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Home My WebLink AboutPermit PG10-061 - PACIFIC NORTHWEST PERIODONTICSPACIFIC NORTHWEST PERIODONTICS 411 STRANDER BL EXPIRED 11 -22 -10 PG1O-061 City oftukwila 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 PLUMBING /GAS PIPING PERMIT Parcel No.: 0223200052 Address: 411 STRANDER BL TUKW Project Name: PACIFIC NORTHWEST PERIODINTICS Permit Number: PG10 -061 Issue Date: 05/24/2010 Permit Expires On: 11/20/2010 Owner: Name: MEDICAL CENTERS CO LLC Address: 411 STRANDER BLVD STE 107 , TUKWILA WA 98188 Contact Person: Name: JAMES ZESTI Phone: 206 - 383 -3583 Address: 920 MAPLE ST , SNOHOMISH WA 98290 Email: Contractor: Name: ZES BRO PLUMBING Address: 920 MAPLE ST , SNOHOMISH WA 98290 Contractor License No: ZESBROBP918NC Phone: 360 - 568 -1414 Expiration Date: 08/03/2011 DESCRIPTION OF WORK: RELOCATE AUTO WASHER WALL BOX, REROUTE WATER SUPPLY AND RECESS INTO WALL. REROUTE DRAINAGE AND INCREASE DIAMETER OF PIPE Value of Plumbing /Gas Piping: $485.00 Uniform Plumbing Code Edition: 2006 Fees Collected: $60.90 International Fuel Gas Code Edition: 2006 Permit Center Authorized Signature: Date: 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 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 plumbing /gas piping permit. Signature: a �vl�te y Print Name: sarvve-L ZeSc�k -, Date: S- 2 'l- 1D 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. doc: UPC -4/10 PG10 -061 Printed: 05 -24 -2010 • 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: htqx//www.ci.tukwila.wa.us PERMIT CONDITIONS Parcel No.: 0223200052 Address: Suite No: Tenant: 411 STRANDER BL TUKW PACIFIC NORTHWEST PERIODINTICS Permit Number: Status: Applied Date: Issue Date: PG10 -061 ISSUED 05/24/2010 05/24/2010 1: ** *PLUMBING AND GAS PIPING * ** 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. * *continued on next page ** doc: Cond -10/06 PG10 -061 Printed: 05 -24 -2010 • 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 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 performance of work. Signature: Print Name: J 0. �. u s 2 e3..4 w 4- Date: -C 2c( doc: Cond -10/06 PG10 -061 Printed: 05 -24 -2010 CITY OF TUKWILIP Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Plumbing /Gas Permit ?.ProjecttNo 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 ** King Co Assessor's Tax No.: 0 L) 3c 0— 0 0V — Floor: 3rd Site Address: �( {{ �nc�er 311/P Url�" f -30a_ Tenant Name: ,AJ 4-4nwe P pr i t)ci on - Property Owners Name: Suite Number: 34D7 New Tenant: ❑ Yes ❑..No Mailing Address: State City Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: Day Telephone: Mailing Address: City E -Mail Address: PLUMBING" GAS' PIPING CONTRACTOR ,INFO'RI%IATI Company Name: ZP S i,ro Pl,►M 61f15 Mailing Address: 120 Maple 5,1-- Contact Person: �'avyne.S ZeSct_.4- 1 State 'Zip Fax Number: Sn£i1(yy)ish City E -Mail Address: Zt?.S •— brn .._. pl.lrv, to ne lire . `�v► -, Contractor Registration Number: e.sbrbp 9 143 nL w� 96'29v State Zip Day Telephone: ' 383 3s'P33 Fax Number: • Expiration Date: — 3 -11 ARCHITECT OF RECORD - Alt plans must be wet stamped by Architect of Record;: Company Name: Mailing Address: Contact Person: E -Mail Address: City • Day Telephone: Fax Number: State Zip ENGINEER. OF RECORD = All plans'must be wet stamped by Engineer of Record Company Name: Mailing Address: Contact Person: E -Mail Address: H:WpplicationsTorms- Applications On Line \2009 Applications \1 -2009 - Plumbing -Gas Piping Permit Application.doc Revised: 1 -2009 bh City Day Telephone: Fax Number: State Zip Page 1 of 2 • 4_ , i Valuation of Project (contractor's bid price): $ 7 D.4 S ope of Work (please provide detailed information): ins fa/ /a{-;un v 1. no .a i4ii i-c, t..,a.i her 1.204- - tr- Jv --1q- I..›o_re.r Svppj.,.. C..nc( (Lee e. Cs; , ar{- o ,.JGii. Re- - k -■ n dr \r'c.ye_ c.At( iv) Crrp, ,1 c v -'.c -ems O ( to - uo cork_ Building Use (per Int'l Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: Sewer: Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: ..FixturiType: ` 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 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 • 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. BUILDING OW ER OR AU HORIZED AGENT: Signature: Print Na : Javvnes 2eSa4i Mailing Address:lY2t 17'q Date: <-02 y- /b Day Telephone: 2c. 6 —3 -'3S 83 wig 911006 City State Zip Date Application Accepted: - Date Application Expires: Staff Initials: I H:\ApplicationsTorms- Applications On Line \2009 Applications \1 -2009 - Plumbing -Gas Piping Permit Application.doc Revised: 1 -2009 bh Page 2 of 2 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.: 0223200052 Permit Number: PG 10 -061 Address: 411 STRANDER BL TUKW Status: PENDING Suite No: Applied Date: 05/24/2010 Applicant: PACIFIC NORTHWEST PERIODINTICS Issue Date: Receipt No.: R10 -00907 Payment Amount: $60.90 Initials: WER Payment Date: 05/24/2010 09:33 AM User ID: 1655 Balance: $0.00 Payee: JAMES ZESTI TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 093204 ACCOUNT ITEM LIST: Description 60.90 Account Code Current Pmts PLUMBING - NONRES 000.322.103.00.00 60.90 Total: $60.90 PAYMENT RECEIVED doc: Receiot -06 Printed: 05 -24 -2010 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 -3670 P6 w -66) Project: r Pn-rAY1 AAA/ Per. J Type of Inspection: 2J(1+.4 k =mot, P(L-. ML Address: c)'-f.n �� 4r( G'''".1 Date Called: ( -,itr., t J c__ �--� J AS - i-� Special Instructions: Date Wanted: SrJ -a.m. p.m. Requester: Phone No: (" ?) Approved per applicable codes. Corrections required prior to approval. COMMENTS: i (( i tC i D(6V-re S 64) P e el -5 P f t -,itr., t J c__ �--� J AS non_ ` I D1 ArTe c r" yer6S J i (_�� 0;S5` ilk kAJ id -0 . (" ?) \) ,n f), rrI r`t� r �o 0) f S ✓1� `/ e / (4) i _ /1 9 .- l�; r� .2,; \ , /`°1 (( f 'nj �r-, r 5 t1 e -re. L ' 4 E r-e- c_ 11-(.,.( r : 0 _ F : • p e___A e-t Cr : A Date: 5-1_24, _ 1 4 ❑ $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: 10 -01 -2010 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director JAMES ZESTI 920 MAPLE ST - SNOHOMISH WA 98290 RE: Permit No. PG10 -061 411 STRANDER BL TUKW Dear Permit Holder: In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and /or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 11/22/2010. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection. Each inspection creates a new 180 day period, , provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 11/22/2010, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, Bill Rambo Permit Technician File: Permit File No. PG10 -061 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 Contractors or Tradespeople Prater Friendly Page • General /Specialty Contractor A business registered as a construction contractor with L &1 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 Zes Bro Plumbing UBI No. 600373424 Phone 3605681414 Status Active Address 920 Maple St License No. ZESBRBP918NC Suite /Apt. License Type Construction Contractor City Snohomish Effective Date 8/3/2009 State Wa Expiration Date 8/3/2011 Zip 982902225 Suspend Date County Snohomish Specialty 1 Plumbing Business Type Individual Specialty 2 Unused Parent Company ther Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status RFENT "1466LR &Amp; F Enterprises Construction Contractor Plumbing Appliances /Equipment 1 /13/1986 2/1/2002 Archived Business Owner Information Name Role Effective Date Expiration Date Brown, Richard Donald Owner 08/03/2009 Bond Information Page 1 of 1 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 American Contractors Indem CO 100092666 08/03/2009 Until Cancelled $6,000.00 08/03/2009 Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 1 COLONY INS CO GL3433738 08/03/2009 08/03/2010 $500,000.0008/03 /2009 Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period https: // fortress .wa.gov /lni/bbip /Print.aspx 05/24/2010