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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 bh 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 bh Page 2 of 2 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 Search L&I Page 1 of 3 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 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602214757&LIC=WASHII*9800P&SAW= 06/16/2017 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. Page 2 of 3 tieip us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602214757&LIC=WASHII*9800P&SAW= 06/16/2017