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HomeMy WebLinkAboutPermit PG12-133 - SORVIG RESIDENCESORVIG RESIDENCE 15266 SUNWOOD BL PG12 -133 City oftukwila ` 2 Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206431-3670 Inspection Request Line: 206 - 431 -2451 Web site: http: / /www.Tukwila WA.gov PLUMBING /GAS PIPING PERMIT Parcel No.: 8141400640 Address: 15266 SUNWOOD BL TUKW Project Name: SORVIG RESIDENCE Permit Number: PG12 -133 Issue Date: 06/20/2012 Permit Expires On: 12/17/2012 Owner: Name: SORVIG ROBERT Address: 15266 SUNWOOD BLVD #D22 , TUKWILA WA 98188 Contact Person: Name: BILL REYNOLDS Address: 12621 230 ST E , GRAHAM WA 98338 Email: NOT PROVIDED Contractor: Name: REYNOLDS CUSTOM PLUMBING LLC Address: 12621 230 ST E , GRAHAM WA 98338 Contractor License No: REYNOCP972B 1 Phone: 253 - 405 -2281 Phone: 360- 893 -5315 Expiration Date: 02/03/2013 DESCRIPTION OF WORK: UNIT D -22 - ADD ICE MAKER BOX Value of Plumbing /Gas Piping: Fees Collected: Electrical Service Provided by: Permit Center Authorized Signature: $350.00 Uniform Plumbing Code Edition: 2009 $47.25 International Fuel Gas Code Edition: 2009 Date: 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 mermit. Signature: Print Name: uc),\-7‘0 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. Date: r" Zfl -12 doc: UPC -4/10 PG12 -133 Printed: 06 -20 -2012 PERMIT CONDITIONS Permit No. PG12-133 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 PG12-133 Printed: 06 -20 -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. 1)G 1) (33 Project No. 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 ** SITE LOCATION Site Address: K el WOOL) Tenant Name: Soil `k/G r, ,1ACP IC King Co Assessor's Tax No.: C 114 14 0- 5-G, 46 Suite Number:D-22 Floor: New Tenant: ❑ Yes ❑..No PROPERTY OWNER Name: Address: City: State: Zip: CONTACT PERSON — person receiving all project communication Name: Ci �t ✓AY al C»41-oacj -o'- Address: Contr Reg No.: Exp Date: 2/2 972-151 \\ \� "°1e) S City: State: Zip: Phone: Fax: Email: PLUMBING CONTRACTOR INFORMATION Company Name: no) S c u5kn, pIHmbt ^y Address: lUP2% 2.306 * F. City:ViAAfr■ State: Zip: 9:0,y.98 Phone: Fax:. z5-,q - Or- 22,31 36i9 -893 _ 5-?1,5— Contr Reg No.: Exp Date: 2/2 972-151 Tukwila Business icense No.: Valuation of Project (contractor's bid price): $ 35-L9 gQ Scope of W r (please provide detailed information): r A- I 'y 1—C-61 rylo r k Building Use (per Intl Building Code): Occupancy (per Intl Building Code): Utility Purveyor: Water: Sewer: H:\ Applications \Forms - Applications On Line \2011 Applications\Plumbing Permit Application Revised 8 -9 -1 I.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 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 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 Back flow 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 NOTES - 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 O1 ER Signature: Print Nam ORIZED AGENT: Reymnids Mailing Address: 2.3712 64,6- Cve �• H:\ Applications \Forms - Applications On Line\20I 1 Applications\Plumbing Permit Application Revised 8-9- I I.docx Revised: August 2011 bh Date:) 'e 20 -2 °I'7_ Day Telephone: 257'377'3‘P1 City State Zip Page 2 of 2 • �J����1LAwgs 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 Parcel No.: 8141400640 Address: 15266 SUNWOOD BL TUKW Suite No: Applicant: SORVIG RESIDENCE RECEIPT Permit Number: PG12 -133 Status: PENDING Applied Date: 06/20/2012 Issue Date: Receipt No.: R12 -01929 Initials: WER User ID: 1655 Payment Amount: $47.25 Payment Date: 06/20/2012 10:28 AM Balance: $0.00 Payee: REYNOLDS CUSTOM PLUMBING (PHONE) TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 115805 ACCOUNT ITEM LIST: Description 47.25 Account Code Current Pmts PLUMBING - RES 000.322.103.00.00 47.25 Total: $47.25 doc: Receipt -06 Printed: 06 -20 -2012 INSPECTION RECORD Retain a copy-with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 R- (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 � Project: SORY (L,. 1.? t ir_. -R; Type of Inspection: t— I AJ 1) i Address: , 1 SZ46 t4!ic.),AJ00 el Pa Date Called: � Special Instructions: Date Wanted: S3 _ 3O_ I7 "4-,s- p.m. Requester: Phone No: - 2-5 _ .1O© i , Approved per applicable codes. ElCorrections required prior to approval. COMMENTS: Per so e Date: �- ?) - /`- 7--t, n REINSPECTION FEE QUIRED. - riorr to next inspection. fee must be piid�at 6300 Southcenter Blvd.. uite 100„ Call to schedule reinspection. INSPECTION NO CITY OF: TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 :Permit inspection Request Line (206) 431 -2451 INSPECTION RECORD Retain a copy with permit �rJ Pc iZS3 PERMIT NO. Project: S0AVI& >JW 4j Type of Inspection: • enieel-- :27"./ Address.'. /5 - ' 2 +rvu..r,r, Date Called: Special Instructions: ,DZo sr- Date Wanted: C.- .Z/• -'0 Cn 3; p.m. Requester: r-3 ?isri A./ Phone No: Approved per applicable codes. D Corrections required prior to approval. COMMENTS: Date .444A-4-7 (� rte, .� /rt �REI SPECTION FEE REQUIR . Prior t9.4xt inspection. fee must be ,paid at 6300 Southcenter Blvd. Suite 100. Call to schedule reinspection. Contractors or Tradespeople Peer Friendly Page General /Specialty Contractor A business registered as a construction contractor with LEtI 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 REYNOLDS CUSTOM PLUMBING LLC UBI No. 602263754 Phone 3608935315 Status Active Address 12621 230Th St E License No. REYNOCP972B1 Suite /Apt. License Type Construction Contractor City Graham Effective Date 1/21/2003 State WA Expiration Date 2/3/2013 Zip 98338 Suspend Date County Pierce Specialty 1 General Business Type Limited Liability Company Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date REYNOLDS, WILLIAM D Partner /Member 01/21/2003 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 2 GREAT AMER INS CO OF NY 7902865510468 02/10/2004 Until Cancelled $12,000.00 02/17/2004 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 7 Country Mutual Ins Co 9006488 10/16/2008 10/16/2012 $1,000,000.00 09/20/2011 6 TRUCK INS EXCHANGE 035091270 09/25/2008 09/25/2009 $1,000,000.00 09/22/2008 5 FARMERS INS GROUP 035091270 09/25/2007 09/25/2008 $2,000,000.00 09/25/2007 4 HARTFORD CASUALTY INS CO 52SBMPR4340 08/18/2005 08/18/2007 $300,000.00 07/17/2006 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 Infractions /Citations Information Infraction / Citation Date RCW Code Type Status Violation Amount PESPR00347 11/24/2008 18.106.020(5)(b) RCW PLUMBER INFRACTION Satisfied $250.00 https: // fortress .wa.gov /lni /bbip /Print.aspx 06/20/2012