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HomeMy WebLinkAboutPermit PG12-144 - DELGADO RESIDENCEDELGADO RESIDENCE 13527 35 AV S PG12-144 City of Tukwila 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.: 8864000175 Address: 13527 35 AV S TUKW Project Name: DELGADO RESIDENCE PLUMBING /GAS PIPING PERMIT Permit Number: PG12 -144 Issue Date: 07/11/2012 Permit Expires On: 01/07/2013 Owner: Name: DELGADO JUAN Address: 13527 35TH AVE S , SEATTLE WA 98166 Contact Person: Name: STEVE ATES Address: 60 NE LAKE DR , TAHUYA WA 98582 Email: BUILDERATES @GMAIL.COM 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 -7724 Phone: 206 - 364 -3000 Expiration Date: 04/14/2014 DESCRIPTION OF WORK: REPLACE WASHERBOX REVISION #1: ALSO MOVE HOT WATER HEATER Value of Plumbing /Gas Piping: Fees Collected: Electrical Service Provided by: Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be compli $200.00 Uniform Plumbing Code Edition: $60.90 International Fuel Gas Code Edition: Date: 2009 2009 fined this permit and know the same to be true and correct. All provisions of law and ordinances , whether specified herein or not. The granting of this permit does not p eaiLme 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: G� /� G �s C �L ' `� �/Gt' 4 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 PG 12 -144 Printed: 07 -20 -2012 PERMIT CONDITIONS Permit No. PG12 -144 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 -144 Printed: 07 -20 -2012 City oftukwila 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.: 8864000175 Address: 13527 35 AV S TUKW Project Name: DELGADO RESIDENCE PLUMBING /GAS PIPING PERMIT Permit Number: PG12 -144 Issue Date: 07/11/2012 Permit Expires On: 01/07/2013 Owner: Name: DELGADO JUAN Address: 13527 35Th AVE S , SEATTLE WA 98166 Contact Person: Name: STEVE ATES Address: 60 NE LAKE DR , TAHUYA WA 98582 Email: BUILDERATES @GMAIL.COM 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 -7724 Phone: 206 - 364 -3000 Expiration Date: 04/14/2014 DESCRIPTION OF WORK: REPLACE WASHERBOX Value of Plumbing /Gas Piping: $200.00 Uniform Plumbing Code Edition: 2009 Fees Collected: $47.25 International Fuel Gas Code Edition: 2009 Electrical Service Provided by: Permit Center Authorized Signature: Date: nit( 1 I hereby certify that I have read and : xa ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complie • wit 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: Date: 7/7//-2.b/2_ 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 PG 12 -144 Printed: 07 -11 -2012 PERMIT CONDITIONS Permit No. PG12-144 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 PG12-144 Printed: 07 -11 -2012 Site Address: CITY OF TUKWIQ Community Developme. Jepartment 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 ** /7521 7C h tie Tenant Name: 1-0G-0 0-2� / �D 1''. Name: 3/9 pe Address: i 33— 2 7 3$7z `' J State: fr, Zip: ■? 7t City: 72,, / vw 6 C f fl li �% _ v �<. _„ f� a".. �- a' R?¢ � l4 rn.�'u `� a< <� .a � ,�x�� s „b; .��s �h.�� -.•� ��.�s Name: -_„Le moo_ /'�. -6 /4 Address: / � / /c c �/ L� ,�/ City: (� / State: �,, u Zip:951' Phone: ��- ..:37c,_ 7 72 i(Fax: Email: 6,(7/4..„ 4,7,,e3 ''/474,i,/ 69.44 King Co Assessor's Tax No.: pf% '(CtQ Suite Number: Floor: New Tenant: ❑ Yes [ No Company Name: I61'lftk., Address: City: State: Zip: Phone: Fax: Contr Reg Nop j, n_q tt�"l i etExp Date: ail + f I 4/11 Tukwila Business License No.: ©t' Valuation of Project (contractor's bid price): $ 2O'0 .� Scope of Work (please provide detailed information): !/Q ei//4C C 1/c 546,/- ,z4) Building Use (per Int'l Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: Sewer: H.\ Applications \Forms - Applications On Line \201 I Applications\Plumbing Permit Application Revised 8 -9 -I I.docx Revised. August 2011 bh Page 1 of 2 Indicate type of plumbing fixtures and/or as piping outlets being installed and the quanti elow: ,Fixture:Type .1 Qty.; Bathtub or combination bath/shower Dishwasher, domestic with independent drain ic 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 a.. FtxtureType, ' 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 L`PERIVIIT 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 OWNER OR UTHORIZED A : Signature: Print Name: e!'e— r 7 < Mailing Address: CO ,Y l= Lam, iG e of H:Wpplications\Forms- Applications On Line \2011 Applications\Plumbing Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh Date: 7-0-20/2- Day Telephone: 2 57 772 iyq �� City 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.ci.tukwila.wa.us SET RECEIPT RECEIPT NO: R12 -02171 Initials: JEM Payment Date: 07/20/2012 User ID: 1165 Total Payment: 75.30 Payee: FAMILY CLASSIC HOMES SET ID: 0720 SET NAME: DELGADO RESIDENCE SET TRANSACTIONS: Set Member M12 -108 PG12 -144 TOTAL: Amount 61.65 13.65 61.65 TRANSACTION LIST: Type Method Description Amount Payment Cash 75.30 TOTAL: 75.30 ACCOUNT ITEM LIST: Description Account Code Current Pmts MECHANICAL - RES 000.322.102.00.0 PLUMBING - RES 000.322.103.00.0 61.65 13.65 TOTAL: 75.30 Ciff 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 -02103 Initials: JEM Payment Date: 07/11/2012 User ID: 1165 Total Payment: 143.85 Payee: PAUL DAVIS RESTORATION SET ID: S000001777 SET NAME: DELGADO RESIDENCE SET TRANSACTIONS: Set Member M12 -108 PG12 -144 TOTAL: Amount 96.60 47.25 96.60 TRANSACTION LIST: Type Method Description Amount Payment Check 35570 143.85 TOTAL: 143.85 ACCOUNT ITEM LIST: Description Account Code Current Pmts MECHANICAL - RES 000.322.102.00.0 PLUMBING - RES 000.322.103.00.0 96.60 47.25 TOTAL: 143.85 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 `a. (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: 1..DFwLb /IS Type of Inspection: r /,/44_ Address: /3 Se-7 ,.3-5- /941 S Date Called: Special Instructions: . Date Wanted:. a.mm.. Requester: Phone No: 2-. 3 - 514/ -7704/ Approved per applicable codes. 1 Corrections required prior to approval. "J COMMENTS: 'Pean 62.41)ar/ Inspe r: NSPECTION FEE REQUIRED. Prior to next inspection. fee must be id at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit 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: ' n Typ�In pe, tion` ' f Addr,ss;�� 3 L Date l (u� Special Instructions: 628- ; P ' %,js Date Wanted:7 /� 3 r . a.m Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: e) ■ U e-fq.--- -c-1) r & k_S (Ai. 11—. - ,;: 628- ; P ' %,js e ti 4,--VA Al ie, A Uf P i \t U ,RA) a A SeA cp 1 J 0, w- -. 6K A /1 S4 J Inspect° : /I i I ED. rio Date --�i L-- REINSPECTION FEE REQUIRED. r to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Web site: http: / /www.TukwilaWA.gov REVISION SUBMITTAL Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: 7 2-°/1---- ❑ Response to Incomplete Letter # ❑ Response to Correction Letter # Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: Q/c10 J LIG,I7 Project Address: s-`../r7 .soh A ve_ ,% 5 Le_ 6l ‘C Contact Person: 5 ejV2 , A TES Phone Number: 2 S3.57f/ - 7 7 2. y Summary of Revision: /76/,if Of /4/ 1,,,,c,./er 7;11 Plan Check/Permit Number: P(- / 1 ` 1 '"- z/ 1117.'' EO r kwttA JUL 2 0 2012 rEpM NTEq Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Cente Iby: �C Entered in Permits Plus on 0 1 12.9 4_ `1 H:\ Applications\Forms - Applications On Line\2010 Applications \7 -2010 - Revision Submittal.doc Revised: May 2011 Contractors or Tradespeople Peer Friendly Page • General /Specialty Contractor A business registered as a construction contractor with L8I 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 $1,000,000.0001 /05/2012 4 GEMINI INS CO BGR100115300 02/19/2010 02/19/2012 $1,000,000.00 01/12/2011 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 $1,000,000.00 04 /14/2008 https: // fortress .wa.gov /lni/bbip/Print.aspx 07/11/2012