HomeMy WebLinkAboutPermit PG10-057 - ANDERSON RESIDENCEANDERSON RESIDENCE
13057 56 AV S
PG1O-057
City ofkukwila
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
Parcel No.: 2172000075
Address: 13057 56 AV S TUKW
Project Name: ANDERSON RESIDENCE
PLUMBING /GAS PIPING PERMIT
Permit Number: PG10 -057
Issue Date: 05/07/2010
Permit Expires On: 11/03/2010
Owner:
Name: MALONE CATHERINE P
Address: 13057 56TH AVE S , TUKWILA WA 98178
Contact Person:
Name: NAIDA KHAN
Address: 1345 GULF RD , POINT ROBERTS WA 98281
Email: NAIDA@NWPERMIT.COM
Contractor:
Name: WASHINGTON ENERGY SERVICES CO
Address: 2800 THORNDYKE AVE W , SEATTLE, WA 98199
Contractor License No: WASHIES9710B
Phone: 360 945 -2787
Phone: 206 282 -4200
Expiration Date: 09/02/2011
DESCRIPTION OF WORK:
INSTALL GAS PIPING TO FURNACE, WATER HEATER, RANGE, AND CLOTHES DRYER
Value of Plumbing /Gas Piping: $700.00
$96.60
Fees Collected:
Permit Center Authorized Signature:
I hereby certify that I have read an
governing this work will be compli
Uniform Plumbing Code Edition: 2006
International Fuel Gas Code Edition: 2006
Date:
ned this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
The granting of this ermit does not p = . e to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the • erformance of work. I am aut • - - • sign and obtain this plumbing /gas piping permit.
die Pa■ 1, �� Date:
Signatu
doSpr
Print Name: * f l 1, ZC-V\ (NA t . C)t 1. Y\
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 -4/10
PG10 -057 Printed: 05 -07 -2010
Parcel No.: 2172000075
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
13057 56 AV S TUKW
ANDERSON RESIDENCE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
PG 10 -057
ISSUED
05/07/2010
05/07/2010
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 -057 Printed: 05 -07 -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:
doc: Cond -10/06
PG10 -057 Printed: 05 -07 -2010
CITY OF TUKWILI
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Building Fierrnlilli No.
Mechanical Permit No.
Plumbing /Gas Permit No.
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 **
King Co Assessor's Tax No.: 2172000075
Site Address:
13057 56TH AVE S Suite Number: Floor:
Tenant Name:
Property Owners Name: JOE ANDERSON
Mailing Address: 13057 56TH AVE S
New Tenant: ❑ Yes ❑ .. No
TUKWILA
city
WA
State
98178
Zip
CONTACT PERSON - who do we contact when your permit is ready to be issued
Name: Naida Khan /Northwest Permit Inc
Mailing Address: 1345 GULF RD
E -Mail Address: naida@nwpermit.com
Day Telephone: 360- 945 -2787
Point Roberts WA 98281
City
State Zip
Fax Number: 360- 945 -2091
GENERAL CONTRACTOR INFORMATION —
(Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5))
Company Name:
Mailing Address:
City State Zip
Contact Person: Day Telephone: 800- 398 -4463
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
ARCHITECT OF RECORD - All plans must be wet stamped by Architect of 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 Record
Company Name:
Mailing Address:
State
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Q:\Applications\Forms- Applications On Line\3 -2006 - Permit Application.doc
Revised: 9 -2006
bh
Zip
Page 1 of 6
PLUMBING AND GAS PIPIN RMIT INFORMATION — 206 -43.70
PLUMBING AND GAS PIPING CONTRACTOR INFORMATION
Company Name: WESCO
Mailing Address: 2800 Thorndyke Avenue W
Contact Person: ANDREA S LATT E RY
Seattle
WA 98199
City State Zip
Day Telephone: 800- 3984663
E -Mail Address: Fax Number:
Contractor Registration Number: WASH I ES971 OB Expiration Date: 09/02/11
Valuation of Plumbing work (contractor's bid price): $
Valuation of Gas. Piping work (contractor's bid price): $ 700.00
Scope of Work (please provide detailed. information): INSTALL GAS PIPING TO FURNACE, WATER HEATER,
RANGE AND CLOTHES DRYER.
Building Use (per Int'I 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:
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
4
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:'ApplicabonsWorms- Applications On Line\3 -2006 - Permit Application.doc
Revised: 9 -2006
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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 OWNER OK AUTHORIZED AGENT:
Signature:
Print Name: Naida Khan /Northwest Permit Inc
Mailing Address: 1345 Gulf Road
Day Telephone:
Point Roberts WA
Date: 7 L 10
360- 945 -2787
City
State
98281
Zip
Date Application Accepted:
[U-1 1 CO
Date Application Expires:
Staff Initials:
-...----(-/.
M, 1
Q:\Applications\Forms- Applications On Line \3 -2006 - Permit Application.doc
Revised: 9 -2006
bh
Page 6 of 6
SET RECEIPT
RECEIPT NO: R10 -00795
Initials: JEM Payment Date: 05/07/2010
User ID: 1165 Total Payment: 392.45
Payee: WASHINGTON ENERGY SSERVICES COMPANY
SET ID: S000001378 SET NAME: Tmp set/Initialized Activities
SET TRANSACTIONS:
Set Member
EL10 -0344
M10 -061
PG10 -057
TOTAL:
Amount
54.60
241.25
96.60
54.60
TRANSACTION LIST:
Type Method Description Amount
Payment Check 6243 392.45
TOTAL: 392.45
ACCOUNT ITEM LIST:
Description Account Code Current Pmts
ELECTRICAL PERMIT - NONR 000.322.101.00.0 54.60
GAS - NONRES 000.322.103.00.0 96.60
MECHANICAL - RES 000.322.102.00.0 241.25
TOTAL: 392.45
PAYMENT
RECEIVED
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
1%(c) -0�7
IL_
PE RMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)431 -3670
Pro'ect:
)A 0 ersL, R.e s. i9
Type of Inspecti n:
. -E,' A 6 A �_s
Address: ?1.
13 )S'J 51 rAuk- .C.
Date Called:
.
Special Instructions:
' '
Date Wanted:
� `(-10
a.m.
�', °' 7
Requester:
Phone
(✓U Co ``ef0Z (
s9
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
Inspectof:
Date.
10
ri $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Callao schedule reinspection.
Receipt No.:
Date:
INSPECTION NO.
INSPECTION RECORD.
Retain a copy with permit
G
P6 —d
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)431 -367
7
Project: p
Prbkle f10 A ,e 5.
Type of Inspecti n:
R p.., �/'
Address: r�
i -o5/ StA -v_S,
Date Called: 6A �t
Special Instructions:
Date Wanted: \a.m, 67 / � � C% p�rrr.
Requester:
Phone No:
ZAG —4c) 2 -- `757
Approved per applicable codes.
Corrections required prior to approval. jr'�'
COMMENTS:
Tkere ■ S kJ 0 1 3, L
.6c' f 'V e__ ;-_s i GO 4-&T A
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P
Inspe .tor:
Date:
te) rte -i�
$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:
...r.n•,.r.+:: " - �' --,`. s asry -F ,tom-- c..KT_ w:v.�...�w.r•ni"f i,F: J?? !.1 ..__.....-tir -_� _._ _ _ �.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
C4't
p/ 3 —(15 17
PERMIT NO.
CITY OF TUKWILABUILDING DIVISION 1.1?--
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project A
Type of Inspection:
Address:
i 3o5-'7
7w
4,4: s
Date Called:
Special Instructions:
Date Wanted:
m.
Requester:
Phone No:! ,1
0
2
_4175)7
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
InspecCor:
Date:
ri $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:
. L�. ��-;- fc< �? aic. �.; a-`- °�_'';;'�'4:s^�v2°- -.✓.�'K= ��-3'���1a�:4 -rte
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION ,`
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
CM
P6
ProJejrt: � ei j J
faC n
np r
/c `J
Type o spa • n(
`_'
Address:
130Cri c6
4 f -
Date Called:
.__..
Special Instructions:
V ? ( a (3 '-
-
c7 f'_'
Date Wanted: a.m.
co V '" ' 1' �-p m'
Requester:
Phone Noff: __ Z ss— / Z31
lJ_.
Approved per applicable codes. Corrections required prior to approval. •
COMMENTS:
r
e Sf_Go 41 e
t/ ;A
pko^ -c
cJ I Lo < LL xe
Aep
ii
Inspector:
r p.6-N t
Date:( (4 -1i1
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:
Contractors or Tradespeople liter Friendly Page
•
General /Specialty Contractor
A business registered as a construction contractor with LEt1 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. WASHIES971OB
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
000259901
Christianson, Steve
Treasurer
09/02/2003
Olson, Vern
Vice President
09/02/2003
Ironshore
Specialty Ins Co
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
8
IRONSHORE
SPECIALTY INS
CO
000259901
05/01/2010
05/01/2011
$1,000,000.00
04 /30/2010
7
Ironshore
Specialty Ins Co
00G4H0905001
05/01/2009
05/01/2010
$1,000,000.0004
/29/2009
6
UNITED
SPECIALTY INS
AGL0810381
05/01/2008
05/01/2009
$1,000,000.0004
/30/2008
5
UNDERWRITERS
AT LLOYDS
CJ0749013
05/01/2007
05/01/2008
$1,000,000.00
04/27/2007
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
$1,000,000.00
09/02/2003
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
PBAT100551
10/23/2009
18.106.020
PLUMBER INFRACTION
Satisfied
$250.00
https://fortress.wa.gov/lni/bbip/Print.aspx
05/07/2010