HomeMy WebLinkAboutPermit PG12-122 - EL MATADOR APARTMENTS - UNITS 107, 108, 207 AND 208EL MATADOR APTS
UNITS 107, 108, 207 & 208
14828 MILITARY RD S
PG12 -122
Parcel No.:
Address:
City otTukwila
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
0041000070
14828 MILITARY RD S TUKW
Project Name: EL MATADOR APTS - UNITS 107, 108, 207 & 208
Permit Number:
Issue Date:
Permit Expires On:
PG12 -122
06/04/2012
12/01/2012
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Email:
CEDERLIND JIM
8040 23RD AVE NW , SEATTLE WA 98117
KERRY MORGAN
7018 86 ST NW , GIG HARBOR WA 98332
NOT PROVIDED
Contractor:
Name: PAUL DAVIS REST /W KING CNTY
Address: 15004 35 AV S, STE A , LYNNWOOD WA 98087
Contractor License No: PAULDDR954RA
Phone: 253 - 514 -1002
Phone: 206 - 364 -3000
Expiration Date: 04/14/2014
DESCRIPTION OF WORK:
REPLACEMENT OF 4 NEW WATER HEATERS AND PRESSURE RELIEF LINES TO DRAIN TO
EXTERIOR OF BUILDING
Value of Plumbing /Gas Piping:
Fees Collected:
Electrical Service Provided by:
Permit Center Authorized Signature:
$800.00 Uniform Plumbing Code Edition: 2009
$88.20 International Fuel Gas Code Edition: 2009
Date: lX 1 - R
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:
Print Name: iP�✓' '. /IA l a✓\
This permit shall become nu4land 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.
Date:
doc: UPC -4/10
PG 12 -122 Printed: 06 -04 -2012
• •
PERMIT CONDITIONS
Permit No. PG 12 -122
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 -122 Printed: 06 -04 -2012
CITY OF TUKWI
Community Developme partment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
Intp://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 **
Site Address: 1 2t 2 8 rvN 1, t
Tenant Name: EL iti\od -c t,.ur
King Co Assessor's Tax No.:
tt� ct f i le t 1(a Suite Number: Floor:
6�� 1 .10A -k -)-07 I New Tenant: ❑ Yes ❑.. No
661-I 0000
PROPERTY;OWNER -: '
''s ` '
Name:
d 1/A-
V e-t% a.G` Ni
Address: -) Ol $ C1,., Sl w
Address:
Phonea06 3G, ( 3000 Fax:
City: �t , , f b� J State:
Zip:
City:
Phone: 25-3 _ s-1 1 _ /Gcz Fax:
State:
Zip:
CONTACT4'PERSON person receiving all project
, -. it i t .:. b' S -k. e,a4
mq
';comunication,:...:.::. c .. , .'
Name: K
5. y`1 0 vrq ...r,
s ,-
Address: -) Ol $ C1,., Sl w
Zip: �$dg
6
Phonea06 3G, ( 3000 Fax:
City: �t , , f b� J State:
Zip:
7 o 5 j
Phone: 25-3 _ s-1 1 _ /Gcz Fax:
Email:
•,PLV. .. GdCON- - "CTOR`INFORMATION
Company Name: k"kAt,k.L Tpv, S 126sin Tl C
lam--
Address: X57 a° /(�f�'
s ,-
City: �y:xx j /4600 Stiate:
Zip: �$dg
6
Phonea06 3G, ( 3000 Fax:
Contr Reg No.: (�Q`(uLloK cl
I �
ip Date: y_ /�_ /1/
�
Tukwila Business License No.: gQs 09ct 296 3
6
Valuation of Project (contractor's bid price): $ tJ1 g ° ''
l
Scope of Work (please provide detailed information): R e P k cc i -. h 4 , n & r h o 4 t.�R.c .4 ks.
P 43(1, 11 r I►^ t S T8 12 jc V I ow. o h j 1 14 ►,)
Building Use (per Int'l Building Code):
Occupancy (per Int'l Building Code):
Utility Purveyor: Water: Sewer:
H:\Applications\Porms- Applications On Line \2011 Apphcations\Plumbing Permit Application Revised 8- 9- 11.docx
Revised: August 2011
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Page 1 of 2
Indicate type of plumbing fixtures and/or as piping outlets being installed and the quanti below:
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
1 ; 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
PERMIT 'APPLICATION'. NOTE
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 OR AU ED AGENT:
Signature:
Print Name: K
Mailing Address:
J - ° r� �•�
H:Wpplications\Forms- Applications On Line \2011 Applications\Plumbmg Permit Application Revised 8 -9 -1 l.docx
Revised: August 2011
bh
Date: (-.9 12-
Day Telephone: Z 53 ` 3-71 ^ /66 Z
� a Abu ✓. 9 7?2_
City State Zip
Page 2 of 2
• •
n City of Tukwila
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
Parcel No.: 0041000070 Permit Number: PG12 -122
Address: 14828 MILITARY RD S TUKW Status: PENDING
Suite No: Applied Date: 06/04/2012
Applicant: EL MATADOR APTS - UNITS 107, 108, 207 & 208 Issue Date:
Receipt No.: R12 -01772
Payment Amount: $88.20
Initials: WER Payment Date: 06/04/2012 11:36 AM
User ID: 1655 Balance: $0.00
Payee: LAWRENCE THODE (PHONE)
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 347169
ACCOUNT ITEM LIST:
Description
88.20
Account Code Current Pmts
PLUMBING - NONRES
000.322.103.00.00 88.20
Total: $88.20
doc: Receipt -06 Printed: 06 -04 -2012
INSPECTION RECORD
Retain a copy with permit
PG (2- 122
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:
ea P\ koa�
Type o Inspec io i
rt A PUJ & ,
Address::
25.2,4 A ( t ' `'
Date C. -d: , /
it l� cc `` " —A
Special nstructions:
'" r p � (Q (/
.�; . A ` ( js r
-. (.V
Date Wanted: /. a.m.
lS/ — � `- (�- �p:tn:
Requester:
Phone No:
253-- -> f —rnoZ
Approved per applicable codes. E Corrections required prior to approval. j
COMMENTS:
(2P1 ) 81e.
TT
Inspector:
_0,
Date'
(0 -CI) -i L
r REINSPECTION FEE REQUIREb. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd/. Suite 100. Call to schedule reinspection.
1
Contractors or Tradespeople Peer Friendly Page
•
General /Specialty Contractor
A business registered as a construction contractor with Lli1 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 PAUL DAVIS REST /W KING CNTY UBI No. 602554001
Phone 2063643000 Status Active
Address 15004 35Th Ave W, Ste A License No. PAULDDR954RA
Suite /Apt. License Type Construction Contractor
City Lynnwood Effective Date 1/18/2006
State WA Expiration Date 4/14/2014
Zip 98087 Suspend Date
County Snohomish Specialty 1 General
Business Type Limited Liability Company Specialty 2 Unused
Parent Company KC RESTORATION LLC
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
PAULDDR893NA
PAUL DAVIS RSTRTN
OF OLYMPIA
Construction
Contractor
General
Unused
8/1/2011
8/1/2013
Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
THODE, LAWRENCE G
Partner /Member
04/12/2010
Bond Amount
KC RESTORATION LLC
Partner /Member
12/01/2005
04/02/2012
COCHRAN, KATHRYN L
Partner /Member
01/13/2006
04/02/2012
Bond Information
Page 1 of 2
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
4
Developers Surety &
Indem Co
253621C
09/10/2011
Until Cancelled
$12,000.0009/06
/2011
3
American Contractors
Indem CO
100138029
09/10/2010
Until Cancelled
11/03/2011
$12,000.0009/10
/2010
2
AMERICAN
CONTRACTORS INDEM
CO
100045443
04/02/2008
Until Cancelled
09/27/2010
$12,000.0004/14
/2008
1
MERCHANTS BONDING
CO (MUTUAL)
WA15200
12/08/2005
Until Cancelled
12/19/2007
$12,000.00
12/30/2005
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
6
American
Safety
Indemnity Co
ENV028193120202/19/2012
02/19/2013
$1,000,000.0004
/16/2012
5
American
Safety
Indemnity Co
ENV0281931101
02/19/2011
02/19/2013
$1,000,000.00
01/05/2012
4
GEMINI INS CO
BGR100115300
02/19/2010
02/19/2012
$1,000,000.0001
/12/2011
3
WESTCHESTER
FIRE INS CO
G24061589001
02/19/2009
02/19/2010
$1,000,000.0002
/18/2009
2
CENTURY
SURETY CO
CCP527909
02/19/2008
02/19/2009
$1,000,000.0004
/14/2008
https://fortress.wa.gov/lni/bbip/Print.aspx
06/04/2012