HomeMy WebLinkAboutPermit PG13-121 - BRIDGE ADDITION - ALTERATION
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.
PG13-121
Bridge Addition
14032 35 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,
10 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
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BRIDGE RESIDENCE
ADDITION
14032 35 AVE S
EXPIRED 04/27/14
PG13-121
City offukwila
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.TukwiliWA.gov
Parcel No.: 1523049007
Address: 14032 35 AV S TUKW
Project Name: BRIDGE ADDITION
PLUMBING/GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On:
PG13-121
08/29/2013
02/25/2014
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Email:
Contractor:
Name:
Address:
BRIDGE LYLE D
14032 35TH AVE S , SEATTLE WA 98146
GERALD CHURCH
34127 183 AV SE , AUBURN WA 98092
J & K PLUMBING
34127 183AVE S , AUBURN WA 98092
Contractor License No: JKPLUI* 159RD
Phone: 206 396-8544
Phone: 253-838-1865
Expiration Date: 03/24/2015
DESCRIPTION OF WORK:
ROUGH -IN DRAINS, VENTS AND WATER, AND INSTALL PLUMBING FIXTURES
Value of Plumbing/Gas Piping:
Fees Collected:
Electrical Service Provided by:
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complie
$0.00 Uniform Plumbing Code Edition: 2009
$316.50 International Fuel Gas Code Edition: 2009
M
Date:
xami ed this permit and know the same to be true and correct. All provisions of law and ordinances
with, hether specified herein or not.
The granting of this permit does not p -su e to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the performance of work. am authorized to sign and obtain this plumbing/gas piping permit and agree to the conditions
on the back of this permit.
Signature:.P�c Date: g/Z-f
/i
Print Name: L, (:-7--)7/644...A'
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.
Printers• (1R-79_7(113
PERMIT CONDITIONS
Permit No. PG 13-121
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
PG13-121 Printed: 08-29-2013
CITY OF TUKWIL
Community Developmen artment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
_Projeet No...
Date.Application Accepted:
Date Application Expires.
(For ojce 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 Address: / y0 3&L �� � /4 ye
Tenant Name:
King Co Assessor's Tax No.: 7,5":ZCDo r� 7
Suite Number: Floor:
New Tenant: ❑ Yes ❑.. No
PROPERTY OWNER
Name:
Address:3/j2,7 /570 �&
City:4ere,e4 , _ / State:(14, Zip/ dje
Name: 1...1...:_c 31,1 D 6
Address:
Contr Reg No0— pj'2-* j ky Date:?7
, j
D JJ
Tukwila Business License No.:
Address: H63,2_ 05- Th. 6 re
State:
•
Phone:
City: yei Atei L. State:
'
Email:
Zip
.q
CONTACT; PERSON — person receiving all project
communication
Name:
Address:3/j2,7 /570 �&
City:4ere,e4 , _ / State:(14, Zip/ dje
Phone: 3.F 7.7 jaxe3.3F3 _5-5;7,7
Address:
Contr Reg No0— pj'2-* j ky Date:?7
, j
D JJ
Tukwila Business License No.:
City:
State:
Zip:
Phone:
Fax:
Email:
PLUMBING CONTRACTOR INFORMATION
Company Namesr L1 r>7231116 ,
Address:3/j2,7 /570 �&
City:4ere,e4 , _ / State:(14, Zip/ dje
Phone: 3.F 7.7 jaxe3.3F3 _5-5;7,7
Contr Reg No0— pj'2-* j ky Date:?7
, j
D JJ
Tukwila Business License No.:
Valuation of Project (contractor's bid price): $ /2,��G o
Scope of Work (please provide detailed information): 7l d 4�-J� /X' D n� 5/ Ve-N7-.547 lam'
I�/-s-7-A 1.L PLS
Building Use (per Int'l Building Code):
Occupancy (per Int'l Building Code):
Utility Purveyor: Water:
HAApplications\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 andas piping outlets being installed and the quarlbelow:
Fixture,Type : '
Qty.-
ty.-Bathtub
Bathtubor combination
bath/shower
t(
Dishwasher, domestic with
independent drain
Shower, single head trap
a
Sinks
e
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
a
Urinal
e
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
e
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 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 : G NT:
/ a
Signatures/%
Date: g1 -2T.4. 3
Print Name: � & t - 9 /. , (��/�/ /-�G j- >< Day Telephone: 0:' O e
Mailing Address: 34/07 �cg� ,� � "dL/e5U/24/ ‘l.Z4 . ‘7j.0":%1-
City
7j.City State Zip
H:Wpplications\Forms-Applications On Line \2011 Applications\Plumbing Permit Application Revised 8-9-1 I.docx
Revised: August 2011
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Page 2 of 2
J�`Nt�A wq� City of Tukwila
� z 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.:
Address:
Suite No:
Applicant:
1523049007
14032 35 AV S TUKW
BRIDGE ADDITION
RECEIPT
Permit Number:
Status:
Applied Date:
Issue Date:
PG13-121
ISSUED
08/29/2013
08/29/2013
Receipt No.: R13-02508
Initials: JEM
User ID: 1165
Payment Amount: $316.50
Payment Date: 08/29/2013 03:10 PM
Balance: $0.00
Payee: J & K PLUMBING INC
TRANSACTION LIST:
Type Method
Descriptio Amount
Payment Check
Authorization No.
ACCOUNT ITEM LIST:
Description
41633 316.50
Account Code
Current Pmts
GAS - RES
PLUMBING - RES
000.322.103.00.00
000.322.103.00.00
Total: $316.50
65.00
251.50
Prinrari• nR-29-9n11
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.ti
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 431-2451
P613 _, 2(
(206) 431-3670
Project: t\
(9\ , ecCo 0_ Jk&O * M
Type of Inspection:
Roup t+v
?(LJ '-
Add403 2 �AV�
Date Called:
Special Instructions:
Date Wanted:
a.m.
Requester:
A77 -k c-- c...Q. A csc=-( tl l
Phone No:
253 -55
� _ y�
. o 4c
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
,A -A _S
.4 D ---- 5; ' . S/j !a -t°
..-jr-:v‘,../,/
A77 -k c-- c...Q. A csc=-( tl l
.01
1
. Je..,41-`71" rJ ' di— e)K
01S
qro u A J w o/GC. ---,it-6/e
0 --
((r f i
-Asd c24 o ,4-tf,�L
6
----e)(
r
Inspector:
fi
Dat7:10
REINSPECTION FEE REQUIRED: Prior to next inspection. fee must be
paid at 6300 Southcenter B evSuite 100. Call to schedule reinspection.
3/3/2014
City of Tukwila
Department of Community Development
GERALD CHURCH
34127 183 AV SE
AUBURN, WA 98092
RE: Permit No. PG13-121
BRIDGE ADDITION
14032 35 AV S
Dear Permit Holder:
Jim Haggerton, Mayor
Jack Pace, Director
Ne
14/ Inspection Request Line
206 438-9350
Sp
In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building
Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National
Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and
become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of
such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun
for a period of 180 days. Your permit will expire on 4/27/2014.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206-431-2451 to schedule for the next or final inspection. Each
inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire.
Address your extension request to the Building Official and state your reason(s) for the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your
extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 4/27/2014, your permit will become null and void
and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
OV9DkS
fer Marshall
it Technician
File No: PG13-121
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
Contractors or Tradespeople PrineFriendly Page
•
•
General/Specialty Contractor
A business registered as a construction contractor with LEdI 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 J E K PLUMBING INC UBI No. 600599710
Phone 2538381865 Status Active
Address 34127 183Rd Ave Se License No. JKPLUI'159RD
Suite/Apt. License Type Construction Contractor
City Auburn Effective Date 12/4/1985
State WA Expiration Date 3/24/2015
Zip 98092 Suspend Date
County King Specialty 1 Numbing
Business Type. Corporation Specialty 2 Unused
Parent Company
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
MRR00"072JTMR
ROOTER
Construction
Contractor
Plumbing
Unused
4/30/1993
4/26/1997
Archived
JKPLU"211DR
J Et K
PLUMBING
Construction
Contractor
Plumbing
Unused
3/19/1979
3/19/1986
Archived
Business Owner Information
Name
Role
Effective Date
Expiration Date
CHURCH, GERALD L
President
01/01/1980
Bond Amount
CHURCH, KATHERINE M
Vice President
01/01/1980
2063013
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
7
FEDERATED MUTUAL
INS CO
2063013
07/01/2009
Until Cancelled
07/01/2010
$6,000.00
06/30/2009
6
CBIC
SG1904
06/21/2005
Until Cancelled
07/01/2009
$6,000.0006/28/2005
Assignment of Savings Information
Savings
Assignment of Savings Account Number
Effective Date
Release Date
Assignment Type
Impaired Date
Amount
Received Date
2
6/29/2010
Until
Released
Bond
$6,000.00
6/29/2010
Insurance Information
Insurance
Company Name
Policy Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Amount
Received Date
23
Federated
Mutual Ins Co
9257872
07/01/2009
07/01/2014
$1,000,000.00
05/28/2013
22
NORTH PACIFIC
INS CO
C03167040
10/17/2008
10/17/2009
$1,000,000.0007/25/2008
21
NORTH PACIFIC
INS CO
CO2167040
10/17/2007
10/17/2008
$1,000,000.00
11/19/2007
20
ATLANTIC CAS
INS CO
L0714002546
08/04/2007
08/04/2008
$1,000,000.0008/03/2007
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
https://fortress.wa.gov/lni/bbip/Print.aspx
08/29/2013