HomeMy WebLinkAboutPermit PG16-0134 - CASH AMERICA - TOILET, WATER CLOSET AND WATER HEATERCASH AMERICA
3920 S 146 ST
PG16-0134
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: 0040000254
Address: 3920 S 146TH ST BLDG
Project Name: CASH AMERICA
Permit Number: PG16-0134
Issue Date: 9/14/2016
Permit Expires On: 3/13/2017
Owner:
Name:
POLL TUKWILA LLC
Address:
8915 SE 44TH ST, MERCER ISLAND,
WA, 98040
Contact Person:
Name:
DAN ZETTERBERG
Phone: (206) 356-9328
Address:
202 TACOMA BLVD N, PACIFIC, WA,
98047
Contractor:
Name:
CUSTOM CRAFTING ZETTERBERG INC
Phone: (206) 356-9328
Address:
202 TACOMA BLVD N, PACIFIC, WA,
98047
License No:
CUSTOCZ99OKM
Expiration Date: 2/4/2018
Lender:
Name:
Address:
DESCRIPTION OF WORK:
ROUGH PLUMBING AND TRIM FOR TOILET, WATER CLOSET AND WATER HEATER
Valuation of Work: $3,000.00 Fees Collected: $131.78
Water District: 125
Sewer District: VALLEY VIEW
Current Codes adopted by the City of Tukwila:
International Building Code Edition: 2015 National Electrical Code: 2014
International Residential Code Edition: 2015 WA Cities Electrical Code: 2014
International Mechanical Code Edition: 2015 WAC 296-46B: 2014
Uniform Plumbing Code Edition: 2015 WA State Energy Code: 2015
International Fuel Gas Code: 2015
Permit Center Authorized Signature:
Date: q,
I H"
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 nrmit and agree to the conditions attached to this permit.
Signature
Print Name: (-%'k Z" ` r -t
Date: l _/q�L
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 TUKWI
Community Development Department
• Permit Center
• 6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.aov
SITE LOCATION
Plumbing/Gas Permit No.
Project No.
Date Application Accepted:
'Date Application Expires:
use
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 Address: 39 2e I '�1� tj ST
Tenant Name:
A
PROPERTY OWNER
Name: 0 O V V A -L /
Address: C�
City: State: Zip:
CONTACT PERSON — person receiving all project
communication
Name:
j
Address:zo Z
City:YC'e- �c-
State: Zip.C�C�Ot,(
PhoneZ.6
e;
Email:
Z
CG�C( A
EW
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ ..... Yes V. No
PLUMBING CONTRACTOR INFORMATION
Company Name:(f Jr-
Address:
GAddress: Z®Z T 3
City: �c C State: (� Zip: G�
Phone: 2o 6 .Fax:
ContrReg No.:CVST0(Z 7T6k;OExpDale: Z_q—/g
Tukwila Business License No.: Dtj 5 .—QOL -' `7
Valuation of Project (contractor's bid price): $
Scope of Wo r (please provide detailed information): J i
I --p �. s1-,� /-t� ,c ( 9,(r C,
Building Use (per Int'I Building Code):
Occupancy (per Int'l Building Code):
Utility Purveyor: Water:
Sewer:
H:WpplicationsTorms-Applications On Line\2011 Applications\Plumbing Permit Application Revised 8-9-1 l.docx
Revised: August 2011 Page 1 of 2
bh
Indicate type of plumbing fixtures and. ,as piping outlets being installed and the quaff. below:
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
PERMIT APPLICATION NOTES -
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
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
Print Name: I -- C_.-r-ffY !� e
Mailing Address:
Date: l ^ `q —14
Day Telephone: 2,0 6
City
3Sd6 c� 3 Z �
X 796
State Zip
H:WpplicationsTorms-Applications On Line\2011 ApplicationsTiumbing Permit Application Revised 8-9-11.docx
Revised: August 2011 Page 2 of 2
bh
DESCRIPTIONS
PermitTRAK
ACCOUNT QUANTITY
PAID
$131.78
PG16-0134 Address: 3920 S 146TH ST BLDG
Apn: 0040000254
$131.78
PLUMBING
$125.50
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00 0.00
$32.50
PERMIT FEE
R000.322.100.00.00 0.00
$93.00
TECHNOLOGY FEE
$6.28
TECHNOLOGY FEE
TOTALR9412
R000.322.900.04.00 0.00
$6.28
$131.78
Date Paid: Wednesday, September 14, 2016
Paid By: CCZ INC
Pay Method: CREDIT CARD 101957
Printed: Wednesday, September 14, 2016 11:15 1 of 1 RW
SYSTEMS
AM
INSPECTION RECORD
Retain a copy with permit -0��'
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367
Permit Inspection Request Line (206) 438-9350
Projec :
A- I CA
Ty of Inspection:
ElAfAl-
Address:
'M 77q Srr
Date Called:
Special Instructions:
Date Wan d/ a.m.
7 A';"
Requester
Phone No:
gApproved per applicable codes. LJ Corrections required prior to approval.
pector:
► 117
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Z Retain a copy with permit JR46 -0)3q
INS CTION N0. PERMIT N0.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Proje t:T
� G�Yti',1 C
e of Inspection:
- /Al G 131 /�
Address:
1' S.7.,
Date Called:
Special Instructions:
Date Want / .m.
Requester: '
Phone No:
® Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Inspector: Date: /G j
A, AA is
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 permitk_16 -0/3 g
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
Project:Type
ASI -F - ,CA
of Inspection:
G &-m?m -czr K
Address. -Date
G`7p 4160 �
Called:
Special Instructions:
Date Want 6§.m.
p.m.
Requester:
Phone No:
®Approved per applicable codes. 11 Corrections required prior to approval.
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
CUSTOM CRAFTING ZETTERBEF — TNC
Washington State Department of
"Labor & Industries
Page 1 of 2
Rome Espanol Contact (Search L&I
A -Z Index Help My L&I
Safety & Health Claims & Insurance Workplace Rights Trades & Licensing
CUSTOM CRAFTING ZETTERBERG INC
Owner or tradesperson 202 TACOMA BLVD. N
Principals PACIFIC, WA 98047
P 206-356-9328
ZETTERBERG, DAN RYAN, PRESIDENT KING County
ZETTERBERG, APRIL
MICHELLE, SECRETARY
Doing business as
CUSTOM CRAFTING ZETTERBERG INC
WA UBI No. Business type
602 819 265 Corporation
Governing persons
APRIL
Insurance
.............. _ .... _ .....
ZETTERBERG
West American Ins Co
DAN ZETTERBERG;
Policy no.
DANIEL R ZETTERBERG;
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Construction Contractor
.......................... _.................. _.....................
Active.
04/11/2010
Meets current requirements.
License specialties
GENERAL
License no.
CUSTOCZ99OKM
Effective — expiration
05/14/2001— 02/04/2018
Bond
......._.......
GREAT AMERICAN INS CO OF NY
$12,000.00
Bond account no.
7902865500049
Received by L&I
Effective date
08/07/2002
08/05/2002
Expiration date
Until Canceled
Insurance
.............. _ .... _ .....
West American Ins Co
$1,000,000.00
Policy no.
BKW53080930
Received by L&I
Effective date
03/17/2016
04/11/2010
Expiration date
04/11/2017
Savings
https://secure.Ini.wa. gov/verify/Detail.aspx?UBI=602819265&LIC=CUSTOCZ99OKM&SAW=
Help us improve
9/14/2016