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HomeMy WebLinkAboutPermit PG12-031 - MEYER RESIDENCEMYER RESIDENCE 4905 S 107 ST PG12 -031 City APTukwila 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.: 5476800130 Address: 4905 S 107 ST TUKW Project Name: MEYER RESIDENCE PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: PG 12 -031 02/27/2012 08/25/2012 Owner: Name: MEYER DEBORAH M Address: 31802 24TH AVE SW , FEDERAL WAY WA 98023 Contact Person: Name: Address: Email: Contractor: Name: Address: Contractor YVONNE LIZOTTE 17527 NE 67 CT , REDMOND WA 98052 NOT PROVIDED ALL CLIMATE HEATING & A/C 17527 NE 67 CT , REDMOND WA 98052 License No: ALLCLCH966C6 Phone: 425 - 746 -3077 Phone: 425 - 746 -3077 Expiration Date: 02/26/2014 DESCRIPTION OF WORK: REPLACE EXISTING ELECTRIC WATER HEATER WITH GAS WATER HEATER AND RUN GAS PIPE FROM METER TO FURNACE AND WATER HEATER Value of Plumbing /Gas Piping: Fees Collected: Electrical Service Provided by: Permit Center Authorized Signature: $500.00 $143.85 Uniform Plumbing Code Edition: 2009 International Fuel Gas Code Edition: 2009 Date: D---)--7-1°L 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: Print Name: v\eAvNok Vfro)e)Ae,-1-4— Date: 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 -031 Printed: 02 -27 -2012 • • PERMIT CONDITIONS Permit No. PG 12 -031 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 -031 Printed: 02 -27 -2012 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98/88 .Tukwila \VA.gov Plumbing /Gas Permit No. ` G � Q 3 • project No. Date Application Accepted: Date Application Expires :: dF6r, office. use only)' 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: 14 `( 0 S S Tenant Name: f? i E I1--2 r Y c 2 King Co Assessor's Tax No.: S y 7 Lo $ b 0 I S 6 Suite Number: PROPERTY.OWNER Name: Name: c g. i e 07 F Y r� Address: Address: .`} `t o 5 S (0 7 -tt, ST City:- r�i< Mi l L O State: v) ti Zip:en i 7 8, CONTACT PERSON = person receiving all project _ communication Name: Le B N C 2 R o l Q 2.._ City: pp U h7 O k) is State: id ti Zip: v s. Address: Contr Re No.: Exp Date: ��� ��c.N �t[�[,( z-• 104 k( Tukwila Business License No.: City: State: Zip: Phone: Fax: Email: Floor: New Tenant: ❑ Yes E.. No PLUMBING CONTRACTOR INFORMATION Company Name: .6 LA.._ e., t_ l m ro_ a TG ; p Address: 1 r) 5 I n ,y City: pp U h7 O k) is State: id ti Zip: v s. Phone:q - Fax 4 M ir' - 3o r-17 ' S /97- l S .5s Contr Re No.: Exp Date: ��� ��c.N �t[�[,( z-• 104 k( Tukwila Business License No.: Valuation of Project (contractor's bid price): $ .S 0 0 Scope of Work (please provide detailed information): („w-aa, Building Use (per Int'I Building Code): Occupancy (per Int'I Building Code): Utility Purveyor: Water: H:Wpplications\Forns- Applications On Line \2011 Applications \Plumbing Permit Application Revised 8 -9 -1 I.docx Revised: August 2011 bh Sewer: Page 1 of 2 Indicate type of plumbing fixtures and /or gas piping outlets being installed and the quantity below: Fixture Type Qty Bathtub or combination bath /shower Dishwasher, domestic with independent drain Shower, single head trap Sinks 1 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) Z . 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 Z Fixture Type '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 Z 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 OWNER OR AUTHORIZED AGENT: Signature: vim , Print Name:/ V 0 N N B 1- t z. 07/- -� Mailing Address: t 7 S N 5 711 e 0 14- H:\Applications \Forms - Applications On Line\2011 Applications \ Plumbing Permit Application Revised 8 -9 -I l.docx Revised: August 2011 bh Date: 2- — Z- t7 -- < . Day Telephone: I-1 — 4 (o I� ampll�t 1ni i etzOS__ City State Zip , Page 2 of 2 . • wq� City of Tukwila ti 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.: 5476800130 Address: 4905 S 107 ST TUKW Suite No: Applicant: MEYER RESIDENCE RECEIPT Permit Number: PG12 -031 Status: PENDING Applied Date: 02/27/2012 Issue Date: Receipt No.: R12 -00811 Initials: User ID: WER 1655 Payment Amount: $143.85 Payment Date: 02/27/2012 11:08 AM Balance: $0.00 Payee: ALL CLIMATE INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 20964 143.85 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts GAS - RES PLUMBING - RES 000.322.103.00.00 96.60 000.322.103.00.00 47.25 Total: $143.85 doc: Receipt -06 Printed: 02 -27 -2012 INSPECTION RECORD Retain a copy with permit INS'ECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION v 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367 79L Permit Inspection Request Line (206) 431 -2451 Project: fp r� Type f- Inspectio Al Address: 1 Daft Called: tUU G Pl J "A % Special Instructions: eta. W. 4. f C� / , lAl . 1+% Date Wanted-*7_ -Z >_ .`ate Requester: Phone ___2562.....(5.413 Approved per applicable codes. Ei Corrections required prior to approval. COMMENTS: �J��A.I; � �kp(�Qj° M5 J RIA-4 tj Inspectoc. Date r7 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. -k4 INSPECTION RECORD Retain a copy with permit P6 03I 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 Project: Address: Special nstructions: Type of Inspec Date alled: .U(, -- COM Date Wanted:. - 25 — p.m. Requester: Phone 1 2 _ (t` ---3(9-77 Approved per applicable codes. Corrections required prior to approval. 2 COMMENTS:. inspect,` Datet_z_A ( REINSPECTION: FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 07 -02 -2012 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director YVONNE LIZOTTE 17527 NE 67 CT REDMOND WA 98052 RE: Permit No. PG12 -031 MEYER RESIDENCE 4905 S 107 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 08/27/2012. 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 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 08/27/2012, 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. PGI2 -031 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206-431 -3670 • Fax 206- 431 -3665 Contractors or Tradespeople Pi1ter Friendly Page • General /Specialty Contractor A business registered as a construction contractor with L &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 ALL CLIMATE HEATING & A/C UBI No. 602284037 Phone 4257463077 Status Active Address 17527 Ne 67Th Ct License No. ALLCLCH966C6 Suite /Apt. License Type Construction Contractor City Redmond Effective Date 2/26/2004 State WA Expiration Date 2/26/2014 Zip 98052 Suspend Date County King Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company ALL CLIMATE INC ther Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status ALLCLCI933N7 ALL CLIMATE INC Electrical Contractor General Unused 8/27/2007 8/27/2013 Active ALLCLHA000CB ALL CLIMATE HEATING & A/C LLC Construction Contractor General Unused 2/24/2000 2/24/2004 Archived ALLCLHA055P0 ALL CLIMATE HEATING & A/C Construction Contractor Air Conditioning Commercial /Industrial /Refrig 10/20/1995 2/17/2000 Archived Business Owner Information Name Role Effective Date Expiration Date BROWN, RUSSELL President 02/26/2004 Bond Amount BROWN, JAMES Vice President 02/26/2004 02/09/2012 Bond Information Page 1 of 2 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 2 AM STATES INS 6472892 02/17/2007 Until Cancelled $12,000.0002/21 /2007 1 DEVELOPERS SURETY & INDEM CO 851697C 01/01/2004 Until Cancelled 03/13/2007 $12,000.00 01/20/2004 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 6 AMERICAN STATES INS CO 01CG4379198 11/01/2010 11/01/2012 $1,000,000.00 10/06/2011 5 AMERICAN STATES INS CO 01CG4379597 11/01/2008 11/01/2010 $1,000,000.00 10/16/2008 4 ALLSTATE O S INS 01CG4379495 11/01/2007 11/01/2008 $1,000,000.00 10/11/2007 3 AMERICAN STATES INS CO 01CG4379494 11/01/2005 11/01/2007 $1,000,000.00 10/03/2006 https: // fortress .wa.gov /lni/bbip /Print.aspx 02/27/2012