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Permit PG12-184 - FAMILY FUN CENTER
FAMILY FUN CENTER 7300 FUN CENTER WY PG12 -184 City otTukwila 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.: 2423049063 Address: 7300 FUN CENTER WY TUKW Project Name: FAMILY FUN CENTER Permit Number: PG12 -184 Issue Date: 10/04/2012 Permit Expires On: 04/02/2013 Owner: Name: FAMILY FUN CENTERS TUKWILA Address: 7300 FUN CENTER WAY , TUKWILA WA 98188 Contact Person: Name: JACCI DANIELS Address: 1800 RICHARDS RD, STE A , BELLEVUE WA 98005 Email: HOTWATER4YOU @YAHOO.COM Phone: 800 978 -8588 Contractor: Name: WASHINGTON WATER HEATERS INC Phone: 800 978 -8588 Address: 1800 RICHARDSON RD STE A , BELLEVUE WA 98005 Contractor License No: WASHII *9800P Expiration Date: 09/17/2014 DESCRIPTION OF WORK: WATER HEATER CHANGE OUT Value of Plumbing /Gas Piping: Fees Collected: Electrical Service Provided by: Permit Center Authorized Signature: $1,085.00 $47.25 I hereby certify that I have read and e governing this work will be complied amin 'th, Uniform Plumbing Code Edition: International Fuel Gas Code Edition: 2009 2009 Date: d this permit and know the same to be true and correct. All provisions of law and ordinances hether 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. UV Signature: Print Name: Jctra AA Jax1l� �S Date: 16-(1v(2- 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 -184 Printed: 10 -04 -2012 PERMIT CONDITIONS Permit No. PG 12 -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 PG12 -184 Printed: 10 -04 -2012 • CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: / /wWw.Tukwila\VA.aov Plumbing/Gas :Permit No. Project No Date Application Accepted. 14: Date Application Expires (Foro ce' 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. * *PleaselPrint ** jSITE.LCATb0N 4 4A3d /go1'3 /� ^ - ' King Co Assessor's Tax No.: Site Address: 1 500 � (Cflky 11lJvlaki Suite Number: Floor: /V 1 I l New Tenant: ❑ Yes EyNo Tenant Name. PROPERTY OWNER Name: Jacci Daniels Address: same as contractor Name: cVV u r1r10.�i'i/� A ddress: 13()Q w,un CLr / GJ" Email: hotwater4you @yahoo.com City:--EA, t l State: (AA. Zip: gg CONTACT PERSON - person receiving all project communication: ; Name: Jacci Daniels Address: same as contractor City: State: Zip: Phone: Fax: Email: hotwater4you @yahoo.com 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 Cone- Reg No.: WASHII *9800P Exp Date: 09/17/ Tukwila Business License No.: &us — ice) c 3soi Valuation of Project (contractor's bid price): $ ( ( ) Scope of Work (please provide detailed information): Ca,V cL 6 ww Building Use (per Int'1 Building Code): Occupancy (per Intl Building Code): Utility Purveyor: Water H :UppliatimeWorms- Applies tiom On Lme&2011 Applicatimn\Plumbing Permit Application Revised 8-9-1 I.dou Revised August 2011 bb 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) 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 Qt9: 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 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 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). 1 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. BUILDIN : ' " ' . R O AUT,IIO D GEN Signature: Print Name: Mailing Address: H:WpplicationsWotms- Applications On Lme\20l 1 ApplicationslPlumbing Permit Application Revised 8- 9- 11.doa Revised August 2011 bh Date: /0— "- 2 Day Telephone: Ovo� ` ` 55 (cr (WWI City 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.gov Parcel No.: 2423049063 Address: 7300 FUN CENTER WY TUKW Suite No: Applicant: FAMILY FUN CENTER RECEIPT Permit Number: PG12 -184 Status: PENDING Applied Date: 10/04/2012 Issue Date: Receipt No.: R12 -02779 Payment Amount: $47.25 Initials: JEM Payment Date: 10/04/2012 02:03 PM User ID: 1165 Balance: $0.00 Payee: WASHINGTON WATER HEATERS INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 5769 47.25 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts PLUMBING - NONRES 000.322.103.00.00 47.25 Total: $47.25 doc: Receipt-06 Printed: 10 -04 -2012 INSP CTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206) 431- 3.670 Permit Inspection Request Line (206) 431 -2451 Project: 1=(\MZL —k t`2IA.) oin►JT4dl Type of Inspection: C7t c,\ic,to -;-.I -. F2. ti4 ,L Address: _ -i3OO r tAl6E.J °1("1,311k Date Called: Special Instructions: CD GSt32.8 -c 1 Date Wanted:. ` tC� -Z3 -1- : db.; p.m. Requester: - Phone No: ZOO- Ll1'7 - 060.'2 : ©Approved per applicable codes. ElCorrections required prior to approval. - COMMENTS: Insp ctor: Date :. REINSPECTION FEE REQUIRED. Prior to next inspection; ; fee. must be.. paid at 6300 Southcenter Blvd., Suite 100. Call to schedule; reinspection. Contractors or Tradespeople Pier Friendly Page General /Specialty Contractor A business registered as a construction contractor with Lal 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 9/17/2014 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 a 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 /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 01010329645 02/18/2010 02/18/2013 $1,000,000.00 01/23/2012 8 AMERICAN STATES INS CO 01CH0329644 02/18/2009 02/18/2011 $1,000,000.0001 /19/2010 7 AMERICAN STATES INS CO 01CH0329643 02/18/2008 02/18/2009 $1,000,000.0001 /31/2008 6 AMERICAN STATES INS CO 01CH03296408 02/18/2007 02/18/2008 $1,000,000.0002 /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 10/04/2012