HomeMy WebLinkAboutPermit PG17-0074 - MUMMERT RESIDENCE - GAS METERMUMMERY RESIDENCE
5106 S 163 PL
PGI 7-0074
Parcel No:
Address:
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-430670
Inspection Request Line: 206-438-9350
Web site: http://www.TukwilaWA.gov
8700500030
5106 S 163RD PL
PLUMBING/GAS PIPING PERMIT
Project Name: MUMMERT RESIDENCE
Permit Number: PG17-0074
Issue Date: 6/13/2017
Permit Expires On: 12/10/2017
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
MUMMERTJAMES E+VIRGINIA R
5106 SO 163RD PLACE , TUKWILA, WA,
98188
COREY ALEXANDER
13330 STONE AVE N , SEATTLE, WA,
98113
INFRASOURCE SERVICES LLC
14103 STEWART RD, SUMNER, WA,
98390
INFRASL871C2
Phone: (425) 513-4388
Phone: (425) 677-5197
Expiration Date:
DESCRIPTION OF WORK:
RELOCATION OF GAS METER
Valuation of Work: $1,000.00
Water District: HIGHLINE
Sewer District: TUKWILA
Fees Collected: $107.55
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:
Date: LO
2014
2014
2014
2015
11 -7
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 perm agree to the conditi•ns a .:shed t. his permit.
Signature:
Print Name: \/,'"
C IC"
Date: 6-/ 31-17
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 gauge.
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 TUIKN 4
Community Development -Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
littp://www.TukwilaWA.gov
Plumbing/Gas Perinit No.1)6 f"7-- Q 7
Project No.
Dale Application Accepted:
Date Application Expires:
(For eke use mil))
(PLUM ING / GAS PIPING PE *MIT APPLYCATI
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**
111
SITE LOCATION
Site Address:
s10(0 S 1(03 R0 PL
King Co Assessor's Tax No.: 81 005b003
Suite Number:
Floor:
Tenant Name: /1/4101\41 (\11 L i2 T Pf L S E + V f iZ-G-ITN L W 12, New Tenant: ❑ Yes ❑.. No
PROPERTY OWNER
Name: rz_L: \/
Name:
.1‘h U tv'l m e ELT .3_ es
.(OL %Z
Address: .510(0 S ICD 3 I2p a L•
Phone: el25.— ..5- )(a_ 413 Wax:
City:'To tC..)J=ll A State (A
Zip98leP)
CO.NTACT PERSON — person receiving all project
communication
Name: rz_L: \/
I -L,L %C
.(OL %Z
Address: I/
Phone: el25.— ..5- )(a_ 413 Wax:
City:
State:
Zip:
Phone:
Fax:
Ema>
/46- Y. ik—1clkAiDe.-r
A.S. .co ' 1
I'.LU.MBING CONTRACTOR INFORMATION
Company Name1NFe_s LLC
Address: /c ! ro3 &? Wri-2.T p-1
City ".1(7' le— State:14
Zip:76376
Phone: el25.— ..5- )(a_ 413 Wax:
Contr Reg No.jit/FJ2 4s'CG 7 jcaExp Date:
Tukwila Business License No.:
Valuation of Project (contractor's bid price): $ 1, coo, 00
Scope of Work (please provide detailed information):
Zc, CO eA T-" z o\l a r i e G A -S Ort CFL -�Z
Building Use (per Int'I Building Code):
Occupancy (per Int'l Building Code):
Utility Purveyor: Water: Sewer:
HAApplications\Forms-Applications On Line12011 Applications\Plumbing Permit Application Revised 8-9-11.docx
Revised: August 2011
bh
Page 1 of 2
Indicate type of plumbing fixtures a. Jr gas piping outlets being installed and the qi. _ity 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
1
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 (5 ] mm) diameter or
smaller
Atmospheric -type vacuum
breakers not included in
lawn sprinkler backflow
protections over 5
1
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
1
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 OW
Signature:
R AUTH41'�GENT:
Print Name
Mailing Address:
A Af /L
Date:p'J3-/7
Day Telephone: 1/42.. :S/b ge
City
H:\Applications\Forms-Applications On Line \2011 Applications\Plumbing Permit Application Revised 8-9-11.docx
Revised: August 2011
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State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
1 ACCOUNT
QUANTITY I
PAID
$107.55
PG17-0074 Address: 5106,S: 163RD PL
Apn: 8700500030
$107.55
Credit Card Fee
$3.13
Credit Card Fee
I R000.369.908.00.00
0.00
$3.13
GAS .
$99.45
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$33.15
PERMIT FEE
R000.322.100.00.00
0.00
$66.30
TECHNOLOGY FEE
$4.97
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R11706
R000.322.900.04.00 0.00
$4.97
$107.55
Date Paid: Tuesday, June 13, 2017
Paid By: COREY ALEXANDER
Pay Method: CREDIT CARD 053738
Printed: Tuesday, June 13, 2017 1:50 PM 1 of 1
CSYSTEMS
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) 438-93500 '/%�_
Project:
/fl) Mill cr. r
at�
Ty�ppe of Inspection:
/Al - �&/IrS
Iii Pi46-
Address:�b
Date Called:
Special Instructions:
Date Want d'
a.m
Requester.
j
Phone No:
Approved per applicable codes. l Corrections required prior to approval.
COMMENTS:
Rasuec Ok
i
Inspe
[1 RE ISPECTION FEE REQUIRED. Prior to next inspection. fee must be
pa = 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) 438-9350 .up, JJ
Project:
Mu w»'1i r S6 DaP:.,g'
Type of Inspection:
14*r- r:
Address:
Iib
ckl6; c
Date Called:
a/a
Special Instructions:
Date Wanted:
,/.
�7
pig.
Requester:
Phone No:
Approved per applicable codes.
r �•
Corrections required prior to approval.
COMMENTS:
i) 6,66. Pie '
Pkrg,zhee 7--ssr "ticfr-ot
Inspector:
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Infrasource Services LLC
Home Espanol Contact
Safety & Health Claims & Insurance
0 Washington State Department of
Labor & Industries
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Workplace Rights Trades & Licensing
Infrasource Services LLC
Owner or tradesperson
Principals
Corporation Service Company, AGENT
O'Brien, Peter Bennett, MEMBER
Doing business as
Infrasource Services LLC
WA UBI No.
603 222 558
14103 Stewart Road
SUMNER, WA 98390
425-677-5197
PIERCE County
Business type
Corporation
License
Verify the contractors 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— 02/22/2019
Bond
.................
Federal Ins Co
Bond account no.
82300597
$12,000.00
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,
MWZY310349
Received by L&I • Effective date
04/24/2017 05/01/2017
Expiration date
05/01/2018
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
Help us improve
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603222558&LIC=INFRASL871 C2&SAW= 6/13/2017
Infrasource Services LLC
No L&I tax debts are recorded for this cont
may be recorded by other agencies.
License Violations
......................................................
No license violations during the previous 6 year period.
license during the previous 6 year period, but some
Workers' comp
Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums.
L&I Account ID
251,992-06
.................................
Doing business as
INFRASOURCE SERVICES LLC
Estimated workers reported
Quarter 1 of Year 2017 "Greater than 100 Workers"
L&I account contact
Employer Services Help Line — 360-902-4817
Account is current.
Workplace safety and health
Check for any past safety and health violations found on jobsites this business was responsible for.
Inspection results date
09/29/2014
Inspection no.
317583649
Location
Captiol Blvd Tumwater
Tumwater, WA 98501
Inspection results date
12/24/2013
Inspection no.
316883644
Location
14103 Stewart Rd
Sumner, WA 98390-9641
Inspection results date
07/31/2013
Inspection no.
316837632
Location
14103 Stewart Rd
Sumner, WA 98390-9641
Under appeal. The results of the inspection are
being challenged.
Date of appeal
05/31/2016
No violations
No violations
Page 2 of 2
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