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Permit PG19-0167 - GOLD RESIDENCE - RUN UNDERGROUND GAS LINES FOR FUTURE GENERATOR AND BBG
GOLD RESIDENCE 4406 S 15 6T H ST AP N : 8108600080 EXPIRED 04/21/2021 PG19-0167 0 0 Parcel No: Address: Project Name: ��^�xx "�� Tukwila v�U~� uvn u K�nv���oa Department of Community Development 6]OnSpwthcenterBoulevard, Sube#%OO Tukwila, Washington 9O1B8 Phone:2DG'4]1'3670 Inspection Request Line: ZVG'43W'93SO Web site: http://www.TukwilaWA.gov 8108600080 GOLD RESIDENCE PLUMBING/GAS PIPING PERMIT Permit Number: PG19'0I67 Issue Date: 10/22/2019 Permit Expires On: 4/19/3020 Owner: Address: Contact Person: Name: Address: 44O6S156TM5T,TUKVV|U\WA, 98188 TOMK|M&4LL Contractor: Name: KIMBALL MECHANICAL Address: 439n1S[7DTMST,SNOQUALK4|E,WA, 98065 License No: KlMBAM*946M1 Lender: Name: ''' Phone: (425)8644745 Phone: (425)8644745 Expiration Date: 7/28/2020 DESCRIPTION OFWORK: RUN UNDERGROUND GAS LINES FOR FUTURE GENERATOR AND BBG Valuation ofWork: $700,00 Water District: H|GHUNE Sewer District: NONE Fees Collected: $111.39 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: ized Signature: National Electrical Code: m4\Cities Electrical Code: VVACZ96~468: WA State Energy Code; 2017 2017 2017 2015 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 a to the con iitions attached to this permit. Signature: Print Name: r—Tp Da 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 9002 ROUGH -IN GAS PIPING 9001 UNDERGROUND CITY OF TUKWII Community Developme7rbepartment Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Date Application Accepted Date Application Expires:, (For �ce;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: Tenant Name: 4406 5I56s-1- Ze-h, c to PROPERTY OWNER Name: `3 i t -1• 1` c 0 i Address: O C S ISG` S -� City: r— 1. kuW1Iel State: lit Zip: CIRlg7 CONTACT PERSON - person receiving all project` communication Name: `l 1 e" it:,..b Address: 43cria 1 s E? es S -1.. City: r, State Zip: q 30/. Phone: 42 s g‘ 4 47 45Fax: A zS 45 S 6 1-4 Email: \ ,` t \ �„r� 4.���`\eC n��re o6 .,G'r`1 King Co Assessor's Tax No.: 8' Suite Number: Floor: New Tenant: ❑ Yes [ f .. No PLUMBING CONTRACTOR INFORMATION - Company Name: Address: A. �c/O( C- e $ -- City: State: Zip: s ,c�Glw•sP \.rc Cie,cS Phone: /, 7 G5 S 64 47 ¢ S Fax: Contr Reg No.: Exp Date: P.) /I /46 o� Tukwila Business License No.: Valuation of Project (contractor's bid price): $ `Z© 0 • o c� Scope of Work (please provide detailed information): 1� u n r� ec c o.., A i -Cr, r !o IC. C. r Building Use (per Int'l Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: Sewer: FI:\Applications\Forms-Applications On Line\2011 Applications\Plumbing Permit Application Revised 8-9-1 l.docx Revised: August 2011 bh Page 1 of 2 Indicate type of plumbing fixtures antgas piping outlets being installed and the quai 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 trcc-, -Vcr \ ;zcie. 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 0Wpi,E17 AZED AGENT: Signature: Print Name: ©✓Y- t'^ 1 Mailing Address: Q 3 q b 1 S 7 S Day Telephone: sty Date: /0< 22-// ' 425%6¢4-745 g866S State Zip H:\Applications\Forms-Applications On Line \201 I Applications\Plumbing Permit Application Revised 8-9-I l.docx Revised: August 2011 bh Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS QUANTITY PAID PermitTRAK 9 PG19-0167 Address: 4406 S 156TH ST Apn: 8108600080 $111.39 Credit Card Fee 3.24 Credit Card Fee R000.369.908.00.00 0.00 .24 GAS 103.00 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 5.00 PERMIT FEE R000.322.100.00.00 0.00 68.00 TECHNOLOGY FEE 5.15 l' TECHNOLOGY FEE R000.322.900.04.00 0.00 $5.15 TOTAL FEES PAID BY RECEIPT: R18886 $111.39 Date Paid: Tuesday, October 22, 2019 Paid By: THOMAS KIMBALL Pay Method: CREDIT CARD 212275 Printed: Tuesday, October 22, 2019 10:58 AM 1 of 1 0 CO CITY OF TUKWIL4 0017340000802374464508 Date: 10/22/2019 10:57:50 AM CREDIT CARD SALE VISA [ARP NUMBER: ***^******7049 K TRAN AMOUNT: $111.39 APPROVAL [D: 212275 RECORD #: 000 cLsnx ID: Bill X {CARDHOLDER'S SIGNATURE) I AGREE TO PAY THE ABOVE TOTAL AMOUNT ACCORDING TO THE CARD ISSUER AGREEMENT (MERCHANT AGREEMENT IF CREDIT VOUCHER) Thank you! Merchant Copy City of Tukwila Department of Community Development 3/5/2020 TOM KIMBALL 43901 SE 78 ST SNOQUALMIE, WA 98065 RE: Permit No. PG19-0167 GOLD RESIDENCE 4406 S 156 ST 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 4/20/2020. 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 4/20/2020, 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: PG19-0167 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 Home Espanol Contact. Safety & Health Claims & Insurance Washington State Department of Labor & Industries A-Z Index Help My 1,&11 Workplace Rights Trades & Licensing KIMBALL MECHANICAL Owner or tradesperson Principals KIMBALL, THOMAS, PARTNER/MEMBER Doing business as KIMBALL MECHANICAL WA UBI No. 602 511 831 43901 SE 78TH ST SNOQUALMIE, WA 98065 425-864-4745 KING County Business type Limited Liability Company Governing persons THOMAS ROBERT KIMBALL LORI ABB KIMBALL; License Verify the contractors active registration / license / certification (depending on trade) and any past violations. Construction Contractor Active Meets current requirements. License specialties HeatingNent/Air-Conditioning and Refrig (HVAC/R) License no. KIMBAM*946M1 Effective — expiration 07/21/2006— 07/28/2020 Bond CBIC Bond account no. SG1121 $6,000.00 Received by L&I Effective date 07/21/2006 07/14/2006 Expiration date Until Canceled Insurance Ohio Security Ins Co $1,000,000.00 Policy no. BKS56017586 Received by L&I Effective date 04/09/2019 05/09/2015 Expiration date 05/09/2020 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