HomeMy WebLinkAboutPermit PG09-001 - BARLOW RESIDENCEBARLOW RESIDENCE
13716 MACADAM RD S
PGO9-OO1
Parcel No.: 7347600407
Address:
Suite No:
13715 MACADAM RD S TUKW
Tenant:
Name: BARLOW RESIDENCE
Address: 13716 MACADAM RD S , TUKWILA WA
Owner:
Name: BARLOW DOUGLAS W +JACKSTADT,
Address: 13715 MACADAM RD S , SEATTLE WA
Contact Person:
Name: DOUGLAS BARLOW
Address: 13716 MACADAM RD S , TUKWILA WA
Contractor:
Name: FAST WATER HEATER COMPANY
Address: 12601 132ND AVE NE , KIRKLAND WA
Contractor License No: FASTWWH948BC
DESCRIPTION OF WORK:
REMOVE AND REPLACE GAS WATER HEATER
Value of Plumbing /Gas Piping:
Fees Collected:
$500.00
$105.00
Plumbing
Bathtub or combination bath/shower
Bidet
Clothes washer, domestic
Dental unit, cuspidor
Dishwasher, domestic, with independent drain
Drinking fountain or water cooler (per head)
Food -waste grinder, commercial
Floor drain
Shower, single head trap
Lavatory
Wash fountain
Receptor, indirect waste
Sinks
Urinals
Water Closet
doc: UPC -10/06
Citybf 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.ci.tukwila.wa.us
PLUMBING /GAS PIPING PERMIT
FIXTURE TYPE AND QUANTITY
* *continued on next page **
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 206 439 -8593
Phone: (425)814 -3124
Expiration Date: 01/03/2010
PG09 -001
01/06/2009
08/04/2009
Uniform Plumbing Code Edition: 2006
International Fuel Gas Code Edition: 2006
Plumbing (cont.)
0 Building sewer and each trailer park sewer 0
0 Rain water system - per drain (inside bldg) 0
0 Water heater and /or vent 1
0 Industrial waste treatment interceptor, including
0 its trap and vent, except for kitchen type
0 grease interceptors 0
0 Repair or alteration of water piping and/or water
0 treatment equipment 0
0 Repair or alteration of drainage or vent piping 0
0 Medical gas piping system serving (1 -5)
0 inlets /outlets for a specific gas 0
0 Medical gas piping (6 +) inlets /outlets 0
0 Gas Piping
0 Gas piping outlets (0 -5) 0
0 Gas piping outlets (6 +) 0
PG09 -001 Printed: 02 -13 -2009
Permit Center Authorized Signature:
I hereby certify that I have read and e x
governing this work will be complied\wit
The granting of this pe • t oes not pre
construction or the p = o • ancg5' ork.
Signature:
doc: UPC -10/06
City o "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.ci.tukwila.wa.us
Permit Number:
Issue Date:
Permit Expires On:
PG09 -001
01/06/2009
08/04/2009
Date:
ned this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
e to give authority to violate or cancel the provisions of any other state or local laws regulating
thou. --d to sign and obtain this plumbing /gas piping permit.
Date:
Print Name: .. OL;GJlys /' -u
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.
PG09 -001 Printed: 02 -13 -2009
Parcel No.: 7347600407
Address:
Suite No:
CiOV 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.ci.tukwila.wa.us
13716 MACADAM RD S TUKW
Tenant:
Name: BARLOW RESIDENCE
Address: 13716 MACADAM RD S , TUKWILA WA
Owner:
Name: BARLOW DOUGLAS W +JACKSTADT,
Address: 13715 MACADAM RD S , SEATTLE WA
Contact Person:
Name: DOUGLAS BARLOW
Address: 13716 MACADAM RD S , TUKWILA WA
Contractor:
Name: FAST WATER HEATER COMPANY
Address: 12601 132ND AVE NE , KIRKLAND WA
Contractor License No: FASTWWH948BC
DESCRIPTION OF WORK:
REMOVE AND REPLACE GAS WATER HEATER
Value of Plumbing /Gas Piping:
Fees Collected:
doc: UPC -10/06
$500.00
$105.00
Plumbing
Bathtub or combination bath/shower 0
Bidet 0
Clothes washer, domestic 0
Dental unit, cuspidor 0
Dishwasher, domestic, with independent drain 0
Drinking fountain or water cooler (per head) 0
Food -waste grinder, commercial 0
Floor drain 0
Shower, single head trap 0
Lavatory 0
Wash fountain
Receptor, indirect waste 0
Sinks 0
Urinals 0
Water Closet 0
PLUMBING /GAS PIPING PERMIT
FIXTURE TYPE AND QUANTITY
0
* * continued on next page **
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 206 439 -8593
Phone: (425)814 -3124
Expiration Date: 01/03/2010
PG09 -001
01/06/2009
07/05/2009
Uniform Plumbing Code Edition: 2006
International Fuel Gas Code Edition: 2006
Plumbing (cont.)
Building sewer and each trailer park sewer 0
Rain water system - per drain (inside bldg) 0
Water heater and /or vent 1
Industrial waste treatment interceptor, including
its trap and vent, except for kitchen type
grease interceptors 0
Repair or alteration of water piping and/or water
treatment equipment 0
Repair or alteration of drainage or vent piping 0
Medical gas piping system serving (1 -5)
inlets /outlets for a specific gas 0
Medical gas piping (6 +) inlets /outlets 0
Gas Piping
Gas piping outlets (0 -5) 0
Gas piping outlets (6 +) 0
PG09 -001 Printed: 01 -06 -2009
Permit Center Authorized Signature:
The granting of this permit does not pres
construction or the performance of
Signature:
Print Name:
doc: UPC -10/06
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.ci.tukwila.wa.us
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.
e to •ive au hori
Iam o Ll-dt
<4 / L/7(/
Permit Number: PGO9 -001
Issue Date: 01/06/2009
Permit Expires On: 07/05/2009
Date:
Date:
to violate or cancel the provisions of any other state or local laws regulating
and obtain this plumbing /gas piping permit.
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.
PG09 -001 Printed: 01 -06 -2009
Parcel No.: 7347600407
Address:
Suite No:
Tenant:
1: ** *PLUMBING AND GAS PIPING * **
doc: Cond -10/06
BARLOW RESIDENCE
•
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.ci.tukwila.wa.us
13716 MACADAM RD S TUKW
PERMIT CONDITIONS
* *continued on next page **
Permit Number:
Status:
Applied Date:
Issue Date:
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.
PG09 -001
ISSUED
01/05/2009
01/06/2009
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.
PG09 -001 Printed: 01 -06 -2009
I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and
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 provision of any other work
construction or the performance of work.
Signature:
Print Name:
• •
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.ci.tukwila.wa.us
74/-wfik
doc: Cond -10/06 PG09 -001
Date: / C> 6- o9'
ordinances governing
or local laws regulating
Printed: 01 -06 -2009
CITY OF TUKWILA
Community Developmenteartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.ttikwila.wa.(
Site Address: 137118 MACADAM RD S
Tenant Name:
Property Owners Name: BARLOW, DOUGLAS
Mailing Address: 13715 MACADAM RD S
Name: BARLOW, DOUGLAS
Mailing Address:
E -Mail Address:
1 .:PLUIVIRDIatGAS:PIPThIG . .CONT RA C TORDIF.ORMATIO
Company Name: FAST WATER HEATER COMPANY
Mailing Address: 12601 132ND AVE NE
Carol Randall
E -Mail Address: carolr @fastwaterheater.corn
Contractor Registration Number: FASTWWH948 BC
Contact Person:
Company Name:
Mailing Address:
E -Mail Address: _
Plumbing /Gas P mit No. 1
Project No:
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 **
KIRKLAND
City
or o�tat t sk of
King Co Assessor's Tax No.: 7347600407
Suite Number: Floor:
New Tenant: (J .... Yes f ..No
State
CONTACT PERSON -Who dti ; we contact When your permit is ready to; be issued
Day Telephone: (206)439 -8593
State
City
Fax Number:
WA 98034
City State Zip
Day Telephone: 800454 -8955 x 133
Fax Nr: 425 814 -9516
Expiration umbe Date: 1/4/2010
•
ARCHITECT OF RECORD' -= All :plans must be wet stamped by
�chitect of Record :-
State
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
O ='All taus. must. be: wet stamped' byEng neer of Record_
IENGINEER OF REC RD p
l
Company Name:
Mailing Address:, City
Contact Person: Day Telephone:
Fax Number:
State
Zip
Zip
425815
Zip
Zip
Page 1 of 2
Future: a
TYP =�
Qh'
FiztirreTYPO: ;:: ,:
Qty
I+'IattUee T -:':: -:
.:.. Typo:
'Qty
;Type: ; Flxture .:
Qty
Bathtub or combination
bath/shower
Drinking fountain or water
cooler (per head)
Wash fountain
Gas piping outlets
Bidet
Food -waste grinder;
commercial
Receptor, indirect
waste
Clothes washer, domestic
Floor drain
Sinks
Dental unit, cuspidor
Shower, single head trap
Urinals
Dishwasher, domestic,
with independent drain
Lavatory
Water Closet
Building sewer or trailer
park sewer
Rain water system — per
drain (inside building)
Water heater and/or
vent
1
Additional medical gas
inlets/outlets — six or more
Industrial waste
pretreatment interceptor,
including its trap and vent,
except for kitchen type
grease interceptors
Repair or alteration of water
piping and /or water treating
equipment
Repair or alteration
of drainage or vent
piping
Medical gas piping system
serving one to five
inlets/outlets for specific gas
Valuation of Project (contractor's bid price' : $
Scope of Work (please provide detailed information): Remove /Replace Gas Water Heater
Building Use (per Intl Building Code):
Occupancy (per Int'I Building Code):
Utility Purveyor: Water: _ Sewer:
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR AUTHORIZED AGENT:
Carol M W Randall
Signature:
Print Name:
Date Application Accepted:
Q :Upplleationalponns•Applieadons on LineU•2006 - Plumbing -Gm Piping Penal Applleation.doe
Revised: 4.2006
bh
O5
Date Application Expires:
Date: 12/29/08
Day Telephone: 800 -454 -8955 x 133
Mailing Address: 12601 132ND AVE NE KIRKLAND WA 98034
City State Zip
Staff Initials:
V
age 2 of 2
Receipt No.: R09 -00013
Initials: WER
User ID: 1655
Payee: FAST WATER HEATER
ACCOUNT ITEM LIST:
Description
PLUMBING - RES
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.ci.tukwila.wa.us
Payment Check 6656 105.00
TRANSACTION LIST:
Type Method Descriptio Amount
RECEIPT
Parcel No.: 7347600407 Permit Number: PG09 -001
Address: 13716 MACADAM RD S TUKW Status: APPROVED
Suite No: Applied Date: 01/05/2009
Applicant: BARLOW RESIDENCE Issue Date:
Account Code Current Pmts
000.322.103.00.0 105.00
Total: $105.00
Payment Amount: $105.00
Payment Date: 01/06/2009 11:30 AM
Balance: $0.00
1164 01/06 9707 TOTAL 105.00
doc: Receiot - 06 Printed: 01 -06 -2009
Pr ob e
L Aflc>✓u 92 <5
Type f Inspection:
, y 0 —..v ?ii ,
Address:
Da*lled :R ( L....
Special In ructions:
/
Date Wanted:
a.
Requester:
Phone No:
� a ‘ .415 C - g5 I
L
• p
r
4-,
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PL
(
PERMIT NO. 0 6 ,7 /
(206)431- 6 0
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
r
Inspecto(
Date: 2 w
0 $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
SG50T12AVH00 - GE® Gas Water Heater - Product Details
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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
Name
Role
Effective Date
Expiration Date
JORDAN, JEFF
PARTNER /MEMBER
01/03/2006
Amount
HANLEYBROWN, JASON
PARTNER /MEMBER
01/03/2006
DTEC00658M42ATIL08
Insurance
Company
Name
Policy Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Amount
Received
Date
5
TRAVELERS
PROP a
CAS
DTEC00658M42ATIL08
02/17/2008
02/17/2009
$1,000,000.0002
/15/2008
4
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INS CO
C01167977
01/01/2008
02/17/2009
$1,000,000.00
01/22/2008
Untitled Page
General /Specialty Contractor
A business registered as a construction contractor with L8J 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
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent
Company
FAST WATER HEATER
COMPANY
4258143124
12601 132ND AVE NE
KIRKLAND
WA
98034
KING
LIMITED LIABILITY
COMPANY
FWH ACQUISITION
COMPANY LLC
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Previous
License
Next License
Associated
License
Specialty 1
Specialty 2
602564544
ACTIVE
FASTWWH948BC
CONSTRUCTION
CONTRACTOR
1/3/2006
1/4/2010
FASTWHCO52DF
GENERAL
UNUSED
Business Owner Information
Bond Information
Insurance Information
I
https: // fortress. wa. gov /lni/bbip/Detail.aspx ?License= FASTWWH948BC
Page 1 of 2
01/06/2009