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Home My WebLink AboutPermit PG17-0171 - DZ DEVELOPMENT - SINKS, TOILETSDZ DEVELOPMENT 5110 S 163 PL PGI 7-0171 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 8700500050 5110 S 163RD PL DZ DEVELOPMENT PLUMBING/GAS PIPING PERMIT Permit Number: PG17-0171 Issue Date: 4/23/2018 Permit Expires On: 10/20/2018 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: JOHNSON CALVIN M 5110 S 163RD PL, TUKWILA, WA, 98188 DAVID HILLS 1609 5TH ST NW , AUBURN, WA, 98002 JACOBSEN REMODELING LLC 116 16TH AVE , KIRKLAND, WA, 98033 JACOBRL831L3 !1I Phone: (253) 334-4280 Phone: (206) 384-9298 Expiration Date: 5/23/2019 DESCRIPTION OF WORK: Valuation of Work: $1,000.00 Water District: HIGHLINE Sewer District: TUKWILA Fees Collected: $261.99 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: 2017 2.017 2017 2015 Date: 11-0.-71-3 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 and agree to the conditions attached to this permit. Signature: is Date: Y/Z,V7, Print Name: t,Gf ad 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 TUKWI"" Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov 404. Plumbing/Gas remit No. "i 1lI Project No. Date Application Accepted: 11/1 �6.I 11 Date Application Expires: (p la ) (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:.//0 5 �lv3r1 P1 (r k`''"�� wA Tenant Name: 02. PROPERTY OWNER Name: S)!VCG hi U> Name: (yZ iv/ve la y 4 City:vi. rk �GState: �� Address: 0 I 1(0 (-.t. City: /1 V(A.. State: A" City: icarkl State: Wk Zip: R -o33 CONTACT PERSON - person receiving all project communication Name: S)!VCG hi U> Address: 1 i Ib I (o(oft,Ari/.t Address: l (00 q rit,5-1- N it City:vi. rk �GState: �� Zip:q j3 City: /1 V(A.. State: A" Zip: goo - Phone: 25. 7 3 y , tl2 RU Fax: Tukwila Business License No.: Email: dLkt tts g L cir„,0.4 .tor,.. Suite Number: Floor: New Tenant: ❑ Yes ❑.. No PLUMBING CONTRACTOR INFORMATION Company Name: --Jacr 5ev. 0_,,de Ae 1 Address: 1 i Ib I (o(oft,Ari/.t City:vi. rk �GState: �� Zip:q j3 Phone: 26( 3iy gZ9i. Fax: Contr Reg No.: iGl n6 et 3( k3 Exp Date: Tukwila Business License No.: Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): 000 lns l{c„fri yvC‘.d �r S a,01 kj Building Use (per Int'I Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: Sewer: H:\Applications\Forms-Applications On Line\2011 Applications\Plumbing Permit Application Revised 8-9-1 I.docx Revised: August 2011 bh Page 1 of 2 Indicate type of plumbing fixtures and/c Fixture Type. : : 'QtY Bathtub or combination bath/shower t Dishwasher, domestic with independent drain Shower, single head trap Z Sinks 1 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) s piping outlets being installed and the quanti Fixture Type Qty Bidet Drinking fountain or water cooler (per head) Lavatory 3 Urinal 3 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 3 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 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 O�2 AUORIZED AGENT: Signature: ��/` Print Name: ()a.ofei At is Mailing Address: /(269 S 11- Alt JkLUdn, Date: /2--765M Day Telephone: 257 33'(4'z?o City H:\Applications\Forms-Applications On Line \2011 Applications'Plumbing Permit Application Revised 8-9-1 I.docx Revised: August 2011 bh State Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS I ACCOUNT QUANTITY PAID PermitTRAK $602.92 D17-0332 Address: 5110 S 163RD PL Apn: 8700500050 I $340.93 Credit Card Fee $9.93 Credit Card Fee I R000.369.908.00.00 0.00 $9.93 DEVELOPMENT 1 $321.40 PERMIT FEE R000.322.100.00.00 0.00 $192.06 PLAN CHECK FEE R000.345.830.00.00 0.00 $124.84 WASHINGTON STATE SURCHARGE B640.237.114 0.00 $4.50 TECHNOLOGY FEE 1 $9.60 TECHNOLOGY FEE I R000.322.900.04.00 0.00 $9.60 PG17-0171 Address: 5110 5 163RD PL Apn: 8700500050 $261.99 Credit Card Fee . $7.63 Credit Card Fee I R000.369.908.00.00 1 0.00 $7.63 PLUMBING $242.25 PERMIT FEE R000.322.100.00.00 0.00 $209.10 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $33.15 TECHNOLOGY FEE $12.11 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R13037 R000.322.900.04.00 0.00 $12.11 $602.92 Date Paid: Friday, December 15, 2017 Paid By: DAVID HILLS Pay Method: CREDIT CARD 01595G Printed: Friday, December 15, 2017 12:07 PM 1 of 1 C). ! SYSTEMS INSPECTION NO. INSPECTION RECORD Retain a copy with permit 1;0— 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: 2)�Typeyf o�'+r€l11/ pzess: Inspection: Lu.nt AN�L Date Called: Special Instructions: Date Wanted: 5-0¢ � - �4 a.mti p.m. Requester: Phone No: Approved per applicable codes. L.1 Corrections required prior to approval. C . MENTS: PL*1 r fa Lee-/-is-2A- `Rt.tAilbatip AC1 ./f/ire. x,10 Inspectorg CCs REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. JACOBSEN REMODELING LLC Home Espanol Contac Safety & Health Claims & Insurance 0 Washington State Department of Labor & industries Search L&I A -Z Index Helu Page 1 of 2 My L&l Workplace Rights Trades & Licensing JACOBSEN REMODELING LLC Owner or tradesperson Principals JACOBSEN, DEAN GREGORY, PARTNER/MEMBER Doing business as JACOBSEN REMODELING LLC WA UBI No. 603 143 136 116 16th Ave KIRKLAND, WA 98033 206-384-9298 KING County Business type Limited Liability Company 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. JACOBRL831K3 Effective — expiration 05/23/2017— 05/23/2019 Bond Wesco Insurance Co Bond account no. 46WB086256 $12,000.00 Received by L&I Effective date 05/23/2017 05/22/2017 Expiration date Until Canceled Insurance Security National Insurance Policy no. NA119270000 $1,000,000.00 Received by L&I Effective date 05/23/2017 05/22/2017 Expiration date 05/22/2018 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=603143136&LIC=JACOBRL831 K3&SAW= 4/23/2018