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Home My WebLink AboutPermit PG12-154 - HOUMIR RESIDENCEHOUMIR RESIDENCE 14011 MACADAM RD S PG12 -154 Parcel No.: Address: City olkukwila 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 1523049035 14011 MACADAM RD S TUKW Project Name: HOUMIR RESIDENCE Permit Number: Issue Date: Permit Expires On: PG12 -154 08/10/2012 02/06/2013 Owner: Name: Address: Contact Person: Name: Address: Email: Contractor: Name: CASTILLO JOSE T JR +JENIFER 13355 56TH AVE S , TUKWILA WA 98178 COREY ALEXANDER 13330 STONE AV N , SEATTLE WA 98133 COREY.ALEXANDER@PSE.COM Phone: 425 516 -4388 INFRASOURCE CONSTRUCTION LLC Phone: 630 - 613 -3518 Address: 1200 ROOSEVELT RD, STE 400 , GLEN ELLYN IL 60137 Contractor License No: 1NFRACL899CZ Expiration Date: 02/14/2013 r..d- DESCRIPTION OF WORK: RELOCATION OF GAS METER Value of Plumbing /Gas Piping: Fees Collected: Electrical Service Provided by: Permit Center Authorized Signature: $1,000.00 $96.60 I hereby certify that I have read and e governing this work will be complied The granting of this permit does not pre construction or the performance of work. on the back of this permit. Signature: Print Name: Uniform Plumbing Code Edition: 2009 International Fuel Gas Code Edition: 2009 A4Q1)? Date: 0/i Ph- this permit and know the same to be true and correct. All provisions of law and ordinances ether specified herein or not. to give authority to violate or cancel the provisions of any other state or local laws regulating I am authorized to sign and obtain this plumbing /gas piping permit and agree to the conditions Date: S -'d-1 )- 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 -154 Printed: 08 -10 -2012 PERMIT CONDITIONS Permit No. PG 12 -154 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 -154 Printed: 08 -10 -2012 CITY OF TUKWIIdik Community DevelopmenWepartment 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** Site Address: ti(O// /WC 4 124,c4 )2 S Tenant Name: /71 du 114 -r-14 "ror fid King Co Assessor's Tax No.: t -1 Suite Number: Floor: Yes ELL No New Tenant: PROPERTY OWNER , Name: /7 CoRty A--6(X/Vi0C-,'C-- Name: Houma_ iz 7.---crrov City: (.56--A State: IA ft Zip:s1i(3) Address: / tied /11464,04tm /20 s CitY:11)/C Lela ///1- State: Iiiisf Zip: -CoNt401,PER5 :prOivrece,iYIffg..!111Pr9eqy,,--, ,-;:--.-...1 „.,?.:-.-.A.:.: : : .::"...:1,- .., $ communication: .......... . iiiiic0064if:::1=-.. Name: /7 CoRty A--6(X/Vi0C-,'C-- Address: l 3330 Sravef i'9-y .91.7 City: (.56--A State: IA ft Zip:s1i(3) Phone: cc-14i ,..56,,coeff Fax: Email: eeo, v. AZIcArvb 6,74..—?tos-6.s-, ezvto7 PLUMBING CONTRACTOR INFORMATION Company Name: .....L.A7/. socilc eo.,... Address: /333o Srevve ---- n a-e-- A/ City: Seif State: vix Zip:96-(33 Phone: to c15-ifr. (0 ef Fax: Contr Reg No.:1-Nrgiet eywezExp Date: 1414( t s Tukwila Business License No.: sttc...... 011 ac.'c-.2.1 Valuation of Project (contractor's bid price): $ idGQ, Scope of Work (please provide detailed information): Re40e.,1 r.zcw Of= 6-7,1 Building Use (per Int'l Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: H:\Applications\Forms-Applications On Line \2011 Applications \ Plumbing Permit Application Revised 8-9-11 does Revised: August 2011 bh Sewer: Page 1 of 2 Indicate type of plumbing fixtures and/or wiping outlets being installed and the quantity low: 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 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 Signature R AUTHO 0/AGENT: Date: g� ?—( Z Print Name: . UTk� �` k %JO' � Day Telephone: �z�'5-76 —�v� ! Mailing Address: / 54 S7-4 G-1- "ACC— / it H:\Applications\Forms- Applications On Line \201 I Applications\Plumbing Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh e.AM 97 City State Zip Page 2 of 2 Cif! of Tukwila. Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206-431-3665 Web site: htt,,: //www. ci. tukwila. wa. us SET RECEIPT RECEIPT NO: RI2 -02332 Initials: JEM Payment Date: 08/10/2012 User ID: 1165 Total Payment: 193.20 Payee: COREY ALEXANDER, PSE INFROASOURCE LLC SET ID: 0810 SET NAME: INFRASOURCE SET TRANSACTIONS: Set Member Amount PG12 -153 96.60 PG12 -154 96.60 TOTAL: 96.60 TRANSACTION LIST: Type Method Description Amount Payment Credit C VISA 193.20 TOTAL: 193.20 ACCOUNT ITEM LIST: Description Account Code Current Pmts GAS - RES 000.322.103.00.0 TOTAL: 193.20 193.20 INSPECTION RECORD - Retain a copy with permit ,� f 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 Project: : 1 tt f L! , R Re. ACA Type off IInspectio t k/ // a , Address: p Date Called: .:, ... I Special Instructions: Date Wanted: , % (a.m.' (, p.m. Requester: Phone No: ._.. Approved per applicable codes. Corrections required prior to approval. COMMENTS: ay- • Inspector: V Date: n REINSPECTION FEE REQUIRED. Prior to next inspection fee must be paid at 6300 Southcenter Blvd.; Suite 1'00. Call to schedule reinspection: Contractors or Tradespeople P ter Friendly Page General /Specialty Contractor A business registered as a construction contractor with Llil 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 MWZY59816 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 3 Old Republic Ins Co MWZY59816 08/01/2012 08/01/2013 $5,000,000.00 07 /23/2012 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 $5,000,000.00 02 /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 08/10/2012