HomeMy WebLinkAboutPermit PG07-187 - ANDERSON RESIDENCEANDERSON RESIDENCE
4622 S 160 ST
PGO7-1 87
Parcel No.:
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
doc: UPC /06
2223049049
4622 S 160 ST TUKW
ANDERSON RESIDENCE
4622 S 160 ST , TIIKWILA WA
ANDRESEN GLENN
4622 S 160TH , SEATTLE WA
NAIDA KHAN
1345 GULF RD , POINT ROBERTS WA
WASHINGTON ENERGY SERVICES CO
2800 THORNDYICE AVE W , SEATTLE, WA
Contractor License No: WASHIES9710B
DESCRIPTION OF WORK:
REPLACE 50 GALLON GAS TO GAS WATER HEATER
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
Cityf 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
FIXTURE TYPE AND QUANTITY
* *continued on next page **
PLUMBING /GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 360 945 -2787
Phone: 206 282 -4200
Expiration Date: 09/02/2007
Uniform Plumbing Code Edition: 2006
2006
Value of Plumbing /Gas Piping: $950.00
Fees Collected: $88.00 International Fuel Gas Code Edition:
PG07 -187
07/12/2007
01/08/2008
Plumbing (cont.)
0 Building sewer and each trailer park sewer 0
O Rain water system - per drain (inside bldg) 0
0 Water heater and/or vent 1
O Industrial waste treatment interceptor, including
0 its trap and vent, except for kitchen type
0 grease interceptors 0
O 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) 0
0 Gas piping outlets (6 +) 0
PG07 -187 Printed: 07 -12 -2007
Permit Center Authorized Signature:
doc: UPC -10/06
City o`1Tukwila
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
an outf
Permit Number: PG07 -187
Issue Date: 07/12/2007
Permit Expires On: 01/08/2008
Date: t24
I hereby certify that I have read and x ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complie wi , 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 • ) I am authorized to si• and obtain this plumbing /gas piping permit.
r _ -7^ J
Signature //. L / / / _ Date: 12
Print Name: /4 iiiS��/
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.
PG07 -187 Printed: 07 -12 -2007
Parcel No.: 2223049049
Address:
Suite No:
Tenant:
4622 S 160 ST TUICW
ANDERSON RESIDENCE
1: ** *PLUMBING AND GAS PIPING * **
doc: Cond -10/06
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
PERMIT CONDITIONS
* *continued on next page **
Permit Number:
Status:
Applied Date:
Issue Date:
PG07 -187
ISSUED
07/12/2007
07/12/2007
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 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 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.
PG07 -187 Printed: 07 -12 -2007
Signatur
Print Name: /t 20 v sN /7" 1 /
doc: Cond -10/06
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 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 provision of any other work or local laws regulating
construction or the performance of work.
Date: 1- / 27
PG07 -187 Printed: 07 -12 -2007
04- 06 -'07 1$:41 FROM licworks /dad
Con nundtyDevelopment beparlrrment
Petrrrlt Center'
6160 Southcenter Blvd., Suite 100
ilikwtla, WA 98188
htrpSinvivellukwilc taws
mating Address: 4622 S 160th St
Note: Naida Khan
mamma address: 1345 Gulf Road
Company Name: WESCO
Company Nacre :
}dolling Address„
MECHANICAL PERMIT APPLICATION
Applications and plans must be complete !a order to be accepted for plan review.
Applications will not he accepted through the mall arby fax.
**Please Print**
Site Addteea: 4622 S 160th St
Tenant Haute: _
p ro p er t y OumorsNom Glenn Andersen
E-Mall Address
Mailing Add... 2800 Thomdyke Ave W
Contact Person :,
13 -Mall Address:
coni i WASHIES971 OB
Contact Perna:
E-Mail Address
Company Nano:
Melling Address:
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Seattle
City
City
E-Mail Address: Fax Number:
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King Co Assessor's Tax wN o .: 222 ,3049049
Suite Number: Floor:
New Tena nt: Q .... Yes ❑..No
WA 98188
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Day Telephone; 360- 945 -2787
Point Roberts WA 98281
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Fax Number:
WA 98199
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Day 'Diapnw:e: 206378 668
Fax Number, .� .
Expiration Dater 09/02/07
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Day Telephone:
Fax Number.
sip
Contact Person: Day Telephone:
Pagc 1 of 2
... Application Accepted:
Date Appltrution Therm F
Simi` iGels:
If
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84- 06 -'87 13:x41 FIKE ) licworks /dcd 2064313665
1111ealit. AIM= II I EMIR
Valuation of Prcject(cont actor's bid prlce): 950.00
scope of Wiufc (please provlda ddamed laf'amstio* Replace 50 gallon gas -to-gas water heater.
Mfg Reeidentld: Now naPlanentent
Commercial: Now....D Replacement »D
�fEl'rllpQ _ thcado..13 .Q a ra — — -Mat:,
Indicate type of merhmlteai worts being installed and the quantity below:
l'k. ,r.... f rf m r p 7 : tdlerlco „ reason Fr a
� [I' 3raa�— taetot s' lr i c =1M111.11 f €: fFf�iJr ?i'rii'i *;i
TT er ! ' os tddl - :"T; . a' ' a..i■
Oft ' n CtEd
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Value of Cbortraetten -la an eases. a value orcofathuctipn woeunt the old be entered by the app!lcent Mk *Fre will be *Mewed and is subject
p ssibic mthlaal by the Penult Cantor to comply with wan fee scbadutes.
ErtpltsIlon draw — Applications It,rvdlleh so penmu IL a,aued within ISO dor following fhe data ofeppliedion shall expire by limitation.
The Hultding Wield aqy grad= at more extensions of thae t'or addhlonel pariah not =Whig 90 days each. The eldensiall hall be requested
In w wridagendJustfflabla muse dmtan etiated. Section 1OS32leterr attonel ButlCttyK Code (current atlas).
IHi BYCERTIFY THAT HAVE READ AND EXAMINED THIS APPLICATION AND KNOW 711E FAME TO 8B TRUE UNDER
MALTY OF PERJURY BY TEE LAWS OF U113 STATE OF WASHINGTON, ANDIAM AUTHORISED TO APPLY FOR THIS PERMIT.
Print Nem M o,i uc� —oc r �-14/_/
Meng Address;
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T -194 Pe03/003 F -312
Date: - 2 - G7-7
Day Telephone: 2 ,.¢ `3 >t-'t — d 1 �1
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Parcel No.: 2223049049
Address: 4622 S 160 ST TUKW
Suite No:
Applicant: ANDERSON RESIDENCE
Receipt No.: R07 -01369
ACCOUNT ITEM LIST:
Description
PLUMBING - RES
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
RECEIPT
Initials: JEM Payment Date: 07/12/2007 10:48 AM
User ID: 1165 Balance: $0.00
Payee: WASHINGTON ENERGY SERVICES COMPANY
TRANSACTION LIST:
Type Method Description Amount
Payment Check 1337 88.00
Account Code Current Pmts
000/322.100 88.00
Total: $88.00
Permit Number: PG07 - 187
Status: APPROVED
Applied Date: 07/12/2007
Issue Date:
Payment Amount: $88.00
0265 07/13 9710 TOTAL 88.00
dnr.. R in int -QR Printari• 07 -12- 711(17
Proj}} D
i'VA/ 0 Al �1 r'.5 k.
Type of Inspection:
A- i/Vi9
U
/ 7%{/ 7 d
A. V z 2 - s 76,e) s/
Date Called:
Special Instructions:
Date Wanted:
07
____TI
.: F
p.m.
Requester:
Phone No
ao 6-0/2
- 209'0
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
• + ... ..•=':
(2 . 6)431 -3
COMMENTS:
, - /4i - L,/ / 2(ot/e_
) y ' ,,"k / (76 p/ / , "r
I Date:
Insp t r:
%N1
Approved per applicable codes. Corrections required prior to approval.
$58.00 REINSPECTIO E RE'QUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection.
(Receipt No.:
'Date:
License Information
License
WASHIES971OB
Licensee Name
WASHINGTON ENERGY SERVICES CO
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
602320560
Ind. Ins. Account Id
SECRETARY
Business Type
CORPORATION
Address 1
2800 THORNDYKE AVE W
Address 2
City
SEATTLE
County
KING
State
WA
Zip
98199
Phone
2062824700
Status
ACTIVE
Specialty 1
GENERAL
Specialty 2
UNUSED
Effective Date
9/2/2003
Expiration Date
9/2/2007
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
Business Owner Information
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
Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 2
Washington State Department of Labor and Industries
General/Specialty Contractor
A business registered as a construction contractor with L&I 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.
Bond Information
I Bond I Bond I
https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= WASHIES971 OB 07/12/2007