HomeMy WebLinkAboutPermit PG11-011 - NGUYEN RESIDENCENGUYEN RESIDENCE
13709 43 PL S
EXPIRED
07 -13 -11
PG11-011
City Aukwila
•
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.: 2612000260
Address: 13709 43 PL S TUKW
Project Name: NGUYEN RESIDENCE
PLUMBING /GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On:
PG11 -011
01/14/2011
07/13/2011
Owner:
Name: NGUYEN CALVIN A
Address: 11222 GREENWOOD AVE N , SEATTLE WA 98133
Contact Person:
Name: CAROL RANDALL
Address: 12601 132 AV NE , KIRKLAND WA 98034
Email: CAROLR @FASTWATERHEATER.COM
Contractor:
Name: FAST WATER HEATER COMPANY
Address: 12601 132ND AVE NE , KIRKLAND 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: $2,105.00 Uniform Plumbing Code Edition: 2009
Fees Collected: $47.25 International Fuel Gas Code Edition: 2009
Permit Center Authorized Signature:
Date: t/II
I hereby certify that I have read and exa 'ned this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complie wit , 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 wo I am authorized to sign and obtain this plumbing /gas piping permit and agree to the conditions
on the back of this permit.
Signature:
Print Name:
9Zic� (-/49
Date: /
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
PG 11 -011 Printed: 01 -14 -2011
• •
PERMIT CONDITIONS
Permit No. PG11 -011
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
PG11 -011 Printed: 01 -14 -2011
CITY OF TUKWILA ak
Community Developmentlipartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
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:
13709 43 PL S
NGUYEN, CALVIN
519531
King Co Assessor's Tax Na.: 2612000260
Suite Number: Floor:
New Tenant: ❑ .... Yes 0 ..No
Property Owners Name:
Mailing Address:
NGUYEN, CALVIN
159 DENNY WAY #409
SEATTLE. WA 98109
State
o do: we. contact:when your' permit,is'Iready`to be ssae!
Name: Carol Randall @ Fast Water Heater
Mailing Address:
Zip
Day Telephone: 425 - 636 -7054
City
State
Zip
E-Mail Address: Fax Number:
ING .CONTRACTOR1NFORMAT
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:
KIRKLAND, WA 98034
City
Day Telephone:
Fax Number:
Expiration Date:
State
425 - 636 -7054
425 -636 -7055
1/4/2012
Zip
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
State
Zip
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
State
Zip
Page 1 of 2
Valuation of Project (contractor's bid price): $
'Z1 DS
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:
Fixture:.. d; :. °,: :< >:_:.:
_ ...�......
.-.1:24'.',.4.
; FiatareTYpeS;. ;; "` .':,.':; . ':"
:.QtY: .
_FVttu"re Type:.: ;:;:'=
:Qty :.
FixtureType::::: ' ,
Qty
Bathtub or combination
bath/shower
Drinking Iuntain 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 1 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: Date: 1/10/11
Print Name:
Carol M W Randall
Mailing Address: 12601 132ND AVE NE
Day Telephone: 425 -636 -7054
KIRKLAND, WA 98034
City Stale
Zip
Date Application Accepted:
n kT \� ` 1
1 Il
Date Application Expires:
Staff Initials:
Al
Q:1AppllcadonslFenu•Appaculons On LinM3•2006 • Plumbing-Go Piping Penni Appfeadisedec
Revised: 4.2006
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Pahe2of2
•
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
Parcel No.: 2612000260
Address: 13709 43 PL S TUKW
Suite No:
Applicant: NGUYEN RESIDENCE
RECEIPT
Permit Number: PG11 -011
Status: PENDING
Applied Date: 01/14/2011
Issue Date:
Receipt No.: R11 -00088
Payment Amount: $47.25
Initials: JEM Payment Date: 01/14/2011 12:14 PM
User ID: 1165 Balance: $0.00
Payee: FWii ACQUISITION COMPANY LLC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 10329 47.25
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
PLUMBING - NONRES
000.322.103.00.00 47.25
Total: $47.25
doe: Receipt -06 Printed: 01 -14 -2011
06 -01 -2011
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
CAROL RANDALL
12601 132 AV NE
KIRKLAND WA 98034
RE: Permit No. PG11 -011
13709 43 PL S TUKW
Dear Permit Holder:
In reviewing our current records, the above noted permit has not received a final inspection by the City of
Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform
Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the
provisions of these codes shall expire by limitation and become null and void if the building or work authorized
by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work
authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 07/13/2011.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final
inspection. Each inspection creates a new 180 day period, , provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is
due to expire. Address your extension request to the Building Official and state your reason(s) for
the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is
determined that your extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 07/13/2011, your permit will
become null and void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
ip-OLI R__.0_
Bill Rambo
Permit Technician
File: Permit File No. PG11 -011
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
Contractors or Tradespeople P' ter Friendly 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 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
Et 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
DTEC00658M42ATIL0902/17/2009
02/17/2011
$1,000,000.0001
/27/2010
5
TRAVELERS
PROP Et 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
OHIO CAS INS
BL00753401848
01/01/2007
01/01/2008
$1,000,000.00
10/16/2006
2
01-110 CAS INS
BH05305002
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/Printaspx
01/14/2011