HomeMy WebLinkAboutPermit PG17-0076 - BALDWIN RESIDENCE - GAS WATER HEATERBALDWIN RESIDENCE
13723 43 PL S
PGI 7-0076
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
2612000290 Permit Number: PG17-0076
13723 43RD PL S
Project Name: BALDWIN RESIDENCE
Issue Date: 6/16/2017
Permit Expires On: 12/13/2017
Owner:
Name:
BALDWIN BRIAN G & ANA
Address: 13719 43RD PL S , TUKWILA, WA,
98168
Contact Person:
Name: JACCI DANIELS
Address: PO BOX 59208 , RENTON, WA, 98058
Contractor:
Name: WASHINGTON WATER HEATERS INC
Address: PO BOX 59208 , RENTON, WA, 98058
License No: WASHII*980OP
Lender:
Name:
Address:
1/!
Phone: (800) 978-8588
Phone: (800) 978-8588
Expiration Date: 9/17/2018
DESCRIPTION OF WORK:
REMOVE/REPLACE GAS WATER HEATER
Valuation of Work: $2,200.00
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
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2014
2014
2014
2015
Permit Center Authorized Signature:
Date:
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
develop nt permit and agre l' a conditions attached to this permit.
Signature: 11
Print Name:
o,t.b1 17
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:
<NONE>
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
1900 PLUMBING FINAL
8005 ROUGH -IN PLUMBING
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Plumbing/Gas Permit No. 'li1 -on(
Project No.
Date` Application Accepted:
.
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
Site Address:
Tenant Name:
/3-123 43 rL p1 5
Iv t
King Co Assessor's Tax No.: eQ(j ON- Qa ya
PROPERTY OWNER
'
Name: i3 e rein ealot W i 0
Address: PO Box 59208
Address: r
3 -r2, L rd v l S
1
City: Renton State: WA
City: '1/, .._ l State: WA,
Zip: q 01110
CONTACT PERSON - person receiving all, project,
communication `z, ' .-
Name: Jacci Daniels
Address: PO Box 59208
Address: PO Box 59208
Phone: (800) 978-8588 Fax: (866) 375-7454
City: Renton State: WA
Zip: 98058
Phone: (800) 978-8588 Fax: (866)
375-7454
Email: wawahvac@gmail.com
Suite Number: Floor:
New Tenant: ❑ Yes
o
PLUMBING CONTRACTOR INFORMATION
Company Name: Washington Water Heaters
Address: PO Box 59208
City: Renton State: WA Zip: 98058
Phone: (800) 978-8588 Fax: (866) 375-7454
Contr Reg No.: WASHII*9800P Exp Date: 09/17/2018
Tukwila Business License No.: BUS0993501
Valuation of Project (contractor's bid price): $ —2:2t) L _
Scope of Work (please pro ide detailed information): f e Q�i.CrnQ_ J� ' (� ad w k
ukk-
Remove and Replace' E /'� c Water Heater(s)
Building Use (per Int'I Building Code):
Occupancy (per Int'I Building Code):
Utility Purveyor: Water: Sewer:
H:\Applications\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:
Fixture Type
Bathtub or combination
bath/shower
Dishwasher, domestic with
independent drain
Shower, single head trap
Qty
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
Dental unit, cuspidor
Floor drain
Receptor, indirect waste
Qty
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
PERMIicT.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 EXA INED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STA TI F WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILD G % MI AUTaRIZE 1; • GENT:
Signatur .
�,/ C � � � Date:�f( ,
Print Name: lam. �{ b✓ f. (t CS Day Telephone: 1 Z& -n3 `1 t7,
Mailing Address: \ v ( O x �/� Z6 12--emkt'oyukiQ
City State Zip
(0-1U-4-7
H:\ApplicationsWornss-Applications On Line \2011 Applications\Plumbing Permit Application Revised 8-9-I I.docx
Revised: August 2011
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Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
I ACCOUNT I QUANTITY
PAID
$49.80
PG17-0076 Address: 13723 43RD PLS
Apn: 2612000290
$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: R11733
R000.322.900.04.00 0.00
$2.37
$49.80
Date Paid: Friday, June 16, 2017
Paid By: WASHINGTON WATER HEATERS INC
Pay Method: CHECK 6877
Printed: Friday, June 16, 2017 10:32 AM 1 of 1
CiSYSTEMS
INSPECTION RECORD
Retain a copy with permit P6-17-00747INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION\\\V
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367
Permit Inspection Request Line (206) 438-9350
Project:
/3/4 tL)iN R1Z5ID C,
Type of Inspection:
FllelkL PLUMBING-
Address:Date
13723 g3Rw PL. S/
Called:
Special Instructions:
Date Wanted:
62 ."2-7 -17
a.m:
Requester:
Phone No:
LL 11 Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
G K. 5_044 aNG_
Inspector:
Date:/ g�7-`7
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be,
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
t t7 -y7(,
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project:
-LD10 N Rg5iDC-NC>
Type of Inspection:
Ratk-µ-/N P1 -0)14,91,14G -
Address:
/372 3 I/3RD PL, S' o
Date Called:
Special Instructions:
Date Wanted:
(
"2717
p.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
o - Ra L)&/ /N PLoen,Il)a-
Inspector:
Date:
-2 17
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be,
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
WASHINGTON WATER HEATER" INC
-Lome Fspaiiol Contact
Safety & Health Claims & Insurance
0 Washington State Department of
Labor & Industries
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A -Z Index help My IMI
Workplace Rights Trades & Licensing
WASHINGTON WATER HEATERS INC
Owner or tradesperson
Principals
HAGAR, THOMAS JEFFREY, PRESIDENT
SKEEN, STEVEN ROGER, VICE PRESIDENT
HYDE, STEVEN DORAN, VICE PRESIDENT
SKEEN, STEVE, SECRETARY
(End: 09/02/2010)
HAGAR„ THOMAS, TREASURER
(End: 09/02/2010)
Doing business as
WASHINGTON WATER HEATERS INC
WA UBI No.
602 214 757
PO BOX 59208
RENTON, WA 98058
800-978-8588
KING County
Business type
Corporation
Governing persons
STEVEN
D
HYDE
STEVEN R SKEEN;
THOMAS J HAGAR;
License
Verify the contractors active registration / license / certification (depending on trade) and any past violations.
Construction Contractor Active.
Meets current requirements.
License specialties
GENERAL
License no,
WASHII*9800P
Effective — expiration
09/17/2002— 09/17/2018
Bond
.............
Lexon Ins Co
Bond account no.
9809771
Received by L&I
08/16/2011
Bond history
Insurance
..............................
American Family Mutual Insuran
Policy no,
46-X39535-01
$12,000.00
Effective date
09/16/2011
Expiration date
Until Canceled
$2,000,000.00
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WASHINGTON WATER HEATER INC
Received by L&I Effective date
02/15/2017 02/18/2017
Expiration date
02/18/2018
Insurance history
Savings
........................
No savings accounts during the previous 6 year period.
Lawsuits against the bond or savings
No lawsuits against the bond or savings accounts during the previous 6 year period.
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.
PSACE00428 Satisfied
RCW/WAC
Issue date
08/05/2016
Violation city
RENTON
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.
PBUJD00497
Issue date
11/07/2014
Violation city
BELLEVUE
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. Contractor employed Stephen
Pearson to install a hot water heater without a
valid plumbing certification.
18.106.020
Violation amount
$500.00
Satisfied
...........................
RCW/WAC
18.106.020
Violation amount
$250.00
Workers' comp
Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums.
L&I Account ID Account is current.
052,899-00
.................................
Doing business as
WASHINGTON WATER HEATERS INC
Estimated workers reported
Quarter 1 of Year 2017 "7 to 10 Workers"
L&I account contact
Employer Services Help Line — 360-902-4817
Workplace safety and health
No inspections during the previous 6 year period.
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