HomeMy WebLinkAboutPermit PG15-0119 - BILLINGSLEY RESIDENCE - GAS TANKLESS WATER HEATER AND PIPINGBI NGSLEY RESIDENCE
1473159 AVE S
PG15-0119
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.Rov
PLUMBING/GAS PIPING PERMIT
Parcel No: 8687800139 Permit Number: PG15-0119
Address: 1473159TH AVE S Issue Date: 10/5/2015
Permit Expires On: 4/2/2016
Project Name: BILLINGSLEY RESIDENCE
Owner:
Name:
BILLINGSLEY BYRON+TERESA
Address:
1473159TH AVE S , TUKWILA, WA,
98168
Contact Person:
Name:
KATRINA SIMONSON Phone: (206) 227-6616
Address:
1813185 ST E , BONNEY LAKE, WA,
98391
Contractor:
Name:
GREEN CITY HTG & A/C INC Phone: (206) 227-6616
Address:
1813185 ST E , BONNEY LAKE, WA,
98391
License No: GREENCH866132 Expiration Date: 1/22/2016
Lender:
Name:
Address:
DESCRIPTION OF WORK:
INSTALL NEW GAS TANKLESS WATER HEATER AND GAS PIPING FOR WATER HEATER AND NEW FURNACE
Valuation of Work: $4,195.00 Fees Collected: $219.45
Water District: TUKWILA
Sewer District: TUKWILA SEWER SERVICE
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 296-466:
2014
Uniform Plumbing Code Edition:
2012
WA State Energy Code:
2012
International Fuel Gas Code:
2012
Permit Center Authorized Signatu
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 regulconstruction erformance of work. I am authorized to sign and obtain this
development permit ano agr a to thqebriclitions att ched to this permit.
Signature:
Print Name:
Date:
Zu /-!I // A-5-
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.
Community Development Department
Permit Center
• 6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.Tukwi]aWA.gov
SITE LOCATION
Site Address:
Tenant Name:
Plumbing/Gas Permit No. T6 IS — I t
Project No.
Date Application Accepted:
Date Application Expires:
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"
PROPERTY OWNER
Name: DOMCW
Address: t 4
1 v
City: V State: Zi
CONTACT :PERSON — person receiving all project
communication
Name:
Address: C�r�
City: State: Zip:
Phone:
9 a1� Fax:
Email:
Valuation of Project (contractor's bid price): $ tA.yn�
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.:I %U-k� 1 �I
Suite Number: Floor:
New Tenant: ❑ ..... Yes ❑.. No
PLUMBING CONTRACTOR INFORMATION
Company Name: GVe-f- 0 G,
Address: '
City. State:
Phone .� Fax:
Contr Reg No.: Exp Date-
[!ukw:i:la:Business License No.:
Sewer:
H:Wpplications\Fmms-Applications On Line\2011 Applications\Plumbing Permit Application Revised 8-9-I l.docx
Revised: August 2011 Page l of 2
bh
Indicate type of plumbing fixtures and/( s piping outlets being installed and the quant elow:
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
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
2
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 CERT HAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERRAY AY THE OF TATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
AGENT:
Signature:
Print Name:
Mailing Address:
Date: 1?2/ IA5—
Day Telephone:2ran '�=a LO LO I Len
City State Zip Q
H:\Applications\Forms-Applications On Line\2011 Applications\Plumbing Permit Application Revised 8-9-1 l.docx
Revised: August 2011 Page 2 of 2
bh
DESCRIPTIONS•
PermitTRAK
QUANTITY
PAID
$439.16
M15-0128 Address: 1473159TH AVE S Apn: 8687800139
$219.71
MECHANICAL
$209.25
PERMIT FEE
R000.322.100.00.00
0.00
$176.75
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$32.50
TECHNOLOGY FEE
$10.46
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$10.46
PG15-0119 Address: 14731 59TH AVE S
Apn: 8687800139
$219.45
GAS
$97.50
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$32.50
PERMIT FEE
R000.322.100.00.00
0.00
$65.00
PLUMBING
$111.50
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$32.50
PERMIT FEE
R000.322.100.00.00
0.00
$79.00
TECHNOLOGY FEE
$10.45
TECHNOLOGY FEE
TOTAL' .
R000.322.900.04.00
0.00
$10.45
Date Paid: Monday, October 05, 2015
Paid By: GREEN CITY HTG & A/C INC
Pay Method: CHECK 5939
Printed: Monday, October 05, 2015 11:39 AM 1 of 1 CR? SY57EM5
61 INSPECTION RECORDl��Q f�
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36
Permit Inspection Request Line (206) 438-9350
Projec -
Ge
G2
Type of insp ction:
/
AddrLy! J�
� �
Date Called:
Special Instructions:
Date Wanted:
p.m.
Requester:
Phone No:
I
u paid at 6300 Southcenter Blvd., Suite 100. Call. to schedule reinspection.
Green City HTG & A/C INC
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Washington State Department of
Labor & Industries
Green City HTG & A/C INC
Owner or tradesperson
Principals
Simonson„ Jeffrey Orvold, PRESIDENT
Simonson, Katrina Marie, SECRETARY
Doing business as
Green City HTG & A/C INC
WA UBI No.
603 363 739
License
A-2 Index H(,Ip My Secure ]: `kI
Claims & Insurance Workplace Rights Trades & Licensing
18131 85th St E
BONNEY LAKE, WA98391
206-227-6616
PIERCE 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
Heating/VentlAir-Conditioning and Refrig
(HVACIR)
License no.
GREENCH866132
Effective — expiration
01/22/2014— 01/22/2016
Bond
.................
American Contractors Indem CO
$6,000.00
Bond account no.
100180935
Received by L&I
Effective date
01/22/2014
01/22/2014
Expiration date
Until Canceled
Ins.ur..an.c.e
.............. _ ........
Developers Surety & Indem Co
$1,000,000.00
Policy no.
BIS00012057-04
Received by L&I
Effective date
11/24/2014
11/18/2014
Expiration date
11/1812015
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=603363739&LIC=GREENCH866B2&SAW= 10/5/2015