HomeMy WebLinkAboutPermit PG12-057 - LEMONS RESIDENCELEMONS RESIDENCE
14438 57 AV S
PG1 2-057
City okukwila
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.: 3365900550
Address: 14438 57 AV S TUKW
Project Name: LEMONS RESIDENCE
PLUMBING /GAS PIPING PERMIT
Permit Number: PG12 -057
Issue Date: 04/16/2012
Permit Expires On: 10/13/2012
Owner:
Name: SECRETARY OF HOUSING & URBA
Address: 4400 WILL ROGERS PKWY #300 , OKLAHOMA CITY OK 73108
Contact Person:
Name: RICHARD HARRIS
Address: 10025 271 ST NW , STANWOOD WA 98292
Email:
Contractor:
Name: RH CONSTRUCTION
Address: 10025 271 ST NW , STANWOOD WA 98292
Contractor License No: RHCONC *915R2
Phone: 360- 547 -3211
Phone: 360 - 547 -3211
Expiration Date: 02/03/2014
DESCRIPTION OF WORK:
ADDING BATHROOM TO EXISTING INTERIOR OF HOUSE. (1) BATHTUB, (1) WATER CLOSET
AND (1) LAVATORY. ALSO INSTALLING NEW WATER HEATER. SUBJECT TO FIELD INSPECTION.
Value of Plumbing /Gas Piping: $400.00 Uniform Plumbing Code Edition: 2009
Fees Collected: $137.55 International Fuel Gas Code Edition: 2009
Electrical Service Provided by:
Permit Center Authorized Signature:
tag
Date:
4-- 11,-(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 of presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the perf %rmanc = of work. I am authorized to sign and obtain this plumbing /gas piping permit and agree to the conditions
on the back of this
Signature:
Date:
/z
Print Name: \ C- (4 k. :) & '
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 -057 Printed: 04 -16 -2012
• •
PERMIT CONDITIONS
Permit No. PG 12 -057
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 -057 Printed: 04 -16 -2012
SITE'LOCATI
CITY OF TUKWIlit
Community DevelopmeWlepartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Site Address: /
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 Pririt**
King Co Assessor's Tax No.:
6(3 S Ave si.vKw
Tenant Name:
Suite Number: Floor:
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Name: •-'1,:vc... e)Aaik A
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Address: • 0 oy
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ty:50\ ,r_
State:64v Zip?go6;
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Name:
Address: /o2 S-- 27/ 545i" A I (I--r
City: sTiou jc, joo 6 State.'
Phone: 360,...5-y 72(1 Fax:
Email:
New Tenant: LI Yes E.. No
Altiii0li441::toiNfTRACIII*OIFOill4Ati:
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Company Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Contr Reg No.:
Exp Date:
Tukwila Business License No.:
Valuation of Project (contractor's bid price): $
p()-sScope of Work (please provide detailed information): A 0 /) 0 6 (4 .) 57-4 b't2 t- Vievt4t CZ"
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Building Use (per Int'l Building Code):
Occupancy (per Int'l Building Code):
Utility Purveyor: Water:
HAApplicationsWorms.Applications On Line \ 2011 Applications'Plumbing Permit Application Revised 8-9-11.docx
Revised: August 2011
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Sewer:
Page 1 of 2
Indicate type of plumbing fixtures and/or s piping outlets being installed and the quanti elow:
...: Fixture Type. - - :.,
f Qty
Bathtub or combination
bath/shower
Dishwasher, domestic with
independent drain
Shower, single head trap
I
Sinks
Rath 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 . -:,..i.::
Qty
Bidet
Drinking fountain or water
cooler (per head)
Lavatory
I
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
•
-.. • :••••• '••• '• '...:i .• •
•,. .., Fixture Jype,,; .,- ''.
....- . , .: -1..
:-Qty‘i
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
,i0 .Fixtu're Tyk, • ,
s-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
PERM IT; APPLIC AT ION NOT ES.::!
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 1 R AUT RIZED AGENT:
Signature:
Print Name: 6-1- J4L et% 6 ■&.L..
Mailing Address: I:7 6 '2pc3x
H: \Applications \Forms-Applications On Line \2011 Applications\Plumbing Permit Application Revised 8-9-11.docx
Revised: August 2011
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Date: 1/)/
Day Telephone: gb6- 024 1- 9 b
CSecti,V•JV&I--- WA—state q Irk
City Zip
Page 2 of 2
III
r- --. w City of Tukwila
j z Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -43 1 -3670
Fax: 206-431-3665
Web site: http: / /www.TukwilaWA.gov
RECEIPT
ParcelNo.: 3365900550 Permit Number: PG12 -057
Address: 14438 57 AV S TUKW Status: PENDING
Suite No: Applied Date: 04/16/2012
Applicant: LEMONS RESIDENCE Issue Date:
Receipt No.: R12 -01330 Payment Amount: $137.55
Initials: WER Payment Date: 04/16/2012 12:55 PM
User ID: 1655 Balance: $0.00
Payee: BARBARA TRENARY
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 3509 137.55
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
PLUMBING - RES
000.322.103.00.00 137.55
Total: $137.55
doc: Receiot -06 Printed: 04 -16 -2012
INS CTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
ProjeCCt: \ 1 n
(� °k. o nl S 1r J R/1
Type o _lnspectio k J
g i; N of
Address:
X437
0-'-
Date Called:
.--_
Special Instructions:
Date Wanted `.
l0
O / �'- .Zm,•
p.m.
Requester:
Ph (
z ,-7,,—.7 Vs/ 2.3
Approved per applicable codes. D Corrections required prior to approval.
COMMENTS:
/4,96X.-ti /
Insp tor:
0
Date:
REII9SPECTION FEE REQUIRED. Prior )6 next inspection. fee must be
pal at 6300 Southcenter Blvd.. Suite O. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
P6/2---.0S7
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.
CPIS KJ eAe-A (_,,°
Type f Inspection:
' Type of
t f �,r, M..- r
Address:
71
Date Called:
Special Instructt ns:
_
Date Wanted: _ j
`2 _? `t f j
�.a.m.
p.m.
Requester:
Phone No: t; '
Approved per applicable codes.
COMMENTS: ..
Corrections required prior to approval.
S 944./c
(7 d>/% OA./0 / ee--
REINSP CTION FEE REQUIRED. 'rior,to next spection. fee must be
paid ,,a(6300 Southcenter Blvd., S ite 100. Cal ' o schedule reinspectioh.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF-TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 p...... (206) 431 -3670
Permit lnspectibn'Request Line (206) 431 -2451
Project:
.1-P rind I■J
Type of Inspection:
Cn T ■7,31 a4Z e —R43116k 1 i
Address:
1. -H30,
7.A.)
Date Called:
Special Instructions:
'
..
Datanted:. • a.m.
224— t ^' :
Requester: 4
Phone No
1-2) (;, el - .Sq7 -3 z / I
Approved per'applicable codes. Corrections required prior to approval.
COMMENTS: (t
o•
1-- L.,
).
,ti
r:
Date:
EINSPECTION FEE REQUIRED. Prior to text inspection. fee must be
aid at 6300 Southcenter lvd.. Suite 100./Call to schedule reinspection.
Contractors or Tradespeople Poer 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 RH CONSTRUCTION UBI No. 602976698
Phone 3605473211 Status Active
Address 10025 271St St Nw License No. RHCONC "915R2
Suite /Apt. License Type Construction Contractor
City Stanwood Effective Date 12/22/2009
State WA Expiration Date 2/3/2014
Zip 98292 Suspend Date
County Snohomish Specialty 1 General
Business Type Limited Liability Company Specialty 2 Unused
Parent Company RH CONSTRUCTION LLC
Business Owner Information
Name
Role
Effective Date
Expiration Date
MORGAN, IRMA
Agent
12/22/2009
Amount
HARRIS, RICHARD ALVA
Partner /Member
12/22/2009
BIS00012369-
01
HARRIS, KRISTINE MARIE
Partner /Member
12/22/2009
02/03/2012
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
100107584
12/17/2009
Until Cancelled
$12,000.00
12/22/2009
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
5
Developers
Surety & Indem
Co
BIS00012369-
01
01/26/2012
01/26/2013
$1,000,000.00
01/26/2012
4
Nevada Capital
Ins Co
77NPP4009373
12/17/2010
12/17/2011
$1,000,000.00
12/17/2010
3
NEVADA
CAPITAL INS CO
77NPP4009373
12/17/2010
12/17/2011
$1,000,000.0012
/17/2010
2
Nevada Capital
Ins Co
77NPP4009373
12/17/2009
12/17/2010
$300,000.00
12/23/2009
1
Nevada Capital
Ins Co
NCIC001460
12/17/2009
12/17/2010
$300,000.00
12/22/2009
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
https://fortress.wa.gov/lni/bbip/Print.aspx
04/16/2012