HomeMy WebLinkAboutPermit PG08-239 - BRANHAM RESIDENCEBRANHAM]
SIDENCE
14045 33 AV S
PG08L239
Parcel No.: 5537200016
Address:
Suite No:
Citylif 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
14045 33 AV S TUKW
PLUMBING /GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On:
PG08 -239
09/04/2008
03/03/2009
Tenant:
Name: BRANHAM RESIDENCE
Address: 14045 33 AVE S , TUKWILA WA
Owner:
Name: BRANHAM DOUGLAS F
Address: 14045 33RD AVE S , TUKWILA WA
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
Phone:
Phone: 360- 945 -2787
Phone: 206 282 -4200
Expiration Date: 09/02/2009
DESCRIPTION OF WORK:
20 FT GAS PIPING TO NEW FURNACE
Value of Plumbing /Gas Piping: $723.00
Fees Collected: $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
Uniform Plumbing Code Edition: 2006
International Fuel Gas Code Edition: 2006
FIXTURE TYPE AND OUANTITY
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) 1
0 Gas piping outlets (6 +) 0
* *continued on next page **
doc: UPC -10/06
PG08••239 Printed: 09 -04 -2008
City ofTukwila
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 Number: PG08 -239
Issue Date: 09/04/2008
Permit Expires On: 03/03/2009
Permit Center Authorized Signature:
Date: 1-1-1-Ue
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 • resume to give authority to violate or cancel the provisions of any other state or local laws regulating
construct ';• . or the performs e of wo I am authorized to sign and obtain this plumbing /gas piping permit.
Date:
Signature
Print Name:
OlArckt_
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.
doc: UPC -10/06
PG08 -239 Printed: 09 -04 -2008
Parcel No.: 5537200016
Address:
Suite No:
Tenant:
•
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
14045 33 AV S TUKW
BRANHAM RESIDENCE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
PG08 -239
ISSUED
09/04/2008
09/04/2008
1: ** *PLUMBING AND GAS PIPING * **
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 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.
* *continued on next page **
doc: Cond -10/06
PG08.239 Printed: 09 -04 -2008
• •
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 ot-pr- e to give authority to violate or cancel the provision of any other work or local laws regulating
construction or the perform ce of work.
Signature:
Date: 1
Print Name:
doc: Cond -10/06
PG08 -239 Printed: 09 -04 -2008
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
+ Y>:: :- i -;'n .ci.Ctt1i1:11,z. -or s.:k�
Building Permit No.
Mechanical Permit No. _ „ Plumbing/Gas Permit No. G 60_3 3.4
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
site Address: 14045 33RD AVE S
Tenant Name:
Property owners Name: DOUGLAS BRANHAM
Mailing Address: 14045 33RD AVE S
King Co Assessor's Tax No.: 5537200016
Suite Number. Floor:
New Tenant: ❑ Yes ❑..No
Tukwila
City
WA 98168
State Zip
CONTACT PERSON - who do we contact when your permit is ready to be issued
Name: Naida Khan /Northwest Permit Inc Day Telephone: 360- 945 -2787
Mailing Address: 1345 Gulf Road
E -Mail Address: naida @nwpermit.com
Point Roberts WA 98281
City
State Zip
Fax Number: 360 -945 -2091
GENERAL CONTRACTOR INFORMATION —
(Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5))
Company Name: see mechanical contractor information
Mailing Address:
City
Contact Person: Day Telephone:
E-Mail Address: Fax Number.
State
Zip
Contractor Registration Number: Expiration Date:
ARCHITECT OF RECORD - All plans most be wet stamped by Architect of Record
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
State
Zip
ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record
Company Name:
Mailing Address:
City
Contact Person Day Telephone:
E -Mail Address: Fax Number:
O: WDAlicad0 n Fmm5- ApphWtiore On tJM\3 -2006 - Permit ApplicahWtdoc
Revised: 9-2006
hh
State
Zip
Page 1 of 6
Valuation of Project (contractor's bid price): $ 1 '2_ . C°
Scope of Work (please provide detailed information): pi pi —'m
� J I
Building Use (per Int'l Building Code):
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:
:_Fixture Type:
Qty..
�� Fixture Type
Qty':;
. Fixttire •T Y e
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
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
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.
BUILDI
WNER Odr AUTHORIZED GENT:
Signature
Print Name,`-' lQ Etw o.et!/
Mailing Address:
a /r?
-
Date:
Day Telephone:
City State Zip
IDate Application Accepted:
Date Application Expires:
Staff Initials:
Q:\Applications\Fonns- Applications On Line\3 -2006 - Plumbing -Gas Piping Permi Application.doc
Revised: 4 -2006
bh
Page 2 of 2
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
SITE LOCATION
Site Address:
Tenant Name:
Plumbing/Gas Permit No.
Project No.
Fcr office; use vi
Yr
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 x No.:
Suite umber:
Property Owners Name:
Mailing Address:
CONTACT' PERSON �'W,ho do w`e contac when your permit
Name:
Mailing Address:
E -Mail Address:
Floor:
New Tenant: fl .... Yes JJ ..No
City
eadyto be issued
State
Zip
Day Telephone:
City
Fax Number:
PLUMBING / GAS PIPING. CONTRA OR IN ®RMATION`
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Contractor Registration Number:
ARCHITECT OF R
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
State
Zip
City
Day Telephone:
ax Number:
All plans 1
State
Zip
E '`.'ration Date:
lust be wet stamped by- A,t-chrtect: Recor
ENGINEER OF RECORD
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
City
Day Telephone:
Fax Number:
s must be;wet stamped by Engineer;af
ecor.
State
Zip
Q.\Applications\Forms- Applications On Line\3 -2006 - Plumbing -Gas Piping Permit Application.doc
Revised: 4 -2006
bh
City
Day Telephone:
Fax Number:
State
Zip
Page 1 of 2
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:/lwww.ci.tukwila.wa.us
Parcel No.: 5537200016
Address: 14045 33 AV S TUKW
Suite No:
Applicant: BRANHAM RESIDENCE
RECEIPT
Permit Number: PG08 -239
Status: PENDING
Applied Date: 09/04/2008
Issue Date:
Receipt No.: R08 -03132 Payment Amount: $60.00
Initials: WER Payment Date: 09/04/2008 11:13 AM
User ID: 1655 Balance: $0.00
Payee: WASHINGTON ENERGY SERVICES
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 3399 60.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
GAS - RES
000.322.103.00.0 60.00
Total: $60.00
doc: Receiot -06 Printed: 09 -04 -2008
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION 124:
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project
, /2/4/10 41,1 krs
Type of I pection:
1".')V1/ — 64 S
Address:
/4047—> ' 334 US
Date Called:
Special Instructions:
Date Wanted:
43
C.,,-1.
p.m.
Requester:
Ph..310:_
-2yt, -6 2 5 - -
Approved per applicable codes. EJ Corrections required prior to approval.
COMMENTS:
Cit.) {) c
e
-P t -k( l
Inspectq'r:
Date: 3 -13
❑ $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:
r
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 - 6 0
Pro
Type of I pectin
;?J
Address :
` I
Date ailed:
- �c-.� --
C-A—t�
Special Instructions:
L
Date Wanted: 2
- 2
. -1 --
O
�i
p.mm.
Requester:
�5
.1
pi
Phone No.
0 Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
;?J
6A i p.'
n ",
- �c-.� --
C-A—t�
f
; R a
L
,,t.� ! —(7`1.
` 1),'
T
r
p
IJ.
�5
.1
pi
L__.___,!
❑ $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:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION IC"'
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 - 670
Pr ct:
- r .e f ,
Type of lnsp ecti n:
PI ‘4Ali
Ad! re; s l�
9 �{ 3� nvDate
led:
Special Instructions:
V) 6A� P OC
(/" ■ �f
Ae co
T7�
Date Wanted:
Z � (
C /a.m
�'� 1 pm
Requester:
Phone No: —. 2
1,
4 � , (0 75 t
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
NI()
D“.
r3 J QA C NA)
1
Ti $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:
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
PERMIT NO. 4
(206)431 -3670
Pro' t:
r^ It atn
Type o ecti n
t-- I*
Address:
1 0-14 3;
'.
S
Date Called
1
Special l lstructions:
Date Wanted:
G
iC3 "CD
a.m.
. .
Requester:
Phone No:
LiAaproved per applicable codes.
COMMENTS:
required prior to approval.
i t- A 1134 4 11x.._1
Inspe ' or:
Date:
$6' .' 0 REINSPECTION FEE R
pa d, -t 6300 Southcenter BIvE
Receipt No.:
UIRED. prior to inspection, fee must be
., Suite 100. Call to schedule reinspection.
'Date:
02 -02 -2009
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
NAIDA KHAN
1345 GULF RD
POINT ROBERTS WA 98281
RE: Permit No. PG08 -239
14045 33 AV S TUKW
Dear Permit Holder:
In reviewing our current records the above noted permit has not received a fmal inspection by the City of Tukwila Building Division.
Per the Uniform Plumbing Code and/or International Fuel Gas Code, every permit issued by the Building Division under the
provisions of this 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, 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 Plumbing and/or Gas 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 03/17/2009 , 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, C/IAJ*
Bill Rambo
Permit Technician
xc: Permit File No. PGO8 -239
L )nn n___aL_ n 0..:a- 11100 - T.. 1....: /- ).17 -Lt.. . -a...- /10100 - /]L.... ... ')AL A)1 9L'711 r ... ')AL A71 7LLL•
Untitled Page
•
•
General /Specialty Contractor
A business registered as a construction contractor with Lai 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
WASHINGTON ENERGY
SERVICES CO
2062824700
2800 THORNDYKE AVE W
SEATTLE
WA
98199
KING
Business Type CORPORATION
Parent
Company
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Previous
License
Next License
Associated
License
Specialty 1
Specialty 2
602320560
ACTIVE
WASHIES9710B
CONSTRUCTION
CONTRACTOR
9/2/2003
9/2/2009
GENERAL
UNUSED
Business Owner Information
Name
Role
Effective Date
Expiration Date
OLSON, CRAIG
PRESIDENT
09/02/2003
Bond
Amount
HEAGLE, RANDY
SECRETARY
09/02/2003
571389C
CHRISTIANSON, STEVE
TREASURER
09/02/2003
OLSON, VERN
VICE PRESIDENT
09/02/2003
UNDERWRITERS
Bond Information
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
$12,000.00
09/02/2003
Insurance Information
Page 1 of 2
Insurance
Company
Name
Policy
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Amount
Received
Date
6
UNITED
SPECIALTY INS
AGL0810381
05/01/2008
05/01/2009
$1,000,000.00
04/30/2008
UNDERWRITERS
https: / /fortress.wa. gov /lni/bbip/Detail. aspx ?License= WASHIES971 OB
09/04/2008