HomeMy WebLinkAboutPermit PG11-164 - BREID RESIDENCEBREID RESIDENCE
14031 33 PL S
PG1 1 -164
City ofkukwila
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.: 1523049300
Address: 14031 33 PL S TUKW
Project Name: BREID RESIDENCE
PLUMBING /GAS PIPING PERMIT
Permit Number: PG11 -164
Issue Date: 10/28/2011
Permit Expires On: 04/25/2012
Owner:
Name: BREID DALE
Address: 14031 33RD PL S , TUKWILA WA 98168
Contact Person:
Name: SHEREESA HOWELL
Address: 101 ANDOVER PK E , TUKWILA WA 98188
Email: SHEREESA.A.HOWELL@STORE.LOWES.COM
Contractor:
Name: WASHINGTON WATER HEATERS INC
Address: 1800 RICHARDSON RD STE A , BELLEVUE WA 98005
Contractor License No: WASHII *9800P
Phone: 206 - 375 -5163
Phone: 800 978 -8588
Expiration Date: 09/17/2012
DESCRIPTION OF WORK:
REPLACE EXISTING ELECTRIC WATER HEATER
Value of Plumbing /Gas Piping:
Fees Collected:
Electrical Service Provided by:
Permit Center Authorized Signature:
$497.00 Uniform Plumbing Code Edition: 2009
$47.25 International Fuel Gas Code Edition: 2009
,p,4
Date: / 0---,)-S--1 I
I hereby certify that I have read and examined this permit and know the same to be true and correct. 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 provisions of any other state or local laws regulating
construction or the performance of work. I am authorized to sign and obtain this plumbing /gas piping permit and agree to the conditions
on the back of thjs permit.
Signature:
Print Name:
LutAii/V
&&KW'4 -Rowc.(.l
Date: 10-2--g-IA
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
PG11 -164 Printed: 10 -28 -2011
• •
PERMIT CONDITIONS
Permit No. PG11 -164
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 -164 Printed: 10 -28 -2011
CITY OF TUKWII,
Community Developmet, epartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
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 Address: I—ID31 cl
Tenant Name: 'Da_ Le_ Sre d
Name: D reit
Address: D 31 � PL,
City: -'r
Ic,
Stater n Zip:9 21A
Name: al e 4
Address: o 1 Am o vim'
City: -ruy -v t,
State: (AA_ Zip: cis i4
Phone: (Lae 31c-5---1u,3 Fax: 2,01...a 2_43 6,5_1
Email: A-- k d w
King Co Assessor's Tax No.: /S-2 3 Qs
Suite Number: Floor:
New Tenant: ❑ Yes [1. No
Valuation of Project (contractor's bid price): $ "l CO-
Scope of Work (please provide detailed information): 0 (a%i- C.1 stmej Ltiao L Wc'r 1 k -r
Building Use (per Int'l Building Code): lA/ j.L &tint
Occupancy (per Int'l Building Code):
Utility Purveyor: Water:
H:Wpplications \Forms - Applications On Line \2011 Applications\Plumbing Permit Application Revised 8- 9- 11.docx
Revised: August 2011
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Sewer:
Page 1 of 2
Company Name: t I m k t V. br
V lJ
tL� ,'
Address: is 0 �i -1
Si-e.
City: ,�Z� gyve_ State:: w-k
Zip 923 Q ec
Phone: 9.25- _X33 bf DDFax:
Contr Reg No.: wks,H Lt''-(4g¢)ixp Date:
It -if (Z
Tukwila Business License No.:
Valuation of Project (contractor's bid price): $ "l CO-
Scope of Work (please provide detailed information): 0 (a%i- C.1 stmej Ltiao L Wc'r 1 k -r
Building Use (per Int'l Building Code): lA/ j.L &tint
Occupancy (per Int'l Building Code):
Utility Purveyor: Water:
H:Wpplications \Forms - Applications On Line \2011 Applications\Plumbing Permit Application Revised 8- 9- 11.docx
Revised: August 2011
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Sewer:
Page 1 of 2
Indicate type of plumbing fixtures and/ore piping outlets being installed and the quanti16elow:
. ;Fixture.Type ;
'Qty
Bathtub or combination
bath/shower
Dishwasher, domestic with
independent drain
Shower, single head trap
Sinks
Rain water system — per
drain (inside building)
Grease interceptor for
commercial kitchen ( >750
gallon capacity)
Each additional medical
gas inlets /outlets greater
than 5
Atmospheric -type vacuum
breakers not included in
lawn sprinkler backflow
protections (1 -5)
.'Ftliture'Type
Bidet
Drinking fountain or water
cooler (per head)
Lavatory
Urinal
Water heater and /or vent
Repair or alteration of
water piping and/or water
treatment equipment
Backflow protective device
other than atmospheric -
type vacuum breakers 2
inch (51 mm) diameter or
smaller
Atmospheric -type vacuum
breakers not included in
lawn sprinkler backflow
protections over 5
.. ;Fixture13ype ' ,r,r
Qty. -'.
Clothes washer,
domestic
Food -waste grinder,
commercial
Wash fountain
Water closet
Industrial waste
treatment interceptor,
including trap and vent,
except for kitchen type
grease interceptors
Repair or alteration of
drainage or vent piping
Backflow protective
device other than
atmospheric -type
vacuum breakers over 2
inch (51 mm) diameter
Gas piping outlets
, ,r, t ,. fixtu ieTytoe.. ,
` Qty
Dental unit, cuspidor
Floor drain
Receptor, indirect waste
Building sewer and each
trailer park sewer
Each grease trap
(connected to not more
than 4 fixtures - <750
gallon capacity
Medical gas piping
system serving 1 -5
inlets /outlets for a specific
gas
Each lawn sprinkler
system on any one meter
including backflow
protection devices
OTES
1 N4" I
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.
The Building Official may grant one extension of time for an additional period not to exceed 180 days. The extension shall be requested in writing
and justifiable cause demonstrated. Section 103.4.3 International 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 R OR AUTH RI ED AGENT:
Signature: LL I Date: 1 b I ES
( 1
Print Name: (V L (X1 SA 1 kDVJ6 �\ Day Telephone: 2..D(Q 3-75-St <4,3
Mailing Address: 1 bk AVICA ?Ka TL' V-IAD t LA_ w.4- 41'2 iT8
City
H:\Applications\Forms- Applications On Line\201 I Applications\Plumbing Permit Application Revised 8- 9.11.docx
Revised. August 2011
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State Zip
Page 2 of 2
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l�A w 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.: 1523049300
Address: 14031 33 PL S TURIN
Suite No:
Applicant: BREID RESIDENCE
RECEIPT
Permit Number: PG11 -164
Status: PENDING
Applied Date: 10/28/2011
Issue Date:
Receipt No.: R11 -02360
Initials:
User ID:
Payee:
WER
1655
Payment Amount: $47.25
Payment Date: 10/28/2011 09:46 AM
Balance: $0.00
SHEREESA HOWELL
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Cash
Authorization No.
ACCOUNT ITEM LIST:
Description
47.25
Account Code Current Pmts
PLUMBING - RES
000.322.103.00.00 47.25
Total: $47.25
doc: Receipt -06 Printed: 10 -28 -2011
INSPECTION NO
CITY OF TUKWILA BUILDING DIVISION —`
6300 Southcenter Blvd., #100, Tukwila. WA 98188 12_ (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
Prger 1 Type rnspecti c p
Adr4dress: �3 r� PL Date Called: •
0� --
Special Instructions:
Date Wanted a.m
p.m.
Requester:
Phone No:
� —243 -6.15
Approved per applicable codes. E Corrections required prior to approval.
COMMENTS:
(ye/ IvCirt,,›A-kotrIp
nspector
Date:
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspectioh.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION C
6300 Southcenter Blvd., #100, Tukwila. WA 98188 j, (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
PG11-1‘,1
Projpc�e) S1 etic.A 66...
Tvpf< J U 6 Inspection: .I. Al /NJ e-cg
Address:
Pe i 03! 3103 pi._
Date Called:
----.
Special Instructions:
•
/
Date Wanted: _
3
/ — ,a.m..
p.m.
Requester:
Ph2 aG —Z43 --0311
Approved per applicable codes. tl Corrections required prior to approval.
COMMENTS:
Inspect:
tAA
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Date:`
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
SHEREESA HOWELL
101 ANDOVER PK E
TUKWILA WA 98188
RE: Permit No. PG11 -164
BREID RESIDENCE
14031 33 PL S TUKW
Dear Permit Holder:
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 04/25/2012.
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 04/25/2012, 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,
Bill Rambo
Permit Technician
File: Permit File No. PGI I -164
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 -431 -3670 • Fax: 206 - 431 -3665
Contractors or Tradespeople Printer Friendly Page
•
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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 WATER HEATERS INC UBI No. 602214757
Phone 8009788588 Status Active
Address 1800 Richardson Rd Ste A License No. WASHII *9800P
Suite /Apt. License Type Construction Contractor
City Bellevue Effective Date 9/17/2002
State WA
Zip 98005
County King
Business Type Corporation
Parent Company
Expiration Date 9/17/2012
Suspend Date
Specialty 1 General
Specialty 2 Unused
Business Owner Information
Name
Role
Effective Date
Expiration Date
HAGAR, THOMAS JEFFREY
President
09/17/2002
Bond Amount
SKEEN, STEVEN ROGER
Vice President
09/17/2002
9809771
SKEEN, STEVE
Secretary
09/17/2002
09/02/2010
HAGAR„ THOMAS
Treasurer
09/17/2002
09/02/2010
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
3
Lexonlns Co
9809771
09/16/2011
Until Cancelled
$12,000.00
08/16/2011
2
COLONIAL AM CAS &
SURETY OF
MARYLAND
LPM4062425
08/28/2007
Until Cancelled
09/16/2011
$12,000.0009/20
/2007
1
COLONIAL AM CAS &
SURETY OF MD
LPM4062425
09/16/2002
08/28/2007
$6,000.0009/17/2002
01 /31/2008
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
AMERICAN
STATES INS CO
01CH0329645
02/18/2010
02/18/2012
$1,000,000.00
01/18/2011
8
AMERICAN
STATES INS CO
01CH0329644
02/18/2009
02/18/2011
$1,000,000.00
01/19/2010
7
AMERICAN
STATES INS CO
01CH0329643
02/18/2008
02/18/2009
$1,000,000.00
01 /31/2008
6
AMERICAN
STATES INS CO
01CH03296408
02/18/2007
02/18/2008
$1,000,000.0002
/21/2007
5
AMERICAN
STATES INS CO
01CH03296408
02/18/2006
02/18/2007
$1,000,000.0002
/14/2006
4
AMERICAN
STATES INS CO
CLS1051475
02/18/2005
02/18/2006
$1,000,000.00
08/24/2005
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
10/28/2011