HomeMy WebLinkAboutPermit PG12-135 - RAINBOW TRAILER PARKRAINBOW
TRAILER PARK
3714 S 152 ST
UNIT11
PG12 -135
City 4lukwila
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:
Issue Date:
Permit Expires On:
PG12 -135
06/20/2012
12/17/2012
Owner:
Name: VIP 3614 LLC
Address: PO BOX 28 , KIRKLAND WA 98083
Contact Person:
Name:
Address:
Email:
Contractor:
Name:
COREY ALEXANDER
13330 STONE AV N , SEATTLE WA 98133
C OREY.ALEXAND ER @PS E. C OM
Phone: 425- 516 -4388
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 #11 - 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 Uniform Plumbing Code Edition: 2009
$96.60 International Fuel Gas Code Edition: 2009
LoA
Date: la
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 gi e authority to violate or cancel the provisions of any other state or local laws regulating
construction or the performance of work. I am 'orized to sign and obtain this plumbing /gas piping permit and agree to the conditions
on the back of this • - 't.
Signature:
Print Name:
Date:
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 -135 Printed: 06 -20 -2012
PERMIT CONDITIONS
Permit No. PG12-135
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
PG12-135 Printed: 06 -20 -2012
CITY OF TUKWILA
Community Developmepartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.Tukw i laWA. go v
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: 3 71(-'1 S (52- i� lJ S f Suite Number: 1 I Floor:
New Tenant: ❑ Yes ❑.. No
Tenant Name:
!.ROPE.
Name:
Address: 37/(` cs /S2 An) sr
City: Tvl<wz r ( A
State: ACA Zip:
Name: 64,
Address: 3
City: State:,, Zip:
Phone: /2_763. Fax:
Email:
Valuation of Project (contractor's bid price): $ k6";0•6, 6 Scope of Work (please provide detailed information): g_•`- Ze2C %-c"`\-7
Building Use (per Int'l Building Code):
Occupancy (per Int'l Building Code):
Utility Purveyor: Water: Sewer:
H:\Applications \Forms - Applications On Line \2011 Applications\Plumbing Permit Application Revised 8 -9 -11. docx
Revised. August 2011
bh
Page 1 of 2
Company Name: --f- SOCA-C,L
Address: 13330 31-0A/C- ►4-4-JC /.f
City: rirrL Stater ` fr Zip:
V�
3
Phone: YZ ej' i {32. Fax:
C;
Contr Reg No.: Exp Date:
Tukwila Business License No.:
Valuation of Project (contractor's bid price): $ k6";0•6, 6 Scope of Work (please provide detailed information): g_•`- Ze2C %-c"`\-7
Building Use (per Int'l Building Code):
Occupancy (per Int'l Building Code):
Utility Purveyor: Water: Sewer:
H:\Applications \Forms - Applications On Line \2011 Applications\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 gas piping outlets being installed and the quantity below:
lb
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 /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 OW )OR AUTHOR ' % 'GENT:
Signatur . -5
Print Name: l p e "(
Mailing Address: 4 4 % ____
Day Telephone:
Date: C9" 20-12
gas- -96' cO
City
H:tApplications\Forms- Applications On Lme\2011 Applications\Plumbing Permit Application Revised 8- 9- 11.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.Tukwila WA.gov
RECEIPT
Parcel No.: 0041000660 Permit Number: PG12 -135
Address: 3714 S 152 ST TUKW Status: PENDING
Suite No: Applied Date: 06/20/2012
Applicant: RAINBOW TRAILER PARK Issue Date:
Receipt No.: R12 -01936
Initials:
User ID:
Payee:
WER
1655
Payment Amount: $96.60
Payment Date: 06/20/2012 02:18 PM
Balance: $0.00
COREY ALEXANDER
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 041151
ACCOUNT ITEM LIST:
Description
96.60
Account Code Current Pmts
GAS - RES
000.322.103.00.00 96.60
Total: $96.60
doc: Receipt -06 Printed: 06 -20 -2012
INSPECTION RECORD
Retain a copy with permit P6(2-i-3
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 t >.
Project:
�j i '‘,..-60... J \ V A i (®-v —p 14.
Type of Inspection:`
t— i ti A- 1
Address:
71L( S t;7 --C--
Date Called:
Special Instructions:
1 �
Date Wanted: .m.
I l i cl (Ca
p.m.
Requester:
Phone No: _
L -Sea --L(3 ,.
c;
`® Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
Inspect 9'r:
CA/A14,
I
Date:
11
❑REIN
SPECTION FEE REQUIRED. Pr `r to next inspection. fee must be
(.aid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
//2-- a
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
tz-
Project:
Rif/4/666d TRIM c ie
Type of Inspection:
6-175 - rIzigrA./ i
Address: ,
Date Called:
Special Instructions:
-,....
Date Wanted:
6 - A /—/2_._
(Amu)
P.m.
Requester:
Phone No:
Approved per applicable codes.
. .
raCorrections required prior to approval.
COMMENTS:
/ — Aid
‘ect
liSPECTION FEE REQUIRE 9. Prior/to next inspection, fee must be
Aid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
11 -01 -2012
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
COREY ALEXANDER
13330 STONE AV N
SEATTLE WA 98133
RE: Permit No. PG12 -135
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 12/18/2012.
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 fmal 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 12/18/2012, 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 -135
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206 -431 -3670 • Fax 206 - 431 -3665
Contractors or Tradespeople Pr or 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 INFRASOURCE CONSTRUCTION LLC UBI No. 602477130
Phone 6306133518 Status Active
Address 1200 Roosevelt Rd Ste 400 License No. INFRACL899CZ
Suite /Apt. License Type Construction Contractor
City Glen Ellyn Effective Date 2/14/2011
State IL Expiration Date 2/14/2013
Zip 60137 Suspend Date
County Out Of State Specialty 1 General
Business Type Limited Liability Company Specialty 2 Unused
Parent Company QUANTA SERVICES INC
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
Page 1 of 1
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
$1,000,000.0007
/19/2011
1
Old Republic
Surety Co
MWZY58873
08/01/2010
08/01/2011
$5,000,000.0002
/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 06/21/2012