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Home My WebLink AboutPermit PG12-020 - PERRY RESIDENCEThis record contains information which is exempt from public disclosure pursuant to the Washington State Public Records Act, Chapter 42.56 RCW as identified on the Digital Records Exemption Log shown below. PG 12 -020 Perry Residence 1334234 th Avenue South RECORDS DIGITAL D- ) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION F,age # Code Exemption � � �� Brief Explsnatoty Description, Statute /Rule The Privacy Act of 1974 evinces Congress' intent that Personal Information — social security numbers are a private concern. As such, individuals' social security numbers are Social Security Numbers redacted to protect those individuals' privacy pursuant 5 U.S.C. sec. DR1 Generally — 5 U.S.C. sec. to 5 U.S.C. sec. 552(a), and are also exempt from 552(a); RCW 552(a); RCW disclosure under section 42.56.070(1) of the 42.56.070(1) 42.56.070(1) Washington State Public Records Act, which exempts under the PRA records or information exempt or prohibited from disclosure under any other statute. Redactions contain Credit card numbers, debit card Personal Information — numbers, electronic check numbers, credit expiration 12 DR2 Financial Information — dates, or bank or other financial account numbers, RCW RCW 42.56.230(4 5) which are exempt from disclosure pursuant to RCW 42.56.230(5) 42.56.230(5), except when disclosure is expressly required by or governed by other law. PERRY RESIDENCE 13342 34 AV S EXPIRED 10-27-12 PG1 2-020 City oikukwila • 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.: 7358600120 Address: 13342 34 AV S TUKW Project Name: PERRY RESIDENCE PLUMBING /GAS PIPING PERMIT Permit Number: PG 12 -020 Issue Date: 02/09/2012 Permit Expires On: 08/07/2012 Owner: Name: PERRY LEE C Address: 5216 40TH AVE SW , SEATTLE WA 98136 Contact Person: Name: DON ALLEN Address: 33530 FIRST WY S, SUITE 102 , FEDERAL WAY WA 98003 Email: BUILDER @EXCELHOMES.BIZ Contractor: Name: EXCEL HOMES INC Address: PO BOX 23099 , FEDERAL WAY WA 98093 Contractor License No: EXCELHI918R9 Phone: 253 - 237 -0727 Phone: 206 - 237 -0727 Expiration Date: 12/29/2013 DESCRIPTION OF WORK: REMODEL RESIDENCE INCLUDING ADDING (1) BATHROOM, (1) LAUNDRY ROOM AND REPIPE ENTIRE HOUSE. RELOCATE KITCHEN AND (1) EXISTING BATHROOM. Value of Plumbing /Gas Piping: $10,000.00 Uniform Plumbing Code Edition: 2009 Fees Collected: $223.13 International Fuel Gas Code Edition: 2009 Electrical Service Provided by: Permit Center Authorized Signature: (4)J1- 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 pergut. Signature: at(—■ Print Name: O''lA1 r� Atlevi Date: a2 I - 2' 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 -020 Printed: 02 -09 -2012 • • PERMIT CONDITIONS Permit No. PG 12 -020 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 -020 Printed: 02 -09 -2012 Site Address: CITY OF TUKWIiii Community Developme epartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: / /www.TukwilaWA.gov Tenant Name: 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 ** /3,J Y)-- 3 y4*, 1.41) 5 Pepe/ 1 •� .- PROPERTY *OVI?NER` . Address: 3 3 S.$0 / S"_ Utl Ay tab oz Name: 1-- P-P V 0 Contr Reg No.: Exc e /fit`/ oR5 Exp Date:(_ 21--13 Tukwila Business License No.: Address: / Address: 33)312 / 54- w q- So City: State: Zip: :•,‘ ACCT.PEIRSON person reserving aII . project N.'''):: communication '' . . -.? .. ,' : ... # .n .. ... .. .. Company Name: &ce / li.a 1'v c s Address: 3 3 S.$0 / S"_ Utl Ay tab oz "ti City: l— ssrBlttaa r 10 »i State: LTA Zip: ,800-3 Name: / ifeivfri Q s Contr Reg No.: Exc e /fit`/ oR5 Exp Date:(_ 21--13 Tukwila Business License No.: Address: 33)312 / 54- w q- So fa City: te tt/'A I 11\% A` State` o w Zip: 00 3 • Phone: {-Z` 23 7 07.21 Fax. Email: / DUI 1itev'veXce / /low eS.& l2 King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: ❑ Yes E. No 01:410NG CONTRA.061.0NORMATION;.! " . '- Company Name: &ce / li.a 1'v c s Address: 3 3 S.$0 / S"_ Utl Ay tab oz "ti City: l— ssrBlttaa r 10 »i State: LTA Zip: ,800-3 Phone:- ? 37 0? �1' Fax: Contr Reg No.: Exc e /fit`/ oR5 Exp Date:(_ 21--13 Tukwila Business License No.: Valuation of Project (contractor's bid price): $ ?�T= /0, 0L) 1 \ 2e w a d(t, C.1' bOtit 60 •■• Scope of Work (please provide detailed infprmation): O---9-- I w..h TL Building Use (per Int'l Building Code): Occupancy (per Int'I Building Code): Utility Purveyor: Water: H:Wpplications\Porms- Applications On Line2011 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 quanti elow: :Fixture Type Qty Bathtub or combination bath/shower I' Dishwasher, domestic with independent drain Shower, single head trap 1 Sinks 11 Rain water system — per drain (inside building) f Grease interceptor for commercial kitchen ( >750 gallon capacity) I Each additional medical gas inlets /outlets greater than 5 Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections (1 -5) FixturejType• Qty Bidet I' Drinking fountain or water cooler (per head) Lavatory Urinal Water heater and /or vent f Repair or alteration of water piping and/or water treatment equipment I 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 li Qty,; Clothes washer, domestic I' 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 I Backflow protective device other than atmospheric -type vacuum breakers over 2 inch (51 mm) diameter Gas piping outlets r ; Ftxture 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 MIT `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 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 P ' URY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OW Signature: OR A/ T i'I RIZE NT: Print Name: A. (di Alt ` e'U Mailing Address: 3 3 g3 (sfi W AY S'd -tk/ p 2— H:Wppltcations\Forms- Applications On Line\2011 Appl+cations\Plumbing Permit Application Revised 8 -9 -1 I.docx Revised: August 2011 bh Day Telephone: ArCity Date: .2 -9 `/2, .2c0(0 X27 -G 'f - W - 913,J State Zip Page 2 of 2 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.: 7358600120 Address: 13342 34 AV S TUKW Suite No: Applicant: PERRY RESIDENCE RECEIPT Permit Number: PG12 -020 Status: PENDING Applied Date: 02/09/2012 Issue Date: Receipt No.: R12 -00561 Initials: User ID: WER 1655 Payment Amount: $223.13 Payment Date: 02/09/2012 10:11 AM Balance: $0.00 Payee: DONALD ALLEN TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd MC Authorization No. 041113 ACCOUNT ITEM LIST: Description 223.13 Account Code Current Pmts PLAN CHECK - RES PLUMBING - RES 000.345.830 44.63 000.322.103.00.00 178.50 Total: $223.13 doc: Receipt -06 Printed: 02 -09 -2012 INSPECTION RECORD Retain a copy permit ermit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 t (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 Project: r'r/�/ Reis.' o1e.,c Typer_of Inspection: ..Yi 0 , J u Gil- Address: ' 13 12- T'^ 31 +-s. Date Called: �'� Special Instructions: Date Wanted: `i a`m 2_ p.m. Requester: Ph 4 — 1 f °2r1 Approved per applicable codes. a Corrections required prior to approval. COMMENTS: 4t.._.S L , nsTA -fit �o a A> 't �-t ApiroV (\r-,e a- 0 /is AA Dat REINSPECTION FEE REQUIRED. Prior t next inspection, fee must be I. 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 ;V__ (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Pc/2 -a 2cd1 Project:. ."-)e' f j2405.: Type of Inspection:, ?6') / /' - "v f /1� «.r 6 Address: ?24/2 .:.? 4 /•91/ S Date Called: Special Instructions: Date Wanted:. - .27 -/2 a.m. 1p.m Requester: .,P 21`7U' Phone No: . D 6 - 5'e/ /- Sc 2 / Approved per applicable codes. a Corrections required prior to approval. COMMENTS: t PSi— C; € CIrc 27- 12 �REl. SPECTION FEE REQUIRED. Prior to next inspection. fee must be ,iaid.at 6300 Southcenter Blvd.. Suite Y00. 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 IA (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Proje / t._ Ptr-i k6.,.S ' C.J 1 �.L'_`PL.() Type � of Inspeection: ([�7�{ J%%%''' U Cn _,_,ki ' it a - Address: 1 334 Ili . 31- --. Date Called: �--� Special Instructions: r (- /'{ • `e.4 -4 Date Wanted:' % 1 (r O t' a.m p.m. . Requester: Phone No 2-r (o 44 i -47 b 7 -') i d-t - l ,J / �r-f' 2_.-\ 16)1-f..-4.4_,; 3,)-,- EApproyed per applicable codes. Corrections required prior to approval. COMMENTS: / • v /. , cs ,,e C° tom, 7" r"' lindi t-- f (94 ,�elr.S.." ,15 6 n <. kfc/ � ,�/�� . i d-t - l ,J / �r-f' 2_.-\ 16)1-f..-4.4_,; 3,)-,- 1�//2 AI i pti ooh 4-.., J -' s 4 // - ....0 ei pm-, ,--,!,,,,1---, ...t., ......- vi--- --..../e , fr7 /1.4".1._ Ail 7.-- , "- s. (, A �. ',./ /1//)---:- Y `0 v Inspector: 4, Y7M4 n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: 09 -04 -2012 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director DON ALLEN 33530 FIRST WY S, SUITE 102 FEDERAL WAY WA 98003 RE: Permit No. PG12 -020 PERRY RESIDENCE 13342 34 AV S TUKW Dear Permit Holder: In reviewing our current records, the above noted permit has not received a fmal 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 10/27/2012. 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 fmal 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 10/27/2012, 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. PG12 -020 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206 -431 -3670 • Fax 206 - 431 -3665 Contractors or Tradespeople Per 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 EXCEL HOMES INC UBI No. 602978044 Phone 2062370727 Status Active Address Po Box 23099 License No. EXCELHI918R9 Suite /Apt. License Type Construction Contractor City Federal Way Effective Date 12/29/2009 State WA Expiration Date 12/29/2013 Zip 98093 Suspend Date County King Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date ALLEN, DONALD P President 12/29/2009 Amount 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 American Contractors Indem CO 100156907 03/09/2011 Until Cancelled $12,000.00 03/09/2011 Assignment of Savings Information Savings Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 2 12/29/2009 1/24/2011 Bond 3/2/2011 $12,000.00 12/29/2009 Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 3 LIBERTY NORTHWEST INS CORP BLW54614940 11/12/2010 11/12/2012 $1,000,000.00 11/04/2011 1 LIBERTY NORTHWEST INS CORP BHO54351534 12/23/2009 12/23/2010 $1,000,000.0012 /29/2009 Summons /Complaint Information Cause County Complaint Judgment Status Payment Paid By 10-2- 37167- 2SEA DEPT OF REVENUE InterPlead: No KING Date: 10/25/2010 Amount: $4,980.00 Savings: 5310725565 Date: 12 /08/2010 Amount: $3,814.21 Closed /Satisfied Date: 01/24/2011 Amount: $3,814.21 Savings Account Warrant Information No unsatisfied warrants on file within prior 6 year period https: // fortress .wa.gov /lni /bbip /Print.aspx 02/09/2012