HomeMy WebLinkAboutPermit PG07-025 - BOEING #9-101BOEING #9 -101
9725 EAST
MARGINAL WAY
PGO7-025
Parcel No.: 0003400018
Address: 9725 EAST MARGINAL WY S TUKW
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
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
BOEING #9 -101
9725 EAST MARGINAL WY S , TUKWILA WA
THE BOEING COMPANY
PO BOX 3703 M/S #1F -09 , SEATTLE WA
Contact Person:
Name: ROBERT LOUGHER
Address: 1128 8 ST , KIRKLAND WA
Contractor:
Name: HOLMBERG COMPANY
Address: PO BOX 249 , KIRKLAND WA
Contractor License No: HOLMBC *066ME
DESCRIPTION OF WORK:
PLUMBING ROUGH -IN AND TRIM FOR 2 SINKS
Value of Plumbing /Gas Piping:
Fees Collected: $98.00
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 2
Urinals 0
Water Closet 0
PLUMBING /GAS PIPING PERMIT
$0.00 Uniform Plumbing Code Edition: 2003
International Fuel Gas Code Edition: 2003
FIXTURE TYPE AND OUANTITY
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
0
Gas Piping
Gas piping outlets (0 -5)
Gas piping outlets (6 +)
* *continued on next page **
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 206 571 -70698
Phone: 425 822 -2233
Expiration Date: 09/01/2007
Steven M Mullet, Mayor
Steve Lancaster, Director
PG07 -025
01/26/2007
07/25/2007
0
0
PG07 -025 Printed: 01 -26 -2007
Permit Center Authorized 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
Permit Number: PG07 -025
Issue Date: 01/26/2007
Permit Expires On: 07/25/2007
Steven M Mullet, Mayor
Steve Lancaster, Director
Date: 01 01(*
I hereby certify that I have read and d th permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied u W Beth J kr 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.
Signarip \ _� Date:
Print Name: =.--
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 -025 Printed: 01 -26 -2007
Parcel No.: 0003400018
Address:
Suite No:
Tenant:
BOEING #9 -101
I: ** *PLUMBING AND GAS PIPING * **
doc: Cond -10/06
sue
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
9725 EAST MARGINAL WY S TUICW
PERMIT CONDITIONS
* *continued on next page **
Permit Number:
Status:
Applied Date:
Issue Date:
PG07 -025
ISSUED
01/26/2007
01/26/2007
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.
8: 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.
PG07 -025 Printed: 01 -26 -2007
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 of work.
Signatures < °
Print Name: ` '^ s ' AU Q J
vts
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
doc: Cond -10/06 PG07 -025
Date: ( /Z /d
ordinances governing
or local laws regulating
Printed: 01 -26 -2007
Name:
Mailing Address:
New
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Mechanical Permit No.
Plumbing/Gas Permit No.
Public Works Permit No.
Project No.
Building Permit No.
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.: 000 - 19 — CO t' p
Site Address. 110.,e)1/41. ill \� \� Suite Number: Floor:
Tenant Name: tOG Iij& o t / `SP4G fj New Tenant: ❑ Yes ❑..No
Property Owners Name:
Mailing Address: 6 112) E
CONTACT PERSON - who do we contact when your permit is ready to be issued
E -Mail Address:
GENERAL CONTRACTOR INFORMATION —
(Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5))
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Contractor Registration Number:
Q :Mppliations\Fonns•Applications On L.ine\3.2006 • Permit Appliation.doc
Revised: 9-2006
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Zip
Day Telep one: 2. J 5
♦.rL' 1�a.. � :1
5
City
Fax Number:
City
Day Telephone:
Fax Number:
Expiration Date:
State
Zip
ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record
Company Name:
Mailing Address:
City
State
Zip
Day Telephone:
Contact Person:
E -Mail Address: Fax Number:
ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record
Company Name:
Mailing Address:
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Page 1 of 6
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
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
;. x St
PLUMBING AND GAS PIPING PERMIT INFORMATION - 206- 431 -3670
PLUMBING AND AS PIPING CONTRACTOR INFOORMATION
Company Name: II � G 019/J.)4
Mailing Address: �L. g �"E <gttkOtC
f i
I\ cel(0 *Woo
Contact Person:
E - Mail Address: /
Contractor Registration Number: HO � 8 L. ) 066.
Valuation of Plumbing work (contractor's bid price): $
Valuation of Gas Piping work (contractor's bid price): $
Scope of Work (please provide detailed information): P/ii j 4,, Aaieft { ct
Building Use (per Int'l Building Code):
Occupancy (per Int'I Building Code):
Utility Purveyor: Water:
QMpplicatiore\Fonnss- Applications On Line\3.2006 - Permit Applicationdoc
Revised: 9 -2006
bh
Sewer:
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
thY WG tg03
City State Zip
Day Telephone: 0..s. $ZZ , 223 ?
M I� .
Fax Number: 42$. g� /. 5 4-35
Expiration Date:
Page 5 of 6
PERMIT APPLICATION NOTES — Applicable to all permits in this application
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.
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:
Date:
����
Signature
4 '
Building and Mechanical Permit
The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be
requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition).
Plumbing Permit
The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested
in writing and justifiable cause demonstrated. Section 103.4.3 Uniform Plumbing Code (current edition).
Print Name: —J `XZS
Day Telephone: ' LS 2--
Mailing Address: k (b.5(
City State Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
1
QMpplications\Fonns- Applications On Line\3.2006 - Permit Application.doc
Revised: 9-2006
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Page 6 of 6
Payee: HOLMBERG COMPANY
TRANSACTION LIST:
Type Method Description
ACCOUNT ITEM LIST:
Description
PLUMBING - RES
City of Tukwila
Department of omnh eve opment
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.: 0003400018 Permit Number: PG07 -025
Address: 9725 EAST MARGINAL WY S TUICW Status: PENDING
Suite No: Applied Date: 01/26/2007
Applicant: BOEING #9 -101 Issue Date:
Receipt No.: R07 -00110 Payment Amount: $98.00
Initials: JEM Payment Date: 01/26/2007 09:40 AM
User ID: 1165 Balance: $0.00
Amount
Payment Check 42710 98.00
Account Code Current Pmts
000/322.100 98.00
Total: $98.00
4158 01/26 9719 TOTAL 98.00
doc: Receiot -06 Printed: 01 -26 -2007
Project
/ Pt.)•i- F— /O/
Type of Inspection:
/, .
— '
Address:
7 2 � /
Date Called:
Special Instructio
1
r ,
�/
Date Wanted:
^
3 -72
0 ' p.m.
Requester:
Phone No:
4/7_
17 2 Z2, 3
3
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
206)431 -3G7
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
$58.' . EINSPECTION F ' REQUIRt"D. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
::l MS :: 1. 1 Jr..:' -t :".... tom. Y 4 -. •
Project'
OF/A/5 . 4-7o
Type of Inspection:
iivR / mil/,Z,6 ;
Address:
�r 7? 5 PRgy / 2 /f/t /Al0i
Date Called:
Special Instructions:
Date Wanted:
Requester:
Phone No:
old 6- yz3 - 3. 8 5 -
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERM!
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36
COMMENTS:
/ N
u
- ft
El Approved per applicable codes.
•
Corrections required prior to approval.
' „di Al 14
El $58. . e ' EINSPECTION FEE rEQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
'Date:
Project: -77',..,
o c f - 'v /
ofnspecti n:
//en,/-7 —
-v
_dress:
Aess: ,,
72 5J :/� !�i / � 4 i 1Arl /
Date Called:
Special Instructions:
Date Wanted:
a.m.
Requester:
Phone No:
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
LJ Approved per applicable codes. Corrections required prior to approval.
COMMENTS: 7 .24
r /ic( 2 -70 -C)
Ins
Date:
2 - 7 c) —v
8.00 REINSPECTIO
paid at 6300 Southcen
FEE REQUIRED. Prior to inspection, fee must be
er Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
License Information
License
HOLMBC *066ME
Licensee Name
HOLMBERG COMPANY
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
174003387
Ind. Ins. Account Id
Business Type
CORPORATION
Address 1
PO BOX 249
Address 2
City
KIRKLAND
County
KING
State
WA
Zip
980830249
Phone
4258222233
Status
ACTIVE
Specialty 1
PLUMBING
Specialty 2
UNUSED
Effective Date
7/5/1994
Expiration Date
9/1/2007
Suspend Date
Separation Date
Parent Company
Previous License
HOLMBPH2300A
Next License
Associated License
Business Owner Information
Name
Role
Effective Date
Expiration Date
HOLMBERG, A PHER
01/01/1980
VARRIANO , JON S
01/01/1980
HOLMBERG, KANDICE K
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.
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
INS CO
OF THE
Until
https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= HOLMBC * 066ME 01/26/2007