HomeMy WebLinkAboutPermit PG16-0160 - TAKACS RESIDENCE - GAS METERTAKACS RESIDENCE
1320530 TH PL S
PG16-0160
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: 7346600290 Permit Number: PG16-0160
Address: 13205 30TH PL S Issue Date: 10/27/2016
Permit Expires On: 4/25/2017
Project Name: TAKACS RESIDENCE
Owner:
Name:
TAKACSJANOS
Address:
13205 30TH PL S, SEATTLE, WA, 98168
Contact Person:
14103 STEWART RD, SUMNER, WA,
Name:
COREY ALEXANDER Phone: (425) 513-4388
Address:
13330 STONE AVE N, SEATTLE, WA,
Lender:
98113
Contractor:
2015
Name:
INFRASOURCE SERVICES LLC
Address:
14103 STEWART RD, SUMNER, WA,
WA Cities Electrical Code:
98390
License No:
INFRASL871C2
Lender:
2014
Name:
2015
Address:
2015
Phone: (425) 677-5197
Expiration Date:
DESCRIPTION OF WORK:
RELOCATION OF THE GAS METER
Valuation of Work: $1,000.00 Fees Collected: $102.38
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 296-466:
2014
Uniform Plumbing Code Edition:
2015
WA State Energy Code:
2015
International Fuel Gas Code:
2015
Permit Center Authorized Signature: 114
,
Date: V ��
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 per agree to the con 'tions ached to this permit.
Signature: c / Date:
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: 'ELECTRICAL PERMIT CONDITIONS'
2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical
Inspector at each work site.
3: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical
Inspector.
4: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations,
Chapter 296-468 WAC.
5: When any portion of the electrical installation is to be hidden from view by permanent placement of parts
of the building, such equipment shall not be concealed until it has been inspected and approved by the
Electrical Inspector.
6: The issuance of an electrical work permit shall not be construed to be a permit for, or an approval of, any
violation of the provisions of the electrical code or other ordinances of the jurisdiction. Permits or related
documentation that presumes to grant this authority are therefore not valid.
7: Any change in the scope of work described by the electrical work permit shall require additional work
permits. Where approved plans have been issued, revisions to the plans and additional review may be
required.
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 Development Department
• Permit Center
• 6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
littp://www.TukA,i]aWA.,c,,o__
SITE LOCATION
Plumbing/Gas Permit No. N 1�— 01 va__
Project No.
Date Application Accepted:
Date Application Expires: _
nese
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"
King Co Assessor's Tax No.:
Site Address: 132,0S- PL Tt� PL 5 Suite Number: Floor:
Tenant Name: TOL N D f>J -Jr 14m-,- New Tenant: ❑ ..... Yes ❑.. No
PROPERTY OWNER
Name: r, S �� G
Address: `3 2 ds OY P e
City: TOC w� ( A State: k>A Zip (
CONTACT PERSON — person receiving all proiect
communication
Name: (feop—c,\ /�
Ah( C
Address: /—�
City: State: Zip:
Phone:'
Email:
PLUMBING CONTRACTOR INFORMATION
Company Na
Addressly/b3 q—GWAIT Xb
City�-54c," State: Zip
D
Phone: ZSy Fax:
Contr Reg No. .F2AS��7K�xp Date:
Tukwila Business License No.:
Valuation of Project (contractor's bid price): $ 1 o0p� UG
Scope of Work (please provide detailed information): R A>r X -Q/`( dr
Building Use (per Int'l Building Code):
Occupancy (per Int'l Building Code):
Utility Purveyor: Water:
H:\Applications\Forms-Applications On Line\2011 Applications\Plumbing Permit Application Revised 8-9-1 Ldocz
Revised: August 2011
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Sewer:
Page 1 of 2
Indicate type of plumbing fixtures and/o. 3 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
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 O—V^ EWOR A
Date: 16 - Z 7 Ave
Print Name: /Z.�0/2C�Zk Day Telephone:
Mailing Address: 61L,�A
City State Zip
H:Wpplications\Forms-Applications On Line\2011 ApplicationsTlumbing Permit Application Revised 8-9-1l.docx
Revised: August 2011
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Page 2 of 2
DESCRIPTIONS
PermitTRAK
ACCOUNT QUANTITY
PAID
$102.38
PG16-0160 Address: 13205 30TH PL S
Apn: 7346600290
$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 FEES PAID ..
R000.322.900.04.00 0.00
$4.88
$102.38
Date Paid: Thursday, October 27, 2016
Paid By: INFRASOURCE SERVICES LLC
Pay Method: CREDIT CARD 071246
Printed: Thursday, October 27, 2016 10:16 AM 1 of 1f
SYSTEMS
' INSPECTION RECORD
Retain a copy with permit
I CTION 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
Pro' ct:Type
of Inspection:
Pip
Address:
) rws:— 30774 (91 S
Date Called:
Special Instructions:
Date Wanted: m.
Requester:
Phone o:
M-
Approved per applicable codes. t.._J Corrections required prior to approval.
COMMENTS:
Inspector: ,(hen Date:lV la?,111(e
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 -U�Lry
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
AApproved per applicable codes. a Corrections required prior to approval.
Inspector: Date,
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Infrasource Services, LLC
Washington State Department of
CLabor & industries
Infrasource Services, LLC
Owner or tradesperson
Principals
Corporation Service Company, AGENT
O'Brien, Peter Bennett, MEMBER
Doing business as
Infrasource Services, LLC
Home Espanol contild
Safety & Health Claims & Insurance
14103 Stewart Road
SUMNER, WA 98390
425-677-5197
PIERCE County
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Meets current requirements.
License specialties
GENERAL
$5,000,000.00
License no.
INFRASL871C2
Effective — expiration
Effective date
02/22/2013— 02/22/2017
05/01/2016
Bond
................
Expiration date
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
Policy no.
mwzy307276
Received by L&I
Effective date
04/18/2016
05/01/2016
Expiration date
05101/2017
Insurance history
Savings
&o'savings accounts during the previous 6 year period.
Lawsuits against the bond or. savings
No lawsuits against the bond or savings accounts during the previous 6 year period.
L&I Tax debts
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