HomeMy WebLinkAboutPermit PG14-0028 - WOLDEGIORGIS RESIDENCE - GAS PIPING AND GAS STOVE
This record contains information which is exempt from public disclosure
pursuant to the Washington State Public Records Act, Chapter 42.56 RCW
as identified on the Digital Records Exemption Log shown below.
PG14-0028
WOLDEGIORGIS RESIDENCE
nd
14923 62 Avenue South
DIGITAL RECORDS (DR) EXEMPTION LOG
THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION
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Personal Information –
numbers are redacted to protect those
Social Security Numbers
individuals’ privacy pursuant to 5 U.S.C. sec. 5 U.S.C. sec.
552(a), and are also exempt from disclosure 552(a); RCW
DR1 Generally – 5 U.S.C. sec.
under section 42.56.070(1) of the Washington 42.56.070(1)
552(a); RCW
State Public Records Act, which exempts under
42.56.070(1)
the PRA records or information exempt or
prohibited from disclosure under any other
statute.
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card numbers, electronic check numbers, credit
Personal Information –
expiration dates, or bank or other financial
RCW
account numbers, which are exempt from
11 DR2 Financial Information –
42.56.230(5)
disclosure pursuant to RCW 42.56.230(5),
RCW 42.56.230(4 5)
except when disclosure is expressly required by
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WOLDEGIORGIS
RESIDENCE
14923 62 AVE S
EXPIRED
08/27/2014
PG1 4-0028
City of Tukwila
Department of Community Development
)6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-438-9350
Web site: http://www.TukwilaWA.gov
PLUMBING/GAS PIPING PERMIT
Parcel No: 3597000103 Permit Number: PG14-0028
Address: 14923 62 AVE S Issue Date: 2/28/2014
Permit Expires On: 8/27/2014
Project Name: WOLDEGIORGIS RESIDENCE
Owner:
Name: WOLDEGIORGIS HIRUY T
Address: 14923 62ND AVE S , TUKWILA, WA,
98168
Contact Person:
Name: SARAH TURNER Phone: (206) 243-7700
Address: 12462 DES MOINES MEMORIAL DR,
BURIEN, WA, 98168
Contractor:
Name: GLENDALE HEATING & A/C Phone: (206) 243-7700
Address: 12462 DES MOINES WY S , SEATTLE,
WA, 98168
License No: GLENDHA053Q2 Expiration Date: 11/2/2015
Lender:
Name:
Address:
DESCRIPTION OF WORK:
GAS PIPING TO CHANGE OVER FROM OIL TO GAS FURNACE AND ADD GAS STOVE TOP STUB OUT
Valuation of Work: $4,000.00
Water District: TUKWILA
Sewer District: TUKWILA SEWER SERVICE
Fees Collected: $68.25
Current Codes adopted by the City of Tukwila:
Internations Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
Permit Center Authorized Signature:
2012 International Fuel Gas Code:
2012 WA Cities Electrical Code:
2012 WA State Energy Code:
2012
2012
2012
2012
UPI Date: d'(/" "\
I hearby 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
development permit and agree to the conditions attached to this permit.
Signature: g-4W.—?\
Print Name: i)G tJ/ C4_ 4 /-fon
Date: o / 5L,
This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or
if the work is suspended or abandoned for a period of 180 days from the last inspection.
PERMIT CONDITIONS:
1: ***PLUMBING/GAS PIPING PERMIT CONDITIONS***
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.
13: The applicant agrees that he or she will hire a licensed plumber to perform the work outlined in this
permit.
14: All new plumbing fixtures installed in new construction and all remodeling involving replacement of
plumbing fixtures in all residential, hotel, motel, school, industrial, commercial use or other occupancies
that use significant quantities of water shall comply with Washington States Water Efficiency ad
Conservation Standards in accordance with RCW 19.27.170 and the 2006 Uniform Plumbing Code Section
402 of Washington State Amendments
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
2000 GAS PIPING FINAL
8004 GROUNDWORK
1900 PLUMBING FINAL
9002 ROUGH -IN GAS PIPING
8005 ROUGH -IN PLUMBING
9001 UNDERGROUND
CITY OF TUKW- 1
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
littp://www.TukwilaWA.gov
Plumbing/Gas ii'ermit No. A)6 11-(_ oo_e
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**
SITE LOCATION
Site Address: L 923 (p 2 N1) .. t
Tenant Name:
King Co Assessor's Tax No.: 3S 7 00 c / 0 3
Suite Number:
PROPERTY OWNER
Name: /Ltic% Wai,
'� ' (0
rs
Address
( 2 /V✓
City: r u /', - )i/a State: a.)a
Zip:9Av
CONTACT PERSON — person receiving all project
communiccaa 'on
Name: T le�F�
to,ra /^
v!
Address: / 24z2 t yyi AI e 2) -
City: eti/e,
State: Nei Zip: 9gx
Phone: N 2443 laxEmail:
Floor:
New Tenant: ❑ Yes ❑.. No
PLUMBING CONTRACTOR INFORMATION
Company Name:
Address:
City: State: Zip:
Phone: Fax:
Contr Reg No.: Exp Date:
Tukwila Business License No.:
Valuation of Project (contractor's bid price): $ 1/14."0
Oa
0
Scope of Work (please provide detailed inform on):
efroti, ae / ,fir, vroc' e.E
Building Use (per Int'l Building Code):
Occupancy (per Int'l Building Code):
Utility Purveyor: Water:
Sewer:
H:\Applications\Forms-Applications On Line \2011 Applications\Plumbing Permit Application Revised 8-9-11.docx
Revised: August 2011
bh
Page 1 of 2
Indicate type of plumbing fixtures andh s piping outlets being installed and the quant Blow:
Fixture Type
Qty
Bathtub or combination
bath/shower
Dishwasher, domestic with
independent drain
Shower, single head trap
Sinks
Rain water system — per
drain (inside building)
Grease interceptor for
commercial kitchen (>750
gallon capacity)
.
Each additional medical
gas inlets/outlets greater
than 5
Atmospheric -type vacuum
breakers not included in
lawn sprinkler backflow
protections (1-5)
Fixture Type
Qty
Bidet
Drinking fountain or water
cooler (per head)
Lavatory -
Urinal
Water heater and/or vent
Repair or alteration of
water piping and/or water
treatment equipment
Backflow protective device
other than atmospheric -
type vacuum breakers 2
inch (51 mm) diameter or
smaller
Atmospheric -type vacuum
breakers not included in
lawn sprinkler backflow
protections over 5
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
2.
Fixture Type
1 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 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 OWNOR AU,TI39R D AGENT:
Signature:
Print Name: v a t i-e P
Date: 2 •
Day Telephone: 206 2 y, - 7 7 7D
Mailing Address:
City
State Zip
H:Wpplications\Forms-Applications On Line\2011 Applications\Plumbing Permit Application Revised 8-9-11.docx
Revised: August 2011
bh
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT QUANTITY
PAID
$68.25
PG14-0028 Address: 14923 62 AVE S
Apn: 3597000103
$68.25
GAS
$65.00
PERMIT FEE
R000.322.100.00.00
$65.00
TECHNOLOGY FEE
$3.25
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R1348
R000.322 900.04 00
$3.25
$68.25
Date Paid: Friday, February 28, 2014
Paid By: GLENDALE HEATING & A/C
Pay Method: CHECK 69001
Printed: Friday, February 28, 2014 11:49 AM 1 of 1
CR
SYSTEMS
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
e61q-c,(26
_
,Jc)Ic (-(-,!av S
Type of Inspection: k
+kcytt9til- i nj
!~
A1r+(�Z3 b� A1J
Date Called:
Special Instructions:
Date Wanted:
,- 8—
a.m
(PI'
Requester:
Phone
(9J3 V 2.1' - 7 t o6
JApproved per applicable codes.
ElCorrections required prior to approval. .
COMMENTS:
In51 pe ry
7 �i�✓�.G 1e-� J..t
Date:
oZ 2 7
I I REINSPECTION FEE REQUIED. Prior to next inspection, fee must be
paiat 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
City of Tukwila
Department of Community Development
7/1/2014
SARAH TURNER
12462 DES MOINES MEMORIAL DR
BURIEN, WA 98168
RE: Permit No. PG14-0028
WOLDEGIORGIS RESIDENCE
14923 62 AVE S
Dear Permit Holder:
Jim Haggerton, Mayor
Jack Pace, Director
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 8/27/2014.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206-438-9350 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 8/27/2014, 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 No: PG14-0028
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
GLENDALE HEATING & A/C INC
Page 1 of 2
141111114 Washington State Department of
Labor & Industries
GLENDALE HEATING & A/C INC
Owner or tradesperson
HOEFER, GERALD ARTHUR
Principals
HOEFER, GERALD ARTHUR
FULTON, DAVID CURTIS
ATWOOD, STANLEY (End: 06/26/2012)
HOEFER, ARTHUR A (End: 09/30/2011)
Doing business as
GLENDALE HEATING & A/C INC
WA UBI No.
600 003 167
12462 DES MOINES MEMORIAL DR
SEATTLE, WA98168-2266
206-243-7700
KING County
Business type
Corporation
Governing persons
DAVIDCFULTON
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Construction Contractor
License specialties
GENERAL
License no.
GLENDHA053Q2
Effective — expiration
11/22/1995 —11 /02/2015
Bond
No bonds during the previous 6 year period.
Insurance
Continental Western Ins Co
Policy no.
CDP2976203
Received by L&I
10/04/2013
Savings
(in lieu of bond)
Received by L&I
10/15/2001
Savings account ID
Active.
Meets current requirements.
$1,000,000.00
Effective date
11/02/2012
Expiration date
11/02/2014
$12,000.00
Effective date
10/15/2001
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600003167&LIC=GLENDHA053Q2&SAW= 02/28/2014