HomeMy WebLinkAboutPermit PG11-048 - GROVE RESIDENCEGROVE RESIDENCE
16030 48 AV S
PG1 1 -048
City oftukwila
•
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Inspection Request Line: 206 - 431 -2451
Web site: http: / /www.ci.tukwila.wa.us
Parcel No.: 9198600055
Address: 16030 48 AV S TUKW
Project Name: GROVE RESIDENCE
PLUMBING /GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On:
PG 11 -048
03/23/2011
09/19/2011
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Email:
GROVE RANDY J +RAMONA M
16030 48TH AVE S , SEATTLE WA 98188
CAROL RANDALL
12601 132 AV NE , KIRICLAND WA 98034
CAROLR @FAST WATERHEATER. C O M
Contractor:
Name: FAST WATER HEATER COMPANY
Address: 12601 132ND AVE NE , KIRK A D WA 98034
Contractor License No: FASTWWH948BC
Phone: 425 636 -7054
Phone: (425)814 -3124
Expiration Date: 01/04/2012
DESCRIPTION OF WORK:
REMOVE/REPLACE GAS WATER HEATER
Value of Plumbing /Gas Piping:
Fees Collected:
Electrical Service Provided by:
$7,000.00
$47.25
PUGET SOUND ENERGY
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complie
Uniform Plumbing Code Edition: 2009
International Fuel Gas Code Edition: 2009
Date: 04 L�f
Ened this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
The granting of this permit does not pr
construction or the performance of work
on the back of this permit.
Signature:
Print Name:
e to give authority to violate or cancel the provisions of any other state or local laws regulating
• I am authorized to sign and obtain this plumbing /gas piping permit and agree to the conditions
7/ M./"L-el?
Date: 3�03//
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 -4/10
PG11 -048 Printed: 03 -23 -2011
• •
PERMIT CONDITIONS
Permit No. PG11 -048
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.
doc: UPC -4/10
PG 11 -048 Printed: 03 -23 -2011
CITY OF TUKWILA gh
Community Developmentinartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
• s''•-•-• •
•
Plumbini
• --•••-•
Project N
qflke
e
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 Address:
Tenant Name:
16030 48 AVE S
King Co Assessor's Tax No.: 9198600055
Property Owners Name:
Mailing Address:
GROVE, RANDY
GROVE, RANDY
Suite Number:
New Tenant:
518350
Floor:
Yes 1:1 „No
GROVE411@COMCAST.NET
City
State
Zip
Name: Carol Randall @ Fast Water Heater
Mailing Address:
E-Mail Address:
PLUMBEN GAS nriNG cONTRMTOR1NFQRMAT
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
Company Name:
Mailing Address:
425-636-7054
Day Telephone:
City
State
Zip
Fax Number:
KIRKLAND,
City
Day Telephone:
Fax Number:
Expiration Date:
WA 98034
State
425-636-7054
425-636-7055
1/4/2012
Zip
Contact Person:
E-Mail Address:
City
Day Telephone:
Fax Number:
State
Zip
ENGINEXIC 0 :4•Aill.Pitivi.:itittit•i$ Wet -ntitMliett.1**itg4i0...!::,!#,O.T.C,I...,•• •
Company Name:
Mailing Address:
Contact Person:
E-Mail Address:
City
Day Telephone:
Fax Number:
State
Zip
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'I 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:
• 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:
Carol M W Randall
Signature:
Print Name:
Mailing Address: 12601 132ND AVE NE
Date: 12/15/10
Day Telephone: 425 -636 -7054
KIRKLAND, WA 98034
City State
Zip
I Date Application Accepted: 01
.....
. ..
,Qty: ;.:FVttu"re
Typ'e.':�r::::�
. , Qty.. :,_.F.
.... e;Typet:::..:.`.. ....
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:
Carol M W Randall
Signature:
Print Name:
Mailing Address: 12601 132ND AVE NE
Date: 12/15/10
Day Telephone: 425 -636 -7054
KIRKLAND, WA 98034
City State
Zip
I Date Application Accepted: 01
Date Date Application Expires: �,
Staff Initials: ivvv..._
QMpplialnneWonnf•Apptlalionf On LiaeU -2006 - Plumbing -Gm Piping Penni Apparalion.doe
aevifed: 4-2006
bh
Page 2 of 2
0
City of Tukwila
yZ 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.: 9198600055
Address: 16030 48 AV S TUKW
Suite No:
Applicant: GROVE RESIDENCE
RECEIPT
•
Permit Number: PG11 -048
Status: PENDING
Applied Date: 03/23/2011
Issue Date:
Receipt No.: RI 1-00566
Payment Amount: $47.25
Initials: JEM Payment Date: 03/23/2011 01:02 PM
User ID: 1165 Balance: $0.00
Payee: FWH ACQUISITION COMPANY LLC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 10177 47.25
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
PLUMBING - NONRES
000.322.103.00.00 47.25
Total: $47.25
doc: Receiot -06 Printed: 03 -23 -2011
INSPECTION RECORD
Retain a copy with permit
INSP CTION NO. PERMIT NO.
CITY OFTUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Apa// -Dye
Project:
G/2 e)( ,arc -
Type of Inspection:
/ti /IL
Address:
4030 4/g ,9v S'
Date Called: ..
Special Instructions:
Date Wanted:
5 —/ G `1/
Requester:
Phone No:
DG- .2 if6 - ?SS-7
Approved per applicable codes. D Corrections required prior to approval.
COMMENTS:
, ,r,,1 H 6144 p nelle �, :o
Date:
SPECTION FEE REQI] RED. P or to next inspection. fee must be
at 6300 Southcenter B[vd.. Suite 100. Callao schedule reinspection.
•
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
eci/ D14fj
Project:
✓8'O✓E R'
Type of Inspection:
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Address:
/ 4,r) ,z el yS )4er s",
Date Called:
00/0,,, l
(?, /1 '1 -1 •- _s-0-..v,', e .4,✓ 3 T •I—' k& /.✓,rjr;',*4 -Aer
Special Instructions:
Date Wanted:
1J— y_ /
/
(
p.m.
Requester:
c,264 f -3ri6 - 4,-.7,9 4.
Phone No:
a o4 –2.4/6
—283
7
ElApproved per applicable codes. ® Corrections required prior to approval.
COMMENTS: e 4 .
a2 ,7,6,5, 47 - ,:t/ 64,s - 4,O'a✓e.�r_
6) /? ef3'9h -, A/ ?/2/#4447 - 4 l
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,A-ti
y) 7 i e T ..,)A67,10;0=-(,/- N d)- c 1r ifAl ,I. :,. JJ l00 Q ,)
/nth/
aid ••r 0 / .v • •1 ' 11.1 .
00/0,,, l
(?, /1 '1 -1 •- _s-0-..v,', e .4,✓ 3 T •I—' k& /.✓,rjr;',*4 -Aer
i1-77-rNnnr, &•s / ,> 071 •
Oz / �7
c,264 f -3ri6 - 4,-.7,9 4.
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INSPECTION FE REQUIRED. Pr'Sr to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Syfte 100. Call to schedule reinspection.
Date:
•
Contractors or Tradespeople Per Friendly Page
1
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.
Business and Licensing Information
Name FAST WATER HEATER COMPANY UBI No. 602564544
Phone 4258143124 Status Active
Address 12601 132Nd Ave Ne License No. FASTWWH948BC
Suite /Apt. License Type Construction Contractor
City Kirkland Effective Date 1/3/2006
State WA Expiration Date 1/4/2012
Zip 98034 Suspend Date
County King Specialty 1 General
Business Type Limited Liability Company Specialty 2 Unused
Parent Company FWH ACQUISITION COMPANY LLC
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
FASTWHC110MC
FAST WATER
HEATER CO
Construction
Contractor
General
Unused
7/3/1989
6/19/1995
Archived
FASTWHC052DF
FAST WATER
HEATER COMPANY
Construction
Contractor
General
Unused
3/6/1995
2/16/2007
Expired
Business Owner Information
Name
Role
Effective Date
Expiration Date
JORDAN, JEFF
Partner /Member
01/03/2006
Amount
HANLEYBROWN, JASON
Partner /Member
01/03/2006
C00658M42A
Bond Information
Page 1 of 2
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
1
DEVELOPERS SURETY
a INDEM CO
549792C
01/01/2005
Until Cancelled
$12,000.00
01/03/2006
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information
Insurance
Company Name
Policy Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Amount
Received Date
7
PHOENIX INS CO
C00658M42A
02/17/2010
02/17/2012
$1,000,000.0001
/05/2010
6
TRAVELERS
PROPERTY CAS
INS CO
DTEC00658M42ATIL09
02/17/2009
02/17/2011
$1,000,000.00
01/27/2010
5
TRAVELERS
PROP a CAS
DTEC00658M42ATIL08
02/17/2008
02/17/2009
$1,000,000.00
02/15/2008
4
NORTH PACIFIC
INS CO
C01167977
01/01/2008
02/17/2009
$1,000,000.0001
/22/2008
3
C010 CAS INS
BL00753401848
01/01/2007
01/01/2008
$1,000,000.00
10/16/2006
2
co 10 CAS INS
6H05305002
01/01/2006
01/01/2007
$1,000,000.00
01/03/2006
1
OHIO CAS INS
BH05305002
01/01/2005
01/01/2006
$1,000,000.00
01/03/2006
Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period
Warrant Information No unsatisfied warrants on file within prior 6 year period
https://fortress.wa.gov/lni/bbip/Print.aspx
03/23/2011