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HomeMy WebLinkAboutPermit PG11-134 - NORRIS RESIDENCENORRIS RESIDENCE 11609 39 AV S PG1 1 -134 City oPfukwila • 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 Parcel No.: 0733000170 Address: 11609 39 AV S TUKW Project Name: NORRIS RESIDENCE PLUMBING /GAS PIPING PERMIT Permit Number: PG11 -134 Issue Date: 09/08/2011 Permit Expires On: 03/06/2012 Owner: Name: NORRIS NANCY D Address: 18240 4TH AVE S , SEATTLE WA 98148 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: 09/02/2013 DESCRIPTION OF WORK: REPLACE 40 GALLON GAS WATER HEATER Value of Plumbing /Gas Piping: Fees Collected: Electrical Service Provided by: Permit Center Authorized Signature: $750.00 Uniform Plumbing Code Edition: 2009 $47.25 International Fuel Gas Code Edition: 2009 / I hereby certify that I have read and e famine d this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied 'th, hether specified herein or not. Date: /41 (,I The granting of this permit does not pre construction or the performance of work. on the back of this permit. to give authority to violate or cancel the provisions of any other state or local laws regulating authorized to sign and obtain this plumbing /gas piping permit and agree to the conditions Signature: Print Name: Date: 9— 8' -l7 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 -134 Printed: 09 -08 -2011 • • PERMIT CONDITIONS Permit No. PG11 -134 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 PG11 -134 Printed: 09 -08 -2011 CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ei.tukwila.wa.us Building Permit Mechanical Permit, No. Plumbing /Gas Permit No. Public Works Permit No. Project No. (For office use only) PGl 921 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.: 0733000170 Site Address: 1 1609 39TH AVE S Suite Number: Floor: Tenant Name: Property Owners Name: JAMES NORRIS Mailing Address: 11609 39TH AVE S New Tenant: ❑ Yes ❑..No TUKWILA City WA 98168 State 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 City E -Mail Address: naida @nwpermit.com 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: WASHINGTON ENERGY SERVICES Mailing Address: 2800 THORNDYKE AVE W SEATTLE WA 98199 City State Zip Contact Person: NAI DA KHAN Day Telephone: 360 - 945 -2787 E -Mail Address: Fax Number: Expiration Date: 9/2/13 Contractor Registration Number: WASHIES971 OV ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: 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.\Applications\Forms- Applications On Line \3 -2006 - Permit Application. doc Revised 9 -2006 bh State Zip Page 1 of 6 PLUMBING AND GAS PIPING PERMIT INFORMATION — 206 - 431 -3670 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: WASHINGTON ENERGY SERVICES Mailing Address: 2800 Thorndyke Avenue W Contact Person: E -Mail Address: Fax Number: Contractor Registration Number: WASH I ES971 OB Expiration Date: 09/02/13 Seattle WA 98199 City State Day Telephone: 800- 398 4663 Zip Valuation of Plumbing work (contractor's bid price): $ 750.00 Valuation of Gas Piping work (contractor's bid price): $ Scope of Work (please provide detailed information): REPLACE 40 GAL. GAS WATER HEATER Building Use (per Int'l Building Code): residence 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 1 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 :\ApplicationsTorms- 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 0 UTHORIZED AGENT: Signature: Print Name: Tiffany Ra ge /Northw`st Permit Inc Day Telephone: Point Roberts Mailing Address: 1345 Gulf Road Date: 360- 945 -2787 WA 98281 Zip City State Date Application Accepted: 07A0 Date Application Expires: Staff Initials: Q :'Applications \Forms - Applications On Line \3 -2006 - Permit Application.doc Revised: 9 -2006 bh Page 6 of 6 • C 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.TukwilaWA.gov Parcel No.: 0733000170 Address: 11609 39 AV S TUKW Suite No: Applicant: NORRIS RESIDENCE RECEIPT Permit Number: PG11 -134 Status: APPROVED Applied Date: 09/08/2011 Issue Date: Receipt No.: R11 -01956 Payment Amount: $47.25 Initials: JEM Payment Date: 09/08/2011 11:49 AM User ID: 1165 Balance: $0.00 Payee: WASHINGTON ENERGY SERVICES COMPANY TRANSACTION LIST: Type Method Descriptio Amount Payment Check 7673 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: Receipt -06 Printed: 09 -08 -2011 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: K1 nrf • S Rt s � Jenc,. Type inspection: n , J n • ■ , aJ A( frJ (� Address: It (001 Date Td:.. J Special Instructions: .4 6AA - ` . , !.' vim. 4 • Date Want e7l �..._a.m. T t 1 m. Requester: done No: —27cri _3 (P t10 -61-4s — Approved per applicable codes. �Corrections required prior to approval. COMMENTS: 6/b ot-tC k t1 'Inspect f\ `Date ?-- t ( LI REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be • paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople Per Friendly Page • Page 1 of 2 Electrical Contractor A business licensed by LEI 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 WASH IES971 OD Electrical Contractor 9/4/2003 9/4/2013 General Unused Other Associated Licenses 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 Electrical Administrator INFORMATION License CRISMTS935R0 Name CRISMAN, TRAVIS S 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 lBond1Bond Company Name Bond Account NumberlEffective DatelExpiration DatelCancel Datellmpaired Datel https://fortress.wa.gov/lni/bbip/Print.aspx 09/08/2011