HomeMy WebLinkAboutPermit PG17-0126 - GALICIC RESIDENCE - ELECTRIC WATER HEATERGALICIC RESIDENCE
15255 SUNWOOD BLVD A44
PGI7-0126
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
WATER HEATER PERMIT
8141400240 Permit Number:
15255 SUNWOOD BLVD A44
Project Name: GALICIC RESIDENCE
Issue Date:
Permit Expires On:
PG 17-0126
10/10/2017
4/8/2018
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
GALICIC ROGER W
3110 W LK SAMM PKWY SE #19 ,
BELLEVUE, WA, 98008
KATY KEHLE
11715 N CREEK PKWY S #C-106 ,
BOTHELL, WA, 98011
FAST WATER HEATER COMPANY
11715 N CREEK PKWY S STE C-106 ,
BOTHELL, WA, 98011
FASTW W H948 BC
/l!
Phone: (425) 636-7084
Phone: (425) 636-7084
Expiration Date: 1/4/2018
DESCRIPTION OF WORK:
REPLACE ELECTRIC WATER HEATER
Valuation of Work: $1,562.00
Water District:
Sewer District:
Fees Collected: $49.80
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
International Fuel Gas Code:
Permit Center Authorized Signature:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2014
2014
2014
2015
Date: 0' t0-1
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 permit and agree to the condi io •ttached to this permit.
Signature Date: r
Print Name: ZDI`'`l ,1-66---``
This permit shall become null and oid 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: ***PLUMBING/GAS PIPING PERMIT CONDITIONS***
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 gauge.
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.
13: The applicant agrees that he or she will hire a licensed plumber to perform the work outlined in this permit.
14: All new plumbing fixtures installed in new construction and all remodeling involving replacement of
plumbing fixtures in all residential, hotel, motel, school, industrial, commercial use or other occupancies
that use significant quantities of water shall comply with Washington States Water Efficiency ad
Conservation Standards in accordance with RCW 19.27.170 and the 2006 Uniform Plumbing Code Section
402 of Washington State Amendments
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
1900 PLUMBING FINAL
8005 ROUGH -IN PLUMBING
CITY OF TUKWILA
Community Developm Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.1 ukwilaWA.gov
Plumbing/G- permit No. P611-- 01)44
ProjectNo,
Date Application Accepted;:.
Date Application Expires:
Far,ofce 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
(� /� K g Co Assessor's Tax No.: U 114 1 ",0 -Do 1O
Site Address: I 96 (� U �il �0�/ �l jV Suite Number: t114 LI Floor:
K Ob K AMA V ( C i G New Tenant: ❑ Yes
Tenant Name:
PROPERTY OWNER
Name: (o 6,co-/Am
Address: 14"---C Uv wo d �u D 4
-,/55--c)
(1,3,1
City: 1-) V W/L
L, State:' , /1 _(,C�lZip
CONTACT PERSON —'person receiving aril. project
communication,: s �-
Name: KA.Ty k f, 1 Le_
Address: 1 I --4_ tj <V C kc \,`. C,1 Owp
City: ;1 o j i „jj t2,
State:Zip: gm ,
I (,(
Phone: q,),5-bs _NLFax: _ j5 -63(.0-,,D5
Email: KKE &ccksk1A;G�fi1\Aktk.A-eit-, LOAM
PLUMBING ;CONTRACTOR 11)14'000 -00 `. 4
Company Name: �AST SVA -c- 1~ RaA
1
t Address: 1 I� 1s- lie. /t - W1 - b%—A 0 6
Ii,
City: y1 . ` State: wI Zip:(1 v),t
Phone:1,!a��j�V�o';v" Fax:L,{g5 LD3v-.0j
Contr Reg No.: i(STWWwiL4c66CExp Date: \_ il , i t
Tukwila Business License No.: oI ,S _ 61,01 ke 320
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
Z-evn D\r-/v 1 Cit i -eilef G 0L--*-€Ar-
1A.e. Ck+
Building Use (per Int'l Building Code):
Occupancy (per Int'l Building Code):
Utility Purveyor: Water:
H:\ApplicationAForms-Applications On Line \2011 Applications\Plumbing Permit Application Revised 8-9-11.docx
Revised: August 2011
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Sewer:
Page 1 of 2
Indicate type of plumbing fixtures and/or aas piping outlets being installed and the quantit" 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
Washfountain
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
R1tiIIT APPLE ETION'NOTES
F;+u: ri4.,;'. a"?} .:T,^"t,a. n,
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 OWNER OR AUTHORIIZED AGENT:
Signature: lill}L7
Print Name: Day Telephone:
Mailing AddressI
: j 1 tC4'qPJ(v\PI S C' 16 / D(JT e I 1,
City
H:Wpplications\Forms-Applications On Line \2011 Applications\Plumbing Permit Application Revised 8-9-11.docx
Revised: August 2011
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Date: la ' a '
25 (9 3to'-0
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State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS ACCOUNT . 1 QUANTITY
PermitTRAK
PAID
$49.80
PG17-0126 Address: 15255 SUNWOOD BLVD A44 Apn: 8141400240.
$49.80
PLUMBING
$47.43
PERMIT ISSUANCE BASE FEE
8000.322.100.00.00
0.00
$33.15
WATER HEATER FIXTURE FEE
R000.322.103.00.00
0.00
$14.28
TECHNOLOGY FEE
$2.37
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R12527
R000.322.900.04.00 0.00
$2.37
$49.80
Date Paid: Tuesday, October 10, 2017
Paid By: FAST WATER HEATER COMPANY
Pay Method: CHECK 3609
Printed: Tuesday, October 10, 2017 8:17 AM 1 of 1
CIMPWSYSTEMS
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
61244
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 438-9350
(206) 431-3670
Project:
C//6 -/C(4,4171,2
Type of Inspection: ice , '
/���°/�7
Address:
/52,5-5- Z.75tlkiIA 3eD BLVD
Date Called:
i
Special Instructions: il...1711
R�6V0i• - PL11 NG- ' 1
191\01-- Pi..iimBiNg
Date Wanted: >
// "/3'/
-7 a.m.
7 P.m.
Requester:
Phone No:-! =b
tt '''.42.2-2ZZ -
- g'.1-.P•4CinC
Ito e3
Ea._Approved per applicable codes. D Corrections required prior to approval.
COMMENTS:
C — , ►,a/4/-
�f� PLI9m <3'N6-
Inspector:
Date:
///3 / 7
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedute reinspection.
FAST WATER HEATER COMPATTv
Washington State Department of
Labor & industries
Home Espanol Cont;.act.
Safety & Health Claims & Insurance
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FAST WATER HEATER COMPANY
Owner or tradesperson
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
Governing persons
JEFFREY
DAVID
JORDAN
JASON HANLEYBROWN;
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Construction Contractor Active.
Meets current requirements.
License specialties
GENERAL
License no.
FASTWWH948BC
Effective — expiration
01/03/2006— 01/04/2018
Bond
DEVELOPERS SURETY & INDEM CO
Bond account no.
549792C
$12,000.00
Received by L&I Effective date
01/03/2006 01/01/2005
Expiration date
Until Canceled
Insurance
American States Insurance Co $1,000,000.00
Policy no.
01C155607661 -
Received by L&I Effective date
02/24/2017 02/17/2017
Expiration date
02/17/2018
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https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602564544&LIC=FASTWWH948BC&SAW= 10/10/2017