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HomeMy WebLinkAboutPermit PG13-116 - MCCULLUM RESIDENCE - ALTERATIONMcCULLUM RESIDENCE 14015 35 AVE S PG13-116 City of110ukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-43 1-3670 Inspection Request Line: 206-431-2451 Web site: http://www.TukwilaWA.gov Parcel No.: 1523049118 Address: 14015 35 AV S TUKW Project Name: MCCULLUM RESIDENCE PLUMBING/GAS PIPING PERMIT Permit Number: PG13-116 Issue Date: 08/22/2013 Permit Expires On: 02/18/2014 Owner: Name: HARRISON JOSEPH H Address: 491 W ELSON RD , SHELTON WA 98584 Contact Person: Name: JOSE GILDARDO LOPEZ Phone: 253 255-0234 Address: 1419 S 49 ST , TACOMA WA 98408 Email: Contractor: Name: SILVER 2 GOLD PLUMBING LLC Address: 1419 S 49TH ST , TACOMA WA 98408 Contractor License No: SILVE2G893ME Phone: (253-473-0740 Expiration Date: 07/05/2015 DESCRIPTION OF WORK: REPLACE WASTE DRAIN SYSTEM AND WATER SYSTEM INSIDE HOUSE. REPLACE WATER SERVICE FROM METER TO HOUSE. Value of Plumbing/Gas Piping: $4,000.00 Uniform Plumbing Code Edition: 2009 Fees Collected: $60.50 International Fuel Gas Code Edition: 2009 Electrical Service Provided by: Permit Center Authorized Signature: I hereby certify that I have read and e governing this work will be complied amin 'th, The granting of this permit does not pre construction or the performance of work. on the back of this permit. Date: d this permit and know the same to be true and correct. All provisions of law and ordinances hether specified herein or not. to give authority to violate or cancel the provisions of any other state or local laws regulating m authorized to sign and obtain this plumbing/gas piping permit and agree to the conditions Signature: c S C U C C12,112 -0D Uf: Z Print Name: ©S C 6t l-10 i=i 200 Date: e:)/2-2//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. A-. I lrt, .,,A D(_11_11 A Printer. nR-72-2n11 PERMIT CONDITIONS Permit No. PG13-116 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 13-116 Printed: 08-22-2013 CITY OF TUKWILik Community Developmen artment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov 2 Plumbing/Gas Smit 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 /j King Co Assessor's Tax No.: Site Address: / 7 o �$ 3 - /iv s fl k w 1 LA Suite Number: Floor: Tenant Name: i C /'t c Ct.)/fOrel New Tenant: ❑ Yes ❑.. No PROPERTY OWNER '. Name: 3 6 s e_ �tt_p A0.47 ( 'e Name: S 7 Gmie-( {."-- m e u 1 IU ►n t Address: Email: s `we(26°1-dPL(lanfoi n7 e &tn.t (. Cowi City: State: Zip: CONTACT. PERSON - person receiving ali, project communication :" Name: 3 6 s e_ �tt_p A0.47 ( 'e Address: (y 1 e S ci f S City: � Ua) M State:. kit, Zip:,ytio 8, Phone: ( 13-3)7 3-3.--.0z3(1 Fax: Email: s `we(26°1-dPL(lanfoi n7 e &tn.t (. Cowi PLUMBING CONTRACTOR INFORMATION Company Name: sive/. z 601d f LJM I45 ac Address: / / / 9 S . 7 / i, ich 14 sJ- City: 7,<.c.C6nzo( State: Kik Zip:?/(03 Phone: (2 S3) zyS_ozif ax: Contr Reg No.:C2 I LIfe 2 4 gT3 E Exp Date: g (Z s// y Tukwila Business License No.: , tp 2cgs nof a( Z Valuation of Project (contractor's bid price): $ % `l' 00 Scope of Work (please provide detailed information): 1) 72 itace._ GC/QS'14.e e ice (✓l Sys' fe01-1 c vi4 lvl Stc)e_ ko.)S2. Z� Rc ri uk, e_ S e ✓'Ji c e f rov.4 wt ee✓ %o kacJS2 . Building Use (per Int'I Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: H:\Applications\Forms-Applications On Line\20I I Applications\Plumbing Permit Application Revised 8-9-1 I.docx Revised: August 2011 bh Sewer: Page 1 of 2 Indicate type of plumbing fixtures anas piping outlets being installed and the quabelow: Fixture Type _ Qty' Bathtub or combination bath/shower 1 Dishwasher, domestic with independent drain i Shower, single head trap Sinks 2. 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 r Drinking fountain or water cooler (per head) Lavatory Urinal I' 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 r Food -waste grinder, commercial Wash fountain Water closet I' 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 = 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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWN#R OR AUTHORIZED AGENT: ff Signature: �j ©S e G 1 L ID 4Q -OO w 2 Date: Print Name: �$-� G 1 L. °AWL) c Day Telephone 2 .S 3) 2 15-- - O Z 9 0 ) 3 Mailing Address: 7 t/ i? q T h S—J" H:Wpplications\Forms-Applications On Line \2011 Applications\Plumbing Permit Application Revised 8-9-11.docx Revised: August 2011 bh (.uA-c( ei 7 tia a - City State Zip Page 2 of 2 • City of Tukwila 7 \ 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.: 1523049118 Address: 14015 35 AV S TUKW Suite No: Applicant: MCCULLUM RESIDENCE RECEIPT Permit Number: PG13-116 Status: PENDING Applied Date: 08/22/2013 Issue Date: Receipt No.: R13-02419 Payment Amount: $60.50 Initials: JEM Payment Date: 08/22/2013 10:06 AM User ID: 1165 Balance: $0.00 Payee: JOSE G LOPEZ, SILVER 2 GOLD PLUMB TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 969527 ACCOUNT ITEM LIST: Description 60.50 Account Code Current Pmts PLUMBING - RES 000.322.103.00.00 60.50 Total: $60.50 ,a.,..• Qe,- n4_nG. Printed: 08-22-2013 INSPECTION NO. INSPECTION RECORD: Retain.a copy with permit N., ( ) 13-H PERMIT NO. CITY OF TUKWI.LA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 3670 Permit Inspection Request Line (206) 431-2451, Project: VACe, l I t 5 Type of In pection: ( r- e-( Address Date Called: Special Instructions: .Date Wanted: rfi. Requester: Phone No: Approved per applicable codes. n Corrections required prior to approval: COMMENTS: l� lP. r— 1,1Qv4 Ins tor: RE NSPECTION FEE REQUIR D. Prior to n t inspection. fee must be paid at 6300 Southcenter Blv .. Suite 100. Call to schedule reinspection.. -r INSPECTION RECORD Retain a copy with permit P6 ( INSPECTIQN NO. PERMIT NO. _ , I CITY OF TUKWILA BUILDING DIVISION �" 6300 Southcenter Blvd., #100, Tukwila. WA 98188 jLf- (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: -< („1(0),-, TQcs Type of Inspecti n: &I 0,), A � �4 u 6 K 2.7 Address:_ _ dliki- Date Called: Special Instructions: Date Wanted:- (3 P Requester: Phone No: d (2 —'Q6P7 Approved per applicable codes. Corrections required prior to approval. COMMENTS: /) k.,�`--� �� A ki° Ins clot: Date' (00 I ! REINSPECTION FEE REQUIRED Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople Prin,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 SILVER 2 GOLD PLUMBING LLC UBI No. 603121736 Phone 2534730740 Status Active Address 1419 S 49Th St License No. SILVE2G893ME Suite/Apt. License Type Construction Contractor City Tacoma Effective Date 7/5/2011 State WA Expiration Date 7/5/2015 Zip 98408 Suspend Date County Pierce Specialty 1 Plumbing Business Type Limited Liability Company Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date LOPEZ, JOSE GILDARDO Partner/Member 07/05/2011 Bond Amount LOPEZ, CINDY JAZMIN Partner/Member 01/12/2012 100170061 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 2 American Contractors Indem CO 100170061 07/15/2011 Until Cancelled $6,000.0007/18/2011 1 American States Insurance Co 6765010 06/24/2011 Until Cancelled $6,000.00 07/05/2011 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 3 Nationwide Mutual Ins Co ACPGL07125140385 06/24/2013 06/24/2014 $1,000,000.0005/23/2013 2 Nationwide Mutual Ins Co acpglo7115140385 06/24/2011 06/24/2013 $1,000,000.0006/29/2012 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 No records found for the previous 6 year period httns://fortress.wa.gov/lni/bbin/Print.asnx 08/22/2013