HomeMy WebLinkAboutPermit PG07-053 - ALLEGISALLEGIS
12761 GATEWAY DR
PGO7-053
Parcel No.: 2716000060
Address:
Suite No:
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
12761 GATEWAY DR TUKW
Tenant:
Name: ALLEGIS
Address: 12761 GATEWAY DR , TUKWILA WA
PLUMBING /GAS PIPING PERMIT
Owner:
Name: AMB INSTITUTIONAL ALLIANCE Phone:
Address: C/O MCELROY GEORGE & ASSOC , 3131 S VAUGHN WAY STE 301
Contact Person:
Name: SANDY SIMS
Address: 13420 NE 16 ST, STE A , BELLEVUE WA
Contractor:
Name: TRI -STATE PLUMBING INC
Address: 13420 NE 16 ST , BELLEVUE WA
Contractor License No: TRISTI *245NZ
DESCRIPTION OF WORK:
ROUGH -IN AND INSTALL PLUMBING FIXTURES: (2) FLOOR DRAINS, (4) LAVATORIES, (1)
MOP SINK, (1) SINK, (2) URINALS, (6) WATER CLOSETS, AND (1) WATER HEATER.
Value of Plumbing /Gas Piping:
Fees Collected:
doc: UPC - 10/06
$19,000.00
$248.00
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
Sinks
Urinals
Water Closet
Uniform Plumbing Code Edition: 2003
International Fuel Gas Code Edition: 2003
FIXTURE TYPE AND OUANTITY
* *continued on next page **
Permit Number:
Issue Date:
Permit Expires On:
Phone: 425 643 -3830
Phone: 425 643 -3830
Expiration Date: 10/01/2008
Steven M Mullet, Mayor
Steve Lancaster, Director
PG07 -053
02/15/2007
08/14/2007
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
0 its trap and vent, except for kitchen type
O grease interceptors 0
0 Repair or alteration of water piping and/or water
2 treatment equipment 0
O Repair or alteration of drainage or vent piping 0
4 Medical gas piping system serving (1 -5)
1 inlets /outlets for a specific gas 0
O Medical gas piping (6 +) inlets /outlets 0
1 Gas Piping
2 Gas piping outlets (0 -5) 0
6 Gas piping outlets (6 +) 0
PG07 -053 Printed: 02 -15 -2007
Permit Center Authorized Signature
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 and -x- ed t - permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complie th, 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 pe - ce of work. I am authorized to sign and obtain this plumbing /gas piping permit.
Date: 2A31
Signature:
Print Name: '6( )J K`p•J1 god
doc: UPC -10/06
City of Tukwila
Permit Number: PG07 -053
Issue Date: 02/15/2007
Permit Expires On: 08/14/2007
Steven M Mullet, Mayor
Steve Lancaster, Director
Date: Q 1.%
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 -053 Printed: 02 -15 -2007
Parcel No.: 2716000060
Address:
Suite No:
Tenant: ALLEGIS
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
12761 GATEWAY DR TUKW
PERMIT CONDITIONS
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 **
Permit Number:
Status:
Applied Date:
Issue Date:
PG07 -053
ISSUED
02/15/2007
02/15/2007
PG07 -053 Printed: 02 -15 -2007
City of Tukwila
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:
doc: Cond -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
� 4 t°. /1- -
Date: Z /1v�
PG07 -053 Printed: 02 -15 -2007
CITY OF TUKW
tit
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
h!!y: winr.ci.tukwila.wa . us
Name: �" Oilft S 1 m S
Mailing Address: rz, 110 1 Sk et
E-Mail Address:
Company Name:
Mailing Address:
s • L
.., _1 11 s• s•_ at
TRl -STATE PLUMBING. INC
TRI -STATE PLAZA
13420 N.E.1611 ST STE A
BELLEVUE, WA 98005 -2308
Contact Person:
E-Mail Address:
Contractor Registration Number: - T 1 1 . . 1- �N Z
Contact Person:
E-Mail Address:
Contact Person:
E-Mail Address:
Q:wpplicabonsTom,- Application, On tine d -1006 - PamitAppfication.doc
Raved: 9-2006
bb
tiftw
Building Permit No.
Mechanical Permit No.
Plumbing/Gas Permit No.
Public Works Permit No.
Project No.
(For office use only)
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 LOCATION
T King Co Assessor's Tax No.: / /(t l)2(C)
C are
Site Address: I X7 to 1 - -Ut7t1 RUC Suite Number:__ Floor:
Tenant Name: P \ \P 1.5 New Tenant: ❑ Yes ❑..No
P r o p e r t y Owners Name: (Z EE F A mein r1 Q. g t T I_ li(ZP
Mailing Address:
City
State
Zip
CONTACT PERSON - who do we contact when your permit is ready to be issued
Day Telephone: (YES - ) to N3 - 3 Fs3c5
€A \e0t -Le LE' Q
City State Zip
Fax Number: (q3.5 ) ' ? / Q - ,50y/
GENERAL CONTRACTOR INFORMATION —
(Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5))
City State Zip
Day Telephone: f 43_ cc) (o g 3 ' 3&
Fax Number: as) '7 N'7 -36 /
Expiration Date: rr/O /A5 $�
ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record
Company Name:
Mailing 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:
City
Day Telephone:
Fax Number:
State
Zip
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-7
r("10 pS1 ---
l
Gas piping outlets
Bidet
Food -waste grinder.
commercial
Receptor.'ndirect
waste
Clothes washer, domestic
Floor drain
2
Sinks
Dental unit, cuspidor
Shower, single head trap
Urinals
Z
Dishwasher, domestic.
with independent drain
Lavatory
1 1
Water Closet
tp
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
Company Name:
Mailing Address:
PLUMBING AND GAS PIPING PERMIT INFORMATION - 206 -431 -3670
PLUMBING AND GAS PIPING CONTRACTOR INFORMATION
TRI -STATE PLUMBING, INC
TRI -STATE PLAZA
13420 N.E. 16th G i ZTE A
BELLEVUE, WA 98005 -2308
Contact Person: 1 C)p ij-t t)al ' ,t tn..e Day Telephone: (4 Coq '.3k
E-Mail Address: AQ t)e Vt -c ‘ 5\ci1� -p(1,l mb 11'9 . Co h'1 Fax Number: (4 74
Contractor Registration Number: 1 R.1.7,5 Expiration Date: /) /D/1
Valuation of Plumbing work (contractor's bid price): $ 1q 1 000
Valuation of Gas Piping work (contractor's bid price): $
Scope of Work (please provide detailed information):
0 -01A. t v. 5 to t" t u w►tn ► v► c %. -1-rxx - e 5
Building Use (per Int'1 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:
QMppticatons\Fonn -Appliatiota On LineU -2006 - Pamit Appscationdoc
Revised 9 -2006
bh
City State Zip
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.
Signature
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 105.32 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).
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 OWNE ' OR AUTH
Print Name: Q U C . Ca non
Mailing Address: l 10� -
Q:■Applicationa\Fonns- Applications On tine13 -2006 - Pennitnppfintioaadoc
Revised: 9 -2006
bh
Date: 2 /5 7
Day Telephone: � h/c�'� ) (pt/ 3 3 fl' 3O
cit
ra sa q ate zip
Date Application Accepted: Date Application Expires: Staff Initials:
Page 6 of 6
i
Parcel No.: 2716000060 Permit Number: PG07 -053
Address: 12761 GATEWAY DR TUKW Status: PENDING
Suite No: Applied Date: 02/15/2007
Applicant: ALLEGIS Issue Date:
Receipt No.: R07 -00230
Initials: JEM
User ID: 1165
Payee: TRI -STATE PLUMBING, INC.
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
TRANSACTION LIST:
Type Method Description Amount
Payment Check 55166 248.00
ACCOUNT ITEM LIST:
Description
PLUMBING - NONRES
Account Code Current Pmts
000/322.100 248.00
Total: $248.00
Payment Amount: $248.00
Payment Date: 02/15/2007 10:32 AM
Balance: $0.00
4953 02/15 '7 TOTAL 2 4S „F,0
doc: Receiot -06 Printed: 02 -15 -2007
Project: t /5
/7
Type of Inspection: / / y 4 : 7
/ / vA
Address:
/ 2 7 6/ 6-4/E-4.49 1'»
Date Called:
.__
Special Instructions:
Date Wanted:
---210-6 ,
(�
Requester:
Phone No:
,) '/23 -g3
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PER
0 • )431 -3670
proved per applicable codes. Ej Corrections required prior to approval.
COMMENTS:
;-/
8.00 REINSPECT! N FEE REQUIRED. Prior to inspection, fee must be
'• aid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
'Date:
Project: /� /
/'t Ul / C
Type � offIInspec t ion: f�
2"1L�7 , /,.rte 4 /Zee
Address: �/^^
2-'7 / c..ai1, //,
Date Called:
Special Instructions:
Date Wanted: a.m.
.�" /y'-0� p.m.
Requester:
Phone No:
rI(J y •j<
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
El $58.00 RtINSPECTION 'EE REQl1 Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
COMMENTS:
Receipt No.:
Date:
4 . Approved E1 per applicable codes. Corrections required prior to approval.
06)
31 -3
70
Project:
,G}Z /IS
Type of Inspection:
of
C zz)," ecir ✓ te
Address:
/27 e /.fl7/t ev y
Date Called:
Special Instructions:
Date Wanted:
�- G. - G -�
miN
C a. p.m.
Requester:
Phone No:
y15 — 8 G L/ — 7 /
S ----
r.;
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
ryy. proved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
0
" 4 ip
(2 • • )431 -36
COMMENTS:
spector:
A Ail w
17 8.0. REINSPECTION FE REQUIRED. Prior to inspection, fee must be
aid • t 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Recei• No.:
Date:
Date:
El Corrections required prior to approval.
y"", s f yre ..n'"
License Information
License
TRISTI *245NZ
Licensee Name
TRI -STATE PLUMBING INC
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
600151772
Ind. Ins. Account Id
26150900
Business Type
CORPORATION
Address 1
13420 NE 16TH ST STE A
Address 2
City
BELLEVUE
County
KING
State
WA
Zip
980052346
Phone
4256433830
Status
ACTIVE
Specialty 1
GENERAL
Specialty 2
UNUSED
Effective Date
8/9/1976
Expiration Date
10/1/2008
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
Business Owner Information
Name
Role
Effective
Date
Expiration
Date
QUACKENBUSH,
WILLIAM J
PRESIDENT
09/03/2002
CANON, PAUL E
VICE
PRESIDENT
08/09/1976
MICHAEL, GARY V
VICE
PRESIDENT
12/01/2002
ARNONE, CHARLES J
VICE
PRESIDENT
08/09/1976
09/03/2002
DARNELL, FRED N
VICE
PRESIDENT
08/09/1976
09/03/2002
Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 3
Ntaw
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.
https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= TRISTI *245NZ 02/15/2007