HomeMy WebLinkAboutPermit PG12-118 - RAINBOW TRAILER PARK - UNIT 27RAINBOW
TRAILER PARK
3714 S 152 ST
UNIT 27
PG12-118
City 4[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
PLUMBING /GAS PIPING PERMIT
Parcel No.: 0041000660
Address: 3714 S 152 ST TUKW
Project Name: RAINBOW TRAILER PARK
Permit Number: PG12 -118
Issue Date: 06/07/2012
Permit Expires On: 12/04/2012
Owner:
Name: VIP 3614 LLC
Address: PO BOX 28 , KIRKLAND WA 98083
Contact Person:
Name: BEV GORDON
Address: 8001 S 212 ST , KENT WA 98032
Email: BEVERLY.GORDON @PSE.COM
Phone: 253 - 495 -7036
Contractor:
Name: INFRASOURCE CONSTRUCTION LLC Phone: 630 - 613 -3518
Address: 1200 ROOSEVELT RD, STE 400 , GLEN ELLYN IL 60137
Contractor License No: INFRACL899CZ Expiration Date: 02/14/2013
DESCRIPTION OF WORK:
UNIT #27 - GAS METER RELOCATE GAS FUEL LINE EXTENSION
Value of Plumbing /Gas Piping:
Fees Collected:
Electrical Service Provided by:
Permit Center Authorized Signature:
$1,000.00
$96.60
Uniform Plumbing Code Edition: 2009
International Fuel Gas Code Edition: 2009
Date: 10—
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 a • rity to violate or cancel the provisions of any other state or local laws regulating
construction or the performance of work. I am autho - ed to sign and obtain this plumbing /gas piping permit and agree to the conditions
on the back of this pe t
Signature:
Print Name:
Date:
This permit shall become nu i 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 -118
Printed: 06 -07 -2012
PERMIT CONDITIONS
Permit No. PG12 -118
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 -118 Printed: 06 -07 -2012
CITY OF TUKWILA
Community Developmen partment
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
http://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 **
,,// __ King Co Assessor's Tax No.:
Site Address:.3 4
7' - c5 / S — Sr 7i Suite Number: 7i' Floor:
New Tenant: 111 Yes ❑.. No
Tenant Name:
is PROPERTY OWNER
Name: 6 67020oAI
Name:
City: K ,-r State:W, Zip:gg03 L
Address:3 7► 4- S /ss-- Zre 5 T
0 Z-1
City: -TV /CW / C.4 State:w .
ZipY/B / 8 s
'CONTACT PERSON = person-recervingall project
communIcatioII
Name: 6 67020oAI
Address:8co I , z/ Zd 6.7-
City: K ,-r State:W, Zip:gg03 L
Phone: i. 3 41 5 7 0 3 (j a"
Email &EV,i.4y . (,`7oroor.., p PSC . Co eh
;PLUMBING CONTRACTOR INFORMATION
Company Name:-N ,r FRASOu�e. L /ora L., LL,G
Address, 2_00 RO0se. d e_ cr QD S TE 4'00
City fen, el I yN State: 1 L Zip:601 a 7
Phone 3 0 lot 3 3 5 1e, Fax:
Contr Reg No. .rNF/L,, sq9 (Lxp Date: Z _ / 4.
Tukwila Business License No.:
Valuation of Project (contractor's bid price): $ loco
Scope of Work (please provide detailed information): a.4-S 4 ( -retY
6-X1-e- re-+S/on/
Building Use (per Int'l Building Code):
Occupancy (per Int'l Building Code):
Utility Purveyor: Water:
H:VApplications\Forms- Applications On Line12011 Applications\Plumbing Permit Application Revised 8- 9- 11.docx
Revised: August 2011
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Sewer:
Page 1of2
Indicate type of plumbing fixtures and/or ga,�piping outlets being installed and the quantity blow:
Fixture 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)
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
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
PERMIT ' APPLICATION NOTES
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/ontlets 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 Intemational 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 O ER O UTHORIZED AGENT:
Signatur •
Print Name: t/ 6 V So/co O s/
Mailing Address:
H:'Applicalions\Forms- Applications On Line \2011 Applications\Plumbing Permit Application Revised 8- 9- 11.docx
Revised: August 2011
bh
Date: S"--3 l ° i Z_
Day Telephone:1S 3 44,5—
f 3— —7 03 4
q 803,
City State Zip
Page 2 of 2
Cie 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. ci. tukwila. wa. us
SET RECEIPT
RECEIPT NO: R12 -01815
Initials: WER
Payment Date: 06/07/2012
User ID: 1655 Total Payment: 1,062.60
Payee: COREY ALEXANDER
SET ID: 053112 SET NAME: RAINBOW PARK GAS
SET TRANSACTIONS:
Set Member Amount
PG12 -111 96.60
PG12 -112 96.60
PG12 -113 96.60
PG12 -114 96.60
PG12 -115 96.60
PG12 -116 96.60
PG12 -117 96.60
PG12_118
PG12 -119 96.60
PG12 -120 96.60
PG12 -121 96.60
TOTAL: 96.60
TRANSACTION LIST:
Type Method Description Amount
Payment Credit C VISA 1,062.60
TOTAL: 1,062.60
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
GAS - RES 000.322.103.00.0
TOTAL:
1,062.60
1,062.60
7
INSPECTION NO.
INSPECTION RECORD L�
Retain a copy with permit ' iI 8
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3
Permit Inspection Request Line (206) 431 -2451
Pr ect: —
'14a -44bow .1 INN -.le v a If
Type of Inspection:
1=-i ...M 1
`
�'
Address:
3-71,4 S 152 Sr\
Date Called:
-^
Special Instructions:.
Date Wanted: Ite' r
C2 I 1''_
a.m.
• •
Requester:
Phone No:
112.5 -5-7f _y3Se
, pproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
-Pri y\ (O0,t
(� /rh-;T
Inspector: /
`l 11,1,4^-c---)
akJe.t.4
n RE)NSPECTION FEE REQUIRED. Prior to
pad at 6300 Southcenter Blvd., Suite 100.
Date: i
i) /C �,7
rfext inspection, fee must be
'Call to schedule reinspection.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO. v,
CITY OF TUKWILA BUILDING DIVISION ,
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project:
rk li- Ir.1 doc -TP*-
Type of Inspection:
e, t15 pSP_DV
Address: _
37f Li S ( -5-2
S-1----
Date Called:
Special Instructions:
2L7
Date Wanted:.
(0 --- i9_1Z.. --
,:.:t
p.m.
Requester:
Phone No:
L42,5-- .? 1C -A/_ 5v
`proved per applicable codes.
ECorrections required prior to approval.
COMMENTS:
Ins�ec�or
r7 REINS, PECTION FEE REQUIR4. Prior ton t inspection, fee must be
paid d,Y6300 Southcenter Blvd., Suite 100. Qall to schedule reinspection.
Date-
_ CU-•L7 is-/ 5-17,
11 -01 -2012
BEV GORDON
8001 S 212 ST
KENT WA 98032
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
RE: Permit No. PG12 -118
RAINBOW TRAILER PARK
3714 S 152 ST TUKW
Dear Permit Holder:
•
In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building
Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National
Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and
become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date
of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has
begun for a period of 180 days. Your permit will expire on 12/16/2012.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection.
Each inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to
expire. Address your extension request to the Building Official and state your reason(s) for the need to extend
your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your
extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 12/16/2012, your permit will become null
and void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
Bill Rambo
Permit Technician
File: Permit File No. PG12 -1 18
6300 Southcenter Boulevard, Suite 4100 • Tukwila, Washington 98188 • Phone 206 - 431 -3670 • Fax 206-431-3665
Contractors or Tradespeople Printer Friendly Page Page 1 of 1
•
•
General /Specialty Contractor
A business registered as a construction contractor with LEI 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
INFRASOURCE CONSTRUCTION LLC
6306133518
1200 Roosevelt Rd Ste 400
Glen Ellyn
IL
60137
Out Of State
Limited Liability Company
QUANTA SERVICES INC
UBI No. 602477130
Status Active
License No. INFRACL899CZ
License Type Construction Contractor
Effective Date 2/14/2011
Expiration Date 2/14/2013
Suspend Date
Specialty 1 General
Specialty 2 Unused
Business Owner Information
Name
Role
Effective Date
Expiration Date
ERNST, CHRISTINE A
Partner /Member
02/07/2011
Amount
MCARTHY, MICHAEL J
Partner /Member
02/14/2011
mwzy59308
Bond Information
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
1
Federal Ins Co
82201463
01/12/2011
Until Cancelled
$12,000.00
02/07/2011
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
Old Republic
Ins Co
mwzy59308
08/01/2011
08/01/2012
$1,000,000.00
07/19/2011
1
Old Republic
Surety Co
MWZY58873
08/01/2010
08/01/2011
$5,000,000.00
02/07/2011
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 05/31/2012