HomeMy WebLinkAboutPermit PG07-351 - ROBERSON RESIDENCEROBERSON RESIDENCE
14859 51 AV S
EXPIRED OS - 04 - 08
PGO7-35 1
Parcel No.:
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
doc: UPC - 10/06
0042000170
14859 51 AV S TUKW
Cit3f 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
ROBERSON RESIDENCE
14859 51 AV S , TUKWILA WA
ROBERSON MYRTLE
PO BOX 68543 , SEATTLE WA
Contractor:
Name: WASHINGTON ENERGY SERVICES CO
Address: 2800 THORNDYKE AVE W , SEATTLE, WA
Contractor License No: WASHIES9710B
DESCRIPTION OF WORK:
REPLACE GAS TO GAS WATER HEATER
CANDICE GALLAGHER
2800 THORNDYKE AV W , SEATTLE WA
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
• FIXTURE TYPE AND OUANTITY
* *continued on next page **
PLUMBING /GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 206 -378 -6649
Phone: 206 282 -4200
Expiration Date: 09/02/2009
Uniform Plumbing Code Edition: 2006
2006
Value of Plumbing /Gas Piping: $950.00
Fees Collected: $88.00 International Fuel Gas Code Edition:
PG07 -351
12/31/2007
06/28/2008
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 1
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) 0
0 Gas piping outlets (6 +) 0
PG07 -351 Printed: 12 -31 -2007
Permit Center Authorized Signature:
Signature:
Print Name:
doc: UPC -10/06
ARA • rital .1
City di 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
a rak_ TDo h-I-LsJ ✓ S4 tit W e-C -01'■ 4--
Permit Number: PG07 -351
Issue Date: 12/31/2007
Permit Expires On: 06/28/2008
Date: 1a-= — I/ 7
I hereby 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 • - • ance of work I am authorized to sign and obtain this plumbing /gas piping permit.
Date: / , 0
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 -351 Printed: 12 -31 -2007
Parcel No.: 0042000170
Address:
Suite No:
Tenant:
14859 51 AV S TUKW
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
ROBERSON RESIDENCE
1: ** *PLUMBING AND GAS PIPING * **
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
PG07 -351
ISSUED
12/31/2007
12/31/2007
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 m 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 **
PG07 -351 Printed: 12 -31 -2007
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.
Signature:
Print Name:
doc: Cond -10/06
1 T N W f"\-r-1 �--
1 arc o
� vt. ors
Date:
PG07 -351 Printed: 12 -31 -2007
CITY OF TUKWI
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.citukwila.wa.us
SITE LOCATION
Site Address: 44849 51st AVE S
Building Permit No. & 0 7 .: )5- I
Mechanical Permit No.
Plumbing/Gas Permit No.
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 **
King Co Assessor's Tax No.: 0042000170
Suite Number: Floor:
Tenant Name: New Tenant: ❑ Yes ❑ ..No
WA 98168
Property Owners Name: MYRTLE ROBERSON
Mailing Address: 14849 51st AVE S
CONTACT PERSON - who do we contact when your permit is ready to be issued
Name: Naida Khan /Northwest Permit Inc
Mailing Address: 1345 Gulf Road
E-Mail Address: naida @nwpermit.com
Contractor Registration Number:
Tukwila
City
Day Telephone:
Point Roberts
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Q:1ApphatioasWomts- Applications On Iinev -2006 - Permit Apphatioa.doc
Revised: 9 -2006
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State Zip
360- 945 -2787
WA 98281
City State
Fax Number. 360 -945 -2091
Zip
GENERAL CONTRACTOR INFORMATION —
(Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5))
Company Name:
Mailing Address:
Zip
State
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Expiration Date:
ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record
Company Name:
Mailing Address:
Zip
State
City
Contact Person: Day Telephone:
E-Mail Address: Fax Number:
ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record
Company Name:
Mailing Address:
Zip
State
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
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
I
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
Valuation of Project (contractor's bid price): $ 95Q
Scope of Work (please provide detailed information):
w a -tpy ke e f P
Building Use (per Int'l Building Code): S F
Occupancy (per Int'l Building Code):
Utility Purveyor: Water: Sewer:
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
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 S ' e,: AUTHO • ED AGENT: l -,
Signature �,� Date: bl/3 )1 7
Day Telephone: 6' 366 — 9 4 5 `a73 - 7
Pc, A - O s �,, Rg? 81
Print Name: — FTVYkke r5 4 /U %Ai Pe_'evk;
Mailing Address: t q S (-sr t /C
Date Application Expires:
Date Application Accepted:
Q:\Applications\Porms- Applications On Line\3 -2006 - Plumbing -Gas Piping Penni Application.doc
Revised: 4 -2006
bb
as 50 a / / on
aS
City State Zip
Staff Initials:
Page 2 of 2
Site Address:
Tenant Name:
Property Owners Name:
Mailing Address:
Name:
Mailing Address:
E -Mail Address:
Contact Person:
E -Mail Address:
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Contact Person:
E -Mail Address:
CITY OF TUKWIL4
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Q:Wpplications\Porms- Applications On Line\3 -2006 - Plumbing -Gas Piping Permit Application.doc
Revised: 4-2006
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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**
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: .... Yes ..No
City
State
Zip
Day Telephone:
City
Fax Number:
State
State
State
State
Zip
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
Contractor Registration Number: Expiration Date:
Zip
led by Architect of-Re+
Zip
City
Day Telephone:
Fax Number:
ilinipled; by
er 01 Rec
plans must be wet,
Company Name:
Mailing Address:
Zip
City
Day Telephone:
Fax Number:
Page 1 of 2
Parcel No.: 0042000170 Permit Number: PG07 -351
Address: 14859 51 AV S TUKW Status: PENDING
Suite No: Applied Date: 12/31/2007
Applicant: ROBERSON RESIDENCE Issue Date:
Receipt No.: R07 -02875
Initials: WER Payment Date: 12/31/2007 10:42 AM
User ID: 1655 Balance: $0.00
Payee: WASHINGTON ENERGY SERVICES
TRANSACTION LIST:
Type Method Description Amount
Payment Check 2458 88.00
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
Account Code Current Pmts
000/322.100 88.00
Total: $88.00
Payment Amount: 888.00
6613 12/31 9710 TOTAL 88.00
doc: Receiot -06 Printed: 12 -31 -2007
Project:
R.vb�sb/\ R -e 1� k1
Type of Inspection:
(?d,... P , 1 j
Address:
/ I4 1 51 /K .SOU
Date Call
Specia Instructions:
/
--
Date Wanted: ..--
2-(g - d pi'fC
Requester:
Phone ,06 ' '715 -32G`)
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION 'z
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
N /A)! f !off' ss
� k ��
r ate:z - ors-
S58.00 REINSPECTION FEE REQUIRED. Prior to inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection.
1 Receipt No.:
'Date:
P667 -351
07 -15 -2008
CANDICE GALLAGHER
2800 THORNDYKE AV W
SEATTLE WA 98199
RE: Permit No. PG07 -351
14845 51 AV S TUKW
Dear Permit Holder:
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 Codes, Uniform Plumbing/Fuel Gas Code and/or the National Electrical Code, every permit issued by the
Building Division under the provisions of the code shall expire by limitation and become null and void if the building or work
authorized by such permit is not commenced within 180 days from the date of such permit issuance, or if the building or work
authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days.
Based on the above, you are hereby advised to:
Call the City of Tukwila Inspection Request Line at 206 -431 -2451 to schedule for the next or fmal inspection.
This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if
the project should be considered abandoned.
If such determination is made, the International Codes, Uniform Plumbing/Fuel Gas Code and/or the National Electrical Code does
allow the Building Official to approve one extension of time for an additional period not exceeding 180 days. Extension requests
must be in writing and provide satisfactory reasons why circumstances beyond the applicants control have prevented action from
being taken.
In the event you do not call for the above inspection and receive an extension prior to 08/04/2008 , your permit will become null and
void and any further work on the project will require a new permit application and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
xc:
er Marshall
t Technician
Permit File No. PG07 -351
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
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
9/2/2009
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
Bond I Bond I
https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= WASHIES971 OB 12/31/2007