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:
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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:
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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
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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
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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