HomeMy WebLinkAboutPermit PG13-069 - YOUNG RESIDENCE - GAS PIPINGYOUNG RESIDENCE
14262 55 AV S
PG1 3-069
City ofbI'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.: 3365900105
Address: 14262 55 AV S TUKW
Project Name: YOUNG RESIDENCE
PLUMBING/GAS PIPING PERMIT
Permit Number: PG13-069
Issue Date: 05/03/2013
Permit Expires On: 10/30/2013
Owner:
Name: YOUNG JAMES R+LAURA A
Address: 14262 55TH AVE S , 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:
INSTALL 70' GAS PIPING TO GAS FIREPLACE
Value of Plumbing/Gas Piping:
Fees Collected:
Electrical Service Provided by:
$1,000.00 Uniform Plumbing Code Edition: 2009
$96.60 International Fuel Gas Code Edition: 2009
Permit Center Authorized Signature: /
Date: 0C1/4
f
I hereby certify that I have read and ami ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied th, hether specified herein or not.
The granting of this permit does not pres i e to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the performance of work. I ant authorized to sign and obtain this plumbing/gas piping permit and agree to the conditions
on the back of this permit.
Signature: Z Date:
- -tom r - S� �.
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.
Irs" 1411
on 1) ncn
• •
PERMIT CONDITIONS
Permit No. PG 13-069
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.
T: 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. 1
doc: UPC -4/10
PG 13-069 Printed: 05-03-2013
CITY OF TUKWILA,
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Building Pe411
rmit No.
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.: 3365900105
Site Address: 14262 55TH AVE S
Tenant Name:
Suite Number:
Property Owners Name: JIM & LAURA YOUNG
Mailing Address: 14262 55TH AVE S
Floor:
New Tenant: ❑ Yes ❑ .. No
TUKWILA
WA 98168
City
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 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
Contact Person:
E -Mail Address:
Contractor Registration Number: WASHIES971 OB
NAIDA KHAN
Lynnwood
WA 98036
City State
Day Telephone: 360-945-2787
Fax Number:
Expiration Date: 9/2/13
Zip
ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
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:
Q;\Applications\Forms-Applications On Linel3-2006 - Permit Application.doc
Revised: 9-2006
bh
State
Zip
Page 1 of 6
PLUMBING AND. GAS PIPIN ERMIT INFORMATION - 206-43
PLUMBING AND GAS PIPING CONTRACTOR INFORMATION
Company Name: WASHINGTON ENERGY SERVICES
Mailing Address: 3909 196th St SW
Contact Person: Candice Hendricksen
E -Mail Address:
Contractor Registration Number: WASH I ES971 OB
Lynnwood
City
Day Telephone:
Fax Number:
Expiration Date: 09/02/13
WA 98036
State
800-398-4663
Zip
Valuation of Plumbing work (contractor's bid price): $
Valuation of Gas Piping work (contractor's bid price): $ 1000.00
Scope of Work (please provide detailed information): Install 70' gas piping to gas fireplace
Building Use (per Int'! Building Code): residential
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
1
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
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: Wpplicationsworms-Applications On Line\3-2006 - Permit Application.doc
Revised: 9-2006
bh
Page 5 of 6
s •
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 0 R OB_AdJTHORIZED AGENT:
Signatur
Print Name: Naida Khan/Northwest Permit Inc
Mailing Address: 1345 Gulf Road
Day Telephone:
Point Roberts
City
Date.
360-945-2787
WA
State
98281
Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
Q:Wppbcauons\Forms-Applications On Line\ -2006 - Permit Application.doc
Revised: 9-2006
bh
Page 6 of 6
Cif, 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 05-03-2013 at 11:39:57 05/03/2013
RECEIPT NO: R13-01514
Initials: JEM
Payment Date: 05/03/2013
User ID: 1165 Total Payment: 513.65
Payee: WASHINGTON ENERGY SERVICES COMPANY
SET ID: 0503 SET NAME: Temporary Set
SET TRANSACTIONS:
Set Member Amount
EL13-0422 54.60
M13-085 362.45
PG13-069 96.60
TOTAL : 3.62.71'
TRANSACTION LIST:
Type Method Description Amount
Payment Check 8996 513.65
TOTAL: 513.65
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - RES
GAS - RES
MECHANICAL - RES
000.322.101.00.0
000.322.103.00.0
000.322.102.00.0
54.60
96.60
362.45
TOTAL: 513.65
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit P613 -06c,
PERMIT N0:
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367
Permit Inspection Request Line (206) 431-2451
Project:
Ljt?uNv.. cicS
Type of Inspection:
F 1IU6L-Pill-AAA
Address:
i 42-(02.- 5G ►11v '---
-Special
Date Called:
SpecialInstructions:
Date Wanted:
(_,- ,Z(.-
17
am.,
p.m.
Requester.
'Pe vri t t-\ A15bjover-�, )
, ev A
Phone No:
Approved per applicable codes. DCorrections required prior to approval.
COMMENTS:
2��, k - , A J.,\,4--
l� s ��
�
�"
'Pe vri t t-\ A15bjover-�, )
, ev A
1Qspeyto
Dat :
1 u �_Zb-
ri SPECTION FEE RE UIRED. Prior to next inspection. fee must be
gid at 6300 Southcenter Blvd.. Suite 100. Cali to schedule reinspection.
Contractors or Tradespeople Pter Friendly Page
s
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 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
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
PLUMBWE888LO
PLUMBWORKS BY
WA ENESRVCS
WA ENERGY
Construction
Contractor
General
Unused
6/20/2012
6/20/2014
Suspended
Business Owner Information
Name
Role
Effective Date
Expiration Date
OLSON, CRAIG
President
09/02/2003
Amount
HEAGLE, RANDY
Secretary
09/02/2003
VGL1342176
CHRISTIANSON, STEVE
Treasurer
09/02/2003
OLSON, VERN
Vice President
09/02/2003
Companion
Specialty Ins Co
Bond Information
Bond Company Name
DEVELOPERS SURETY
a INDEM CO
Bond
1
Page 1 of 2
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
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
11
Companion
Specialty Ins Co
VGL1342176
05/01/2013
05/01/2014
$1,000,000.00
04/30/2013
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
00G4110905001
05/01/2009
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
Summons/Complaint Information
httns://fortress.wa.gov/lni/bbin/Print.asnx
05/03/2013