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HomeMy WebLinkAboutPermit PG12-198 - HOFFMAN RESIDENCEHOFFMAN RESIDENCE 3924 S 114 ST EXPIRED 05 -14-13 PG12 -198 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.: 3351400075 Address: 3924 S 114 ST TUKW Project Name: HOFFMAN RESIDENCE PLUMBING /GAS PIPING PERMIT Permit Number: PG12 -198 Issue Date: 11/15/2012 Permit Expires On: 05/14/2013 Owner: Name: HOFFMAN STANLEY G Address: 3924 S 114TH , TUKWILA 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: 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: 6 `--- ` &'_ 1-4 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 oft __•ermit. Signature: Print Name: 1�kh1eO'1 C��\�0 Date: 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. rIor.• IIPr -4/1(1 pr,12 -19R Printprl• 11 -1s -2019 PERMIT CONDITIONS Permit No. PG 12 -198 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. rinr•• IPC: -4/1n P(17 -151R Printprl• 11 -1.r, -9019 CITY OF TUKWIR 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. (A r Mechanical Permit No. Plumbing /Gas Permit No. 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.: 3351400075 Site Address: 3924 S 114TH ST Suite Number: Tenant Name: Property Owners Name: STANLEY HOFFMAN Mailing Address: 3924 S 114TH ST Floor: New Tenant: ❑ 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 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: 3909 196th St SW Lynnwood WA 98036 City State Zip Contact Person: NAIDA KHAN Day Telephone: 360- 945 -2787 E -Mail Address: Fax Number: Expiration Date: 9/2/13 Contractor Registration Number: WASH I ES971 OB ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record Company Name: Mailing Address: City Contact Person: Day Telephone: Fax Number: E -Mail Address: State Zip 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: State Zip Q: Applications \Forms - Applications On Line13 -2006 - Permit Application.doc Revised: 9-2006 bh Page 1 of 6 PLUMBING AND GAS PIPINItERMIT INFORMATION — 206-431- 70 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: WASHINGTON ENERGY SERVICES Seattle WA 98199 Mailing Address: 2800 Thorndyke Avenue W Contact Person: E -Mail Address: Contractor Registration Number: WASH IES971 OB City State Zip Day Telephone: 800- 398 -4663 Fax Number: Expiration Date: 09/02/13 Valuation of Plumbing work (contractor's bid price): $ 950.00 Valuation of Gas Piping work (contractor's bid price): $ Scope of Work (please provide detailed information): REPLACE 50 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 I 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:1ApplicationsWonns- Applications On Linel3 -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). 1 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 Signature: Print Name: Naida Khan /Northwest '1-rmit Inc Mailing Address: 1345 Gulf Road Date: 1` —I5 17 Day Telephone: 360- 945 -2787 Point Roberts WA 98281 Zip City State Date Application Accepted: Date Application Expires: Staff Initials: Q: W pplications\Ferms- Applications On Line13 -2006 - Permit Application.doc Revised: 9 -2006 bh Page 6 of 6 i • NINA w City of Tukwila Department of Community Development ' 61 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.TukwilaWA.gov Parcel No.: 3351400075 Address: 3924 S 114 ST TUKW Suite No: Applicant: HOFFMAN RESIDENCE RECEIPT Permit Number: PG12 -198 Status: PENDING Applied Date: 11/15/2012 Issue Date: Receipt No.: R12 -03119 Payment Amount: $47.25 Initials: WER Payment Date: 11/15/2012 09:11 AM User ID: 1655 Balance: $0.00 Payee: WASHINGTON ENERGY SERVICES COMPANY TRANSACTION LIST: Type Method Descriptio Amount Payment Check 8652 47.25 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts PLUMBING - RES 000.322.103.00.00 47.25 Total: $47.25 don. Raraint -fl PrintM 11 -1s -7817 04 -02 -2013 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director NAIDA KHAN 1345 GULF RD POINT ROBERTS WA 98281 RE: Permit No. PG12 -198 HOFFMAN RESIDENCE 3924 S 114 ST 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 05/14/2013. 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 05/14/2013, 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. PG12 -198 6300 Southcenter Boulevard, Suite #100 • Tukwila; Washington 98188 • Phone 206.431 -3670 • Fax 206 - 431 -3665 Contractors or Tradespeople Peter Friendly Page • General /Specialty Contractor A business registered as a construction contractor with LW 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 UBl No. 602320560 Phone 2062824700 Status Active Address 3909 196Th St Sw License No. WASHIES9710B Suite /Apt. License Type Construction Contractor City Lynnwood Effective Date 9/2/2003 State WA Expiration Date 9/2/2013 Zip 98036 Suspend Date County Snohomish Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company her 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 Et 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 $1,000,000.00 04/30/2012 9 COMPANION SPECIALTY INSURANCE VGL1021215 05/01 /2011 05/01 /2012 $1,000,000.00 04 /29/2011 8 IRONSHORE SPECIALTY INS CO 000259901 05/01/2010 05/01/2011 $1,000,000.00 04/30/2010 7 Ironshore Specialty Ins Co 00G4H090500105/01/2009 05/01/2010 $1,000,000.00 04/29/2009 6 UNITED SPECIALTY INS AGL0810381 05/01/2008 05/01/2009 $1,000,000.00 04/30/2008 5 UNDERWRITERS AT LLOYDS CJ0749013 05/01/2007 05/01/2008 $1,000,000.00 04 /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 https: // fortress .wa.gov /lni/bbip/Print.aspx 11/15/2012