HomeMy WebLinkAboutPermit PG18-0155 - FOSS RESIDENCE - PLUMBING RE-ROUTE IN CRAWL SPACE; WASTE/VENT ONLYFOSS RESIDENCE
4411 S 158 ST
PGI 8-0155
Parcel No:
Address:
Project Name:
City of Tukwila
^.U~n
of
Department of Community Development
63VO5nuthcenterBoulevard, Suite #1OU
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-438'9350
Web site: http://www.TukwilaWA,Rov
PLUMB1PIPING PERMIT
8108608201 Permit Number:
4411 S 158TH ST
FOSS RESIDENCE
Issue Date:
Permit Expires On:
PG18-0155
12/31/2018
6/29/2019
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
FOSS THEODORE C+MAXINE J
8O1546THAVE SVV,SEATTLE, WA,
98136
ERIC PETERSON
1720U]RANE5T'ENUN[LAVV WA,
98022
NORDVIND SEWER SERVICE LLC
Z51Z3SEGREEN VALLEY RD,
AUBURN, WA, 98092
NORDVS5850[7
'''
Phone: (630) 825-5704
Phone: (360) 825-5704
Expiration Date: 2/27/2019
DESCRIPTION OF WORK:
PLUMBING RE-ROUTE IN CRAWL SPACE; WASTE/VENT ONLY
Valuation of Work: $1,000.00
Water District: HIGHLINE
Sewer District: NONE
Fees Collected: $119.42
Current Codes adopted by the City of Tukwila:
International Buiiding 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
2017
2017
2015
�-31- /
DDate:Y�/g
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 an/agree to the conditions attached to this permit.
Signature:
Print Name:
n�Q.Seri
Date: /U A/ /(P
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
15: ***PLUMBING/GAS PIPING PERMIT CONDITIONS***
16: No changes shall be made to applicable plans and specifications unless prior approval is obtained from the
Tukwila Building Division.
17: All permits, inspection records and applicable plans shall be maintained at the job and available to the
plumbing inspector.
18: All plumbing and gas piping systems shall be installed in compliance with the Uniform Plumbing Code and
the Fuel Gas Code.
19: No portion of any plumbing system or gas piping shall be concealed until inspected and approved.
20: 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.
21: 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.
22: 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.
23: 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.
24: 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.
25: 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.
26: 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.
27: The applicant agrees that he or she will hire a licensed plumber to perform the work outlined in this permit.
28: 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 TUKWY-
Community Developmera-Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
g
Plumbing/Gas termit No. ITS
Project No.
Date Application Accepted: It.- ) 18
Date Application Expires; (4 —7- (11--1
(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'
Site Address: 44t1 51"
Tenant Name:
PROPERTY OWNER,
Name:
Name: ..--s-
o»-
tAl pr.
Address: h.AA\
5, \5? -1.‘,.‘ n.
Tukwila Business License No.:
City:
"C)Iks“AA VI
State: IA
Zip: 1(,5 hie
CONTACT PERSON - person receiving all project
communication ,
Name:
AA/ c A7
f),...0„,,
tAl pr.
1 r' Fo
Address:
Tukwila Business License No.:
City:
State:
Zip:
Phone:
Fax:
Email:
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ID Yes
PLUMBING CONTRACTOR INFORMATION
Company Name:
op -00 no .
Address: (37,4 1_0(0106 ir„
City: .-State: wA Zip: ggozz
Pr -UAW -CAW
Phone: ..1 0. 2z,-, 5-a.vi( Fax: n/.c
Contr Reg No.: ( Exp Date:j„-.-4.4 2., / 1
Tukwila Business License No.:
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information): ii.J it bfryt 2..E -gzuq rn cg/Pic.
Building Use (per Int'l Building Code):
Occupancy (per Int'l Building Code):
Utility Purveyor: Water: Sewer:
H:\Applica1ionsWornisAppIications On Line12011 Applications.Plumbing Permit Application Revised 8-9-11.docx
Revised: August 2011
bh
Page 1 of 2
Indicate type of plumbing fixtures ander gas piping outlets being installed and the quant` elow:
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)
(`1
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
(`1
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
(`1
Backflow protective
device other than
atmospheric -type
vacuum breakers over 2
inch (51 mm) diameter
Gas piping outlets
Fixture Type
Qty I
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 CERWFIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PE1f.IURY BY THE LAWS OF THE STATE OF WASHINGTON, AND 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWN R R AU'lMORIZED AGENT:
ll!! /J r )
Signature: / Date: A? i 1f
Print Name:
QF4r450n
Mailing Address:
/4)
Day Telephone: 25j, 64, o44? -
City
H: ApplicationsTorms•Applications On Line \2011 Applications\Plumbing Permit Application Revised B -9-I I,docx
Revised: August 2011
bh
State Zip
Page 2 of 2
DESCRIPTIONS
ACCOUNT
QUANTITY
.
PAID
$716.52
PermitTRAK
PG18-0152 Address: 4434 S 156TH ST
Apn: 8108600042
$119.42
PLUMBING
$113.73
PERMIT FEE
R000.322.100.00.00
0.00
$80.58
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$33.15
TECHNOLOGY FEE
$5.69
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$5.69
PG18-0153 Address: 15629 44TH AVE S
Apn: 8108600123
$119.42
PLUMBING
$113.73
PERMIT FEE
R000.322.100.00.00
0.00
$80.58
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$33.15
TECHNOLOGY FEE
$5.69
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$5.69
PG18-0154 Address: 4270 S 158TH ST
Apn: 8108600144
$119.42
PLUMBING$113.73
•
PERMIT FEE
R000.322.100.00.00
0.00
$80.58
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$33.15
TECHNOLOGY FEE
$5.69
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$5.69
PG18-0155 Address: 4411 S 158TH ST
Apn: 8108600201
$119.42
PLUMBING
$113.73
PERMIT FEE
R000.322.100.00.00
0.00
$80.58
PERMIT ISSUANCE BASE FEE
R000,322.100.00.00
0.00
$33.15
TECHNOLOGY FEE
$5.69
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$5,69
PG18-0156 Address: 4436 S 158TH ST
Apn: 8108600262
$119.42
PLUMBING$113.73
PERMIT FEE
R000.322.100.00.00
0.00
$80.58
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00 I
$33.15
TECHNOLOGY FEE
$5.69
TECHNOLOGY FEE
1
R000,322.900.04.00
(
0.00
$5.69
Date Paid: Monday, December 31, 2018
Paid By: NORDVIND SEWER SERVICE LLC
Pay Method: CHECK 1331
Printed: Monday, December 31, 2018 7:52 AM 1 of 2
YSTEMS
PermitTRAK
$716.52
PG18-0157 Address: 4241 S 158TH ST Apn: 8108600560
$119.42
PLUMBING
$113.73
PERMIT FEE
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
R000.322.100.00.00
0.00
0.00
$80.58
$33.15
TECHNOLOGY FEE
$5.69
TECHNOLOGY FEE
TOTAL FEES `PAID BY RECEIPT: R16298
R000.322.900.04.00
0.00
$5.69
Date Paid: Moday, December 31, 2018
Paid By: NORDVIND SEWER SERVICE LLC
Pay Method: CHECK 1331
Printed: Monday, December 31, 2018 7:52 AM
2 of 2 ='Y
SYSTEMS
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
'CITY OF TUKWILA BUILDING DIVISION
1%✓� 0/53
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 438-9350
(205) 431-3670
Project "emit
S /___cm_/
Type of Ins ,ection:
fl/i%rt�
Address: /
Oil/ si /.
,
£
Pate -C -6466k.
Special Instructions: ' ,
13a/kil/
Date Want d:
i
a2.
Requester:
Phone No:
70 Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
pittfreArd ir;fiicz_
Pi6tettbiz 12.073-7 JP -Al
004, sem
riervoly —ev(-
Inspector: /3
Date/_ia r�
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Washington State Department of
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Nordvind Sewer Service LLC
Owner or tradesperson
Principals
Peterson, Eric David, PARTNER/MEMBER
Doing business as
Nordvind Sewer Service LLC
WA UBI No.
603 478 768
25129 SE Green Valley Rd
AUBURN, WA 98092
360-825-5704
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.
NORDVSS850C7
Effective — expiration
02/27/2015— 02/27/2019
Bond
RLI tns Co
Bond account no.
LSM0962998
$12,000.00
Received by L&I Effective date
02/27/2017 02/26/2017
Expiration date
Until Canceled
Bond history
Insurance
Ohio Cas Ins Co $1,000,000.00
Policy no.
BKS5677049
Received by L8,1 Effective date
03/01/2018 04/28/2015
Expiration date
04/28/2019
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.
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Workers' comp
Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums.
Account is current.
L&I Account ID
527,178-00
Doing business as
NORDVIND SEWER SERVICE LLC
Estimated workers reported
Quarter 3 of Year 2018 "4 to 6 Workers"
L&I account contact
TO / DALE MCMASTER (360)902-5617 - Email: MCMS235@lni,wa.gov
Public Works Strikes and Debarments
Verify the contractor is eligible to perform work on public works projects.
Contractor Strikes
No strikes have been issued against this contractor.
Contractors not allowed to bid
No debarments have been issued against this contractor,
Workplace safety and health
No inspections during the previous 6 year period.
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