HomeMy WebLinkAboutPermit PG10-071 - GROSS RESIDENCEGROSS RESIDENCE
3224 S 135 ST
EXPIRED 12 -21 -10
PG1O-071
Parcel No.:
Address:
City a*Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Inspectio n Request Line: 206 - 431 -2451
Web site: http: / /www.ci.tukwila.wa.us
1523049189
3224 S 135 ST TUKW
Project Name: GROSS RESIDENCE
PLUMBING /GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On:
PG 10 -071
06/24/2010
12/21/2010
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Email:
Contractor:
Name:
Address:
Contractor
GROSS DUSTIN
3224 S 135TH ST , TUKWILA WA 98168
NAIDA KHAN
1345 GULF RD , POINT ROBERTS WA 98281
NAIDA@NWPERMIT.COM
WASHINGTON ENERGY SERVICES CO
2800 THORNDYKE AVE W , SEATTLE, WA 98199
License No: WASHIES9710B
Phone: 360 945 -2787
Phone: 206 282 -4200
Expiration Date: 09/02/2011
DESCRIPTION OF WORK:
REPLACE 50- GALLON GAS WATER HEATER
Value of Plumbing /Gas Piping: $1,375.00 Uniform Plumbing Code Edition: 2006
Fees Collected: $47.25 International Fuel Gas Code Edition: 2006
Permit Center Authorized Signature:
I hereby certify that I have read and e
governing this work will be complied
ami
ith,
The granting of this permit does not pres
Date: a (2--k E to
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
construction or the perfor • ance of work. I am authorized to sign and obtain this plumbing /gas piping permit. ( (c
Signature: - � Date: ` vv
Print Name:
. _.11_at 1.—
rv-i 1(L• -� 11 t
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 -071
Printed: 06 -24 -2010
Parcel No.:
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
1523049189
3224 S 135 ST TUKW
GROSS RESIDENCE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
PG 10 -071
ISSUED
06/24/2010
06/24/2010
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, arty 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 -071 Printed: 06 -24 -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:
Cam-- -' Date:
Lt,c5-u
r0
doc: Cond -10/06
PG10 -071 Printed: 06 -24 -2010
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci. tukwil am a.
Mechanical Permit
Plumbing/Gas' Permit
PublicvWorks 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 **
SI•TE LOCATION
King Co Assessor's Tax No.:. 1523049189
Site Address: 3224 S 135TH ST Suite Number:
Tenant Name:
Floor:
New Tenant: ❑ Yes ❑ .. No
Property Owners Name: DUSTIN GROSS
Mailing Address: 3224 S 135TH ST
TUKWILA
City
WA
State
98168
Zip
CONTACT PERSON - who do we contact when your permit is ready to be issued
Name: Naida Khan /Northwest Permit Inc
Day Telephone: 360- 945 -2787
Mailing Address: 1345 GULF RD Point Roberts WA 98281
E -Mail Address: naida @nwpermit.com
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:
Contact Person:
E -Mail Address:
Contractor Registration Number:
City
Day Telephone:
Fax Number:
Expiration Date:
State
800 - 398 -4463
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: ti
Contact Person:
E -Mail Address:
Q: WpphcationsNonns- Applications On Lme\ -2006 - Permit Application.doc
Revised: 9 -2006
bh
City
State
Zip
Day Telephone:
Fax Number:
Page 1 of 6
PLUMBING AND GAS PIPING PERMIT INFORMATION — 206 - 431 -3670
PLUMBING AND GAS PIPING CONTRACTOR INFORMATION
Company Name: WESCO
Mailing Address: 2800 Thorndyke Avenue W
Seattle
WA 98199
City State Zip
Contact Person: NAI DA KHAN Day Telephone: 360 - 945 -2787
E -Mail Address: Fax Number:
Contractor Registration Number: WASHIES971 OB Expiration Date: 09/02/11
Valuation of Plumbing work (contractor's bid price): $ 1374.69
Valuation of Gas Piping work (contractor's bid price): $
Scope of Work (please provide detailed information): REPLACE 50 GALLON GAS WATER HEATER
Building Use (per Int'l 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
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
,I
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: Applications \Forms - Applications On Line\3 -2006 - Permit Apphcanon.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 OWN
AUTHORIZED AGENT:
Signatu - • D__ _ Q9___ Dat
Print Name: Nald. Khan /Northwest Permit Inc Day Telephone: 360-945 -2787
Point Roberts WA 98281
City State Zip
Mailing Address: 1345 Gulf Road
Date Application Accepted: 01 „I k
lf/ l
, f _
N(J
Date Application Expires: Ill n i
Ill �G
��
Staff Initials:
Q:\Applications'Forms- Applications On Linen -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
Parcel No.: 1523049189
Address: 3224 S 135 ST TUKW
Suite No:
Applicant: GROSS RESIDENCE
RECEIPT
Permit Number: PG 10 -071
Status: APPROVED
Applied Date: 06/24/2010
Issue Date:
Receipt No.: R10 -01147
Initials:
User ID:
Payee:
JEM
1165
Payment Amount: $47.25
Payment Date: 06/24/2010 01:14 PM
Balance: $0.00
WASHINGTON ENERGY SERVICES COMPANY
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 6354 47.25
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
PLUMBING - NONRES
000.322.103.00.00 47.25
Total: $47.25
doc: Receiot -06
Printed: 06 -24 -2010
11 -01 -2010
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development
NAIDA KHAN
1345 GULF RD
POINT ROBERTS WA 98281
RE: Permit No. PG10 -071
3224 S 135 ST TUKW
Dear Permit Holder:
Jack Pace, Director
In reviewing our current records, the above noted permit has not received a final inspection by the City of
Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform
Plumbing Code and /or the National Electric Code, every permit issued by the Building Division under the
provisions of these codes shall expire by limitation and become null and void if the building or work authorized
by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work
authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 12/21/2010.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final
inspection. Each inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is
due to expire. Address your extension request to the Building Official and state your reason(s) for
the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is
determined that your extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and /or receive an extension prior to 12/21/2010, 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,
4/419-
er Marshall
t Technician
File: Permit File No. PG 10 -071
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
Contractors or Tradespeople Pter Friendly Page
Page 1 of 2
Electrical Contractor
A business licensed by Lftl to contract electrical work within the scope of its specialty. Electrical
Contractors must maintain a surety bond or assignment of savings account. They also must have a
designated Electrical Administrator or Master Electrician who is a member of the firm or a full -time
supervisory employee.
Business and Licensing Information
Name
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
Washington Energy Services Co
2062824700
2800 Thorndyke Ave W
Seattle
Wa
98199
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602320560
Active
WASHIES971 OD
Electrical Contractor
9/4/2003
9/4/2011
General
Unused
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
WASHIES009MC
Washington Energy
Services
Electrical
Contractor
General
Unused
7/3/2000
7/3/2002
Archived
NORTHWHO99JZ
Northwest Water
Heater Inc
Electrical
Contractor
General
Unused
4/9/1991
4/9/2001
Archived
WASHIES997N8
Washington Energy
Services Co
Electrical
Contractor
General
Unused
8/28/2001
8/28/2005
Out Of
Business
ADMINISTRATOR INFORMATION
License CRISMTS935R0
Name Crisman, Travis 5
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
Freidberg, Dan
Agent
09/04/2003
Olson, Craig
President
09/04/2003
Heagle, Randy
Secretary
09/04/2003
Christianson, Steve
Treasurer
09/04/2003
Olson, Vern
Vice President
09/04/2003
Bond Information
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration DateiCancel Date
Impaired Date
https://fortress.wa.gov/lni/bbip/Print.aspx
06/24/2010