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Home My WebLink AboutPermit PG07-019 - NW DYE WORKS6TOELODd S AFB NVilMIIIItEILLNTI ggj S)IITOA aAU �l�i Parcel No.: 0004800003 Address: Suite No: Tenant: Name: Address: Owner: Name: Address: 12624 INTERURBAN AV S TUKW NW DYE WORKS 12624 INTERURBAN AV S , TUKWILA WA City of Tukwila GATEWAY OLYMPIA INC Phone: C/O MCELROY GEORGE & ASSOC , 3131 S VAUGHN WAY #301 Contact Person: Name: JOHN SHEPPARD Address: 26662 94 PL S , KENT WA Contractor: Name: SHEPPARD & ASSOCIATES INC Address: 26662 94 PL S , KENT WA Contractor License No: SHEPPAI957MQ DESCRIPTION OF WORK: EXTEND GAS LINE TO ACCOMMODATE (2) BOILERS, (8) DRYERS, AND (1) UNIT HEATER Value of Plumbing /Gas Piping: Fees Collected: $2,500.00 $130.00 Plumbing Bathtub or combination bath/shower 0 Bidet 0 Clothes washer, domestic 0 Dental unit, cuspidor 0 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 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 PLUMBING /GAS PIPING PERMIT FIXTURE TYPE AND OUANTITY 0 * *continued on next page ** Permit Number: Issue Date: Permit Expires On: Phone: 206 261 -1624 Phone: 253 850 -1160 Expiration Date: 07/18/2007 Steven M Mullet, Mayor Steve Lancaster, Director PG07 -019 01/29/2007 07/28/2007 Uniform Plumbing Code Edition: 2003 International Fuel Gas Code Edition: 2003 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 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 0 Medical gas piping system serving one to five 0 inlets /outlets for a specific gas 0 Gas Pipina Gas piping outlets (0 -5) Gas piping outlets (6 +) 5 6 PG07 -019 Printed: 01 -29 -2007 Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complied Signature: 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 N Permit Number: PG07 - 019 Issue Date: 01/29/2007 Permit Expires On: 07/28/2007 Steven M Mullet, Mayor Steve Lancaster, Director Date: D � `V 10- s permit and know the same to be true and correct. All provisions of law and ordinances er 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. Date: X y Print Name: J O H II / .5 ! 7 L P /, /f / `7 // 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 -019 Printed: 01 -29 -2007 Parcel No.: 0004800003 Address: Suite No: Tenant: NW DYE WORKS 1: ** *PLUMBING AND GAS PIPING * ** doc: Cond -10/06 s 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 12624 INTERURBAN AV S TUKW PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: PG07 -019 ISSUED 01/19/2007 01/29/2007 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. 6: 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 ** PG07 -019 Printed: 01 -29 -2007 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. n Signature: Date: t/ doc: Cond -10/06 Print Name: J O fy iv ✓ 144:7 4 4 PitgP g PG07 -019 Printed: 01 -29 -2007 Company Name: Mailing Address: CITY OF TUKWILA Community Developmenepartment 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** Site Address: ‘4.{'2 Akfirt11Vjitn MJV 5 Tenant Name: py.Q, Ly c'.j, Property Owners Name: J� �� Mailing Address: 17 V' 5 � I,nrec - u Not. n G Name: 1011Y) 3F ar Mailing Address: 'z 6Q`j g (,J -' et 4 E -Mail Address: P44' Works PLUMBING / GAS PIPING PERMIT APPLICATION Contact Person: E -Mail Address: Q:Wpplieations\Forms- Applications On Linen -2006 - Plumbing -Gas Piping Permit Application.doc Revised: 4-2006 bh Plumbing/Gk. ermit No. � Ufi 1 6 J Project No. King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: 5/J .... Yes ..No rtu itet City WA te Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Day Telephone:(206) 2 61 I tl 7 0 �d City fate Zip Fax Number: PLUMBING / GAS PIPING CONTRACTOR INFORMATION Company Name: %lefrgr 4 A,G OC IA 4e6 Jnc Mailing Address: 2 ( 0 le Z a C l Pi. S k-wr U i 4 q 60 5o Cit .., Zip Contact Person: J6hn cihtfPetr2- Day Telephone(2hic2 C. ( I(07. Li E -Mail Address: Fax Number: Contractor Registration Number: S14Ef7f1 7 Expiration Date: ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record State Zip City Day Telephone: 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: State Zip Page 1 of 2 Fixture Type: Qty Fixture 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 t, 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 Valuation of Project (contractor's bid price): $ 2. 1 677 O Scope of Work (please provide detailed information): EY Fe Y18 GCS 'toe 40 et CQOWjb 44-e 2 boittre, , a 2 ryers + 1 vvli -r 1neM-ec _ Building Use (per Int'l Building Code): (01'1'll?'le'CViI' ark) ■trl Occupancy (per Int'l Building Code): Utility Purveyor: Water: Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: PERMIT" APPLICATION NOT 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 OWNER OR AUTHORIZED AGENT: Signature: 1-, J/ 1. •vt Print Name: J ♦ \f1 Mailing Address: 2(p (Q 2 Date Application Accepted: al 01-03- Q:\Applications\Forms- Applications On Line 3-2006 - Plumbing -Gas Piping Permi Application.doc Revised: 4 -2006 bh Sewer: Day Telephone: City Date: Date Application Expires: Staff Initials: Page 2 of 2 Parcel No.: 0004800003 Permit Number: PG07 -019 Address: 12624 INTERURBAN AV S TUKW Status: APPROVED Suite No: Applied Date: 01/19/2007 Applicant: NW DYE WORKS Issue Date: Receipt No.: R07 -00129 City of Tukwila Initials: JEM Payment Date: 01/29/2007 03:35 PM User ID: 1165 Balance: $0.00 Payee: SHEPPARD & ASSOCIATES INC. TRANSACTION LIST: Type Method Description 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 Amount Payment Check 1195 130.00 ACCOUNT ITEM LIST: Description GAS - NONRES Account Code Current Pmts 000/322.100 130.00 Total: $ 130.00 Payment Amount: $ 130.00 doc: Recelot-06 Printed: 01 -29 -2007 Project: . A./4...i ,v t/ 4/D s of Inspection: / ;-- ;7k A.z \ Address: /c2 G 2 1 7.A.i/ 7/7 /./ Date Called: Special Instructions: Date Wanted: 2 — 23 ■ Requester: a_,,,_ P- Phone No: ,INSPECTION RECORD Re tain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISIO 6300 Southcenter Blvd., #100, Tukwila, WA 98188 ,'G Approved per applicable codes. Corrections required prior to approval. COMMENTS: -7( /".//-:,-/4r;1/ I Spector: Date: ?r�c 2- ? ? �t > 0 REINSPECTION FEE RE UIRED7Prior to inspection, fee must be aid at 6300 Southcenter Blv , Suite 100. Call to sechedute reinspection. eceipt No.: Date: Project: Type of Inspection) Address: / 2 62 y 7,..///:- 1 „ ,i Date Called: /4 -, Special Instructions: Date Wanted: --.2 2 - O 7 a�, - t i Requester: - Phone No: . 6 C. 2 2 5 -UE, s INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 / ',Approved per applicable codes. El Corrections required prior to approval. COMMENTS: 6 - ) 4-- 6 Ai e t z) Ve -7 e A-C2 — r �� In •ecto Receipt No.: ',`, Date: 2 -17- a 7 0 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Date: License Information License SHEPPAI957MQ Licensee Name SHEPPARD & ASSOCIATES MC Licensee Type CONSTRUCTION CONTRACTOR UBI 602506870 Ind. Ins. Account Id 9488300 Business Type CORPORATION Address 1 26662 94 PL S Address 2 City KENT County KING State WA Zip 98030 Phone 2538501160 Status ACTIVE Specialty I SHEET METAL Specialty 2 AIR HEAT,VENTILATION,EVAPORAT Effective Date 7/18/2005 Expiration Date 7/18/2007 Suspend Date Separation Date Parent Company Previous License Next License Associated License Business Owner Information Name Role Effective Date Expiration Date SHEPPARD, JOHN D PRESIDENT 07/18/2005 SHEPPARD, BROOKE E VICE PRESIDENT 07/18/2005 Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 2 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 Until https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= SHEPPAI957MQ 01/29/2007