HomeMy WebLinkAboutPermit PG12-131 - WHITE RESIDENCEWHITE RESIDENCE
13429 43 AV S
PG12-131
City oPI'ukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -43 1 -3670
Inspection Request Line: 206 - 431 -2451
Web site: http: / /www.TukwilaWA.gov
Parcel No.: 7340601007
Address: 13429 43 AV S TUKW
Project Name: WHITE RESIDENCE
PLUMBING /GAS PIPING PERMIT
Permit Number: PG12 -131
Issue Date: 06/15/2012
Permit Expires On: 12/12/2012
Owner:
Name: WHITE BRADLEY R
Address: 13429 43RD AVE S , SEATTLE WA 98168
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:
GAS WATER HEATER WITH 3' GAS PIPING AND 13' EACH HOT AND COLD WATERLINE
EXTENSIONS. 25' GAS PIPING TO FURNACE.
Value of Plumbing /Gas Piping: $2,000.00 Uniform Plumbing Code Edition: 2009
Fees Collected: $123.90 International Fuel Gas Code Edition: 2009
Electrical Service Provided by:
Permit Center Authorized Signature:
Date: 0g<<cI I" L
I hereby certify that I have read and e • mi ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied ith, hether 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 this permit.
Signature: Adk.d/.
e:2/.-2-1...-7
Date:
Print Name: ('are( ��/ r(.d
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.
/sc..26/'
doc: UPC -4/10
PG12 -131 Printed: 06 -15 -2012
PERMIT CONDITIONS
Permit No. PG12 -131
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
PG12 -131 Printed: 06 -15 -2012
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
hltp://www ci. tukwila_ wa. us
Building'Permit No.
Mechanical Permit No.
Plumbing /Gas Permit No.I 1
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 **
King Co Assessor's Tax No.: 7340601007
Site Address: 13429 43RD AVE S Suite Number:
Tenant Name: New Tenant:
Property Owners Name: BRAD & LESLIE WHITE
Mailing Address: 13429 43RD AVE S
Floor:
El Yes ❑..No
98168
Zip
TUKWILA
City
WA
State
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 98281
City State
Fax Number: 360- 945 -2091
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
SEATTLE
City State Zip
Contact Person: NAB DA KHAN Day Telephone: 360- 945 -2787
E -Mail Address: Fax Number:
Expiration Date: 9/2/13 -
WA 98199
Contractor Registration Number: WASH IES971 OB
ARCHITECT OF RECORD - All plans, must be wet stamped by Architect of Record
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
City
Day Telephone:
Fax Number:
State
Zip
ENGINEER OF RECORD - All plans must be wet stamped by,,Engneer 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 PERIVIIT INFORMATION - 206 - 431 -3670
PLUMBING AND GAS PIPING CONTRACTOR INFORMATION
Company Name: WASHINGTON ENERGY SERVICES
Mailing Address: 2800 Thorndyke Avenue W
Seattle
WA 98199
City State Zip
Contact Person: JASON BORG Day Telephone: 800- 398-4663
E -Mail Address: Fax Number:
Contractor Registration Number: WASHIES971 OB Expiration Date: 09/02/13
Valuation of Plumbing work (contractor's bid price): $ 1600.00
Valuation of Gas Piping work (contractor's bid price): $ 400.00
Scope of Work (please provide detailed information): Gas water heater with 3' gas piping and 13' each
hot and cold waterline extensions. 25' gas piping to furnace.
Building Use (per Int'l Building Code): residential
Occupancy (per lnt'I 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
2
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
1
Repair or alteration
of drainage or vent
piping
Medical gas piping system
serving one to five
inlets /outlets for specific gas
Q: \Applications \Forms - 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 OW : R OR AU� ORIZ. D GENT.
Signature: . -of AL .. — Date: /5" a al.?,
Print Name: Naida Khan /Northwest Permit Inc Day Telephone: 36 - 945 -2787
Mailing Address: 1345 Gulf Road
Point Roberts WA 98281
City
State
Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
Q:\Applications \Forms - Applications On Line \3 -2006 - Permit Application.doc
Revised: 9 -2006
bh
Page 6 of 6
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 06 -15 -2012 at 11:08:57 06/15/2012
RECEIPT NO: R12 -01877
Initials: JEM
Payment Date: 06/15/2012
User ID: 1165 Total Payment: 319.80
Payee: WASHINGTON ENERGY SERVICES COMPANY
SET ID: S000001760 SET NAME: Temporary Set
SET TRANSACTIONS:
Set Member
M12 -096
PG12 -131
TOTAL:
Amount
195.90
123.90
123.90
TRANSACTION LIST:
Type Method Description Amount
Payment Check 7983 319.80
TOTAL: 319.80
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
GAS - RES
MECHANICAL - RES
PLUMBING - RES
000.322.103.00.0
000.322.102.00.0
000.322.103.00.0
63.00
195.90
60.90
TOTAL:. 319.80
_ INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO. G
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
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Project:
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Type of Inspection:
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Address:
/3'/2 1/3
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Date Called:
D fl' (
Special Instructions:
1
Date Wanted:_
i / -Z S -/Z
6,6
Requester:
Phone No:
0206 -z-77-
5'44/6
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
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Inspector:
Date:((
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
P6 (3�
INSPECTION NO. PERMIT NO. /f
CITY OF' TUKWILA BUILDING DIVISION /(/'
6300 Southcenter.Blvd., #100, Tukwila. WA 98188 t. (206) 431 -3670
Permit. Inspection Request Line (206) 431 -2451
Project:
t
Address:.
i 4 3-1-kkif
Special Instructions:
Approved per applicable codes.
Type of Inspection,:
k5 611r NI
Date ailed:
Date Wanted: .
a.m;
p.m.
Requester:
Phone No:
COMMENTS:
aCorrections required prior to approval.
ir'.
e. C (4 Ds
r9c.)r d/\ 0/94/
%n? 1.1 (&A b /1 a AP"! ) r—
Inspector: ,
Date
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
INSPECTIO NO. PERMIT NO. /.
3(
CITYOF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 �, (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
Project:
Type of nspection:
Ai ill&
Address
Date Called:
Special Instructions:
Date Wanted:.
-Z
_ 4.171.-
- r L- p.m.
Requester:
Li: -5 yip
Pho No: _ 2 !
(- -1 0010
Approved per applicable codes.
ECorrections required prior to approval. e�
COMMENTS:
// ) d Lel) )P1 % 0
S k -1
Ms' 0 ins n -e. ,1".k) ^-
4
f 1
Li: -5 yip
Inspectof,: r� 7t/) (Date: r
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
11 -01 -2012
City of Tukwila
Jirrl Haggerton, Mayor
Department of Community Development Jack Pace, Director
NAIDA KHAN
1345 GULF RD
POINT ROBERTS WA 98281
RE: Permit No. PG12 -131
WHITE RESIDENCE
13429 43 AV 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 12/26/2012.
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 12/26/2012, 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,
'4„
Bill Rambo
Permit Technician
File: Permit File No. PG 12 -131
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206 - 431 -3670 • Fax 206 -431 -3665
Contractors or Tradespeople 1ter Friendly Page
•
General /Specialty Contractor
A business registered as a construction contractor with LEI 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 9/2/2013
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
VGL1131637
CHRISTIANSON, STEVE
Treasurer
09/02/2003
OLSON, VERN
Vice President
09/02/2003
COMPAN ION
SPECIALTY
INSURANCE
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
10
Companion
Specialty Ins Co
VGL1131637
05/01/2012
05/01/2013
$1,000,000.0004
/30/2012
9
COMPAN ION
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
$1,000,000.0004
/30/2010
7
Ironshore
Specialty Ins Co
00G4H0905001
05/01/2009
05/01/2010
$1,000,000.0004
/29/2009
6
UNITED
SPECIALTY INS
AGL0810381
05/01/2008
05/01/2009
$1,000,000.0004
/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
$1,000,000.00
04/28/2006
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
06/15/2012