HomeMy WebLinkAboutPermit PG13-004 - HRBOKA RESIDENCE - REPLACE WATER HEATERHRBOKA RESIDENCE
16045 46 AV S
PG1 3-004
City oPI"ukwila •
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.: 1922600070
Address: 16045 46 AV S TIIKW
Project Name: HRBOKA RESIDENCE
PLUMBING/GAS PIPING PERMIT
Permit Number: PG13-004
Issue Date: 01/09/2013
Permit Expires On: 07/08/2013
Owner:
Name: HRBOKA VALENTIA & ALZA
Address: 16045 46TH AVE S , TUKWILA WA 98188
Contact Person:
Name: JACCI DANIELS
Address: 1800 RICHARDS RD, SUITE A , BELLEVUE WA 98005
Email: HOTWATER4YOU@YAHOO.COM
Contractor:
Name: WASHINGTON WATER HEATERS INC
Address: 1800 RICHARDSON RD STE A , BELLEVUE WA 98005
Contractor License No: WASHII*9800P
Phone: 800-978-8588
Phone: 800 978-8588
Expiration Date: 09/17/2014
DESCRIPTION OF WORK:.
CHANGE OUT (1) ELECTRIC WATER HEATER
Value of Plumbing/Gas Piping:
Fees Collected:
Electrical Service Provided by:
Permit Center Authorized Signature:
$1,000.00
$47.25
Uniform Plumbing Code Edition: 2009
International Fuel Gas Code Edition: 2009
Date: 1 ` fit (3
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 bac •f this permit.
Signature:
Print Name:
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.
n.:.., .4. n4 an # r e
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PERMIT CONDITIONS
Permit No. PG 13-004
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.• IIPC:-4/1O PC;13-M4
Printprl• O1 -M-2013
CITY OF TUKW
Community Development Department
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
http://‘‘ Tuic« ilal lA.uov
•
Plumbing/Gas Permit No. k'cj ? —o
Project No.
Date Application Accepted:.
Date Application Expires:
(For office use only)
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**
ISITE LOCATION
Site Address: /60 "1 45L/
N/A
Tenant Name:
S King Co Assessor's Tax No.:
Suite Number:
PROPERTY OWNER
Company Name: Washington Water Heaters, Inc
Name: Jacci Daniels
Name:
Va/V1^'I0 , PvlootA
Address: same as contractor
Contr Reg No.: WASHII*9800P Exp Date: 09/17/2012
r4,rS
Address: it ago
Q
Phone: Fax:
City: MGLlud& State:
g
Zip
Cnaii
CONTACT PERSON - person receiving all project
communication .
Company Name: Washington Water Heaters, Inc
Name: Jacci Daniels
City: Bellevue State: WA Zip: 98005
Address: same as contractor
Contr Reg No.: WASHII*9800P Exp Date: 09/17/2012
City: State: Zip:
Phone: Fax:
Email: hotwater4you@yahoo.com
Floor:
New Tenant: ❑ Yes
mfro
PLUMBING CONTRACTOR INFORMATION
Company Name: Washington Water Heaters, Inc
Address: 1800 Richards Rd, Ste A
City: Bellevue State: WA Zip: 98005
Phone: (800) 978-8588 Fax: (866) 375-7454
Contr Reg No.: WASHII*9800P Exp Date: 09/17/2012
Tukwila Business License No.:
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information): % I 'O ,�
Com, ' �t 1 .�L'LN Chir12,e/di atttild (fv_ciutv\
Building Use (per Int'! Building Code):
Occupancy (per Int'l Building Code):
Utility Purveyor: Water:
H:Upplicaticros\Forns-Applications On Line12011 Applications\Plumbing Permit Application Revised 8-9-1I.docx
Revised: August 2011
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Sewer
Page 1 of 2
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Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
Fixture Type
Qty
Bathtub or combination
bath/shower
Dishwasher, domestic with
independent drain
Drinking fountain
cooler (per head)
Shower, single head trap
Sinks
Rain water system — per
drain (inside building)
Urinal
Grease interceptor for
commercial kitchen (>750
gallon capacity)
Each additional medical
gas inlets/outlets greater
than 5
vent
Atmospheric -type vacuum
breakers not included in
lawn sprinkler backflow
protections (1-5)
Repair or alteration
water piping and/or
treatment equipment
Fixture Type
Qty
Bidet
Food -waste grinder,
commercial
Drinking fountain
cooler (per head)
or water
Lavatory
Industrial waste
treatment interceptor,
including trap and vent,
except for kitchen type
grease interceptors
Urinal
Repair or alteration of
drainage or vent piping
Water heater and/or
vent
1
Repair or alteration
water piping and/or
treatment equipment
of
water
Backflow protective
other than atmospheric
type vacuum breakers
inch (51 mm) diameter
smaller
device
-
2
or
Atmospheric -type vacuum
breakers not included in
lawn sprinkler backflow
protections over 5 1
Fixture Type
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
Fixture Type
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
PERMIT APPLICATION NOTES -
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 APPLIC TION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON,iD I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER 1 R ; UTHORIZA F,NT:
Signature:
C
Print Name:
ay Telephone:
&aq e
Mailing Address:
H:\Applications\Fomu-Applications On Line\2011 Applications\Plumbing Permit Application Revised 8-9-11.docv
Revised: August 2011
bh
City
Date:
State Zip
Page 2 of 2
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.: 1922600070
Address: 16045 46 AV S TUKW
Suite No:
Applicant: HRBOKA RESIDENCE
RECEIPT
Permit Number: PG 13-004
Status: PENDING
Applied Date: 01/09/2013
Issue Date:
Receipt No.: R13-00110
Payment Amount: $47.25
Initials: WER Payment Date: 01/09/2013 11:17 AM
User ID: 1655 Balance: $0.00
Payee: WASHINGTON WATER HEATERS INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 5868 47.25
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
PLUMBING - RES
000.322.103.00.00 47.25
Total: $47.25
Prinrori• n1_no_/n1�
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
6(3 -Oct
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Pro' 2t
Typ of Inspection:
Address:_ ,q '-pt-, y
1 t d 4'S 4lo �iL.
Date Called:
—
Special Instructions:
Date Wanted:
�,pt..
f -C3 P.m.
Requester:
Phone96
( a i.e( 5-1
Approv, d per applicable codes.
ElCorrections required prior to approval.
COMMENTS:
t. a
6(9
111 - r to -- APPied‘Jeci
A.
,
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it
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Ins ect r:
; C.4401.4..
Date:
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n,F2El , SPECTION FEE REQUIRED. Prior text inspection, fee must be
pai' at 6300 Southcenter Bid.. Suite 10 . Call to schedule reinspection.
d'r
' INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.-: " ' , = PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
-6300 SouthcenterBlvd., #100, Tukwila. WA 98188 �, (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project:
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Type of Inspection rk j .48
4
Address:
1 tt Ci
'la.Ati.--
Date Called:
Special Instructions:
l!Y
)y/(Date
Wanted" .
a.m.
Requester:
Phone No:
'7.--0 CO '-.12-1—C --35-le
El Approved per applicable codes. Corrections required prior to approval. 7
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COMMENTS:
- i4 14- evrte 110-41
pee -n . 2 , D ?
(Inspector': f `•. Date:
i, REIJlSPECTION FEE REQUIRED. Prior to n xt inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.