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Home My WebLink AboutPermit PG12-218 - NUEBEL RESIDENCENUEBEL RESIDENCE 14117 57 AV S PG12 -218 City oftukwila 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.: 3365900345 Address: 14117 57 AV S TUKW Project Name: NUEBEL RESIDENCE PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: PG12 -218 12/13/2012 06/11/2013 Owner: Name: PEDERSON TED +KATHY Address: 27148 12TH AVE S , DES MOINES WA 98198 Contact Person: Name: Address: Email: Contractor: Name: Address: Contractor JOSLEY PIRCHINER 5718 196 AV NE , REDMOND WA 98053 JOSLEY@WEDOC ONSTRUCTIONS. COM A C G PAINTING 5718 196 AV NE , REDMOND WA 98053 License No: ACGPAP *975QC Phone: 206 - 504 -8042 Phone: 425 - 210 -4445 Expiration Date: 03/17/2013 DESCRIPTION OF WORK: RELOCATE 2 WATER LINES Value of Plumbing /Gas Piping: Fees Collected: Electrical Service Provided by: Permit Center Authorized Signature: $150.00 Uniform Plumbing Code Edition: 2009 $47.25 International Fuel Gas Code Edition: 2009 Date: 1 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: Print Name: Date: / 2 /73Z 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. rinn 1 IPC -4/1 n P(12 -71R Printarl• 17- 11 -7f119 • • PERMIT CONDITIONS Permit No. PG 12 -218 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. r1nr.• 1 IPC -4/1 f1 P(17 -21R PrintArl. 19 -13 -7017 CITY OF TUKWI Community Developm epartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: / /www.TukwilaWA.gov Mumbin ermit. Project No Date Application Accepted:- _ Date Application Expires: _ _. (For _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 Address: /W/-7 Tenant Name: King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: ❑ Yes ❑.. No PROPERTY OWNER Name: .----..0...3-2.....v., p/� '/ /Z' /Z Address: 7/2 / ,,. T/4 41/G- /!/�� Name: ,//1/7/r ,. /e .s�'L Email- Address/7/z 4 S. y /9„/L, S Contr Reg No.: Exp Date: City: i (//`aj/L 4 State: a 4 Zip.Qj2,, CONTACT ;PERSON - per-son receiving all project cotnmunioation. Name: .----..0...3-2.....v., p/� '/ /Z' /Z Address: 7/2 / ,,. T/4 41/G- /!/�� City: j?C��D /v_D State: /4 Zip:9p 5-3 Phone: 20650 v f o 72Fax: Email- 3- arL6-leo L(/C✓OC'OAI/ST C, "-5 ' PLUMBING CONTRACTOR INFORMATION Company Name C, K., 49N �/7/(^ eCroy j /'z/ / Address: 5-9 X12 / 9,4 ),/9 z rye- City: nGo�orvl), State: 1,v,9 zip: g1O5 j Phone: s,o uxovZ Fax: Contr Reg No.: Exp Date: Tukwila Business License No.: Valuation of Project (contractor's bid price): $ J S C7� c r Scope of Work (please provide detailed information): /4;672,0 Building Use (per Int'l Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: • Water: H:Wpplications\Forms- Applications On Line \2011 Applications\Plumbing Permit Application Revised 8- 9.11.docx Revised: August 2011 bh Sewer: Page 1 of 2 Indicate type of plumbing fixtures and /o4l, piping outlets being installed and the quantilllow: 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 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 (1 -5) Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections over 5 Fixture•Type Qty .i 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 over 2 inch (51 mm) diameter Backflow protective device other than atmospheric - type vacuum breakers 2 inch (51 mm) diameter or smaller Gas piping outlets 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). 1 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR AUTHORIZED AGENT: Signature:�� Date: Print Nam T &SS % ,e /4 %�Z'Z Day Telephone: Mailing Address: City H:Wpplications\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.: 3365900345 Address: 14117 57 AV S TUKW Suite No: Applicant: NUEBEL RESIDENCE RECEIPT Permit Number: PG12 -218 Status: PENDING Applied Date: 12/13/2012 Issue Date: Receipt No.: R12 -03324 Payment Amount: $47.25 Initials: WER Payment Date: 12/13/2012 11:41 AM User ID: 1655 Balance: $0.00 Payee: JOSLEY PIRCHINER TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd MC Authorization No. 014014 ACCOUNT ITEM LIST: Description 47.25 Account Code Current Pmts PLUMBING - RES 000.322.103.00.00 47.25 Total: $47.25 rinn• Raraint -f1R PrintAri• 17- 1'1 -7f117 INSPE INSPECTION RECORD Retain a copy with permit NO. PERMIT NO. P6 - CITY OF TUKWILA BUILDING DIVISION: - l 6300 Southcenter Blvd_, #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 a\ Project: AJue&EL,e. eAuf Type of Inspection: p.A.tA "C Ptu B. Addres : -.. i 1 C I 3-7 kviE Date C ll d: IL -� Special'Instructions: Date Wanted:. /a_ri 2--2-1 (L P.m. Requester: Phone No: 210( —9qq'— 5-53` Approved per applicable codes. El Corrections required prior to approval. " COMMENTS: pe.nuo fAcdt—p Inspect >✓A j( Date r7 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection Contractors or Tradespeople P ter 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 A C G PAINTING 4252104445 5718 196Th Ave Ne Redmond WA 98053 King Individual UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602201393 Active ACGPAP'975QC Construction Contractor 11/3/2003 3/17/2013 Painting/Wallcovering Unused Business Owner Information Name Role Effective Date Expiration Date GOMES, ARNALDO CASTOR Owner 11/03/2003 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 CBIC SF2487 10/16/2003 Until Cancelled $6,000.00 11/03/2003 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 Contractors Bonding a Insuranc C12SF2487 02/14/2012 02/14/2013 $1,000,000.00 01/10/2012 3 CBIC C12SF2487 02/14/2011 02/14/2012 $3,000,000.00 02/17/2011 2 CBIC INSSF2487 10/16/2004 10/16/2011 11/12/2010 $1,000,000.00 09/21/2010 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 12/13/2012