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Permit PG09-007 - AT&T
AT& T 16415 SOUTHCENTER PY PGO9-007 Parcel No.: 5379200290 Address: Suite No: Owner: Name: Address: Contact Person: Name: DAVE SABO Address: 910 W FRONT , SUMAS WA DESCRIPTION OF WORK: RELOCATE LAVATORY IN RESTROOM Value of Plumbing /Gas Piping: Fees Collected: Cityllf Tukwila 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 doc: UPC -10/06 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 16415 SOUTHCENTER PY TUKW Tenant: Name: AT &T Address: 16415 SOUTHCENTER PY , TUKWILA WA $1,800.00 $118.00 ARGUS GROUP LTD C/O METROVATION , 225 108TH AVE NE #520 Contractor: Name: VALLEY PLUMBING & ELECTRIC INC Address: PO BOX 65 , SUMAS WA Contractor License No: VALLEPE151BM PLUMBING /GAS PIPING PERMIT Uniform Plumbing Code Edition: 2006 International Fuel Gas Code Edition: 2006 FIXTURE TYPE AND QUANTITY 0 Plumbing (cont.) Building sewer and each trailer park sewer 0 Rain water system - per drain (inside bldg) 0 Water heater and /or vent 0 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 1 Medical gas piping (6 +) inlets /outlets 1 Gas Piping Gas piping outlets (0 -5) 0 Gas piping outlets (6 +) 0 * *continued on next page ** Permit Number: Issue Date: Permit Expires On: Phone: Phone: 360 - 815 -3390 Phone: 360 988 -9631 Expiration Date: 01/16/2009 PG09 -007 01/15/2009 07/14/2009 PG09 -007 Printed: 01 -15 -2009 Permit Center Authorized Signature: Print Name: doc: UPC -10/06 City ofTukwila 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 .J1(L. Permit Number: PG09 -007 Issue Date: 01/15/2009 Permit Expires On: 07/14/2009 Date: ` k S —0 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. The granting of this • - t does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or t nerf- .rmance ofd -.rk. I am authorized to sign and obtain this plumbing /gas piping permit. Signature: _/ � � i. i Date : 4/1:r e", 9 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 -007 Printed: 01 -15 -2009 Parcel No.: 5379200290 Address: Suite No: Tenant: AT &T • • 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 16415 SOUTHCENTER PY TUKW 1: ** *PLUMBING AND GAS PIPING * ** PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: PG09 -007 ISSUED 01/15/2009 01/15/2009 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: 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. doc: Cond -10/06 * * continued on next page ** PG09 -007 Printed: 01 -15 -2009 • • City of Tukwila doc: Cond -10/06 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 these conditions and will comply with them as outlined. 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 provision of any other work or local laws regulating construction or the perfo • . i •e of work. Signature: i /!J Print Name: �//.E .52,25. n Date: (% i./ 9 24 --/9 PG09 -007 Printed: 01 -15 -2009 CITY OF TUKWILP Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://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 ** SITE LOCATION 5/45- , King Co Assessor's Tax No.: � `1.10 `1.10 )- "� 0 0 Site Address: Se7d. � . /r/? — ,% / % Ki fru/r9 to Number: Floor: Tenant Name: Property Owners Name: Mailing Address: CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: Mailing Address: Zip E -Mail Address: Fax Number: PLUMBING / GAS PIPING CONTRACTOR INFORMATIO Company Name: i'ek,"??O /./a Mailing Address: 9/e aiv/ Contact Person: �)/9 E -Mail Address: Contractor Registration Number: c Plumbing /Gas Permit No. ?a 007 Project No. For office us e only) City New Tenant: ❑ Yes ❑..No State Zip Day Telephone: City State 4A 7,c7 95 City State Zip Day Telephone: J J d p `_ ^ p $3 9 Fax Number: 9 90 d .6 Expiration Date: ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: ENGINEER, OF RECORD - All plans must be wet stamped by Engineer of Record Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: H:\Applications\Forms- Applications On Line \2009 Applicationsll -2009 - Plumbing -Gas Piping Permit Application. doc Revised: 1 -2009 bh State Zip Page I of 2 Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty 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 Building sewer and each trailer park sewer Rain water system — per drain (inside building) Water heater and/or vent Industrial waste treatment interceptor, including trap and vent, except for kitchen type grease interceptors Each grease trap (connected to not more than 4 fixtures - <750 gallon capacity) Grease interceptor for commercial kitchen ( >750 gallon capacity) Repair or alteration of water piping and/or water treatment equipment Repair or alteration of drainage or vent piping I b Medical gas piping system serving 1 -5 inlets/outlets for a specific gas Each additional medical gas inlets /outlets greater than 5 Backflow protective device other than atmospheric -type vacuum breakers 2 inch (51 mm) diameter or smaller Backflow protective device other than atmospheric -type vacuum breakers over 2 inch (51 mm) diameter Each lawn sprinkler system on any one meter including backflow protection devices Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections (1 -5) Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections over 5 Gas piping outlets - Valuation of Project (contractor's bid price): $ �QQp Scope of Work (please provide detailed information): riVo /&— d g Building Use (per Int'l Building Code): Occupancy (per Int'I Building Code): Utility Purveyor: Water: Indicate type of plumbing fixtures and /or gas piping outlets being installed and the quantity below: Sewer: . PERMIT"APPL;ICATION 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 EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY E LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNS R A HORIZED ENT• Signature: 4 Print Name: Mailing Address: I Date Application Accepted: H. Applicatians\Forms- Applications On t.ine\2009 Applications \1.2009 - Plumbing -Gas Piping Permit Application.doc Revised: 1 -2009 bh r� /J?/p City Day Telephone: Date: (//fit. � Z ©O 9 State Zip Date Application Expires: Staff Initials: Page 2 of 2 i 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 RECEIPT Parcel No.: 5379200290 Permit Number: PG09 -007 Address: 16415 SOUTHCENTER PY TUKW Status: PENDING Suite No: Applied Date: 01/15/2009 Applicant: AT &T Issue Date: Receipt No.: R09 -00083 Initials: WER User ID: 1655 Payee: VALLEY PLUMBING TRANSACTION LIST: Type Method Descriptio Amount Payment Cash 118.00 ACCOUNT ITEM LIST: Description PLUMBING - NONRES Account Code Current Pmts 000.322.103.00.0 118.00 Total: $118.00 Payment Amount: $118.00 Payment Date: 01/15/2009 02:21 PM Balance: $0.00 1531 01/15 9707 TOTAL 118.00 doc: Receiot -06 Printed: 01 -15 -2009 Proje — Type of Inspecti n: r Address: / Lo °4/_S Se ?ill ' -4 7 Date Called: d Special Instructions: Date Wanted: ` (� `'" !m— ��� P•mm Requester: Phone — o 3 S c . —73N INSPECTION RECORD Retain a copy with permit P60 PERMIT NO. INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspect Date: 2 / _ ❑ $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: Project: Az. l t Type of Inspection: R-Q� _ 1 ,t, .0 - Address: / 04 1 5 S( i n-kupt i 4A Date Called: Special Instructions: Date Wanted: _ 1 a��m. 3-09 p.m. Requester: Phone No: 365 582 - r 7 3 YO INSPECTION RECORD Retaina copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION E- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inset tor: 1 Date: f Z 3 101 ❑ $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: PG o -oo'l Name Role Effective Date Expiration Date BOS, JERRY Cancel Date 01/01/1980 Bond Amount VANDER VEEN, BUTCH 5 01/01/1980 RSB9000115 BOS, KATHY Until Cancelled 01/01/1980 VANDERMEY, SID /2002 01/01/1980 01/01/1980 BODE, KEITH AGENT 01/01/1980 01/01/1980 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 5 RLI INS CO RSB9000115 12/14/2001 Until Cancelled $12,000.0001/16 /2002 4 CO INS RSB9000115 06/21/2001 12/14/2001 $6,000.00 07/10/2001 3 AMWEST SURETY INS CO 129497 12/14/1997 Until Cancelled 08/07/2001 $6,000.00 2 AMWEST SURETY INS CO 1295497 12/14/199412/14 /1997 $6,000.00 AMERICAN Untitled Page • • General /Specialty Contractor A business registered as a construction contractor with L81 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 VALLEY PLUMBING 8 ELECTRIC INC 3609889631 910 W FRONT ST SUMAS WA 98295 WHATCOM Business Type CORPORATION Parent Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Previous License Next License Associated License Specialty 1 Specialty 2 600540228 ACTIVE VALLEPE151BM CONSTRUCTION CONTRACTOR 1/14/1985 1/16/2011 VALLEPE172B1 GENERAL UNUSED Business Owner Information Bond Information Page 1 of 3 https: // fortress. wa. gov /lni/bbip/Detail. aspx ?License= VALLEPE 151 BM 01/15/2009