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Permit PG10-052 - BERHE ANDE RESIDENCE
BERHE ANDE RESIDENCE 1441158 AV S PG10 -052 Parcel No.: 3365900593 Address: Suite No: City* 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 14411 58 AV S TUKW PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: PG 10 -052 04/13/2010 10/10/2010 Tenant: Name: BERME ANDE RESIDENCE Address: 14411 58 AV S , TUKWILA WA Owner: Name: BERHE ALMAZ +ANDE HASTE WOLDU Address: 14411 58TH AVE S , TUKWILA WA Contact Person: Name: HABTE ANDE Address: 14411 58 AV S , TUKWILA WA Contractor: Name: WASHINGTON ENERGY SERVICES CO Address: 2800 THORNDYKE AVE W , SEATTLE, WA Contractor License No: WASHIES9710B Phone: Phone: 206 - 241 -9392 Phone: 206 282 -4200 Expiration Date: 09/02/2011 DESCRIPTION OF WORK: REPLACE WATER HEATER Value of Plumbing /Gas Piping: Fees Collected: $1,200.00 $47.25 Uniform Plumbing Code Edition: 2006 International Fuel Gas Code Edition: 2006 FIXTURE TYPE AND QUANTITY 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 0 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 * *continued on next page ** doc: UPC -7/07 PG10 -052 Printed: 04 -13 -2010 City "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: PG10 -052 Issue Date: 04/13/2010 Permit Expires On: 10/10/2010 { I 0Permit Center Authorized Signature: " v Date: 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 does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the pe • ormance of work. I am authorized to sign and obtain this plumbing /gas piping permit. Signature: Print Name: Date: 04/// ti (/v 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 PG10 -052 Printed: 04 -13 -2010 Parcel No.: 3365900593 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 14411 58 AV S TUKW BERHE ANDE RESIDENCE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: PG10 -052 ISSUED 04/13/2010 04/13/2010 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 PG10 -052 Printed: 04 -13 -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: 612///9//6 doc: Cond -10/06 PG10 -052 Printed: 04 -13 -2010 Site Address: CITY OF TUKWILO Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us Plumbing /Gas Permit`No; Project No (For office use only) PLUMBING / GAS PIPING PERMIT APPLICATION 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 ** l Gi G} r"/ s e 71 7// V6. 5 King Co Assessor's Tax No.: 10.6.c. 0 - 0 Sc ) Suite Number: Floor: Tenant Name: y— 11 /4an,9 Z ' /1 C/</{( ' %1?A? % (A) AN' _Di: New Tenant: ❑ Yes ❑..No Property Owners Name: 4 Lt M1 /y 7 j? eR f1c & •--i-J14M (C w Ai& Mailing Address: /61 iit(/ 971. , 9 1j�� S 74-7)) et,//./0! Ctty CONTACT PERSON - Who do we contact when your permit is ready to• be issued Name: -///M7 (.0 A A D iJ Mailing Address: (G{ 4 / Mr- V./6 5 (O Day Telephone: ,z ©� r -/ 2 ce- City / State Zip E -Mail Address: Fax Number: �.b b 1 44/ q 3 ? PLUMBING; /:GAS PIPING. ONTRACTOR :INFOR C MATI Company Name: j�% SF/ / /1/ 7-0 Mailing Address: Zip City Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: State tCHITECT OF RECORD - All plans must be wet stamped'by•Architectof`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 Recor Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: State Zip H:\Applications \Forms - Applications On Line\2009 Applications \1 -2009 - Plumbing -Gas Piping Permit Application.doc Revised: 1 -2009 bh Page 1 of 2 IP Valuation of Project (contractor's bid price): $ 1 -G U 0 Scope of Work (please provide detailed information): Building Use (per Int'l 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: ., Fixture TYpe: Qty . ,Fixture Type:-'' Qty : Fixture Type: '`. Qty Fixture Type: Qty 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 Building sewer and each trailer park sewer Rain water system — per drain (inside building) Water heater and /or vent J J Industrial waste treatment interceptor, including trap and vent, except for kitchen type grease interceptors Each grease trap (connected to not more than 4 fixtures - <750 gallon capacity) Grease interceptor for commercial kitchen ( >750 gallon capacity) Repair or alteration of water piping and/or water treatment equipment Repair or alteration of drainage or vent piping Medical gas piping system serving 1 -5 inlets /outlets for a specific gas Each additional medical gas inlets /outlets greater than 5 Backflow protective device other than atmospheric -type vacuum breakers 2 inch (51 mm) diameter or smaller Backflow protective device other than atmospheric -type vacuum breakers over 2 inch (51 mm) diameter Each lawn sprinkler system on any one meter including backflow protection devices Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections (1 -5) Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections over 5 Gas piping outlets 4ERMIT`APPLICATION NOTES,:,; 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. The Building Official may grant one extension of time for an additional period not to exceed 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 International 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 OWNiR 0 AUTHORIZED AGENT: Signature: /7 Print Name: f 7C /9. Date: e 44'/ %340 /Day Telephone: Mailing Address: /t (l ;t g 74) /9-7 � f� 4N) City �a fZ /G g Date Application Accepted: Date Application Expires: Staff Initials: H:\Applicat ions \Forms - Applications On Lanc\2009 Appbcations \1 -2009 - Plumbing -Gas Piping Permit Application.doc Revised: 1-2009 bh Page 2 of 2 • 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 Parcel No.: 3365900593 Address: 14411 58 AV S TUKW Suite No: Applicant: BERHE ANDE RESIDENCE RECEIPT Permit Number: PG10 -052 Status: PENDING Applied Date: 04/13/2010 Issue Date: Receipt No.: R10 -00619 Initials: User ID: Payee: WER 1655 Payment Amount: $47.25 Payment Date: 04/13/2010 10:53 AM Balance: $0.00 HABTE ANDE TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd MC - Authorization No. 015313 ACCOUNT ITEM LIST: Description 47.25 Account Code Current Pmts PLUMBING - RES 000.322.103.00.00 47.25 Total: $47.25 PAYMENT RFCE1VED doc: Receiot -06 Printed: 04 -13 -2010 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISI ON 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit P PERMIT �rJ (206)431 67 1 SCI Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: CI) Q dvs■n - t....1 - ( ,sx,,,r../ c, C Address: �ih Date Called: t Special Instructions: 035g (0-5---O( -r H ?"' " ` Date Wanted: / mt. � 2%�- CO P.m. R Requester: Phone No 1 SCI Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: CI) Q dvs■n - t....1 - ( ,sx,,,r../ c, C :-__-3. \-)iiv\-%-k--- C6AAir44- /F-7;1/4-iblAt N. 1 Date: 1-/-22-11) .00 REINSPECT! I N FEE REP UIRED. Prior to inspection, fee must be d at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: Contractors or Tradespeople Peter Friendly 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 Washington Energy Services Co UBI No. 602320560 Phone 2062824700 Status Active Address 2800 Thorndyke Ave W License No. WASHIES9710B Suite /Apt. License Type Construction Contractor City Seattle Effective Date 9/2/2003 State Wa Expiration Date 9/2/2011 Zip 98199 Suspend Date County King Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date Olson, Craig President 09/02/2003 Amount Heagle, Randy Secretary 09/02/2003 00G4H0905001 Christianson, Steve Treasurer 09/02/2003 PLUMBER INFRACTION Olson, Vern Vice President 09/02/2003 UNITED SPECIALTY INS Bond Information Page 1 of 2 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 $12,000.00 09/02/2003 Assignment of Savings Information No records found for the previous 6 year period Insurance Information 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 18.106.020 PLUMBER INFRACTION $1,000,000.00 04/29/2009 6 UNITED SPECIALTY INS AGL0810381 05/01/2008 05/01/2009 $250.00 $1,000,000.0004 /30/2008 5 UNDERWRITERS AT LLOYDS CJ0749013 05/01/2007 05/01 /2008 $1,000,000.0004 /27/2007 4 UNDERWRITERS AT LLOYDS CJ0677036 05/01/2006 05/01/2007 $1,000,000.0004 /28/2006 3 UNDERWRITERS AT LLOYDS CJ0583038 05/01/2005 05/01/2006 $1,000,000.0004 /27/2005 2 LLOYDS OF LONDON CJ0426061 04/01/2004 05/01/2005 $1,000,000.0004 /13/2004 1 BURLINGTON INS CO HGL0003868 08/29/2003 08/29/2004 $1,000,000.0009 /02/2003 Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period Infractions /Citations Information Infraction / Citation Date RCW Code Type Status Violation Amount PBATI00551 10/23/2009 18.106.020 PLUMBER INFRACTION Satisfied $250.00 PBAT100546 10/23/2009 18.106.020 PLUMBER INFRACTION Satisfied $250.00 PBATI00547 10/23/2009 18.106.020 PLUMBER INFRACTION Satisfied $250.00 https://fortress.wa.gov/lni/bbip/Print.aspx 04/13/2010