HomeMy WebLinkAboutPermit PG12-017 - KIESEL RESIDENCEKIESEL RESIDENCE
5001 S 113 ST
PG12 -017
City oftukwila
•
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.: 3348401683
Address: 5001 S 113 ST TUKW
Project Name: KIESEL RESIDENCE
PLUMBING /GAS PIPING PERMIT
Permit Number: PG 12 -017
Issue Date: 02/07/2012
Permit Expires On: 08/05/2012
Owner:
Name: KIESEL AMY J
Address: 5001 S 113TH ST , TUKWILA WA 98178
Contact Person:
Name: NANCY EVANS
Address: 1425 BLAINE AV NE , RENTON WA 98056
Email: NANCYJINWA @COMCAST.NET
Contractor:
Name: WASHINGTON CORROSION SRVC INC
Address: 1425 BLAINE AVE NE , RENTON, WA 98056
Contractor License No: WASHICS055KC
Phone: 425 - 228 -1393
Phone: 425 - 228 -1392
Expiration Date: 05/04/2012
DESCRIPTION OF WORK:
REPLACE GAS WATER HEATER
Value of Plumbing /Gas Piping: $500.00 Uniform Plumbing Code Edition: 2009
Fees Collected: $47.25 International Fuel Gas Code Edition: 2009
Electrical Service Provided by:
Permit Center Authorized Signature:
'Pr,1
Date:
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: a Date:
J' 1a
Print Name:
cJ
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
PG12 -017 Printed: 02 -07 -2012
• •
PERMIT CONDITIONS
Permit No. PG 12 -017
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
PG12 -017 Printed: 02 -07 -2012
CITY OF TUKWIIA
Community Developmer1Wpartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
littp://www.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: , JOo J v 1 ' -
Tenant Name: P\(Yl (i k I-e S-e4
PROPERTY :OWNER,
Name: A V„ K
Address: sO0l 5
Cityek) ? l a
State: W c ZiP lcs��
CONTACT 0PERSON person receiving all:project°
�Yf l<� .. T� 1y z I }r
communication' � . .... .PSG:. .t ....� .. J .. .... .
Name: not. nc...(1 �vYLs
Address: Ut )_c l °L--t t^Q...- AVC. /0 L
City: I v - Q State: C -p,i Zip%Ds
Phone: 4,23 , 22 (3.3 Fax:
Email: N ....) Gki i Z N.1 c.. A 0 COVN,, c ks .. iJ-•.,i,
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes No
_ t
PLUMBING ;CONTRA:tTOR�.LNFORMATION " :. ,,.
Company Name: f 1 illov) C✓ 1 Sev 0
Address:1 c1Z. k t fk,it, , c_-
Cityfe i∎ 1J State:Lop Zip% ,
Phone:42s .2_2_01393 Fax:
Contr Reg No.: -S Osc_c Exp Date:' ) 17
Tukwila Business License No.:
0 00
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information): la p o- L v1 s)
Building Use (per Int'l Building Code):
Occupancy (per Int'l Building Code):
Utility Purveyor: Water:
H:\Applications \Forms - Applications On Line\2011 Applicatmns\Plumbing Permit Application Revised 8- 9- 11.docx
Revised: August 2011
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Sewer:
Page 1 of 2
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Indicate type of plumbing fixtures and/or gds piping outlets being installed and the quanti elow:
,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)
,,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
Fixture Type, ,• s
, 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
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 OW R AUTHORIZED AGENT:
Signature:
Print Name: A •
Mailing Address: 4 2A- B
Date: 2 `� — ( 2—
et .14
Day Telephoner 2-
fJ C- 6)�aS�
City
H:Wpplications\Forms- Applications On Line \2011 Applications\Plumbing Permit Application Revised 8- 9- 11.docc
Revised: August 2011
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State Zip
Page 2 of 2
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• •
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.: 3348401683
Address: 5001 S 113 ST TUKW
Suite No:
Applicant: KIESEL RESIDENCE
RECEIPT
Permit Number: PG12 -017
Status: PENDING
Applied Date: 02/07/2012
Issue Date:
Receipt No.: R12 -00536
Initials:
User ID:
WER
1655
Payment Amount: $47.25
Payment Date: 02/07/2012 09:52 AM
Balance: $0.00
Payee: ANGELA LUDWIG
TRANSACTION LIST:
Type Method Descriptio, Amount
Payment Credit Crd MC
Authorization No. 717262
ACCOUNT ITEM LIST:
Description
47.25
Account Code Current Pmts
PLUMBING - RES
000.322.103.00.00 47.25
Total: $47.25
doc: Receiot -06 Printed: 02 -07 -2012
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
p6(.2_-0(7
Project:: ---N n
f J, p
Type of- Inspection: J
a
Addre . 0 4 r
1
1
��?
Date Called:
--
Special Instructions:
Date Wanted:.. ~� -
O 1 / — (
p. �a r�..
m.
Requester:
Phone No:,.
t)- .5.S.`1 -`7(
8
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
c_T ' MA-A0
Li
e It 1 1
Inspet+tor:
ate. /1
Date:
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 v2..- (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
t, 2 -OI7
Project:..
N:Ic L RCS
Type of Inspection:
i-- lNOL --- P1z.:k^_
Address:
Date Called:
Special Instructions:
Date Wanted:.
S — ga— 12-
p.m.
Requester:
Phone No:
.206-5: 4 -9II
Approyed•per applicable codes. •
Corrections required prior to approval.
COMMENTS:
1 1' : ?v tool- pitc,w.4 '—o AIN /4 t to OA A- +d J.
Date:
S -30 =1%
I spec r:
I
El SPECTION FEE R= pUIRED. Prior to next inspection. fee must be
ai at 6300 Southcenter)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 17- (206) 431 :3670
Permit Inspection Request Line (206) 431 -2451
ftzO /7
P c► e s ,ej Qe5 ,k c
Type -Inspectio •
- n A �
,
u ilig it 4,
Add s 0 C�
i/ 3 4-
Date Called:
Special Instructions:
. r X T
) J
Date Wanted::..
J— 2Z
terry
I � p.m.
Requester:
Phone No:.
e7/0 C 2 : 7
1 -
- - ° S - 2 - ‘ 0 0
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
1 o k.: A-N-S u3 -T
f
Inspector:
N vs
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suit 100. Call to schedule reinspection.
Date 23
Contractors or Tradespeople Peter Friendly Page
•
General /Specialty Contractor
A business registered as a construction contractor with LE&I 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
WASHINGTON CORROSION SRVC INC UBI No.
4252281393
1425 Blaine Ave Ne
Renton
WA
980562774
King
Corporation
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601577751
Active
WASHICS055KC
Construction Contractor
5/3/1995
5/4/2012
Appliances /Equipment
Unused
Business Owner Information
Name
Role
Effective Date
Expiration Date
EVANS, NANCY J
President
01/01/1980
Amount
EVANS (LUDWIG), ANGELA M
Secretary
01/01/1980
NPP1315461
EVANS, JOHN D
Vice President
01/01/1980
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
4
CBIC
SD6182
05/02/2002
Until Cancelled
$6,000.00
05/02/2002
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
10
Western World
Ins Co
NPP1315461
05/04/2011
05/04/2012
$1,000,000.00
04 /21/2011
9
WESTERN
WORLD INS CO
NPP1241170
05/04/2010
05/04/2011
$500,000.00
04/23/2010
8
WESTERN
WORLD INS CO
NPP1210194
05/04/2009
05/04/2010
$500,000.00
04/28/2009
7
WESTERN
WORLD INS CO
NPP1154438
05/04/2008
05/04/2009
$500,000.00
04/21/2008
6
WESTERN
WORLD INS CO
NPP1091007
05/04/2007
05/04/2008
$300,000.00
05/01/2007
5
WESTERN
WORLD INS CO
NPP0934474
05/04/2006
05/04/2007
$300,000.00
04/17/2006
4
WESTERN
WORLD INS CO
NPP0934474
05/04/2005
05/04/2006
$300,000.00
05/02/2005
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
Infractions /Citations Information
Infraction / Citation
Date
RCW Code
Type
Status
Violation Amount
ENESM00355
8/29/2011
19.28.041 RCW
ELECTRICAL CITATION
Satisfied
$500.00
https: // fortress .wa.gov /lni/bbip /Print.aspx
02/07/2012