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Home My WebLink AboutPermit PG09-094 - PALMERSHEIM RESIDENCEPALMERSHEIM RESIDENCE 4004 S 160 S PGO9-094 Parcel No.: 8108600641 Address: Suite No: 4004 S 160 ST TUKW Cityrf Tukwila Tenant: Name: PALMERSHEIM RESIDENCE Address: 4004 S 160 ST , TUKWILA WA Owner: Name: PALMERSHEIM THOMAS P Address: 4004 S 160TH ST , SEATTLE WA DESCRIPTION OF WORK: INSTALL NEW 60' GAS PIPING TO FURNANCE, 10' GAS PIPING TO RANGE, AND 20' GAS PIPING TO DRYER. Value of Plumbing /Gas Piping: Fees Collected: Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila. Contact Person: Name: NAIDA KHAN Address: 1345 GULF RD , POINT ROBERTS, WA Contractor: Name: WASHINGTON ENERGY SERVICES CO Address: 2800 THORNDYKE AVE W , SEATTLE, WA Contractor License No: WASHIES9710B doc: UPC -7/07 $1,080.00 $92.00 Plumbing Bathtub or combination bath/shower Bidet Clothes washer, domestic Dental unit, cuspidor Dishwasher, domestic, with independent drain Drinking fountain or water cooler (per head) Food -waste grinder, commercial Floor drain Shower, single head trap Lavatory Wash fountain - Receptor, indirect waste Sinks Urinals Water Closet PLUMBING /GAS PIPING PERMIT FIXTURE TYPE AND OUANTITY * *continued on next page ** Permit Number: Issue Date: Permit Expires On: Phone: Phone: 360 945 -2787 Phone: 206 282 -4200 Expiration Date: 09/02/2009 PG09 -094 08/11/2009 02/07/2010 Uniform Plumbing Code Edition: 2006 International Fuel Gas Code Edition: 2006 Plumbing (cont.) 0 Building sewer and each trailer park sewer 0 0 Rain water system - per drain (inside bldg) 0 0 Water heater and /or vent 0 0 Industrial waste treatment interceptor, including 0 its trap and vent, except for kitchen type 0 grease interceptors 0 0 Repair or alteration of water piping and/or water 0 treatment equipment 0 0 Repair or alteration of drainage or vent piping 0 0 Medical gas piping system serving (1 -5) 0 inlets /outlets for a specific gas 0 0 Medical gas piping (6 +) inlets /outlets 0 0 Gas Piping 0 Gas piping outlets (0 -5) 3 0 Gas piping outlets (6 +) 0 PG09 -094 Printed: 08 -11 -2009 Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complied doc: UPC -7/07 City o Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http://www.ci.tukwila.wa.us a it Permit Number: PG09 -094 Issue Date: 08/11/2009 Permit Expires On: 02/07/2010 Gil -- Cd k ned this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. Date: 0%111{ The granting of this • - rmit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the • erformance of work. I am authorized to sign and obtain this plumbing /gas piping permit. Signature: Date: (2 ( Print Name: 4 This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. PG09 -094 Printed: 08 -11 -2009 Parcel No.: 8108600641 Address: Suite No: Tenant: 4004 S 160 ST TUKW City of Tukwila 1: ** *PLUMBING AND GAS PIPING * ** Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us PALMERSHEIM RESIDENCE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: 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. PG09 -094 ISSUED 08/11/2009 08/11/2009 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 guage. 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 m 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. doc: Cond =10/06 * *continued on next page ** PG09 -094 Printed: 08 -11 -2009 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and 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 provision of any other work construction or the performance of work. doc: Cond -10/06 PG09 -094 Date: 2 ordinances governing or local laws regulating Printed: 08 -11 -2009 CITY OF TUKWILA Community Development Department Public Work Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 littp://www. ci. t ulnvila. wa. us Site Address: 4004 S 160TH ST Property Owners Name: THOMAS PALMERSHEIM Mailing Address: SAME AS PROPERTY ADDRESS Name: Naida Khan /Northwest Permit Inc Mailing Address: 1345 GULF RD E-mail Address: naida @nwpermit.com E -Mail Address: Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: Q: ApplicationslFmms-AVplications On Linel3 -2006 - Pemat Applieation doc Revised: 9-2006 en Building Permit No. Mechanical Permit No. Plumbing/Gas Permit No. PCB Public Works Permit No. Project No. (For office use only) 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.: 8108600641 Suite Number: Floor: Tenant Name: - _ New Tenant: ❑ Yes ❑..No TUKWILA city CONTACT PERSON - who do we contact when your permit is ready to be issued Day Telephone: 360- 945 -2787 Point Roberts WA 98281 City State Fax Number: 360 -945 -2091 GENERAL CONTRACTOR INFORMATION — (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) Company Name: - - - - Mailing Address: City State Zip Contact Person: Day Telephone: 800- 3984663 E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record Company Name: Mailing Address: City Contact Person: Day Telephone: Fax Number: ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record WA 98188 State Zip State State Zip Zip Zip Page 1 of 6 Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Bathtub or combination bath/shower Drinking fountain or water cooler (per head) Wash fountain Gas piping outlets 3 Bidet Food -waste grinder, commercial _ Receptor, indirect waste _ Clothes washer, domestic Floor drain Sinks Dental unit, cuspidor Shower, single head trap Urinals Dishwasher, domestic, with independent drain Lavatory Water Closet Building sewer or trailer park sewer Rain water system — per drain (inside building) Water heater and/or vent Additional medical gas inlets/outlets — six or more Industrial waste pretreatment interceptor, including its trap and vent, except for kitchen type grease interceptors Repair or alteration of water piping and/or water treating equipment Repair or alteration of drainage or vent piping Medical gas piping system serving one to five inlets/outlets for specific gas PLUMBING AND GAS PIPING PERMIT INFORMATION — 206 -431 -3670 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: WESCO — — Mailing Address: 2800 Thorndyke Avenue W Contact Person: Candice Gallagher Contractor Registration Number: WASHIES971 OB Q:wpplicationsWo ins- Applications On LineU -2006 Perniii Applicadmidoc Revised: 9 -2006 bh Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: Seattle WA 98199 City State Zip Day Telephone: 206- 378 -6649 E =Mail Address: - - - Fax Number: Expiration Date: 09/02/09 Valuation of Plumbing work (contractor's bid price): $ Valuation of Gas Piping work (contractor's bid price): $ 1080.00 _ _ Scope of Work (please provide detailed information): install 60' new gas piping to furnace, 10' gas piping to range and 20' gas piping to dryer Building Use (per Int'I Building Code): Residential Occupancy (per Intl Building Code): Utility Purveyor: Water: Sewer: - - - Page 5 of 6 PERMIT APPLICATION NOTES — Applicable to all permits in this application 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. Building and Mechanical Permit The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition). Plumbing Permit The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.43 Uniform Plumbing Code (current edition). I HEREBY CERTIFY THAT 1 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 OR AUTHORIZED AGENT: Signatntey N ` c 1 Qo QQ 1._ Date: Northwest Permit Khan/Cyndal Nht Pit Inc 360- 945 -2787 Print Name: y Day Telephone: Point Roberts WA 98281 Mailing Address: 1345 Gulf Road Date Application Accepted: Q:UppliationsWe ms- Applications On IineO•2006 - reruns Apphauon.doc Revised: 9-2006 bh City State Zip Date Application Expires: Staff Initials: Page 6 of 6 RECEIPT NO: R09 -01253 Initials: JEM SET TRANSACTIONS: Set Member M09 -101 PG09 -094 TOTAL: ACCOUNT ITEM LIST: Description of Tukwila, Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206-431-3665 Web site: htiv: //www. ci. tukwila. wa. us Payment Date: 08/11/2009 User ID: 1165 Total Payment: 182.00 Payee: WASHINGTON ENERGY SERVICES COMPANY SET ID: S000001283 SET NAME: Tmp set/Initialized Activities Amount 90.00 92.00 90.00 SET RECEIPT TRANSACTION LIST: Type Method Description Amount Payment Check 5393 182.00 TOTAL: 182.00 Account Code Current Pmts GAS - RES 000.322.103.00.0 MECHANICAL - RES 000.322.102.00.0 92.00 90.00 TOTAL: 182.00 PAYMENT RECEIVED Pro ct: 1. i9//), cc ; 1 1 1 �S Type of Inspection: f–i /A / Address: ytioe-1 S iG ° s -- Date Called: --. Special Instructions: Date Wanted: - /o - c .7 9 m. - CAL p.m. Requester: Phone No: INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT N CITY OF TUKWILA BUILDING DIVISION ‘''"— 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Approved per applicable codes. Corrections required prior to approval. COMMENTS: - 7�i.'; f 4- rv,Ff4. / I'spec or: D- 10- -7 r $6 00 REINSPECTION FE REQUIRED. for to inspection, fee must be p at 6300 Southcenter Blvd., Suite 10 . Call to schedule reinspection. Rece p't No.: 'Date: Proj t: /iig iiy7e /S // A. Type of Inspection: Address: -/Oe4c/ s /‘d .S'7 -- Date Called: ieDu Co 4S f Special Instructions: 153 ' 0C-1('e C.9 r l Date Wanted: rr 9 - -2 -- p.m Requester: Phone No: f/ c 6.---2 7S -SSS v INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Approved per applicable codes. Corrections required prior to approval. 4 COMMENTS: proJ -P,y 6, AS TPA; Iu A o/\ ell"' Inspec or: 1 J cuk..... Date: 7 $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: Insurance Company Name policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 7 Ironshore Specialty Ins Co 00G4H0905001 05/01/200905/01 /2010 09/02/2003 $1,000,000.0004 /29/2009 6 UNITED SPECIALTY INS AGL0810381 05/01/2008 05/01/2009 $1,000,000.0004 /30/2008 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 DEVELOPERS SURETY Et INDEM CO 571389C 08/29/2003 Until Cancelled 09/02/2003 $12,000.00 09/02/2003 Name Role Effective Date Expiration Date OLSON, CRAIG PRESIDENT 09/02/2003 HEAGLE, RANDY SECRETARY 09/02/2003 CHRISTIANSON, STEVE TREASURER 09/02/2003 OLSON, VERN VICE PRESIDENT 09/02/2003 Untitled Page General /Specialty Contractor A business registered as a construction contractor with LEtI to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name Phone Address Suite /Apt. City State Zip County Business Type Parent Company WASHINGTON ENERGY SERVICES CO 2062824700 2800 THORNDYKE AVE W SEATTLE WA 98199 KING Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602320560 ACTIVE WASH I ES9710B CONSTRUCTION CONTRACTOR 9/2/2003 9/2/2011 GENERAL UNUSED Business Owner Information Bond Information Insurance Information • • Page 1 of 2 https://fottfess.Wa.gov/lni/bbip/Detail.aspx 08/11/2009