HomeMy WebLinkAboutPermit PG17-0083 - LAMOTHE RESIDENCE - GAS METERLAMOTHE RESIDENCE
14477 56 AVE S
PGI 7-0083
Parcel No:
Address:
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
3365900096
14477 56TH AVE S
PLUMBING/GAS"PIPING PERMIT
Project Name: LAMOTHE RESIDENCE
Permit Number: PG17-0083
Issue Date: 7/3/2017
Permit Expires On: 12/30/2017
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
LAMOTHE ROY D+JENNIFER
14477 56TH AVE S , TUKWILA, WA,
98168
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:
RELOCATE GAS METER
Valuation of Work: $1,000.00
Water District: TUKWILA
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:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2014
2014
2014
2015
Permit Center Authorized Signature: ,� 1�� `. Date: J
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 a d agree to the c•ndi s attached to this •ermit.
Signature I . Date: 7-3-/7
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 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 TUKV A
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
littp://www.Tukw i la W A. aov
rSJTE LOCATION
Plumbing/Gas Permit No. Nh'00N
Project No.
Date Application Accepted:
Date Application Expires:
(For eke use only)
PLUMING / GAS PIPING PE MIT 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**
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Site Address: _��11 Suite Number: Floor:
Tenant Name: �,., A 4.c 1 t+ �`% C) fi. On\uk. G" -F(; - New Tenant: ❑ Yes ❑.. No
PROPERTY OWNER
Name:L,rN c /b veNMeF e7L
Address: pig 7 7 tJ(o AY e S
CityTo 14(L)X' ((,4 State:, Zip: g/(A
CONTACT PERSON — person receiving all project
communicl ion
Name:
fey e / J
X�
moi
!/"
Address:
Contr Reg jt,ts-6g7c%xp Date:
Tukwila Business License No.:
City:
State:
Zip:
Phone: (,Ss
!�//—,
33ax:
v
Email:.1
PLUMBING CONTRACTOR INFORMATION
Company Nar i /Fvitbac
,f,C` el/X-C eS, 4
Address: / C( J i-e-tu aT n
Ciy• tt ef- State: aJ_Zip:,.
Phone: ( z 74/r43 ax:
Contr Reg jt,ts-6g7c%xp Date:
Tukwila Business License No.:
Valuation of Project (contractor's bid price): $ 1,,. (wQ, W
Scope of Work (please provide detailed information):
Building Use (per Int'l Building Code):
Occupancy (per Int'l Building Code):
Utility Purveyor: Water: Sewer:
H:\ApplicationsWorms-Applications On Line \2011 Applications\Plumbing Permit Application Revised 8-9-11.docx
Revised: August 2011
bh
Page 1 of 2
Indicate type of plumbing fixtures a, r gas piping outlets being installed and the qt, cy 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
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 0 '• R AUTH
Signature:
Print Name:
Mailing Address:
Date:
-45 1
Day Telephone: 6/-4-3--- 6— --
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
PermitTRAK
DESCRIPTIONS ACCOUNT QUANTITY I
i
PAID
$645.30
PG17-0082 Address: 5617 S 147TH ST ;Apn: 1157200176
$107.55
Credit Card Fee
$3.13
Credit Card Fee
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
R000.322.900.04.00
0.00
$4.97
PG17-0083 Address: 14477 56TH AVE S Apn: 3365900096 '
$107.55
Credit Card Fee "
$3.13
Credit Card Fee
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
R000.322.900.04.00
0.00
$4.97
' PG17-0084 Address: 14703 56TH AVE S Apn: 1157200179 '
$107.55`
Credit Card Fee
$3.13
Credit Card Fee
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
R000.322.900.04.00
0.00
$4.97
PG17-0085 Address: 14474 56TH AVE S Apn: 2111300020
$107.55
Credit Card Fee
$3.13
Credit Card Fee
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
1 R000.322.900.04.00
1 0.00
I
$4.97
Date Paid: Monday, July 03, 2017
Paid By: COREY ALEXANDER
Pay Method: CREDIT CARD 011082
Printed: Monday, July 03, 2017 10:43 AM 1 of 2
CSYSTEMS
Cash Register Receipt
City of Tukwila
Receipt Number
R11844
:. DESCRIPTIONS ACCOUNT QUANTITY PAID
PermitTRAK ... $645.30
PG17-0086. Address: 5618 S 147TH ST Apn: 2111300005. $107.55
Credit Card Fee $3.13
Credit Card Fee
I R000.369.908.O0.00
0.00
$3.13
GAS $99.45
PERMIT ISSUANCE BASE FEE
IR000.322.100.00.00
0.00
$33:15
PERMIT FEE
R000.322.100.00:00
0.00
$66:30
TECHNOLOGY FEE $4.97.
TECHNOLOGY FEE
R000.322.900.04;00
0.00
$4.97
PG17-0087 Address; 5624 S 147TH ST Apn: 3365900510 - _ $107.55
Credit Card Fee $3:13
Credit Card Fee
1 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 R000.322.900.04.00 0.00 $4.97
TOTAL FEES:PAID BY RECEIPT: R11844 $645.30
Date Paid: Monday, July 03, 2017
Paid By: COREY ALEXANDER
Pay Method: CREDIT CARD 011082
Printed: Monday, July 03, 2017 10:43 AM 2 of 2
CPSYSTEMS
INSPECTION RECORD
Retain a copy with permit
CTION N10. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 43'.1-367
Permit Inspection Request Line (206) 438-9350
Project: --.'
lAW/O ie �b
ci
ection: ii
Type of ln4j3r&
CAS IA16- //VAC
Address:
10/ 77 s 14Av --
S
Date Called:
Special Instructions:
Date Wanted:
7 /0 7
a.m.
1p.m.
Requester:
Phone No:
2s3 WI 6'1.
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Inspector: 46.41,4
7
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
INSPE ION 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
PIA? -6O6
Project:
L. lib 7f ' 12a'
Ty a of Inspection:
v ,-- ha eAs PIo1'&
Address:
)4/Li7 7 5e
4
Avt= S
Date Called:
Special Instructions:
Date Wanted:
�� 17
on.L.n
p.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Inspector:
7
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
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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
WAUBINo.
603'222 558
14103 Stewart Road
SUMNER, WA 98390
425-677-5197
PIERCE County
Business type
Corporation
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.
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 11/1912012
Expiration date
Until Canceled
Insurance
Old Republic Ins Co
Policy no
MW2:Y310349
$5,000,000.00
Received by L&I Effective date
04124/2017 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
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.
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https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603222558&LIC=INFRASL871 C2&SAW= 7/3/2017