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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: /---..04 1 6) /? ef3'9h -, A/ ?/2/#4447 - 4 l /0./AA Ue' /.5'7,"Q/ci, (%)0,L„p- i.�f1.l Mx AP'of 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 /0./AA Ue' /.5'7,"Q/ci, (%)0,L„p- i.�f1.l Mx AP'of ,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. ��.:+....� / r.., -..,G 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