HomeMy WebLinkAboutPermit PG08-020 - BRISTOW RESIDENCEBRISTOW RESIDENCE
14707 57 AV S
PGO8-020
Parcel No.: 1157200173
Address:
Suite No:
City1111f 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
14707 57 AV S TUKW
PLUMBING /GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On:
PG08 -020
01/17/2008
07/15/2008
Tenant:
Name: BRISTOW RESIDENCE
Address: 14707 57 AV S , TUKWILA WA
Owner:
Name: BRISTOW ERIN L
Address: PO BOX 58526 , TUKWILA WA
Contact Person:
Name: ERIN BRISTOW
Address: PO BOX 58526 , TUKWILA WA
Contractor:
Name: FAST WATER HEATER CO
Address: 12601 132ND AVE NE , KIRKLAND WA
Contractor License No: FASTWHC052DF
Phone:
Phone: 206 - 835 -5210
Phone:
Expiration Date: 01/04/2010
DESCRIPTION OF WORK:
REMOVE AND REPLACE GAS WATER HEATER
Value of Plumbing /Gas Piping: $500.00
Fees Collected: $92.00 International Fuel Gas Code Edition:
Uniform Plumbing Code Edition: 2006
FIXTURE TYPE AND QUANTITY
Plumbing
Bathtub or combination bath/shower 0
Bidet 0
Clothes washer, domestic 0
Dental unit, cuspidor 0
Dishwasher, domestic, with independent drain 0
Drinking fountain or water cooler (per head) 0
Food -waste grinder, commercial 0
Floor drain 0
Shower, single head trap 0
Lavatory 0
Wash fountain
Receptor, indirect waste 0
Sinks 0
Urinals 0
Water Closet 0
0
2006
Plumbing (cont.)
Building sewer and each trailer park sewer 0
Rain water system - per drain (inside bldg) 0
Water heater and /or vent 1
Industrial waste treatment interceptor, including
its trap and vent, except for kitchen type
grease interceptors 0
Repair or alteration of water piping and/or water
treatment equipment 0
Repair or alteration of drainage or vent piping 0
Medical gas piping system serving (1 -5)
inlets /outlets for a specific gas 0
Medical gas piping (6 +) inlets /outlets 0
Gas Piping
Gas piping outlets (0 -5) 0
Gas piping outlets (6 +) 0
* *continued on next page **
doc: UPC -10/06
PG08 -020 Printed: 01 -17 -2008
City ofTukwila
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
Permit Number: PGO8 -020
Issue Date: 01/17/2008
Permit Expires On: 07/15/2008
Permit Center Authorized Signature:
J ■ Date: \
I hereby 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
construction or the performance
Signature:
esume t• give authority to violate or cancel the provisions of any other state or local laws regulating
k. I o ed . sign and obtain this plumbing /gas piping permit.
Print Name:
,(//c-iL4o
Date: i ( 7 2
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.
doc: UPC -10/06
PG08 -020 Printed: 01 -17 -2008
Parcel No.: 1157200173
Address:
Suite No:
Tenant:
•
City 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
14707 57 AV S TUKW
BRISTOW RESIDENCE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
PG08 -020
ISSUED
01/17/2008
01/17/2008
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.
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.
* *continued on next page **
doc: Cond -10/06
PGO8 -020 Printed: 01 -17 -2008
•
City 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
I hereby certify that I have read these conditions and will comply with them as outlined. 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 provision of any other work or local laws regulating
construction or the performance of w
Signature:
Print Name:
Date: /9 7—
271 Pi/o/c
doc: Cond -10106
PG08 -020 Printed: 01 -17 -2008
CITY OF TUKWILA
Community Development Gertment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Plumbing/Gas :P
'Project <No •
it No :.. o e- 090
pr p„Q7cg:use <a
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 **
390163
SITE LOCATION
King Co Assessor's Tax No.: 1157200173
Suite Number: Floor:
Site Address: 14707 57 AVE
Tenant Name: Tenant: .... Yes D ..No
Property Owners Name: BRISTOW, ERIN & MIKE /FITZGERAD
PO BOX 58526 TUKWILA
Mailing Address: city
WA 98138
State Zip
•CONTACT _PERSON Who do we contact wben your permit.is ready to be issued
1
Name: BRISTOW, ERIN & MIKE /FITZGERAD Day Telephone: (206)835 -5210
Mailing Address:
E -Mail Address:
City
Fax Number:
State
Tip
PLUMBING I GAS PIPING.CONTRACTORINF.ORMATION
Company Name: FAST WATER HEATER COMPANY
Mailing Address: 12601 132ND AVE NE
Contact Person: Carol Randall
E -Mail Address: carolr@fastwaterheater.com
Contractor Registration Number: FASTWWH948BC
KIRKLAND
WA
City State
Day Telephone: 800 -454 -8955 x 133
Fax Number: 425 814 -9516
Expiration Date: 1/4/2010
98034
Zip
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
City
Day Telephone:
Fax Number:
State
Zip
-.Ali lans must;be" Wet stampe 'b'y ::ngineer of Record
II ENGIN,�LR OF .RECORID . p.. ,: ;
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
City State Zip
Day Telephone:
Fax Number:
Page 1 of 2
Valuation of Project (contractor's bid price).
Scope of Work (please provide detailed information): Remove /Replace Gas Water Heater
Building Use (per Int'l Building Code):
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_
_Flatus Type .::: , ,
;Qty .
:Fiitture TypO:.... ::Qty
icture:Type• -: ::
Qty :T
Bathtub or combination
bath/shower
_
Drinking fountain or water
cooler (per head)
Wash fountain
Gas piping outlets
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
1
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
,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:
Signature: _ ��` Date: 1/14/08
Print Name: Carol M W Randall
Day Telephone: 800 -454 -8955 x 133
Mailing Address: 12601 132ND AVE NE KIRKLAND WA 98034
City State Zip
lDate Application Accepted:
Date Application Expires: Staff Initials:
Q: ApplicaiionatPonni•Applleadnm On LineU -2006 - Phunhing -Gni Piping Perini Application.doe
Revised: 4.2006
bh
Page 2 of 2
City 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
Parcel No.: 1157200173
Address: 14707 57 AV S TUKW
Suite No:
Applicant: BRISTOW RESIDENCE
RECEIPT
Permit Number: PG08 -020
Status: PENDING
Applied Date: 01/17/2008
Issue Date:
Receipt No.: R08 -00153 Payment Amount: $88.00
Initials: WER Payment Date: 01/17/2008 11:25 AM
User ID: 1655 Balance: $4.00
Payee: FAST WATER BEATER
TRANSACTION LIST:
Type Method Description Amount
Payment Check 4389 88.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
PLUMBING - RES
i *;iii 1 8 25C3
co
001L1.4.1i: :41
000.322.103.00.0 88.00
Total: $88.00
7376 01/17 9710 TOTAL 92.00
doc: Receiot -06 Printed: 01 -17 -2008
City 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
Parcel No.: 1157200173
Address: 14707 57 AV S TUKW
Suite No:
Applicant: BRISTOW RESIDENCE
RECEIPT
Permit Number: PG08 -020
Status: PENDING
Applied Date: 01/17/2008
Issue Date:
Receipt No.: R08 -00154 Payment Amount: $4.00
Initials: WER Payment Date: 01/17/2008 11:26 AM
User ID: 1655 Balance: $0.00
Payee: FAST WATER HEATER
TRANSACTION LIST:
Type Method Description Amount
Payment Cash 4.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
PLUMBING - RES
it 1 1 z,, 2OC
CC...
rir.. r
000.322.103.00.0 4.00
Total: $4.00
7376 01/17 9710 TOTAL 92.00
doc: Receiot -06 Printed: 01 -17 -2008
INSPECTION RECORD
Retain a copy with permit ./)4 U G2 )
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION It I
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -6
t
Project: s ��
, r��
Type of Inspection.
iiv41- PheA 6
V
Address 7 5� c
Date Called:
Special tructions:
1kk p,4 ■ () -
. I
�J �_
(.f.
Date Vyanted:� ��
-)P
alp
re tI �_P
Requester:
t b rx�--P.14 )R__. A 5 T
> .
Phone No:
/ 5 3 3 5
2 / O
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
f v;AA -11tF .
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$58.00 REINSPECTION FEE REQUIRED. Prior o inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection.
Receipt No.:
Date:
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Y
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TALL
GAL.
CAP.
40
DESCRIPTION
I'IDEL P:UCIBER
42VR40-40F
FEATURES
GAS INPUT IN RECOVERY IN
THOUS. BTU I HR. G 90 RISE
NAT LP NAT LP
40 34 40.4 3!1.3
FIRST HOUR
DEL.G PH.
NAT.
68
HT TO
VENT
A
63 -1/4
ROUGHING
TANK
HT. DIAI1
B C
59.3/4 21
IN DIMENSIONS
HT. TO
GAS VENT
CON 1 SIZE
D E
14.1/2 3
(SHOWN
WATER
CONN-
CNTR.
F
8
IN INCHES)
HT. TO
SIDE
T &P
G
53 -1/2
WATER
CONN.
H
3/4
SHIP
WT.
ILBS)
135
ENERGY
ENERGY
FACTOR
NAT.
0.62
INFO.
AVG. ANN.
OPER COST
NAT.
$220
50
42VR50.40F
- 40 36 4ti.4
3 4I
83
62 "1/4.
',58.3/4 23
14.1/2 3
8
52.1/2
3/4
16+5
0,62
$220
T
A
L
L
29
22V30F
32
30
32.3
30.3
50
59 -3/4
56 -3/8
16 -1/8
14 -1/2 3
8
50 -3/4
3/4
100
0.62
$220
40
22V40-36F1
36
-
36.4
-
67
61 -1/2
58
17 -3/4
14-1/2 3
8
53
3/4
120
0.59
$231
40
22V40F1
38
-
38.4
-
73
61 -3/4
58-3/8
18 -1/8
14-1/2
3
8
52 -1/4
3/4
120
0.59
$231
38
42V40F
40
34
40.4
34.3
68
61-1/2
57 -3/4
19 -3/4
14 -1/2
3
8
52 -1/4
3/4
125
0.60
$227
50
22V50F1
38
-
38.4
-
90
61-1/2
58-1/4
20 -1 /8
14 -1/2
3
8
51 -3/8
3/4
130
0.58
$235
50
42V50 -40F
40
36
40.4
36.4
83
61-1/2
58
21 -3/4
14 -1/2
3
8
52 -1/2
3/4
150
0.58
$235
50
42V50 -50F
50
-
50.5
-
83
62
58
21-3/4
14-1/2
4
8
52 -1/2
3/4
150
0.58
$235
s
H
8
R
T
30
22V305-30F
30
-
30.3
-
50
49 -3/4
46 -1/4
19 -3/4
14 -1/2
3
8
40 -1/4
3/4
98
0.61
$224
40
22V40SF
36
34
36.4
34.3
72
52 -3/4
49-3/8
20 -1/8
14 -1/2
3
8
42 -3/4
3/4
130
0.59
$231
40
42V40SF
40
36
40.4
36.4
72
53 -7/8
50-1/2
20 -1/8
14 -1/2
3
8
44
3/4
130
0.59
$231
50
42V50SF
40
36
40.4
36.4
84
54 -1/4
49-3/4
22 -1/4
14 -1/2
3
8
44
3/4
158
0.59
$231
SPECIFY LP GAS WHEN ORDERING. Add "P" suffix to the model number. Example: 42VR40 -40PF.
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FLUE
HOT
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,.
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ANODE ROD
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3 /4" N.P.T.
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OPENING
_
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, ^TT I
--
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Should a spill incident occur, the Guardian A specially- designed flame arrestor Superior air filtration prevents the
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A
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pROTECTION p
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p
Before purchasing this appliance, read Important energy
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PRINTED IN U.S.A 07/06 WP
FORM NO. 101 -6 Rev. 10
Look Up a Contractor, Electrian or Plumber License Detail
Washington State Department of Labor and Industries
General/Specialty Contractor
A business registered as a construction contractor with L &I 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.
License Information
License
FASTWWH948BC
Licensee Name
FAST WATER HEATER COMPANY
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
602564544
Ind. Ins. Account Id
5380601
Business Type
LIMITED LIABILITY COMPANY
Address 1
12601 132ND AVE NE
Address 2
City
KIRKLAND
County
KING
State
WA
Zip
98034
Phone
4258143124
Status
ACTIVE
Specialty 1
GENERAL
Specialty 2
UNUSED
Effective Date
1/3/2006
Expiration Date
1/4/2010
Suspend Date
Separation Date
Parent Company
FWH ACQUISITION COMPANY LLC
Previous License
FASTWHC052DF
Next License
Associated License
Business Owner Information
Name
Role
Effective
Date
Expiration
Date
JORDAN, JEFF
PARTNER/MEMBER
01/03/2006
HANLEYBROWN,
JASON
PARTNER/MEMBER
01/03/2006
0
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
DEVELOPERS
Page 1 of 2
https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= FASTWWH94813C 01/17/2008