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Home My WebLink AboutPermit PG11-179 - BUEHLER RESIDENCEBUEHLER RESIDENCE 5336 S 140 ST PG1 1 -179 City o0fukwila 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.: 1670400227 Address: 5336 S 140 ST TUKW Project Name: BUEHLER RESIDENCE PLUMBING /GAS PIPING PERMIT Permit Number: PG11 -179 Issue Date: 12/08/2011 Permit Expires On: 06/05/2012 Owner: Name: BUEHLER RONALD J Address: 5336 S 140TH , SEATTLE WA 98168 Contact Person: Name: BEV GORDON Address: 8001 S 212 ST , KENT WA 98032 Email: Phone: 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: gas meter relocate. gas fuelling extension (40') Value of Plumbing /Gas Piping: Fees Collected: Electrical Service Provided by: Permit Center Autho Signature: $1,000.00 $96.60 Uniform Plumbing Code Edition: 2009 International Fuel Gas Code Edition: 2009 /Ar _ / /// r / I hereby - ertify that I have read and examined this p:f t 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. Date: -g -tt Signature: •�e� 'lL� Date: /2— Print Name: 6V e..-0 �i✓ 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 -179 Printed: 12 -08 -2011 • • PERMIT CONDITIONS Permit No. PG 11 -179 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 -179 Printed: 12 -08 -2011 CITY OF TUKWI34 Community Developmej epartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http:Pwww.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 ** Site Address: 53, 140 el S r Tenant Name: Name: Address: s33� 1 4_061 �r Cit JILw 864- State: Zip179 /%e King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: ❑ Yes El.. No Company Name �r4 ,.Oc.4.p.Ce_ n L Addressi2d0 s eue-C ($ 400 6a, ZlpCity:4h aJ 1 L ti S Phone Y.3 3s78 Fax: Contr Reg No-LNcizACLgg/CZ Exp DateZ_ 14 - �3 Tukwila Business License No.: Valuation of Project (contractor's bid price): $ /00 G %' Scope of Work (please provide detailed information): (1).41- /�je F'1I gdoek e_ �L-s �1 t:/.1 . 6're- sic Ai (4b') Building Use (per Int'l Building Code): ,.Sic) -÷s -L Occupancy (per Int'l Building Code): Utility Purveyor: Water: H:\Applications \Forms - Applications On Line \2011 Applications\Plumbing Permit Application Revised 8 -9 -I l.docx Revised August 2011 bh Sewer: Page 1 of 2 Name Address8 , Z./ Z..-6° S 4— City:E T State Zip9863 Z • � Fax: Phone: �33 7 C //�� Email, � . G�,e.0on0 P P.56 , C.E King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: ❑ Yes El.. No Company Name �r4 ,.Oc.4.p.Ce_ n L Addressi2d0 s eue-C ($ 400 6a, ZlpCity:4h aJ 1 L ti S Phone Y.3 3s78 Fax: Contr Reg No-LNcizACLgg/CZ Exp DateZ_ 14 - �3 Tukwila Business License No.: Valuation of Project (contractor's bid price): $ /00 G %' Scope of Work (please provide detailed information): (1).41- /�je F'1I gdoek e_ �L-s �1 t:/.1 . 6're- sic Ai (4b') Building Use (per Int'l Building Code): ,.Sic) -÷s -L Occupancy (per Int'l Building Code): Utility Purveyor: Water: H:\Applications \Forms - Applications On Line \2011 Applications\Plumbing Permit Application Revised 8 -9 -I l.docx Revised August 2011 bh Sewer: Page 1 of 2 Indicate type of plumbing fixtures and/org�s piping outlets being installed and the quanti 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/outlets greater than 5 Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections (1 -5) •:4Fixture 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 Fi ture Type .. .-.. „s... 4 ;:Qty _sr: -, -. 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 F.ixturR Type ? tra • - F.•:. : 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 iIT�AP: NiNinr 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 lntemational 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 OW R OR AUTHORIZED AGENT: Signatur e Print Name: r/ V 6;k04^) Mailing Address:' Z/ ZY S T Date: /L-6-- I% Day Telephone :05a 3 7 0 Zq 12p ".11 we._ 9 Boa Z H:\Applications\Forms- Applications On Line12011 Applications\Plumbing Permit Application Revised 8- 9- 11.docz Revised. August 2011 bh City State Zip Page 2 of 2 • • n 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.: 1670400227 Address: 5336 S 140 ST TUKW Suite No: Applicant: BUEHLER RESIDENCE RECEIPT Permit Number: PG11 -179 Status: PENDING Applied Date: 12/08/2011 Issue Date: Receipt No.: RI 1 -02674 Initials: User ID: Payee: TLS 1670 Payment Amount: $96.60 Payment Date: 12/08/2011 02:00 PM Balance: $0.00 BEVERLY GORDON INFRASOURCE LLC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 000776 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 -08 -2011 INSPECTION RECORD Retain a copy with permit PGir —c7 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431 -2451 Pro ect: u�'I.ie Rest cam_ Typ Inspect' n: 'A. GAS A dress: fy �"" Date Called: Sped; l Instructions: r��P A-001-1--,- A Date Wanted: y, a.m. sus Requester: Pne oNo: .. q q_s 7036 2 -- .53 ,. App. pproved per applicable codes. aCorrections required prior to apprcS al. GMMENTS: risp ctor L J Date: 5._ 0 REINSPECTION FEE REQUIR 'D. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. • • Date: g2 0 REIN PECTION FEI:\REQUIRED. P 'or to next inspection. fee must be paid it 6300 Southcenter Blvd.. Suit 100. Call to schedule reinspection. 05 -01 -2012 BEV GORDON 8001 S 212 ST KENT WA 98032 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director RE: Permit No. PG11 -179 BUEHLER RESIDENCE 5336 S 140 ST 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 06/12/2012. 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 06/12/2012, 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, Bill Rambo Permit Technician File: Permit File No. PG11 -179 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206 -431 -3670 • Fax 206 -431 -3665 Contractors or Tradespeople Prier 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 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 $1,000,000.00 07/19/2011 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 12/08/2011