HomeMy WebLinkAboutPermit PG19-0108 - DELTA MASONIC HALL - REPLACE ELECTRIC WATER HEATERDELTA MASONIC HALL
13034 41ST AVE S
PGI 9-0108
Parcel No:
Address:
�"^�xx °�� Tukwila
v~U~� x�n n K�n����oa
Department ofCommunity Development
G3U05outhcenterBoulevard, Suite#1O0
Tukwila, Washington 9818O
Phone:206'431'3G70
Inspection Request Line: IO6'438'9350
Web site: http://www.TukwilaWA.gov
7341600050
PLUMBING/GAS PIPING PERMIT
Project Name: DELTA MASONIC HALL
Permit Number: PG19'0I08
Issue Date: 7/23/2019
Permit Expires On: I/19/2020
Owner:
Name:
Address:
Contact Person:
Name:
Contractor:
Name:
Address:
License No:
Lender:
Name:
DELTA MASONIC HALL
l3O344lSTAVE 5O'SEATTLE,WA,
98168
TOM HAGAR
VVASM|NGTONWATER HEATERS INC
POBOX 592O8'R[NTON,WA, 98058
VVASM11~9800P
'~'
Phone: (425)345-3003
Phone: 000978-888
Expiration Date: 9/17/2020
DESCRIPTION OF WORK:
REMOVE & REPLACE I ELECTRIC WATER HEATER
Valuation of Work: $3,500.00
Water District: 125
Fees Collected: $127.62
Current Codes adopted by the City of Tukwila:
International Building Code Edidom
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
International Fuel Gas Code:
2015
2015
2015
2015
2015
National Electrical Code:
vVACities Electrical Code:
VVAC29640B:
VVAState Energy Code:
it Center Authorized Signature:
Date�~1
05
11
I hearby certify that I have read and examined this permit and know the same to be true and correct. All
provisions cflaw and ordinances governing this work will becomplied 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 orlocal laws regulating construction orthe nceofwork. |amauthorized tosign and obtain this
deve|opn�a4p,ermitand agree tothe conditions at4chedtothis permit,
Signature:
Print Name:
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 fora period of l80days from the last inspection.
PERMIT CONDITIONS:
l: ***PLUN1B|NG/GAGPIPING PERMIT ODNDODONS***
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 beinstalled incompliance with the Uniform Plumbing Code and
the Fuel Gas Code.
5: Noportion ufany plumbing system orgas piping shall beconcealed 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 beconducted inthe presence nfthe Plumbing Inspector. |tshall hethe duty of
the holder ofthe permit tomake 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 ismade toprotect such pipe from freezing, All hot and cold water pipes
installed outside the conditioned space shall beinsulated tominimum R-3.
O: 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 18XauXe.
9: Piping through concrete or masonry walls shall not be subject to any load from building construction. No
plumbing piping shall bedirectly embedded in concrete or masonry.
10: All pipes penetrating floor/ceiling assemblies and fire -resistance rated walls orpartitions shall be protected
inaccordance with the requirements ofthe building code.
11: Piping inthe ground shall belaid onafirm bed for its entire length. Trenches shall bebackfiUedinthin
layers to twelve inches above the top of the piping with clean earth, which shall not contain stones,
boulders, dnderfiU'frozen earth, o,construction debris,
12: The issuance ofapermit orapproval ofplans and specifications shall not hpconstrued tobeapermit for, or
an approval of, any violation of any of the provisions of the Plumbing Code or Fuel Gas Code or any other
ordinance ofthe 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 nf
plumbing fixtures in all residonda|, hnte|, motel, school, industrial, commercial use o,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: (IV6)u3a-935O
2000 GAS PIPING FINAL
8004 GROUNDWORK
1900 PLUMBING FINAL
9002 ROUGH -IN GAS PIPING
8005 KOUGH'|NPLUK4U|NG
9001 UNDERGROUND
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd, Sutte 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
''''' (6.
Plumbing/Gas Permit No. \,
VIL,',1
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:
King Co Assessor's Tax No.: 7341600050
13034 41ST AVE S
Tenant Name:
Suite Number:
PROPERTY OWNER
Name: DELTA MASONIC HALL-RJCK CHAP;MA1
Address:
13034 41ST AVE S
City: TUKWILA' State: WA Zip: 98168
CONTACT PERSON — person receiving all project
communication
Name: TOM HAGAR
Address: 17152 116TH AVE SE
City: RENTON State: WA Zip: 98058
Phone: (425) 345-3003 Fax: (866) 375-7454
Email: WAWAHVAC@GMAIL.COM
Floor:
New Tenant: 111 Yes ..No
PLUMBING CONTRACTOR LNFORMATION
Company Name: WASHINGTON WATER HEATERS
Address: 17152 116TH AVE SE
City: RENTON State: WA Zip: 98058
Phone:
(425) 883-4871 Fax: (866) 375-7454
Contr Reg No.: WASIIII*9800P Exp Date: 09/17/2020
Tukwila Business License No.: BUS-0997623
Valuation of Project (contractor's bid price): $ 3,500
Scope of Work (please provide detailed information):
REMOVE & REPLACE I ELECTRIC WATER HEATER
Building Use (per Inel Building Code):
Occupancy (per I WI Building Code):
Utility Purveyor: Water: Sewer
11 \ ApplicationsWorms-Applications On Line \ 2011 Applications \ Plumbing Permit Application Revised 8-9- 1 1.door
Revised: August 201
hh
Page 1 of 2
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
Fixture Type
Qty
Bathtub or combination
bath/shower
Dishwasher, domestic with
independent drain
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)
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 men) diameter or
smaller
Atmospheric -type vacuum
breakers nit 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
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 I-5
inlets/outlets for a specific
gas
Each lawn sprinkler
system on any one meter
including backflow
protection devices
PERMIT 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 oftime 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 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STA7 OF WASHINGTON, AND 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNE(R�1O/'R�4U�'HORIZEI)'}�G
Signature: /'/ ��"'`�`�' ��//ll((��//
Date: 07/22/2019
Print Name: JACCI DANIELS Day Telephone: (425) 883-4871
Mailing Address: 17152 116TH AVE SE
RENTON WA 98058
City State Zip
H:\Applications\Forms-Applications On Line\2011 Applications\Plumbing Permit Application Revised 0-9.11.docx
Revised: August 2011
bh
Page 2 of 2
Receipt Number
DESCRIPTIONS
PermitTRAK
1 ACCOUNT I
QUANTITY
PAID
$127.62
PG19-0108 Address: 13034 41ST AVE S
Apn: 7341600050
$127.62
Credit Card Fee
$3.72
Credit Card Fee
R000.369.908.00.00
0.00
$3.72
PLUMBING
$118.00
PERMIT FEE
R000.322.100.00.00
0.00
$83.00
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$35.00
TECHNOLOGY FEE
$5.90
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R18171
R000.322.900.04.00
0.00
$5.90
$127.62.
Date Paid: Tuesday, July 23, 2019
Paid By: WASHINGTON WATER HEATERS INC
Pay Method: CREDIT CARD 002526
Printed: Tuesday, July 23, 2019 9:38 AM 1 of 1
YSTEMS
0
CO
CITY OF TUKWILA
8017340000802374464508
Date: 87/23/28I9 09:38:89 Am
CREDIT CARD SALE
VISA
CARD NUMBER: ******^***9900 K
TR4N AMOUNT: $127.62
APPROVAL [B: 002526
RECORD #: 000
CLERK ID: oachelle
{CARDHOLDER'S SIGNATURE)
I AGREE TO PAY THE ABOVE TOTAL AMOUNT
ACCORDING TO THE CARD ISSUER AGREEMENT
Thank you!
Merchant Copy
CO TUKWIL4 ETRAKIT
0208 SOUTH[EwTER BLvo
TVxWILA, W4 98I88
206'433'1870
CITY OF TUKWILA
Date: 87/23/2019 09:38:09 AM
CREDIT CARD SALE
vz5A
[xxD NUMBER: ****+*+**~9980 x
TKAN AMOUNT: $127.62
APPROVAL [D: 002528
RECORD #: 000
CLERK ID: RacheIle
Thank you!
Customer Copy
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-
Permit Inspection Request Line (206) 438-9350
:
'ect�
Hcal)7C‘ a-;
ri-werte6 Ty f inspectiZ>on:
Aress:
Date Called:
Special Instructions:
Date Wanted: .
'Requester:
1
Phone No:
fpproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
ns pector:
Date:
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
WASHINGTON WATER HEATEtNC
Hume Iiiisnaciol Couplet
Page 1 of 2
Search L81
Safety & Health Claims & Insurance
Washington State Department of
j Labor & Industries
A-Z Index Iltp
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
THOMAS
J
HAGAR
STEVEN D HYDE;
STEVEN R SKEEN;
Certifications & Endorsements
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.
WASHII*9800P
Effective -- expiration
09/17/2002— 09/17/2020
Bond
Western Surety Co
Bond account no.
63742542
$12,000.00
Received by L&I Effective date
09/27/2018 09/16/2018
Expiration date
Until Canceled
Bond history
Insurance
American Family Mutual Insuran $2,000,000.00
Policy no.
Help us improve
0..7 Ti,—X17 A CT_TTT*ClOnr102,Q A \17- 1/21 /1111
WASHINGTON WATER HEATER NC
46X3953501
Page 2 of 2
Received by L&I Effective date
02/22/2019 02/18/2019
Expiration date
02/18/2020
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&l Taxdebts
No CM 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
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.
PBUJDO0497
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.
Satisfied
RCW/WAC
18.106.020
Violation amount
$500.00
Satisfied
RCVV/VVAC
18.106.020
Violation amount
$250.00
Workers' comp
Public Works Requirements
Workplace safety and health
Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington.
Help us improve
littnc•//cr-cure lni vva orw/ve.rifv/Detail asnx9I MI=602214757 I, C=WASHII*9800P&SAW= 7/23/2019
WASHINGTON WATER HEATEItNC
Home Ill„.sna fie I Contact
Page 1 of 2
Safety & Health Claims & Insurance
°Ilk Washington State Department of
Labor & Industries
A-Z Index !tell.)
My 14i1
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
THOMAS
J
HAGAR.
STEVEN D HYDE;
STEVEN R SKEEN;
Certifications & Endorsements
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations,
Construction Contractor
License specialties
GENERAL
License no.
WASHII*9800P
Effective — expiration
09/17/2002— 09/17/2020
Bond
Western Surety Co
Bond account no.
63742542
Active.
Meets current requirements.
$12,000.00
Received by L&I Effective date
09/27/2018 09/16/2018
Expiration date
Until Canceled
Bond history
Insurance
American Family Mutual Insuran
Policy no,
$2,000,000.00
Help us improve
OT r_rryln 1 A'7C'7 QT Tr'-117 A OT_TTT*C1011(11) P.0 A A11—
-7P1-2 /-)fil 0
WASHINGTON WATER HEAT 'Rs-,INC
46X3953501
Page 2 of 2
Received by L&I Effective date
02/22/2019 02/18/2019
Expiration date
02/18/2020
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.
Ltil Tax debts
No Lad 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
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.
PBUJDO0497
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.
Satisfied
RCW/WAC
18.106.020
Violation amount
$500.00
Satisfied
RCW/WAC
18.106.020
Violation amount
$250.00
Workers' comp
Public Works Requirements
Workplace safety and health
r:0 Washington Stale Dept. of Labor 6 Industries. Use of this site is subject to the laws of the state of Washington.
Help us improve
littns.//ce,c.nreini .wa.goviverifv/Detail.aspx?UBI=6022147578z.LIC=WASHII*9800P&SAW= 7/23/201'