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Permit PG16-0034 - PETERSON STEVEN - GAS METER RELOCATION
PETERSON STEVEN 14712 58 AVE S E�YPIRED 02/07/17 PG16-0034 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: 8687800015 Address: 14712 57TH AVE S Project Name: PETERSON STEVEN Owner: 2012 Name: PETERSON STEVEN J+STANLEY H Address: 14712 57TH AV S, SEATTLE, WA, WA Cities Electrical Code: 98168 Contact Person: 2012 Name: COREY ALEXANDER Address: 13330 STONE AVE N , SEATTLE, WA, WA State Energy Code: 98113 Contractor: 2012 Name: INFRASOURCE SERVICES LLC Address: 14103 STEWART RD, SUMNER, WA, 98390 License No: INFRASL871C2 Lender: Name: Address: ,,, DESCRIPTION OF WORK: RELOCATION OF GAS METER Permit Number: PG16-0034 Issue Date: 3/15/2016 Permit Expires On: 9/11/2016 Phone: (425) 513-4388 Phone: (425) 677-5197 Expiration Date: Valuation of Work: $1,000.00 Fees Collected: $102.38 Water District: TUKWILA Sewer District: TUKWILA SEWER SERVICE Current Codes adopted by the City of Tukwila: International Building Code Edition: 2012 National Electrical Code: 2014 International Residential Code Edition: 2012 WA Cities Electrical Code: 2014 International Mechanical Code Edition: 2012 WAC 296-46B: 2014 Uniform Plumbing Code Edition: 2012 WA State Energy Code: 2012 International Fuel Gas Code: 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 pe 'andag&tohe.,nditions attached to this permit. Signature:Date: _/J_ —/(0 Print Name: 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 Developmt.__ Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.ngov Plumbing/Ga. Armit No. r I � ' 0 0,;14 Project No. Date Application Accepted: Date Application Expires: _ 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 a King Co Assessor's Tax No.: 0&8 7e Opp Site Address:A/ 71a� 7 V Suite Number: Floor: Tenant Name: f5 TG I2' cSCYV Y 1ICAI jt� �T�/(�u' %7 New Tenant: ❑ ..... Yes ❑.. No PROPERTY OWNER Name: P0-0Z-VJ 137-C- V6 -:-A Jr; ' J -h t t.C-- Y Address: j q 7I - S-7 I City: j"e) /6wzl (A ! State: ti Zip: CONTACT PERSON - person receiving all project communication Name: Address: City: State: Zip: Phone: S- _V, ffk Fax: Email: /t0 1 PLUMBING CONTRACTOR INFORMATION Company Name�fN�S,aUPf�- Address: I X143 'K� w AK -1 City: Gttilll��/� State: Zip: Phone: I JZ� Fax: Contr Reg No.1,JFJ T4?,7 ;- Exp Date: Tukwila Business License No.: Valuation of Project (contractor's bid price): $-. � () -) Scope of Work (please provide detailed information): gg-i4 4)%:::7 Building Use (per Inti Building Code): Occupancy (per lnt'l Building Code): Utility Purveyor: Water: Sewer: H:\Applications\Forms-Applications On Line\2011 Applications\Plumbing Permit Application Revised 8-9-1 l.docx Revised: August 2011 bb Page 1 of 2 Indicate type of plumbing fixtures and/o- 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 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 i 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 OWNE AUTHORIZ T: Signature: Dater l�O Print Name: i e=_1\16k � Day Telephone: 7 /C9— YO&E E Mailing Address: City State Zip H:\Applications\Forms-Applications On Line\2011 Applications\Plumbing Permit Application Revised 8-9-11.docx Revised: August 2011 Page 2 of 2 bh DESCRIPTIONS + • QUANTITY PAID PermitTRAK $307.14 PG16-0033 Address: 14725 57TH AVE S Apn: 8088600005 $102.38 GAS $97.50 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $32.50 PERMIT FEE R000.322.100.00.00 0.00 $65.00 TECHNOLOGY FEE $4.88 TECHNOLOGY FEE R000.322.900.04.00 0.00 $4.88 PG16-0034 Address: 14712 57TH AVE S Apn: 8687800015 $102.38 GAS $97.50 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $32.50 PERMIT FEE 8000.322.100.00.00 0.00 $65.00 TECHNOLOGY FEE $4.88 TECHNOLOGY FEE R000.322.900.04.00 0.00 $4.88 PG16-0035 Address: 14715 58TH AVE S Apn: 8687800070 $102.38 GAS $97.50 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $32.50 PERMIT FEE R000.322.100.00.00 0.00 $65.00 TECHNOLOGY FEE $4.88 TECHNOLOGY FEE TOTAL R000.322.900.04.00 0.00 $4.88 Date Paid: Tuesday, March 15, 2016 Paid By: COREY ALEXANDER Pay Method: CREDIT CARD 079396 Printed: Tuesday, March 15, 2016 10:29 AM 1 of 1 C i SYSTEMS INSPECTION RECORD Retain a copy with permit r3� INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Pr 'ect: 64 51- - J Tye of Ins ction: i IAK, �A/AL Address: J4717- i n+ - S Date Called: Special Instructions: Date Wanted; c•n Requester: Phone No: Approved per applicable codes. 10 Corrections required prior to approval. COMMENTS: Inspector: Date: 10- LJ 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 �� ^6 ©� ! SPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431.3670 Permit Inspection Request Line (206) 438-9350 P' t: YTO Ty e of Inspection: Address: date Ca Special Instructions: Date Wanted: J —(6 a.m. p.m. Requester: Phone No: IInspector: " , Iuare*_ 1 6 ` REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.. 1/3/2017 City of Tukwila Allan Ekberg, Mayor Department of Community Development Jack Pace, Director COREY ALEXANDER 13330 STONE AVE N SEATTLE, WA 98113 RE: Permit No. PG 16-0034 PETERSON STEVEN 14712 57TH 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 2/7/2017. 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 2/7/2017, 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: PG16-0034 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 8/2/2016 City of Tukwila Allan Ekberg, Mayor Department of Community Development Jack Pace, Director COREY ALEXANDER 13330 STONE AVE N SEATTLE, WA 98113 RE: Permit No. PG 16-0034 PETERSON STEVEN 14712 57TH 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 9/12/2016. Based on the above, you are hereby advised to: l) 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 9/12/2016, 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, 04� Rachelle Ripley Permit Technician File No: PG16-0034 6300 Southcenter Boulevard Suite #100 9 Tukwila, Washington 98188 9 Phone 206-431-3670 9 Fax 206-431-3665 Infrasource Services, LLC Home Lspaiol ' Contact Page 1 of 3 A Safety & Health Claims & Insurance Washington State department of 4j Labor & Industries Infrasource Services, LLC Owner or tradesperson 14103 Stewart Road SUMNER, WA98390 Principals 425-677-5197 Corporation Service Company, AGENT PIERCE County O'Brien, Peter Bennett, MEMBER Doing business as Infrasource Services, LLC WA UBI No. Business type 603 222 558 Corporation License Workplace Rights Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Construction Contractor Active. Meets current requirements. License specialties GENERAL License no. INFRASL871C2 Effective — expiration 02/22/2013— 02/22/2017 Bond ................. Federal Ins Co $12,000.00 Bond account no. 82300597 Received by L&I Effective date 02/22/2013 11/19/2012 Expiration date Until Canceled Insurance ............................. Old Republic Ins Co $5,000,000.00 https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=603222558&LIC=INFRASL87IC2&SAW= 3/15/2016