HomeMy WebLinkAboutPermit PG12-145 - PHELAN RESIDENCEPHELAN RESIDENCE
16250 52 AV S
EXPIRED 01 -14 -2013
PG12-145
City olkukwila
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
Parcel No.: 6818400070
Address: 16250 52 AV S TUKW
Project Name: PHELAN RESIDENCE
PLUMBING /GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On:
PG12 -145
07/18/2012
01/14/2013
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Email:
PHELAN HERBERT W
16250 52ND AVE S , TUKWILA WA 98188
NANCY EVANS
1425 BLAINE AV NE , RENTON WA 98056
06EVANS @COMCAST.NET
Contractor:
Name: WASHINGTON CORROSION SRVC INC
Address: 1425 BLAINE AVE NE , RENTON, WA 98056
Contractor License No: WASHICS055KC
Phone: 425 228 -1393
Phone: 425 - 228 -1392
Expiration Date: 05/04/2014
DESCRIPTION OF WORK:
REPLACE GAS 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 complie
$1,041.00
$47.25
Uniform Plumbing Code Edition:
International Fuel Gas Code Edition: 2009
2009
Date:
xami ed this permit and know the same to be true and correct. All provisions of law and ordinances
with, hether specified herein or not.
The granting of this permit does not pre e 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:
`7. 15,l
Date:
Print Name: � L
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 -145
Printed: 07 -18 -2012
• •
PERMIT CONDITIONS
Permit No. PG 12 -145
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 -145 Printed: 07 -18 -2012
CITY OF TUKWI•
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
httn: / /www. Tukwi la W A. gov
Plumbing/Gas Permit No.
Project No.
Date Application Accepted: 01 `t 2
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: / w �cp 5-g 41‘if 4 ��
Tenant Name: 1-» ek-'_ ct-r) New Tenant: ❑ Yes ❑..No
King Co Assessor's Tax No.: V l L'-,v V" 10
Suite Number:
Floor:
PROPERTY OWNER
Name: k a k%,,,i vq-
Address: / c t L S g f eLL /It_ 4 ,A__.- xi
City: k Q 1.) Li State: t_ m, c/}- , Zip:
Name: j -fr
n
tah(/' ./)
Tukwila Business License No.: ?AA/ v._ o`} in ll 1
Address: / 4 2-S(7
5.Z `t 4
S
City:-,( "k
State: G....74
Zip:
/ b
CONTACT PERSON — person receiving all project
communication
Name: k a k%,,,i vq-
Address: / c t L S g f eLL /It_ 4 ,A__.- xi
City: k Q 1.) Li State: t_ m, c/}- , Zip:
Phone: gig • LL0 t 3 ec Fax:
Email: Q 6, g.:Vtt r (Ai pll. q.s4- . K-1 -e_A4
PLUMBING CONTRACTOR INFORMATION
Company Name: �r
f- U"1S�rt n�M co ,,,,-„:4,3„) Sevvr�
Address:/q23- 8� (et t te_ ,74 'v ,il g.,
City: State: Zip: r-j'
✓yl -0-►✓ C r jt
Phone: l{"L-5 L?Jir) 13 co Fax:
Contr Reg No.m.te_s a s'ie c Exp Date: a s.-ii ,...1
Tukwila Business License No.: ?AA/ v._ o`} in ll 1
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information): Rep(ol
Building Use (per Intl Building Code):
Occupancy (per Int'1 Building Code):
Utility Purveyor: Water: Sewer:
H.\ApplicationsWorms- Applications On Line\2011 Applications\Plumbing Permit Application Revised 8- 9- 11.docx
Revised: August 2011
bh
Page 1 of 2
Indicate type of plumbing fixtures and/or piping outlets being installed and the quantityyow:
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)
i
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
i
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
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 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 AUTHORIZED AGENT:
Signature:
Print Name: ._A v-v- _ p l&..
Mailing Address: l (1?- LCtif I'`Q''
Date: 7- t L Z
Day Telephone: 2 2_ 13
J p,)-- rJ , 6- `7)---3
City
H:Wpplications\For ms- Applications On Line12011 Applications\Plumbing Permit Application Revised 8- 9- 11.docx
Revised: August 2011
bh
State Zip
Page 2 of 2
•
City of Tukwila
Department of Cominunity Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -43 1 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.TukwilaWA.gov
Parcel No.: 6818400070
Address: 16250 52 AV S TUKW
Suite No:
Applicant: PHELAN RESIDENCE
RECEIPT
Permit Number: PG12 -145
Status: PENDING
Applied Date: 07/18/2012
Issue Date:
Receipt No.: R12 -02151
Initials:
User ID:
JEM
1165
Payment Amount: $47.25
Payment Date: 07/18/2012 11:03 AM
Balance: $0.00
Payee: ANGELA M LUDWIG
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd MC
Authorization No. 590238
ACCOUNT ITEM LIST:
Description
47.25
Account Code Current Pmts
PLUMBING - NONRES
000.322.103.00.00 47.25
Total: $47.25
doc: Receiot -06 Printed: 07 -18 -2012
12 -03 -2012
NANCY EVANS
1425 BLAINE AV NE
RENTON WA 98056
City of Jim- Haggerton,_ Mayor
Department-of Community Development Jack Pace, Director
RE: Permit No. PG12 -145
PHELAN RESIDENCE
16250 52 AV S 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 01/14/2013.
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 01/14/2013, 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,
CO-091-
fer Marshall
it Technician
File: Permit File No. PG12 -145
6300 Soi {thbenterBoulevard, Suite #I00 - •Tukwila, Washington 98188 • Phone 206-4:41-,W0 • Fehr'?0 -431 -3665
Contractors or Tradespeople Pester Friendly Page
1
General /Specialty Contractor
A business registered as a construction contractor with LEt1 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
WASHINGTON CORROSION SRVC INC
4252281393
1425 Blaine Ave Ne
Renton
WA
980562774
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601577751
Active
WASHICS055KC
Construction Contractor
5/3/1995
5/4/2014
Appliances /Equipment
Unused
Business Owner Information
Name
Role
Effective Date
Expiration Date
EVANS, NANCY J
President
01/01/1980
Amount
EVANS (LUDWIG), ANGELA M
Secretary
01/01/1980
NPP1315461
EVANS, JOHN D
Vice President
01/01/1980
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
4
CBIC
SD6182
05/02/2002
Until Cancelled
$6,000.00
05/02/2002
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
10
Western World
Ins Co
NPP1315461
05/04/2011
05/04/2013
$1,000,000.0004
/30/2012
9
WESTERN
WORLD INS CO
NPP1241170
05/04/2010
05/04/2011
$500,000.0004/23
/2010
8
WESTERN
WORLD INS CO
NPP1210194
05/04/2009
05/04/2010
$500,000.0004/28
/2009
7
WESTERN
WORLD INS CO
NPP1154438
05/04/2008
05/04/2009
$500,000.00
04/21/2008
6
WESTERN
WORLD INS CO
NPP1091007
05/04/2007
05/04/2008
$300,000.00
05/01/2007
5
WESTERN
WORLD INS CO
NPP0934474
05/04/2006
05/04/2007
$300,000.00
04/17/2006
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
ENESM00355
8/29/2011
19.28.041 RCW
ELECTRICAL CITATION
Satisfied
$500.00
https: // fortress .wa.gov /Ini/bbip /Print.aspx
07/18/2012