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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 bh Sewer: Page 1 of 2 ly 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 bh State Zip Page 2 of 2 CD • • 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