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Home My WebLink AboutPermit PG09-109 - QUEALEY RESIDENCEQUEALEY RESIDENCE 4020 S 130 PL PGO9-109 Parcel No.: Address: Suite No: Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: doc: UPC -7/07 7340600770 4020 S 130 ST TUKW QUEALEY RESIDENCE 4020 S 130 ST , TUKWILA WA QUEALEY RICHARD 4020 S 130TH , SEATTLE WA NAIDA KHAN 1345 GULF RD , POINT ROBERTS WA WASHINGTON ENERGY SERVICES CO 2800 THORNDYKE AVE W , SEATTLE, WA Contractor License No: WASHIES9710B DESCRIPTION OF WORK: REPLACE GAS TO GAS 50 GALLON WATER HEATER 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 Cityif 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 FIXTURE TYPE AND QUANTITY * *continued on next page ** PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: Phone: Phone: 360 845 -2787 Phone: 206 282 -4200 Expiration Date: 09/02/2011 Uniform Plumbing Code Edition: 2006 Value of Plumbing /Gas Piping: $950.00 Fees Collected: $45.00 International Fuel Gas Code Edition: PG09 -109 09/14/2009 03/13/2010 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 PG09 -109 Printed: 09 -14 -2009 Permit Center Authorized Signature: Signature: 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 wi I hereby certify that I have read and ex ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be compli , 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 s' d obtain this plumbing /gas piping permit. ■ • Permit Number: PG09 -109 Issue Date: 09/14/2009 Permit Expires On: 03/13/2010 Date: Date: 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 -109 Printed: 09 -14 -2009 Parcel No.: 7340600770 Address: Suite No: Tenant: 4020 S 130 ST TUKW QUEALEY RESIDENCE 1: ** *PLUMBING AND GAS PIPING * ** doc: Cond -10/06 • 0 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: 5: No portion of any plumbing system or gas piping shall be concealed until inspected and approved. * * continued on next page ** PG09 -109 ISSUED 09/14/2009 09/14/2009 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. 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. PG09 -109 Printed: 09 -14 -2009 • Signature: Print Name: doc: Cond-1 0/06 ,,,eKe-rt--1 -0,e 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 .•erformance of work. Date: L L t-4-cS? 7 z) PG09 -109 Printed: 09 -14 -2009 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 Site Address: 4020 S 130TH ST Building Permit No. Mechanical Permit No. Plumbing/Gas Permit No. P % 1 101 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 King Co Assessor's Tax No.: 7340600770 Suite Number: Floor: Tenant Name: New Tenant: ❑ Yes ❑ ..No Property Owners Name: RICHARD QUEALEY Mailing Address: 4020 S 130TH ST 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 RD E -Mail Address: naida @nwpermit.com Point Roberts 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: Contact Person: - E -Mail Address: Contractor Registration Number: Company Name: Mailing Address : E -Mail Address: Company Name: Mailing Address: City Contact Person: -- -- - Day Telephone: E -Mail Address: _ — - — Fax Number: Q.Wpplications\For ns- Applications On Line3-2006 - Permit Application.doc Revised: 9.2006 bh State State State Zip City Day Telephone: Fax Number: Expiration Date: ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record Zip City Contact Person: Day Telephone: Fax Number: ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record Zip 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 PLUMBING AND GAS PIPING PERMIT INFORMATION — 206 - 431 -3670 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: WESCO Mailing Address: 2800 Thorndyke Avenue W Contact Person: Candice Gallagher E -Mail Address: Contractor Registration Number: WASH 1 ES971 OB Building Use (per Int'I Building Code): Residential Occupancy (per Intl Building Code): Utility Purveyor: Water: Q:Wpplications'Forns- Applications On Line'3 = 2006 = Permit Application.doc Revised: 9-2006 bit Seattle WA 98199 City State Zip Day Telephone: 800- 398 -4663 Fax Number: Expiration Date: 09/02/11 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 GAS TO GAS 50 GAL WATER HEATER Sewer: Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: 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. 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 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 OWN Signature: Print Name: N a i R AUTHORIZED AGENT: Mailing Address: 1345 Gulf Road Date Application Accepted: a Khan /Northwest Permit Inc opt oi\ Q:\ApPlieations\Forms- Applic bons On Line' -2006 - Permit Application.doc Revised: 9 -2006 bh Date Application Expires: POint Roberts City Date Day Telephone: 360- 945 -2787 WA 98281 State Zip Staff Initials: Page 6 of 6 Parcel No.: 7340600770 Address: 4020 S 130 ST TUKW Suite No: Applicant: QUEALEY RESIDENCE Receipt No.: R09 -01437 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 Initials: JEM Payment Date: 09/14/2009 11:31 AM User ID: 1165 Balance: $0.00 Payee: WASHINGTON ENERGY SERVICES COMPANY TRANSACTION LIST: Type Method Descriptio Amount Payment Check 5566 45.00 Authorization No. Account Code Current Pmts 000.322.103.00.0 45.00 Total: $45.00 Permit Number: PG09 -109 Status: APPROVED Applied Date: 09/14/2009 Issue Date: Payment Amount: $45.00 PAYMENT RECEIVED doc: Receiot -06 Printed: 09 -14 -2009 Pro' ct: c k€ c Type of Inspectio F,tA pL4'4 Ad ress: 7 O Date Called: Special Instructions: W fie' A eAte-J Date Wanted:., 2 :1/ (0 p • Requester: Phone .-,,) Co - 242 -6 783 INSPECTION RECORD p�OR 'Ioq Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 A pproved per applicable codes. Corrections required prior to approval. COMMENTS: Pere.i dame e4e /r«o In ecto 0 REINSPECTION FE - REQUIRED. ' rior to inspection, fee must be ic}r 6300 Southcenter Bl d., Suite 100 Call to schedule reinspection. Recei t No.: Date: Date: NAIDA KHAN 1345 GULF RD POINT ROBERTS WA 98281 RE: Permit No. PG09 -109 4020 S 130 ST TUKW Dear Permit Holder: Department of Community Development 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 03/13/2010. Based on the above, you are hereby advised to: 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. -or- 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 03/13/2010, 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. Sincerely, Bill Rambo Permit Technician File: Permit File No. PG09 -109 Jim Haggerton, Mayor Jack Pace, Director 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • 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 05/01/2008 05/01/2009 $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 & 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 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 WASHINGTON ENERGY SERVICES CO 2062824700 2800 THORNDYKE AVE W SEATTLE WA Zip 98199 County KING Business Type Corporation Parent Company 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 • to Page 1 of 2 https://fortregs.wa.gov/linibbip/Detail.aspx 09/14/2009