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Home My WebLink AboutPermit PG13-001 - US BANK RESIDENCE - ALTERATIONUS BANK RESIDENCE 12527 51 PL S PG13-OO1 City ATukwila 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.: 0179002335 Address: 12527 51 PL S TUKW Project Name: US BANK RESIDENCE PLUMBING/GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: PG13-001 01/02/2013 07/01/2013 Owner: Name: US BANK N A Address: 3815 SW TEMPLE , SALT LAKE CITY UT 84115 Contact Person: Name: Address: Email: Contractor: Name: Address: PHIL JACOBSON 2415 INTER AV , PUYALLUP WA 98072 PHIL@MONARCHPLUMBING. COM Phone: 253 770-2400 MONARCH PLUMBING Phone: 253 770-2400 2415 INTER AV , PUYALLUP WA 98372 Contractor License No: MONARP*062D8 Expiration Date: 03/23/2013 DESCRIPTION OF WORK: PLUMBING DRAIN HOOK UP FOR SEWER TURN AROUND Value of Plumbing/Gas Piping: Fees Collected: Electrical Service Provided by: Permit Center Authorized Signature: $500.00 Uniform Plumbing Code Edition: 2009 $60.90 International Fuel Gas Code Edition: 2009 Date: I hereby certify that I have read and -x• ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complie •. wit 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 constructio • r the • - rformance of work. I am authorized to sign and obtain this plumbing/gas piping permit and agree to the conditions on the bac of thi . 't. Date: (l 6 Z I / 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. i • PERMIT CONDITIONS Permit No. PG 13-001 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. doc: UPC -4/10 PG 13-001 Printed: 01-02-2013 • CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Plumbing/Gas Permit No. c3I V OOt Project No. Date Application Accepted: 0 . U`02- D1 - d1 I0. Date Application Expires: (For office use only) Ti; 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.: 0/7 f0., L Site Address: / 2' Z? S' 511.Suite Number: Floor: New Tenant: ❑ Yes ..No Tenant Name: PROPERTY OWNER Name: ;/ �® Name: )/�' V gm) k..... !U /4 , State: City: w 4 1/4/0 Address: Phone: Is--_-1,70....iw Fax: Z -17 6.. Email: pt l t9 W16144rdA A ibli1A i OA ,GOw, City: State: Zip: CONTACT PERSON — person receiving all project communication Name: ;/ �® Address: 2i/C f�a� Address: 711 Phone:Z(3 1 q& 71_ O Fax: ZT 3-7% v_ d /4 , State: City: w 4 1/4/0 Zip: `6072_ /6"(03.0 Phone: Is--_-1,70....iw Fax: Z -17 6.. Email: pt l t9 W16144rdA A ibli1A i OA ,GOw, PLUMBING CONTRACTOR INFORMATION Company Name: Aiwoofl A40,74//04 Address: 2i/C f�a� City: s �„ the State: w Zip: 11?37� /b, Phone:Z(3 1 q& 71_ O Fax: ZT 3-7% v_ d Contr Reg No.: e00 eobi xp Date: 0 li.., ! j 3 , Tukwila Business License No.: ci. trr. / „ f 2.) -ii " Valuation of Project (contractor's bid price): $ 50'14 Scope of Work (please provide detailed info ariompli Mz c a r - sciA/t— h,, Aram I Building Use (per Int'I Building Code). Occupancy (per Int'I Building Code): Utility Purveyor: Water: H:\Applications\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/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) 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 Repairalteration drainagee orrvent 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 0 AU HOZED AGENT: Signature: Print Name: Mailing Address: H:\Applications\Forms-Applications On Line \2011 Applications\Plumbing Permit Application Revised 8-9-1 l.docx Revised: August 2011 bh Day Telephone: IdO/4 o try Date: b (/4/7 2z »o-uqo 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.: 0179002335 Address: 12527 51 PL S TUKW Suite No: Applicant: US BANK RESIDENCE RECEIPT Permit Number: PG13-001 Status: APPROVED Applied Date: 01/02/2013 Issue Date: Receipt No.: R13-00021 Initials: JEM User ID: 1165 Payment Amount: $60.90 Payment Date: 01/02/2013 03:20 PM Balance: $0.00 Payee: MONARCH PLUMBING AND HEATING INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1071 60.90 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts PLUMBING - RES 000.322.103.00.00 60.90 Total: $60.90 AA A7 *IA 4 •) INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO..: CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 r2_ (206) 431-3670, Permit Inspection Request Line (206) 431-2451 P6(3 -00-x. Project:Type OS _-)�kiY lcleA6,E o Inspection: _ Tou : . Address: $.' ' i 2_.c2-7Si PL Date Called: ,,--- Special Instructions: l r 0 j 0 5 L 1Requester: Date Wanted: r" ` / a:m. m. � '`-"' 1.10:3 _770 2.4 0 3 Approved per applicable codes. El Corrections required prior to approval. 2.. COMMENTS: �' �c2r�l/-/C�p/fid ,��,v4 Jo'T ; ffC ecS5 Arek 7 4 /A spc'Cr/v' i'//s4/'t{ Qi✓/y • A C4 ...G t specAlJ &✓•As S oeldvJfiy wy' i AJ' /p .f /.41-ce /[n/ est!./¢" / J Date: n REINSPECTION FEE REQUIRED. Prio/to next inspection fee must be paid at 6300 Southcenter Blvd.. Suite//100. Call toschedulereinspection.. Contractors or Tradespeople anter Friendly Page General/Specialty Contractor A business registered as a construction contractor with L81 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 MONARCH PLUMBING UBI No. 601531614 Phone 2537702400 Status Active Address 2415 Inter Ave License No. MONARP'062D8 Suite/Apt. License Type Construction Contractor City Puyallup Effective Date 3/28/1994 State WA Expiration Date 3/23/2013 Zip 98372 Suspend Date County Pierce Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company MONARCH PLUMBING Et HEATING INC Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status SKYMOMS900JB SKY MOUNTAIN SYSTEMS LLC Construction Contractor General Unused 4/2/2010 4/2/2012 Expired Business Owner Information Name Role Effective Date Expiration Date SVEDARSKY, DAVID S President 04/12/2010 Bond Amount SVEDARSKY, ROSEMARIE R Vice President 04/12/2010 70924366 SVEDARSKY, STEVEN M President 01/01/1980 04/13/2010 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 9 WESTERN SURETY CO 70924366 05/05/2010 Until Cancelled $12,000.0005/17/2010 8 WESTERN SURETY CO 70247293 09/14/2009 Until Cancelled 06/02/2010 $12,000.0009/25/2009 7 WESTERN SURETY CO 70247293 03/23/2007 Until Cancelled 06/02/2010 $6,000.00 04/06/2007 6 AMERICAN STATES INS CO 6091462 03/23/2002 Until Cancelled 04/06/2007 $6,000.0001/29/2002 07/27/2006 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 7 American Fire Et Casualty Co BKA55154555 05/23/2012 05/23/2013 $1,000,000.0005/24/2012 6 Truck Ins Exchange 604839294 08/01/2010 08/01/2012 07/10/2012 $1,000,000.0008/11/2011 5 Continental Western Ins Co CWP2690350 06/12/2007 06/12/2010 $1,000,000.00 06/11/2009 4 TRUCK INS EXCHANGE 035086946 07/31/2004 07/31/2007 $1,000,000.00 07/27/2006 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 Infractions/Citations Information No records found for the previous 6 year period https://fortress.wa.>?ov/lni/bbip/Print.aspx 01/02/2013