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