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Permit PG14-0139 - SAPPHIRE - SHOWER, WATER CLOSET, LAVATORY AND TANKLESS WATER HEATER
SAPHIRE 14220 INTF.RLJRBAN AVE S PG14-0139 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 PLUMBING/GAS PIPING PERMIT 3365901881 Permit Number: PG14-0139 14220 INTERURBAN AVE S 110 Issue Date: 10/10/2014 Permit Expires On: 4/8/2015 Project Name: SAPPHIRE Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: BELLTOWN INVESTMENT PARTNER 2505 2ND AVE #520 , SEATTLE, WA, 98121 JERRY MILLER 14143 105 AVE NE , KIRKLAND, WA, 98034 COPPER CREEK PLUMBING SERVICES 14143 105TH AVE NE , KIRKLAND, WA, 98034 COPPECP897DU Phone: (425) 239-1081 Phone: (425) 239-1081 Expiration Date: DESCRIPTION OF WORK: ONE SHOWER WITH THREE HEADS AND VALVES, ONE WATER CLOSET, ONE WALL HUNG LAVATORY AND ONE TANKLESS WATER HEATER Valuation of Work: $11,900.00 Water District: TUKWILA Sewer District: TUKWILA SEWER SERVICE Fees Collected: $181.36 Current Codes adopted by the City of Tukwila: International 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 2014 2012 Dat 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 permed agree to the conditions attached to this permit. Signature: Print Name: Date: 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 8004 GROUNDWORK 1900 PLUMBING FINAL 8005 ROUGH -IN PLUMBING CITY OF TUKWILA Community Development Department Permit Center 6300 SouthcenterBlvd., Suite 100 Tukwila, WA 98188 http://www.TukvvilaWA.gov Plumbing/Gas Permit No. Project No. Date Application Accepted: 0U V1 l(A Date Application Expires: (92 O A . IC (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 King Co Assessor's Tax No.::3 36S9 ) S fS Site Address: / I/2) %N -ter (Aril cA kJ /1 J'e S . Suite Number: J /O Floor: Tenant Name: -Sappt i re - PROPERTY OWNER Name: egi /0 4 trte,vl-S Ztl-AoleS /1< Addres . re) Sea,...)a Avg Scr)1.& 6702.0 City le_ State: k14- Zip. l CONTACT PERSON - person receiving all project communication Name: U "A 6-AM er Address: / q/9.3 1Q6 t1 jive_ to >£ City: � l r K (U i State: 04 Zip: C D31} Phonegz 5-.2 3 %- /O v./ Fax: yZ 5- - mi.. 5.6 ?, - Email: CoDPet CPC e lC CQ /1.4ex:1 , COvti New Tenant: 34 Yes ❑ .. No PLUMBING CONTRACTOR INFORMATION Company Name: Co pp r Cree l< ai..A 6;: sou. Address: 60/3 /asp 4,re N z City:14 r I< �N C ` State: ` W ' A Zip:cy 3 4 Phone: Fax 4/25-23gi - in?1 gets - KIP g6'7 K C ntr Reg No.: Exp Dat Capper.? 7044 .5-3/-/ S---- Tukwila Business License No.: Valuation of Project (contractor's bid price): $ / 1 / 906 Scope of Work (please provide detailed information): ©NC 56.oc � 1,.3,14% ce.- t'Jc;,1 t K t..,a I P) c • w 8- a r-e_ less c.,Jc. e-r' l k cc ie ✓` Gsa} cr e loSk-� Building Use (per Int'1 Building Code). Occupancy (per Intl 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/or gas piping outlets being installed and the quantity below. Fixture Type Qty Bathtub or combination bath/shower Dishwasher, domestic with independent drain Shower, single head trap 1 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 1 Urinal Water heater and/or vent I 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 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 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 OW �' ' OR : .�i RIZED AGENT:/Z �/ Signature: `�Y Date: 41 Print Name: M i it efc- Mailing Address: /5/N3 /054Nre_ NNfit.. Day Telephone: 4/2-Z.3 /f B� / 4 r kiGmNk g803 City State Zip H:\Applications\Fomvs-Applications On Line \2011 Applications\ Plumbing Permit Application Revised 8.9-11.docx Revised: August 2011 bh (x1 Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS 4.0I1i '3t:.;Am'A ,. ro }u�'.e�aeme4..,(1 ACCOUNT QUANTITY ,.,... r PAID "•"Y % u Fr wPermitT 141436 Me, ie,,w4t PGka ,rk iP4 -e Woe= 14-01$Aress4220 INTERURBAN An ,33659018 ro i, "ei, I $416rr h PLUMBING. $134.38 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $27.38 PERMIT FEE R000.322.100.00.00 0.00 $107.00 TECHNOLOGYFEE ; $6.98 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R3285 R000.322.900.04.00 0.00 $6.98 $141.36 Date Paid: Friday, October 10, 2014 Paid By: JERRY MILLER Pay Method: CREDIT CARD 001857 Printed: Friday, October 10, 2014 12:29 PM 1 of 1 C( SYSTEMS Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT QUANTITY PAID PerrnitTRAK r00 :PG1401 .::,:gmmommovigmER ress:.1'42201INTERURB4 336590188 PLUMBING $40.00 PERMIT ISSUANCE BASE FEE PLAN CHECK FEE TOTAL FEES PAID BY RECEIPT: R3043 R000.322.100.00.00 R000.322.103.00.00 0.00 0.00 $5.12 $34.88 $40.00 Date Paid: Tuesday, September 09, 2014 Paid By: COPPER CREEK PLUMBING Pay Method: CASH Printed: Tuesday, September 16, 2014 5:50 AM 1 of 1 I?SYSTEMS CITY OF TUKWILA TREASURER'S RECEIPT Datey 47832 F908 Ned of Dollars, TOTAL PRINTERS./N . WHITE - Finance Dept. CANARY - Customer PINK - File INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. /r CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670' Permit Inspection Request Line (206) 431-2451 Project t p)k rp Type of Inspection: P13r,. b ` ' 1 11 Address: n t 141 'O T----U-J f (oA l\ Date Called: - Special Instructions: Date Wanted: / l 1 — t' . a:rY" p.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: Q pJ Inspector: Date: -- _ j j/ REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid 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 Project: A-Ppt,re Type of Inspection: (--,rotin Q A f Jr').-t- - Address: • 4-"7 `7J A TJ/ ti-ley Date Called: _ Special'Instructions: i S t4 LA-)j 1 V A' `Jr . eSS Date Wanted: 0 — / 3 + 14 " aa.m. p.m. Requester:/ Phone No: ZApproved per applicable codes. E] Corrections required prior to approval. COMMENTS: -teV it ,✓t %l' MP G.. ,,{ D r (nD t u nP a rAJu OL-e. -4,- nit S e.. c.r6ui ,J,r (D ---Fe„cril t)K. at fi /'1 r., ' _./e 2 04 V , c:, o ./)/ A9 / 2 _ I( : i ,i, y ,/ Inspector: Date: , p 4 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. PERMIT COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: PG14-0139 PROJECT NAME: SAPPHIRE DATE: 09/09/2014 SITE ADDRESS: 14220 INTERURBAN AVE S X Original Plan Submittal Response to Correction Letter # Revision # Revision # before Permit Issued after Permit Issued DEPARTMENTS: C q— A'AL I • Public Works u Building Division Fire Prevention Structural Planning Division Permit Coordinator n PRELIMINARY REVIEW: Not Applicable ri (no approval/review required) DATE: 09/11/14 Structural Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved Corrections Required (corrections entered in Reviews) DUE DATE: 10/09/14 Approved with Conditions N, Denied (ie: Zoning Issues) Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ BUILDING OFFICIAL APPROVAL FOR ISSUANCE INITIAL/SIGN DATE COPPER CREEK PLUMBING SEP CES Page 1 of 2 0 i Washington State Deparlinent of Labor & Industries COPPER CREEK PLUMBING SERVICES Owner or tradesperson MILLER, JERRY M Principals MILLER, JERRY M, PARTNER/MEMBER WA UBI No. 603 018 035 14143 105TH AVE NE KIRKLAND, WA 98034 425-239-1081 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 Active. Meets current requirements. License specialties PLUMBING License no. COPPECP897DU Effective — expiration 03/31/2011— 03/31/2015 Bond Wesco Insurance Co Bond account no. 46-WB021020 Received by L&I 03/28/2013 American Contractors Indem CO Bond account no. 100158897 Received by L&I 03/31 /2011 Insurance Security National Insurance Policy no. NA102027500 $6,000.00 Effective date 03/28/2013 Expiration date Until Canceled $6, 000.00 Effective date 03/28/2011 Cancelation date 05/13/2013 $1,000,000.00 https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603018035&LIC=COPPECP897DU&SAW= 10/10/2014