HomeMy WebLinkAboutPermit PG11-089 - GUERRERO RESIDENCEGUERRERO RESIDENCE
15219 42 AV S
PG1 1 -089
Citya011ukwila
•
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.TukwilaWA.gov
Parcel No.: 7212900035
Address: 15219 42 AV S TUKW
Project Name: GUERRERO RESIDENCE
PLUMBING /GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On:
PG 11 -089
06/30/2011
12/27/2011
Owner:
Name: GUERRERO GUILLERMO C +ROSE M
Address: 15219 42ND AVE S , TUKWILA WA 98188
Contact Person:
Name:
Address:
Email:
ROSE GUERRERO
15219 42 AV S , TUKWILA WA 98188
N/A
Contractor:
Name: FAST WATER HEATER COMPANY
Address: 12601 132ND AVE NE , KIRIC,AND WA 98034
Contractor License No: FASTWWH948BC
Phone: 206 271 -4343
Phone: (425)814 -3124
Expiration Date: 01/04/2012
DESCRIPTION OF WORK:
REPLACE 50 GALLON GAS WATER HEATER (REF #547386)
Value of Plumbing /Gas Piping:
Fees Collected:
Electrical Service Provided by:
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complie
$839.00 Uniform Plumbing Code Edition: 2009
$47.25 International Fuel Gas Code Edition: 2009
Date: 01 1D1 L�
x- ed this permit and know the same to be true and correct. All provisions of law and ordinances
with, hether specified herein or not.
The granting of this permit does not pr
construction or the perfo ce owork.
on the back of this permit.
Signature:
Print Name:
to give authority to violate or cancel the provisions of any other state or local laws regulating
am authorized to sign and obtain this plumbing /gas piping permit and agree to the conditions
(7.
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 -089 Printed: 07 -07 -2011
•
PERMIT CONDITIONS
Permit No. PG 11 -089
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 -089 Printed: 07 -07 -2011
City (It Tukwila
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.TukwilaWA.gov
Parcel No.: 7212900035
Address: 15219 42 AV S TUKW
Project Name: GUERRERO RESIDENCE
PLUMBING /GAS PIPING PERMIT
Permit Number: PG11 -089
Issue Date: 06/30/2011
Permit Expires On: 12/27/2011
Owner:
Name: GUERRERO GUILLERMO C +ROSE M
Address: 15219 42ND AVE S , TUKVVILA WA 98188
Contact Person:
Name: ROSE GUERRERO
Address: 15219 42 AV S , TUKWII,A WA 98188
Email: N/A
Phone: 206 271 -4343
Contractor:
Name: HOME DEPOT - AT -HOME SRVCS, THE Phone: 770 779 -1300
Address: 2690 CUMBERLAND PKWY, STE 300 , ATLANTA GA 30339
Contractor License No: HOMED * *972RW Expiration Date: 02/01/2013
DESCRIPTION OF WORK:
REPLACE 50 GALLON GAS WATER HEATER (REF #547386)
Value of Plumbing /Gas Piping:
Fees Collected:
Electrical Service Provided by:
$839.00
Uniform Plumbing Code Edition:
2009
$47.25 International Fuel Gas Code Edition: 2009
Permit Center Authorized Signature: Date:
I hereby certify that I have read ancc ex '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 work. I am authorized to sign and obtain this plumbing /gas piping permit and agree to the conditions
on the back of t7eiit.
Signature: L_,4(--&-v(
Print Name:
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 -089 Printed: 06 -30 -2011
PERMIT CONDITIONS
Permit No. PG11 -089
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 -089 Printed: 06 -30 -2011
CITY OF TUKWI
Community Developfinifft Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Plumbing/GaSrmit No.
Project 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
Site Address: /5 7 / V2 / S d
Tenant Name:
Property Owners Name: C G/ / / //e/yi &' i/ /2 O 5
Mailing Address: / 5 2 / y 47.2 S
King Co Assessor's Tax No.: 124 V l 0 ^ 019 ✓;-
Suite Number: Floor:
New Tenant: ❑ Yes ❑..No
Lc@/T 2.P/1 U
G, Z/ /`u�,` /..c}
City
State
Zip
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name: p S C- G eA P /C/2 P,C)
Day Telephone: —7-n6 - 7/- V V 3 �j
Mailing Address: /3 2 / 7 /7 iv r1 S!% �,! /lw; /ice( - Gust q �/J �J"
City State Zip
E -Mail Address: Fax Number:.. -
PLUMBING / GAS PIPING CONTRACTOR INFORMATION
Company Name:
pi 0
Mailing Address:
City State Zip
Day Telephone: 9ZS - G -7/ 2 c.
Fax Number:
Contact Person: Gu 51 l U C
E -Mail Address:
Contractor Registration Number: 1V\V Y �� 2
Expiration Date: 02-
o�I l3
ARCHITECT OF RECORD — All plans must be stamped by Architect of Record
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
State
Zip
ENGINEER OF RECORD - All plans must be stamped by Engineer of Record
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
State
Zip
H:\Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Plumbing -Gas Piping Permit Application.doc
Revised: 7 -2010
bh
Page 1 of 2
Valuation of Project (contractor's bid pill $ Y % . O
Scope of Work (please provide detailed information):
C/
Building Use (per Int'l 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
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
I
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 -
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 OWN AUTHORIZ AGENT:
Signature: Date: ��30�/
Print Name: p 5 P Cu e/2.2 R° J /�/ Day Telephone:,-.70
Mailing Address: / `5 / y /2 tic/ 4 UP S tJ /6v / �!4 el/14' 7:17,191
City
IDate Application Accepted:
Date Application Expires:
H:1Applications \Forms - Applications On Line\2010 Applications17.2010 - Plumbing -Gas Piping Permit Application doc
Revised: 7 -2010
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12-130/11
State Zip
Staff Initials: ,iv-----
J
age 2 of 2
1
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.TukwilaWA.gov
Parcel No.: 7212900035
Address: 15219 42 AV S TUKW
Suite No:
Applicant: GUERRERO RESIDENCE
RECEIPT
Permit Number: PG11 -089
Status: PENDING
Applied Date: 06/30/2011
Issue Date:
Receipt No.: R11 -01350
Payment Amount: $47.25
Initials: JEM Payment Date: 06/30/2011 09:46 AM
User ID: 1165 Balance: $0.00
Payee: ROSE GUERRERO
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 04562C
ACCOUNT ITEM LIST:
Description
47.25
Account Code Current Pmts
PLUMBING - RES
000.322.103.00.00 47.25
Total: $47.25
doc: Receiot -06 Printed: 06 -30 -2011
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
P6(( —AS1
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project:
Project:
Of-P�E
���' rr
a r
Type Inspection
,` .04 ( IN, 1 MS •
Address
152/
't2
Date Iled
/(_,JGfr— .
Special Instructions:
ft1t{ i
9r
Date Wanted:.
� ` �� �I
, a.rp.
p.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval. 2.
COMMENTS:
I� P
A
Indictor:
y
p 4
k J
1Dat7:2 s- ,i
REINSPECTION FEE REQUIREDrior to next inspection, fee must be
•
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspectioh.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
Per -off
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206) 431 -3670'
Permit Inspection Request Line (206) 431 -2451
Project:
610e /tx_ -oo 2 2
Type of Inspection:
; io. t
Pt, mg .
A'dd1 Z I t el 2,-4(4,
Date Ca led:
'
Special Instructions:
./SI AS pDSS: She
Q 6 ` (-f-,
Date Wanted: .
1 (I.—
_am:
(rr
Requester:
Phone No:
4.1 343
pApproved per applicable codes.
Corrections required prior to approval. Si
COMMENTS:
(t) _.tiv LiJ e_J I K: ,- 0 ----
l)D
()A ) tOPq -
e` S C L- J (C
4"_,A1---
i i p --1--- . Art fr„--
A a
Insp(ctor:
Date:
ti_Z ((
❑ REINSPECTION FEE REQUIRED. P for to next inspection. fee must be
paid at 6300 Southcenter Blvd., Sy to 100. Call to schedule reinspection.
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
ROSE GUERRERO
15219 42 AV S
TUKWILA WA 98188
RE: Permit No. PG11 -089
GUERRERO RESIDENCE
15219 42 AV 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 12/27/2011.
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 12/27/2011, 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,
Bill Rambo
Permit Technician
File: Permit File No. PG11 -089
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 a 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
Ft 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 f CAS
DTEC00658M42ATIL0802/17/2008
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
OOHIO CAS INS
BL00753401848
01/01/2007
01/01/2008
$1,000,000.00
10/16/2006
2
0010 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/Print.aspx
07/07/2011
Contractors or Tradespeople 'titer 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 HOME DEPOT AT -HOME SRVCS, THE UBI No. 602219243
Phone 7707791300 Status Active
Address 2690 Cumberland Pkwy License No. HOMED "972RQ
Suite /Apt. SUITE 300 License Type Construction Contractor
City Atlanta Effective Date 12/18/2003
State GA Expiration Date 2/1/2013
Zip 30339 Suspend Date
County Out Of State Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
RMAHOSI974CA
R M A HOME
SERVICES INC
Construction
Contractor
General
Unused
2/1/2003
2/1/2005
Inactive
Business Owner Information
Name
Role
Effective Date
Expiration Date
ELLISON, MARVIN RAY
President
06/16/2011
Amount
BENJAMIN, DAVID CURTIS
Vice President
01/31/2011
GL0488771401
VANWOERKOM, JACK A
Vice President
01/31/2011
TOME, CAROL B
Vice President
01/31/2011
TOEADFASTINS
SHEFT, ROBERT
President
12/18/2003
01/31/2011
SCHNELL, SCOTT
Secretary
12/18/2003
01/31/2011
KATZ, DAVID
Vice President
12/18/2003
01/31/2011
ESPOSITO, MICHAEL
Vice President
12/18/2003
01/31/2011
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
2
TRAVELERS CAS &
SURETY CO
104010723
02/01/2003
Until Cancelled
$12,000.00
07/14/2003
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
6
Steadfast Ins Co
GL0488771401
03/01/2011
03/01/2012
$9,000,000.00
02/23/2011
5
TOEADFASTINS
GL0488771400
03/01/2010
03/01/2011
$4,000,000.00
02/23/2010
4
CTOEADFAST INS
1PR375760802
02/01/2003
03/01/2010
$4,000,000.00
02/24/2008
3
STEADFAST INS
IPR375760801
02/01 /2003
03/01 /2007
$4,000,000.00
02/28/2006
Summons /Complaint Information
Cause
County
Complaint
Judgment
Status
Payment
Paid By
09 -2- 02214 -1
SUZANNE & JOSEPH SCUDERI
THURSTON
Date: 09/28/2009
Amount: $0.00
Date:
Dismissed
Date:
https://fortress.wa.gov/lni/bbip/Print.aspx
06/30/2011