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Home My WebLink AboutPermit PG09-138 - DSVSV 16040 CHRISTENS SUITE 212 G09 -138 N RD Parcel No.: 2523049039 Address: Suite No: Owner: Name: BRCP RIVERVIEW PLAZA LLC Address: 248 HOMER AVE , PALO ALTO CA 16040 CHRISTENSEN RD TUKW Tenant: Name: DSV Address: 16040 CHRISTENSEN RD, STE 212 , TUKVVILA WA Contact Person: Name: JEFF REINDELL Address: PO BOX 1136 , MONROE WA Citlipof Tukwila Contractor: Name: AMERICAN MECHANICAL CORP Address: PO BOX 1136 , MONROE WA Contractor License No: AMERIMC071BH DESCRIPTION OF WORK: TI OF BREAK ROOM - RELOCATE SINK, HWT, AND DISHWASHER Value of Plumbing /Gas Piping: Fees Collected: $1,830.00 $118.00 Plumbing Bathtub or combination bath/shower 0 Bidet 0 Clothes washer, domestic 1 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 1 Urinals 0 Water Closet 0 doc: UPC -7/07 Department of Community Development 6300 Southcenter Boulevard, Suite # 100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Inspection Request Line: 206 - 431 - 2451 Web site: http: / /www.ci.tukwila.wa.us 0 PLUMBING /GAS PIPING PERMIT FIXTURE TYPE AND QUANTITY 0 * *continued on next page ** Permit Number: Issue Date: Permit Expires On: Phone: Phone: 206 467 -6407 Phone: (206)467 -6407 Expiration Date: 01/08/2011 PG09 -138 11/25/2009 05/24/2010 Uniform Plumbing Code Edition: 2006 International Fuel Gas Code Edition: 2006 Plumbing (cont.) Building sewer and each trailer park sewer 0 Rain water system - per drain (inside bldg) 0 Water heater and /or vent 1 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 0 Medical gas piping (6 +) inlets /outlets 0 Gas Piping Gas piping outlets (0 -5) 0 Gas piping outlets (6 +) 0 PG09 -138 Printed: 11 -25 -2009 Permit Center Authorized Signature: I hereby certify that I have read and e governing this work will be complied The granting of this permit construction o perf•r Signatur Print Name: doc: UPC -7/07 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Inspection Request Line: 206 - 431 - 2451 Web site: http: / /wwwci.tukwila.wa.us not presume to give authority to violate or cancel the provisions of any other state or local laws regulating e of work. I ..1" authorized to sign and obtain this plumbing /gas piping permit. Date! A-7 )--0 Permit Number: PG09 -138 Issue Date: 11/25/2009 Permit Expires On: 05/24/2010 Dater ed this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. 776 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 -138 Printed: 11 -25 -2009 Parcel No.: 2523049039 Address: Suite No: Tenant: DSV • 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 16040 CHRISTENSEN RD TUKW 1: ** *PLUMBING AND GAS PIPING * ** PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: PG09 -138 ISSUED 11/25/2009 11/25/2009 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 -138 Printed: 11 -25 -2009 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 I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and 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 construction or the performance 9f q✓ork. Signatu Date: / Print Name: / 1 E7 doc: Cond -10/06 PG09 -138 ordinances governing or local laws regulating Printed: 11 -25 -2009 SITE LOCATION K'ng Co Assessor's Tax No.: )SF\ Site Address: \ �� .��_� �, Suite Number- Floor: Tenant Name --,\A _ New Tenant: ❑ Yes {No Property Owners Name: C? C.c ciA\1 Q \VW ),) V \0 • ` k rJ Mailing Address: Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued mi _. Mailing Address �� _ Name lob E -Mail Address: PLUMBING / GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: Contact Person E -Mail Address: CITY OF TUKWILA 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 ** % \ • Contractor Registration Number: H:Wpplications\Forms- Applications On Lne\2009 Applications \I -2009 - Plumbing -Gas Piping Permit Application.doc Revised. 1 -2009 bh City Plumbing /Gas Permit No. ffir) Project No. (For office use only) ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record State 1 • • • Day Telephone( k City State Zip �.,1�Y1(\ Fax Number: ��Q� -4)�Y City Stet Day Teleph A Fax Number. �, 4� � `4 0) Expiration Date: '\ C56\,\ Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: State Zip Zip 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: State Zip Page 1 of 2 Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Bathtub or combination bath /shower Bidet Clothes washer,do mestic 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 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): $ ` 1 \O Zc Scose_of Work (please provide detailed information): • .■fit �� ►.�� i . •.1021 MTI<n Building Use (per Int'I 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: 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 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 BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILD O , • • ' .: Z Y j AGENT: ��l� Signa ture: il •r itiAli Print Name: Mailing Address: C Date Application Accepted: Date Application Expires: H:\Applications\Fom s- Applications On IJne\2009 Applications \I-2009 - Plumbing -Gas Piping Permit Application.doc Revised: 1 -2009 bh Sewer: Date: Staff Initials: O Day Telephone: City State Zip age 2 of 2 Receipt No.: R09 -01904 Payee: AMERICAN MECHANICAL CORPORATION TRANSACTION LIST: Type Method Descriptio Amount Payment Check 21485 118.00 Authorization No. ACCOUNT ITEM LIST: Description PLUMBING - NONRES • 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 0 Parcel No.: 2523049039 Permit Number: PG09 -138 Address: 16040 CHRISTENSEN RD TUKW Status: APPROVED Suite No: Applied Date: 11/25/2009 Applicant: DSV Issue Date: Payment Amount: $118.00 Initials: JEM Payment Date: 11/25/2009 02:43 PM User ID: 1165 Balance: $0.00 Account Code Current Pmts 000.322.103.00.00 118.00 Total: $118.00 PAYM 'T RECEIVED doc: Receiot -06 Printed: 11 -25 -2009 COMMENTS: Type of Inspection: urn—1 A eet7� tl 4 Se-jJ yt : c Date Lalled: ,. / C f a S e A J`J3� A Date Wanted: j .m. / 2f- v/ P.m. TA l? /7— 1 .P X 7r er ,-' )l o 4: S 1 i,va.S ( , s : j 1 i 1.e ( 512 144S , / +/ 7 /)P[)tTzo -Q7 ... . R Project: 8 S Type of Inspection: Address: /te046 r`sre 14, Date Lalled: ,. Special Instructions: 03 Z4 - Q ( � Date Wanted: j .m. / 2f- v/ P.m. Requester: Phone N O G _ 3 � -4 el 3 2, � I PVMIT� . CITY OF TUKWILA BUILDING DIVISION,. 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 INSPECTION NO. Approved per applicable codes. El Corrections required prior to approval. S nspect INSPECTION RECORD Retain a copy with permit PY P PGv - 13g Date: / 3 . } -y ri $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: � / s 1/ Type of Inspection: ROk3 - k%+i p Address: (: _ 4 0 Date Called: l Special Instructions: Date Wanted: . Z _ ( �� s l Requester: Phone No: Z, o 6 - 493 — 1=113, INSPECTION NO. INSPECTION RECORD Retain a copy with permit P661-13k PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 CO ENTS: 0.00 REINSP CTION FEE RE((JIRED. Prior to inspectioP(, fee must be paid at 6300 So thcenter Blvd, Suite 100. Call to schedule reinspection. Receipt No.: Date: Date: Approved per applicable codes. Corrections required prior to approval. • Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 3 OLD SURETY REPUBLIC CO YL1230431 01/08/2002 Until Cancelled $6,000.00 10/11/2001 2 OLD REPUBLIC SURETY CO YLI230431 01/08/1996 01/08/2002 $4,000.000l/08/1996 1 CBIC 660569 01/08/1993 01/08/1996 $4,000.00 Name Role Effective Date Expiration Date KING, CHERI L PRESIDENT 01/08/1993 Amount KING, KELLY E TREASURER 01/08/1993 Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date CONTINENTAL Untitled Page 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. Business and Licensing Information Name Phone Address Suite /Apt. City State Zip County Business Type Parent Company AMERICAN MECHANICAL CORP 2064676407 PO BOX 1136 MONROE WA 982724136 SNOHOMISH Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601433818 ACTIVE AMERIMC071 BH CONSTRUCTION CONTRACTOR 1/8/1993 1/8/2011 PLUMBING UNUSED Business Owner Information Bond Information Insurance Information • • Page 1 of 2 https: // fortress .wa.gov /lni/bbip/Detail.aspx 11/25/2009