HomeMy WebLinkAboutPermit PG11-177 - SEUBERR RESIDENCESEUBERR RESIDENCE
14759 62 AV S
PG1 1 -177
Parcel No.:
Address:
City ofkrukwila
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
3597000087
14759 62 AV S TUKW
Project Name: SEUBERR RESIDENCE
PLUMBING /GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On:
PG11 -177
12/07/2011
06/04/2012
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Email:
Contractor:
Name:
Address:
Contractor
TUKWILA 6 LLC
19541 183RD WAY SE , RENTON WA 98058
JOHN BASSETT
23912 75 AV SE , WOODINVILLE WA 98072
BASSETTHOM AOL.COM
BASSETT HOME HEATING INC
23912 75 AV SE , WOODINVILLE WA 98072
License No: BASSEHH044RS
Phone: 425 - 398 -1666
Phone: 425 - 398 -1666
Expiration Date: 11/22/2013
DESCRIPTION OF WORK:
INSTALL GAS LINE FROM METER TO NEW FURNACE
Value of Plumbing /Gas Piping:
Fees Collected:
Electrical Service Provided by:
Permit Center Authorized Signature:
$3,500.00
$96.60
Uniform Plumbing Code Edition: 2009
International Fuel Gas Code Edition: 2009
Date: 1 )----7^" I 1
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:
`C.
Date: /0�l
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 -177 Printed: 12 -07 -2011
• •
PERMIT CONDITIONS
Permit No. PG 11 -177
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 -177 Printed: 12 -07 -2011
CITY OF TUKWILA
Community Development Department
Permit Censer
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http ://www.TukwilaWA.gov
Plumbing/Gas Permit No. \ C ( —' (77
Project No.
Date Application Accepted:
Date Application Expires:
(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
Site Address:
Tenant Name:
/ `2' 7 5 r 10.2 ^c t N-111 f S
King Co Assessor's Tax No.: 3 5 9 .7 0 d C. 0 5 7
PROPERTY OWNER
Name: 0 }-r1 P∎.SS-,' - t
Name:
A,icIz . cti- .rr-.r
Address: 2391 t -7 5 1A'V E
Address:
City: tAJOC1 l 1 /v►) i ` State: w
Lip= ler0-7Z
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name: 0 }-r1 P∎.SS-,' - t
Address: 2,39 2. % 5T j -v E. s
Address: 2391 t -7 5 1A'V E
City: tAJOC1 l 1 /v►) i ` State: w
Lip= ler0-7Z
Phone: ' /�5.3& -/6,46 Fax:
yt
-3ci,s,,, -i674
Email: sue,
Suite Number:
New Tenant:
Floor.
❑ Yes ® ..No
PLUMBING CONTRACTOR INFORMATION
Company Name: r'
Address: 2,39 2. % 5T j -v E. s
}I/
City: `-'VdI/C/t 1 vat.( state: WA Zip: c 72
Phone: 4/1.3- 3y$'_J04,4 Fax: 4145 - 3 V_)670
Contr Reg No.: 8 o see h hO yy>Z XP Date: / 213, / j
Tukwila Business License No.: !
Valuation of Project (contractor's bid price): $ 3 S 00
Scope of Work (please provide detailed information):
!.'V Sic )1 nf-tw JrNC..c.Q 1 11>�oi C
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G eed kTo- V<'vr
Building Use (per Int'I Building Code).
Occupancy (per Intl Building Code):
Utility Purveyor: Water
14:1ApplicaIions■Forns- Applications On Lim-12011 Applieations\Plumbing Permit Applieanon Rc■ised 8.9 -1 t.docv
Reviud: August 2011
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Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
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/oullets greater
than 5
Atmospheric -type vacuum
breakers not included in
lawn sprinkler backflow
protections (1 -5)
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 rum) diameter or
smaller
Atmospheric -typc vacuum
breakers not included in
lawn sprinkler backflow
protections over 5
Fixture Type
( Qty
Clothes washer,
domestic
Food -waste grinder,
commercial
Wash fountain
Water closet
Industrial waste
treatment interceptor,
including trap and vent,
except for kitchen typc
grease interceptors
Repair or alteration of
drainage or vent piping
Back flow 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 fawn sprinkler
system on any one meter
including backflow
protection devices
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 fce 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 OWNER 0
Signature:
Print Name:
Mailing Address:
JTHORIZED AGENT:
H; Applixtions1For -Appl iral ions On t.ine3011 AppticationstPluntbing Penult Application Revised KA•1 [Ana
Reused: August 2011
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Date: / 2 - -7 - I 1
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Page 2 of 2
B09:01. 1 L LO oea
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.: 3597000087
Address: 14759 62 AV S TUKW
Suite No:
Applicant: SEUBERR RESIDENCE
RECEIPT
Permit Number: PG11 -177
Status: PENDING
Applied Date: 12/07/2011
Issue Date:
Receipt No.: R11 -02653
Initials:
User ID:
WER
1655
Payment Amount: $96.60
Payment Date: 12/07/2011 12:02 PM
Balance: $0.00
Payee: JOHN BASSETT
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 004336
ACCOUNT ITEM LIST:
Description
96.60
Account Code Current Pmts
GAS - RES
000.322.103.00.00 96.60
Total: $96.60
doc: Receiot -06 Printed: 12 -07 -2011
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
12, (206) 431 -3670
6300 Southcenter Blvd., #100, Tukwila: WA 98188
Permit Inspection Request Line (206) 431 -2451
Project:
-CPu.,trr
Type of Inspection: e \�
f�.r)J6 � ` 'l5
Address:
1 41
Itz,
Date Call d: .
Special Inst u Lions:
/••
Date Wanted. a.m
L . ��- /( p
Requester:
Phone No:
7-06-4v---)35()
Approved per applicable codes. a Corrections required prior to approval.
COMMENTS:
(.\
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.
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Inspector:
1
Date: / Z 6 I(
REINSPECTION FEE REQUIRED. Prior to net inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Peer 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
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
BASSETT HOME HEATING INC
4253981666
23912 75Th Ave Se
Woodinville
WA
98072
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601753465
Active
BASSEHH044RS
Construction Contractor
12/10/1996
11/22/2013
Metal Fabrication
Unused
Business Owner Information
Name
Role
Effective Date
Expiration Date
BASSETT, JOHN JAY
President
12/10/1996
Amount
BASSETT, DEBRA LINN
Vice President
12/10/1996
INSSA6183
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
CBIC
SA6183
12/09/2001
Until Cancelled
$6,000.00
11/15/2001
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
4
Contractors
Bonding &
Insuranc
INSSA6183
12/09/2010
12/09/2012
$1,000,000.00
11/14/2011
3
CBIC
INSSA6183
12/09/2002
12/09/2010
$1,000,000.00
12/01/2009
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 12/07/2011