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Home My WebLink AboutPermit PG12-215 - ROWE RESIDENCEROWS RESIDENCE 13782 34 AV S PG12 -215 City oilkukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206 -431 -2451 Web site: htto: / /www.TukwilaWA.gov Parcel No.: 8864000605 Address: 13782 34 AV S TUKW Project Name: ROWE RESIDENCE PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: PG12 -215 12/06/2012 06/04/2013 Owner: Name: Address: Contact Person: Name: Address: Email: ROWE JENNIFER 13782 34TH AVE S , TUKWILA WA 98168 TIM HAMBLEN 7409 68 AV NE , MARYSVILLE WA 98270 HAMBLEN. S ONS @ G MAIL. C O M Contractor: Name: HAMBLEN & SONS HEATING Address: 7409 68 AV NE , MARYSVILLE WA 98270 Contractor License No: HAMBLSH922DE Phone: 425 - 501 -0123 Phone: 360 - 658 -0123 Expiration Date: 02/13/2014 DESCRIPTION OF WORK: EXTEND NEW GAS LINE FROM NEW METER TO FIREPLACE INSERT Value of Plumbing /Gas Piping: Fees Collected: Electrical Service Provided by: Permit Center Authorized Signature: $600.00 Uniform Plumbing Code Edition: 2009 $96.60 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 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 permit. Signature Date: /2' oG' /. Print Name: 77;1. /7/Ifi 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. rfrwr I IPC -4/111 PC112 -215 PrintArl• 19 -f1R -91119 PERMIT CONDITIONS Permit No. PG 12 -215 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.. IPC: -4/1f1 P(;12 -21 Fi PrintAtl. 12 -OR -2012 CITY OF TUKWIJ1, Community Developmei. Jepartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 littp://www.Tukw ilaWA.gov Plumbing/Gab _ ermit No. ( 1) -). J '5 Project No. Date Apphcaktion Accepted Date Application Expires or 'office , 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 Site Address: Tenant Name: 13182- 34-6 Ays s . Rowe.- King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: ❑ Yes ❑.. No PROPERTY OWNER Name: JeK01^T� RNiei Address: /3.782 34t. 4 fr s City: Y. J , . _ Q� State: /A Zip: %7/i p CONTACT PERSON — person receiving all project communication Name: 1"; not 1Aviot st _ Address: 74) 1 48 Av £ Ne City: m lle. State:W N ft 48.2. Phone: 4 rzgx: Email: g p E v. s A's 6''sue[• eon( PLUMBING CONTRACTOR INFORMATION Company Name: W Asvitts. / D/dS »4?/7,4 Address: pip C we, ,4q N4 City: /, mtps, V% ilk State: v /* Zip�}82. /L 7 O f11,3 Phone: 4 s,.s-D' . D` Fax: Contr Reg No.:,( dtSg DE Exp Date: 5,3`j i JJ Tukwila Business License No.: Valuation of Project (contractor's bid price): $ Scope of Work (please prov de detailed information):. jad 463.x. Building Use (per Int'l Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: 1i \Applications\Forms- Applications On Line \2011 Applications\Plumbing Permit Application Revised 8 -9 -11 docx Revised. August 2011 bb Sewer: Page 1 of2 Indicate type of plumbing fixtures and /o 's piping outlets being installed and the quanti*" l!elow: 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 (I -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 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 NOTE 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 :Y THE LAWS OF E STATE OF WASHINGTON. AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWN Signat Print Name: /— /1 • /9704,1A914/ Date: /Z• Di •/Z Day Telephone: Mailing Address: City I1 \Applications \Forms - Applications On Line \2011 Applications\Plumbing Permit Application Revised 8 -9 -11 docx Revised. August 2011 bh 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.: 8864000605 Address: 13782 34 AV S TUKW Suite No: Applicant: ROWE RESIDENCE RECEIPT Permit Number: PG 12 -215 Status: PENDING Applied Date: 12/06/2012 Issue Date: Receipt No.: R12 -03267 Payment Amount: $96.60 Initials: WER Payment Date: 12/06/2012 09:33 AM User ID: 1655 Balance: $0.00 Payee: TIMOTHY HAMBLEN TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 032517 ACCOUNT ITEM LIST: Description 96.60 Account Code Current Pmts GAS - RES 000.322.103.00.00 96.60 Total: $96.60 rinn• Racaini_nf Printari• 19_nR_7n12 INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 12., (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Projeck. Type of Inspection Add re- -2 7 8 Z �` rt 6 Lr y Date Called: Special Instructions: Date Wanted:. I Z - I Z- IZ- �a.m, ran. Requester: Phone No: proved per applicable codes. ElCorrections required prior to approval. COMMENTS: PeyvnI (VeMfItfr/T'rJ r-7 RE }NIPECTION FEE REQUIRED Prior to �Sext inspection, fee must be pa rat 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Dar:Z 12 INSPECTION RECORD Retain a copy with permit INSPECTION NO. 9612-2„i PERMIT NO.- CITY OF TUK•WILA BUILDING DIVISION 6300 Southcenter Blvd:, #100; Tukwila. WA 98188 ; (206) -431- 3670•. Permit Inspection Request One (206) 431 -2451 Project: Type of Inspection: ' Address: Date Called: Special Instructions: Date Wanted:. j a --7 - : m� P.m. Requester: Phone No: RApproved per applicable codes. COMMENTS: Corrections required : priorto'approval. - ( !) POKI h 64 s 11.004/� • I) /e°SS? tip Ind fpectori /� Date: 1 n RNISPECTION FEE REQUIRE. Prior to next inspection fee must paid 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection-: Contractors or Tradespeople Pter 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 HAMBLEN & SONS HEATING UBI No. 601481968 Phone 3606580124 Status Active Address 7409 68Th Ave Ne License No. HAMBLSH922DE Suite /Apt. License Type Construction Contractor City Marysville Effective Date 2/13/2008 State WA Expiration Date 2/13/2014 Zip 98270 Suspend Date County Snohomish Specialty 1 General Business Type Individual Specialty 2 Unused Parent Company Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status HAMBLHS077ND HAMBLEN HEATING SYSTEMS Construction Contractor General Unused 8/4/1993 7/31/1995 Archived HAMBLSH052N3 HAMBLEN & SONS HEATING Construction Contractor Appliances /Equipment Asbestos And Lead 8/23/1995 12/8/2007 Re- Licensed Business Owner Information Name Role Effective Date Expiration Date HAMBLEN, TIMOTHY (TIM) A Owner 03/05/2008 Bond Amount 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 Navigators Ins Co 46BCO27038 07/01/2012 Until Cancelled $12,000.0005/21 /2012 3 American Contractors Indem CO 100131107 07/01/2010 Until Cancelled 08/17/2012 $12,000.00 07/01/2010 2 COLONIAL AM CAS E SURETY OF MARYLAND LMP4062149 02/11/2010 Until Cancelled 07/06/2010 $12,000.0002/12 /2010 1 COLONIAL AM CAS & SURETY OF MARYLAND LPM4062149 01/28/2008 02/12/2010 $6,000.0002/19/2008 02/19/2008 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 4 Ohio Security Ins Co BKS54849287 08/14/2011 08/14/2013 $500,000.0007/13 /2012 3 CLOLSTATEINS 50004991 08/14/2010 08/14/2011 $500,000.00 07/19 /2010 2 Co STATE INS 50004991 08/14/2008 08/14/2010 $500,000.0007/07 /2009 1 CO ALLSTATE INS 50004991 08/14/2007 08/14/2008 $500,000.00 02/19/2008 Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 12/06/2012