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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 $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: SG50T12AVH00 - GE® Gas Water Heater - Product Details HOME. GE® Gas Water Heater Modelit SG50T12AVH00 Features & Photos Product Details Parts & Related Products Product Documentation View_Largei otraciti tDt1 D'o.to Dr ♦AO'$f GE Appliances PRODUCTS CAPACITY Unit Capacity FEATURES Fuel Type Height Description Sensor WEIGHTS & DIMENSIONS Tank Diameter Tank Height Vent Height Vent Size Approximate Shipping Weight POWER / RATINGS Energy Factor First Hour Delivery GPH Gas (BTU/HR) Recovery in GPH WARRANTY Parts Warranty Labor Warranty Warranty Notes Corporate I Careers I Press Room Recall Information Accessibility Statement I Contact Us Site Map Privacy Policy I Terms of Use SEARCH Select Category s Rvicr S SUPPORT 50 Gal .cm, Natural Gas (factory set) Tall SmartShield "' 21.75 in 5800in 62.00 in 3 in 150.00 lb 0.58 83 00 pair') 40 40 40 gal/h Limited 12 -year tank arid parts Full 1 -year 1n -home warranty See written warranty for full details if: 2008 General Electric Company and its licensors Shopping 'Cart ird'ipre t' iy i sutp,if OrSi,NC;i'J:'lP C11y JAN 2009 LA CF P Page 1 of Sign up for our e Newsletter: Enter E-Mail Address GO View ogirent issue tx • Print This Page Email? his Pact: http: // products: geappliances.com/ApplProducts/ Dispatcher ?REQUEST = SPECPAGE &SKU= SG 12129120E 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 NORTH PACIFIC 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