HomeMy WebLinkAboutPermit PG11-118 - CANON RESIDENCECANON RESIDENCE
5111 S 163 PL
PG11-118
Parcel No.:
Address:
City okukwila
•
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.TukwilaWA.gov
8700500080
5111 S 163 PL TUKW
Project Name: CANON RESIDENCE
PLUMBING /GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On:
PG11 -118
08/01/2011
01/28/2012
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Email:
Contractor:
Name:
Address:
CANON ELAINE
5111 S 163RD PL , TUKWILA WA 98188
NAIDA KHAN
1345 GULF RD , POINT ROBERTS WA 98281
NAIDA@NWPERMIT.COM
WASHINGTON ENERGY SERVICES CO
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:
30' GAS PIPING TO FIREPLACE INSERT
Value of Plumbing /Gas Piping:
Fees Collected:
Electrical Service Provided by:
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complie
$450.00 Uniform Plumbing Code Edition: 2009
$63.00 International Fuel Gas Code Edition: 2009
RIO S' Yl► 0 ��
Date:
ed 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 permit does not pre
construction or the performance of work.
on the back of this permit.
e to give authority to violate or cancel the provisions of any other state or local laws regulating
I am authorized to sign and obtain this plumbing /gas piping permit and agree to the conditions
Date: VI ( 11 I
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
PG 11 -118 Printed: 08 -01 -2011
•
PERMIT CONDITIONS
Permit No. PG 11 -118
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.
doc: UPC -4/10
PG 11 -118 Printed: 08 -01 -2011
CITY OF TUKWIL.
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: //www. ci. tukwila.wa. us
Building Peo.
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 **
SITE LOCATION
Site Address: 5111 S 163RD PL
King Co Assessor's Tax No.: 8700500080
Suite Number: Floor:
Tenant Name: New Tenant: ❑ Yes ❑ ..No
Property Owners Name: ELAINE CANON
Mailing Address: 5111 S 163RD PL
TUKWILA
City
WA 98188
State 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
City State
Fax Number: 360- 945 -2091
98281
Zip
GENERAL CONTRACTOR INFORMATION =
(Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5))
Company Name: WASHINGTON ENERGY SERVICES
Mailing Address: 2800 THORNDYKE AVE W
City State Zip
Contact Person: NAI DA KHAN Day Telephone: 360 - 945 -2787
E -Mail Address: Fax Number:
SEATTLE
WA 98199
Contractor Registration Number: WASH I ES971 OB
Expiration Date: 9/2/11
ARUM ECT OF RECORD - All plans must be wet stamped by Architect of Record
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
Fax Number:
E -Mail Address:
State
Zip
ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Q:Wpplications\Fomu- Applications On linel3 -2006 - Permit Applicatioadoc
Revised: 9 -2006
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State
Zip
Page 1 of 6
PLUMBING AND GAS PIPIN(SRMIT INFORMATION — 206-43
PLUMBING AND GAS PIPING CONTRACTOR INFORMATION
Company Name: WASHINGTON ENERGY SERVICES
Mailing Address: 2800 Thorndyke Avenue W
Seattle
WA 98199
Contact Person: Amber Hearn
E -Mail Address:
Contractor Registration Number: WAS H 1 E S 9 71 O B
City State Zip
Day Telephone: 800- 398 -4663
Fax Number:
Expiration Date: 09/02/11
Valuation of Plumbing work (contractor's bid price): $
Valuation of Gas Piping work (contractor's bid price): $ 450.00
Scope of Work (please provide detailed information): 30' GAS PIPING TO FIREPLACE INSERT
Building Use (per Intl Building Code): residence
Occupancy (per Intl 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
1
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:WpplicationeWomna- Applications On tlne\3 -2006 - Pemat Applicalondoc
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.
BUILDIN 1 R 0 A T. 1' D AGENT:
lei Signature:
Print Name. ' VIA
Mailing Address:
ss/Northwest Permit Inc
1345 Gulf `Road
Date: P jO )z..ot(
Day Telephone: 360-945 -2787
Point Roberts WA 98281
Zip
City
State
Date Application Accepted: U r1 V 0 t
l i I
Date Application Expires: ce--_
Staff Initials�
,:
Q:\ApplicationsWonns- Applications On Line3-2006 - permit Applicaeon.doc
Revised: 9 -2006
bh
Page 6 of 6
Cif, 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
SET RECEIPT
Copy Reprinted on 08 -01 -2011 at 12:15:27 08/01/2011
RECEIPT NO: R11 -01646
Initials: JEM
Payment Date: 08/01/2011
User ID: 1165 Total Payment: 258.90
Payee: WASHINGTON ENERGY SERVICES COMPANY
SET ID: S000001540 SET NAME: Temporary Set
SET TRANSACTIONS:
Set Member
M11 -110
PG11 -118
TOTAL:
Amount
195.90
63.00
195.90
TRANSACTION LIST:
Type Method Description Amount
Payment Check 7517 258.90
TOTAL: 258.90
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
GAS - RES 000.322.103.00.0
MECHANICAL - RES 000.322.102.00.0
63.00
195.90
TOTAL: 258.90
1
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
P1(- 1'2
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project:
R.
Typesif Inspection:
4 N kC PIS . ApLa ,
0 A 00/3
Addr s: EL
Date Called:
ft i � 3 P
.e
Special Instructions:
Date Wanted:.
/! '(G ' // pm
Requester:
Phone 0 No: A 2.- ^ 33
�(D�� -T _J
ipproved per applicable codes. D Corrections required prior to approval.
COMMENTS:
6) /1/4,5 l9 _ ,L./ Afild r✓v� -r pei Cam, 'md+
C 40-41, (1 4 ,PPA I/
Ins . r•
Date:
t/— ,9- it/
❑ 1 SPECTION FEE ' EQUIRED!Prior to next inspection. fee must be
d at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople liter Friendly Page
1
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
VGL1021215
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
9
COMPANION
SPECIALTY
INSURANCE
VGL1021215
05/01/2011
05/01/2012
$1,000,000.0004
/29/2011
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
$1,000,000.00
04 /29/2009
6
UNITED
SPECIALTY INS
AGL0810381
05/01 /2008
05/01 /2009
$1,000,000.00
04 /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
Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period
Warrant Information No unsatisfied warrants on file within prior 6 year period
Infractions /Citations Information
https://fortress.wa.gov/lni/bbip/Print.aspx
08/01/2011