HomeMy WebLinkAboutPermit PG11-060 - GRAY RESIDENCEGRAY RESIDENCE
5671 S 150 PL
PG1 1 -060
wq City oi11'ukwila
�sy
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. tukwi la. wa. us
Parcel No.: 1099900020
Address: 5671 S 150 PL TUKW
Project Name: GRAY RESIDENCE
PLUMBING /GAS PIPING PERMIT
Permit Number: PG11 -060
Issue Date: 04/14/2011
Permit Expires On: 10/11/2011
Owner:
Name: GRAY SUSAN
Address: ALDAMA ALFREDO , 5671 S 150TH PL 98188
Contact Person:
Name: JULIE CASKEY
Address: 12601 132 AV NE , IQRKLAND WA 98034
Email: JULIEC @FASTWATERHEATER.COM
Contractor:
Name: FAST WATER HEATER COMPANY
Address: 12601 132ND AVE NE , KIRKLAND WA 98034
Contractor License No: FASTWWH948BC
Phone: 425 636 -7084
Phone: (425)814 -3124
Expiration Date: 01/04/2012
DESCRIPTION OF WORK:
REPLACE GAS WATER HEATER
Value of Plumbing /Gas Piping: $795.00 Uniform Plumbing Code Edition: 2009
Fees Collected: $47.25 International Fuel Gas Code Edition: 2009
Electrical Service Provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Date:
I hereby certify that I have read and exami ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complie with, Nether specified herein or not.
The granting of this permit does not p sun) to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the performance of work. 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:
Date: `( Y/
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 -060 Printed: 04 -14 -2011
PERMIT CONDITIONS
Permit No. PG 11 -060
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 -060 Printed: 04 -14 -2011
CITY OF TUKWILA
Community Development L1rtment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
itiAeo
Plumbing/Gas P' . it -No. <
Project.Noz;
or:o detrseori
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 **
536540
King Co Assessor's Tax No.: 1099900020
Site Address: 5671 S 150 PL Suite Number:
Tenant Name: GRAY, SUSAN New Tenant:
Property Owners Name:
GRAY, SUSAN
Mailing Address:
Floor:
(] ... Yes
D..No
5671 S 150 PL
TUKWILA, WA 98188
City State
ON Who do.we contact when` yourpertnit is ready to:, be' issued
Name: J-U. CaSety@ Fast Water Heater
Mailing Address:
Zip
Day Telephone: L/25 (o3 Co 708
E -Mail Address: Tul1eCg 5 w hea`/r ,
Company Name: FAST WATER HEATER COMPANY
Mailing Address: 12601 132ND AVE NE
Contact Person: 1) 1A e 1. n aS{ 0
E -Mail Addresss►t1ie L @fastwaterheater.com
City
Fax Number:
State Zip
(p (p 7D5E,
Contractor Registration Number: FASTWWH948BC
KIRKLAND,
City
Day Telephone:
Fax Number:
Expiration Date:
WA 98034
State
425 - 636 -70 ¶14
Zip
425 - 636 -70 SS
1/4/2012
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
State
Zip
Contact Person:
E -Mail Address:
City
Day Telephone:
Fax Number:
State
Zip
Page 1 of 2
Valuation of Project (contractor's bid price): $ -7%5
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:
FiatuYg :. :T .e : :::.;:::.: ° :::
. . �'P
- : :;
Qh'
�. Fiiiture:.:.' .e. :: =•:I .:�;::
..:. �Yp
:. Q�':..
I�'isture •Type:. � . `.:.
Qty
: 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).
1 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: d
/
Print Name: Ti / l e CC{ s 7
Mailing Address: 12601 132ND AVE NE
Date Application Accepted: l'
Date: 4/6/11
Day Telephone: 425 - 636 -70$
KIRKLAND, WA 98034
City State
Date Application Expires:
Staff Initials:
Q: ApplicationsWonas•Applicadons On LineU•2606 - Plumbing -Gas Piping Pam' Applieation.doc
Revised: 4.2066
bh
Zip
C{)- ge 2 of 2
�J��I�4 wqs City of Tukwila
De P artment of Community Development
G1 6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: htqx//www.ci.tukwila.wa.us
Parcel No.: 1099900020
Address: 5671 S 150 PL TUKW
Suite No:
Applicant: GRAY RESIDENCE
RECEIPT
•
Permit Number: PG11 -060
Status: PENDING
Applied Date: 04/14/2011
Issue Date:
Receipt No.: R11 -00715
Payment Amount: $47.25
Initials: JEM Payment Date: 04/14/2011 10:32 AM
User ID: 1165 Balance: $0.00
Payee: FWH ACQUISITION COMPANY LLC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 10900 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: 04 -14 -2011
2.c7''M• - -•.,•
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
?cu
Project:
Col R ec'i e:A_c_f-
TypeAlnspection: . ft i
FO, Ai koL1
A
+
1
Address: MDate
i so?rei 1. a
tt— ,t1•3J :"A4A ( ../
Clje,j5(0
Special Instructions:
04 &I-1 6)2"- 61
'ce LAJ
$
Date Wanted: 44 ...,147
1
P :, . ..,
Requester:
Phone No
El
Approved per applicable codes. Corrections required prior to approval..
COMMENTS:
rMt (D,N1(
D4.e4
ti
REINSPECTION FEE REQUIRED. Prior to next.inspection, fie must be
paid at 6300 Southcenter Blvd.. Suite 100. Calltto schedule reinspection.
- -am • • - - _
Contractors or Tradespeople Poer Friendly Page
•
Page 1 of 2
General /Specialty Contractor
A business registered as a construction contractor with Lai 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
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 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
02/17/201002/17
/2012
$1,000,000.0001
/05/2010
https://fortress.wa.gov/lni/bbip/Print.aspx
04/14/2011