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Permit PG14-0083 - KITANO RESIDENCE - WATER HEATER AND GAS PIPING OUTLET
KITANO RESIDENCE 16052 48 AVE S PG14-0083 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 PLUMBING/GAS PIPING PERMIT Parcel No: 5379800070 Permit Number: PG14-0083 Address: 16052 48 AVE S 1 Issue Date: 5/22/2014 Permit Expires On: 11/18/2014 Project Name: KITANO RESIDENCE Owner: Name: HOLSTINE WILLIAM C+ARDIS L Address: 4251 S 160TH ST, SEATTLE, WA, 98188 Contact Person: Name: ALEX BURKHART Phone: (206) 763-1744 Address: 727 S KENYON ST , SEATTLE, WA, 98108 Contractor: Name: EVERGREEN REFRIGERATION LLC Phone: (206) 763-1744 Address: 727 S KENYON ST, SEATTLE, WA, 98108 License No: EVERGRL954R2 Expiration Date: 1/6/2016 Lender: Name: Address: DESCRIPTION OF WORK: INSTALLATION OF (1) WATER HEATER AND (2) GAS PIPING OUTLETS Valuation of Work: $4,112.00 Water District: HIGHLINE Sewer District: VALLEY VIEW SEWER SERVICE Fees Collected: $190.50 Current Codes adopted by the City of Tukwila: Internations Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: 2012 International Fuel Gas Code: 2012 WA Cities Electrical Code: 2012 WA State Energy Code: 2012 2012 2012 2012 Permit Center Authorized Signature: Date: 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 permit and agree to the conditions attached to this permit. Signature:j����� h I_ I_- �. Print Name: �1�UL- L7flJ ``� Date: 5 122 ( (✓ Y 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: 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 arid 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 CITY OF TUKWI __. Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Plumbing/Gas Permit No. P(714 Project No. Date Application Accepted: Date Application Expires: cc n 2-2_11(4 (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 Site Address: LCD 5 2 4$ 4:21.kA 5. Tenant Name: PROPERTY OWNER Name: bretY4, K-i Address: Q7 sZ cl. -t A_,5 City: 1 v State: viik.. Zip: gkigg CONTACT PERSON - person receiving all project communication Name: At., (2_ / iNA-- Address: 7 2_Z 54.71 yL'Yi , City: seiete_State: G/_ Zip: 4gwg Phone: Zb 6 -1b3 - L.-6444 Fax: 7,6 6._ ---16-5 -- 23 Y'i. Email: 4,�6,1, @ e ,r6iiiuti dzm King Co Assessor's Tax No.: ei('i <LGDRY7 6 Suite Number: Floor: New Tenant: ❑ Yes ❑..No PLUMBING CONTRACTOR INFORMATION Company Name: �^ Address: 12--jk,i,r 5 , City: s ,te_ State: LJi Zip: qA1c Phone: �,6 _%3,-114c) Fax: ?� 6 __-? 63_23b' Contr Reg No.: VnZ612A`I5cF122Exp Date: , (6 ti.4, Tukwila Business License No.: uus _ otq g Z7 Valuation of Project (contractor's bid price): $ `"� I (1Z - w Scope of Work (please provide detailed information): .i--A,1,,A--►, Building Use (per Int'l Building Code). Occupancy (per Int'l Building Code): Utility Purveyor: Water: Sewer: H:\Applications\Forms-Applications On Line \2011 Applications\Plumbing Permit Application Revised 8-9-1 I.docx Revised: August 2011 bh Page 1 of 2 Indicate type of plumbing fixtures and/o. gas piping outlets being installed and the quantity b^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 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 OWNER OR AUTHORIZED AGENT: Signature: 11 /1"-''„4 Print Name: Ati-4- Date: 5 / I i -1 Day Telephone: 13G ^ 76 3 " 1-41 Mailing Address: 1 1 /dt — tiBuq City State Zip H:\ApplicationsWorms-Applications On Line\2011 Applications\Plumbing Permit Application Revised 8-9-I1.docx Revised: August 2011 bh Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $456.99 EL14-0484 Address: 16052 48 AVE S 1 " Apn: 5379800070 $57.33 ELECTRICAL $54.60 PERMIT FEE SINGLE FAMILY R000.322.101.00.00 $54.60 TECHNOLOGY FEE $2.73 TECHNOLOGY FEE R000.322.900.04.00 $2.73 M14-0111 Address: 16052 48 AVE S 1 Apn: 5379800070 $209.16 MECHANICAL $199.20 PERMIT FEE R000.322.100.00.00 $166.70 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 $32.50 TECHNOLOGY FEE $9.96 TECHNOLOGY FEE R000.322.900.04.00 $9.96 PG14-0083 Address: 16052 48 AVE S 1 Apn: 5379800070 $190.50 GAS $65.00 PERMIT FEE R000.322.100.00.00 $65.00 PLUMBING $125.50 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 $32.50 PERMIT FEE R000.322.100.00.00 $79.00 WATER HEATER FIXTURE FEE TOTAL FEES PAID BY RECEIPT: R2187 R000.322.103.00.00 $14.00 $456.99 Date Paid: Thursday, May 22, 2014 Paid By: EVERGREEN REFRIGERATION LLC Pay Method: CHECK 006489 Printed: Thursday, May 22, 2014 12:24 PM 1 of 1 SYSTEMS INSPECTION RECORD Retain a copy with permit PG 1 LI -o PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: Type of Inspection: Address: \(o0;Z AO S Date Called- (lt 1 Special Instructions: . Date Wanted: 1 0— 7-- g �a.m p.m. Requester: Phone N {--4, - i RApproved per applicable codes. Corrections required prior to approval. COMMENTS: or: 1,0.01 \C _ .I. SPECTION FEE REG !RED. Prior to !ext inspection, fee must be d at 6300 Southcenter B d., Suite 100. Call to schedule reinspection. v" 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 Project:I T A 10 ° Tyc c` n. 1 Address: I (DSZ L 8 AQf S Date Called: ._._ Special Instructions: Date � ed: j z // / fl l (/ .m. p=m= Requester:/ Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: ‘) l_,-6-5 , P I ; -'+ - 6 D O N AD5MIocL PO /` Inspector: -711 I REINNSPECTION FEE REQUIRED. Prior to next inspection. fee must be hhhhpaid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. GkAA Date ) /c. hcz City of Tukwila Department of Community Development 10/1/2014 Jim Haggerton, Mayor Jack Pace, Director ALEX BURKHART 727 S KENYON ST SEATTLE, WA 98108 RE: Permit No. PG14-0083 KITANO RESIDENCE 16052 48 AVE S Dear Permit Holder: 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 11/18/2014. 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 11/18/2014, 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: PG14-0083 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 EVERGREEN REFRIGERATION i T Page 1 of 3 Washington State Department of Lab©r & Industries EVERGREEN REFRIGERATION LLC Owner or tradesperson PATTON, RODGER Principals PATTON, RODGER, PARTNER/MEMBER PATTON, MATTHEW, PARTNER/MEMBER Patton, Adam, PARTNER/MEMBER Patton, Douglas, PARTNER/MEMBER EVERGREEN REFRIGERATION LLC, PARTNER/MEMBER PATTON, DAVID, PARTNER/MEMBER (End: 01/21/2014) Doing business as EVERGREEN REFRIGERATION LLC WA UBI No. 602 512 953 727 S KENYON ST SEATTLE, WA98108 206-763-1744 KING County Business type Limited Liability Company License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Construction Contractor License specialties GENERAL License no. EVERGRL954R2 Effective — expiration 01/06/2006— 01/06/2016 Bond Merchants Bonding Co (Mutual) Bond account no. WA15097 Active. Meets current requirements. $12,000.00 Received by L&I Effective date 12/15/2011 01 /01 /2012 Bond history Insurance AMERICAN FIRE AND CASUALTY COM $1,000,000.00 Policy no. BAW54192293 https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602512953&LIC=EVERGRL954R2&SAW= 05/22/2014