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HomeMy WebLinkAboutPermit PG13-045 - JOHNSON RESIDENCE - REPLACE WATER HEATERJOHNSON RESIDENCE 15105 SUNWOOD BL UNIT B4 PG1 3-045 City ot/Tukwila 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 PLUMBING/GAS PIPING PERMIT Parcel No.: 8141401510 Address: 15105 SUNWOOD BL TUKW Project Name: JOHNSON RESIDENCE Permit Number: PG13-045 Issue Date: 04/01/2013 Permit Expires On: 09/28/2013 Owner: Name: JOHNSON TWANA Address: 15105 SUNWOOD BLVD #11 , TUKVVILA WA 98188 Contact Person: Name: NANCY EVANS Address: 1425 BLAINE AVE NE , RENTON WA 98056 Email: Contractor: Name: WASHINGTON CORROSION SRVC INC Address: 1425 BLAINE AVE NE , RENTON, WA 98056 Contractor License No: WASHICS055KC Phone: (425)228-1393 Phone: 425-228-1392 Expiration Date: 05/04/2014 DESCRIPTION OF WORK: REPLACE ELECTRIC WATER HEATER Value of Plumbing/Gas Piping: Fees Collected: Electrical Service Provided by: $900.00 Uniform Plumbing Code Edition: 2009 $47.25 International Fuel Gas Code Edition: 2009 Permit Center Authorized Signature: Date: d WO/ (13 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 pt. Signature: Print Name: --fes(A Z,(/L C,L) This permit shall become null and void if the work is not coitg or abandoned for a period of 180 days from the last inspection Date: J " enced within 180 days from the date of issuance, or if the work is suspended .I....• I inn A1.111 D!`_•1 '3_AAi. Drinrorl• nA_ni _9M A PERMIT CONDITIONS Permit No. PG 13-045 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 13-045 Printed: 04-01-2013 • CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Plumbing/Gas Permit No. i&13-0 67-5 Project No. Date Application Accepted: /0/0l (/3 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 LOCATION Doc" King Co Assessor's Tax No.: j Site Address: 1 51 O Su h o DOC" B /ebL Suite Number: 131 Floor: Tenant Name: a. Jo h n <Oi) New Tenant: ❑ Yes .. No PROPERTY OWNER Company Name: (Agit n Name:Oao .1+✓atia Nam Name: Address:11(4 .D &,ll",EV /C., /J d Address: /7v 5-S14;11,0001 ( 1 y2'(. 114 City. �` State: �q Zip: �l�te / �W I l CONTACT PERSON — person receiving all project communication Company Name: (Agit n Name:Oao e, n,_hS 4 c. IJ Zt Address:11(4 .D &,ll",EV /C., /J Zip: C�[Z `'^WV �� City: Q N n State: N Zip: CA Phone:sLt ` Fax: Contr Reg 6...2A CSO II.‹. Exp Date: Email: Tukwila Business License No.: PLUMBING CONTRACTOR INFORMATION Company Name: (Agit n eArrestAv .&fie Address: 1 d ZS$�7(cur1,, 4 c. IJ Zt City: germ) ) N State: Zip: C�[Z `'^WV �� Phone: 1..12x_ Z �3e 1?Fax. Contr Reg 6...2A CSO II.‹. Exp Date: pc ti, l Tukwila Business License No.: Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): f pl tic ‘ie (( e Building Use (per Int'! Building Code). Occupancy (per Int'! Building Code): Utility Purveyor: Water Sewer H:\Applications\Forms-Applications On Lme\2011 Apphcatwns\Plumbing Permit Application Revised 8-9-11.docx Revised: August 2011 bh 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 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 - O�..A. K� O k � ��lieNQ ` �- 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 01� AUTHORIZED A Signature: ( '` INN d v—� Wt -,y Print Name: A�� h M •644t -MAI Mailing Address: t''CL V CA- t N( 4" . iJ H:UpplicationsiForn s -Applications On Line \2011 ApplieationsWlumbing Permit Application Revised 8-9-11.docx Revised: August 2011 bh Day Telephone: QQci.,�t .—D Date: 4--1 mss• 2.75-01_13 w14- 9°c) Stare 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.: 8141401510 Address: 15105 SUNWOOD BL TUKW Suite No: Applicant: JOHNSON RESIDENCE RECEIPT Permit Number: PG 13-045 Status: PENDING Applied Date: 04/01/2013 Issue Date: Receipt No.: R13-01177 Payment Amount: $47.25 Initials: LAW Payment Date: 04/01/2013 11:39 AM User ID: 1632 Balance: $0.00 Payee: ANDREW P LUDWIG TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1355 47.25 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts PLUMBING - RES 000.322.103.00.00 47.25 Total: $47.25 a..... o...... �... nc Drin+crl• fld_fl1_)fl14 INSPECTION RECORD Retain a copy with permit INSPECTION NO.,< CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 PGI 3 -0y PERMIT NO. Project: Type of Inspection: Address: I; I c'?c /.11Q iJ©C� Date Called: e 1... -- Special Instructions: . (' . Date Wanted:. -rJ- _ 3-1-z: a.m.. am. Requester: Phone No: ( �0G_�Li`.� --(-00 0 IApproved°per .applicable codes. ElCorrections required prior to approval. ' COMMENTS: • Date ;,s-- ] /? REI_NSPECT(ON FEE REQUIRED. Prior`to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECT ON NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. . ! CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: n in P�,ISn •U Q� S Type of Inspection: j 1^ 1 hl i\ 1 --P t)0. ►'7 Ad ress: 15I b' !can I IL JOIA p,i Date Called: Special Instructions: e Date Wanted:. _ J` I . a.m. Cill) Requester. PhoneNo: •/ 1 / �(J /^�/ �/.// I ,~ -6 �d 6 EllApproved per applicable codes. Corrections required prior to approval. COMMENTS: It 5ecto 1/1.44.4z7 Date: 4/— 5 R SPECTION FEE REQUIRED. Prior to next inspection, fee must be py id at 6300 Southcenter-Blvd., Suite t Ob. Call to schedule reinspection. Contractors or Tradespeople *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 WASHINGTON CORROSION SRVC INC 4252281393 1425 Blaine Ave Ne Renton WA 980562774 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601577751 Active WASHICS055KC Construction Contractor 5/3/1995 5/4/2014 Appliances/Equipment Unused Business Owner Information Name Role Effective Date Expiration Date EVANS, NANCY J President 01/01/1980 Amount EVANS (LUDWIG), ANGELA M Secretary 01/01/1980 NPP1315461 EVANS, JOHN D Vice President 01/01/1980 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 4 CBIC SD6182 05/02/2002 Until Cancelled $6,000.00 05/02/2002 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 10 Western World Ins Co NPP1315461 05/04/2011 05/04/2013 $1,000,000.00 04/30/2012 9 WESTERN WORLD INS CO NPP1241170 05/04/2010 05/04/2011 $500,000.00 04/23/2010 8 WESTERN WORLD INS CO NPP1210194 05/04/2009 05/04/2010 $500,000.00 04/28/2009 7 WESTERN WORLD INS CO NPP1154438 05/04/2008 05/04/2009 $500,000.00 04/21/2008 6 WESTERN WORLD INS CO NPP1091007 05/04/2007 05/04/2008 $300,000.00 05/01/2007 5 WESTERN WORLD INS CO NPP0934474 05/04/2006 05/04/2007 $300,000.00 04/17/2006 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 Infraction / Citation Date RCW Code Type Status Violation Amount ENESM00355 8/29/2011 19.28.041 RCW ELECTRICAL CITATION Satisfied $500.00 httns://fortress.wa. i?ov/lni/bbin/Print. aspx 04/01/2013