HomeMy WebLinkAboutPermit PG12-169 - CANON RESIDENCECANON RESIDENCE
5111 S 163 PL
PG12-169
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
Parcel No.: 8700500080
Address: 5111 S 163 PL TUKW
Project Name: CANON RESIDENCE
PLUMBING /GAS PIPING PERMIT
Permit Number: PG12 -169
Issue Date: 09/07/2012
Permit Expires On: 03/06/2013
Owner:
Name: CANON ELAINE
Address: 5111 S 163RD PL , TUKWILA WA 98188
Contact Person:
Name: NAIDA KHAN
Address: 1345 GULF RD , POINT ROBERTS WA 98281
Email: NAIDA@NWPERMIT.COM
Contractor:
Name: WASHINGTON ENERGY SERVICES
Address: 2800 THORNDYKE AV W , SEATTLE WA 98199
Contractor License No: WASHIES971 OD
Phone: 360 945 -2787
Phone: 206 282 -4700
Expiration Date: 09/04/2013
DESCRIPTION OF WORK:
REPLACE 50 GALLON GAS WATER HEATER
Value of Plumbing /Gas Piping:
Fees Collected:
Electrical Service Provided by:
Permit Center Authorized Signature:
$950.00 Uniform Plumbing Code Edition: 2009
$47.25 International Fuel Gas Code Edition: 2009
I hereby certify that I have read and e
governing this work will be complied
ith,
Date: 041
ed this permit and know the same to be true and correct. All provisions of law and ordinances
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 this permit.
Signature: Date: 4o/tl_-
Print Name:
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
PG12 -169 Printed: 09 -10 -2012
• •
PERMIT CONDITIONS
Permit No. PG 12 -169
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 -169 Printed: 09 -10 -2012
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
Parcel No.: 8700500080
Address: 5111 S 163 PL TUKW
Project Name: CANON RESIDENCE
PLUMBING /GAS PIPING PERMIT
Permit Number: PG12 -169
Issue Date: 09/07/2012
Permit Expires On: 03/06/2013
Owner:
Name: CANON ELAINE
Address: 5111 S 163RD PL , TUKWILA WA 98188
Contact Person:
Name: NAIDA KHAN
Address: 1345 GULF RD , POINT ROBERTS WA 98281
Email: NAIDA@NWPERMIT.COM
Contractor:
Name: WASHINGTON ALARM INC
Address: 1253 S JACKSON , SEAT'T'LE WA 98144
Contractor License No: WASHIAI282C3
Phone: 360 945 -2787
Phone: 206 328 -1800
Expiration Date: 12/05/2013
DESCRIPTION OF WORK:
REPLACE 50 GALLON GAS WATER HEATER
Value of Plumbing /Gas Piping:
Fees Collected:
Electrical Service Provided by:
Permit Center Authorized Signature:
$950.00 Uniform Plumbing Code Edition: 2009
$47.25 International Fuel Gas Code Edition: 2009
Date: 0 ° 1 \ , C 1 1 1 4
l
I hereby certify that I have read and ex4mine this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied w th, w ether specified herein or not.
The granting of this permit does not presume -10 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 . this permit.
Signature:
Print Name:
teen
Dater 7 "1
This permit shall become null and void if the work is not co enced 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
PG12 -169
Printed: 09 -07 -2012
PERMIT CONDITIONS
Permit No. PG12 -169
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 12 -169 Printed: 09 -07 -2012
CITY OF TUKWW
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Building Permit No
Mechanical Permit No.
Plumbing /Gas Permit No. pc,12....--tue4
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 **
SITE LOCATION
King Co Assessor's Tax No.: 8700500080
Site Address: 5111 S 163RD PL
Tenant Name:
Suite Number:
Property Owners Name:
ELAINE CANON
New Tenant:
Floor:
❑ Yes ❑ ..No
Mailing Address: 5111 S 163RD PL
TUKWILA
City
WA 98188
State Zip
CONTACT PERSON — who do we contact when your permit is ready to be issued
Name: Naida Khan /Northwest Permit Inc
Mailing Address: 1345 Gulf Road
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 lnformation for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5))
Company Name: -
Mailing Address:
City
Day Telephone:
Fax Number:
Contact Person:
E -Mail Address:
Contractor Registration Number:_
State
Zip
Expiration Date:
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 Engineer of Record
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
Contact Person:
E -Mail Address:
Q:\Applications \Forms - Applications On Line\3 -2006 - Permit Application.doc
Revised: 9 -2006
bh
State
Zip
Page 1 of 6 1;17%
Fulkal r\)v
AL PERMIT IN 0 RMATION = 206- 431 -3670
MECHANICAL CONTRACTOR INFORMATION
Company Name: WESCO
Mailing Address: 3909 196th St SW,
Lynnwood
WA 98036
City State Zip
Contact Person: Jennifer Burgess Day Telephone: 206- 774 -9499
Fax Number:
Contractor Registration Number: WASHIES9710B Expiration Date: 09/02/13
E -Mail Address:
jennifer @nwpermit.com
Valuation of Mechanical work (contractor's bid price): $ 950
Scope of Work (please provide detailed information): Replace 50 gal gas water heater
Use: Residential: New .... ❑ Replacement .... [�
Commercial: New .... ❑ Replacement .... ❑
Fuel Type: Electric ❑ Gas ....V Other:
Indicate type of mechanical work being installed and the quantity below:
Unit Type:, . - .
Qty
'_Unit Type ':. �,
Qty°,
Unit Type: ':..
Qty
Boiler /Compressor: ,
Qty
Furnace <100K BTU
Air Handling Unit >10,000
CFM
Fire Damper
0 -3 HP /100,000 BTU
Furnace >100K BTU
Evaporator Cooler
,
Diffuser
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan Connected
to Single Duct
Thermostat
15 -30 HP /1,000,000 BTU
Suspended/Wall /Floor
Mounted Heater
Ventilation System
Wood/Gas Stove
30 -50 HP /1,750,000 BTU
Appliance Vent
Hood and Duct
Emergency
Generator
50+ HP /1,750,000 BTU
-
Repair or Addition to
Heat/Refrig/Cooling
System
Incinerator - Domestic
Other Mechanical
Equipment
Air Handling Unit
<I0,000 CFM
Incinerator — Comm/Ind
Water heater
t
0
Q :\Applications\Fomu- Applications On Line13-2006 - Permit Application.doc
Revised: 9 -2006
bit
Page 4 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
i•writing and justifiable cause demonstrated. Section 103.4.3 Uniform Plumbing Code (current edition).
I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED TI-HS APPLICATION AND KNOW THE SAME TO 13E TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING
Signature:
"Ai 'Alio
( I •dit,
Print Name: ' n Genge
Mailing Address: 1345 Gulf Rd
Date: Q--7-1 a
Day Telephone: 360- 945 -2787
Point Roberts WA 98281
City State Zip
Date Application Accepted: el Ii iiI-
Date Application Expires: ....------
Staff Initials:
Q:Wpplications\Forns- Applications On Line\32006 - Permit Application.doc
Revised: 9 -2006
bh
U
Page 6 of 6
•
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.: 8700500080
Address: 5111 S 163 PL TUKW
Suite No:
Applicant: CANON RESIDENCE
RECEIPT
Permit Number: PG12 -169
Status: PENDING
Applied Date: 09/07/2012
Issue Date:
Receipt No.: R12 -02548
Initials: JEM
User ID: 1165
Payment Amount: $47.25
Payment Date: 09/07/2012 11:40 AM
Balance: $0.00
Payee: WASHINGTON ENERGY SERVICES COMPANY, NW PERMIT INC.
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 8555 47.25
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
PLUMBING - RES
000.322.103.00.00 47.25
Total: $47.25
doc: Receiot -06 Printed: 09 -07 -2012
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION [/
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
F612-169.
Project:
0 A s•1 C> hi R.. cS
Type of Inspection:
i NI rt) I____
�%
A t_.. -,
Address:
S I 1 i r-'� ) C -,
fir"
Date Called:
Special Instructions:
l
Date Wanted:.
aka.
Requester:
Phone No:
_ 20 6 -2 97 _'7
S S
Approved per applicable codes.
Corrections required prior to approval. ,
COMMENTS:
1
a y k� l�
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector:
Date:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 Lp; (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
PCa 2 - 1(
Project:
(141,103rn 1 Pcc •
Type of Inspection:
t i uJA L.— .tt...,^ -) 10
Address:
5> i Li k 6>
? I.-
Date Called:
Special Instructions:
Date Wanted:.
-- 2 - -7
CA `
a.m.
a m.
Requester:
Phone No:
.2010.. 24j Z .
- -5
3
`5
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
Inspector:
Date:
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople P ' ter 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 WASHINGTON ENERGY SERVICES CO UBI No. 602320560
Phone 2062824700 Status Active
Address 2800 Thorndyke Ave W License No. WASHIES971OB
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
r Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date ,
Expiration
Date
Status
PLUMBWE888L0
PLUMBWORKS BY WA
ENERGY SRVCS
Construction
Contractor
General
Unused
6/20/2012
6/20/2014
Active
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
COMPANION
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
COMPANION
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
$1,000,000.0004
/28/2006
Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period
https://fortress.wa.gov/lni/bbip/Print.aspx
09/07/2012