HomeMy WebLinkAboutPermit PG12-108 - RAINBOW TRAILER HAVEN - UNIT 40VARMOS RESIDENCE
3716 S 152 ST
PG12 -108
City oik 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: / /www.TukwilaWA.gov
Parcel No.: 0041000655
Address: 3716 S 152 ST TUKW
Project Name: VARMOS RESIDENCE
PLUMBING /GAS PIPING PERMIT
Permit Number: PG12 -108
Issue Date: 05/29/2012
Permit Expires On: 11/25/2012
Owner:
Name: VIP 3614 LLC
Address: PO BOX 28 , IURKLAND WA 98083
Contact Person:
Name: DUANE MACH
Address: 948 HOMESTEAD DRIVE , BURLINGTON WA 98233
Email:
Contractor:
Name: AFFORDABLE PLUMBING SVCS INC
Address: 940 HOMESTEAD DR , BURLINGTON WA 98233
Contractor License No: AFFORPS902N3
Phone: 206 718 -2760
Phone: 206 718 -2760
Expiration Date: 08/23/2012
DESCRIPTION OF WORK:
SMALL HOT AND COLD REPIPE
Value of Plumbing /Gas Piping:
Fees Collected:
Electrical Service Provided by:
Permit Center Authorized Signature:
$1,400.00
$60.90
I hereby certify that I have read and e
governing this work will be complied
ami
ith,
Uniform Plumbing Code Edition: 2009
International Fuel Gas Code Edition: 2009
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 this pe w. 't does not pres •- e to give authority to violate or cancel the provisions of any other state or local laws regulating
constructio or the pe ormance of work. I am authorized to sign and obtain this plumbing /gas piping permit and agree to the conditions
on the ba of this p rmit.
Signature
Print Name:
Dat
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 -108
Printed: 05 -29 -2012
• •
PERMIT CONDITIONS
Permit No. PG 12 -108
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 -108 Printed: 05 -29 -2012
CITY OF TUKWI
Community Developm�epartment
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
h ttp: / /www.Tukw i laW A. 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 **
/f King Co Assessor's Tax No.:
Site Address: % �1')!/ '1W Suite Number:_ Floor:
Tenant Name: T/ /f r sTer New Tenant: ❑ Yes No
:PROPERTY OVj,NER k7 + •y,
ry
Name:
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Address:
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Phone d
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City:
State:
Zip:
CONTACT PERSON person receiving atirpro�ect
r.Ai a _J:. P it t
cnmmanication .. ` : ; x : `
Name: f £f
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City: co, / /g� State: �g Zi ��i% i
Address a 6/G 442. t i
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City q�, It ATI
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state: al
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Zip:S,��5
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Phone d
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Fax:
Email:
,..p01064 CONTRALTO ON/F�Q/RMATlON
Company Named_ fdr61ibI ' !" /v 14 hf 5P %(/ %
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Address:1yd,
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City: co, / /g� State: �g Zi ��i% i
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Contr Reg No. ^ qv, ,y4941 � ,�cp Dater fg/�/�CI
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Tukwila Business License No.: i� ,1
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Valuation of Project (contractor's bid price): $ f $"6z
Scope of Work (please provide detailed information):
Building Use (per Int'l Building Code):
Occupancy (per Int'1 Building Code):
Utility Purveyor: Water:
H:\Applications\Forms- 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
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Indicate type of plumbing fixtures and/orgas piping outlets being installed and the quanti below:
`t Fixture Type r-
Qty-
Bathtub or combination
bath/shower
Dishwasher, domestic with
independent drain
Shower, single head trap
1
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)
Fixture Type .
- Qty:
Bidet
Drinking fountain or water
cooler (per head)
Lavatory
1
Urinal
1
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
IT'APPL ICATION .NOTES
Fixture Type‘ .
Clothes washer,
domestic
Food -waste grinder,
commercial
Wash fountain
Water closet
1
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 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
Signature:
Print Name:
OR AUTHORIZED AGENT.
Mailing Address: 544-
cl
Day Telephone:
rk, /7/PA- /A /1/i Gr/01
City
Dat `7''
i'rL_/
I+ Applications'Forms- Applications On Line \2011 Applications\Plumbing Permit Application Revised 8 -9.1 l.docx
Revised: August 2011
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State
Zip
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.TukwilaWA.gov
RECEIPT
Parcel No.: 0041000655 Permit Number: PG 12 -108
Address: 3716 S 152 ST TUKW Status: PENDING
Suite No: Applied Date: 05/29/2012
Applicant: VARMOS RESIDENCE Issue Date:
Receipt No.: R12 -01707
Payment Amount: $60.90
Initials: JEM Payment Date: 05/29/2012 09:15 AM
User ID: 1165 Balance: $0.00
Payee: DUANE E MACH, AFFORDABLE PLUMBING
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 582781
ACCOUNT ITEM LIST:
Description
60.90
Account Code Current Pmts
PLUMBING - RES
000.322.103.00.00 60.90
Total: $60.90
doc: Receiot -06 Printed: 05 -29 -2012
4-5
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION G
6300 Southcenter Blvd., #100, Tukwila. WA 98188 R. (206) 431 - 3670.,
P6 r2 -t�
Permit Inspection Request Line (206) 431 -2451
Pr jecE; ,
��.: ooj trte- k�/L..
Type of_hnspection:
-f-. p itL- ptt.i. s,4
Address:
3`-7 152 -
x.,..1
`."
Date Called:
Special Instructions:
4 4 t
1�-
Date Wanted:. !,am:
.-3 0 -(1__. p.m.
Requester:
Phone No:
■4(40 - -1 i' _2r7(oo
EllApproved per applicable codes.
COMMENTS:
ElCorrections required prior to approval.
DL Jk'i-C`w Jko
O
Inspe tor: 0 , ' t U
Date:1
❑ REINSPECTION FEE REQUIR . Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
(2- tog
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
Project: r
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Type ot;lnspection:
r,, +
Address:
n 14
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1.�2
Date Called:
Special Instructions:
j1
Date Wanted: ►
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a.m. .
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G_._ (
Requester:
Phone 2. No: _ 1 1
y ..-2_17(00
Approved per applicable codes.
® Corrections required prior to approval.
COMMENTS:
r P,A---5)14
,-i_Vo A Tr- 1-4 - /9/
InspectO'i
Date
r7 REINSPECTION FEE REQUIRED: /
Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
ft t z - i0,1?
PERMIT NO. ,
CITY OF TUKWILA BUILDING DIVISION C
6300 Southcenter Blvd., #100, Tukwila. WA 98188 , (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project:
RA-- `,Amdu1 oP qd
Type of Inspection:
• R.v,v6 U PL 442
Address: V7 i 4 I 2 S
Special Instructions: •
Date Called:
Date Wanted: .
0 -249
Requester:
Phone No:
Approved per applicable codes. a Corrections required prior to approval.
COMMENTS:
Inspector:
k.,„
n REINSPECTION FEE REQUIRED. r r to next inspection. fee must be
paid at 6300 Southcenter Blvd., Su to 00. Call to schedule reinspection.
Date:( V M1
4'11/
INSPECTION RECORD
Retain a copy with permit
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
biz -ropy
Project:
1A0 W 11 J1
Type of Inspection:
U ate -
Date 2 .
Address: ,-4
, 3 r7 14
Special Instfuctions:
Date Called:
Date Wanted: ... -a,m!
(� (1-- P.m.
Requester:
Phone N0: -�J
2 x - i I !? -21(a
jjApproved per applicable codes. El Corrections required prior to approval. /6
COMMENTS:
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u o � � � � .
,.. -S 41 ) l S A r ,£--(O i?-.1\
Date.(
•
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
,��INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila: WA 98188 12, (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Proect:
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Type of Inspection:
Address:
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Date Called:
iJ'I IMV ET- J I
Special Instructions:
t
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Date Wanted:.
-13 -1Z
(in
p.m.
Requester:
Phone No:
a20 1 8 - z..7
60
Approved per applicable codes. corrections required prior to approval.
COMMENTS:
.— .St1`(4 ' c.>• r CI aS.5 5 6.,--:0 n
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(b) atfr4) A--2$1-Lei-7) r D,P: -6'-`D'
7e\-5 n eAlle lie.IP er r4 kik' ^6'
Inspee(or
Date:
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
r
I
Contractors or Tradespeople Pikiter 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
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
AFFORDABLE PLUMBING SVCS INC
2067182760
940 Homestead Dr
Burlington
WA
98233
Skagit
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
603036459
Active
AFFORPS902N3
Construction Contractor
8/23/2010
8/23/2012
Plumbing
Unused
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
AFFORPS925L0
AFFORDABLE
PLUMBNG
SVCS /RMDLNG
Construction
Contractor
Plumbing
Unused
6/20/2008
6/20/2012
Re-
Licensed
Business Owner Information
Name
Role
Effective Date
Expiration Date
BUSY BOOKKEEPER
Agent
08/23/2010
MACH, DUANE E
President
08/23/2010
Bond Information
Page 1 of 1
Bond
1
Bond Company Name
CBIC
Bond Account Number
SH9011
Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date
08/01/2010 Until Cancelled $6,000.0008/23/2010
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
1
Contractors
Bonding e
Insuranc
C11SH9011
06/09/2010
06/09/2013
$1,000,000.00
05/23/2012
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 05/29/2012