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
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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
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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
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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