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HomeMy WebLinkAboutPermit PG12-033 - BREEDEN RESIDENCEBREEDEN RESIDENCE 14441 53 AV S EXPIRED 09 -01 -12 PG1 2-033 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 Parcel No.: 7999600040 Address: 14441 53 AV S TUKW Project Name: BREEDEN RESIDENCE PLUMBING /GAS PIPING PERMIT Permit Number: PG 12 -033 Issue Date: 03/05/2012 Permit Expires On: 09/01/2012 Owner: Name: BREEDEN NITA M Address: 27427 156TH STCT E , BUCKLEY WA 98321 Contact Person: Name: JULIE CASKEY Address: 12601 132 AV NE , KIRKLAND 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: 01/04/2014 DESCRIPTION OF WORK: REMOVE /REPLACE GAS WATER HEATER Value of Plumbing /Gas Piping: $1,099.00 Uniform Plumbing Code Edition: 2009 Fees Collected: $47.25 International Fuel Gas Code Edition: 2009 Electrical Service Provided by: Permit Center Authorized Signature: Date: 04001-2-- I hereby certify that I have read and x 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, 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 orized to sign and obtain this plumbing /gas piping permit and agree to the conditions on the back of this permit. Signature: Print Name: ‘42,(7 Date: — 5-7( 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 PG12 -033 Printed: 03 -05 -2012 PERMIT CONDITIONS Permit No. PG 12 -033 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 PG12 -033 Printed: 03 -05 -2012 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Plumbing /Gas - Permit No. bJ Project No. Date Application Accepted: D O L 12- 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 Address: \ `I LILA 1 n31 c\ P i S Tenant Name: King Co Assessor's Tax No.: 1 cl I (J000TD Suite Number: Floor: New Tenant: ❑ Yes ❑..No •PROPERTYOWNER °' Namelia Ca, Name: Ni-fa- - j(eecke c's Zip 4 i; City:Nc \_\-n State: \,(4N Address: \ 4444 53t,.�Q 1 NI. S �``►`. �State City: \I 1 \/.. State:\N Zip_I()3 1 1905 City :144 :: l f-' \j a Zipt'71%1vi% CONTACT PERSON - person receiving all project communication Namelia Ca, Address12 no \ tag_ Ne- Zip 4 i; City:Nc \_\-n State: \,(4N Phone: /250 034_ Fax 0.- 0,70OS Emai lr�1Q-a -1 ZI.- W o 1`Qc4eCs CU ` PLUMBING CONTRACTOR INFORMATION Company Name: a Zb (' �er �e�-� �" � � \ e. Address: 121 „01 1 J Z tN City: \I 1 \/.. State:\N Zip_I()3 1 1905 Phone: 1D Fax:�11VDSIUN7o� Contr Reg No. J 1 Y v y\l t i'" I`i 'bhp Date: /j4/ /4 Tukwila Business License No.:, S_ Cs 2� / Valuation of Project (contractor's bid price): $ t Scope of Work (please provide detailed information): Resv ep( ace a-ke-t' Building Use (per Intl Building Code): Occupancy (per Int'I Building Code): Utility Purveyor: Water: Sewer: H: \Applications \Forms - Applications On Line \2011 Applications \Plumbing Permit Application Revised 8-9 -1 I.docx Revised: August 2011 bh 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 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 OW ER AUTHORIZED AGENT: Signature: Print Name:: lll i a / Day Telephone: Mailing Address: /g120/ /3c2 Ave € E: City H:\ Applications \Forms- Applications On Line \2011 Applications \Plumbing Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh Date :3 / /,/ — 5(03 7r VV71 State gCSL Zip Page 2 of 2 • City of Tukwila 1 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.: 7999600040 Address: 14441 53 AV S TUKW Suite No: Applicant: BREEDEN RESIDENCE RECEIPT Permit Number: PG 12 -033 Status: PENDING Applied Date: 03/05/2012 Issue Date: Receipt No.: R12 -00900 Payment Amount: $47.25 Initials: JEM Payment Date: 03/05/2012 09:55 AM User ID: 1165 Balance: $0.00 Payee: FAST WATER HEATER COMPANY TRANSACTION LIST: Type Method Descriptio Amount Payment Check 12732 47.25 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts PLUMBING - RES 000.322.103.00.00 47.25 Total: $47.25 doc: Receipt -06 Printed: 03 -05 -2012 08 -01 -2012 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director JULIE CASKEY 12601 132 AV NE KIRKLAND WA 98034 RE: Permit No. PG12 -033 BREEDEN RESIDENCE 14441 53 AV S TUKW Dear Permit Holder: In reviewing our current records, the above noted permit has not received a fmal 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 09/01/2012. 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 fmal 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 09/01/2012, 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. sdipet File: Permit File No. PG12 -033 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206 -431 -3670 • Fax 206 -431 -3665 Contractors or Tradespeople P1ter 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 1/4/2014 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 01C155607601 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 8 American States Insurance Co 01C155607601 02/17/2012 02/17/2013 $1,000,000.0002 /16/2012 7 PHOENIX INS CO C00658M42A 02/17/2010 02/17/2013 $1,000,000.0001 /05/2012 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 0010 CABINS BL00753401848 01/01/2007 01/01/2008 $1,000,000.00 10/16/2006 2 0010 CABINS BH05305002 01/01/2006 01/01/2007 $1,000,000.00 01/03/2006 Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 03/05/2012