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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. rinr. I IPC: -4f1 0 P(12 -9n7 Printprl• 11 -9R -9019 • 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. rinr. 11P(. -411(1 Pt;12 -707 Printprl• 11 -9R -2019 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 bh 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 rinr. Rarpint -OR PrintMri• 11- 7R -7f119 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