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Home My WebLink AboutPermit PG12-213 - SLYFIELD RESIDENCESLYFIELD RESIDENCE 5627 S 150 ST PG12 -213 City oP'Tukwila • 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.: 3779300040 Address: 5627 S 150 ST TUKW Project Name: SLYFIELD RESIDENCE PLUMBING /GAS PIPING PERMIT Permit Number: PG12 -213 Issue Date: 12/05/2012 Permit Expires On: 06/03/2013 Owner: Name: SLYFIELD FREDERICK KIRK +MAR Address: 5627 S 150TH ST , TUKVVILA WA 98188 Contact Person: Name: JESSICA VARON Address: 12601 132 AV NE , KIRKLAND WA 98034 Email: PERMITS @FASTWATERHEATER.COM Contractor: Name: FAST WATER HEATER COMPANY Address: 12601 132ND AVE NE , K RKLAND WA 98034 Contractor License No: FASTWWH948BC Phone: 425 636 -7054 Phone: (425)814 -3124 Expiration Date: 01/04/2014 DESCRIPTION OF WORK: REMOVE AND REPLACE GAS WATER HEATER IN EXISTING LOCATION Value of Plumbing /Gas Piping: $1,126.00 Uniform Plumbing Code Edition: 2009 Fees Collected: $47.25 International Fuel Gas Code Edition: 2009 Electrical Service Provided by: Permit Center Authorized Signature: UV ` 1 Date: 12_LO CY2 I hereby certify that I have read and ex dine this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied th, w ether specified herein or not. The granting of this permit does not pres construction or the performance of work: on the back of this permit. Signature: Print Name: to give authority to violate or cancel the provisions of any other state or local laws regulating au orized to sign and obtain this plumbing /gas piping permit and agree to the conditions t-e Date:/ -15 r/ 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. rinr. I IPr. -4/1 n P(112 -71'1 PrintM.(1• 17- ns -7n17 PERMIT CONDITIONS Permit No. PG 12 -213 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. rinr 11P( -4/1(1 P(112 -211 Printer 12415 -7017 • CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Plumbing /Gas Permit No. p Project No. Date Application Accepted: O l 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: T:;::(5-17 S St Cisedeou– Y:iry Tenant Name: t71.1eje1& 1 PROPERTY OWNER N ame: ` )I le,d I Re6U - cr_ (y..cv Address: --197:1 8 im 5� City: � u� Kvoi 1 ov State: 14- Zip: gv CONTACT PERSON - person receiving all project communication Name: c�vo(-1 Address: Zu C City: K `Y.V , _ ci State: wi Zii-lock 4 Phone: ZS�3` �o� Fax: j4.ZS U SU (055 -Z ivlliS�c clke- CIN.aOa C C7nf King Co Assessor's Tax No.: 3-1 1 q "J o bu D Suite Number: Floor: New Tenant: ❑ Yes ..No PLUMBING CONTRACTOR INFORMATION Company Name: F „ r a a4,4- . ec Address: 12i 0Ot \ 52- -ve.__ `.. -- St ate: V Zip : q City: {[ . cys4 anci 4 34 Phone::g_is -30094 rax:j ill(03(46-7c5-5.. O (46-7 Contr Reg No.: Sfiv\iW T_ r Exp Date: t (i 1/ I L Tukwila Business License No.: b5.. 099 z 9 s 3 Valuation of Project (contractor's bid price): $ IIVP Scope of Work (please provide detailed information): ROVN e- \C€ADVac.e, A V koca -l- r\ Building Use (per Int'I Building Code). Occupancy (per Int'I Building Code): Utility Purveyor: Water: H:\Applications \Forma - Applications On Line \2011 Applications \Plumbing Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh 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 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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OW AUTHQRIZED AGENT: Signature:. , Date: It 011// Print Name. i ii r _ a Opmn Day Telephone: I/ (0310704511 Mailing Address: /�IP 0/ / 5Z_ / C %i� Kl r l an�/ w� �80 474 City State Zip H:\Applications \Forms - Applications On Line \2011 Applications \Plumbing Permit Application Revised 8 -9 -I l.docx Revised: August 2011 bh 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.: 3779300040 Address: 5627 S 150 ST TUKW Suite No: Applicant: SLYFIELD RESIDENCE RECEIPT Permit Number: PG 12 -213 Status: PENDING Applied Date: 12/05/2012 Issue Date: Receipt No.: R12 -03257 Initials: JEM User ID: 1165 Payment Amount: $47.25 Payment Date: 12/05/2012 12:06 PM Balance: $0.00 Payee: FAST WATER HEATER COMPANY TRANSACTION LIST: Type Method Descriptio Amount Payment Check 14151 47.25 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts PLUMBING - RES 000.322.103.00.00 47.25 Total: $47.25 rinr: RA int -nR Prinmprl• 17- nri -7n12 INSPECTION NO. CITY OF TUKWILA BUILDING D 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431 -2451 INSPECTION RECORD Retain a copy with permit P6 •L:243 PERMIT NO. (VISION (206) 431 -3670 Pr `I'fto l Type f- Inspection -` i aLu it,-! •- -A Address: _ q't, Date ed: Special Instructions: S LAi W , _ Date Wanted:. Vim., 1 Z.. ''Z4' -' <� . p.m. Requester: . Ph .61ED' '3 5'176 n. Approved per applicable codes. El Corrections required prior to approval.. COMMENTS: ()Pi 1.-k 1 Ins pector: 00,_,,A jv \\ Date: n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection:,' ..w.N _ _ _ Contractors or Tradespeople liter 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 $1,000,000.00 02/16/2012 7 PHOENIX INS CO C00658M42A 02/17/2010 02/17/2013 $1,000,000.00 01/05/2012 6 TRAVELERS PROPERTY CAS INS CO DTEC00658M42ATIL09 02/17/2009 02/17/2011 $1,000,000.00 01 /27/2010 5 TRAVELERS PROP & 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 OOHIO CAS INS BL00753401848 01/01/2007 01/01/2008 $1,000,000.0010 /16/2006 2 OOHIO CAS INS 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 12/05/2012