HomeMy WebLinkAboutPermit PG14-0027 - BELFOR - WATER AND WASTE LINEBELFOR
4320 S 131 PL
STE 100
PG1 4-0027
Parcel No:
Address:
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-438-9350
Web site: http://www.TukwilaWA.gov
7349200095
4320 S 131 PL 100
Project Name: BELFOR
PLUMBING/GAS PIPING PERMIT
Permit Number: PG14-0027
Issue Date: 2/24/2014
Permit Expires On: 8/23/2014
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
NORMED SHAW PTN
PO BOX 3644 , SEATTLE, WA, 98124
REX LEWANDOWSKI
12311 21 AVE SE , EVERETT, WA,
98208
PRO CALIBER CONSTRUCTION CO
12311 21 AVE SE , EVERETT, WA,
98208
PROCACC890D1
Phone: (425) 492-6560
Phone: (425) 492-6560
Expiration Date: 3/21/2015
DESCRIPTION OF WORK:
MOVE EXISTING WATER AND WASTE LINE OVER INCHES
SUBJECT TO FIELD INSPECTION
Valuation of Work: $600.00
Water District: TUKWILA
Sewer District: TUKWILA SEWER SERVICE
Fees Collected: $131.78
Current Codes adopted by the City of Tukwila:
Internations Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
Permit Center Authorized Signature:
2012
2012
2012
2012
International Fuel Gas Code:
WA Cities Electrical Code:
WA State Energy Code:
2012
2012
2012
I hearby 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
development ermit and agree to the c ditions attached to this permit. t�
Signature: Date: Z—Z 7 -2c
Print Name: IG—E' tc1 IC,
This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or
if the work is suspended or abandoned for a period of 180 days from the last inspection.
PERMIT CONDITIONS:
1: ***PLUMBING/GAS PIPING PERMIT CONDITIONS***
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.
13: The applicant agrees that he or she will hire a licensed plumber to perform the work outlined in this
permit.
14: All new plumbing fixtures installed in new construction and all remodeling involving replacement of
plumbing fixtures in all residential, hotel, motel, school, industrial, commercial use or other occupancies
that use significant quantities of water shall comply with Washington States Water Efficiency ad
Conservation Standards in accordance with RCW 19.27.170 and the 2006 Uniform Plumbing Code Section
402 of Washington State Amendments
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
2000 GAS PIPING FINAL
8004 GROUNDWORK
1900 PLUMBING FINAL
9002 ROUGH -IN GAS PIPING
8005 ROUGH -IN PLUMBING
9001 UNDERGROUND
CITY OF TUKW 1
Community Development Department
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Plumbing/Gas Permit No.3 II-4— °al-7
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�� b,� King Co Assessor's Tax No.:
Site Address: 1T3� Soot? i �' ) kC Sol 100 Suite Number: la Floor:
Tenant Name: 2CL tZ
PROPERTY OWNER
Name:
Address:
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name: J L AvA:Wk
Address: 12 3 1, 2 ( S4 /v _ 5 ,f
City: fo Cl e_State:OA
Zip: 7 g
Phone: iix_'[ i2_65-1,0 Fax: „...--.
Email:
New Tenant: ❑ YesNo
PLUMBING CONTRACTOR INFORMATION
Company Name: (,; 8", .�T' L p
Address: a
tZ31 \ 2 i 5-- i,t e_ S' , .F
City: �v ti f 4-1-9- State: tido_ Zip: 98Zd d
Phone: iizs-,gei2-(a510U Fax:
Contr Reg No.:PR 0/e�w t' Exp Date: 3_ /6,
Tukwila Business License No.:
Valuation of Project (contractor's bid price): $ ‘,-Do
r--
Scope of Work (please provide detailed information): /1/14 _ £ k %'. ' +45> c L ; Ape
p JeJZ : ivGL S.
Building Use (per Int'1 Building Code):
Occupancy (per Int'l Building Code):
Utility Purveyor: Water: Sewer:
H:\Applications\Porms-Applications On Line\2011 Applications\Plumbing Permit Application Revised 8-9-11.docx
Revised: August 2011
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Page I of 2
Indicate type of plumbing fixtures and/ ,s piping outlets being installed and the quanti ;low:
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
I.
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
4,
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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING •O
Signature:
R OR AUTI3o0IIIZED AGENT:
Date:.- 2 / id it
Print Name: %� � � t.1 _ Day Telephone: 'tZ.S it/i'Z-4c6 e
r
,�tJ t r-77- ji(f!F l 2e
Mailing Address:
City State Zip
H:\Applications\Forms-Applications On Line\2011 Applications\Plumbing Permit Application Revised 8-9-11.docx
Revised: August 2011
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Page 2 of 2
AUTHORIZATION FOR ALTERNATE PLAN
SUBMITTAL (LIMITED SCOPE OF WORK)
IBC & IRC Section 104.1
Date: O 9A _,(I\
Address:
k'Q S V-A P L
Permit/Application Number: �v (11 O2.2 7
Tukwila, WA 981
Description of Work:
M�c�t oucxwmo-v- FYWI6,) Fvv- WAY4200(.5)
PUmafs nnvvF wG - vtkit PtPw G (.�� uvoo¢. PC�LI-QS�
The above project permit applicant, due to the limited scope of work, is authoriz- • r uced plan
requirements described below:
1. Complete permit application(s):
❑ Building
Mechanical
2. Plan and/or Specification (minimum):
❑ Site Plan ❑ Floor Plan
❑ Cross Sections ❑ Roof Plan
Plumbing/Gas Piping ❑ Electrical ❑ Other
❑ Elevations
❑ Narrative
❑ Foundation ❑ Structural Calcs
❑ Narrative WSEC Compliance
3. Required Inspections (only completed when to be issued over the counter):
n Framing ❑ Glazing Final ❑ Other: 12(I) h 3/24 / /?vZt,h fi 2e /,
4. Other Special Instructions:
Autho ' By;
Printed Nam
WO DoN'Vu`f
Date: c / I
(Authorization void 30 days after date)
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 431-3670 • Fax: 206 431-3665
W:\Permit Center\Templates\Forms\Auth for Reduced Plan Submittal.docx
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY I PAID
$234.16
M14-0051 Address: 4320 S 131 PL 100 Apn: 7349200095 $102.38
MECHANICAL $97.50
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
$32.50
PERMIT FEE
R000.322.100.00.00
$65.00
TECHNOLOGY FEE $4.88
TECHNOLOGY FEE
R000.322.900.04.00
$4.88
PG14-0027 Address: 4320 S 131 PL 100 Apn: 7349200095 $131.78
PLUMBING $125.50
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
$32.50
PERMIT FEE
R000.322.100.00.00
$93.00
TECHNOLOGY FEE $6.28
TECHNOLOGY FEE R000.322.900.04.00
TOTAL FEES PAID BY RECEIPT: R1319
$6.28
$234.16
Date Paid: Monday, February 24, 2014
Paid By: PRO CALIBER CONSTRUCTION CO
Pay Method: CHECK 3167
Printed: Monday, February 24, 2014 2:48 PM 1 of 1
SYSTEMS
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
P6/1hY2-7
Project: 3 j�
E Lv 6Q
Type of Inspection:
e r -N Lr-
Address:
I-4=590 S131?L
100
Date Called:
Special Instructions:
D i,L
r- 03
Date Wanted:
1— Its—
(a.m.
p.m.
Requester:
Phone No:
'Approved per applicable codes.
DCorrections required prior to approv
COMMENTS:
)',
( i ) � / Li-°UI —-r,�,rf C
�T�l, *�r,.�n \
"� i tp/.,/V-0027--- /3r ,1
(/4,:1�0/Fi �1i,v4/_.
1D13 -0344 - G L /4. -)AJ - .-11r) 4(t. 1
N
Inspector:
41flu', I tr.
T
Date'
RINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
pad at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA.98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
F61 a*.{_607
Project:
.t"r0V
Type of Inspection:.ti
a ,tctk-i1k.,
Address:
1-132O S
i 3t 1)
Date Called:
Special Instructions:
Date Wanted:
�- , Z v -- i
a.m.
p.m.
Requester:
Phone No:
rNApproved per applicable codes. Corrections required prior to approval.
COMMENTS:
1
«_JC&
Date:
.2.(0 L
REINSPECTION FEE EQUIRED. Prior tnext inspection, fee must be
plaid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
City of Tukwila
Department of Community Development
7/1/2014
REX LEWANDOWSKI
12311 21 AVE SE
EVERETT, WA 98208
RE: Permit No. PG14-0027
BELFOR
Dear Permit Holder:
Jim Haggerton, Mayor
Jack Pace, Director
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 8/25/2014.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206-438-9350 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 8/25/2014, 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,
Bill Rambo
Permit Technician
File No: PG14-0027
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
Pro Caliber Construction Co
Page 1 of 2
Washington State Departiirent of
Labor & Industries
Pro Caliber Construction Co
Owner or tradesperson
Lewandowski, Rex Lee
Principals
Lewandowski, Rex Lee
Doing business as
Pro Caliber Construction Co
WA UBI No.
602 923 143
12311 21st Ave SE
EVERETT, WA98208
425-492-6560
SNOHOMISH County
Business type
Individual
Governing persons
AMYCLAWANDOWSKI
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Construction Contractor
License specialties
GENERAL
License no.
PROCACC890D1
Effective — expiration
03/21 /2011 — 03/21/2015
Bond
Wesco Insurance Co
Bond account no.
46wb020797
Active.
Meets current requirements.
$12,000.00
Received by L&I Effective date
03/26/2013 03/21/2013
Insurance
Ohio Security Ins Co $500,000.00
Policy no.
BLS55086927
Received by L&I Effective date
03/13/2013 03/21/2012
Expiration date
03/21/2014
Savings
No savings accounts during the previous 6 year period.
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602923143&LIC=PROCACC890D 1 &SAW= 02/24/2014