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HomeMy WebLinkAboutPermit PG06-051 - FIDELITYFIDELITY 16040 CHRISTENSEN RD S, #105 PG06 -051 Parcel No.: Address: Suite No: City or Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 - 431 -3665 Web site: ci.tukwila.wa.us 2523049039 16040 CHRISTENSEN RD TUKW Tenant: Name: FIDELITY Address: 16040 CHRISTENSEN RD S, #105, TUKWILA WA Owner: Name: MCELROY GEORGE & ASSOC INC Address: 3131 5 VAUGHN WAY STE 301, AURORA CO Contact Person: Name: DON WYCOFF Address 8425 219 ST SE #102, WOODINVILLE WA Contractor. Name: SAGER MECHANICAL INC Address: 8425 219 ST SE, STE 102, WOODINVILLE WA Contractor License No SAGERMI088NK DESCRIPTION OF WORK: MOVE LOCATION OF EXISTING SINK, DISHWASHER, AND WATER HEATER (15 TO 20') Value of Plumbing /Gas Piping: $0.00 Fees Collected: $108.00 Plumbing Bathtub or combination bath /shower sewer 0 Bidet 0 Clothes washer, domestic 0 Dental unit, cuspidor 0 Dishwasher, domestic, with independent drain Drinking fountain or water cooler (per head) 0 Food -waste grinder, commercial 0 Floor drain 0 Shower, single head trap Lavatory 0 Wash fountain 0 Receptor, indirect waste 0 Sinks 1 Urinals 0 Water Closet 0 doc: UPC - Permit PLUMBING /GAS PIPING PERMIT FIXTURE TYPE AND QUANTITY Permit Number: Issue Date: Permit Expires On: Phone: Phone: 206 200 -3749 Phone: 425 402 -1930 Expiration Date:08 /10/2007 Steven M. Mullet, Mayor Steve Lancaster, Director PG06 -051 06/08/2006 12/05/2006 Uniform Plumbing Code Edition: 2003 International Fuel Gas Code Edition: 2003 Plumbina (cont.) 0 Building sewer and each trailer park Rain water system - per drain (inside bldg) 0 Water heater and /or vent 1 Industrial waste treatment interceptor, including 1 its trap and vent, except for kitchen type 0 grease interceptors Repair or alteration of water piping and /or water treatment equipment 0 0 Medical gas piping system serving one to five inlets /outlets for a specific gas 0 Gac Piping Gas piping outlets (0 -5) 0 Gas piping outlets (6 +) 0 PG06 -051 Printed: 06 -08 -2006 doc: UPC - Permit 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: ci.tukwila.wa.us * *continued on next page ** Steven M. Mullet, Mayor Steve Lancaster, Director PGO6 -051 Printed: 06 -08 -2006 Permit Center Authorized Signature: I hereby certify that I have read an ordinances gover ' - his work will doe: UPC - Permit City or Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 - 431 -3665 Web site: ci.tukwila.wa.us Permit Number: Issue Date: Permit Expires On: Steven M. Mullet, Mayor Steve Lancaster, Director PG06 -051 06/08/2006 12/05/2006 Date: de k6ok-f a "ne this permit and know the same to be true and correct. All provisions of law and com d with, whether specified herein or not. The grand of this -rmit does not p sume to give authority to violate or cancel the provisions of any other state or local laws regulatin! constru' ion or the pe or ance of work. I am authorized to sign and obtain this plumbing /gas piping permit. Signature • Date: 6 'of-06 Print Name: of a Bole 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. PG06 -051 Printed: 06 -08 -2006 1: ** *PLUMBING AND GAS PIPING * ** City or Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Fax: 206 -431 -3665 Web site: ci.tukwila.wa.us Parcel No.: 2523049039 Address: 16040 CHRISTENSEN RD TUKW Suite No: Tenant: FIDELITY PERMIT CONDITIONS Steven M. Mullet, Mayor Steve Lancaster, Director Permit Number: PG06-O51 Status: ISSUED Applied Date: 06/08/2006 Issue Date: 06/08/2006 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. 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: 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. * *continued on next page ** doe: Conditions PGO6 -051 Printed: 06 -08 -2006 Signatu Print Name: )0p doc: Conditions City orTukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 - 431 -3665 Web site: ct.tukwila.wa.us Steven M. Mullet, Mayor Steve Lancaster, Director I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and ordinances goveming 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 or local laws regulating cons action or the performance of work. Date: 6 if o PG06 -051 Printed: 06 -08 -2006 CITY OF TUKWILA Community Developmen partment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us 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** King Co Assessor's Tax No.: 2 5 - 2 3CW fc) 9 Site Address: /6204 Co/RarWSE iZ D .S 1 7Vl J149 St)4 Suite Number: /0 r Floor: / Tenant Name: (At Ai Property Owners Name: �Rot'v r,,4-c(N Mailing Address: City New Tenant: m.... Yes ❑..No State Zip CO TA It$ON =iVho do we cootie hen our rinit is ready to be issn Name: o'J to/Corr Day Telephone: 2 &6 Zoo 3 7y7 Mailing Address: fl2S 2 /irsi S& d /02- ur0o1 » 4-Lg,-- WA- °/2)9U9Z n City State Zip E-Mail Address: 1) t.J yCOrC& S AC vaeweci/APJ r C.^L , COM Fax Number: 71 9 2 61 6 72 ( PLUMB II G i GAS PIPING CONT Company Name: MC7tZ 4.4 ,064 Mailing Address:: s 2/5 a 57 5g.- AC/02.- Contact Person: - t-1-4. -) y'C.O ,CzC E -Mail Address: i) tt/yCOIFQ ,AC ft y Che4 /G9c . Cdti.L -/ Contractor Registration Number:346762A1 / O 28 Contact Person: E -Mail Address: Company Name: Mailing Address: Contact Person: E -Mail Address: QMppIicatioN'Fmme- Applicaione On Line\3 -2006 - Plumbing -Gu Piping Permit Application.doc Revised: 4-2006 bb do bo bee)V / (�•9 9Pv7Z City State Zip Day Telephone :70C.- Zc*) 3 7 y 9 Fax Number: t /25 Cr 72 / Expiration Date: 8- /i - Company Name: Mailing Address: City Day Telephone: Fax Number: State Zip State Zip City Day Telephone: Fax Number: Page 1 of 2 Fixture Type:' Qty: Fixture Type: Qty Fixture Type; Qty -Fixture Type: ^ Q ty 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 j Additional medical gas inlets/outlets — six or more Industrial waste pretreatment interceptor, including its trap and vent, except for kitchen type grease interceptors r 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): $ J O dC) Scope of Work (please provide detailed information): /� G,0t4 % /O.) of airs TiDr7 ,3 PO iL- 6/LJ Aki 7 /{M& €- ,06o C , re. 20 Building Use (per Inn Building Code): Occupancy (per Intl Building Code): Utility Purveyor: water: Sewer: Indicate type of plumbing futures and/or gas piping outlets being installed and the quantity below: PERMIT APPLICATION :NOTE 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 HEREB PENALTY BUILD Signature: ER F PE 0 N Print Name: r7•t� / r / � r Day Telephone: Z a Zov 3 7 , Mailing Address:/ S-Z /9 a 5 7 - 5 400 Z t-Joo / ,k) t/ /LL j3 - 9•6 7Z Date Application Expires: I Date Application Accepted: FY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER RY BY THE LAWS OF 1 STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. ORAU,THORI i s NT: QUpplication.Wotmc- AppliWiou On LineU- 2006 - Plumbing-Gas Piping Pami Application doc Revised: 4-2006 bh D a'tt;: g. e4 City State Zip Staff Initials: Page 2 oft City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 2523049039 Permit Number: PGO6 -051 Address: 16040 CHRISTENSEN RD TUKW Status: PENDING Suite No: Applied Date: 06/08/2006 Applicant: FIDELITY Issue Date: Receipt No.: R06 -00835 Payment Amount: 108.00 Initials: ]EM Payment Date: 06/08/2006 03:43 PM User ID: 1165 Balance: $0.00 Payee: SAGER MECHANICAL, INC. TRANSACTION Type Method Description Amount doc: Receipt RECEIPT Payment Check 12398 108.00 ACCOUNT ITEM UST: Description PLUMBING - NONRES Account Code Current Pmts 000/322.100 108.00 Total: 108.00 6232 06/08 9716 TOTAL 10800 Printed: 06 -08 -2006 Project: 1- 15"1.1T Type of Inspection: ; • Address: I 3 4O e h r,s1 <Li et.i Date Called: Special Instructions: Date Wante - 7 2. 0 a.m. p.m. Requester: ( ) � Y a l i n n - ck ( ' \ 4 e — f , in/ r* f Pone :\ (a.G L42fl 5v r Approved per applicable codes. Corrections r required prior to approval. COMMENTS: C) 2G - -1 \ (. r ( ) � Y a l i n n - ck ( ' \ 4 e — f , in/ r* f In ctor: D Ia. 7 Date: // $58.00 REINSPE 1 10N FEE Prior to inspection, fee must be v INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 u��c �VV uutt vv acl��cvu�c ��.� �uYc..���..• Receipt No.: Date: Project: fylt FL/ rl Type of Inspection: /4 12/‘.17/- Ti(/ `. Address:- (60/90 CW/9'sirv5c/V Date Called: &) Special Instructions: Date Want : am. Requester: Phone No Inspect INSPECTION NO. COMMENTS: INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 .»vI a Cy S' h l (,, ,ivi / 51ri s-` v €.4-, i/ ,v _ t-P z u 1 4,- 9' u 2— -k OC PE /► (216)431-36 0 Approved per applicable codes. Corrections required prior to approval. .ti. cis., . /Jr b / 0 1 .0 , - (Date: tr/346.. 0 $58. REINSPECT N FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: 'Date: License Information License SAGERMI088NK Licensee Name SAGER MECHANICAL INC Licensee Type CONSTRUCTION CONTRACTOR UBI 602234477 Ind. Ins. Account Id 82794500 Business Type CORPORATION Address 1 8425 219TH ST SE STE 102 Address 2 City WOODINVILLE County KING State WA Zip 98072 Phone 4254021930 Status ACTIVE Specialty 1 PLUMBING Specialty 2 UNUSED Effective Date 8/12/1992 Expiration Date 8/10/2007 Suspend Date Separation Date Parent Company Previous License Next License Associated License Business Owner Information Name Role Effective Date Expiration Date SAGER, ROBERT T PRESIDENT 08/12/1992 SAGER, ANDREW VINCENT VICE PRESIDENT 08/12/1992 Look Up a Contractor, Electrician or Plumber License Detail Washington State Department of Labor and Industries General/Specialty Contractor A business registered as a construction contractor with L &I 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. Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date TRAVELERS Page 1 of 2 https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= SAGERMI088NK 06/08/2006