HomeMy WebLinkAboutPermit PG17-0154 - TICE RESIDENCE - GAS WATER HEATERTICE RESIDENCE
3269 S 137 ST
PGI 7-0154
Parcel No:
Address:
Project Name:
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
8864000445 Permit Number:
3269 S 137TH ST Issue Date:
Permit Expires On:
TICE RESIDENCE
PG 17-0154
11/30/2017
5/29/2018
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
TICE NADINE+TICE JOSEPH A
3269 S 137TH ST, SEATTLE, WA, 98168
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
FASTWWH948BC
/II
Phone: (425) 636-7084
Phone: (425) 636-7084
Expiration Date: 1/4/2018
DESCRIPTION OF WORK:
REMOVE/REPLACE GAS WATER HEATER
Valuation of Work: $1,609.00
Water District: 125
Sewer District: VALLEY VIEW
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:
2015 National Electrical Code:
2015 WA Cities Electrical Code:
2015 WAC 296-46B:
2015 WA State Energy Code:
2015
2014
2014
2014
2015
Permit Center Authorized Signature
rip9
Dale:
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 a:ree to the conditi s -hed to this permit.
Signature: /
Print Name: /2719' -,4 ArGe-t 6C7
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.
Date: // /7
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
Community Development Department
Permit Center
6300 Southcenter Blvt. , quite 100
Tukwila, WA 98188
;www. um] a .aov
Sp
Plumbing/Gas Permit No. a
Project+•No
Date; Application.ti Accepted:.
Date Application $xpifes
(For ace useoriCy)
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 Address: 5g till 5 13:1-.4 5T
King Co Assessor's Tax No.: g$10 \I 00- £ ' "1J
Tenant Name:
1--bs1 -r► c -
Suite Number:
PROPERTY OWNER.
Name: KAT`/ .H Le
Name: ? 05; / 2 4 I �' G E
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Address: 32 Lel ' 3 T-
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CONYT.ACT PERSON .. 'person receiving al] projecC
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Name: KAT`/ .H Le
Address: 1 i �` yb- o C e y-1 ',I S G' I, L,
City: ?)(2 U A -- t 1 State: / prZip: ow\
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Phone: LI 0 j ' ^ S , _Dg" I jFax: 9j 6-J ID�
Email: K K��ik.. ,C,g+w o , (,ty1i
Floor:
New Tenant: El Yes . No
Pit* ;CONTRACTOR .INFOR1 8TiOI T... ._ .::.:..
Company Name: f Jt Sr WA -1-..- e_. i 1f A..Tg
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Address: 1 n, N ci. -- 1' 1101,-1T 5 A,C-, D to
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City:1?-010-NL t l State: W / Zip:01 ico ` I
Phone:]{ us- Lo(12-1... Fax: Los vs Limo Us
Reg_s
Contr No.: f A.,�-ww wi4c6c3CExp Date: \_ t4_ Is
Tukwila Business License No.: f)u5 — b qei (p.--5p6
Valuation of Project (contractor's bid price): $ NO1
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Scope of Work (please provide detailed information):
Building Use (per Int'I Building Code):
Occupancy (per Intl Building Code):
Utility Purveyor: Water: Sewer:
H:Vipplications\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
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
Bidet
Fixture Type
tY
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
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
Fixture Type
Qty
Bathtub or combination
bath/shower
Dishwasher, domestic with
independent drain
Building sewer and each
trailer park sewer
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)
Bidet
Fixture Type
tY
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
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
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 Intemational 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 T AM AUTHORTZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER O� RA�UTTHORIZED AGENT:
Signature: C>� iJ �, \
Print Name: KA -T4 ISE (-t,E_
Day Telephone:
Mailing Address-: , -I. "-)-5 iog.v.f l.% S BQ 1 1
City
,
H:\Applications\Forms-Applications On Line t2011 Applications\Plumbing Permit Application Revised 8-9-11.docx
Revised: August 201 1
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Date:
0 10 31,11-0
State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT QUANTITY
PAID
$49.80
PG17-0154 Address: 3269 S 137TH ST
- Apn: 8864000445
$49.80
PLUMBING
$47.43
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
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: R12898
R000.322.900.04.00 0.00
$2.37
$49.80
Date Paid: Thursday, November 30, 2017
Paid By: FWH ACQUISITION COMPANY
Pay Method: CHECK 3748
Printed: Thursday, November 30, 2017 9:51 AM 1 of 1
Ci SYSTEMS
INSPECTION RECORD
Retain a copy with permit
PC 17-0 :51
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367
Permit Inspection Request Line (206) 438-9350
INSPECTION NO.
PERMIT NO.
Proj
T,y of Inspection:
Address 137Th
7
Date Called:
Special Instrtions:
Date Wanted:
a.m.
����
p.m.
Requester:
i< ArT
Phone No:
/— 11z5- 5-436'70W)-
Vi
Approved per applicable codes. 0 Corrections required prior to approval.
COMMENTS:
Inspector: "FOC Date: p�
1! 1/
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
4/2/2018
City of Tukwila
Department of Community Development
KATY KEHLE
11715 N CREEK PKWY S #C-106
BOTHELL, WA 98011
RE: Permit No. PG17-0154
TICE RESIDENCE
3269 S 137TH ST
Dear Permit Holder:
Allan Ekberg, Mayor
Jack Pace, Director
In reviewing our current records, the above noted permit has not received a fmal 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 5/29/2018.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for the next or fmal 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 5/29/2018, 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,
e iey
Permit Technician
File No: PG17-0154
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
FAST WATER HEATER COMPA1
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Safety & Health Claims & Insurance
21111111Washington State Department of
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Workplace Rights Trades.& Licensing
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— 01/04/2020
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
$1,000,000.00
Insurance
........................
American States Insurance Co
Policy no.
01C155607661
Received by L&I
02/24/2017
Effective date
02/17/2017
Expiration date
02/17/2018
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FAST WATER HEATER COMPANY Page 2 of 5
American States Insurance Co $1,000,000.00
Policy no.
01C155607620
Received by L&I Effective date
01/23/2017 02/17/2014
Expiration date
02/17/2018
Insurance history, .
Savings
..............
No savings accounts during the previous 6 year period.
Lawsuits against the bond or savings
Cause no.
13-2-17632-7KNT
Complaint filed by
AMERICAN FAMILY MUTUAL INS CO
Complaint date
05/29/2013
Open
.................
Complaint against bond(s) or savings
549792C
Complaint amount
$10,825.45
L&I Tax debts
........................................
No L&I tax debts are recorded for this contractor license during the previous 6 year period, but some debts
may be recorded by other agencies.
License Violations
Infraction no.
PCZIK02125 Satisfied
.......................
RCW/WAC
Issue date
06/16/2017
Violation city
BOTHELL
Type of violation
PLUMBER INFRACTION
Description
Contractor employed a person to engage in
the trade of plumbing without a current
journeyman, specialty or trainee certificate,
temporary permit or medical gas endorsement
as required.
Infraction no.
PFAZF00278
Issue date
04/12/2016
Violation city
BOTHELL
Type of violation
PLUMBER INFRACTION
Description
Contractor failed to provide proper
supervision as required.
Infraction no.
FCHMA01002
Issue date
04/01/2016
Violation city
BOTHELL
Type of violation
FAS INFRACTION
Description
Failure to correct alteration violations to a
mobile home or manufactured home as
required.
18.106.020
Violation amount
$1,000.00
Satisfied
RCW/WAC
18.106.020
Violation amount
$1,000.00
Satisfied
...........................
RCW/WAC
43.22.435 RCW
Violation amount
$400.00
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