HomeMy WebLinkAboutPermit PG12-054 - MCKEAN RESIDENCEMCKEAN RESIDENCE
14210 58 AV S
PG12-054
City *Tukwila
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.: 3365901085
Address: 14210 58 AV S TUKW
Project Name: MCKEAN RESIDENCE
PLUMBING /GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On:
PG 12 -054
04/09/2012
10/06/2012
Owner:
Name: MCKEAN SHARON J
Address: 14210 58TH AVE S , TUKWILA WA 98168
Contact Person:
Name: NANCY EVANS
Address: 1425 BLAINE AV NE , RENTON WA 98056
Email:
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:
Fees Collected:
Electrical Service Provided by:
Permit Center Authorized Signature:
$282.00 Uniform Plumbing Code Edition: 2009
$47.25 International Fuel Gas Code Edition:
I hereby certify that I have read and e
governing this work will be complie
2009
S
Date:
IJL
d this permit and know the same to be true and correct. All provisions of law and ordinances
hether specified herein or not.
The granting of this permit does not pr
construction or the performance of work.
on the back of this permit.
Signature:
Print Name:
to give authority to violate or cancel the provisions of any other state or local laws regulating
am authorized to sign and obtain this plumbing /gas piping permit and agree to the conditions
,94L
Date: 4-1> ' ` 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 -054 Printed: 04 -09 -2012
•
PERMIT CONDITIONS
Permit No. PG 12 -054
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 -054 Printed: 04 -09 -2012
CITY OF TUKWI
Community Developme Department
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:
Tenant Name: 4:._-_)\/ ia IC O y "-)
Name: V-1 O V'O v■ MC Q ck y )
Address: ` CA 2._ D 5?)-}- Ay, S
City:
.lo,
State: L3 A- Zip9 t 1 t
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes 4. No
Company Name: 65Sse1 ���tiVVC,f :b\ -,')
�,.9$
Name: in
r 1U C
✓�n. -� 5
Address: 1 4 J
l..,,,I,NA
& L. Av� 0
City: j'� r .�
State: L) F.- Zip: 9`
Phone: 1 � - , 5 2 2 _ q _ ) 1
ei 3
Email:
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes 4. No
Company Name: 65Sse1 ���tiVVC,f :b\ -,')
Address: L.\2:, ik 11, k. ✓ <... c1/4-- (_.
City: ti� D � State: �, Zip:9 .O-A
Phone: L.12,5- 22c6 s3 Fax:
Contr Reg No. Exp Date:
sj�c -:� , rS-�� by 4J I Z.
Tukwila Business License No.: e.34 C.) 0 1 214, I
L G=
Valuation of Project (contractor's bid price): $ U
Scope of Work (please provide detailed information): V-- f'.12(�
G �e ✓ 6.02.,i'
Building Use (per Int'l Building Code):
Occupancy (per Int'l Building Code):
Utility Purveyor: Water: Sewer:
H. Wpplications\Forms- Applications On Line \2011 Applications\Plumbing Permit Application Revised 8- 9- 11.docx
Revised: August 2011
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Page 1 of 2
J
Indicate type of plumbing fixtures and/orilpiping outlets being installed and the quantitlow:
' Ftxture: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)
I
Each additional medical
gas inlets /outlets greater
than 5
Atmospheric -type vacuum
breakers not included in
lawn sprinkler backflow
protections (1 -5)
Fixtore;Type •
Qty: -
Bidet
Drinking fountain or water
cooler (per head)
Lavatory
Urinal
Water heater and/or vent
Repair or alteration of
drainage or vent piping
I
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:,..,;, c
Qt '-
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
x 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
PERMIT APPLICATION NOTES,
.i
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 OR RIZED AGENT:
Signature:
Date: 4.9.1
Print Name: J `- 1-� �r1fLV1 Day Telephone: q7-5 222J 3 93
Mailing Address: ��� 1, W t �— -�y Q a � Q� `3%0D.
City State Zip
H:Wpplications\Forms- Applications On Line \2011 Applications\Plumbing Permit Application Revised 8- 9- 11.docx
Revised: August 2011
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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.Tukwila WA .gov
RECEIPT
Parcel No.: 3365901085 Permit Number: PG 12 -054
Address: 14210 58 AV S TUKW Status: PENDING
Suite No: Applied Date: 04/09/2012
Applicant: MCKEAN RESIDENCE Issue Date:
Receipt No.: R12 -01276
Initials:
User ID:
Payee:
JEM
1165
Payment Amount: $47.25
Payment Date: 04/09/2012 12:11 PM
Balance: $0.00
ANGELA M LUDWIG
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd MC
Authorization No. 177023
ACCOUNT ITEM LIST:
Description
47.25
Account Code Current Pmts
PLUMBING - NONRES
000.322.103.00.00 47.25
Total: $47.25
doc: Receiot -06 Printed: 04 -09 -2012
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 tiz (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
Project:
Type of_Inspection:
Address:
(47j t)
S(,,'
vd
Date Called:
Special Instructions:
Date Wanted:.
r
%�.
.Q.
Requester:
Phone (..N :
--' j4i
1
1 U
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
RIM.; `i"- U� Dc, P
6
4
lnspe or:
Date
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople inter Friendly Page
1
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
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
WASHINGTON CORROSION SRVC INC
4252281393
1425 Blaine Ave Ne
Renton
WA
980562774
King
Corporation
UBI No.
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
04/09/2012