HomeMy WebLinkAboutPermit PG11-134 - NORRIS RESIDENCENORRIS RESIDENCE
11609 39 AV S
PG1 1 -134
City oPfukwila
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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
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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 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
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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:..
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Special Instructions:
.4 6AA -
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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