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Permit PG14-0109 - JACKSON RESIDENCE - WATER HEATER
JACKSON RESIDENCE 15330 SUNWOOD BLVD #E204 PG14-0109 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 WATER HEATER PERMIT Parcel No: 1865200080 Permit Number: PG14-0109 Address: 15330 SUNWOOD BLVD E204 Issue Date: 6/27/2014 Permit Expires On: 12/24/2014 Project Name: JACKSON RESIDENCE Owner: Name: JACKSON SHAARON Address: 15330 SUNWOOD BLVD #E204 , TUKWILA, WA, 98188 Contact Person: Name: SHAARON JACKSON Phone: (206) 422-8878 Address: 15330 SUNWOOD BLVD, E-204, TUKWILA, WA, 98188 Contractor: Name: EMERALD CITY PLUMBING Address: 14103 43 AVE S , SEATTLE, WA, 98168 License No: EMERACP023CL Lender: Name: Address: Phone: (206) 444-4718 Expiration Date: DESCRIPTION OF WORK: REPLACE WATER HEATER Valuation of Work: $0.00 Water District: Sewer District: Fees Collected: $48.83 Current Codes adopted by the City of Tukwila: International 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. Signatu Print Name: Date: C/ of 4- 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 1900 PLUMBING FINAL 8005 ROUGH -IN PLUMBING CITY OF TUKV 4 Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Plumbing/Gas ?emit No. Project No. Date Application Accepted: Date Application Expires: (For office use only) �21 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: Tenant Name: King Co Assessor's Tax No.: 5 o suvc PE czq PROPERTY OWNER Name: .shC&r do i c i Address: (53o sun a\id-, City- .)x u. [ n Stater Zipqp}3 CONTACT PERSON — person receiving all project communication Name: hQ 2-r`/-D-C-0-Ct— Address:/ 6-Me QS Cab O 1fe-) City: State: Zip: Phone: Fax: Email: Suite Number: Floor: New Tenant: ❑ Yes ❑.. No PLUMBING CONTRACTOR INFORMATION Company Name: Address: City: State: Zip: Phone: Fax: Contr Reg No.: Exp Date: Tukwila Business License No.: Valuation of Project (contractor's bid price): $ \ 1 DOI '00 Scope of Work (please provide detailed info rnlation): i i 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 8-9-11.docx Revised: August 2011 bh Page 1 of 2 Indicate type of plumbing fixtures and/ ,s piping outlets being installed and the quanti !low: c 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 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 OWOR OR AUTHORIZED A . NT: Signature: .L(t1O c4c,ag71U Date: -- ,:72:7 o r T Print Name: 3kl a 1YP r Ln5[9"11L--J Day Telephone:—`t/22- 2 O 7 Mailing Address: 0 0?(, l \ Z Ctty State Zip H:\Applications\Forms-Applications On Line\2011 Applications\Plumbing Permit Application Revised 8-9-11.docx Revised: August 2011 bh Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $48.83 PG14-0109 Address: 15330 SUNWOOD BLVD E204 Apn: 1865200080 $48.83 PLUMBING $46.50 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $32.50 WATER HEATER FIXTURE FEE R000.322.103.00.00 0.00 $14.00 TECHNOLOGY FEE $2.33 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R2481 R000.322.900.04.00 0.00 $2.33 $48.83 Date Paid: Friday, June 27, 2014 Paid By: SHAARON D JACKSON Pay Method: CREDIT CARD 015729 Printed: Friday, June 27, 2014 12:17 PM 1 of 1 CRWSYSTEMS I 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 Pelt_ /69 4 Project: J A C.I 51 Type of Inspection: �, 01 tt t1ixt,,,:� c f-- I :L Address: t - ©Sxt\)woocl Date Called: k1 Special Instructions: f Lu E-Z U I-( 1 LU .7 C.)t_/U"A Date Wanted: r:.; - I t- (t---i ri,.m.:, pim; Requester:h pa_ '� Phone No: Approved per applicable codes. El Corrections required prior to approval. COMMENTS: e--,,,n. ' L r 4 // In s pect�br: ) R6I4SPECTION FEE REQUIRED. Prior Ej/o next inspection. fee must be pled at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: L -►11-!51' v I INSPECTION RECORD Retain a copy with permit (-i(-)41-1-1 INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431-2451 (206) 431-3670 Project: Type of Inspection: Addy ess: 4 (1Jtf,--(C.1 i is, Date Called: Special Instructions: �1/ _ kttt, A iC Date Wanted: -_. — /4 a.m Cpm Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: // 1 c.(, 4 ,es„../„ i/e.... 1„./1e, k7 ./C1Lete..„1_( ,/,-, .1 Inspector: �� It&.. t . j / / it V Ns,i REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: 0 v4 / �/ EMERALD CITY PLUMBING Page 1 of 2 j1 4 Washington State Department of Labor & industries EMERALD CITY PLUMBING Owner or tradesperson SCHMIDT, WILLIAM J Principals SCHMIDT, WILLIAM J, OWNER Doing business as EMERALD CITY PLUMBING WA UBI No. 601 840 407 14103 43RD AVE S SEATTLE, WA 98168 206-444-4718 KING County Business type Individual License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Construction Contractor License specialties PLUMBING License no. EMERACP023CL Effective — expiration 02/13/1998— 02/12/2016 Bond CBIC Bond account no. SB3592 Active. Meets current requirements. $6,000.00 Received by L&I Effective date 02/11/2002 02/12/2002 Expiration date Until Canceled Insurance Security National Insurance $1,000,000.00 Policy no. NA107575400 Received by L&I Effective date 02/12/2014 02/12/2014 Expiration date 02/12/2015 Insurance history Savings No savings accounts during the previous 6 year period. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601840407&LIC=EMERACP023CL&SAW= 06/27/2014