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HomeMy WebLinkAboutPermit PG13-074 - ANNE BLAIR - ALTERATIONANNE BLAIR 4424 S 156 ST PG1 3-074 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: htto://www.Tukwila WA.gov Parcel No.: 8108600060 Address: 4424 S 156 ST TUKW Project Name: ANNE BLAIR PLUMBING/GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: PG 13-074 05/10/2013 11/06/2013 Owner: Name: Address: Contact Person: Name: Address: Email: WALKER ANNE & BLAIR KERRY 4424 S 156TH ST , TUKWILA WA 98188 RYAN RODGERS Phone: 253-872-6822 175 A ROY RD SW , PACIFIC WA 98047 Contractor: Name: RESCUE ROOTER Address: 965 RIDGE LAKE BLVD SUITE 201 , MEMPHIS TN 38120 Contractor License No: RESCUR*007Q7 Expiration Date: 01/01/2014 Phone: (253)872-4902 DESCRIPTION OF WORK: REPIPE OLD WASTE LINES FOR BATHROOM IN HOME Value of Plumbing/Gas Piping: Fees Collected: Electrical Service Provided by: Permit Center Authorized Signature: $5,000.00 $47.25 Uniform Plumbing Code Edition: 2009 International Fuel Gas Code Edition: 2009 Date: s---‘0-1 3 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. Signatur Print Name: / ci/G h G J Date: Ll 7Q� 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. On 41 117A Drinfurl• AF_'I!1_9111'2 PERMIT CONDITIONS Permit No. PG 13-074 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 PG13-074 Printed: 05-10-2013 CITY OF TUKWIfrA. Community Developme►. Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 littp://www.TukwilaWA.i4ov 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 Site Address: `-Pi2 y�5 s fi <771 Tenant Name: Aytyl ( Air" - King Co Assessor's Tax No.: Suite Number: PROPERTY OWNER Name: At -7e_ %?I(ty Address: L/ZN -5 1 ,yam CitJvtht �K Stat Zip:90)6e CONTAI communic :TPERS recei' Address: City: State: Zip: Phone: Fax: Email: Floor: New Tenant: I 1 Yes 1:1,140 PLUMBING CONTRACTOR INFORMATION Company Name:1-2 Address: / 25 / )7c7y la1 d-1,,/ City: � State:kn Zip: aCL Ph9,r. e, 72....�g2, Z Fax: Contr Reg No.:e C u -,GtExp Date: Tukwila Business License No.: Valuation of Project (contractor's bid price): $ , Cy Scope of Work (please provide detailed information): / 2t,1E c � 4 s 6.2 Building Use (per Intl Building Code): Occupancy (per lnt'1 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: Lit Page 1 of 2 Indicate type of plumbing fixtures and/ 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 over 2 inch (51 mm) diameter Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections (1-5) Gas piping outlets s piping outlets being installed and the quantilow: 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 Backflow protective device other than atmospheric -type vacuum breakers over 2 inch (51 mm) diameter Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections over 5 Gas piping outlets 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 Each lawn sprinkler system on any one meter including backflow protection devices 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 1 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 OW Signature:. Print Name: ! moi/ / cmc c► �� Mailing Address: / 75 �9 170X /z ! ,S C -t7 H:\Applications\Forms-Applications On Line\2011 Applications\Plumbing Permit Application Revised 8-9-11.docx Revised. August 20] 1 bh Date: ;7-10 / -3 Day Telephone: ` L)G -7.36 City 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.Qov Parcel No.: ' 8108600060 Address: 4424 S 156 ST TUKW Suite No: Applicant: ANNE BLAIR RECEIPT Permit Number: PG13-074 Status: PENDING Applied Date: 05/10/2013 Issue Date: Receipt No.: R13-01584 Initials: WER User ID: 1655 Payment Amount: $47.25 Payment Date: 05/10/2013 09:53 AM Balance: $0.00 Payee: RESCUE ROOTER TRANSACTION LIST: Type Method Descriptio Amount Payment Check 26007206 47.25 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts PLUMBING - RES 000.322.103.00.00 47.25 Total: $47.25 City of Tukwila 6200 Southcenter Blvd, Tukwila, 4'1A 1 Finance Department 1313001-1 05/10/2013 BR1 T121 Fri May10,2013 10:13AM Trans#5-6 Name: AMERICAN RESIDENTIAL SERVICES LL 5 $67.00 BUSLCN - Business Licenses Customer#: 00062067 Activity#: 00012237 6 $47.25 DCDGEN - DCD Permits Plus - General Fund ID: RESCUE ROOTER PERMIT PG13 074 2 ITEM(S): TOTAL: $114.25 Check (9226007206) PAID $114.25 www.tukwilawa.gov 206-433-1835 Ant-, 1;,crcin4_na INSPECTION NO. INSPECTION RECORD Retain a copy with permit P6 3-054 PERMIT NO., CITY OF TUKWILA BUILDING DIVISION. 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 43,1-3670 Permit Inspection Request Line (206) 431-2451 Projeyt: / 1 Address: 2 f% ! 5 Type o Inspection: n1A�_ Date( Called: 1-- Special Instructions: Date Wanted: p.m. Requester: Phon� No:(4, 3 t I T Approved per applicable codes. Corrections required prior to approval. COMMENTS: i i� Inspec r: _..__--, Date: ii ` "1 n REINSPECTION FEE REQUIRED. Prior to next inspection, fee.must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople Pr er Friendly Page • General/Specialty Contractor A business registered as a construction contractor with LEt1 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 RESCUE ROOTER UBI No. 601837949 Phone 2538724902 Status Active Address 965 Ridge Lake Blvd. License No. RESCUR*007Q7 Suite/Apt. SUITE 201 License Type Construction Contractor City Memphis Effective Date 11/27/2000 State TN Expiration Date 1/1/2014 Zip 38120 Suspend Date County Out Of State Specialty 1 General Business Type Limited Liability Company Specialty 2 Unused Parent Company AMERICAN RESIDENTIAL SRVC LLC Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status JACKHHP931N4JACK HOWK PLUM & DRAIN SERVICE Construction Contractor plumbing Unused 8/24/2007 8/24/2013 Active RESCURL037R9 RESCUE ROOTER LLC Construction Contractor General Unused 12/29/1997 4/1/2001 Archived RESCUR•201RQ RESCUE ROOTER Construction Contractor General Unused 12/18/1980 6/1/1998 Archived ARSSEE"963KG A R S SERVICE EXPRESS Construction Contractor Plumbing Unused 5/7/2004 5/7/2008 Out Of Business Business Owner Information Name Role Effective Date Expiration Date SLOTT, DAVID M Manager 10/09/2006 MCMAHON, JAMES T Manager 10/09/2006 KARNES, DONALD K Partner/Member 10/09/2006 SUGGS, DON Partner/Member 02/11/2002 12/19/2011 DUPLESSIS, CARL Partner/Member 10/29/2003 04/10/2009 HARDING, BRIAN Partner/Member 10/09/2006 04/10/2009 BOREN, HOWARD Partner/Member 10/29/2003 10/09/2006 MEYERS, GARY Partner/Member 10/29/2003 10/09/2006 ZALIK, STAN Partner/Member 11/27/2000 10/09/2006 BUREL, MARK T Partner/Member 02/11/2002 10/09/2006 HANKS, JOSEPH B Partner/Member 02/11/2002 10/29/2003 PETERSON, CHRIS Partner/Member 11/27/2000 10/29/2003 FAZIO, FRED JR Partner/Member 11/27/2000 10/29/2003 LEBARON, WILLIAM E Partner/Member 12/27/2001 01/21/2003 BECKMANN, ROBERT F Partner/Member 11/27/2000 02/11/2002 MARIANO, LAWRENCE L III Partner/Member 11/27/2000 12/27/2001 BATES, BRUCE A Partner/Member 11/27/2000 12/27/2001 Bond Information Page 1 of 2 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 5 WESTCHESTER FIRE INSURANCE CO K0750262A 12/03/2006 Until Cancelled $12,000.00 01/04/2007 Assignment of Savings Information No records found for the previous 6 year period Insurance Information httns://fortress.wa.gov/lni/bbip/Print.aspx 05/10/2013