HomeMy WebLinkAboutPermit PG14-0165 - HENDRICKSON RESIDENCE - ELECTRIC WATER HEATERHENDRICKSON RESIDENCE
15146 6STH AVE S #501
PG14-0165
Parcel No:
Address:
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-438-9350
Web site: http://www.TukwilaWA.gov
1332500790
15146 65TH AVE S 501
WATER HEATER PERMIT
Project Name: HENDRICKSON RESIDENCE
Permit Number: PG14-0165
Issue Date: 11/7/2014
Permit Expires On: 5/6/2015
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
HENDRICKSON DAVID A
15146 65TH AVE S #501 , TUKWILA,
WA, 98188
NICOLE TRAZO
11715 NORTH CREEK PKWY G-106 ,
BOTHELL, WA, 98011
FAST WATER HEATER COMPANY
11715 N CREEK PKWY S STE C-106 ,
BOTHELL, WA, 98011
FASTWWH948BC Expiration Date: 1/4/2016
Phone: (425) 636-7054
Phone: (425) 636-7084
DESCRIPTION OF WORK:
REMOVE AND REPLACE ELECTRIC WATER HEATER IN EXISTING LOCATION
Valuation of Work: $750.00
Water District:
Sewer District:
Fees Collected: $48.83
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
Permit Center Authorized Signature:
2012
2012
2012
2012
International Fuel Gas Code:
WA Cities Electrical Code:
WA State Energy Code:
„dia
2012
2014
2012
Date: ` I— Li
I hearby 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 sign and obtain this
development permityitand agree to the conditions attached to this permit.
Signature:, Date: // ? / '
Print Name:/ 27*M .7Z(c.). `7
This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or if
the work is suspended or abandoned for a period of 180 days from the last inspection.
PERMIT CONDITIONS:
1: ***MECHANICAL PERMIT CONDITIONS***
2: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila
Permit Center (206/431-3670).
3: All permits, inspection record card and approved construction documents shall be kept at the site of work
and shall be open to inspection by the Building Inspector until final inspection approval is granted.
4: Manufacturers installation instructions shall be available on the job site at the time of inspection.
5: Except for direct -vent appliances that obtain all combustion air directly from the outdoors; fuel -fired
appliances shall not be located in, or obtain combustion air from, any of the following rooms or spaces:
Sleeping rooms, bathrooms, toilet rooms, storage closets, surgical rooms.
6: Equipment and appliances having an ignition source and located in hazardous locations and public garages,
PRIVATE GARAGES, repair garages, automotive motor -fuel dispensing facilities and parking garages shall be
elevated such that the source of ignition is not less than 18 inches above the floor surface on which the
equipment or appliance rests.
7: Type 1 Hoods, the required grease duct leakage test and (light test shall be performed by a special
inspection and testing agency in accordance with I.M.C. Chapter 5.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
1900 PLUMBING FINAL
8005 ROUGH -IN PLUMBING
c.341
CITY OF TUKWI..A
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Plumbing/Gas Permit No.
Project No. nn II
Date Application Accepted: t t 0U 4 t 4
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 itto j',, S ZrA r IA. qoil
Site Address: 171 `U0 (0,5 PNE S So
(f-� �� y IV
n/� /� Suite Number:
Tenant Name: 1 ICi1V P/ RI -S OO t 1• Iv ► I_ A VINO
v O
PROPERTY OWNER
Name: Rai P-1C14-O0 / t l++�� AA
l
Pal
/
Address: 614(0 (6 �' Y E S *
1
City: ttl (1 Uk State: YV j-
Zip:( W I il
CONTACT PERSON — person receiving all project
communication
Name: 1\1 IW ,10o
. , �
Address: I r 1 ��er tt-'i K'k'3..y- `-(d:s 0
State: WA Zip:(110O(fib i
Phone: 4,tSt03tt7C Fax:42S a SLo7 5'
Email t' iz . „, s:\ i� c Ke6L` t c
City:
King Co Assessor's Tax No.: J� o (IP
Floor:
New Tenant: ❑ Yes ..No
PLUMBING CONTRACTOR INFORMATION
Company Name: Task- l ^ Vmar „i, j („C
Address: t Nits (L; ll CR 1;irmi.
City: 12, 04101 State: t „ `I Zip: q
V v ccc���✓✓✓
r -
Phonettas 3 q0I�1 Fax: � [ZS(03(0- 7c
Contr Reg No.: si-w w i Exp Date: 0) t 4.114
Tukwila Business License No.: bus_ 096. Z9 5 3
Valuation of Project (contractor's bid price): $ 9 . OD
Scope of Work (please provide detailed information):
N U't- �' ‘c6p vacz. WIC K_a. f 1 th
Building Use (per Int'l 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-I1.docx
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)
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'" ^i' "irrunPI7F.D AGENT:
Signature:.
Print Name. :Ili I
MailingAddre11715 North Creek Parkway South, Ste C-106 t � t� �fL� � �
City State Zip
H:\Applications\Forms-Applications On Line\2011 Applications\ Plumbing Permit Application Revised 8-9-1 ].dots
Revised: August 2011
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Date:
Dav Telephone:4/?-5.(3(07D451/
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK ,..� ._�q.
I ACCOUNT I QUANTITY
PAID
"" PG14-0165Address 15146 65THAV�'�
kP ¢14
5
n•w13325R�.00790
aR9+Am i;nwoBYMhw'IGbudwft, ,s »-^
$4�b..e8 2�83
a� PLUMBING
E $46 50
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$32.50
WATER HEATER FIXTURE FEE
R000.322.103.00.00
0.00
$14.00
TECHNOLOGY, FEE
$2:33
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R3498
R000.322.900.04.00
0.00
$2.33
$48.83
Date Paid: Friday, November 07, 2014
Paid By: FAST WATER HEATER COMPANY
Pay Method: CHECK 17868
Printed: Friday, November 07, 2014 9:36 AM 1 of 1
CIRWSYSTEMS
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Pro'ect: ,
I
Type of Insge5tion: - t
Address:
1 C i 11 b Y-+t- Ave-5o ,
Date called:
Special In ructions;
A-44
Date Wanted:
a,m.
Requesitkr:
VOt ii ( Oi
Phone No:
q)-2,- 33q --Be3i-
Approved per applicable codes. D.Corrections required prior to approval.
0 MENTS:
Inspector:
E
Date:
I —IS-
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
INS N NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit inspection Request Line (206) 438-9350
r
Pro i ct:
ki I r Ktf(ectivt-ektlYpvt.
Inspection:
it- A P71,0--L.4
(t re
Trt i 671* ilitief ° •
Date Call
ci Spea Instructions:
4.041
ti-vT
Date Wirled: .._7 4 a.m.
7- / I / p.m.
Requerer:
, . .
>two( ffeskcIrt C-4e
Phone No:
1.12.- - 33 Lii -863,r
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Inspector:
REINSPECTION FEE REQUIRED, Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
City of Tukwila
Department of Community Development
4/1/2015
NICOLE TRAZO
11715 NORTH CREEK PKWY G-106
BOTHELL, WA 98011
RE: Permit No. PG14-0165
HENDRICKSON RESIDENCE
15146 65 AVE S #501
Dear Permit Holder:
Jim Haggerton, Mayor
Jack Pace, Director
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 5/6/2015.
Based on the above, you are hereby advised to:
1) Ca11 the City of Tukwila Inspection Request Line at 206-438-9350 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 5/6/2015, 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,
Bill Rambo
Permit Technician
File No: PG14-0165
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
FAST WATER HEATER COMPANTv
Page 1 of 5
CoWashington State Department of
Labor & Industries
FAST WATER HEATER COMPANY
Owner or tradesperson
JORDAN, JEFFERY DAVID
Principals
JORDAN, JEFFERY
DAVID, PARTNER/MEMBER
HANLEYBROWN,
JASON, PARTNER/MEMBER
Doing business as
FAST WATER HEATER COMPANY
WA UBI No.
602 564 544
Parent company
FWH ACQUISITION COMPANY LLC
11715 N CREEK PARKWAY S, C-106
BOTHELL, WA 98011
425-814-8381
KING County
Business type
Limited Liability Company
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Construction Contractor
License specialties
GENERAL
License no.
FASTWWH948BC
Effective — expiration
01 /03/2006— 01/04/2016
Bond
DEVELOPERS SURETY & INDEM CO
Bond account no.
549792C
Received by L&I
01/03/2006
Insurance
American States Insurance Co
Policy no.
01C155607620
Active.
Meets current requirements.
$12,000.00
Effective date
01 /01 /2005
Expiration date
Until Canceled
$1,000,000.00
Received by L&I
Effective date
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602564544&LIC=FASTWWH948BC&SAW= 11/07/2014