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Home My WebLink AboutPermit PG12-011 - DRAKE RESIDENCEDRAKE RESIDENCE 17083 53 AV S PG12-011 City arI'ukwila 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.: 8125200232 Address: 17083 53 AV S TUKW Project Name: DRAKE RESIDENCE PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: PG12 -011 01/17/2012 07/15/2012 Owner: Name: STR LAKE INVESTMENTS L L C Address: 21629 4TH AVE S , NORMANDY PARK WA 98198 Contact Person: Name: Address: Email: HARRY SINGH 5140 S 172 LN , TUKWILA WA 98188 H207 SING @ C O MCAST. NET Contractor: Name: H S GENERAL CONSTRUCTION INC Address: 21619 4TH AVE S , NORMANDY PARK 98198 Contractor License No: HSGENSG953LB Phone: 206 261 -7657 Phone: (206)261 -7657 Expiration Date: 06/03/2013 DESCRIPTION OF WORK: GAS PIPING TO GAS STOVE Value of Plumbing /Gas Piping: Fees Collected: Electrical Service Provided by: Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complie $800.00 Uniform Plumbing Code Edition: 2009 $96.60 International Fuel Gas Code Edition: 2009 Date: D [hi 17- ed 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 pr construction or the performance of work. on the back of this pc Signature: Print Name: hif9)64y 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. t. e 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 Date: ///777/2-- doc: UPC -4/10 PG12 -011 Printed: 01 -17 -2012 PERMIT CONDITIONS Permit No. PG 12 -011 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 12 -011 Printed: 01 -17 -2012 CITY OF TUKWI Community DevelopmallPepartment Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.Tukwi 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** Site Address: /77 ss 53 riXen Tenant Name: King Co Assessor's Tax No.: ;,:KOPOITS4'..0*NtitiY.y.,,'::,..7.,::::-.J.::!..3°,,,..;'±, .:,', .:::' , ; • ''' Name: cy 2 _ ,vv,, / itj//4_ piegoo ..c., Address: City: .4.--' f Stp/4._. 7 LeHlwr /4- / 2 City: 72:-,t4 State4 Zip: .9(1/4ff . CONTACTIPERSON&...°0eitchip-eeeivmg all project ...:.',.- . .f•;:°,11';',,, g", :, .i,. NrlYnPicatiolY•f? ''," 1-• x';'.',. '' - ry 1: '..;;-• ..." ' —. . s'.` . 'r, - ' ., : Name: iii/ilpq4"( SA) i Address: Address:4-7q ,42) /72_ z /0 Phone: 2_66, 2.(....,...7‘5--7._ Fax: City: .4.--' f Stp/4._. 7 LeHlwr /4- . 4414 Phone: Fax: Email: 77 zb 7-- r'i/1-4 0 614/01,-gi--- Aig-r- 111-cc-200%, Suite Number: Floor: New Tenant: 0 Yes 0.. No , JIA.1,10111dikOSIT.riA0451,i 4146 :Itli1A:Ti!tt;:5'Xi' ;!:i: Company Name: hf,,,X-7. UL--2t94-6 61/V/IC / Address: State / /..c,t9iii/64 Sta,li__ 4 iii_.67 Phone: 2_66, 2.(....,...7‘5--7._ Fax: Contr Reg No.: ikesjir,m (Ac;UPexp Date: Tukwila Business License No.: ciuts-r*. slig S Valuation of Project (contractor's bid price): $ Scope of W • k (please provide detailed information): AT e'lLe Building Use (per Int'l Building Code): 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 quantit low: ,Fixture Types 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) r , 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 r 1Fixture Type, i'.. r Qty; 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 r - Fixture Type 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 Intemational 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 OWNER ► R A j H s RIZ /,TENT: Signature: Y// Print Name: 7!/T C'41 t /(/ ' II ,,� �,, Mailing Address: _ < /C(d .r� ' /7 2-2-4/ %t 6t// f H:Wpplications\Forms- Applications On Line \2011 Applications\Plumbing Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh Day Telephone: 266 2% 76 - ai - 4', /fie City State Zip Page 2 of 2 • J��t_A wqs City of Tukwila C a � O I90a 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 Parcel No.: 8125200232 Address: 17083 53 AV S TUKW Suite No: Applicant: DRAKE RESIDENCE RECEIPT Permit Number: PG12 -011 Status: PENDING Applied Date: 01/17/2012 Issue Date: Receipt No.: R12 -00164 Initials: User ID: JEM 1165 Payment Amount: $96.60 Payment Date: 01/17/2012 01:12 PM Balance: $0.00 Payee: H S CONSTRUCTION AND INV TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 191921 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: 01 -17 -2012 INSP ECTION. N0. _INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION G 1,2_, 6300 Southcenter Blvd., #100, Tukwila. WA 98188 , (206) 431 -36. Q� Permit Inspection Request Line (206) 431 -2451 Project: (Ay �// {/ Type o.lnspe`cQtio//•n�/� /}/ 4/j Address: ---11—# Date Called: Special Instructions: ' .4 '"t :. Date Wanted: Y (...e . `a.. --,- p.m. Requester: Phone No:// ( I Approved per applicable codes. E Corrections required prior to approval. COMMENTS: AA (M rr .2 \o/, f bc40 A i Inspector: A n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 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 ff(L -011 Proj ct; :. • Res Typ ,of Inspection: --tr- 6`A' $4.1p Address: 110_8.3 .J � S '' • DaI c-0 J :G Special Instructions; . 0 Qt2 10---- 1 Date Wanted:. I' –24 - r a. — p.m. Requester: Phone/No: -.7(-'517 ZApproved per applicable codes. COMMENTS: Corrections required prior to approval. -J2 e-fol Avibu-a ( Plr'�'rS f L? X v-ee . A e :/ p( A-A Date: 2-4 REINSPECTION FEE REQUIRED. I rior to next 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 Lai 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 H 5 GENERAL CONSTRUCTION INC UBI No. 602481655 Phone 2062617657 Status Active Address 5140 S 172Nd Ln License No. HSGENSG953LB Suite /Apt. License Type Construction Contractor City Seatac Effective Date 6/2/2005 State WA Expiration Date 6/3/2013 Zip 98188 Suspend Date County King Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date DRAKE, SYLVIA MIRANDA President 06/03/2011 Bond Amount Received Date DRAKE, SYLVIZ Agent 06/02/2005 06/03/2011 DRAKE, SYLVIZ President 06/02/2005 06/03/2011 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 CBIC SG1363 05/16/2005 Until Cancelled 05/16/2012 $12,000.0006/02 /2005 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 ft Insuranc C11SG1363 05/16/2009 05/16/2012 $1,000,000.0005 /13/2011 3 CBIC C11SG1363 05/16/2007 05/16/2009 $300,000.0005/06 /2008 2 CBIC C11SG1363 05/16/2006 05/16/2007 $300,000.0008/21 /2006 1 CBIC C11SG1363 05/16/2005 05/16/2006 $300,000.0006/02 /2005 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 01/17/2012