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Home My WebLink AboutPermit PG12-152 - SHIELDS ADDITIONSHIELDS ADDITION 13906 42 AV S PG12 -152 City o*I'ukwila 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.: 1523049039 Address: 13906 42 AV S TUKW Project Name: SHIELDS ADDITION PLUMBING /GAS PIPING PERMIT Permit Number: PG12 -152 Issue Date: 10/05/2012 Permit Expires On: 04/03/2013 Owner: Name: SHIELDS TERRENCE J +MELODY A Address: 13906 42ND AVE S , SEATTLE WA 98168 Contact Person: Name: DON ATWOOD Address: 5416 CALIFORNIA AV SW , SEATTLE WA 98136 Email: AC.ARCH @HOTMAIL.COM Contractor: Name: CW WOLFF CONSTRUCTION LLC Address: 6714 13 AV SW , SEATTLE WA '98106 Contractor License No: CWWOLWC940MS Phone: 206 935 -2712 Phone: 206 - 766 -8060 Expiration Date: 11/08/2012 DESCRIPTION OF WORK: PLUMBING FOR NEW ADDITION: (1) BATH TUB /SHOWER, (1) SHOWER, (1) LAV, AND (1) WATER CLOSET. Value of Plumbing /Gas Piping: Fees Collected: Electrical Service Provided by: Permit Center Authorized Signature: $1,000.00 $151.20 [JAL Uniform Plumbing Code Edition: 2009 International Fuel Gas Code Edition: 2009 Date: 10-' V �- 62 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: ,L9a Print Name: Date: /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. doc: UPC -4/10 PG12 -152 Printed: 10 -05 -2012 • • PERMIT CONDITIONS Permit No. PG 12 -152 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. 13: The applicant agrees that he or she will hire a licensed plumber to perform the work outlined in this permit. 14: All new plumbing fixtures installed in new construction and all remodeling involving replacement of plumbing fixtures and fittings in all residential, hotel, motel, school, industrial, commercial use or other occupancies that use significant quantities of water shall comply with Washington States Water Efficiency and Conservation Standards in accordance with RCW 19.27.170 and the 2006 Uniform Plumbing Code Section 402 of Washington State Amendments. doc: UPC -4/10 PG12 -152 Printed: 10 -05 -2012 CITY OF TUKWILA Community D idknent Department Public Works .y , ment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us Building Pe it No. Mechanicallileirrmit No. Plumbing/Gas Permit No. Public Works Permit No. Project No. PC7■2_- f`3 (For office use only) 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 s- c� p 6 4-2.141::› Site Address: Tenant Name: iN,4 C 4. "jam( Property Owners Name: M .L 7`( .4 _ -0`f S ,Ng ps King Co Assessor's Tax No.: S 2 Suite Number: Floor: New Tenant: ❑ Yes .. No Mailing Address: 2) 4-04) City State Zip CONTACT PERSON — who do we contact when your permit is ready to be issued Name: /t- c�t�� Day Telephone: 206, 1"3S-- 2-7 �L Mailing Address: (p C-i4t c. es. 4.0 , Zip E -Mail Address: G c4.- t rt M,a.L . Fa x Number: City State J GENERAL CONTRACTOR INFORMATION — (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) Company Name: Mailing Address: Contact Person: E -Mail Address: Contractor Registration Number: City Day Telephone: Fax Number: Expiration Date: State Zip ARCHITECT OF RECORD — All plans must be stamped by Architect of Record Company Name: Mailing Address: Contact Person: E -Mail Address: City Day Telephone: Fax Number: State Zip ENGINEER OF RECORD — All plans must be stamped by Engineer of Record Company Name: Mailing Address: Contact Person: E -Mail Address: H:Wpplications\Porms- Applications On Line\2010 Applications17 -2010 - Permit Application.doc Revised: 7 -2010 bh City Day Telephone: Fax Number: State Zip Page 1 of 6 Valuation of Project (contractor's bid pri iii $ �b/ t 7 `` ' Existing ' ng Valuation: $ Scope of Work (please provide detailed i rmation): 7LOAc . 70 C1S Will there be new rack storage? ❑ .... Yes 14,07.44 (t7(11 • kiA6't Z CIA MO i c! i1ti -r !v/ # ;OLV ?C/1 Pon Airwoo4 10 ..No If yes, a separate permit and plan submittal will be required. Provide All Building Areas in Square Footage Below PLANNING DIVISION: Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: Lot Area (sq ft): Q 2U Floor area of principal dwelling: 401 U Floor area of accessory dwelling: ^' *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ Yes ($„ No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑ Sprinklers ❑ Automatic Fire Alarm jia None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes No If "yes', attach list of materials and storage locations on a separate 8 -1/2" x 11 " paper including quantities and Material Safe ata Sheets. SEPTIC SYSTEM ❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. H:\Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Permit Application.doc Revised: 7 -2010 bh Page 2 of 6 Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of • Occupancy per IBC 1°f Floor I _ \It> P.3 rd Floor 3rd Floor Floors thru Basement Accessory Structure* Attached Garage Detached Garage Attached Carport Detached Carport Covered Dcck bee-it- 42411.%111 tA Uncovered Deck PLANNING DIVISION: Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: Lot Area (sq ft): Q 2U Floor area of principal dwelling: 401 U Floor area of accessory dwelling: ^' *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ Yes ($„ No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑ Sprinklers ❑ Automatic Fire Alarm jia None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes No If "yes', attach list of materials and storage locations on a separate 8 -1/2" x 11 " paper including quantities and Material Safe ata Sheets. SEPTIC SYSTEM ❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. H:\Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Permit Application.doc Revised: 7 -2010 bh Page 2 of 6 ,rl PLUMBING AND GAS PIPINGtfr' gMIT INFORMATION — 206 - 431 -3670 l � PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: Valuation of Plumbing work (contractor's bid price): $ 1000 �(7° Valuation of Gas Piping work (contractor's bid price): $ Scope of Work (please provide detailed information): Building Use (per Int'l Building Code): Y� Occupancy (per Int'l Building Code): �3 Utility Purveyor: Water: zv/G[v<[.rti Sewer: 7Uef% evlC Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Bathtub or combination bath/shower Bidet Clothes washer, domestic (e-.) Dental unit, cuspidor Dishwasher, domestic, with independent drain Drinking fountain or water cooler (per head) Food -waste grinder, commercial Floor Drain Shower, single head trap I Lavatory 7i Wash fountain Receptor, indirect waste Sinks _ - -, - Urinals Water Closet I Building sewer and each trailer park sewer Rain water system — per drain (inside building) Water heater and/or vent Industrial waste treatment interceptor, including trap and vent, except for kitchen type grease interceptors Each grease trap (connected to not more than 4 fixtures - <750 gallon capacity) Grease interceptor for commercial kitchen ( >750 gallon capacity) Repair or alteration of water piping and/or water treatment equipment Repair or alteration of drainage or vent piping Medical gas piping system serving 1 -5 inlets/outlets for a specific gas Each additional medical gas inlets /outlets greater than 5 Backflow protective device other than atmospheric -type vacuum breakers 2 inch (51 mm) diameter or smaller Backflow protective device other than atmospheric -type vacuum breakers over 2 inch (51 mm) diameter Each lawn sprinkler system on any one meter including backflow protection devices Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections (1 -5) Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections over 5 Gas piping outlets H:\Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Permit Applicalion.doc Revised: 7 -2010 bh Page 5 of 6 PERMIT APPLICATION NOTES — A licable to all permits in this application 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. Building and Mechanical Permit The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition). Plumbing Permit The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 Uniform 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 O Signature: Print Name: Mailing Address: Date Application Accepted: ENT: Day Telephone: Gme- ZIC+� Date: of cO 1 i Z 20(e oeb1o016 City State Zip Date Application Expires: (` I psi �( 3 Staff Initials: du-1^` H:\ApplicationsWorms- Applications On Line \2010 Applications \7 -2010 - Permit Application.doc Revised: 7 -2010 bh 1 Page 6 of 6 • 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.: 1523049039 Address: 13906 42 AV S TUKW Suite No: Applicant: SHIELDS ADDITION RECEIPT Permit Number: PG12 -152 Status: APPROVED Applied Date: 08/09/2012 Issue Date: Receipt No.: R12 -02788 Payment Amount: $151.20 Initials: WER Payment Date: 10/05/2012 01:30 PM User ID: 1655 Balance: $0.00 Payee: MELODY SHIELDS TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1083 151.20 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts PLUMBING - RES 000.322.103.00.00 151.20 Total: $151.20 doc: Receiot -06 Printed: 10 -05 -2012 INSPECTION RECORD Retain a copy with permit INSP CTION 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 Q6(2 J•? Project ` ; �(�� i I` t '�i Type f Inspectio HIJMli. `1":"A Addres 1 0 0 4 ., Date Called: Special Instructions: Date Wanted: / 7 _ �� C/ 413) Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: J2rmi'7"---c6 leR Date tj REINSPECTION FEE RE\aUIRED. P or to next inspection. fee must be paid at 6300 Southcenter Blvd., Suit 100. Call to schedule reinspection. INSPECTION RECORD tst Retain a copy with permit 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 \c. Project:( - ,� Sh , e_�d5 i4..O6. (Th A Type of Inspection: dL,, M 0 . 1i4-- Addr ti R� A rDate Iled: Special Instructions: Date Wanted: . --T ^ P / -.a.w.„ -- l 3 P.m. Requester: Phone No: r ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: i)C -U(bZa Ji k L. (0 AJ c:9GL v 6t�Z�/ ako) Date: - Z- - .L3 n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite`100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit 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 PUf2 -f�2 Pro t: ,eI£ ,Type,ofInspecti n: Ad I d i Q 2 Date $talede rt Lik� Special Instructions: Date Wante l (3 —( c a p.m 1 Requester: Ph9.CeNo6 _ s5( _4475 ElApproved per applicable codes. ElCorrections required prior to approval. COMMENTS: t� t 0 vc__ "‘K.1 Q 0 L. .....)()?'..,1 i,,,„N-- c) Jr .i Inspecto It Date: 13 — ) REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. a 07 -01 -2013 City of _Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace. Director DON ATWOOD 5416 CALIFORNIA AV SW SEATTLE WA 98136 RE: Permit No. PG12 -152 SHIELDS ADDITION 13906 42 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 08/13/2013. 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 08/13/2013, 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, Bill Rambo Permit Technician File: Permit File No. PG12 -152 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206 -431 -3670 • Fax 206 - 431 -3665 Contractors or Tradespeople Peter 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 Phone Address Suite /Apt. City State Zip County Business Type Parent Company CW WOLFF CONSTRUCTION LLC 2067668060 6714 13Th Av Sw Seattle WA 98106 King Limited Liability Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602594314 Active CWWOLWC940MS Construction Contractor 10/2/2006 11/8/2012 General Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status CWWOLWC964PR W WOLFF CONSTRUCTION INC Construction Contractor General Unused 10/19/2004 10/19/2006 Expired Business Owner Information Name Role Effective Date Expiration Date CW WOLFF CONSTRUCTION LLC Partner /Member 07/10/2006 Bond Amount WOLFF, CURTIS Partner /Member 10/02/2006 46WB005209 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 3 Wesco Insurance Co 46WB005209 09/22/2012 Until Cancelled $12,000.00 09/14/2012 2 Platte River Ins Co 41237856 09/22/2011 Until Cancelled $12,000.00 09/16/2011 1 GREAT AMER INS CO OF NY 7902865511044 09/22/2006 Until Cancelled 09/22/2011 $12,000.00 10/02/2006 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 Security National Insurance NA103590200 09/21/2012 09/21/2013 $1,000,000.00 09/20/2012 5 Nevada Capital Ins Co 77NPP4007765 09/21/2010 09/21/2012 $1,000,000.0009 /19/2011 4 NEVADA CAPITAL INS CO 00013213 09/21/2009 09/21/2010 $1,000,000.0009 /18/2009 3 LLOYDS OF LONDON (UNDERWRITER MCP460000231 09/21/2008 09/21/2009 $1,000,000.00 09/26/2008 2 LLOYDS OF LONDON (UNDERWRITER MCP46000023 09/21/2007 09/21/2008 $1,000,000.0009 /14/2007 1 LLOYDS OF LONDON (UNDERWRITER WAS000350 09/21 /2006 09/21 /2007 $1,000,000.00 10 /02/2006 Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 10/05/2012