HomeMy WebLinkAboutPermit PG19-0082 - SANDY RESIDENCE - RELOCATE GAS METER.SANDY RESIDENCE
14250 58TH AVE S
EXPIRED
05/24/21
PGI 9-0082
Parcel No:
Address:
Project Name:
City of Tukwila
Deportment 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
3365901115
14250 58TH AVE S
SANDY RESIDENCE
PLUMBING/GAS PIPING PERMIT
Permit Number: PG19-0082
Issue Date: 6/18/2019
Permit Expires On: 12/15/2019
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
MILLS WILLIAM S
14250 58TH AVE SOUTH , TUKWILA,
WA, 98168
COREY ALEXANDER
14103 STEWART RD , SUMNER, WA,
98390
INFRASOURCE SERVICES LLC
14103 STEWART RD , SUMNER, WA,
98390
INFRASL871C2
Phone: (425) 516-4388
Phone: (425) 677-5197
Expiration Date: 2/22/2021
DESCRIPTION OF WORK:
RELOCATION OF THE GAS METER.
Valuation of Work: $1,000.00
Water District: TUKWILA
Sewer District: TUKWILA
Fees Collected: $129.30
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 Signa
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2017
2017
2017
2015
Date:
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. 1 am authorized to sign and obtain this
development permit and to the con iof tached to this permit.
Signature:
Print Name
Date: w `� ` /
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, sail, 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 TUKWIICi
Community Development epartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
(;,45,„
PlutnbinWGas ..termit No.
Trolled No:
-./
•
Date ApplicationAccepted: , 9
. .
Date Application Expires
:(FOrofffice,Uie 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:
/yZ 45-o (.5-8 r`i
Tenant Name: Srntley
PROPERTY OWNER
Name:4tAxay
Address:/51z5v sy- - iv
/ er ,—Se
City: Taco _T: a A- State: IAA
Zip:
CONTACT PERSON — person receiving all project
communication
Name: rzey ALEyAIDeL_
Address: ,
City: State: Zip:
Phone: Fax:
Email.04)4, y. A L)cA7iD P- psc.ceim
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: LI Yes E.. No
PLUMBING CONTRACTOR INFORMATION
Company ?Th.:12Asoci iz. co. sots.ma
tz L LC_
Address:i vos 57-4_, ui Alt 1— izz
City:c....m44.402._ State: (444_ Zip:2.03
Phone: yzj....(45 i Fax:
Contr Reg No.:_xjtiFieofseia7nexp Date:
Tukwila Business License No.:
Valuation of Project (contractor's bid price): $ I 004 CIO
Scope of Work ease provide detailed information):
e f 7116 ditS
Building Use (per Int'l Building Code):
Occupancy (per Int'l Building Code):
Utility Purveyor: Water:
Sewer:
H:\Applications\Forms-Applications On Line\ 2011 Applications'Plumbing Permit Application Revised 8-9-11.docx
Revised: August 2011
bh
Page 1 of 2
indicate type of plumbing fixtures and/opiping outlets being installed and the quantity
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
Qfy
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
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
Signatu.
Print Name:
OR AUTHk3$rI D AGENT:
Mailing Address:
Date: O rW� -7//
Day Telephone: V 2S -s` a - T .f V
City
State Zip
H:\Applications\Porms-Applications On Line\201 I Applications\Plumbing Permit Application Revised 8-9-11.docx
Revised: August 2011
bh
Page 2 of 2
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431w3670
Permit Inspection Request Line (206) 438-9350
Project.
id
T e of I
n:
Address: +/
Date Called:
Special Instructions:
fate '1tanted:
a.rn.
Requester:
Phone No:
0-5--: 3
v'
70
- 72 a .
Approved per applicable codes.
!COMMENTS:
Corrections required prior to approval
5
nspecto
Date:
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Calk 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
Project: Y\
A
Type of Inspection:
Address:
Date Cal
Special Instructions:
'
Date Wanted:
Requester: l
.5�
Phone No:
Approved per applicable codes.
Corrections required prior to approval.
MMENTS:
nspect r: Date:
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
City of Tukwila
Department of Community Development
11/1/2019
COREY ALEXANDER
14103 STEWART RD
SUMNER, WA 98390
RE: Permit No. PG 19-0082
SANDY RESIDENCE
14250 58TH AVE S
Dear Permit Holder:
Allan Ekberg, Mayor
Jack Pace, Director
In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building
Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric
Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null
and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if
the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 12/16/2019.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for the next or final inspection. Each
inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire.
Address your extension request to the Building Official and state your reason(s) for the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your
extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 12/16/2019, your permit will become null and void
and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
Bill Rambo
Permit Technician
File No: PG 19.0082
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
•
Cash Register Receipt Receipt Number
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY
PAID
129.30
PG19-0082 Address: 14250 58TH AVE 5
Apn; 3365901115
129.30
Credit Card Fee
$3.77
Credit Card Fee
R000. 69.90 . 0.00
0.00
$3,77
GAS
. 5
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
S35.00
EA SUPPLEMENTAL PERMIT
R000.322.100.00.00
0.00
$16.55
PERMIT FEE
R000.322. 00.00.00
0.00
$68.00
TECHNOLOGY FEE
$5.98
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$5.98
TOTAL FEES PAID BY RECEIPT: R17914
$129.30
Date Paid: Tuesday, June 18, 2019
Paid By: COREY ALEXANDER
Pay Method: CREDIT CARD 129.30
Printed: Tuesday, June 18, 2019 9:48 AM 1 of 1
e
SYSTEMS
CO TVKWIL4 ETKAKIT
6200 50UTV[ENTER BLVD
TUKWILA, WA 98188
206'433'I870
CITY Or TUKWILA
Date: 06/18/2819 09:47:14 AM
CREDIT CARD SALE
VISA
CARD NUMBER: **********6889 K
TKAN AMOUNT: $129.30
APPROVAL [O: 094141
RECORD #: 000
CLERK ID: kandace
Thank you!
Customer Copy
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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
Certifications & Endorsements
OMWBE Certifications
No active certifications exist for this business.
Apprentice Training Agent
Registered training agent. Check their eligible programs and occupations.
icense
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— 02/22/2021
Bond
Federal Ins Co
Bond account no
82300597
$12,000.00
Received by L&I Effective date
02122/2013 11/19/2012
Expiration date
Until Canceled
Insurance
Old Republic Ins Co $5,000,000.00
Policy no.
MWZY31309319
Received by L&I Effective date
04/26/2019 05/01/2019
Expiration date
05/01/2020
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Insurance history
Savings
No savings accouh:s during the previous 6 year period.
Lawsuits against the bond or savings
No lawsuits agains, the bond or savings accounts during the previous 6 year period.
L&I Tax debts
No L&I tax debts a. a recorded for this contractor license during the previous 6 year period, but some debts
may be recorded b; other agencies.
License Violations
No license violations during the previous 6 year period.
Workers' cc mp
Public Works Requirements
Workplace Safety and health
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