HomeMy WebLinkAboutPermit PG12-192 - EISIMINGER RESIDENCEEISIMINGER RESIDENCE
13039 57 AV S
EXPIRED 04-23-13
PG12 -192
City ATukwila
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
Parcel No.: 2172000265
Address: 13039 57 AV S TUKW
Project Name: EISIMINGER RESIDENCE
Permit Number: PG12 -192
Issue Date: 10/25/2012
Permit Expires On: 04/23/2013
Owner:
Name: EISIMINGER WILLIAM F
Address: 3644 CORLISS AVE NORTH , SEATTLE WA 98103
Contact Person:
Name: DAVID DRAPER
Address: 9252 DENSMORE AV N , SEATTLE WA 98103
Email: DAVES_2_DOLLAR @HOTMAIL.COM
Contractor:
Name: ACCURATE & AFFORDABLE DMLN INC
Address: PO BOX 31803 , SEATTLE WA 98103
Contractor License No: ACCURAD929J8
Phone: 206 - 412 -9201
Phone: (206)412 -9201
Expiration Date: 03/21/2014
DESCRIPTION OF WORK:
UNDERNEATH HOUSE, TURN MAIN LINE TO FRONT OF HOUSE FOR SEWER HOOKUP
Value of Plumbing /Gas Piping:
Fees Collected:
Electrical Service Provided by:
Permit Center Authorized Signature:
$200.00 Uniform Plumbing Code Edition: 2009
$47.25 International Fuel Gas Code Edition: 2009
Date:
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 perf. - .' of work. I am au .. - • to sign and obtain this plumbing /gas piping permit and agree to the conditions
on the back of this
Print Name:
Date: (d 2c-/Z
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.
rinr.• IIPC -4110 PA12 -199
Printprl. 1n-2n-9017
PERMIT CONDITIONS
Permit No. PG 12 =192
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.
(Inc. . IIP(: -4/1(1
PC,17 -1 A7
Printed 1 fl- 7F, -7M 7
CITY OF TUKW 4
Community Developmilrlepartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: //www.TukwilaWA.g,ov
Date. Application Expires _
(For ocenuse only)
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 LOCATION,'
King Co Assessor's Tax No.:
Site Address: 1(3 0 30 S A (1 S -TuKt,40 I 4 Suite Number: Floor:
New Tenant: ❑ Yes ❑.. No
Tenant Name: WILL1AN\ tLSI111N6&,
PROPERTY OWNER'
Name: toLLIAM EisImI1•tl�fiL
Address: 3. -g 60/ AU SU,1 v -72572,
"1
State: Zip: 4:1gl0,y
City: SCi e
CONTACT ,,person.receiving all project
conununi ition - a, __ w . __._
Name: .pA ✓tp Fit pc-
Company Name: ,t _ , ` p n _ , __ pJ_ IZ.�_ j _h
��U��V�
Address: 02 Devisyhwre_
Ave, 11
City: c?cotiAta, State:
1/01/4 Zip: clg' /03
Phone: 20,.4 1I_pm ‘ Fax:
Email: QIA44„2„5 _ j1 oto
rr o
f vv& ! . cwt
:PLUMBING CON RACTOR INFORMATION
Company Name: ,t _ , ` p n _ , __ pJ_ IZ.�_ j _h
��U��V�
Address: p, 0, ft )( 9, i+ v D
City: c^ te State: 0 a Zip: c
'1
it2.-
Phone: 6, _ il rig v I Fax:
Contr Reg No.: ACCUFAD0)2 9 rxp Date: 3_21
_ 2(,L
Tukwila Business License No.:
Valuation of Project (contractor's bid price): $ OC)'
Scope of Work (please rovide detailed information): t{17c V (2-41 rwvwe —114,1-n
Building Use (per Intl 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 piping outlets being installed and the quantitolow:
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
PERMIT APPLICATION NOTES -
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 PE .' Y BY THE AWS OF • TE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING 0
Signature:
Print Name:
Mailing Address:
TA( �l3 aT7
H:Wpplications'Forms- Applications On Line\2011 Applications\Plumbing Permit Application Revised 8 -9 -I I.docx
Revised: August 2011
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Date: [12 2 - Of'l -_
Day Telephone: ciZ
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.: 2172000265
Address: 13039 57 AV S TUKW
Suite No:
Applicant: EISIMINGER RESIDENCE
RECEIPT
Permit Number: PG12 -192
Status: PENDING
Applied Date: 10/25/2012
Issue Date:
Receipt No.: R12 -02961
Payment Amount: $47.25
Initials: WER Payment Date: 10/25/2012 11:52 AM
User ID: 1655 Balance: $0.00
Payee: DAVID DRAPER
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd MC
Authorization No. B49903
ACCOUNT ITEM LIST:
Description
47.25
Account Code Current Pmts
PLUMBING - RES
000.322.103.00.00 47.25
Total: $47.25
rinr.• Rar.Pint -CIA
printer'. 1n..7s -7n12
03 -05 -2013
DAVID DRAPER
9252 DENSMORE AV N
SEATTLE WA 98103
.Irm;HOggq#drb l%IbY9I
.epartment of Community Development Jack Piace; Director
RE: Permit No. PG12 -192
EISIMINGER RESIDENCE
13039 57 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 04/23/2013.
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 04/23/2013, 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,
File:
er Marshall
t Technician
Permit File No. PG12 -192
6300 5guthcenter Boulevard; Suite# 1.00:• Tukwila W2rshington 9$1$8 - Phone 2,O, r 431 -: •3,.670 • Pc,-4W4'..37)-:;W:..5.
Contractors or Tradespeople PJ,j iter 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 ACCURATE & AFFORDABLE DMLN INC UBI No. 602773706
Phone 2064129201 Status Active
Address Po Box 31803 License No. ACCURAD929J8
Suite /Apt. License Type Construction Contractor
City Seattle Effective Date 4/28/2008
State WA
Zip 98103
County King
Business Type Corporation
Parent Company
Expiration Date 3/21/2014
Suspend Date
Specialty 1 General
Specialty 2 Unused
Business Owner Information
Name
Role
Effective Date
Expiration Date
DRAPER, DAVID M
President
04/28/2008
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
3
Lexon Ins Co
9803897
02/12/2011
Until Cancelled
$12,000.0003/23
/2011
2
American Contractors
Indem CO
100062969
02/13/2009
Until Cancelled
04 /09/2011
$12,000.0002/19
/2009
1
OLD REPUBLIC INS CO
YLI264964
04/25/2008
Until Cancelled
02/13/2009
$12,000.0004/28 /2008
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
5
Endurance
American
Specialty 1
CBC10000167501
03/24/2012
03/24/2013
$1,000,000.0003
/23/2012
4
Endurance
American
Specialty I
CBC10000167500
03/24/2011
03/24/2012
$1,000,000.00
03/22/2011
3
LANDMARK
AMERICAN INS
CO
LBA06354800
03/24/2010
03/24/2011
$1,000,000.00
04 /13/2010
2
CENTURY
SURETY CO
CCP534790
03/11/2009
03/11/2010
05/20/2009
$1,000,000.00
02/23/2009
1
CENTURY
SURETY CO
CCP534790
03/11/2008
03/11/2009
$1,000,000.00
04 /28/2008
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
10/25/2012