HomeMy WebLinkAboutPermit PG12-099 - THOMPSON RESIDENCETHOMPSON RESIDENCE
12210 47 AV S
EXPIRED 11-11-12
PG1 2-099
City off 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.: 0179001130
Address: 12210 47 AV S TUKW
Project Name: THOMPSON RESIDENCE
PLUMBING /GAS PIPING PERMIT
Permit Number: PG 12 -099
Issue Date: 05/15/2012
Permit Expires On: 11/11/2012
Owner:
Name: THOMPSON MICHAEL
Address: 12210 47TH AVE S , TUKVVILA WA 98178
Contact Person:
Name: JACCI DANIELS
Address: 1800 RICHARDS RD, SUITE A , BELLEVUE WA 98005
Email: HOTWATER4YOU @YAHOO.COM
Contractor:
Name: WASHINGTON WATER HEATERS INC
Address: 1800 RICHARDSON RD STE A , BELLEVUE WA 98005
Contractor License No: WASHII *9800P
Phone: 800 - 978 -8588
Phone: 800 978 -8588
Expiration Date: 09/17/2012
DESCRIPTION OF WORK:
CHANGE OUT (1) ELECTRIC WATER HEATER
Value of Plumbing /Gas Piping:
Fees Collected:
Electrical Service Provided by:
Permit Center Authorized Signature:
$900.00 Uniform Plumbing Code Edition: 2009
$47.25 International Fuel Gas Code Edition: 2009
Date: g`J Z
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 si and obtain this plumbing /gas piping permit and agree to the conditions
on the back . , �. ermit.
UPt Date: 6 7'Z
Acci M IvitLs
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 -099 Printed: 05 -15 -2012
PERMIT CONDITIONS
Permit No. PG12-099
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
PG12-099 Printed: 05 -15 -2012
•
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
hap://www.TukIvi la WA. aov
Plumbing/Gas Permit No. ,1 )- -Q R 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
!� h King Co Assessor's Tax No.:
Site Address: /01 0-10 ,, II Suite Number:
ACA-
Tenant Name:
PROPERTY OWNER
Name: Jacci Daniels
Name:
Me/,d o npstil
City: State: Zip:
Address: 12210 i -e A. re c
Email: hotwater4you @yahoo.com
City' Iu twi Ia., State: /of
Zip: 9N [ 0
CONTACT PERSON — person receiving all project
communication
Name: Jacci Daniels
Address: same as contractor
City: State: Zip:
Phone: Fax:
Email: hotwater4you @yahoo.com
Floor:
New Tenant: ❑ Yes ❑..No
PLUMBING CONTRACTOR INFORMATION
Company Name: Washington Water Heaters, Inc
Address: 1800 Richards Rd, Ste A
City: Bellevue State: WA Zip: 98005
Phone: (800) 978 -8588 Fax: (866) 375 -7454
Contr Reg No.: WASHII *9800P Exp Date: 09/17/2012
Tukwila Business License No.:
Valuation of Project (contractor's bid price): $
900
Scope of Work (please provide detailed information):
cuA C1,11-
7
cfrvvu
1/20,141/ aleri-
Building Use (per Int'I Building Code) -
Occupancy (per Int'I Building Code):
Utility Purveyor: Water Sewer:
HAApplicadmts\Fomts- Applications On L ne\2011 ApphwtionslPlmnbing Pemm Application Revised 8- 9- 11.doa
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)
1
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
1
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 Vj1jASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDINR O RI D G
Signature:
Print Name:
jctcc w1 1/4,66u4 lc s
Mailing Address: !LU) g(Cktt.rC1S led Sir A-
H:\ApplicationsWorns- Applications On Line 12011 Applications \Plumbing Permit Application Revised 8- 9- 11.doec
Revised: August 2011
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Date:
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Day Telephone: » q7
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City State Zip
Page 2 of 2
• •
w City o f T u kwi l a
r----
�Z 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.: 0179001130
Address: 12210 47 AV S TUKW
Suite No:
Applicant: THOMPSON RESIDENCE
RECEIPT
Permit Number: PG 12 -099
Status: PENDING
Applied Date: 05/15/2012
Issue Date:
Receipt No.: R12 -01594
Payment Amount: $47.25
Initials: WER Payment Date: 05/15/2012 02:28 PM
User ID: 1655 Balance: $0.00
Payee: WASHINGTON WATER HEATERS INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 5610 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: 05 -15 -2012
City of Tukwila Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
10 -01 -2012
JACCI DANIELS
1800 RICHARDS RD, SUITE A
BELLEVUE WA 98005
RE: Permit No. PG12 -099
THOMPSON RESIDENCE
12210 47 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 11/11/2012.
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 11/11/2012, 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,
fer Marshall
t Technician
File: Permit File No. PG12 -099
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206-431 -3670 • Fax 206-431 -3665
Contractors or Tradespeople Peer 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 WASHINGTON WATER HEATERS INC UBI No. 602214757
Phone 8009788588 Status Active
Address 1800 Richardson Rd Ste A License No. WASHII'9800P
Suite /Apt. License Type Construction Contractor
City Bellevue Effective Date 9/17/2002
State WA Expiration Date 9/17/2012
Zip 98005 Suspend Date
County King Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company
Business Owner Information
Name
Role
Effective Date
Expiration Date
HAGAR, THOMAS JEFFREY
President
09/17/2002
Bond Amount
SKEEN, STEVEN ROGER
Vice President
09/17/2002
9809771
SKEEN, STEVE
Secretary
09/17/2002
09/02/2010
HAGAR„ THOMAS
Treasurer
09/17/2002
09/02/2010
Bond Information
Page 1 of 1
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
3
Lexon Ins Co
9809771
09/16/2011
Until Cancelled
$12,000.0008/16
/2011
2
COLONIAL AM CAS &
SURETY OF
MARYLAND
LPM4062425
08/28/2007
Until Cancelled
09/16/2011
$12,000.0009/20
/2007
1
COLONIAL AM CAS &
SURETY OF MD
LPM4062425
09/16/2002
08/28/2007
$6,000.0009/17/2002
01/31/2008
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
9
AMERICAN
STATES INS CO
01CH0329645
02/18/2010
02/18/2013
51,000,000.00
01/23/2012
8
AMERICAN
STATES INS CO
01CH0329644
02/18/2009
02/18/2011
$1,000,000.00
01/19/2010
7
AMERICAN
STATES INS CO
01CH0329643
02/18/2008
02/18/2009
$1,000,000.00
01/31/2008
6
AMERICAN
STATES INS CO
01CH03296408
02/18/2007
02/18/2008
$1,000,000.00
02/21/2007
5
AMERICAN
STATES INS CO
01CH03296408
02/18/2006
02/18/2007
$1,000,000.00
02/14/2006
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
Infractions /Citations Information
Infraction / Citation
Date
RCW Code
Type
Status
Violation Amount
FJACH00604
1/14/2010
43.22.435 RCW
FAS INFRACTION
Satisfied
$200.00
https: // fortress .wa.gov /lni/bbip /Print.aspx
05/15/2012