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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 bh 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 bh 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