: INFRASOURCE CONSTRUCTION LLC Phone: 630 - 613 -3518 Address: 1200 ROOSEVELT RD, STE 400 , GLEN ELLYN IL 60137 Contractor License No: INFRACL899CZ Expiration Date: 02/14/2013 DESCRIPTION OF WORK: RELOCATE GAS METER, GAS FUEL LINE EXTENSION (12 FT). Value of Plumbing /Gas Piping: $1,000.00 Uniform Plumbing Code Edition: 2009 Fees Collected: $96.60 International Fuel Gas Code Edition: 2009 Electrical Service Provided by: Permit Center Authorized Signature: kat- R,I, Date: `-- '7— r 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: z 6-1`— oE✓ (7)GW-D o A) Date:J Z - 7 // 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 -176 Printed: 12 -07 -2011 • • PERMIT CONDITIONS Permit No. PG1 1-176 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 -176 Printed: 12 -07 -2011 CITY OF TUKWI4,4 Community Developme. ,epartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://w),vvv.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 ** King Co Assessor's Tax No.: Site Address:] 4-1° Z 'S( / � 5 41 ,i vi / a tif Suite Number: Floor: Tenant Name: V /NI Name3 7ren o NAti, rTy Address :14 7a Z 6,7 ' / �4 State:_ /, Zip: Lsi Name::✓ C76,2-061.4) Address: bob I 5z /2- 44- S t- City: State:Zipper_ 3 ioor Phone. 3 3 -)0 Z9`' l Fax: Email: e, j.y . 0Oon Q f jCorn New Tenant: ❑ Yes X.. No Company Name: Z'N FFA c5ocu.rC -2., 's.o- &LC. Address: /ZOp lecose %4_ se-C:$ rlE 4-bo city: (e.r.)61 4 Phone ! /3 3 Fax: �v3o6.sis State:' L Zip: 190t 3% Contr Reg No.t.Npe4 GLcaQq Exp Date:z l4.. 3 Tukwila Business License No.: CZ Valuation of Project (contractor's bid price): $ /00 0 / /J Scope of Work (please provide detailed information): /%Q! p C—k �O ' /'Y/C- /I £ y ,4,9 C� Cierensi v A\% (I 2-; Building Use (per Int'1 Building Code): /2&S+.-( t, -L Occupancy (per Int'1 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 as piping outlets being installed and the quanti below: .. Fixture Type - _ YQty 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) 1 .,:'Fixture 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 1 rFijit}ire.TyPe•,;'i?!r- Q_ • 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 1 . Fixture'Pype; -' 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 iArk ETµAPPLIC.4�TIO/ NOT #4141 `#is it 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 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 0 ER OR AUTHORIZED AGENT: Signa Date: / 2--7--/ Print Name: & .11670€_60A) ) Day Telephone: 006,3-10 ?9c Mailing Address: / 6' , % 5 0/ 2.m S.— /1e I.✓G` 9 6 0 3 Z City State Zip H•AApplications\Forms- Applications On Line\2011 Applications\Plumbing Permit Application Revised 8 -9 -1 l.docx Revised August 2011 bh 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.aov RECEIPT ParcelNo.: 7661600029 Permit Number: PG11 -176 Address: 14702 51 AV S TUKW Status: PENDING Suite No: Applied Date: 12/07/2011 Applicant: CHAUFTY RESIDENCE Issue Date: Receipt No.: R11 -02650 Initials: WER User ID: 1655 Payment Amount: $96.60 Payment Date: 12/07/2011 11:45 AM Balance: $0.00 Payee: BEVERLY GORDON TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 031281 ACCOUNT ITEM LIST: Description 96.60 Account Code Current Pmts GAS - RES 000.322.103.00.00 96.60 Total: $96.60 doc: Receipt -06 Printed: 12 -07 -2011 INSPECTION RECORD Fe;-""Retain a copy with permit f'G t 1- 17 r INS'P {CTION 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 Project: Q 14 Atrr -1 RE.S Type of Inspection: -i= ih.)1A(.- GAS Address: 14-1701 S 1 A U S Date Called: Special Instructions: Date Wanted:. 1Z_ t3- t1 rm .m: Requester: Phone No: .253- 3 76-2.g9) I}(IApproved per applicable codes. ECorrections required prior to approval. COMMENTS: v,lf t 9� SPECTION FEE ,ft REQUIR�D. Prior to nep inspection. fee must be d at 6300 Southcenter Blv ., Suite 100. Call to schedule reinspection. INSPEC ON NO. INSPECTION RECORD Retain a copy with permit /// -/7 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 w (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: b/4Ur _ 77 /4)A- S Type Inspection: ?Of ri Gl - i hl Address: /11742 s / 94/ S Date Called: • Special Instructions: Date Wanted:. /4-- W- // a. .m. Requester: Phone No: -253-.370 -29"9'/ Approved per applicable codes. Corrections required prior to approval. COMMENTS: I= NSPECTION FEE REQUI D. Prior to n t inspection. fee must be paid at 6300 Southcenter Bl •., Suite 100. 'all to schedule reinspection. Contractors or Tradespeople P ter Friendly Page • General /Specialty Contractor A business registered as a construction contractor with LW 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 INFRASOURCE CONSTRUCTION LLC UBI No. 602477130 Phone 6306133518 Status Active Address 1200 Roosevelt Rd Ste 400 License No. INFRACL899CZ Suite /Apt. License Type Construction Contractor City Glen Ellyn Effective Date 2/14/2011 State IL Expiration Date 2/14/2013 Zip 60137 Suspend Date County Out Of State Specialty 1 General Business Type Limited Liability Company Specialty 2 Unused Parent Company QUANTA SERVICES INC Business Owner Information Name Role Effective Date Expiration Date ERNST, CHRISTINE A Partner /Member 02/07/2011 Amount MCARTHY, MICHAEL J Partner /Member 02/14/2011 mwzy59308 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 Federal Ins Co 82201463 01/12/2011 Until Cancelled $12,000.00 02/07/2011 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 2 Old Republic Ins Co mwzy59308 08/01/2011 08/01/2012 $1,000,000.0007 /19/2011 1 Old Republic Surety Co MWZY58873 08/01/2010 08/01/2011 $5,000,000.00 02/07/2011 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 12/07/2011