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Home My WebLink AboutPermit PG13-034 - MILLER RESIDENCE - REPLACE WATER HEATER This record contains information which is exempt from public disclosure pursuant to the Washington State Public Records Act, Chapter 42.56 RCW as identified on the Digital Records Exemption Log shown below. PG13-034 Miller Residence nd 13727 42 Ave S DIGITAL RECORDS (DR) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION Page # Code Exemption Brief Explanatory Description Statute/Rule The Privacy Act of 1974 evinces Congress' intent that social security numbers are a private concern. As Personal Information – such, individuals’ social security numbers are Social Security Numbers 5 U.S.C. sec. redacted to protect those individuals’ privacy pursuant DR1 Generally – 5 U.S.C. sec. 552(a); RCW to 5 U.S.C. sec. 552(a), and are also exempt from disclosure under section 42.56.070(1) of the 552(a); RCW 42.56.070(1) Washington State Public Records Act, which exempts 42.56.070(1) under the PRA records or information exempt or prohibited from disclosure under any other statute. Redactions contain Credit card numbers, debit card numbers, electronic check numbers, credit expiration Personal Information – RCW dates, or bank or other financial account numbers, 8 DR2 Financial Information – 42.56.230(5) which are exempt from disclosure pursuant to RCW RCW 42.56.230(4 5) 42.56.230(5), except when disclosure is expressly required by or governed by other law. MIIJ1F4R RESIDENCE 13727 42 AV S PG1 3-034 City tAiI'ukwila 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.: 7360600370 Address: 13727 42 AV S TUKW Project Name: MILLER RESIDENCE PLUMBING/GAS PIPING PERMIT Permit Number: PG13-034 Issue Date: 03/14/2013 Permit Expires On: 09/10/2013 Owner: Name: MILLER PHILLIP+DURENDA M Address: 13727 42ND AVE S , TUKWILA WA 98168 Contact Person: Name: GLENN SELLARS Address: 29210 3 AV S , ROY WA 98580 Email: GLENN@SELLARSELECTRIC.COM Phone: 253 720-7233 Contractor: Name: SELLARS ELECTRIC INC Phone: 253-843-2009 Address: 29210 3 AV S , ROY WA 98580 Contractor License No: SELLAEI963O4 Expiration Date: 09/24/2014 DESCRIPTION OF WORK: REPLACE WATER HEATER Value of Plumbing/Gas Piping: Fees Collected: Electrical Service Provided by: Permit Center Authorized Signature: $800.00 Uniform Plumbing Code Edition: $47.25 International Fuel Gas Code Edition: 2009 2009 I hereby certify that I have read and e ami ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied th, hether 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:0,4—'6 Print Name: 64c Date: 3/ 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. O!`_1' n4A Drinfcri• n4-1d29R14 • , PERMIT CONDITIONS Permit No. PG 13-034 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 PG13-034 Printed: 03-14-2013 CITY OF TUKWA Community Developrr,_ .r Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov 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 LOCATIOI Site Address: /3 72-7 'i v)''' ,4LJ , 5 Tenant Name: Q c,Lt /LQ )7_ PROPERTY OWNER Name: 0 oteilLafrl- /71x- Address:rei 3 7 LLX r / 5 City: ,-},dp �z u1tL State: Zip, CONTACT P RSON h erso iyr :ceivxgg 11 prolect communication" s * fW_ x Name: LI_ii�'Z� Address: 2 ct .fit 0 3 god- '& City: e a State: t1 4_ Zip v.5...,sr,e) Phone: Fax: 2y p-Z;IP -7/a33 2,3 -s�3A7 Email: n z�`�.�1�� / / LC,, SE- gtov .cCG"- King Co Assessor's Tax No.: 1 %j CVO * -c1v Suite Number: Floor: New Tenant: ❑ Yes ❑.. No PLUMBING CONTRACTOR` INFORMATION, Company Name: i.L /I. ECIce_td ^� Address: �g� 3 Rj�t/t�. S City: State: Zip uuJa4-gr, y0 Phone 5-3- 7Z 0_72,33 Fax: 2 5 3 -y43 _�c:l I'7 Contr Re No. ; -i �i p6 Exp Date: q /�� t� (e Tukwila Business License No.: f �1 11-1Ir Valuation of Project (contractor's bid price): $ giW l Scope of Work (please provide detailed information): Rip L et -1 A- )---/ Azi-X`4-- 0 C., Building Use (per Int'l Building Code): Occupancy (per Int'I Building Code): Utility Purveyor: Water: 11 \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 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) i 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) iping outlets being installed and the quantity Fixture Type Qty Bidet Drinking fountain or water cooler (per head) Lavatory Urinal Water heater and/or vent i 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 backtlow 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 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 OWNER OR AUTHORIZED AGENT: Signature: Print Name: - `— �� C�- ✓�2� Mailing Address: -2 ?a-1 O 3 jila ji4. S 1i.\ Applications \Forms -Applications On Line\2011 Applications\Plumbing Permit Application Revised 8-9-11 docx Revised August 2011 bh Day Telephone: YCity Date: 3/ ( O(3 � 3 - 7020-7233 State Zip Page 2 of 2 • City of Tukwila << 2 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.: 7360600370 Address: 13727 42 AV S TUKW Suite No: Applicant: MILLER RESIDENCE RECEIPT Permit Number: PG13-034 Status: APPROVED Applied Date: 03/14/2013 Issue Date: Receipt No.: R13-01044 Initials: JEM User ID: 1165 Payment Amount: $47.25 Payment Date: 03/14/2013 11:46 AM Balance: $0.00 Payee: GLENN E SELLARS TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 045645 ACCOUNT ITEM LIST: Description 47.25 Account Code Current Pmts PLUMBING - RES 000.322.103.00.00 47.25 Total: $47.25 13....4..d• 119 IA On49 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDINGDIVISION _ 6300 Southcenter Blvd., #100, Tukwila. WA 98188 I•, (206) 431-3670 Permit Inspection Request Line (206) 431-2451 x6( (9 Projec j Type,of Inspection: NI t Address: `M 13`?27 �Z v Date C tled: 42-0JGfr r Special Instructions: ._.J / �V • ` f Date Wanted.. m. �L p•m. Requester: Phone No: 7S3 --72,e ---y7 2-33 Approved per applicable codes. Corrections required prior to approval. COMMENTS: A r Inspedtor: Date REINSPECTION FEE REQUIRED., Prior to next inspection, fee must be paid at 6300 Southcenter,Blvd., Suite 100. Call to schedule reinspection. Contractors or TradespeoplePnter Friendly Page Electrical Contractor A business licensed by L&l to contract electrical work within the scope of its specialty. Electrical Contractors must maintain a surety bond or assignment of savings account. They also must have a designated Electrical Administrator or Master Electrician who is a member of the firm or a full-time supervisory employee. Business and Licensing Information Name Phone Address Suite/Apt. City State Zip County Business Type Parent Company SELLARS ELECTRIC INC 2537207233 Po Box 1145 Roy WA 98580 Pierce Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602424221 Active SELLAEI96304 Electrical Contractor 9/24/2004 9/24/2014 General Unused Electrical Administrator INFORMATION License SELLAG`966J7 Name SELLARS, GLENN Status Active Business Owner Information Name Role Effective Date Expiration Date SELLARS, GLENN E Agent 09/24/2004 SELLARS, GLENN E President 09/24/2004 SELLARS, DEANN W Secretary 09/24/2004 SELLARS, GLENN E Treasurer 09/24/2004 SELLARS, DEANN W Vice President 09/24/2004 Bond Information No records found for the previous 6 year period Assignment of Savings Information Page 1 of 1 Savings 1 Assignment of Savings Account Number Effective Date 9/17/2004 Release Date Until Released Assignment Type Bond Impaired Date Amount $4,000.00 Received Date 9/24/2004 Insurance Information No records found for the previous 6 year period Summons/Complaint Information Summons and Complaints are not filed with the department for this contractor type Warrant Information Warrants are not filed with the department for this contractor type Infractions/Citations Information No records found for the previous 6 year period httos://fortress.wa.eov/lni/bbin/Print.asnx 03/14/2013