HomeMy WebLinkAboutPermit PG11-184 - HARRINGTON RESIDENCEHARRINGTON RESIDENCE
15185 SUNWOOD BL
PG1 1 -184
City ofkukwila
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
PLUMBING /GAS PIPING PERMIT
Parcel No.: 8141400930
Address: 15185 SUNWOOD BL TUKW
Project Name: HARRINGTON RESIDENCE
Permit Number: PG11 -184
Issue Date: 12/14/2011
Permit Expires On: 06/11/2012
Owner:
Name: SKALA KIMBERLY L
Address: 15185 SUNWOOD BLVD #A -11 , TUKWILA WA 98188
Contact Person:
Name: DANIEL HARRINGTON Phone: 206 - 228 -9806
Address: 15185 SUNWOOD BL , TUKWILA WA 98188
Email:
Contractor:
Name: DISCOUNT WATER HEATERS LLC
Address: 19907 8 AV SE , BOTHELL WA 98012
Contractor License No: DISCOWH984M4
Phone: 206 - 830 -8910
Expiration Date: 10/29/2012
DESCRIPTION OF WORK:
INSTALL ELECTRIC WATER HEATER REPLACEMENT
Value of Plumbing /Gas Piping:
Fees Collected:
Electrical Service Provided by:
Permit Center Authorized Signature:
$150.00 Uniform Plumbing Code Edition: 2009
$47.25 International Fuel Gas Code Edition: 2009
a --W' Date: )--'t 2 4.► C' J
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 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 this permit.
Signature:
Print Name: ,It)6V.51 J
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.
Date: / /
o
doc: UPC -4/10
PG11 -184 Printed: 12 -14 -2011
PERMIT CONDITIONS
Permit No. PG11-184
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
PG11-184 Printed: 12 -14 -2011
CITY OF TUKWII
Community Development Department
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
•
Plumbing/Gas Permit No. 'r' t- ( 02.1
Project No.
Date Application Accepted:
Date Application Expires:
(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: 1,) 1 85
c,00M 81 ud
King Co Assessor's Tax No.:
Suite Number: Floor: A 12_
Tenant Name: New Tenant: ❑ Yes Sa..No
k\ettesty-rA, le&-t-oLd(
PROPERTY OWNER
Name: D l � tAcxxvorctoyl
Address:
15185 S L'i.►'l wo Od & V
nc\
City: 1 Lu zt tc . state:Lic ., Zip. `70
CONTACT PERSON — person receiving all project
communication
Name: O C1Li/ 'l6 14- L Y V∎ YA( j
). I
Address: 15 is S S v0 ` iJ006
e` us .
City:TJl Q11 (k_ State:
we
Zip:M c(
Phone: (9.00 aag O Ll L p Fax:
Email:
PLUMBING CONTRACTOR INFORMATION
Company Name: �
aS �.ir,W LI Uot.ai.l
Address: I Crq 01 _. ? 4..._ S L
City: L Jul_ State: Lt Yc Zip A Z
Phone: 3 C -Ikr/ Fax: 00.42_350 _go 7
Contr Reg No.: o is C O t.v 11C $ 71111 Exp Date: 11) A,
Tukwila Business License No.:
Valuation of Project (contractor's bid price): $ ��0 00
Scope of Work (please provide detailed information):
e i -Ec. -A L uuci r he cd-e r r
&CCalkkii17
Building Use (per Int'l Building Code).
Occupancy (per Int'I Building Code):
Utility Purveyor: Water: Sewer
H:1Application Forms - Applications On Line 12011 Applications\Plumbing Permit Application Revised 8- 9.11.docc
Revised: August 2011
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Page 1 of 2
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
Fixture Type
Qty
Bathtub or combination
bath/shower
Dishwasher, domestic with
independent drain
Shower, single head trap
Sinks
Rain water system — per
drain (inside building)
Grease interceptor for
commercial kitchen ( >750
gallon capacity)
Each additional medical
gas inlets/outlets greater
than 5
Atmospheric -type vacuum
breakers not included in
lawn sprinkler backflow
protections (1 -5)
Fixture Type
Qty
Bidet
Drinking fountain or water
cooler (per head)
Lavatory
Urinal
Water heater and /or vent
Repair or alteration of
water piping and/or water
treatment equipment
Backflow protective device
other than atmospheric-
type vacuum breakers 2
inch (51 mm) diameter or
smaller
Atmospheric -type vacuum
breakers not included in
lawn sprinkler backflow
protections over 5
Fixture Type
Qty
Clothes washer,
domestic
Food -waste grinder,
commercial
Wash fountain
Water closet
Industrial waste
treatment interceptor,
including trap and vent,
except for kitchen type
grease interceptors
Repair or alteration of
drainage or vent piping
Backflow protective
device other than
atmospheric -type
vacuum breakers over 2
inch (51 mm) diameter
Gas piping outlets
Fixture Type
Qty
Dental unit, cuspidor
Floor drain
Receptor, indirect waste
Building sewer and each
trailer park sewer
Each grease trap
(connected to not more
than 4 fixtures - <750
gallon capacity
Medical gas piping
system serving 1 -5
inlets/outlets for a specific
gas
Each lawn sprinkler
system on any one meter
including backflow
protection devices
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 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OV��6 R THORIZ AGENT:
Signature: ,
Print Name:
Mailing Address:
I6/ t5 �.✓� >J�d
H:\ Applications \Fonda- Applications On Line\2011 Applications \Pluntbing Permit Application Revised 8- 9- 11.docx
Revised: August 2011
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Day Telephone:
7'wkwl1/414)
City
Date: / / Def, /1
6iJ�i �Sr /
state zip
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.TukwilaWA.2ov
Parcel No.: 8141400930
Address: 15185 SUNWOOD BL TUKW
Suite No:
Applicant: HARRINGTON RESIDENCE
RECEIPT
Permit Number: PG11 -184
Status: PENDING
Applied Date: 12/14/2011
Issue Date:
Receipt No.: R11 -02730
Payment Amount: $47.25
Initials: WER Payment Date: 12/14/2011 02:42 PM
User ID: 1655 Balance: $0.00
Payee: DISCOUNT WATER HEATERS
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 104725
ACCOUNT ITEM LIST:
Description
47.25
Account Code Current Pmts
PLUMBING - RES
000.322.103.00.00 47.25
Total: $47.25
doc: Receipt -06 Printed: 12 -14 -2011
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 -367
Permit Inspection Request Line (206) 431 -2451
pet' -1
Project:
POI R RITN/T i rJ RFS
Typeof Inspection:
t4c,1+ -1-■J -Pi Lc wi _a)
Address:
1 61a6 51 tNuao(v. .t31.....
Date Called:
Special Instructions:
O 56i53— 0 P
Date Wanted:. a.m.
I i— 21 — 1 i <p.m-
Requester:
Phone No:
3!O- Li 6(..)- -6ZgP,
pproved per applicable codes. Llcorrections required prior to approval.
COMMENTS:
,p) 4is./
f)ervIA
N0
PECTION FEE REQUIR D. Prior to/hext inspection, fee must be
at 6300 Southcenter Blvd., Suite 100'. Call to schedule reinspection.
Contractors or Tradespeople Pryer Friendly Page
•
General /Specialty Contractor
A business registered as a construction contractor with L£tl 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
DISCOUNT WATER HEATERS LLC
2068308910
19907 8Th Ave Se
Bothell
WA
98012
Snohomish
Limited Liability Company
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602174553
Active
DISCOWH984M4
Construction Contractor
7/24/2002
10/29/2012
Appliances/ Equipment
Unused
Business Owner Information
Name
Role
Effective Date
Expiration Date
NELSON, RICHARD L
Partner /Member
07/24/2002
Bond Amount
on
Page 1 of 1
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
8
American Contractors
Indem CO
100165167
05/23/2011
Until Cancelled
$6,000.0006/09/2011
07/25/2011
7
American Contractors
Indem CO
100057140
11/03/2008
Until Cancelled
12/27/2010
$6,000.0011/21/2008
08/02/2010
6
American Contractors
Indem CO
100045147
03/27/2008
11/03/2008
$6,000.00
05/05/2008
5
PLATTE RIVER INS CO
41089740
11/02/2007
03/27/2008
11/27/2008
$6,000.0012/05/2007
12/10/2007
4
PLATTE RIVER INS CO
41089740
11/02/2006
11/02/2007
$6,000.00
11/13/2006
3
ACCREDITED SURETY
Et CAS CO
10045760
11/02/2005
Until Cancelled
11/04/2006
$6,000.00
07/07/2006
Assignment of Savings Information No records found for the previous 6 year period
rance Information
Insurance
Company Name
Policy Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Amount
Received Date
9
Underwriters at
Lloyds
PFK045883
06/07/2011
06/07/2012
$1,000,000.00
07/25/2011
8
TRUCK INS
EXCHANGE
601445923
07/16/2010
07/16/2011
$1,000,000.00
08/02/2010
7
TRUCK INS
EXCHANGE
601445923
11/17/2008
08/04/2010
$1,000,000.00
10 /26/2009
6
TRUCK INS
EXCHANGE
601445923
11/17/2007
11/17/2008
$1,000,000.00
12/10/2007
5
TRUCK INS
EXCHANGE
601445923
11/17/2006
11/17/2007
$1,000,000.00
02/01/2007
4
FARMERS INS
EXCHANGE
601445923
01/25/2006
01/25/2007
$1,000,000.00
07/07/2006
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
12/14/2011