HomeMy WebLinkAboutPermit PG11-156 - HULVEY RESIDENCEHULVEY RESIDENCE
15278 SUNWOOD BL
#C13
PG1 1 -156
City ofTukwila
•
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
PLUMBING /GAS PIPING PERMIT
Parcel No.: 8141400510
Address: 15278 SUNWOOD BL TUKW
Project Name: HULVEY RESIDENCE
Permit Number: PG11 -156
Issue Date: 10/17 /2011
Permit Expires On: 04/14/2012
Owner:
Name: HULVEY MARY L
Address: 15278 SUNWOOD BLVD #C13 , TUKWILA WA 98188
Contact Person:
Name: MARY HULVEY
Address: 15278 SUNWOOD BL #C -13 , TUKWILA WA 98188
Email: MARY.HULVEY @TUKWILAWA.GOV
Contractor:
Name: AMERICAN ENERGY SYSTEMS
Address: 2921 TALBOT RD S , RENTON, WA 98055
Contractor License No: AMERIES147N1
Phone: 206 431 -3676
Phone: 425 - 255 -1587
Expiration Date: 08/28/2012
DESCRIPTION OF WORK:
REPLACE WATER HEATER
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
$1,500.00 Uniform Plumbing Code Edition: 2009
$47.25 International Fuel Gas Code Edition: 2009
Date: t l7 I pi l t i
ermit and know the same to be true and correct. All provisions of law and ordinances
specified herein or not.
The granting of this • - rmit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the pe ormance of work. I am authorized to sign and obtain this plumbing /gas piping permit and agree to the conditions
on the back of\this pe t.
Signature
- ' .f Date: 1 D- t C- 11
� t
Print Name:
This permit shall be o e 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
PG11 -156 Printed: 10-17 -2011
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PERMIT CONDITIONS
Permit No. PG 11 -156
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 art 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 applicant agrees that he or she will hire a licensed plumber to perform the work outlined in this permit.
13: 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 -156 Printed: 10 -17 -2011
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Plumbing /Gas Permit No.
PLUMBING / GAS PIPING PERMIT APPLICATION
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 = ='
King Co Assessor's Tax No.: 814140 -0510
Site Address: 15278 Sunwood Blvd.
Tenant Name:
Mary Hulvey
Suite Number: #C -13 Floor:
Property Owners Name: Mary Hulvey
New Tenant: ❑ Yes
Mailing Address: 15278 Sunwood Blvd. #C -13
Tukwila
WA
City
State
1st floor
„No
98188
Zip
CONTACT PERSON -
ho do we contact when your, permit is ready to be issued
Name: Mary Hulvey
Mailing Address: 15278 Sunwood Blvd. #C -13
E -Mail Address: Mary.Hulvey @tukwilawa.gov
Day Telephone:
Tukwila
city
Fax Number:
(206) 431-3676
WA
State
98188
Zip
PLUMBING /GAS PIPING CONTRACTOR INFORMATION
Company Name: American Energy System
Mailing Address: 2921 Talbot Road S.
Contact Person: Barnie
Renton
City
WA 98055
State Zip
Day Telephone: (425) 255 -1587
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
ARCHITECT OF RECORD - All plans must be stamped by
Archi
cct 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 stamped by Engineer of Record'
Company Name:
Mailing Address:
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
H:\Applications\Forms- Applications On Line \2010 Applications \7 -2010 - Plumbing -Gas Piping Permit Application.doc
Revised: 7 -2010
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Page 1 of 2
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.. Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information): Replace Waterheater
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
Bidet
Clothes washer, domestic
Dental unit, cuspidor
Dishwasher, domestic,
with independent drain
Drinking fountain or
water cooler (per head)
Food -waste grinder,
commercial
Floor Drain
Shower, single head trap
Lavatory
Wash fountain
Receptor, indirect waste
Sinks
Urinals
Water Closet
Building sewer and each
trailer park sewer
Rain water system — per
drain (inside building)
Water heater and/or vent
1
Industrial waste treatment
interceptor, including trap
and vent, except for kitchen
type grease interceptors
Each grease trap
(connected to not more
than 4 fixtures - <750
gallon capacity)
Grease interceptor for
commercial kitchen ( >750
gallon capacity)
Repair or alteration of
water piping and/or water
treatment equipment
Repair or alteration of
drainage or vent piping
Medical gas piping
system serving 1 -5
inlets /outlets for a
specific gas
Each additional medical
gas inlets /outlets greater
than 5
Backflow protective
device other than
atmospheric -type vacuum
breakers 2 inch (51 mm)
diameter or smaller
Backflow protective device
other than atmospheric -type
vacuum breakers over 2
inch (51 mm) diameter
Each lawn sprinkler
system on any one meter
including backflow
protection devices
Atmospheric -type vacuum
breakers not included in
lawn sprinkler backflow
protections (1 -5)
Atmospheric -type
vacuum breakers not
included in lawn
sprinkler backflow
protections over 5
Gas piping outlets
i.PE12IV1ItAPPLICATION NOTES"
.. .. -•• O.
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 PI
The Building
and justifiabl
w — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
fficial may gr.r• one extension of time for an additional period not to exceed 180 days. The extension shall be requested in writing
cause demonstrates. Section 103.4.3 International Plumbing Code (current edition).
I HERE t Y CERTIFY THAT I VE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY • PERJURY BY THE AWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWI R OR AUTHO IZED AGENT:
Signature: '� ILL(
Date: I17- P-1—It
Print Name: ( Mary Hulvey Day Telephone: 206- 431 -3676
Mailing Address: 15278 Sunwood Blvd. #C -13 Tukwila Wa 98188
Date Application Accepted:
City
State
Zip
Date Application Expires:
Staff Initials:
H:Wpplications\Forms- Applications On Line\2010 Applications \7 -2010 - Plumbing -Gas Piping Permit Application.doc
Revised: 7-2010
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Page 2 of 2
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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
RECEIPT
Parcel No.: 8141400510 Permit Number: PG11 -156
Address: 15278 SUNWOOD BL TUKW Status: APPROVED
Suite No: Applied Date: 10/17/2011
Applicant: HULVEY RESIDENCE Issue Date:
Receipt No.: R11 -02258
Payment Amount: $47.50
Initials: JEM Payment Date: 10/17/2011 09:02 AM
User ID: 1165 Balance: $0.00
Payee: MARY L. HULVEY
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 5828 47.50
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
PLUMBING - RES
000.322.103.00.00 47.50
Total: $47.50
doe: Receiot -06 Printed: 10 -17 -2011
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
Qc t 1 -1 '6
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
Project: nn
1-1-1-10/e4 Rg S
Type of Inspection:
i- I%IAt,
Address. (
t�Z7S StIU1uJOft't g!�
Date Called:
Special Instructions:
Date Wanted:.
/(8 -a %- r I
a.m;
P.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
5
R INSPECTION FEE REQ IRED. Prio to next inspection. fee must be
R
at 6300 Southcenter B vd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople liter Friendly Page
•
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 AMERICAN ENERGY SYSTEMS UBI No. 600261502
Phone 4252551587 Status Active
Address 2921 Talbot Rd S License No. AMERIES147N1
Suite /Apt. License Type Construction Contractor
City Renton Effective Date 8/21/1986
State WA Expiration Date 8/28/2012
Zip 98055 Suspend Date
County King Specialty 1 General
Business Type Individual Specialty 2 Unused
Parent Company
icenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
MCCRAHS147LZ
MCCRA Y
HEATIN
HEATING SYSTEMS
Construction
Contractor
General
Unused
6/9/1986
5/7/1987
Archived
AMERIES155NT
AMERICAN ENERGY
SYSTEMS
Construction
Contractor
General
Unused
8/30/1985
8/21/1986
Archived
Business Owner Information
Name
Role
Effective Date
Expiration Date
SCHULTEK, JEFFREY
Owner
08/21/1986
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
2
STATE FARM FIRE &
CAS CO
987145826
08/21/2001
Until Cancelled
$12,000.00
08/28/2001
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
25
State Farm Fire
& Cas Co
98- BJ- H226 -1 F
08/21/2011
08/21/2012
$1,000,000.00
08/30/2011
24
STATE FARM
FIRE & CAS CO
98bje80587f
08/21/2010
08/21/2011
$1,000,000.00
07/21/2010
23
STATE FARM
FIRE AND CAS
CO
98BJE8057
08/21/2010
08/21/2011
$1,000,000.00
07/19/2010
22
STATE FARM
FIRE & CAS CO
98BFC1000
08/21/2009
08/21/2010
$1,000,000.0008
/27/2009
21
STATE FARM
FIRE /CASUALTY
98BCK6674
08/21/2008
08/21/2009
$1,000,000.0007
/29/2008
20
STATE FARM
FIRE & CAS CO
98G223542F
08/21/2007
08/21/2008
$1,000,000.0008
/03/2007
19
STATE
FARMFIRE a
CASUALTY CO
98GU92438F
08/21/2005
08/21/2007
$1,000,000.00
08/09/2006
18
STATE FARM
FIRE & CAS CO
98GD76500
08/21/2005
08/21/2006
$1,000,000.00
08/05/2005
Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period
https: // fortress .wa.gov /lni/bbip/Print. aspx
10/17/2011