HomeMy WebLinkAboutPermit PG09-089 - STANLEY RESIDENCESTANLEY RESIDENCE
13029 41 AV S
PG09 -089
Parcel No.: 7341600171
Address:
Suite No:
13029 41 AV S TUKW
Tenant:
Name: STANLEY RESIDENCE
Address: 13029 41 AV S , TUKWILA WA
Owner:
Name: STANLEY WILLIAM W
Address: 13029 41 S , SEATTLE WA
DESCRIPTION OF WORK:
REPLACE 50 GALLON GAS WATER HEATER
doc: UPC -7/07
Citygf Tukwila
Contact Person:
Name: NAIDA KHAN
Address: 1345 GULF RD , POINT ROBERTS WA
Plumbing
Bathtub or combination bath/shower 0
Bidet 0
Clothes washer, domestic 0
Dental unit, cuspidor 0
Dishwasher, domestic, with independent drain 0
Drinking fountain or water cooler (per head) 0
Food -waste grinder, commercial 0
Floor drain 0
Shower, single head trap 0
Lavatory 0
Wash fountain -
Receptor, indirect waste 0
Sinks 0
Urinals 0
Water Closet 0
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
Contractor:
Name: WASHINGTON ENERGY SERVICES CO
Address: 2800 THORNDYKE AVE W , SEATTLE, WA
Contractor License No: WASHIES9710B
PLUMBING /GAS PIPING PERMIT
Uniform Plumbing Code Edition: 2006
Value of Plumbing /Gas Piping: $950.00
Fees Collected: $45.00 International Fuel Gas Code Edition:
FIXTURE TYPE AND QUANTITY
0
* * continued on next page **
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 360 945 -2787
Phone: 206 282 -4200
Expiration Date: 09/02/2009
PG09 -089
08/03/2009
01/30/2010
2006
Plumbing (cont.)
Building sewer and each trailer park sewer 0
Rain water system - per drain (inside bldg) 0
Water heater and /or vent 1
Industrial waste treatment interceptor, including
its trap and vent, except for kitchen type
grease interceptors 0
Repair or alteration of water piping and/or water
treatment equipment 0
Repair or alteration of drainage or vent piping 0
Medical gas piping system serving (1 -5)
inlets /outlets for a specific gas 0
Medical gas piping (6 +) inlets /outlets 0
Gas Piping
Gas piping outlets (0 -5) 0
Gas piping outlets (6 +) 0
PG09 -089 Printed: 08 -03 -2009
Permit Center Authorized Signature:
I hereby certify that I have read and e
governing this work will be complied th,
Print Name:
doc: UPC -7/07
City oPTukwila
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
ed thi• •ermit and know the same to be true and correct. All provisions of law and ordinances
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 work. I am authorized to sign and obtain this plumbing /gas piping permit.
Date: d 9
Signature,: : - _ �_ � Q OsLY` c. ]�C 7"
[ ( Lin t *.UU►i
•
Permit Number: PG09 -089
Issue Date: 08/03/2009
Permit Expires On: 01/30/2010
Date:
0$19
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.
PG09 -089 Printed: 08 -03 -2009
Parcel No.: 7341600171
Address:
Suite No:
Tenant:
13029 41 AV S TUKW
STANLEY 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
Permit Number:
Status:
Applied Date:
Issue Date:
PG09 -089
ISSUED
08/03/2009
08/03/2009
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 **
PG09 -089 Printed: 08 -03 -2009
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-Q k 1 - 60 4 c) L`
-. Date:
U9
PG09 -089 Printed: 08 -03 -2009
Site Address: 13029 41ST AVE S
Tenant Name:
Property Owners Name: BILL STANLEY
Mailing Address: 13029 41ST AVE S
E -Mail Address: naida @nwpermit.com
•
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: //www. ci. tukwila. wa. us
Company Name: WESCO
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
Name: Naida Khan /Northwest Permit Inc
Mailing Address: 2800 THORYDYKE AVE W
QAApplications \Forms- Applicaiions"On Li6e\3- 2006 - Pemat Application.doc
Revised: 9 -2006
bh
Building Permit No.
Mechanical Permit No. •
Plumbin g/ Gas Permit No.
Public Works Permit No.
Project No.
(For office use only)
King Co Assessor's Tax No.: 7341600171
Suite Number: Floor:
New Tenant: ❑ -- Yes ❑ No
TUKWILA
City
SEATTLE
WA
State
Day Telephone: 360- 945 -2787
Fax Number: 360- 945 -2091
State
98168
Zip
CONTACT PERSON - who do we contact when your permit is ready to be issued
Mailing Address: 1345 GULF RD Point Roberts WA 98281
City
State Zip
GENERAL CONTRACTOR INFORMATION -
(Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5))
WA 98199
City State Zip
Contact Person: Day Telephone: 800- 3984463
E -Mail Address: Fax Number: _
Contractor Registration Number: WASHIES971 OB Expiration Date: 9 9 / 02 / 09
ARCHITECT OF RECORD - All plans must be wetstainped by Architect of Record
Company Name:
Mailing Address:
City
Contact Person:_ — Day Telephone:
E -Mail Address: Fax Number:
Z
p
ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record
Company Name:
Mailing Address:
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
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
,
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:\Applications\Forms- Applications On Line\ -2006 - Permit Application :doc
Revised: 9-2006
bh
PLUMBING AND GAS PIPING :PERMIT INFORMATION — 206 - 431 -3670
PLUMBING AND GAS PIPING CONTRACTOR INFORMATION
Company Name: WESCO
Mailing Address: 2800 Thorndyke Avenue W
City State Zip
Contact Person: Day Telephone: 800- 398 -4663
E -Mail Address: Fax Number:
Contractor Registration Number: WAS H I ES971 O B Expiration Date: 09/02/09
Valuation of Plumbing work (contractor's bid price): $ 950.00
Valuation of Gas Piping work (contractor's bid price): $ _
Scope of Work (please provide detailed information): REPLACE 50 GALLON GAS WATER HEATER
Building Use (per Int'l Building Code): Residential
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:
Seattle WA 98199
Page 5 of 6
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.
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 OWNER OR AUT
Signature : - _
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).
RIZED AGENT:
Print Name: Naida Khan /Northwest Permit Inc
Mailing Address: 1345 Gulf Road
Date Application Expires:
Date Application Accepted:
olklo
Q.\ApplicationsWorms- Applications On Linen -2006 - Permit Application :doe
Revised: 9 -2006
bh
Day Telephone:
Point Roberts
City
State
Staff Initials:
0
Date:
360- 945 -2787
WA 98281
Zip
3/
Page 6 of 6
Parcel No.: 7341600171
Address: 13029 41 AV S TUKW
Suite No:
Applicant: STANLEY RESIDENCE
Receipt No.: R09 -01209
Initials:
User ID:
Payee:
JEM
1165
•
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
WASHINGTON ENERGY SERVICES COMPANY
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 5384 45.00
Authorization No.
ACCOUNT ITEM LIST:
Description
PLUMBING - NONRES
RECEIPT
Account Code Current Pmts
000.322.103.00.0 45.00
Total: $45.00
Permit Number: PG09 -089
Status: APPROVED
Applied Date: 08/03/2009
Issue Date:
Payment Amount: $45.00
Payment Date: 08/03/2009 12:29 PM
Balance: $0.00
' AYMENT
RECEIVED
doc: Receiot -06 Printed: 08 -03 -2009
Project:
i Ar✓« ,QS -
Type of Inspection:
/ ANAL - r? /7.,.,, h
Address:
/302 5/1 mil/ 5
Date Called:
Special Instructions:
_
Date Wanted:
/— -2— —/U
a.rr .
m.
Requester:
Phone No:
.,,?pc— 247/ — 78 z j
INSPECTION RECORD
Retain a copy with permit
INSPECTI N NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION .01
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
prJ
Inspector:
Date: 4 -
ri $60.00 REINSPECTION FEE REQUIR . Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
'Date:
y �.. �...y._ .. . ._ ._�. , ._ �_ ��.
Project: �es�
Type of Inspection: �( .rj
Address:
Date Called:
Special Instructions:
Date Wanted: a.m.
I -` 1 - rte
Requester:
Phone 2 G 2_41( /r1 YV9
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION t2
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Approved per applicable codes. ❑ Corrections required prior to approval.
COMMENTS:
tri A ef )st cJile c ct,
'-s 1
Inspect r: 0,404
Date:
El $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:
J a.L dtMfe_� •..._ • . _arcs. ...u.. • •__. >.ae__ ]••••_ 'b. . - __
NAIDA KHAN
1345 GULF RD
POINT ROBERTS WA 98281
RE: Permit No. PG09 -089
13029 41 AV S TUKW
Dear Permit Holder:
Sincerely,
-or-
Cty of Tu
Department of Community Development
Based on the above, you are hereby advised to:
Jim Haggerton, Mayor
Jack Pace, Director
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 Building Code, International Mechanical Code, Uniform
Plumbing Code and /or the National Electric Code, every permit issued by the Building Division under the
provisions of these codes shall expire by limitation and become null and void if the building or work authorized
by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work
authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 01/30/2010.
1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final
inspection. Each inspection creates a new 180 day period.
2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is
due to expire. Address your extension request to the Building Official and state your reason(s) for
the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is
determined that your extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and /or receive an extension prior to 01/30/2010, 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.
Bill Rambo
Permit Technician
- "D:A
File: Permit File No. PG09 -089
6300 Southcenter Boulevard, Suite #100 0 Tukwila, Washington 98188 0 Phone: 206 - 431 -3670 0 Fax: 206 - 431 -3665
Insurance
Company
Name
Policy Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Amount
Received
Date
7
Ironshore
Specialty Ins
Co
00G4H0905001
05/01/2009
05/01/2010
09/02/2003
$1,000,000.00
04/29/2009
6
UNITED
SPECIALTY INS
AGL0810381
05/01/200805/01
/2009
$1,000,000.00
04/30/2008
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
09/02/2003
$12,000.00
09/02 /2003
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
Untitled Page
General /Specialty Contractor
A business registered as a construction contractor with LEtI 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
Specialty 1
Specialty 2
602320560
ACTIVE
WASHIES9710B
CONSTRUCTION
CONTRACTOR
9/2/2003
9/2/2011
GENERAL
UNUSED
Business Owner Information
Bond Information
Insurance Information
•
Page 1 of 2
https://fortress.wa.gov/lni/bbip/Detail.aspx
08/03/2009