HomeMy WebLinkAboutPermit PG08-291 - SIMONTON RESIDENCESIMONTON RESIDENCE
11845 44 AVE S
PGO8-291
Parcel No.: 3347400510
Address:
Suite No:
Cityif 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
11845 44 AV S TUKW
PLUMBING /GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On:
PG08 -291
12/05/2008
06/03/2009
Tenant:
Name:
Address:
SIMONTON RESIDENCE
11845 44 AVE S , TUKWILA WA
Owner:
Name: SIMONTON ROBERT C & JOANNE
Address: 11845 44TH AVE S , TUKWILA WA
Contact Person:
Name: ROBERT SIMONTON
Address: 11845 44 AV S , TUKWILA WA
Contractor:
Name: FAST WATER HEATER COMPANY
Address: 12601 132ND AVE NE , ICRKLAND WA
Contractor License No: FASTWWH948BC
Phone:
Phone: 206 - 763 -1525
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: $92.00 International Fuel Gas Code Edition:
Uniform Plumbing Code Edition: 2006
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 -291 Printed: 12 -05 -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:
Issue Date:
Permit Expires On:
PG08 -291
12/05/2008
06/03/2009
Permit Center Authorized Signature:
Date: g
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 performan - of
Signature:
resume to give authority to violate or cancel the provisions of any other state or local laws regulating
ork. aut a rizefl to sign and obtain this plumbing /gas piping permit.
Print Name:
Vf jti{ 1 -1 J,(/
Date: / ^ S
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
PGO8 -291 Printed: 12 -05 -2008
Parcel No.: 3347400510
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
11845 44 AV S TUKW
SIMONTON RESIDENCE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
PG08 -291
ISSUED
12/05/2008
12/05/2008
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 -291 Printed: 12 -05 -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
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
construction or the performance a ork.
Signature:
Print Name:
of law and ordinances governing
other work or local laws regulating
Date: /
71
)/7c h Le7/
doc: Cond -10/06 PG08 -291
Printed: 12 -05 -2008
CITY OF TUKWILA
Community Development ' artment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://wwvti.ci.tirkwila.Vva.us
Plumbing/Gas mit No. T %O
Project No
(Fot� p�c� use:otrly) :;
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: 11845 44 AVE S
Tenant Name:
421588
King Co Assessor's Tax No.: 3347400510
Suite Number:
New Tenant:
Property Owners Name: SIMONTON, ROBERT
Mailing Address: 11845 44 AVE S
Floor:
.... Yes 0 ..No
City
State
Zip
CONTACT PERSON Wha.de we contact when your permit is ready fo be issued
Day Telephone: (206)763 -1525 _
Name: SIMONTON, ROBERT
Mailing Address:
E -Mail Address:
City
Fax Number:
State
zip
PLUMBING / GAS PIPING CONTRA.CTORINFORMATION
Company Name: FAST WATER HEATER COMPANY
Mailing Address; 12601 132ND AVE NE
Contact Person: Carol Randall
E -Mail Address: carolr @fastwaterheater.com
KIRKLAND
Contractor Registration Number: FASTWWH948 BC
WA
98034
City State Zip
Day Telephone: 800 -454 -8955 x 133
Fax Number: 425 814 -9516
Expiration Date: 1/4/2010
I ARCL ITECT :OiF RECORD All.plans must be wet stamped by: Architect of Reeord
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
City
Day Telephone:
Fax Number:
State
Zip
ENGINEER.OF RECORD All plans must be wet stamped by Engineer of Record
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 prii ) $ 50( - -/
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:
Fixture. Type.; `.:
,Qty..
_Future' 3'pe. ='
Qty
::11"'ixture Type:;'
::Qty
:Fixture :TYpet
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 1 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: 11/19/08
Day Telephone: 800 -454 -8955 x 133
KIRKLAND WA 98034
City
State
Zip
IDate Application Accepted:
Date Application Expires:
Staff Initials:
Q:Upplicatiu &Forms•Applicadons On LineU .2006 - Plumbing -Gas Piping Perini Appllcalion.doe
Reviled: 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.: 3347400510 Permit Number: PG08 -291
Address: 11845 44 AV S TUKW Status: PENDING
Suite No: Applied Date: 12/05/2008
Applicant: SIMONTON RESIDENCE Issue Date:
Receipt No.: R08 -03884
Initials: WER
User ID: 1655
Payment Amount: $92.00
Payment Date: 12/05/2008 10:55 AM
Balance: $0.00
Payee: FAST WATER HEATER
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 6186 92.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
PLUMBING - RES
000.322.103.00.0 92.00
Total: $92.00
0229 12/05 9716 TOTAL 92.00
doc: Receipt-06 Printed: 12 -05 -2008
INSPECTION NO.
1
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
P 0 - 1
PERMIT NO.
Pro qct:
5 . / 4 l ifl �1
►-es, eA LL
Type o Inspectign: ( p
o ;-fi t M hI
pateCalled1/.11
C��� ��e1
Address: �f
7(A (
Special Instructions:
SWAT Oa
0` l
6P
Date Wanted:
1 2- "
�m�
.-Y p.rn
CO
Requester:
Phone No: /
2Z 6 - r7(3
- 1525
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
P r AA C.J P
Inspe
ikp,\
Date: 241
ri $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
Untitled Page
•
•
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
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent
Company
FAST WATER HEATER
COMPANY
4258143124
12601 132ND AVE NE
KIRKLAND
WA
98034
KING
LIMITED LIABILITY
COMPANY
FWH ACQUISITION
COMPANY LLC
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Previous
License
Next License
Associated
License
Specialty 1
Specialty 2
602564544
ACTIVE
FASTWWH948BC
CONSTRUCTION
CONTRACTOR
1/3/2006
1/4/2010
FASTWHC052DF
GENERAL
UNUSED
Business Owner Information
Name
Role
Effective Date
Expiration Date
JORDAN, JEFF
PARTNER /MEMBER
01/03/2006
Bond
Amount
HANLEYBROWN, JASON
PARTNER /MEMBER
01/03/2006
549792C
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
1
DEVELOPERS
SURETY &
INDEM CO
549792C
01/01/2005
Until
Cancelled
$12,000.00
01/03/2006
Insurance Information
Page 1 of 2
Insurance
Company
Name
policy Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Amount
Received
Date
5
TRAVELERS
PROP &
CAS
DTEC00658M42ATIL08
02/17/2008
02/17/2009
$1,000,000.0002
/15/2008
4
NORTH
PACIFIC
INS CO
C01167977
01/01/200802/17
/2009
$1,000,000.0001
/22/2008
https: // fortress. wa. gov /lni/bbip/Detail.aspx ?License= FASTWWH948BC
12/05/2008