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HomeMy WebLinkAboutPermit PG10-005 - NELSON RESIDENCENELSON RESIDENCE 16435 WEST VALLEY HY PG1O-005 Parcel No.: Address: Suite No: Citylf Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Inspection Request Line: 206 - 431 -2451 Web site: http: / /www.ci.tukwila.wa.us PLUMBING /GAS PIPING PERMIT 2523049027 16435 WEST VALLEY HY TUKW Permit Number: Issue Date: Permit Expires On: PG 10 -005 01/22/2010 07/21/2010 Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: NELSON RESIDENCE 16435 WEST VALLEY HY , TUKWILA WA NELSEN WALTER M 16435 W VALLEY HWY , TUKWILA WA NAIDA KHAN 1345 GULF RD , POINT ROBERT 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: 09/02/2011 DESCRIPTION OF WORK: REPLACE 50 GALLON HOT WATER HEATER Value of Plumbing /Gas Piping: $950.00 Fees Collected: $47.25 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 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 -7/07 PG 10 -005 Printed: 01 -22 -2010 • City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Inspection Request Line: 206 - 431 -2451 Web site: http: / /www.ci.tukwila.wa.us Permit Number: Issue Date: Permit Expires On: PG 10 -005 01/22/2010 07/21/2010 Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complied ami with, The granting of this pe 't does not pres construction or the perfo ance of work. Signature: Date: &1t2-11(10 ed this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. e to give authority to violate or cancel the provisions of any other state or local laws regulating I am authorized to sign and_ob . 'n this plumbing /gas piping permit. Print Names Va -Lk- Date: �a _ 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 -7/07 PG 10 -005 Printed: 01 -22 -2010 Parcel No.: 2523049027 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 16435 WEST VALLEY HY TUKW NELSON RESIDENCE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: PG10 -005 ISSUED 01/22/2010 01/22/2010 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 PG 10 -005 Printed: 01 -22 -2010 • 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: Date: 0 doc: Cond -10/06 PG 10 -005 Printed: 01 -22 -2010 CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.atulcwila.wa.us SITE LOCATION Building PPermit No. Mechanical Permit No, `Plumbing /Gas Permit No.' •.. V Public Works Permit No.' . ProjectNo. (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 Address: 16435 W VALLEY HWY Tenant Name: Property Owners Name: WALTER NELSON Mailing Address: same as property address King Co Assessor's Tax No.: 2523049027 Suite Number: New Tenant: Floor: ❑ Yes ❑ ..No 98188 Zip tukwila City wa State • 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 -2787 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: City Day Telephone: Fax Number: Expiration Date: State Zip ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record .. Company Name: Mailing Address: Contact Person: E -Mail Address: City Day Telephone: Fax Number: State Zip ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record Company Name: Mailing Address: Contact Person: E -Mail Address: Q:\Applications\Fotms- Applications On Line\3 -2006 - Permit Application.doc Revised: 9 -2006 bh City Day Telephone: Fax Number: State Zip Page 1 of 6 MECHANICAL PERMIT INFO! MECHANICAL CONTRACTOR INFORMATION Company Name: WESCO Mailing Address: 2800 Thorndyke Avenue W Seattle WA 98199 City State Zip Contact Person: Candice Gallagher Day Telephone: 206- 378 -6649 E -Mail Address: Fax Number: Contractor Registration Number: WAS H I ES97I OB Expiration Date: 09/02/11 Valuation of Mechanical work (contractor's bid price): $ 950.00 Scope of Work (please provide detailed information): REPLACE GAS 50 GALLON HOT WATER HEATER Use: Residential: New .... ❑ Replacement .... Commercial: New .... ❑ Replacement .... ❑ Fuel Type: Electric ❑ Gas .... Other: Indicate type of mechanical work being installed and the quantity below: Unit Type: ` Qty Unit Type: Qty Unit Type: Qty Boiler /Compressor: Qty Furnace <100K BTU Air Handling Unit >10,000 CFM Fire Damper 0 -3 HP /100,000 BTU Furnace >100K BTU Evaporator Cooler Diffuser 3 -15 HP /500,000 BTU Floor Furnace Ventilation Fan Connected to Single Duct Thermostat 15 -30 HP /1,000,000 BTU Suspended/Wall/Floor Mounted Heater Ventilation System Wood/Gas Stove 30 -50 HP /1,750,000 BTU Appliance Vent Hood and Duct Emergency Generator 50+ HP /1,750,000 BTU Repair or Addition to Heat/Refrig/Cooling System Incinerator - Domestic Other Mechanical Equipment 1 Air Handling Unit <10,000 CFM Incinerator — Comm/Ind Q:\Applications\Forms- Applications On Linel3 -2006 - Permit Application.doc Revised: 9 -2006 bh Page 4 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 OW ' OR AUTHORIZED AGENT: Signatu Print Name: Naida Khan /Northwest Permit Inc. Mailing Address: 1345 Gulf Rd Date: 1 v Day Telephone: 360- 945 -2787 Point Roberts WA 98281 City State Zip Date Application Accepted: 01.1 Td,G0 Date Application Expires: Staff Initials: .,(67;--1 I Q:\Applications\Forms- Applications On Line\3 -2006 - Permit Application.doc Revised: 9 -2006 bh Page 6 of 6 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.: 2523049027 Permit Number: PG 10 -005 Address: 16435 WEST VALLEY HY TUKW Status: PENDING Suite No: Applied Date: 01/22/2010 Applicant: NELSON RESIDENCE Issue Date: Receipt No.: R10 -00093 Initials: User ID: Payee: JEM 1165 Payment Amount: $47.25 Payment Date: 01/22/2010 11:12 AM Balance: $0.00 WASHINGTON ENERGY SERVICES COMPANY TRANSACTION LIST: Type Method Descriptio Amount Payment Check 5948 47.25 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts PLUMBING - RES 000.322.103.00.00 47.25 Total: $47.25 PAYMENT RECEIVED doc: Receipt -06 Printed: 01 -22 -2010 INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. r PG 1v -095 CITY OF TUKWILA BUILDING DIVISION �P- e 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: ekcA Type of Inspects n: Add � � � �� � ��e Date Called} _p PL‘-J-4 Special Instructions:" Date Wanted: r a.m (, -3-v3 p.m. Requester: Phone No: , -255 —(00(,,, Approved per applicable codes. Corrections required prior to approval. COMMENTS: .e- . i c�/Mp( P Inspector.�� E J $60.00 REINSPECTION FEE REQ IRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: j -"/' 6 Receipt No.: Date: w�l+!.'�2+f:.•d':`k,.�..d` ark' cF' M',' �' c�5i` c•' �nR�b'' d. �xy7��1 .,:'.�..�+,- c-fsyia,..+- ,�:%.rx k!—�;. �.�..`..'C ... .. ... 06 -01 -2010 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director NAIDA KHAN 1345 GULF RD POINT ROBERT WA 98281 RE: Permit No. PG10 -005 16435 WEST VALLEY HY 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 07/21/2010 , 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 xc: Permit File No. PG 10 -005 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 Untitled Page • General /Specialty Contractor A business registered as a construction contractor with Lal 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 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 UNITED SPECIALTY INS 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 7 Ironshore Specialty Ins Co 00G4H0905001 05/01/200905/01 /2010 $1,000,000.0004 /29/2009 6 UNITED SPECIALTY INS AGL0810381 05/01/200805/01 /2009 $1,000,000.0004 /30/2008 https://fortress.wa.gov/lni/bbip/Detail.aspx 01/22/2010