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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: /,..c g,mb r /dd1 try Address: Zip:S,��5 / Phone d _ City: State: Zip: CONTACT PERSON person receiving atirpro�ect r.Ai a _J:. P it t cnmmanication .. ` : ; x : ` Name: f £f ¢ City: co, / /g� State: �g Zi ��i% i Address a 6/G 442. t i /dd1 try City q�, It ATI //, state: al vv'"' Zip:S,��5 / Phone d _ Fax: Email: ,..p01064 CONTRALTO ON/F�Q/RMATlON Company Named_ fdr61ibI ' !" /v 14 hf 5P %(/ % �iereicze Address:1yd, r , ,! it City: co, / /g� State: �g Zi ��i% i Phon Q j ,/g , ‘�Fax: Contr Reg No. ^ qv, ,y4941 � ,�cp Dater fg/�/�CI �� /d Tukwila Business License No.: i� ,1 c, O . ., • c•e.- :rm.xc. Y:�- r_..m�s .=.., 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 bh Sewer: Page 1 of 2 7 Zg 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 bh 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 _ Type ot;lnspection: r,, + Address: n 14 iLd 1.�2 Date Called: Special Instructions: j1 Date Wanted: ► _ -2 C a.m. . _ { �i P'n 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: � r f 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: .— .St1`(4 ' c.>• r CI aS.5 5 6.,--:0 n � t �jeAi— �6 Y' -- 1.� "el Ci ojOr S Type of Inspection: Address: .3-7 1 I-I S I j Z g--- Date Called: iJ'I IMV ET- J I Special Instructions: t (b) atfr4) A--2$1-Lei-7) r D,P: -6'-`D' 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 � t �jeAi— �6 Y' -- 1.� "el Ci ojOr S tJPPe /5 ;r1 • t,u L' , � II ppia, /� : Dt �P km-A` J& I o (4 " °u -(J ( f i c-o li r 6 l o.-e ,?C� I44Ili ) // iJ'I IMV ET- J I e (D... t (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