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Home My WebLink AboutPermit PG12-166 - LYONS RESIDENCELYONS RESIDENCE 4041 S 150 ST PG12 -166 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.: 1422700010 Address: 4041 S 150 ST TUKW Project Name: LYONS RESIDENCE PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: PG12 -166 08/29/2012 02/25/2013 Owner: Name: LYONS CARL D +CRYSTAL Address: 4041 S 150TH ST , TUKWILA WA 98188 Contact Person: Name: Address: Email: Contractor: Name: COREY ALEXANDER Phone: 425 516 -4388 13330 STONE AV N , SEATTLE WA 98133 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: 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 Uniform Plumbing Code Edition: 2009 International Fuel Gas Code Edition: 2009 Date: 2 d this permit and know the same to be true and correct. All provisions of law and ordinances hether specified herein or not. The granting of this permit does not pre u - to give construction or the performance of work. I am auth on the back of this permit Signature: Print Name: —07Z2- ority to violate or cancel the provisions of any other state or local laws regulating d to sign and obtain this plumbing /gas piping permit and agree to the conditions 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 -166 Printed: 08 -29 -2012 • PERMIT CONDITIONS Permit No. PG 12 -166 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 -166 Printed: 08 -29 -2012 CITY OF TUKWII Community Developme epartment 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: 1-1011' J f 50 sr King Co Assessor's Tax No.: 114 22 1% iV b (V Suite Number: Floor: Tenant Name: New Tenant: ❑ Yes ❑.. No .. . PROPERTIYvQWN/� s- L( :� /+ �QA /�� f.. Name: V L o �i `7 l� ( - C4 `� L X Address: Li 041 S ) 50 ST' City: --rotcv,ix i 1 A State: W A Zip: J < .CONTACT;PERSON person receiving allyproiect communication'? s . „' ...:aa ''''''-''',3- . 3 a :> c .. r. Name: ( /Q}c /1./.1 11:e72_ Address: 13330 cs-r-e,,i t pt� IN( City: si3 A State: k.1,1 k Zip: g8(33 Phone: 'L t ! Zc, J r 1 h 6_gi'ax: "licJ Email: PLUMBING CONTRACTORINEORMA,TION .. Company Name:-'„ r R sou 9. c ,% Address: t333a (sToAIC 14U`e., A,( City: se n_ State: vot. Zip: q y 3, Phone: w ✓r, sue` / _ ce gyFax: Contr Reg N o t:_7L4a4K Exp Date: "l l i 1 1 Tukwila Business License No.: A` O I 2 �YLL Valuation of Project (contractor's bid price): $ CVO, C1 Scope of Work (please provide detailed information): /2 L LDCA 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.docx Revised: August 2011 bh Sewer: Page 1 of 2 Indicate type of plumbing fixtures and/or ga�iping outlets being installed and the quantity ow: 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 . QV 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/ontlets 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 OWNE Signature:' Print Name: AUTHORIZ T: Date:�� Day Telephone:') -s776 Z if Mailing Address: State Zip City H:1Applications\Forms- Applications On Line\2011 Applications\Plumbing Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh 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.TukwilaWA.gov RECEIPT Parcel No.: 1422700010 Permit Number: PG 12 -166 Address: 4041 S 150 ST TUKW Status: PENDING Suite No: Applied Date: 08/29/2012 Applicant: LYONS RESIDENCE Issue Date: Receipt No.: R12 -02488 Payment Amount: $96.60 Initials: JEM Payment Date: 08/29/2012 01:27 PM User ID: 1165 Balance: $0.00 Payee: COREY ALEXANDER, PSE INFRASOURCE LLC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 018837 ACCOUNT ITEM LIST: Description 96.60 Account Code Current Pmts GAS - NONRES 000.322.103.00.00 96.60 Total: $96.60 doc: Receipt -06 Printed: 08 -29 -2012 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 4" Iz -1(�t� Project: L Lt ON) Gl c-- Type of Inspection: . R I \tct IA , NJ - et S Address: L-101:1 1 S ISO ' _ Date Called: Special Instructions: Date Wanted:. -3v -I'7--- a.m � Requester: Phone No: yZS- -, ,(o _433 o) Approved per applicable codes. Corrections required prior to approval. COMMENTS: (Q j tq Gt -, f(.1( 1J 0 ()- Nt. lCc /F7-3° f-1 Iispectdj �. Dates: REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid/at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople *ail 0 Washington State Department of Labor & industries Contractors or Tradespeople Detail Return to List > Start a New Search > Printer friendly • Verify Workers' Comp Premium Status Check for Dept. of Revenue Account Page 1 of 2 About 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 Phone No. (630) 613 -3518 Address 1200 Roosevelt Rd Ste 400 Sulte /Apt. City Glen Ellyn State IL Zip 60137 County Out Of State Business Type Limited Liability Company Parent Company QUANTA SERVICES INC UBI No. 602477130 Status Active License No. INFRACL899CZ License Type) Construction Contractor Effective Date 2/14/2011 Expiration Date 2/14/2013 Suspend Date Specialty 1 General Specialty 2 Unused ci Business Owner Information a Hide All Name Role Effective Date Expiration Date ERNST, CHRISTINE A MCARTHY, MICHAELJ Bond Information Partner /Member Partner /Member 102/07/2011 102/14/2011 Bond Bond Company Bond Account Effective Expiration Cancel Impaired Bond Received Name Number Date Date Date Date Amount Date 1 Federal Ins Co 82201463 = Until 01/12/2011 Cancelled Assignment of Savings Information No records found for the previous 6 year period El Insurance Information ) https: // fortress .wa.gov /lni/bbip/Result.aspx $12.000.00 02/07/2011 08/29/2012