HomeMy WebLinkAboutPermit PG07-012 - LOWESgT�
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Parcel No.: 0223000030
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name: D & M PLUMBING INC
Address: 3211 CENTER ST , TACOMA WA
Contractor License No: DMPLUI *081L9
DESCRIPTION OF WORK:
RUN GAS PIPING TO (2) NEW UNITS
Value of Plumbing /Gas Piping:
Fees Collected:
Plumbing
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 0
Sinks 0
Urinals 0
Water Closet 0
doc: UPC -10/06
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
101 ANDOVER PK E TUICW
LOWES
101 ANDOVER PK E , TUKVVILA WA
LOWE'S HIW INC
PO BOX 1111 , NORTH WILKESBORO NC
DON DRAVIS
3211 CENTER ST , TACOMA WA
$1,500.00
$88.00
PLUMBING /GAS PIPING PERMIT
0
* *continued on next page **
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 253 627 -3300
Phone: (253)627 -3300
Expiration Date: 06/26/2008
PG07 -012
01/12/2007
07/11/2007
Uniform Plumbing Code Edition: 2003
International Fuel Gas Code Edition: 2003
FIXTURE TYPE AND OUANTITY
Steven M Mullet, Mayor
Steve Lancaster, Director
Plumbing (cont.)
O Building sewer and each trailer park sewer 0
0 Rain water system - per drain (inside bldg) 0
0 Water heater and/or vent 0
O Industrial waste treatment interceptor, including
0 its trap and vent, except for kitchen type
0 grease interceptors 0
0 Repair or alteration of water piping and/or water
0 treatment equipment 0
O Medical gas piping system serving one to five
0 inlets /outlets for a specific gas 0
Gas Piping
Gas piping outlets (0 -5) 2
Gas piping outlets (6 +) 0
PG07 -012 Printed: 01 -12 -2007
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be compile
The granting o
constructio
Signature:
Print Name:
doc: UPC -10/06
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
oes n
x- ed
h, he
Permit Number: PG07 -012
Issue Date: 01/12/2007
Permit Expires On: 07/11/2007
Steven M Mullet, Mayor
Steve Lancaster, Director
Date: 011 ill -
permit and know the same to be true and correct. All provisions of law and ordinances
her specified herein or not.
resume to give authority to violate or cancel the provisions of any other state or local laws regulating
ork. Lern authorized to sign and obtain this plumbing /gas piping permit.
Date:
/'7
This 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.
PG07 -012 Printed: 01 -12 -2007
Parcel No.: 0223000030
Address:
Suite No:
Tenant: LOWES
1: ** *PLUMBING AND GAS PIPING * **
doc: Cond -10/06
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
101 ANDOVER PK E TUKW
PERMIT CONDITIONS
* *continued on next page **
Permit Number:
Status:
Applied Date:
Issue Date:
PGO7 -012
ISSUED
01/12/2007
01/12/2007
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.
T: 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.
PG07 -012 Printed: 01 -12 -2007
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 + ance of wo
Signatu
Print Nam
doc: Cond -10/06
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
Date: /
PG07 -012 Printed: 01 -12 -2007
Site Address.
Tenant Name:
Property Owners Name:
Mailing Address:
Name:
Mailing Address:
E -Mail Address:
Company Name: Y PGiall / 5/0 4
Mailing Address: . �yfi/ (
Contact Person: 1.)/i/ , LS
E -Mail Address:
Contractor Registration Number:
ARCHITECT OF RECORD
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
CITY OF TUKWRt
Community Developmen`lydepartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
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**
fagir
.&" King Co Assessor's Tax No.: � WO — 0030
PLUMBING / GAS PIPING PERMIT APPLICATION
Q:Wpplications\Fonns- Applications On Line 3 -2006 - Plumbing -Gas Piping Permit Application doc
Revised: 4 -2006
bh
Plumbing/G'ermit No.
Project No.
Suite Number:
City
CONTACT PERSON .-Who do we contact when your permit is ready to be issued
1329g Day Telephonef?�3 �
- e-.0 0 tJ 17-2 -- "/4 f fo
try State Zip
Fax Number:
PLUMBING / GAS PIPING CONTRACTOR INFORMATION
Expiration Date:
All ;plans" must be wet stamped by Architect of Record
New Tenant: 0 .... Yes 24No
City
Day Telephone: Z55 - 1 pj�7 O 0
Fax Number: —5 Z7Z� 9 /
to
State
OF
State
State
Floor:
Zip
State Zip
Zip
City
Day Telephone:
Fax Number:
ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record
City
Day Telephone:
Fax Number:
Zip
Page 1 of 2
Fixture Type
Qty
Type:
Qty
. Fixture Type:
' Qty;
Fixture Type:
Qty
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
Additional medical gas
inlets/outlets — six or more
Industrial waste
pretreatment interceptor,
including its trap and vent,
except for kitchen type
grease interceptors
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
i�rl► // pNy�
Valuation of Project (contractor's bid price): $ !< 0
Scope of Work (please provide detailed information): /et// 447,5 p'r' "" (--z) Ate/
Building Use (per Intl Building Code): /lG.v�L
Occupancy (per Int'l Building Code):
Utility Purveyor: Water:
f Date Application Accepted: i
(21/0
Q:\Applications\Forms- Applications On LineU -2006 - Plumbing -Gas Piping Penni Application. doe
Revised: 4 -2006
bh
Date Application Expires:
Sewer:
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
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 L . WS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDI OW t I i RIZED ApENT: /
6e, f/7 Date: / ✓�. G -7
Signa
�� 3
Print Nam - • � /� !� Day Telephone: �a
Mailing Address:
City State � Zip
a1t210
Staff Initials:
Page 2 of 2
Parcel No.: 0223000030
Address: 101 ANDOVER PK E TUKW
Suite No:
Applicant: LOWES
Receipt No.: R07 -00057
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
Initials: JEM Payment Date: 01/12/2007 01:40 PM
User ID: 1165 Balance: $0.00
Payee: D & M COMMERCIAL PLUMBING, INC.
RECEIPT
TRANSACTION LIST:
Type Method Description Amount
Payment Check 30594 88.00
ACCOUNT ITEM LIST:
Description
GAS - NONRES
Account Code Current Pmts
000/322.100 88.00
Total: $88.00
Permit Number: PG07 -012
Status: PENDING
Applied Date: 01/12/2007
Issue Date:
Payment Amount: 588.00
3704 01/12 97100 TOTAL. 88.0o
doc: Receiot -06 Printed: 01 -12 -2007
Project:
,LowF s
T of Inspection:
!.240/91) -/
6'4
S
Address:
/ b / /7/w1,
/// . e r
Date Called:
S pecial Instructions:
Date Wanted:
/-2,5 CS7
p.m.
Requester:
Phone No:
,Z5"-?-?e3 -
7
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
} I ,
(2 06)43 1 -3
A pproved per applicable codes. 0 Corrections required prior to approval. 13
COMMENTS:
E $5$. 0 REINSPECT J 6N FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedute reinspection.
Receipt No.:
Date:
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
#3
CBIC
633123
05/04/2002
Until
Cancelled
$6,000.00
04/24/2002
#2
CBIC
633123
05/04/1998
05/04/2002
$4,000.00
#1
CBIC
633123
05/04/1992
05/04/1998
$4,000.00
Business Owner Information
Name
Role
Effective Date
Expiration Date
DAVIS, DONALD A SR
01/01/1980
Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 3
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.
License Information
License
Licensee Name
Licensee Type
UBI
Ind. Ins. Account Id
Business Type
Address 1
Address 2
City
County
State
Zip
Phone
Status
Specialty 1
Specialty 2
Effective Date
Expiration Date
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
DMPLUI *081 L9
D & M PLUMBING INC
CONSTRUCTION CONTRACTOR
601341379
80865101
CORPORATION
3211 CENTER ST
TACOMA
PIERCE
WA
98409
2536273300
ACTIVE
PLUMBING
UNUSED
6/29/1992
6/26/2008
DMPLUH* 144N7
HOFFMP *055PZ
https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= DMPLUI *081 L9 01/12/2007