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HomeMy WebLinkAboutPermit PG12-177 - HACKET RESIDENCEThis record contains information which is exempt from public disclosure pursuant to the Washington State Public Records Act, Chapter 42.56 RCW as identified on the Digital Records Exemption Log shown below. PG 12 -177 Hacket Residence 4004 South 158th Street RECORDS DIGITAL D- ) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION F,age # Code Exemption � � �� Brief Explsnatoty Description, Statute /Rule The Privacy Act of 1974 evinces Congress' intent that Personal Information — social security numbers are a private concern. As such, individuals' social security numbers are Social Security Numbers redacted to protect those individuals' privacy pursuant 5 U.S.C. sec. DR1 Generally — 5 U.S.C. sec. to 5 U.S.C. sec. 552(a), and are also exempt from 552(a); RCW 552(a); RCW disclosure under section 42.56.070(1) of the 42.56.070(1) 42.56.070(1) Washington State Public Records Act, which exempts under the PRA records or information exempt or prohibited from disclosure under any other statute. Redactions contain Credit card numbers, debit card Personal Information — numbers, electronic check numbers, credit expiration 10 DR2 Financial Information — dates, or bank or other financial account numbers, RCW RCW 42.56.230(4 5) which are exempt from disclosure pursuant to RCW 42.56.230(5) 42.56.230(5), except when disclosure is expressly required by or governed by other law. RACKET RESIDENCE 4004 S 158 ST EXPIRED O4/02/2013 PG12 -177 City oft 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.: 1508000000 Address: 4004 S 158 ST TUKW Project Name: HACKET RESIDENCE PLUMBING /GAS PIPING PERMIT Permit Number: PG 12 -177 Issue Date: 10/01/2012 Permit Expires On: 03/30/2013 Owner: Name: CHALET SOUTH CONDO COMPLEX Address: C/O PHILLIPS RE SVCES , 312 FAIRVIEW AVE N 98109 Contact Person: Name: FRED FAGHIHI Address: 9212 37 AV SW , SEATTLE WA 98126 Email: FREDEES @GMAIL.COM Contractor: Name: ADVANCED MECHANICAL & PLUMBING Address: 9212 37TH AVE SW , SEATTLE WA 98126 Contractor License No: ADVANMP930PU Phone: 206 -276 -0662 Phone: 206 - 276 -0665 Expiration Date: 12/15/2013 DESCRIPTION OF WORK: REPLACE SHOWER VALVE, INSTALL WALL ICE MAKER BOX, RELOCATE SHOWER DRAIN AND RELOCATE LAVATORY Value of Plumbing /Gas Piping: Fees Collected: Electrical Service Provided by: Permit Center Authorized Signature: $1,200.00 $137.55 Uniform Plumbing Code Edition: 2009 International Fuel Gas Code Edition: 2009 Date: I-- / 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 pe • 't. / �j Signature: �s�`L - Date: ( -r 1 Print Name: 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 -177 Printed: 10 -01 -2012 • • PERMIT CONDITIONS Permit No. PG 12 -177 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 -177 Printed: 10 -01 -2012 CITY OF TUKWI Community Developme. iepartment 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 ** -7 King Co Assessor's Tax No.: Site Address: tni� . /5 _ t j /- 5 ` 'W Suite Number: # 13 Floor: Tenant Name:,( S;14t h Mac J New Tenant: Yes E.. No PROP: Name: /7 et_ /t <� '�cr Address• 1 —2 5� g. s City: "u ( fir''(( State: /14--- Name: Address: .?`(0/_-- n i/2, / fV 2 City: w A State: Phone: Email: r r_cJe �5 Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): // Cc / �- c cl�� (ca �_ . �7 c c r t 100 --� L��j ( Building Use (per Int'l Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: Sewer: H:Applications \Forms- Applications On Line \2011 Applications\Plumbing Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh \rbi Page 1 of 2 Company Name: 7� �,i/t G .2c t f i79 1 Address: % / 7i7_1 4 A__ S. ,..,- City:s 'ff, 1� fA�•�6 Phone .1{ 4, 9.76 —c' ( S ax: / Contr Reg No.: /9P V -4,-7 f> / Exp Date: �� Tukwila Business License No.: (ca �_ . �7 c c r t 100 --� L��j ( Building Use (per Int'l Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: Sewer: H:Applications \Forms- Applications On Line \2011 Applications\Plumbing Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh \rbi Page 1 of 2 Indicate type of plumbing fixtures and/or as piping outlets being installed and the quanti]Lbelow: 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 Backflow protective device other than atmospheric -type vacuum breakers over 2 inch (51 mm) diameter Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections (1 -5) Gas piping outlets 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 Backflow protective device other than atmospheric -type vacuum breakers over 2 inch (51 mm) diameter Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections over 5 Gas piping outlets 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 Each lawn sprinkler system on any one meter including backflow protection devices 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 OWNER OR r4 1T ORIZED AGENT: Signature: Print Name: Mailing Address: > [FP f4— hh/ 3 '7 ; HAApplications\Forms- Applications On Line \2011 Applications\Plumbing Permit Application Revised 8- 9- 11.docx Revised. August 2011 bh Date: /b/ (// 2. Day Telephone: }' 4r 2 (�,4 -- 9 s:C-2- t4 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.TukwilaWA.gov Parcel No.: 1508000000 Address: 4004 S 158 ST TUKW Suite No: Applicant: HACKET RESIDENCE RECEIPT Permit Number: PG12 -177 Status: PENDING Applied Date: 10/01/2012 Issue Date: Receipt No.: R12 -02740 Payment Amount: $137.55 Initials: WER Payment Date: 10/01/2012 03:24 PM User ID: 1655 Balance: $0.00 Payee: FARHAD FAGHIHI TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd MC Authorization No. 00141B ACCOUNT ITEM LIST: Description 137.55 Account Code Current Pmts PLUMBING - RES 000.322.103.00.00 137.55 Total: $137.55 doc: Receiot -06 Printed: 10 -01 -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 /='G /Z-/7 7 Project: /7/4C i'F° /?FS Type of Inspection: 1 ?6) /6 r/ -Z/ / (' /i/ yv, g. Address: :VSO 4/ 5 /5 u 57__ ) L J� /Dat Ied ' Special. Instructions: , /� �/% ` _Q-�4[A J / UG.;z3O -U/ Date Wanted: . a` m� / a '► L/ / Z. P.m. Requester: Fr-e-13 Phone No: d6‘ —274 —o 6GS Approved per applicable codes. Corrections required prior to approval. COMMENTS: n t♦ Inspect'pr: Date: n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. 03 -05 -2013 FRED FAGHIHI 9212 37 AV SW SEATTLE WA 98126 Ji rn_ Hagkexton,- ;11%fax0 �e : artni nt o'' Cornrnunc eveloprerit JaekP -ace, Director RE: Permit No. PG12 -177 HACKET RESIDENCE 4004 S 158 ST 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 04/02/2013. 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 04/02/2013, 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, .fer Marshall it Technician File: Permit File No. PG12 -177 6300Southceiiter Boulevard; Suite• #100,■ Tukwila, reashington 98188 • Phone 20i'r43.'1 -3670 • :ax ?Q6 =431 3¢&5 Contractors or Tradespeople Peer 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 ADVANCED MECHANICAL a PLUMBING UBI No. 601597806 Phone 2062760665 Status Active Address 9212 37Th Ave Sw License No. ADVANMP930PU Suite /Apt. City Seattle State WA Zip 98126 County King Business Type Individual Parent Company License Type Construction Contractor Effective Date 10/31/2007 Expiration Date 12/15/2013 Suspend Date Specialty 1 Plumbing Specialty 2 Unused ated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status ALDERM "940CFALDER MECHANICAL Construction Contractor Plumbing g Boiler /Steam Fit /Proc Piping 2/6/2006 2/6/2008 Re- Licensed Business Owner Information Name Role Effective Date Expiration Date FAGHIHI, FARHAD Owner 10/31/2007 Received Date Bond Information No records found for the previous 6 year period Assignment of Savings Information Page 1 of 1 Savings Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 2 10/31/2007 Until Released Bond 4610065252 $6,000.0010/31/2007 10/28/2009 Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 4 NAVIGATORS INS CO 4610128924 10/28/2010 10/28/2012 $500,000.00 10/25/2011 3 NAVIGATORS INS CO 461010316 10/28/2009 10/28/2010 $1,000,000.00 10/28/2009 2 NAVIGATORS INS CO 4610065252 10/28/2008 10/28/2009 $500,000.00 10/29/2008 1 UNDERWRITERS AT LLOYDS A1Q996096 10/25/2007 10/25/2008 $300,000.0010/31 /2007 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 No records found for the previous 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 10/01/2012