The URL can be used to link to this page

Home My WebLink AboutPermit PG07-081 - PDSIIUAVAVEILLYD T9LgT SUd Parcel No.: 2716000060 Address: Suite No: Contractor: Name: TRI -STATE PLUMBING INC Address: 13420 NE 16 ST , BELLEVUE WA Contractor License No: TRISTI *245NZ 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: PDS Address: 12761 GATEWAY DR , TUKWILA WA Contact Person: Name: SANDY SIMS Address: 13420 NE 16 ST, STE A , BELLEVUE WA PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: Owner: Name: AMB INSTITUTIONAL ALLIANCE Phone: Address: C/O MCELROY GEORGE & ASSOC , 3131 S VAUGHN WAY STE 301 DESCRIPTION OF WORK: ROUGH IN AND INSTALL (1) DRINKING FOUNTAIN, (2) FLOOR DRAINS, (4) LAVATORIES, (1) INDIRECT WATE RECEPTOR, (1) SINK, (1) URINAL, (3) WATER CLOSETS, AND (1) WATER HEATER. Value of Plumbing /Gas Piping: Fees Collected: $16,000.00 $218.00 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 Sinks Urinals Water Closet doc: UPC -10/06 FIXTURE TYPE AND OUANTITY * *continued on next page ** Phone: 425 643 -3830 Phone: 425 643 -3830 Expiration Date: 10/01/2008 Uniform Plumbing Code Edition: International Fuel Gas Code Edition: Steven M Mullet, Mayor Steve Lancaster, Director PGO7 -081 03/30/2007 09/26/2007 2003 2003 Plumbing (cont.) 0 Building sewer and each trailer park sewer 0 0 Rain water system - per drain (inside bldg) 0 0 Water heater and/or vent 1 0 Industrial waste treatment interceptor, including 0 its trap and vent, except for kitchen type 1 grease interceptors 0 0 Repair or alteration of water piping and/or water 2 treatment equipment 0 0 Repair or alteration of drainage or vent piping 0 4 Medical gas piping system serving (1 -5) 0 inlets /outlets for a specific gas 0 1 Medical gas piping (6 +) inlets /outlets 0 1 Gas Piping 1 Gas piping outlets (0 -5) 0 3 Gas piping outlets (6+) 0 PG07 -081 Printed: 03 -30 -2007 Permit Center Authorized Signature I hereby certify that I have read and governing this work will be complie The granting of construction o 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 -081 Issue Date: 03/30/2007 Permit Expires On: 09/26/2007 Steven M Mullet, Mayor Steve Lancaster, Director Date: 0 permit and know the same to be true and correct. All provisions of law and ordinances then specified herein or not. ermit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating performance o ork. I am authorized to sign and obtain this plumbing /gas piping permit. s Date: cRi5or /� Print Name:''4L1/ ` /1F) L2p) 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 - 081 Printed: 03 -30 -2007 Parcel No.: 2716000060 Address: Suite No: Tenant: PDS 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 1: ** *PLUMBING AND GAS PIPING * ** 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 -081 ISSUED 03/30/2007 03/30/2007 PG07 -081 Printed: 03 -30 -2007 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. Signature: 1 Print Name: 00 V L £ ` "■t)let) Dates Z /0 7 PG07 - 081 Printed: 03 -30 -2007 E-Mail Address: h� ��ctS�ro� 1u rrA31 .Cc neN Company Name: C R S — C ' M P t - r ' L x.4rne,1 4(, t `Q C. — d� Mailing Address: 3 CITY OF TUKWI Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: 3rit u . ci. tukirila.u'a. ns Contact Person: E-Mail Address: Contractor Registration Number: T(7fLS1rZI-4( a S N Z 5CL vri -L_cc 5 a.-Q cry Q: 4 Applications \FmmrAppb &ion On line \ 3-2006 - PermitAppli®fion.doc Revised: 9-2006 bh Building Permit No. Mechanical Permit No. Plumbing/Gas Permit No. 1 — Dq 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 King Co Assessor's Tax No.: 2 ''7 I L ,C)C5 6 Site Address: (2 7 is t ((I('1 i (' V-{ . Suite Number: Floor.$ (p ❑ Yes ❑..No Tenant Name: ? S Property Owners Name: R Q, E E F mere Mailing Address: City CONTACT PERSON — who do we contact when your permit is ready to be issued Name: 3a. (VI/ S l l n\ S Day Telephone: (4 Z5> V 43 " 3%S ep Mailing Address: r t( tO lo Si She A elkrOti.Q ( (1$C0S City State Zip Fax Number: 435) 4' - 3041 GENERAL CONTRACTOR INFORMATION — (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) •. \2 New Tenant: State City Day Telephone: Fax Number: Expiration Date: State Zip Zip ARCHITECT OF RECORD — All plans must be wet stamped by Architect of Record Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: 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) 1 Wash fountain Gas piping outlets Bidet Food -waste grinder. commercial Receptor. indirect waste i Clothes washer, domestic Floor drain z Sinks I Dental unit- cuspidor Shower, single head trap Urinals Dishwasher, domestic. with independent drain Lavatory Water Closet 3 Building sewer or trailer park sewer Rain water system — per drain (inside building) Water heater and or vent j 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 PIPING PERMIT INFORMATION — 206 - 431 -3670 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: V2T -STIR -fP .4)LAAv /t46- Mailing Address: \ b' ) 1� co t t n SV V l A b 10Pr ae.OoS zip State city Day Telephone: Li - to 4 1 8 - 3136) Contact Person: S(VYl( E-Mail Address: SQ/Y1�t 1 rf t5�o�2 U Mb I MI .Cb h'l Fax Number: 1 /c5 --- - 7 '// Contractor Registration Number: TR-=ST > Z Expiration Date: /d - 0 / Valuation of Plumbing work (contractor's bid price): $ , (i Oro G Valuation of Gas Piping work (contractor's bid price): $ Scope of Work (please provide detailed information): 17 a Zr. A T n?r2.1 L *&t_ 1 X��y rP Building Use (per Int'l Building Code): Occupancy (per Intl Building Code): Utility Purveyor: Water: Sewer: Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: Q: Applications Wonns-Applint&ons On iine\3 -2006 - limit Applicationdoc Revised: 9 bh 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. 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 OWNER OR AUTHORIZED AGENT: • Signature: Q:\Applications\Forme- Applicafions On tine \ 3-2006 - Permit Application:doc Revised: 9 -2006 bit Print Name: aq d L1 �lh'1 Mailing Address: I 3 , 4 2b N E /Lo * R Date: o / / / O 7 Day Telephone: (L/ S0 (o /,; —3? b �3 �llevu L5J QFoos City State Zip Date Application Accepted: Date Application Expires: Staff Initials: Page 6 of 6 Parcel No.: 2716000060 Permit Number: PG07 -081 Address: 12761 GATEWAY DR TUICW Status: PENDING Suite No: Applied Date: 03/30/2007 Applicant: PDS Issue Date: Receipt No.: R07 -00473 Payment Amount: $218.00 Initials: JEM Payment Date: 03/30/2007 12:47 PM User ID: 1165 Balance: $0.00 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 55271 218.00 ACCOUNT ITEM LIST: Description PLUMBING - NONRES Account Code Current Pmts 000/322.100 218.00 Total: $218.00 doc: Receiot -06 Printed: 03-30 -2007 Project: P1)5 Type of Inspection: r, / Address: /2 761 (Ai'P /.r/ .1),/ Date Called: Special Instructions: _ Date Wanted: .5,... / -7— O (a.m. � p.m. Requester: Phone No: g-2-4 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 4 0 Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: (lnsp r REINSPECTION FE REQUIRED Prior to inspection, fee must be d.. Suite 100. Call the schedule reinspection. at 6300 Southcenter B - INSPECTION RECORD Retain a copy with permit (Receipt No.: !Date: Da e-- /7- k *�,, te , M , _� ,.r. .�..._ - ""'fir. �r� -�...- .....�� -- _. - -• Project: D, S Type of n: Inspecti /Q1f� h - ; A. v �/ 1 h Address: /2.7(o/ 6iI &j Date Called: Special Instructions: Date Wanted: L/ — 2. 7-07 (a.rn Win. Requester: Phone No: �0 6 - 423 P INSPECTION RECORD etain a copy with permit INSPE ON NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 - 6b0 ....g t per applicable codes. ❑ Corrections required prior to approval. COMMENTS: iek / .4tA/ Inspector: REINSPECTION F REQUIRED. P or to inspection, fee must be t 6300 Southcenter : vd., Suite 1 I. Call to sechedule reinspection. R t No.: Date z 7- Date: Project: Type of spection: v ' Address: 2 76 / 4 � 4c �� Date Called: Special .z) Date Wanted: /J - 26 U Requester: Phone No: cQ G /2,F- & V INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION dE/ 6300 Southcenter Blvd., #100, Tukwila, WA 98188 2 Approved per applicable codes. Corrections required prior to approval. COMMENTS: REINSPECTION FEE \REQUIRED. P , at 6300 Southcenter 13l d., Suite 1 Receipt No.: or t Date: f'� to inspection, fee must be Call to sechedule reinspection. Date: 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, Electric' -n 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. https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= TRISTI *245NZ 03/30/2007