HomeMy WebLinkAboutPermit PG12-207 - MARKHAM RESIDENCEMARKHAM RESIDENCE
4823 S 146 ST
EXPIRED 06 -08 -13
PG1 2-207
City (14 Tukwila
or
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.: 0040000630
Address: 4823 S 146 ST TUKW
Project Name: MARKHAM RESIDENCE
PLUMBING /GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On:
PG12 -207
11/28/2012
05/27/2013
Owner:
Name: MARKHAM HOWARD
Address: 916625 1ST AVE S #128 , NORMANDY PARK WA 98148
Contact Person:
Name:
Address:
Email:
PAUL MOON
PO BOX 2690 , NORTH BEND WA 98045
P.MOON @COMAST.NET
Contractor:
Name: BOILERS NORTHWEST LLC
Address: PO BOX 2690 , NORTH BEND WA 98045
Contractor License No: BOILENL944O2
Phone: 206 334 -5551
Phone: 425 888 -0131
Expiration Date: 11/20/2014
DESCRIPTION OF WORK:
NEW GAS PIPING TO BOILER
Value of Plumbing /Gas Piping:
Fees Collected:
Electrical Service Provided by:
Permit Center Authorized Signature:
$550.00
$96.60 International Fuel Gas Code Edition:
Uniform Plumbing Code Edition: 2009
2009
I hereby certify that I have read and ex
governing this work will be complied
The granting of this permit does not pres
construction or the perform • e of ork.
on the back of this permit.
Signature:
Print Name:
Rl Date:Il�zt�l2
this permit and know the same to be true and correct. All provisions of law and ordinances
ether specified herein or not.
to give authority to violate or cancel the provisions of any other state or local laws regulating
I am authorized to sign and obtain this plumbing /gas piping permit and agree to the conditions
Date: /I `24J 6r1
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.
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•
PERMIT CONDITIONS
Permit No. PG 12 -207
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.
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Pt;12 -707
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CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: / /www.TukwilaWA.gov
Plumbing /Gas Permit No.
Project No.
Date Application Accepted: l t 2i'
Date Application Expires:
(For office use only)
P61
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 Address:
23 s /4-6-11-k,
s-r
King Co Assessor's Tax No.: b09, DD — Cif
Suite Number: Floor:
Tenant Name: New Tenant: ❑ Yes ..No
PROPERTY OWNER
Name: rioAmt i b. iti% I HAM
Address: `t / t g2_3
s (4, 6 ..5-r
City - „Cyr
State: w h Zip:9g
CONTACT PERSON — person receiving all project
communication
Name: 'Paul itcai&
t
Address: yO Iscx 9 O
Address: vQ cox i,
Fax:
Phone: Fax:
City: • State: I
) Zip: 9 Q CJ
Phone :264 fr ,„ 5Lnax�/- /,
T� Jl.lon!'t't
Email: f� „', o 6:: `�
•
CQ,l J
PLUMBING CONTRACTOR INFORMATION
Company Name: rsol 5 j r Lt.(
Address: yO Iscx 9 O
City: AMC State: r /4 Zip:g(Q4<
- v
Fax:
Phone: Fax:
Contr Reg No.:6D1LzoL. atiqH0 xp Date: ulk2 IL/
Tukwila Business License No.: 11 - up..) 04 „a
Valuation of Project (contractor's bid price): $ SS
Scope of Work (please provide detailed information):
as e4/1/
Building Use (per Int'I Building Code):
Occupancy (per Int'I Building Code):
Utility Purveyor: Water:
to Saler
FI: Applications\Forms- Applications On Line \2011 Applications\Plumbing Permit Application Revised 8 -9 -1 I.docx
Revised: August 2011
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Sewer:
Page 1 of 2
Indicate type of plumbing fixtures and /or gas piping outlets being installed and the quantity below:
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)
I
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
I
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
I
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 1 E LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OW i ' ' OR A % tom- k ZED AGENT:
Signature: OFI d`
Print Name: '1
Mailing Address: ‘d X 2.6 • Q Nor
D. Teleph
City
H:Wpplications\Forms- Applications On Line 12011 Applications\Plumbing Permit Application Revised 8- 9- 11.docx
Revised: August 2011
bh
Date: f ( Z X 72-0/
ne: 29f 4 6 3.S '4- SS S /
-
State
Zip
Page 2 of 2
46 •
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.: 0040000630
Address: 4823 S 146 ST TUKW
Suite No:
Applicant: MARKHAM RESIDENCE
RECEIPT
Permit Number: PG 12 -207
Status: PENDING
Applied Date: 11/28/2012
Issue Date:
Receipt No.: R12 -03201
Payment Amount: $96.60
Initials: JEM Payment Date: 11/28/2012 10:28 AM
User ID: 1165 Balance: $0.00
Payee: BOILERS NORTHWEST LLC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 4741 96.60
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
GAS - RES
000.322.103.00.00 96.60
Total: $96.60
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INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION-
6300 Southcenter Blvd., #100, Tukwila: WA 98188 `t: (206)431 -3670
Permit Inspection Request Line (206) 431 -2451
Pro UV—kW A-1(1
/n �
�
TYPf Inspection:
< r7 11e_ 'ttl
Address: &2.3 i
-41
(`--
�
Date Called:
Special Instructions:
A ij P'P',/
(-13'
Date Wanted: - ',""—...',""—...53P.,
Z -"D !(2 p.m.
Requester:
Phone } No: Go -341
i - Approved per applicable codes.
COMMENTS:
Corrections required prior to approval.
n(-U \ic4)
c krv.S',\ 1 i`7 ,/,-t +
Inspector: ' Ir
9 /
Date:
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule, reinspection.
1
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 Fs, (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
P6/ ?--Z
`7
Project:
/ -7/9/2 /e III P.7-1
/ ?e°S
Type of Inspection:
i? d'?/ i ti /r✓ C'.4 S
Address:
5/2923 S PI 6
_§"/
Date Called:
Special Instructions:
Date Wanted:.
/ /-2 `i- /Z
a,m.
p.m:
Requester:
Phone No: '--5 5 5
0 Approved per applicable codes.
ElCorrections required prior to approval.
COMMENTS:
/t/c) €NF 0,0 5 %& — NO , 7 Al Swwe
r r •lamhd &f - L..s4P/
R P N 4. % / -._L A/S pae/'1r 1d t/
Inspebtor:
n�EINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Date 2 9 _ e -
05 -01 -2013
City of .Tukwila
I>rn- Haggertor, Mayor
Department of 'Community Developn2ent jack Pace, Director
PAUL MOON
PO BOX 2690
NORTH BEND WA 98045
RE: Permit No. PG12 -207
MARKHAM RESIDENCE
4823 S 146 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 06/08/2013.
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 06/08/2013, 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 -207
6300 Southcei ter Boulevard Suite #100' "Tukwila, Washington V8108 Phone 206.431 -,3670 • Fax 20$-431 -3665
Contractors or Tradespeople tinter Friendly Page
1
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 BOILERS NORTHWEST LLC UBI No. 602362946
Phone 4258880131 Status Active
Address Po Box 2690 License No. BOILENL94402
Suite /Apt. License Type Construction Contractor
City North Bend Effective Date 9/22/2006
State WA Expiration Date 11/20/2014
Zip 98045 Suspend Date
County King Specialty 1 General
Business Type Limited Liability Company Specialty 2 Unused
Parent Company
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
BOILEN'994JJ
BOILERS
NORTHWEST
Construction
Contractor
General
Unused
4/11/2001
7/21 /2007
Re
Licensed
Business Owner Information
Name
Role
Effective Date
Expiration Date
MOON, HEIDI
Partner /Member
09/22/2006
Bond Amount
MOON, PAUL
Partner /Member
09/22/2006
100192792
Bond Information
Page 1 of 2
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
4
American Contractors
Indem CO
100192792
04/11/2012
Until Cancelled
$12,000.0004/20
/2012
3
Great American Ins
6138280
04/11/2011
04/11/2012
05/20/2012
$12,000.00
04/11 /2011
2
American Contractors
Indem CO
100120156
04/11/2010
Until Cancelled
06/05/2011
$12,000.0004/08
/2010
1
DEVELOPERS SURETY
E INDEM CO
854923C
08/23/2006
04/11/2010
05/28/2010
$12,000.00
09/22/2006
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
Montpelier US
Insurance Co
MP0036002000736
02/27/2012
02/27/2013
$1,000,000.00
02/27/2012
4
MONTPELIER US
INS CO
MP0036002000440
02/24/2011
02/24/2012
$1,000,000.0002
/24/2011
3
OHIO CAS INS
BH053525007
08/30/2010
08/30/2011
$1,000,000.00
08/16/2010
2
OHIO CAS INS
BH053525007
08/30/2007
08/30/2010
$1,000,000.00
08/03/2009
1
OHIO CAS INS
BKU5359283
08/30/2006
08/30/2007
$1,000,000.00
09/22/2006
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
https: // fortress .wa.gov /lni/bbip/Print.aspx
11/28/2012