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