HomeMy WebLinkAboutPermit PG09-098 - KING RESIDENCEKING RESIDENCE
14230 5
S I
AV S
PG09098
Parcel No.: 3365901100
Address: 14230 58 AV S TUKW
Suite No:
Tenant:
Name: KING RESIDENCE
Address: 14230 58 AV S , TUKWILA WA
Owner:
Name: KING DAVID F
Address: PO BOX 58928 , SEATTLE WA
Contact Person:
Name: DAVID KING
Address: PO BOX 58928 , SEATTLE WA
Contractor:
Name: FAST WATEP. HEATER COMPANY
Address: 12601 132ND AVE NE , IURKLAND WA
Contractor License No: FASTWWH948BC
DESCRIPTION OF WORK:
REPLACE GAS WATER HEATER
Value of Plumbing /Gas Piping:
Fees Collected:
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
doc: UPC -7/07
Cityef Tukwila
Department of Community Development
6330 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fa+c: 206 - 431 -3665
Web site: http : / /www.ci.tukwila.wa.us
$1,200.00
$45.00
PLUMBING /GAS PIPING PERMIT
Uniform Plumbing Code Edition: 2006
International Fuel Gas Code Edition: 2006
FIXTURE TYPE AND QUANTITY
0
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 **
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 206 242 -7660
Phone: (425)814 -3124
Expiration Date: 01/03/2010
PG09 -098
08/14/2009
02/10/2010
PG09 -098 Printed: 08 -14 -2009
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complie
Signature:
Print Name:
doc: UPC -7/07
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
x
wit
•
Permit Number:
Issue Date:
Permit Expires On:
PG09 -098
08/14/2009
02/10/2010
Date: 0.7)01,11
ed thiSpermit 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 pre e to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or theperformance of work. I am authorized to sign and obtain this plumbing /gas piping permit.
Date: 40/ /dg
� a ti F. Kiv-r q
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.
PG09 -098 Printed: 08 -14 -2009
Parcel No.:
Address:
Suite No:
Tenant:
3365901100
14230 58 AV S TUKW
KING RESIDENCE
1: ** *PLUMBING AND GAS PIPING* **
doc: Cond -10/06
•
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
PERMIT CONDITIONS
* *continued on next page **
Permit Number:
Status:
Applied Date:
Issue Date:
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 sys':ems 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.
PG09 -098
ISSUED
08/14/2009
08/14/2009
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 sha:1 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.
PG09 -098 Printed: 08 -14 -2009
Signature:
Print Name:
•
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
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
construction or the performance of work.
doc: Cond -10 /06 PG09 -098
Date: W/ 7
ordinances governing
or local laws regulating
Printed: 08 -14 -2009
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
City
' roject o.
Plumbing /Gas Permit No.
(For office use only)
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 LOCATION
King Co Assessor's Tax No.: �'Jt,('j D 1,100
Site Address: l4 Z.30 58 f b AcJ S c2 , Suite Number:
Tenant Name: 0a t) i) c f 1`' 1.11 , 0w ' m ....--..
Property Owners Name: 0 a v J cf J 1< r N
Mailing Address: / D B o !L S g sw
% 2 g
PO e.... le.
Floor:
New Tenant: ❑ Yes ❑..No
�Jrp
State
?cil38
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: a d 41 ; v Day Telephone: ,Z.4 6 Z4.2 7.6
Mailing Address: f 8 o se_ 4 g -2 8/s g
d /� ' C' State Zip
E -Mail Address: 4' ;vi 3 v yo k s C G e .-e / J fi b c Fax Number:
,PLUMBING' tGASPIPING CONTRACTOR ATI
Company Name: F e
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: p� q �¢ Fax Number:
Contractor Registration Number: Oe' 1 W 1 tt t 1 b i5t/
H:Wpplications\Porms- Applications On Line \2009 Applications \1 -2009 - Plumbing -Gas Piping Permit Application.doc
Revised: 1 -2009
bh
Expiration Date:
State
DikkW 17/0,0
ARCHITECT OF RECORD All plans must be wet stamped by Architect of Record
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
State
ENGINEER OF RECORD All plans must be
et stamped by Engineer of
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
State
Zip
Zip
Zip
Page 1 of 2
Fixture Type:
Qty
Fixture Type:
Qty
Fixture Type:
Qty
Fixture Type:
Qty
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
Building sewer and each
trailer park sewer
Rain water system — per
drain (inside building)
Water heater and /or vent
f
Industrial waste treatment
interceptor, including trap
and vent, except for kitchen
type grease interceptors
Each grease trap
(connected to not more
than 4 fixtures - <750
gallon capacity)
Grease interceptor for
commercial kitchen ( >750
gallon capacity)
Repair or alteration of
water piping and/or water
treatment equipment
Repair or alteration of
drainage or vent piping
Medical gas piping
system serving 1 -5
inlets /outlets for a
specific gas
Each additional medical
gas inlets /outlets greater
than 5
Backflow protective
device other than
atmospheric -type vacuum
breakers 2 inch (51 mm)
diameter or smaller
Backflow protective device
other than atmospheric -type
vacuum breakers over 2
inch (51 mm) diameter
Each lawn sprinkler
system on any one meter
including backflow
protection devices
Atmospheric -type vacuum
breakers not included in
lawn sprinkler backflow
protections (1 -5)
Atmospheric -type
vacuum breakers not
included in lawn
sprinkler backflow
protections over 5
Gas piping outlets
PERMIT APPLICATION NOTES -
Valuation of Project (contractor's bid price): $
Scope of ] Work (please provide detailed information):
k pL a.c e-X 6 s
Building Use (per Int'l Building Code): v�f
Occupancy (per Int'l Building Code):
Utility Purveyor: Water:
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 O W S R AUTHORIZED AGENT:
IMO
Signature:
Print Name: ill L/ I t K t
Mailing Address: J U 8V a e
1 Date Application Accepted:
o<bliqk
H:\Applications \Forms - Applications On Line \2009 Applications \1 -2009 - Plumbing -Gas Piping Permit Application.doc
Revised: 1 -2009
bh
0 7 es •••"— h
Sewer:
Day Telephone: 2 0 242.. 7' O
5'c07 - 9 9 /SR
City
Date: 0114
State
Date Application Expires:
Staff Initials:
Zip
Receipt No.: R09 -01272
Payee: DAVID F. KING
Payment Check 4955
Authorization No.
ACCOUNT ITEM LIST:
Description
doc: Receiot -06
PLUMBING - RES
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phor.e: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http://www.ci.tukwila.wa.us
RECEIPT
Parcel No.: 3365901100 Permit Number: PG09 -098
Address: 14230 58 AV S TUKW Status: PENDING
Suite No: Applied Date: 08/14/2009
Applicant: KING RESIDENCE Issue Date:
Initials: JEM Payment Date: 08/14/2009 09:50 AM
User ID: 1165 Balance: $0.00
TRANSACTION LIST:
Type Method Descriptio
Amount
45.00
Account Code Current Pmts
000.322.103.00.0 45.00
Total: $45.00
Payment Amount: $45.00
P YMENT
RECEIVED
Printed: 08 -14 -2009
Pro'e t:
/v/v r' Sp,
/ �
Type of Inspection:
, r��94 ---7--//e4
/ 4/.2.300
5 � n
�7 U S
Date Called:
Special Instructions:
Date Wanted:
9 - /S- a' p.m.
Requester:
Phone No:
,.-o ff -.2 '2 - 766C)
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION 1. —
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
I5iI
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
�1
.00 REINSPECT ON FEE REQUIRED. Prior to inspection, fee must be
aid at 6300 Southcenter Blvd, Suite 100. Call to schedule reinspection.
ceipt No.: Date:
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
FASTWHCO52DF
FAST
WATER
HEATER
COMPANY
CONSTRUCTION
CONTRACTOR
GENERAL
UNUSED
3/6/1995
2/16/2007
EXPIRED
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
Name
Role
Effective Date
Expiration Date
JORDAN, JEFF
PARTNER /MEMBER
01/03/2006
HANLEYBROWN, JASON
PARTNER /MEMBER
01/03/2006
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
WA
Zip
County
Business Type
Parent
Company LLC
FAST WATER HEATER
COMPANY
4258143124
12601 132ND AVE NE
KIRKLAND
98034
KING
Limited Liability Company
FWH ACQUISITION COMPANY
UBI No.
Status
License No.
License Type
Effective Date
Expiration
Date
Suspend Date
Specialty 1
Specialty 2
602564544
ACTIVE
FASTWWH948BC
CONSTRUCTION
CONTRACTOR
1/3/2006
1/4/2010
GENERAL
UNUSED
Other Associated Licenses
Business Owner Information
Bond Information
Insurance Information
S
•
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https: // fortress .wa.gov /lni/bbip /Detail.aspx 08/14/2009