HomeMy WebLinkAboutPermit PG13-009 - GALICIC RESIDENCE - REPLACE WATER HEATERGALICIC RESIDENCE
15255 SUNWOOD BL
UNIT A-23
PG1 3-009
City oftukwila
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.: 8141400090
Address: 15255 SIINWOOD BL TUKW
Project Name: GALICIC RESIDENCE
Permit Number:
Issue Date:
Permit Expires On:
PG 13-009
01/18/2013
07/17/2013
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Email:
Contractor:
Name:
Address:
Contractor
HATHAWAY EMILY J
16304 45TH PL S , TUKWILA WA 98188
JESSICA VARON
12601 132ND AVE NE , KIRXXLAND WA 98034
permits@fast-waterheater.com
FAST WATER HEATER COMPANY
12601 132ND AVE NE , KIRKLAND WA 98034
License No: FASTWWH948BC
Phone: (425)636-7054
Phone: (425)814-3124
Expiration Date: 01/04/2014
DESCRIPTION OF WORK:
UNIT A-23
REMOVE & REPLACE ELECTRIC WATER HEATER IN EXISTING LOCATION.
Value of Plumbing/Gas Piping:
Fees Collected:
Electrical Service Provided by:
Permit Center Authorized Signature:
$929.00 Uniform Plumbing Code Edition: 2009
$47.25 International Fuel Gas Code Edition: 2009
Date: 0/// �� 3
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 wor . I am authorized to sign and obtain this plumbing/gas piping permit and agree to the conditions
on the back of this permit.
Signature:
Print Name:
irn//-ck-e__,b/
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.
Cif, 4 al Ann
orinlari• Al _1 A_9n14
PERMIT CONDITIONS
Permit No. PG 13-009
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.
dor: IIP( -4/1n
PC41:1-n04 Prirtari• n1 -1R-7(113
•
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Plumbing/Gas Permit No.
Project No.
Date Application Accepted:
Date Application Expires:
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**
y� King Co Assessor's Tax No.: 31141110'.0000
Site Address: 151 O ® 5 SU i1 wDOd 1{� J t U ef # I'ra, 3
Suite Number: • Floor:
Tenant Name: New Tenant: ❑ Yes ..No
PROPERTY
PROPERTY OWNER
Name: ai a i jc (G l R 6.3c2r'
Address:` CJ 1 g,5 SV n w o(5Cl Blvd +P 11-13
City: • u, lCIA)i (Q State: W A Zip: et (? fgg
CONTACT PERSON — person receiving all project
communication
Name: •
Address: Izinc 1 e, Kie-
City: k \OAma State: WAOj
S " Zip.c
Phone:2Sko3(-7o519 Fax:L Zc �St97C5'5
Sk QCt e CIN2a-kc,CY
PLUMBING CONTRACTOR INFORMATION
Company Name:'Fa 1 A `I 1 I.,�., (e
-1r"
V��
�----
Address: )2,(00 t \ 52_
City: � cy.. 1cLivi State: „`pt Zip: (MN
Phone:L zs(.030094 '=ax: `ZS(03(Q7c5
Contr Reg No.: FmTw w r Exp Date: 1/4114
() I iT114.
Tukwila Business License No.: 13 S- 09, z9s 3
Valuation of Project (contractor's bid price): $ -I 19
Scope of Work (please provide detailed information):
fe/MCN eVe>pVac.e_. QI EXkY►c,LCO*
SAv\C t+i o` Y\
Building Use (per Int'I Building Code).
Occupancy (per Int'l Building Code):
Utility Purveyor: Water Sewer.
H:\Applications\Forms-Applications On Line\2011 Applications\Plumbing Permit Application Revised 8-9-11.docx
Revised: August 2011
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Page 1 of 2
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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
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).
1 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 OWTWAUTH9RIZED AGENT:
Signature:. 1 /��' f
Date: 1/jg>
20
Print Name.J .a Day Telephone: 60 (07051
1
MailingAddress: /� 0/ %J/�� kC e � 84/
H:\Applications\Forms-Applications On Lme\2011 Applications Plumbing Permit Application Revised 8-9-11.docx
Revised: August 2011
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City State Zip
Page 2 of 2
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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.Tukwila WA .gov
Parcel No.: 8141400090
Address: 15255 SUNWOOD BL TUKW
Suite No:
Applicant: GALICIC RESIDENCE
RECEIPT
Permit Number: PG13-009
Status: PENDING
Applied Date: 01/18/2013
Issue Date:
Receipt No.: R13-00447
Payment Amount: $47.25
Initials: LAW Payment Date: 01/18/2013 09:46 AM
User ID: 1632 Balance: $0.00
Payee: FWH ACQUISITION COMPANY
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 14488 47.25
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
PLUMBING - RES
000.322.103.00.00 47.25
Total: $47.25
f].:.. b.d• A9 40 0)/144
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMITNO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project:
G A 1-17C—R_, t`k c-
Type of Inspection:
iZu u�Yi,....) .
f tiJ 4 /
Address: r
1cJ1tJw
5 .11.�oa4
Date Called:
Special Instructions: A __ 2_3
Date Wanted:.
"I —1)-- t"
/Cm)
R:m.
Requester:
Phone No:
3,p(e-a:50 --
8 -3?
Approved per applicable codes.
ElCorrections required prior to approval.
COMMENTS:
(I� Zr�)1!N-1.1✓
)01 b,Jv�
NAS
04;E /F --i J.9f
In pector
Date:
3
' 1, EINSPECTION F E REQUIRED. Prior to nextinspection. fee must be
Liaid at 6300 Southcenter Blvd., Suite 100. Callao schedule reinspection._,
Contractors or Tradespeople Prr er Friendly Page
•
General/Specialty Contractor
A business registered as a construction contractor with LftI 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
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
01C155607610
Bond Information
Bond Company Name
DEVELOPERS SURETY
8 INDEM CO
Bond
1
Page 1 of 2
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
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
9
American
Economy
Insurance Co
01C155607610
02/17/2013
02/17/2014
$1,000,000.0001/14/2013
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
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
51,000,000.00
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
51,000,000.00
10/16/2006
Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period
httns://fortress.wa.gov/lni/bbip/Print.aspx
01/18/2013