HomeMy WebLinkAboutPermit PG12-071 - JABCZENSKI RESIDENCEJABCZENSKI
RESIDENCE
15255 SUNWOOD BL
UNIT A-43
PG12 -071
City oikukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -43 1 -3670
Inspection Request Line: 206 - 431 -2451
Web site: http: / /www.TukwilaWA.gov
PLUMBING /GAS PIPING PERMIT
Parcel No.: 8141400230
Address: 15255 SUNWOOD BL TUKW
Project Name: JABCZENSKI RESIDENCE
Permit Number:
Issue Date:
Permit Expires On:
PG12-071
04/27/2012
10/24/2012
Owner:
Name: JABCZENSKI STEPHEN M III
Address: 15255 SUNWOOD BLVD #A 43 , TUKWILA WA 98188
Contact Person:
Name:
Address:
Email:
DEBBIE TVEDT - OFFICE MANAGER ASPC INC Phone: 425- 432 -5334
23220 MAPLE VALLEY HY, SUITE 3A , MAPLE VALLEY WA 98038
ASPCINC @GMAIL.COM
Contractor:
Name: ASPC INC
Address: PO BOX 1104 , RAVENSDALE WA 98051
Contractor License No: ASPCII *910PB
Phone: 425 - 432 -5331
Expiration Date: 10/02/2013
DESCRIPTION OF WORK:
A -43: REMOVE OLD HOT WATER TANK AND REPLACE WITH NEW INCLUSIVE OF EXPANSION
TANK, EARTHQUAKE STRAPS, FLUX LINES, ETC.
Value of Plumbing /Gas Piping:
Fees Collected:
Electrical Service Provided by:
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be compli
The granting of this permit does not
construction or the performance of work.
on the back of this permit.
14' /I1.I I
zebra .
$803.00 Uniform Plumbing Code Edition: 2009
$47.25 International Fuel Gas Code Edition: 2009
Date:1
ned this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
Signature:
Print Name:
e to give authority to violate or cancel the provisions of any other state or local laws regulating
I am authorized to sign and obtain this plumbing /gas piping permit and agree to the conditions
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
PG12-071
Printed: 05 -03 -2012
PERMIT CONDITIONS
Permit No. PG 12 -071
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 -071 Printed: 05 -03 -2012
City oilI'ukwila
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://wvvw.TukwilaWA.gov
PLUMBING /GAS PIPING PERMIT
Parcel No.: 8141400040
Address: 15255 SUNWOOD BL TUKW
Project Name: JABCZENSKI RESIDENCE
Permit Number: PG 12 -071
Issue Date: 04/27/2012
Permit Expires On: 10/24/2012
Owner:
Name: LARKINS GERALD R
Address: 15255 SUNWOOD BLVD #A -11 , TUKWILA WA 98188
Contact Person:
Name: DEBBIE TVEDT - OFFICE MANAGER ASPC INC Phone: 425 - 432 -5334
Address: 23220 MAPLE VALLEY HY, SUITE 3A , MAPLE VALLEY WA 98038
Email: ASPCINC @GMAIL.COM
Contractor:
Name: ASPC INC
Address: PO BOX 1104 , RAVENSDALE WA 98051
Contractor License No: ASPCII *910PB
Phone: 425 - 432 -5331
Expiration Date: 10/02/2013
DESCRIPTION OF WORK:
A -43: REMOVE OLD HOT WATER TANK AND REPLACE WITH NEW INCLUSIVE OF EXPANSION
TANK, EARTHQUAKE STRAPS, FLUX LINES, ETC.
Value of Plumbing /Gas Piping:
Fees Collected:
Electrical Service Provided by:
Permit Center Authorized Signature:
$803.00 Uniform Plumbing Code Edition: 2009
$47.25 International Fuel Gas Code Edition: 2009
JoJi
Date: )'—) ( (ok
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: 1 0 I� Date:
Print Name Name/DebtrA, �. Vi
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 -071
Printed: 04 -27 -2012
PERMIT CONDITIONS
Permit No. PG 12 -071
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 -071 Printed: 04 -27 -2012
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Plumbing /Gas Permit No. ` G 0-0'7 I
Project No. 1�
Date Application Accepted:
Date Application Expires:
(For 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 **
King Co Assessor's Tax No.: % i L 140 — Cl
Site Address: 16/55 L ni eivd Suite Number:A"L1 r' Floor:
Tenant Name: propru,i D(.0tlp r-- New Tenant: ❑ Yes m ..No
Name: 3 e-ve, 3b lo i
Address: k5g555ustoocti 55 at . i l • /�.
City: Tukwila
State: WA
Zip: 98188
c — persvnureceiving all project
communication
Name: Debbie Tvedt - Office Manager ASPC, Inc.
Address: 23220 Maple Valley Hwy SE #3A
City: Maple Valley State: WA Zip: 98038
Phone: (425) 432 -5334 Fax: (425) 432 -7548
Email: ASPCINC @gmail.com
PtUMB11"+IG CONTRACTOR INFORMATION
Company Name: ASPC, Inc
Address: 23220 Maple Valley Hwy SE, #3A
City' Maple Valley State: WA Zip: 98038
Phone: (425) 432 -5334 Fax: (425) 432 -7548
Contr Reg No.: ASPCII *910PB Exp Date: 10/02/2013
Tukwila Business License No.: 61rt ! , 011 2 j 0
Valuation of Project (contractor's bid price): $ 803
Scope of Work (please provide detailed information):
Remove old hot water tank and replace with a new hot water tank, expansion tank, earthquake straps, flux lines, etc.
Building Use (per Intl Building Code): Residential
Occupancy (per Int'l Building Code): R2
Utility Purveyor: Water: Tukwila Sewer: Tukwila
HAApplications\Forms- Applications On Line \201 I Applications\Plumbing Permit Application Revised 8 -9 -11 docx
Revised August 2011
bh
Page 1 of 2
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
• Fixture.Type .
i .Qty.
Bathtub or combination
bath/shower
Dishwasher, domestic with
independent drain
Shower, single head trap
Sinks
Rain water system — per
dram (inside budding)
1
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
Qty
Bidet
Drinking fountain or water
cooler (per head)
Lavatory
Urinal
Water heater and/or vent
1
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
PERMttNiTiLICAT oriA TE.
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
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 1014.3 International Plumbing Code (current edition).
1 HEREBY CERTIFY THAT I1HAVE 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 AUTHORI :, D A EN :
Signature:
Print Name:
ea*
Debra J Tvedt
Mailing Address:
23220 Maple Valley ' wy SE, #3A
H:UpphcationsToms- Applications On Line \2011 Apptcations\Plumbing Permit Application Revised 8.9- 11.docx
Revised August 201 I
bh
Date: 04/20/2012
Day Telephone: (425) 432 -5334
Maple Valley WA 98038
City State Zip
Page 2 of 2
• •
City of Tukwila
2 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 .eov
Parcel No.: 8141400040
Address: 15255 SUNWOOD BL TUKW
Suite No:
Applicant: JABCZENSKI RESIDENCE
RECEIPT
Permit Number: PG 12 -071
Status: APPROVED
Applied Date: 04/26/2012
Issue Date:
Receipt No.: R12 -01429
Payment Amount: $47.25
Initials: WER Payment Date: 04/26/2012 12:28 PM
User ID: 1655 Balance: $0.00
Payee: ASPC INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 1576 47.25
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
PLUMBING - RES
000.322.103.00.00 47.25
Total: $47.25
doc: Receiot -06 Printed: 04 -26 -2012
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT,NO.
CITY OF' TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 lg. (206) 431-3670
Permit Inspection Request Line (206) 431-2451
PI: (Act:
Type of Inspection:
(Z J J C,i-t-
-Tr—,A)
Address:
7.55 C CI1/41 gLj 4
Date Called:
...--,,J,A-9...-- f\J,,t-d
Special Instructions: '
.
,. A..-.
—
Date Wanted:.
p.m.
Requester:
Phone No:
t 0 (oar
Approved per applicable codes. OCorrections required prior to approval.
COMMENTS:
Aq(e:11(0
Inspe(c,to...r:
2 - iz
F-7 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
"--1 paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Peter 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 ASPC INC UBI No. 602930286
Phone 4254325334 Status Active
Address 23220 Maple Valley Hwy Se #3A License No. ASPCII *910PB
Suite /Apt. License Type Construction Contractor
City Maple Valley Effective Date 10/2/2009
State WA Expiration Date 10/2/2013
Zip 98038 Suspend Date
County King Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
ALLSEPC997MJ
ALL SERVICE
PLUMBING &
CNTRNG
Construction
Contractor
General
Unused
7/11/2001
1/23/2004
Archived
ALLSEP'993B4
ALL SERVICE
PLUMBING
Construction
Contractor
Plumbing
Unused
1/24/2001
1/23/2002
Archived
ALLSESP960B6
ALL SERVICE PLBG Et
CONTRNG INC
Construction
Contractor
General
Unused
1/26/2004
2/28/2010
Expired
Business Owner Information
Name
Role
Effective Date
Expiration Date
WASMUND, JAMES R
President
10/02/2009
Amount Received Date
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
100099503
10/01/2009
Until Cancelled
$12,000.00
10/02/2009
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
2
Ohio Cas Ins Co
BR054329503
12/04/2009
12/14/2012
$1,000,000.0009 /29/2011
1
OHIO GROUP
BR053617908
03/27/2009
03/27/2010
$1,000,000.0010 /02/2009
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
04/26/2012