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Home My WebLink AboutPermit PG12-204 - PHAM RESIDENCEPHAM RESIDENCE 14426 42 AV S PG1 2-204 City oilii'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.: 0040000339 Address: 14426 42 AV S TUKW Project Name: PRAM RESIDENCE PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: PG12 -204 11/20/2012 05/19/2013 Owner: Name: DEUTCHE BANK NATIONAL TRUST Address: 700 KANSAS LN MC 8000 , MONROE LA 71203 Contact Person: Name: Address: Email: Contractor: Name: Address: JIMMY ZELEDON 13629 26 PL W, SUITE B102 , LYNNWOOD WA 98087 NOT PROVIDED Phone: 425 - 791 -2076 J & M PLUMBING LLC Phone: 425 - 791 -2076 13629 26 PL W, SUITE B102 , LYNNWOOD WA 98087 Contractor License No: JMPLUMP886Q0 Expiration Date: 11/20/2014 DESCRIPTION OF WORK: DEMO EXISTING DRAIN AND WATER LINES, REPIPE WITH ABS ON DRAIN AND PEX ON WATER, REPLACE WATER HEATER. Value of Plumbing /Gas Piping: Fees Collected: Electrical Service Provided by: Permit Center Authorized Signature: $2,500.00 Uniform Plumbing Code Edition: 2009 $178.50 International Fuel Gas Code Edition: 2009 Date: t ( 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 permi Signature: Print Nam rYfrvty 2eiecio 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. Date: / /—Z —) rinr: I IPr. -4/10 Pr 17 -204 Printar1• 11 -20 -2012 • • PERMIT CONDITIONS Permit No. PG 12 -204 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. Mr: 11Pr.. -4/1 n P(112 -904 Printm. 11-20-7012 CITY OF TUKWIAI Community Developme epartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: / /www.TukwilaWA.gov Pluim-bingi Project No Date Application Accepte Date Application Expires (For ofce use 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: I '1 Y �- 4 L4 Zt') d .'VL 5. �v KuJ i' lel Suite Number: Floor: Tenant Name:. ,PROPERTY OWNER Name: i'iJ/I :. .. . - Name: ,—i--tf‘ GNt.„‘ D! v‘aviN e Address: , l / ' �State: 2 u — L � / Z v 3 City: Phone. ZO 6 — Z Z 7 3Z3 Lx: Zip: CONTACT PERSON person recewmg all project communication _ _ .. _._. _ Name: i'iJ/I Address: 136..° �, 26-�'PL W 13102_ City: State: Zi y' ( n n vU��c� Zip: c1I306, Address: / 2../Z/ e rl Q , V City: State: Zip: Phone. ZO 6 — Z Z 7 3Z3 Lx: Email: New Tenant: ❑ Yes ❑.. No ',PLUMBING CONTRACTOR INFORMATION': Company Name: 5 .4. (Lik llIU ,,, b,)t,...5 u`t Address: 136..° �, 26-�'PL W 13102_ City: State: Zi y' ( n n vU��c� Zip: c1I306, Phone:gz si. ..m) -2076 Fax: Contr Reg No. j PL u. H n x Date: .2 01y Tukwila Business License No.: Valuation of Project (contractor's bid price): $ 7SO Scope of Work (please provide detailed information): Dew10 ' 3 \-5\5 IbI GMc( CA/ c:1''✓ CAN^e -1 c4e P; P tA) 0(k& q�- fey. c?''` W c ACN - Building Use (per Intl Building Code): u Occupancy (per Intl Building Code): Utility Purveyor: Water: Sewer: H:\Applications \Forms - Applications On Line\2011 Applications\Plumbmg Permit Application Revised 8 -9 -I 1.docx Revised: August 2011 bh Page 1 of 2 Indicate type of plumbing fixtures and/ •- Fixture Tvpe Qty'.. Bathtub or combination bath/shower I Dishwasher, domestic with independent drain 1 Shower, single head trap Sinks Wash fountain Rain water system — per drain (inside building) Grease interceptor for commercial kitchen ( >750 gallon capacity) 1 Each additional medical gas inlets /outlets greater than 5 • Industrial waste treatment interceptor, including trap and vent, except for kitchen type grease interceptors Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections (1 -5) piping outlets being installed and the quanti Fizture.Tfpe Qty Bidet Clothes washer, domestic Drinking fountain or water cooler (per head) Lavatory Urinal Wash fountain Water heater and /or vent Water closet 1 Repair or alteration of water piping and /or water treatment equipment Industrial waste treatment interceptor, including trap and vent, except for kitchen type grease interceptors 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 low: i Frxturelype ''Qty.: Dental unit, cuspidor Clothes washer, domestic I Food -waste grinder, commercial Building sewer and each trailer park sewer Wash fountain Each grease trap (connected to not more than 4 fixtures - <750 gallon capacity 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 PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR AUT. O' L AGENT: Signature: Print Name: Mailing Address: Date: 11-20 —/ , y a/l davie Day Telephone: 1/2-5 9/- 20967 (--4//7h [.(/ po c/ vi/4- ' 20 8' 7 City State Zip /362-1 261-4 ®L GcJ HA Applications On Line \2011 Applications\Plumbing Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh Page 2 of 2 City of Tuleilar Department ofCommunity Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 -431 -3665 Web site: hlg,. /ivww.ci.mkwi(a.wa.us SET RECEIPT • RECEIPT NO: R12 -03168 Initials: WER User ID: 1670 Payee: JIMMY ZELEDON Payment Date: 11/20/2012 Total Payment: 84.40 SET ID: 112012 SET NAME: PHAM SET TRANSACTIONS: Set Member M12 -183 PG12 -204 TOTAL: Amount 5.90 78.50 5.90 TRANSACTION LIST: Type Method Description Amount Payment Credit C VISA 84.40 TOTAL: 84.40 ACCOUNT ITEM LIST: Description Account Code Current Pmts MECHANICAL - RES 000.322.102.00.0 PLUMBING - RES 000.322.103.00.0 5.90 78.50 TOTAL: 84.40 City of Tulki1a, Department of Community Development 6300 Southcenter Boulevard, Suite 8100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: hiOshivww.cz iukwlla.wa.us SET RECEIPT • RECEIPT NO: R12 -03167 Initials: WER User ID: 1670 Payee: JIMMY ZELEDON Payment Date: 11/20/2012 Total Payment: 13.65 SET ID: 112012 SET NAME: PHAM SET TRANSACTIONS: Set Member Amount M12 -183 13.65 TOTAL: 13.65 TRANSACTION LIST: Type Method Description Amount Payment Credit C VISA 13.65 TOTAL: 13.65 ACCOUNT ITEM LIST: Description Account Code Current Pmts MECHANICAL - RES 000.322.102.00.0 13.65 TOTAL: 13.65 SET RECEIPT RECEIPT NO: R12 -03166 Initials: WER Payment Date: 11/20/2012 User ID: 1670 Total Payment: 200.00 Payee: J & M PLUMBING SET ID: 112012 SET NAME: PHAM SET TRANSACTIONS: Set Member M12 -183 PG12 -204 TOTAL: Amount 100.00 100.00 100.00 TRANSACTION LIST: Type Method Description Amount Payment Cash 200.00 TOTAL: 200.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts MECHANICAL - RES 000.322.102.00.0 PLUMBING - RES 000.322.103.00.0 100.00 100.00 TOTAL: 200.00 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 PG (2204 Permit Inspection Request Line (206) 431 -2451 Proj t: 1 Type f Vspectio Address: 1 40/o xe 4Z AVE Date Called: Special Instructions: Date Wanted,,. 5 - 2 t ` ( m (p.m. Requester: Phone No: Zd (o 2 z,7 - 3 23 Z. Approved per applicable codes. Corrections required prior to approval. COMMENTS:- D- -f.!tA- t C-® Pf / 1 v A 1 I Inspector: J� AA t n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call_to schedule reinspection. Date:,,,' ( / t Al) INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 le. (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Qvi2 -zoo Prolec : 'k M A2es.�e`c.L Type of Inspection: yp; tiALJAJma. Address: ,L1 412 �y V� IT Date Called: Special Instructions: {A .. f- j Date Wanted: / .m' ( p,mj Requester: Phone No 2,0 022 ? -3232 ElApproved per applicable codes. Corrections required prior to approval. CO /MMENTS: /} {A .. f- j (i,n� rivV C7-44--1-.1 4 ,-D I i M (/\ ✓ 4 rQ s,' A )--44 t.j3ig2 /t A)( fl:aTP 77) ee. . (A `'),.. ? .,,s to _5 6 Insp cto mil. LA Date:s 1 -� 13 ri REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit P60'1/6,14 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: �� I - AA RcM P -s,} -k Type finspection: . ; 0 M Pt J M6. 4 G✓ ,' ice" !7 `� /-77, r Addres : ,, ( „, (_I�27O �j-� /j� i Aulfr.- Date Called: /',h/s_ (' �!.?'- 6.4P.4 Special Instructions: . .79 rte,. j rrla Date Wanted ` /.m. J ' Requester: 4/ X rla.... • /e4 r/, " „, /i /./ ii ,,,,,4.1 '444 3,-,v e, Phone No: EIApproved per applicable codes. 53-c required prior to approval. COMMENTS: A1 / /JQL 7 /./b;h0 ,4&../4.44 h (.,1 — 4 G✓ ,' ice" !7 `� /-77, r y;l - 7.. n �.sr,•/� /.7 /,,?G' i/ v , P)101 P1114 / /- /1.4, il.e.A '741 A L`- • R0a2 atl--- 401,42,1 ,Sill- l2 A_, /',h/s_ (' �!.?'- 6.4P.4 ,e--4,/,,-/-- ,e27/,,,, ,-,446,,,..4.,/— ?), / A /1), 4,444 .5 , // td.A. t 7i /4 / 74 ,--z/ 44../ rd 4r '/ jr'iv/J ..��', G / . /W // ; / 6 . be hdad /,,,,,,, . ,6`-f_i , l 4/ X rla.... • /e4 r/, " „, /i /./ ii ,,,,,4.1 '444 3,-,v e, Inspector"' Date: 3-2 fl ri REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION•. 6300 Southcenter Blvd., #100, Tukwila. WA 98188 r (206) 431-3670 Permit Inspection Request Line (206) 431 -2451 PG11 --26"k Pro t Address: 42, AvIG Special Instructions: 6,AS 7 Tye of Inspection: Date Called ` Date Wanted:. _ ((— .11 —!�, Requester: Phone No: 1.I Approved per applicable codes. • ElCorrections required prior to approval: 7 COMMENTS: K_ PSN Inspedt or: 6.71Datei IU A-i n R EINSPECTION FEE REQJIREor to next inspection, fee must be paid at 6300 Southcenter BlveSuite 100. Call to schedule reinspection•,. Contractors or Tradespeople Prr 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 Phone Address Suite /Apt. City State Zip County Business Type Parent Company J & M PLUMBING LLC 4257912076 13629 26Th Pt W # B102 Lynnwood WA 98087 Snohomish Limited Liability Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 603241785 Active JMPLUMP886Q0 Construction Contractor 11/20/2012 11/20/2014 Plumbing Unused Business Owner Information Name Role Effective Date Expiration Date ZELEDON, MAGIE Partner /Member 11/20/2012 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 1 American Contractors Indem CO 100209845 11/14/2012 Until Cancelled $6,000.00 11/20/2012 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 1 Security National Insurance NA01666378 11/14/2012 11/14/2013 $1,000,000.00 11/20/2012 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 11/20/2012