HomeMy WebLinkAboutPermit PG12-034 - LARSON RESIDENCECARSON RESIDENCE
14138 34 AV S
EXPIRED 09 -01 -12
PG1 2-034
City oPI'ukwila
•
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.: 9412600100
Address: 14138 34 AV S TUKW
Project Name: LARSON RESIDENCE
PLUMBING /GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On:
PG 12 -034
03/05/2012
'09/01/2012
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Email:
LARSON E H
14138 34TH AVE S , SEATTLE WA 98168
JULIE CASKEY
12601 132 AV NE , KIRKLA.ND WA 98034
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
DESCRIPTIO OF WORK:
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
$449.00 Uniform Plumbing Code Edition: 2009
$47.25 International Fuel Gas Code Edition: 2009
Date: oJIO ,li-
ed this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
The granting of this permit does not pre
construction or the performance of work.
on the back of this permit.
e to give authority to violate or cancel the provisions of any other state or local laws regulating
uthorize I to sign and obtain this plumbing /gas piping permit and agree to the conditions
Signature:
Print Name:
10/-/cA
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.
UPC -4/10
PG12 -034 Printed: 03 -05 -2012
PERMIT CONDITIONS
Permit No. PG 12 -034
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 -034 Printed: 03 -05 -2012 '
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
7fficl'cd
Plumbing /Gas Permit No.'
Project No. mot,
Date Application Accepted:
Date Application Expires:
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: 141 '59 34 p �?
Tenant Name:
King Co Assessor's Tax No.: 6;11410a)001 D O
Suite Number: Floor:
New Tenant: ❑ Yes ❑..No
PROPERTY OWN E,,R,,
Name: -Tuve, eAS el
Name: r` IafstyfN
City: K; rV 1 \ State:w Zi % D_
0
Address: 11.4.13.; 3 et J
1
Emai \ecn-Rs a 'cu
State: \ .l A
City!j'u1� \\ a
Zip:cQ10%
CONTACT PERSON - person receiving all project
communication
Name: -Tuve, eAS el
Address:�2vo� 1 2 Ps e I�
City: K; rV 1 \ State:w Zi % D_
0
�
Phone:L[zsI.-7DO. Fax: /10940.31.0702s
Emai \ecn-Rs a 'cu
PLUMBING CONTRACTOR INFORMATION
Company Name: s --r fi e AE "\f e t
F c
Address: t o 32 e i ..
11
city:NI.� C1 State: 1\ Zipq
W p j1
Phone: 1As(„ 70A Fax: `1(O03 7O 5
O
Contr Reg No.:.QS W _ '�Date: k /ii i
V
Tukwila Business License No.: Q4C,0992965
Valuation of Project (contractor's bid price): $ i i I
Scope of Work (please provide detailed information):
RPAvef re,1 e 1).5at4eC kt_a- -ie -d\'
Building Use (per Int'1 Building Code):
Occupancy (per Int'l Building Code):
Utility Purveyor: Water
H:\ Applications \Forms- Applications On Line \2011 Applications \Plumbing Permit Application Revised 8- 9- 11.docx
Revised: August 2011
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Sewer:
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
PERMI,T,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 Intemational 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 OWINER O AUTHORIZED AGENT:
Signature:] /
�O,lie. C,
Print Name:
Mailing Address: kW/ /3. li /vim-- /JE
H:\Applications \Forms- Applications On Line \2011 Applications \Plumbing Permit Application Revised 8- 9.11.docx
Revised: August 2011
bh
Date: /1//c-.—
Day Tel phone: 25 (O3 &7 O" J
City State Zip
Page 2 of 2
•
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -43 1 -3670
Fax: 206-431-3665
Web site: http: / /www.TukwilaWA.gov
RECEIPT
ParcelNo.: 9412600100 Permit Number: PG12 -034
Address: 14138 34 AV S TUKW Status: PENDING
Suite No: Applied Date: 03/05/2012
Applicant: LARSON RESIDENCE Issue Date:
Receipt No.: R12 -00901
Initials:
User ID:
JEM
1165
Payment Amount: $47.25
Payment Date: 03/05/2012 09:58 AM
Balance: $0.00
Payee: FAST WATER HEATER COMPANY
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 12731 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: Receiot -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 -034
LARSON RESIDENCE
14138 34 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 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 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 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.
Sincerely,
File: Permit File No. PG12 -034
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206-431 -3670 • Fax 206-431 -3665
Contractors or Tradespeople Pfier 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
& 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 a 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 CAS INS
BL00753401848
01/01/2007
01/01/2008
$1,000,000.0010
/16/2006
2
CAS INS
CO
BH05305002
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