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Permit PG17-0017 - GOMEZ RESIDENCE - GAS WATER HEATER
GOMEZ RESIDENCE 4518 S 124T" ST PG17-0017 Parcel No: Address: Project Name: 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 WATER HEATER PERMIT 0179000785 Permit Number: PG17-0017 4518 S 124TH ST GOMEZ RESIDENCE Issue Date: 2/2/2017 Permit Expires On: 8/1/2017 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: GOMEZTREVA E 4504 S 124TH ST, TUKWILA, WA, 98178 DYANNA SCONZO 9808 31st AVE SE , EVERETT, WA, 98208 WASHINGTON ENERGY SVCS CO LLC 3909 196TH ST SW , LYNNWOOD, WA, 98036 WASHIES851NS II/ Phone: (360) 945-2787 Phone: Expiration Date: 9/7/2017 DESCRIPTION OF WORK: REPLACE GAS WATER HEATER Valuation of Work: $1,200.00 Water District: TUKWILA Sewer District: TUKWILA Fees Collected: $49.80 Current Codes adopted by the City of Tukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: International Fuel Gas Code: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2014 2014 2014 2015 Permit Center Authorized Signature: [AY' 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: 2/2/14 - Print Name UuSttyk SwtAAA 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 1900 PLUMBING FINAL 8005 ROUGH -IN PLUMBING CITY OF TUKWI Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Plumbing/Gas rem it'No. 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: 45% S -S 0-‘e=- Tenant 2`x"`= Tenant Name: King Co Assessor's Tax No.: 019900CA$g Suite Number: PROPERTY OWNER Name: DcenneA Scovvz.o/NNn1 PerhAZJr Name: City: EVerrif State: wvt Zip:18 Address: 4518 S 1ZL14 St Email: tt arv.c‘ °` NWpe,r rAZA-_Gowt. CityZuKWiked, State: Nfl Zip:980.8 CONTACT PERSON - personreceiving all project communication Name: DcenneA Scovvz.o/NNn1 PerhAZJr Address: 9 80s 3112.1- ttvE 5E. City: EVerrif State: wvt Zip:18 Phone: 3Gb- itiS-2i$1- Fax: Ms -yvv- 0383 Email: tt arv.c‘ °` NWpe,r rAZA-_Gowt. Floor: New Tenant: ❑ Yes . No PLUMBING CONTRACTOR INFORMATION Company Name: Washi rt I •v% Ev erf:M r'vtee S Address: 3i0ct t 9fett Si- SW City: I.tnrwiop.cit State: W A Zip:580310 Phone: goo, 31e,46(03 Fax: Contr Reg No.:W SEs 861 as ;Exp Date: ci f44 t} Tukwila Business License No.: Valuation of Project (contractor's bid price): $ 10 c) Scope of Work (please provide detailed information): Rtptae a 5,e.e, WAVer bez4c' Building Use (per Int'l Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: H:\Applications\Forms-Applications On Line\2011 Applications\Plumbing Permit Application Revised 8-9-I I.docx Revised: August 2011 bh Sewer: Page 1 of 2 Indicate type of plumbing fixtures and/c s piping outlets being installed and the quant. .low: 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 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 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 NE$WR AUT ORIZED AGENT: Signature: Print Name: ��S+ v� �il►'� Mailing Address: `‘A•36 31sT ftIS SE H:Wpplications\Forms-Applications On Line \2011 Applications\Plumbing Permit Application Revised 8-9-11.docx Revised: August 2011 bh Date: Z X21 11 - Day Telephone: (340) 94S- 2101 - Everett/ W MN 82o City State Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK I ACCOUNT QUANTITY PAID $49.80 PG17-0017 Address: 4518 S 124TH ST Apn: 0179000785 { :: $49.80 PLUMBING $47.43 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $33.15 WATER HEATER FIXTURE FEE R000.322.103.00,00 0.00 $14.28 TECHNOLOGY FEE $2.37 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R10722 R000.322.900.04,00 0.00 $2.37 $49.80 Date Paid: Thursday, February 02, 2017 Paid By: WASHINGTON ENERGY SVCS CO LLC Pay Method: CHECK 3637 Printed: Thursday, February 02, 2017 1:22 PM 1 of 1 CSYSTEMS INSPECTION NO. INSPECTION RECORD Retain a copy with permit P617-0017 PERMIT N0. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: 6604/i°Z Ar. seas, / Type of Inspection: ?LIJmei/Y6 P//y/-L- ; Address: '/s/e3 S. 124T14 5r Date Called: Special Instructions: rb sG} oOLg Date Wanted: -[9 —/7 a.m. p.m. Requester: Phone No: - 0(e-7( Z -7g7/ Approved per applicable codes. E] Corrections required prior to approval. COMMENTS: o ?Lim/16016- Fi IA/ - Inspector: Date: (2-7-17 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. WASHINGTON ENERGY SVCS Cr' LLC Home Espanol Contact Safety & Health Claims & Insurance 01 Washington State Department of Labor & industries Search L&I Page 1 of 2 A -Z Index Help My I.,&L Workplace Rights Trades & Licensing WASHINGTON ENERGY SVCS CO LLC Owner or tradesperson Principals OLSON, CRAIG E, PARTNER/MEMBER OLSON, VERA A, PARTNER/MEMBER NG, YUN-KWAN WINNIE, AGENT Doing business as WASHINGTON ENERGY SVCS CO LLC WA UBI No. 603 522 032 3909 196TH STREET SW LYNNWOOD, WA 98036 206-282-4700 SNOHOMISH County Business type Limited Liability Company Governing persons CRAIG E OLSON LLC FIRST POINT; VERN A OLSON; License Verify the contractors active registration / license / certification (depending on trade) and any past violations. Construction Contractor Active. ......................................................................... Meets current requirements. License specialties GENERAL License no. WASHIES851 NS Effective — expiration 09/07/2015— 09/07/2017 Bond .......... ......... North American Spec Ins Co Bond account no. 2198899 $12,000.00 Received by L&I Effective date 08/10/2015 09/07/2015 Expiration date Until Canceled Insurance United Specialty Insurance Com $1,000,000.00 Policy no. BVO1673641 Received by L&I Effective date 04/29/2016 05/01/2016 Expiration date 05/01/2017 VC -09 7(escs-r- Insurance history Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603522032&LIC=WASHIES851NS&SAW= 2/2/2017 WASHINGTON ENERGY SVCS CO LLC Savings No savings accounts during the previous 6 y__. 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. License Violations Infraction no. PZETD00865 Issue date 05/06/2016 Violation city LYNNWOOD Type of violation PLUMBER INFRACTION Description Contractor employed a person to engage in the trade of plumbing without a current journeyman, specialty or trainee certificate, temporary permit or medical gas endorsement as required. Danny H Padilla Satisfied ........................... RCWPNAC 18.106.020 Violation amount $250.00 Workers' comp Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums. This company has multiple workers' comp accounts. Active accounts L&I Account ID 224,000-17 ................................. Doing business as WENERGY LLC Estimated workers reported Quarter 4 of Year 2016 "Greater than 100 Workers" L&I account representative T2 / SUSAN BETTS (360)902-4828 - Email: BETT235@Ini.wa.gov Track this contractor Account is current. Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Page 2 of 2 © Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603522032&LIC=WASHIES851NS&SAW= 2/2/2017