HomeMy WebLinkAboutPermit PG08-103 - ADHAMON RESIDENCEADHAMON RESIDENCE
16421 51 AV S
PGO8-1 03
Parcel No.: 5379802745
Address:
Suite No:
Citylf 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
16421 51 AV S TUKW
PLUMBING /GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On:
PG08 -103
04/04/2008
10/01/2008
Tenant:
Name: ADHAMON RESIDENCE
Address: 16421 51 AVE S , TUKWILA WA
Owner:
Name: ADHANOM TEKLE
Address: 16421 51ST AVE S , SEATTLE WA
Contact Person:
Name: CAROL RANDALL
Address: 12601 132ND AVE NE , IURKLAND WA
Contractor:
Name: FAST WATER HEAT COMPANY
Address: 12601 132ND AVE NE , KIRKLAND WA
Contractor License No: FASTVWVH948BC
Phone:
Phone: 800 - 454 -8955 X133
Phone: (425)814 -3124
Expiration Date: 01/03/2010
DESCRIPTION OF WORK:
REMOVE AND REPLACE GAS WATER HEATER
Value of Plumbing /Gas Piping: $500.00
Fees Collected:
Uniform Plumbing Code Edition: 2006
$92.00 International Fuel Gas Code Edition:
Plumbing
Bathtub or combination bath/shower
Bidet
Clothes washer, domestic
Dental unit, cuspidor
Dishwasher, domestic, with independent drain
Drinking fountain or water cooler (per head)
Food -waste grinder, commercial
Floor drain
Shower, single head trap
Lavatory
Wash fountain
Receptor, indirect waste
Sinks
Urinals
Water Closet
FIXTURE TYPE AND QUANTITY
2006
Plumbing (cont.)
0 Building sewer and each trailer park sewer 0
0 Rain water system - per drain (inside bldg) 0
0 Water heater and/or vent 1
0 Industrial waste treatment interceptor, including
0 its trap and vent, except for kitchen type
0 grease interceptors 0
0 Repair or alteration of water piping and/or water
0 treatment equipment 0
0 Repair or alteration of drainage or vent piping 0
0 Medical gas piping system serving (1 -5)
0 inlets /outlets for a specific gas 0
0 Medical gas piping (6 +) inlets /outlets 0
0 Gas Piping
0 Gas piping outlets (0 -5) 0
0 Gas piping outlets (6 +) 0
* *continued on next page **
doc: UPC -10/06
PG08 -103 Printed: 04 -04 -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: PG08 -103
Issue Date: 04/04/2008
Permit Expires On: 10/01/2008
Permit Center Authorized Signature:
Date: 1-1'1-l_00
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 presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the performance of • •r •r I . . thorized to sign and obtain this plumbing /gas piping permit. /f
fi Date:
Signature:
Print Name:
7C Rit
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 -103 Printed: 04 -04 -2008
Parcel No.: 5379802745
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
16421 51 AV S TUKW
ADHAMON RESIDENCE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
PG08 -103
ISSUED
04/04/2008
04/04/2008
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
PG08 -103 Printed: 04 -04 -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 o work.
Signature:
Print Name:
01C-k--(-1/ (
Date:
doc: Cond -10/06
PG08 -103 Printed: 04 -04 -2008
CITY OF TUKWILA
Community Development eartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
•
Plambing/Gas P ItNo�a Off' �B ij
ra
cg are ::on
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: 164251 AVE S
j� ''() ∎ / New Tenant:
Tenant Name: ,I`f �a �i�"- ftb' dam'"
398123
King Co Assessor's Tax No.: 5379802745
Suite Number:
Property Owners Name: ADHAMON, TEKLE
Mailing Address: 16421 51 AVE S
Floor:
[] .... Yes [j ..No
City
State
Zip
Name: ADHAMON, TEKLE
Mailing Address:
E -Mail Address:
I PLUNGING: I GAS PIPING: CONTRACTOR�INFORMA;
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
Day Telephone: (206)431 -5662
City
Fax Number:
State
Zip
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:
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
State
Zip
All plans muStbe wet :s..tamped byiEngineer:of Record •
Contact Person:
E -Mail Address: _
City
Day Telephone:
Fax Number:
State
Zip
Page 1 of 2
Valuation of Project (contractor's bid price :: $
`x-00 � -
•
Scope of Work (please provide detailed information): Remove /Replace Gas Water Heater
Building Use (per Intl 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:
ypo,....;':.:.
-Qty:;;
;Fiatnre' 'Pe ;:;, ' :. :,';: ':';Qty:
,.:FGtture'T
a :.,, :::; -
YP .
; . ;:.,
Qty
•;Fixture: Fixture Type::.
Qty .
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:
Print Name: Carol M W Randall
Mailing Address: 12601 132ND AVE NE
Date: 3/25/08
Day Telephone: 800 -454 -8955 x 133
KIRKLAND WA 98034
City
State
Zip
IDate Application Accepted:
Date Application Expires:
Staff Initials:
i
Q :Uppllcalion.SFonns•Apptlentons On LineU•2006 - Plumbing -Gns Piping Penni Appnulion.doc
awned: 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
RECEIPT
Parcel No.: 5379802745 Permit Number: PG08 -103
Address: 16421 51 AV S TUKW Status: PENDING
Suite No: Applied Date: 04/04/2008
Applicant: ADHAMON RESIDENCE Issue Date:
Receipt No.: R08 -01028 Payment Amount: $92.00
Initials: WER Payment Date: 04/04/2008 11:03 AM
User ID: 1655 Balance: $0.00
Payee: FAST WATER HEATER
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 4845 92.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
PLUMBING - RES
000.322.103.00.0 92.00
Total: $92.00
790 3 :: /O.. 71 TOTAL 92.00
doc: Receiot -06 Printed: 04 -04 -2008
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
P6va- - I03'
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION g.
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)43 1 -3670
\A
Proj ct:
AiIi., rk -ia.� , ?rs,1A�
Type of Inspection: rl
(',AF 1 /L�At � A
Address: „ii
j(4 i 1 Sf 11v
S
Date Called:
Specia Instructions:
`k. -
•.,+ "
Date Wanted: a.m.
S— Z 3' U p.m.
Requester:
Phone No.
/b(0- 43I_Voc0Zf
Approved per applicable codes. 0 Corrections required prior to approval.
COMMENTS:
pefibt:T— &oat -.1)(0.;(-4-‘...--,_
Inspect
t4
El $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:
Look Up a Contractor, Electrician 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
•
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= FASTWWH948BC 04/04/2008