HomeMy WebLinkAboutPermit PG07-076 - ALLEGISALLEGIS
12761 GATEWAY DR
PGO7-076
Parcel No.: 2716000060
Address:
Suite No:
City of Tukwila
12761 GATEWAY DR TUKW
Tenant:
Name: ALLEGIS
Address: 12761 GATEWAY DR , TUKWILA WA
Owner:
Name: AMB INSTITUTIONAL ALLIANCE Phone:
Address: C/0 MCELROY GEORGE & ASSOC , 3131 S VAUGHN WAY STE 301
Contact Person:
Name: GARY WIRTA
Address: PO BOX 82360 , KENMORE WA
Contractor:
Name: CFM HEATING AND COOLING INC
Address: PO BOX 82360 , KENMORE WA
Contractor License No: CFMHEHC969CD
DESCRIPTION OF WORK:
INSTALL (7) NEW OUTLETS TO GAS PACKAGED AC ROOFTOP UNITS
Value of Plumbing /Gas Piping:
Fees Collected:
Plumbing
Bathtub or combination bath/shower 0
Bidet 0
Clothes washer, domestic 0
Dental unit, cuspidor 0
Dishwasher, domestic, with independent drain 0
Drinking fountain or water cooler (per head) 0
Food -waste grinder, commercial 0
Floor drain 0
Shower, single head trap 0
Lavatory 0
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
$1,000.00
$102.00
PLUMBING /GAS PIPING PERMIT
Uniform Plumbing Code Edition: 2003
International Fuel Gas Code Edition: 2003
FIXTURE TYPE AND QUANTITY
0
* *continued on next page **
Permit Number:
Issue Date:
Permit Expires On:
Phone: 425 481 -3471
Phone: 425- 481 -6239
Expiration Date: 02/04/2008
Steven M Mullet, Mayor
Steve Lancaster, Director
PG07 -076
03/27/2007
09/23/2007
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
its trap and vent, except for kitchen type
grease interceptors 0
Repair or alteration of water piping and/or water
treatment equipment 0
Repair or alteration of drainage or vent piping 0
Medical gas piping system serving (1 -5)
inlets /outlets for a specific gas 0
Medical gas piping (6 +) inlets /outlets 0
Gas Piping
Gas piping outlets (0-5) 5
Gas piping outlets (6 +) 2
PG07 -076 Printed: 03 -27 -2007
Permit Center Authorized Signature:
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 -076
Issue Date: 03/27/2007
Permit Expires On: 09/23/2007
Steven M Mullet, Mayor
Steve Lancaster, Director
Date: U
I hereby certify that I have read and -x. . ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complie • 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 authyrized to sign and obtain this plumbing /gas piping permit.
Date: 03.27 '07
Signature: C�./•! 7" /di
Print Name: toraavy M(€ €
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 -10/06
PG07 -076 Printed: 03 -27 -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
Permit Number:
Status:
Applied Date:
Issue Date:
PG07 -076
ISSUED
03/27/2007
03/27/2007
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.
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 -076 Printed: 03 -27 -2007
Signature: 4,f WA/1 1 14
Print Name: JereVVly )10e 0e `(Cc
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
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.
Date: 03 '27'07
PG07 -076 Printed: 03 -27 -2007
Site Address:
Tenant Name:
CITY OF TUKWILL
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.citukwila.wa.us
Name: ( o 9 L Can
Mailing Address: PDX C=3Z36
Building PerhiTi No.
Mechanical Permit No.
Plumbing/Gas Permit No.
Public Works Permit
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 **
127 Co 1 Ga +ewa/ D . 161 d9
A
Property Owners Name: I�r,P ri i ' ore4y , L19rvt .
Mailing Address: t (P 000 C V r ■ ` JT Pi l 1\ ?o'
CONTACT PERSON who do we contact when your permit is ready to be issued
State Zip
E -Mail Address: Fax Number: t ag" C 5 R67
GENERAL CONTRACTOR INFORMATION -
(Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5))
Company Name:
Mailing Address:
State
Contact Person:
E -Mail Address:
Contractor Registration Number:
Z.71(oC0 - 00
King Co Assessor's Tax No.:
Suite Number: Floor: 1
New Tenant: Yes ❑..No
Tv4u•6‘6;1/4.
City
State Zip
Day Telephone: yz ` Lief- 3 ti 7
Itn tMore R'i 2e
City
Zip
City
Day Telephone:
Fax Number:
Expiration Date:
ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
QiApplications\Fonns- Applications On Line\3 -2006 - Permit Application.doc
Revised: 9 -2006
bh
State
Zip
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
PLUMBING AND GAS PIPIN(ERMIT INFORMATION — 206 - 431..,670
PLUMBING AND GAS PIPING CONTRACTOR INFORMATION
Company Name: Cc M M {a-4 n 9 aln4 COD i n5 t 2 ru -
Mailing Address: PD ( o X EV-3 (p O 6f1 d)n, -
I City
Contact Person: G0.( 'f Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: eV ) NE t4 c a (o'. c-D Expiration Date:
Valuation of Plumbing work (contractor's bid price): $
Valuation of Gas Piping work (contractor's bid price): $ 1 OCO • Pt)
1(4a C new (u- 1 e , 1"5 �O n 45
Scope of Work (please provide detailed information):
pacVa5er Ac fotr -t4V cntls
Building Use (per Int'l Building Code):
Occupancy (per Intl Building Code):
Utility Purveyor: Water:
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
Q: \Applications\Forms- Applications On Line 3 -2006 - Permit Application.doc
Revised: 9 -2006
bh
State
1 05' c-f 9)-347I
( 1 2 5' `t - tc , 7
02 - pc{• L 6
Sewer:
Zip
Page 5 of 6
Print Name: Z j <f Abater
Mailing Address: VD BOX )23(00
Date Application Accepted:
Q:\Applications\Fonns- Applications On LineN3 -2006 - Permit Application.doc
Revised: 9 -2006
bh
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.
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).
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 OR AUTHORIZED GEN :
Signature: � .. i� Date: 03.11 -7)7
Day Telephone: 425- 'lb 1- 3`f1 1
Ken
City
State Zip
Date Application Expires:
Staff Initials:
Page 6 of 6
Payee: CFM BEATING AND COOLING INC.
ACCOUNT ITEM LIST:
Description
GAS - NONRES
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.: 2716000060 Permit Number: PG07 -076
Address: 12761 GATEWAY DR TUKW Status: PENDING
Suite No: Applied Date: 03/27/2007
Applicant: ALLEGIS Issue Date:
Receipt No.: R07 -00448 Payment Amount: 6102.00
Initials: gm Payment Date: 03/27/2007 04:09 PM
User ID: 1165 Balance: 50.00
TRANSACTION LIST:
Type Method Description Amount
Payment Check 11996 102.00
Account Code Current Pmts
000/322.100 102.00
Total: $102.00
doc: Receipt-06 Printed: 03 -27 -2007
Project,, ,
/1/4€7,`5
Type of Inspection:
Address:
/ 2 7
644-44
Date Called:
Special Instructions:
Date Wanted:
p.m.
Requester:
Phone No:
INSP
INSPECTION RECORD
ain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 981 88
proved per applicable codes. Corrections required prior to approval.
COMMENTS:
; ( / •
Davi .....?
.00 REINSPECTION EE REQUIRED. dor to inspection, fee must be
id at 6300 Southcent Blvd., Suite 100. Cal to sechedule reinspection.
*pt No.:
'Date:
Project: ! e.
Type of Inspection:
-.
Address: C
ci _ �
Date Called-
Special Instructions:
Date Wanted:
a.m.
Requester:
Phone Nom ,,/
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
COMMENTS:
Inspector:
Date: 23d7
Approved per applicable codes. Corrections required prior to approval.
$58.00 RE(NSPECTIOl41 EE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
INSPECTION RECORD
Retain a copy with permit
PERM
06)431 -36
Project:
A LLF L,i c,
Type of 1Rspection:
?�,su- In - i '\]
Address:
1 ? - 7C7 1 (.� A
e c�.JAL- I> f
Date Called:
Special Instructions:
Date Wanted:
-; - Z � - o l
p.m.
Requester:
Phone No:
2 66 -sio -c-236
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PER
NO.
(206)431 -367
COMMENTS:
of 7 ,-�, k/4/2
/ 7- l/ 7y !e`
T
n°
Approved per applicable codes. Corrections required prior to approval.
$58.00 REINSPECTION F ' REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
License Information
License
CFMHEHC969CD
Licensee Name
C F M HEATING AND COOLING INC
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
602361244
Ind. Ins. Account Id
#1
Business Type
CORPORATION
Address 1
PO BOX 82360
Address 2
City
KENMORE
County
KING
State
WA
Zip
98028
Phone
4254816239
Status
ACTIVE
Specialty 1
GENERAL
Specialty 2
UNUSED
Effective Date
2/4 /2004
Expiration Date
2/4 /2008
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
#1
RLI INS
CO
SRS1008639
02/04/2004
Until
Cancelled
$12,000.00
02/04/2004
Business Owner Information
Name
Role
Effective Date
Expiration Date
CLANCY, SHAUN
PRESIDENT
02/04/2004
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.
Savings Information
https: // fortress. wa. gov /1ni/bbip /printer.aspx ?License= CFMHEHC969CD 03/27/2007