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Home My WebLink AboutPermit PG13-051 - STRANDER RESIDENCE - GAS PIPINGSTRANDER RESIDENCE 15000 57 AV S PG13-O51 City ATukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206431-3670 Inspection Request Line: 206-431-2451 Web site: http://www.TukwilaWA.gov Parcel No.: 1157200390 Address: 15000 57 AV S TUKW Project Name: STRANDER RESIDENCE PLUMBING/GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: PG13-051 04/12/2013 10/09/2013 Owner: Name: STRANDER JOHN B+LOUISE M Address: PO BOX 88636 , TUKWILA WA 98138 Contact Person: Name: Address: Email: Contractor: Name: .Address: KEN SALO 2120 PACIFIC AV , EVERETT WA 98201 KENSALO@ESSMWA.COM EVERGREEN STATE SHEET MTL INC 2120 PACIFIC AV , EVERETT WA 98201 Contractor License No: EVERGSS022OT Phone: 425 252-3114 Phone: 425 252-3114 Expiration Date: 10/10/2013 DESCRIPTION OF WORK: GAS PIPING FOR NEW GAS FURNACE Value of Plumbing/Gas Piping: Fees Collected: Electrical Service Provided by: Permit Center Authorized Signature: $750.00 Uniform Plumbing Code Edition: 2009 $96.60 International Fuel Gas Code Edition: 2009 I hereby certify that I have read and =• ami governing this work will be complied with, The granting of this permit does not pr construction or the performance of work. on the back of this permi Date: 13 d this permit and know the same to be true and correct. All provisions of law and ordinances hether specified herein or not. Signature: Print Name: to give authority to violate or cancel the provisions of any other state or local laws regulating am authorized to sign and obtain this plumbing/gas piping permit and agree to the conditions Date: '-/Z -(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. �.:..I...,,. AA 17 '1A1 • PERMIT CONDITIONS Permit No. PG 13-051 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 PG13-051 Printed: 04-12-2013 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Plumbing/Gas Permit No. 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 LOCATION King Co Assessor's Tax No.: I t S1979-091 a Site Address: (5000 57+h AVE: Sa-er-44 So'-r-44Suite Number: Tenant Name: rS±2R1)hE PROPERTY OWNER Name: L0c..ttSEait 6-)t)E _ Address: t 5000 _ 51 k Ave. S'0`tk C uKtvt.L...4 StatmZeIb�l $R CONTACT PERSON — person receiving all project communication Name: KED to Address: 2120 PAI-�t c�`C., City: e vetzezrStatim. `11 zo1 Phonic. V-) 2A -2--3//Y Fax: 7 i -G44/6 Email: jjoki 5 (.4-1a & a5So1lrxC-- dorK Floor: New Tenant: ❑ Yes -4 ..No PLUMBING CONTRACTOR INFORMATION Compa Name: r Uc >z -,,� r HEA--cAe— YA-Ct- -cC- ` City: s?J✓'fT e. Q g%/ Phor(e4 2 VZ- Z--3ft Sz- F 14N ?Al*— 61'60 \\ Co 1TzRgv�N Exp Date: �S50ZZo-r i Or/ Cy2o[ 3 Tukwila Business License No.:6/q 2/ Valuation of Project (contractor's bid price): $ 7529 goits Scope of Work (please provide detailed information): 8.0c Building Use (per Int'! Building Code): Occupancy (per Int'! Building Code): Utility Purveyor: Water: H:\Applications\Porms-Applications On Line12011 Applications'Plumbing Permit Application Revised 8-9-1 I.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 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 2— 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 OWNipzUTrED AGENT: Signature: Date: Print Name: /<&) (? L!2 Day Telephone: <<tZ) Z- Z-3/(ef Mailing Address: '2-4 2-0 RCL+f CG 6ile7-E'7T - ��i° I City State Zip HAApplications On Line \2011 Applications\Plumbing Permit Application Revised 8-9-11.docx Revised: August 2011 bh Page 2 of 2 CAIIT 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. ci. tukwila. wa. us SET RECEIPT RECEIPT NO: R13-01303 Initials: JEM Payment Date: 04/12/2013 User ID: 1165 Total Payment: 440.50 Payee: EVERGREEN STATE HEAT & A/C SET ID: S000001954 SET NAME: EVEREGREEN STATE SET TRANSACTIONS: Set Member Amount EL13-0351 59.85 M13-065 284.05 PG13-051 96.60 TOTAL: TRANSACTION LIST: Type Method Description Amount Payment Check 13234 440.50 TOTAL: 440.50 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - RES GAS - RES MECHANICAL - RES 000.322.101.00.0 000.322.103.00.0 000.322.102.00.0 59.85 96.60 284.05 TOTAL: 440.50 INSPECTION RECORD Retain a copy with permit (I 3 -0- ','INSPEcTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 iZJ (206) 431-3670\ Permit Inspection Request Line (206) 431-2451 ,, Project: , . t A 12 . RCS Type of Inspection: RCA!, (not -..1.... ►� � Address:Date I 0. 5 7 ix\1) s Called: Special Instructions: Date Wanted:. a.... Requester: Phone No: mum— S -7c; " % c.7 1 Approved per applicable codes. Corrections required prior to approval. COMMENTS:. (cA1 ( — °�— ,� Inspg'ct r. Dat ifREINSPECTION FEE REQUI ED. Prior to ne t inspection. fee must be pai at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 tz. (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: -1"- R A Q bo CZE Type of Inspection: ,-.Du G H —_i_ k lic Address: \nC)O0 S 7 #41 U 5 Date Called: Special Instructions: Date Wanted:. `--- 1 1 C1 - I .. . `� p.m. Requester: Phone S O No: � t -� (/ G�[� C * (d t {7 i`-�✓ 0 0 01, =Approved per applicable codes: ElCorrections required prior to approval. COMMENTS: ,,� -,Inspector• f ate: L -.1.' • n REINSPECTION FEE REQUIRED. 5rior to next/inspecti�n.fee;mustbepail at 6 0 Southcenter Blvd., . - 100. Cal to schedule reinspection:,. Contractors or Tradespeoplelinter 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 EVERGREEN STATE SHEET MTL INC UBI No. 601724357 Phone 4252523114 Status Active Address 2120 Pacific Ave License No. EVERGSS0220T Suite/Apt. License Type Construction Contractor City Everett Effective Date 9/30/1998 State WA Expiration Date 10/10/2013 Zip 98201 Suspend Date County Snohomish Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date KIMBALL, RUSSELL D President 09/30/1998 Bond Amount KIMBALL, PAM Vice President 09/30/1998 2136566 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 5 NORTH AMERICAN SPEC INS CO 2136566 03/12/2011 Until Cancelled $12,000.0001/12/2011 4 INS CO OF THE WEST 2187938 03/12/2007 Until Cancelled 03/12/2011 $12,000.0003/19/2007 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 13 American Fire & Casualty Co BKA55253206 09/30/2012 09/30/2013 $1,000,000.0009/26/2012 12 CONTINENTAL WESTERN INS CWP2646730 09/30/2006 09/30/2013 $1,000,000.0009/25/2012 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 PBATI00650 7/27/2010 18.106.020 PLUMBER INFRACTION Satisfied $250.00 httnc•//fnrtrecc wa anv/lni/hhin/Print acnx 04/12/2013