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Home My WebLink AboutPermit PG17-0056 - EKBERG RESIDENCE - BATHROOM REMODELEKBERG RESIDENCE 4920 S 161 ST PGI7-0056 Parcel No: ' Address: Project Name: 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 5194600020 4920 S 161ST ST EKBERG RESIDENCE PLUMBING/GAS PIPING PERMIT Permit Number: PG17-0056 Issue Date: 4/26/2017 Permit Expires On: 10/23/2017 Owner: Name: Address: EKBERG ALLAN E 4920 S 161ST ST , SEATTLE, WA, 98188 Contact Person: Name: ALLAN EKBERG Address: Contractor: Name: Address: License No: Lender: Name: Address: 4920 S 161 ST, TUKWILA, WA, 98188 ANOTHER VINE MESS 14038 MACADAM RD S , SEATTLE, WA, 98168 ANOTHVM984BG Phone: (206) 241-6904 Phone: (206) 248-8819 Expiration Date: 1/7/2018 DESCRIPTION OF WORK: PLUMBING FOR BATHTUB CONVERSION TO SHOWER, AND SINK FAUCET & LAVATORIES REPLACEMENTS Valuation of Work: $800.00 Water District: HIGHLINE Sewer District: VALLEY VIEW Fees Collected: $138.44 Current Codes adopted by the City of Tukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: International Fuel Gas Code: Permit Center Authorized Signature: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: LoaSti 2014 2014 2014 2015 Date: 4,--,)-10't-� 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 e t the con tions attached to this permit. Signature: Print Name: A/A44_,0 fr-g (-7tf2— cp Date: Y/2_4 -7l7 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" 4 Community Developm__. Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Plumbing/Q.. Permit Project No. Date Application Accepted: Date Application Expires: (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.: Site Address: (q J . l c'(j "7 �,' L ,��- -� (� %,�, /�► �tl GLIM <e�l�uite Number: Floor: Tenant Name: ' 1 La Ai e71? --6 PROPERTY OWNER Name: ua," Ekt y .?7 Address: t/f�� S (� S ZZ'�'r�"""!! City: r /A ,M4 e: q, /�m• Zip: CONTACT PERSON — person receiving all project communication Name: n //� F_1 1 �, /�(�y .56.1y, �/ Address: �+�vCY- / (+ �`/ J / /c T. �J / City: t 1 State: �4 .0i- e Phone: .2h 61'6 MS Fax: �— Email: - [o_kA /� r al (tel/ (piLt ,e/� New Tenant: ❑ Yes ❑..No PLUMBING CONTRACTOR INFORMATION n r1le: v; A., 8igzss Address:( l% 3// �4�lJ,1tinyj City: t//J4l/j c�f� State: j4 Zip:t6,, e Phone:,206 6,/1 7 w Fax: Contr Reg No.: Exp Date: Tukwila Business License No.: Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): (AV S C:e• .i 2 J-4 7H 72.//S Building Use (per Int'l Building Code): Occupancy (per lnt'I Building Code): Utility Purveyor: Water: H:\Applications\Forms-Applications On Line \201I Applications\Plumbing Permit Application Revised 8-9-I l.docx Revised: August 2011 bh Sewer: IA / Pa, e Page 1 of 2 Indicate type of plumbing fixtures and/ Is piping outlets being installed and the quan )elow: Fixture Type Qty Bathtub or combination bath/shower 6. Dishwasher, domestic with independent drain Shower, single head trap Z Sinks Rain water system — per drain (inside building) Grease interceptor for commercial kitchen (>750 gallon capacity) f 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 Z Urinal Water heater and/or vent Repair or alteration of water piping and/or water treatment equipment f 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 PERJU l:Y T LAWS HE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OW Signature: Date: L// 4 -72 -- Print Name: ,4 /(4/1 Day Telephone: -22‘" Mailing Address: �S (,s7-- — / (",/6.,...,14t l? 7'l City H:\Applications\Forms-Applications On Line \2011 Applications\Plumbing Permit Application Revised 8-9-11.docx Revised: August 2011 bh State Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK 1 ACCOUNT I QUANTITY I PAID $198.66 EL17-0315 Address: 4920 S 161ST ST Apn: 5194600020 $60.22 Credit Card Fee $1.75 Credit Card Fee I R000.369.908.00.00 1 0.00 $1.75 ELECTRICAL $55.69 PERMIT FEE SINGLE FAMILY 1 R000.322.101.00.00 I 0.00 $55.69 TECHNOLOGY FEE $2.78 TECHNOLOGY FEE 1 R000.322.900.04.00 I 0.00 $2.78 PG17-0056 Address: 4920 S 161ST ST Apn: 5194600020 $138.44 Credit Card Fee $4.03 Credit Card Fee I R000.369.908.00.00 0.00 . $4.03 PLUMBING $128.01 PERMIT FEE R000.322.100.00.00 0.00 $94.86 • PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $33.15 TECHNOLOGY FEE $6.40 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R11361 R000.322.900.04.00 0.00 $6.40 $198.66 Date Paid: Wednesday, April 26, 2017 Paid By: ALLAN EKBERG Pay Method: CREDIT CARD 31628Z Printed: Wednesday, April 26, 2017 11:28 AM 1 of 1 CiSYSTEMS 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) 438-9350 Project: £gd'19. j�SI1X'J� Txi�.kje of Inspection: yam• iturvt /1i6 I'/stML— Address: WO 5 JG) Date Called: Special Instructions: Date Wante : 9 &� 7 a.m. p.m. Requeste . Phone Na Approved per applicable codes. Corrections required prior to approval. COMMENTS: oK- PLVM13/uG FIh/V Inspector: ?-17 Date: REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit P617- OoSZ 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: L g&!& ea 'DCA/CC TEltir of Inspection: ai1614-1/J (i G;rro% eAc! Address:JJ Date Called: Special Instructions: • Date Wanted: z/ % gm._ p.m. Requester: Phone No: ixApproved per applicable codes. E Corrections required prior to approval. COMMENTS: P u$$-iN NAJJ irtP2 Inspector: Date: REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. ANOTHER VINE MESS Home Espanol Contact Safety & Health Claims & Insurance 0 Washington State Department of Labor & Industries Search L&I Page 1 of 2 A -Z Index Help My I &i Workplace Rights Trades & Licensing ANOTHER VINE MESS Owner or tradesperson LORENZEN, ROGER S Principals LORENZEN, ROGER S, OWNER WA UBI No. 602 008 878 14038 MACADAM RD S SEATTLE, WA 98168-4112 206-246-8819 KING County Business type Individual License 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. ANOTHVM984BG Effective — expiration 01/07/2002— 01/07/2018 Bond ._....._...... CBIC Bond account no. SD1210 $12,000.00 Received by L&I Effective date 01/07/2002 12/28/2001 Expiration date Until Canceled Insurance ............................. Contractors Bonding & Insuranc Policy no. INSSD1210 $1,000,000.00 Received by L&I Effective date 05/31/2016 07/17/2016 Expiration date 07/17/2017 Insurance history Savings No 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 No L&I tax debts are recorded for this contractor license during the previous 6 year period, but some debts may be recorded by other agencies. License Violations ............................... _.................... No license violations during the previous 6 year period. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602008878&LIC=ANOTHVM984BG&SAW= 04/26/2017 ANOTHER VINE MESS IWorkers' comp No active workers' comp accounts during the previous 6 year period. Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Page 2 of 2 O Washington State Dept. of Labor & Industries, Use of this site is subject to the laws of the state of Washington. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602008878&LIC=ANOTHVM984BG&SAW= 04/26/2017