HomeMy WebLinkAboutPermit PG15-0077 - JENSEN RESIDENCE - ELECTRIC WATER HEATERJENSEN RESIDENCE
4412 S 160 ST
El XPIRED
12119115
PG15-0077
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: htto://www.TukwilaWA.gov
Parcel No: 8108600502
Address: 4412 S 160TH ST
Project Name: JENSEN RESIDENCE
PLUMBING/GAS PIPING PERMIT
Permit Number: PG15-0077
Issue Date: 6/22/2015
Permit Expires On: 12/19/2015
Owner:
Name:
JENSEN MARA D
Address:
4412 S 160TH ST, TUKWILA, WA,
98188
Contact Person:
Name:
ANGELA LUDWIG
Phone: (253) 329-2565
Address:
2238 55 ST SE, AUBURN, WA, 98092
Contractor:
Name:
WASHINGTON CORROSION SERVICE I
Phone: (425) 228-1392
Address:
1425 BLAINE AVE NE, RENTON, WA,
98056
License No:
WASHICS055KC
Expiration Date:
Lender:
Name:
Address:
DESCRIPTION OF WORK:
REPLACE ELECTRIC
WATER HEATER
Valuation of Work: $1,000.00 Fees Collected: $48.83
Water District: HIGHLINE
Sewer District: NONE
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
2012
National Electrical Code:
2014
International Residential Code Edition:
2012
WA Cities Electrical Code:
2014
International Mechanical Code Edition:
2012
WAC 296-4613:
2014
Uniform Plumbing Code Edition:
2012
WA State Energy Code:
2012
International Fuel Gas Code:
2012
Permit Center Authorized Signature:
Date:
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: Date:
ZZ J
Print Name: L-.;:
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: 'ELECTRICAL PERMIT CONDITIONS'
2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical
Inspector at each work site.
3: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical
Inspector.
4: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations,
Chapter 296-46B WAC.
5: When any portion of the electrical installation is to be hidden from view by permanent placement of parts
of the building, such equipment shall not be concealed until it has been inspected and approved by the
Electrical Inspector.
6: The issuance of an electrical work permit shall not be construed to be a permit for, or an approval of, any
violation of the provisions of the electrical code or other ordinances of the jurisdiction. Permits or related
documentation that presumes to grant this authority are therefore not valid.
7: Any change in the scope of work described by the electrical work permit shall require additional work
permits. Where approved plans have been issued, revisions to the plans and additional review may be
required.
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
Community Development Department
• ,; '� Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.Tukwi]aWA.gov
SITE LOCATION
Site Address
Tenant Nan
Plumbing/Gas Permit No. oy�l
Project No.
Date Application Accepted:
Date Application Expires:
use
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"
t a S 1601--v, S--
vL Qe nse
PROPERTY OWNER
Name: J n1.
Address:
City:. 1 n-/`(A.1j l r- State: (1J Zip:
CONTACT PERSON — person receiving all project
communication
Name: 1..�j
Address: 2-2-3 cb
i 6'
City: k ✓ State: (,,j U Zipq ® O
Phone: 3 Fax:
Email:
Valuation of Project (contractor's bid price): $ J 0 CDy
Scope of Work (please provide detailed information):
Building Use (per Int'l Building Code):
Occupancy (per Int'l Building Code):
Utility Purveyor: Water:
King Co Assessor's Tax No.: BCD �% Q
Suite Number: Floor:
New Tenant: ❑ .....Yes ❑..No
PLUMBING CONTRACTOR INFORMATION
Company Name:
Address:Zz�,a
City
. l.J%1�1_ titre State:
Zip:.y� �
Phone: Z•� ? 32g' 2-3 kax:
Contr Reg No.: tiAsH=.4S Exp Date:
Tukwila Business License No.:
Sewer:
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
PERMIT APPLICATION NOTES -
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
ease 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
as
Each lawn sprinkler
system on any one meter
including backflow
protection devices
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 OWNER OR AUTHORIZED AGENT:
Print Name:
Mailing Address: Z Z—? R�
Date: 6 - Z —3 1 �
Day Telephone:
City IState
DESCRIPTIONS
PermitTRAK
ACCOUNT QUANTITY
PAID
$48.83
PG15-0077 Address: 4412 S 160TH ST
Apn: 8108600502
$48.83
PLUMBING
$46.50
WATER HEATER FIXTURE FEE
R000.322.103.00.00
0.00
$14.00
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$32.50
TECHNOLOGY FEE
$2.33
TECHNOLOGY FEE
TOTAL FEES PAID
R000.322.900.04.00 0.00
$2.33
Date Paid: Monday, June 22, 2015
Paid By: ANGELA LUDWIG
Pay Method: CREDIT CARD 084029
Printed: Monday, June 22, 2015 9:40 AM 1 of 1 OC SY57EMS
City of Tukwila
lim HaQQerton- lHavnr
Department of Community Development Jack Pace, Director
11 /2/2015
ANGELA LUDWIG
2238 55 ST SE
AUBURN, WA 98092
RE: Permit No. PG 15-0077
JENSEN RESIDENCE
4412 S 160TH ST
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 12/19/2015.
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.
Q•TC
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 190 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 12/19/2015, 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, --D --
Lj
Bill Rambo
Permit Technician
File No: PG15-0077
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 * Fax 206-431-3665
WASHINGTON CORROSION SR" . INC Page 1 of 2
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WASHINGTON CORROSION SRVC INC
Owner or tradesperson
EVANS, NANCY J
Principals
EVANS, NANCY J, PRESIDENT
EVANS, JOHN D, VICE PRESIDENT
EVANS (LUDWIG), ANGELA M, SECRETARY
WA UBI No.
601 577 751
License
1425 BLAINE AVE NE
RENTON, WA98056-2774
425-228-1393
KING County
Business type
Corporation
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Construction Contractor Active.
......................................................................
Meets current requirements.
License specialties
APPLIANCES/EQUIPMENT
License no.
WASHICS055KC
Effective — expiration
05/03/1995— 05/04/2016
Bond
................
CBIC
$6,000.00
Bond account no.
SD6182
Received by L&I
Effective date
05/02/2002
05/02/2002
Expiration date
Until Canceled
Insurance
Western World Ins Co
$500,000.00
Policy no.
NN8002757
Received by L&I
Effective date
05/01/2016
05/04/2014
Expiration date
05/0412016
Insurance history
Savings
No savings accounts during the previous 6 year period.
Lawsuits against the bond or savings
No lawsuits against the bond or savings accounts during the previous 6 year period.
L&I Tax debts
.................
No L&I tax debts are recorded for this contractor license during the previous 6 year period, but some debts
may be recorded by other agencies.
https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=601577751&LIC=WASHICSO55KC&SAW= 6/22/2015