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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 bh 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 �`r,„ . r 6r c.P .F- r A n 1 t/- . f).efl"k:-/-- 5k.),Ld kliC-- 6r A S d� p I V` J- l�� � 0,,i e_e( 0 ,s s , Dom ) l /h e--(1 r,vn'ee_Yi NA A C 1 Ake: kpsG�A (7. 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