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HomeMy WebLinkAboutPermit PG08-240 - DEJKA RESIDENCEDEJKA RESIDENCE 16018 46 AV S EXPIRED 03 -03 -09 PGO8 -240 Parcel No.: 5379800165 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 16018 46 AV S TUKW PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: PG08 -240 09/04/2008 03/03/2009 Tenant: Name: DEJKA RESIDENCE Address: 16018 46 AVE S , TUKWILA WA Owner: Name: DEJKA SCOTT M Address: 16018 46TH AVE S , SEATTLE 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: REPLACE GAS TO GAS 50 GALLON WATER HEATER Value of Plumbing /Gas Piping: $950.00 Fees Collected: $92.00 International Fuel Gas Code Edition: Uniform Plumbing Code Edition: 2006 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 QUANTITY 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 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 * *continued on next page ** doc: UPC -10/06 PG08 -240 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: PGO8 -240 Issue Date: 09/04/2008 Permit Expires On: 03/03/2009 Permit Center Authorized Signature: :Alt reti. Date: q" 1-1-- vU 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 do construct •fir he perfo of presum • give authority to violate or cancel the provisions of any other state or local laws regulating e of work. I am thorized to sign and obtain this plumbing /gas piping permit. Signature: Print Name: 61/2 ; C,CA G,-vr r(( Date < --7C. — 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 -240 Printed: 09 -04 -2008 Parcel No.: 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 5379800165 1601846AVSTUKW DEJKA RESIDENCE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: PG08 -240 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 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. * *continued on next page ** doc: Cond -10/06 PG08 -240 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 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 perfo - o Signature: Print Name: Mo 171 1 r,U AI ►.&' ! t Date: ordinances governing or local laws regulating doc: Cond -10/06 PG08 -240 Printed: 09 -04 -2008 CITY OF TUKINI Community Development DepartMent Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http lwww:ciiukwi1a_waus Building Permit No. Mechanical Permit No. Plumbing/Gas Permit No. •G Q S -P--1. Public Works Permit No. Project No. (For office use only) Applications and plans mist 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: 16018 46TH AVE S Tenant Name:__ _ __ _ King Co Assessor's Tax No. :_ 5379800165 Suite Number: Floor _ New Tenant: Q— Yes El „No Property Owners Name: RAY- DEJKA _ __ Mailing Address: 1 6018 46TH AVE S, __ _ TUKWILA City WA 98188 State Zip 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 Day Telephone: Point Roberts 360 -945 -2.787 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 Nanie: Mailing Address: Zip Contact Person: E -Mail Address: Contractor Registration NurnbeF City Day Telephone- Fax Number: Expiration Date: State ARCHITECT OF RECORD - All plans must 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: 7rp City Contact Person: _ Day Telephone: E -Mail Address: Fax Number. Q: WppliatiatsWofi s -kriph anaa oa LneU =mob = Perri-tit apphtitiFe doc Revised: 9=i006 bh State Page 1 of 6 RMrcT ,I PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address:, L Contact Persone-et.) —,/G E -Mail Address: Contractor Registration Number: V V PS t-H e5C / 0.3 Se-c t E City State Zip Day Telephone: 201-0 - 3—ice) Lo(s20 `1 Fax Number: Expiration Date: d-; /a2 /o Valuation of Plumbing work (contractor's bid price): $ 0 - Valuation of Gas Piping work (contractor's bid price): $ e of Work (please provide detailed information): c OY Building Use (per Intl 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: i$ture Ype `.... ;;' . ty. 'izture p• 5' _ ; Fixt►ire YIQ E 1 re Tr pe . Bathtub or combination bath/shower Drinking fountain or water cooler (per head) Wash fountain Gas piping outlets f" 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 Q:WpplicationsTonns- Applications On Line\3 -2006 - Permit Applieation.doe Revised: 9 -2006 PACP i of /. 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 103.4.3 Uniform Plumbing Code (current edition). I HEREBY CEtiliFY 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 [ AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDINrQWNER O' RUTH t RI � n � Signature. D AGENT: laCQ Print Name: Naida Kha /Northwest Permit Inc. Day Telephone: 360- 945 -2787 Point Roberts WA 98281 Zip Date: Mailing Address: 1345 Gulf Rd City State Date Application Accepted: Date Application Expires: Staff Initials: Q WppholimsTorms-Apptim6ers On tine\1 -2006 - Permit Applicationdoc Revised: 9-2006 bh Page6of6 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 Parcel No.: 5379800165 Permit Number: PG08 -240 Address: 16018 46 AV S TUKW Status: PENDING Suite No: Applied Date: 09/04/2008 Applicant: DEJKA RESIDENCE Issue Date: Receipt No.: R08 -03133 Payment Amount: $92.00 Initials: WER Payment Date: 09/04/2008 11:19 AM User ID: 1655 Balance: $0.00 Payee: WASHINGTON ENERGY SERVICES TRANSACTION LIST: Type Method Descriptio Amount Payment Check 3399 92.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts PLUMBING - RES 000.322.103.00.0 92.00 Total: $92.00 doc: Receiot -06 Printed: 09 -04 -2008 02 -02 -2009 City of f Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director NAIDA KHAN 1345 GULF RD POINT ROBERTS WA 98281 RE: Permit No. PG08 -240 16018 46 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 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 final 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 03/03/2009 , 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, RetAJA Bill Rambo Permit Technician xc: Permit File No. PG08 -240 6 1nn f`...,al. ....., .,« D...,1,...• « «./ C «:.., 411111 « T.. /. •/« Td/ ni. :......... 110100 D1...« 0116 A01 06911 _ r...._ ' 1 A01 •66f Untitled Page 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. 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 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 it 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= WASHIES 971 OB 09/04/2008