HomeMy WebLinkAboutPermit PG07-084 - EMBASSY SUITES - TUKWILAEMBASSY SUITES
15920 WEST VALLEY HY
PGO7-084
Parcel No.: 0005800024
Address:
Suite No:
Tenant:
Name:
Address:
Value of Plumbing /Gas Piping:
Fees Collected:
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
15920 WEST VALLEY BY TUKW
EMBASSY SUITES - TUKWILA
15920 WEST VALLEY HY , TUKWILA WA
Owner:
Name: NELSEN JAMES +LOREN S FROHMUTH
Address: 16113 W VALLEY HWY , TUKWILA WA 98188
Contact Person:
Name: TOM MONTGOMERY
Address: 7717 DETROIT AV SW , SEATTLE WA
Contractor:
Name: MACDONALD/MILLER FAC SOL INC
Address: PO BOX 47983 , SEATTLE, WA
Contractor License No: MACDOFS980RU
DESCRIPTION OF WORK:
REPLACE EXISTING DOMESTIC HOT WATER RECIRCULATION LINE WITH NEW. EMERGENCY WORK
DUE TO LEAK IN CURRENT COPPER PIPING.
$50,000.00
$88.00
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
PLUMBING /GAS PIPING PERMIT
FIXTURE TYPE AND OUANTITY
0
* *continued on next page **
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 206 255 -3175
Phone: 206 -763 -9400
Expiration Date: 12/31/2008
Uniform Plumbing Code Edition: 2003
International Fuel Gas Code Edition: 2003
Steven M Mullet, Mayor
Steve Lancaster, Director
PG07 -084
04/04/2007
10/01/2007
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 1
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) 0
Gas piping outlets (6 +) 0
PG07 -084 Printed: 04 -04 -2007
Permit Center Authorized Signature•
governing this work will be compile
Signature:
Print Name: IJeJJ( CS-
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
F
Permit Number: PG07 -084
Issue Date: 04/04/2007
Permit Expires On: 10/01 /2007
Steven M Mullet, Mayor
Steve Lancaster, Director
A Date: b 4 lii V0
I hereby certify that I have read and - x. ed 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 th performance of work. I am authorized to sign and obtain this plumbing /gas piping permit.
Date: 4 -/ //110
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 -084 Printed: 04 -04 -2007
Parcel No.: 0005800024
Address:
Suite No:
Tenant:
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
15920 WEST VALLEY l3Y TUKW
EMBASSY SUITES - TUICWILA
1: ** *PLUMBING AND GAS PIPING * **
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
PG07 -084
ISSUED
04/04/2007
04/04/2007
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.
doc: Cond - 10/06
* *continued on next page **
PG07 -084 Printed: 04-04 -2007
Print Name:
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: a kw V Date: 1 1/7 /0
.SSC ut. /'
PG07 -084 Printed: 04 -04 -2007
Site Address: I I off,
Tenant Name: L M h
Property Owne xl
Mailing Address:
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188.
htto://www.ci.tukwila.wa.us
aDs �u 1 I
rs Name: K °0..r 9 T V-C S L f
Ov
Building Permit No.
Mechanical Permit No.
Plumbing/Gas Permit No. T C .`--
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 **
p King Co Assessor's Tax No.: 000 S? 0O0 ,2 ‘.1
b � V /- 4Cl2 -14/A) Suite Number: a\-01 Floor: %
l 2 S U 1 New Tenant: ❑ .....Yes ] ..No
City
Zip
CONTACT PERSON
Name:
Mailing Address:
r - * - 41 Ne- 5 i) S-4
City
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:
City
I ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Company Name:
Mailing Address:
Contact Person:
E - Mail Address:
Q:Wpplications\Forms- Applications On Line\3-2006 - Permit Application.doc
Revised: 4 -2006
bh
Day Tel e�phone:( Th..) as 5 -31 5
WP. 0 1 ?/0G
State Zip
Fax Number:
State
Day Telephone:
Fax
Expiration Date:
Day Telephl
Fax Number:
State
Zip
Zip
ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record
State
Zip
Cit
Day - : • • e:
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
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
I
Repair or alteration
of drainage or vent
piping
Medical gas piping system
serving one to five
inlets /outlets for specific
gas
Additional medical gas
inlets /outlets — six or more
•
Contact Person: )b lr
PLUMBING AND GAS PIPING PERMIT INFORMATION - 206- 431 -3670
PLUMBING AND GAS S PIPING CONTRACTOR INFORMATION
Company Name: 1 r t A C byo
e ..1 I, n ` 1[Lei?
c- � ,
Mailing Address: 1I — 1 Ya T A., S W City 'cy' t } � L A � 1e c $ Zip C.
Day Telephone Q5 3 j7 S
E-Mail Address: Fax Number:
Contractor Registration Number: (Inn Q Or) r S Igo tau Expiration Date: ) , - 3) - 6 <7
Valuation of Project (contractor's bid price): $ 50/ ens.-0
Scope of Work (please provide detailed information): te (0,
•
tj 0 r k. Q lst ov � C t�.. - r ,. c � e -e,r e 1 e i r.
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
Q:\Applications\Forms- Applications On Line\ -2006 - Permit Application.doc
Revised: 4 -2006
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 105.3.2 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.
BUIL P NG OWNER O ' UTHORIZED A
Sigma
Print Name: r.- 1a4 ILA
Mailing Address:
Date Application Accepted:
0-1d17-tl1-
Q:1Applications\Fonns- Applications On Line13 -2006 - Permit Application.doc
Revised: 4 -2006
bh
Date Application Expires:
City
Date: ` 0
Day Telephon '& 1 (r, -
(
State Zip
Staff Initials:
(.
Page 6 of 6
Receipt No.: R07 -00508
Initials: JEM
User ID: 1165
ACCOUNT ITEM LIST:
Description
PLUMBING - 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.: 0005800024 Permit Number: PGO7 -084
Address: 15920 WEST VALLEY 8Y TUKW Status: PENDING
Suite No: Applied Date: 04/04/2007
Applicant: EMBASSY SUITES - TUKWILA Issue Date:
Payee: MACDONALD- MILLER FACILITY SOLUTIONS, INC.
TRANSACTION LIST:
Type Method Description Amount
Payment Check 1233 88.00
Account Code Current Pmts
000/322.100 88.00
Total: $88.00
Payment Amount: $88.00
Payment Date: 04/04/2007 03:16 PM
Balance: $0.00
doc: Receiot -06 Printed: 04 -04 -2007
S S i Project: �� hi c/. A
�:
-
T In ti 7
4.-i-ef f'J ��
Address: f
/ S / y zo / (-
D e Called:
/yam fl(M l v n ./-ti
Special Instructions:
�y
0Q/ 39
/Date
Wante / J� a
7 v/ C=✓
Requestee ✓r-/ /
.P
Phone No: 21-- ZcSe-- '7V
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
. • I .•p,.
206 431
proved per applicable codes. El Corrections required prior to approval.
COMMENTS:
oL7; �,t�
El $58.00 REINSPECTIO EE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection.
'Receipt No.:
'Date:
s�
Project:
Type of Inspection
Address:
Date Called: i
tructions:
Spec7
/
Date Wanted:
Requester:
Phone No:
26 +Z-C-
'— ,
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PE
(206)431 -367
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
El $58. INSPECTION E REQUIRED. Prior to inspection, fee must e
paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection.
'Receipt No.:
'Date:
. �, ..tea
Project:
Pi/7/3/1559c, 5
Type of ha
/ iit' ,
Address:
/ )--.?. Zei./ G;
Date Called: /
Special Instructions: v
•6/,-23
(*e Wanted:
— /6 — 6 7
'lm.
p.m.
Requester:
Phone No:
-- —/ 5
'
INSPECTION RECORD
Retain a copy with permit
INSPECTION 0. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-367
El Approved per applicable codes. El Corrections required prior to approval.
COMMENTS: PA.
4 1''V
N
Date:
Thi J)
.00 REINSPECTION FEE EQUIRED. Prior to inspection, fee must be
aid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection.
'Receipt No.:
'Date:
COMMENTS: /_ g5(- 7
( 7J// z
z/-9/// ,/ i-7 ,f/ i1/,- / /rrr(j , / /V/ )6 , 11 , 9/
'iN / / / / /,'=LS 4 P �r ifl� 5
/ ? /f�/ /61 /) -,7 /,--.= SYdgfic4-/ /A
Project: Type of Inspection:
7/?"7 ,5: / /'‹ /260,1 - iiv ;' /j /m
Address: " � Date Called:
/5 (.</.. G4 /4 /ti` c
Special Instructions: Date Wanted:
_ // -D7
Requester:
Phone No:
2e=1 6 - 2SS - 2_,
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
/60 )-0 6
(206)431 -36
PERMIT
El Approved per applicable codes. Corrections required prior to approval.
I Date
5 - // -
58.00 REINSPECTI0I 1 FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southce ter Blvd., Suite 100. Call the schedule reinspection.
Receipt No.:
'Date:
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
/60 )-0 6
(206)431 -36
PERMIT
El Approved per applicable codes. Corrections required prior to approval.
I Date
5 - // -
58.00 REINSPECTI0I 1 FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southce ter Blvd., Suite 100. Call the schedule reinspection.
Receipt No.:
'Date:
Project: _
Lt r /
-
Type of Inspect
��%
, /
��
Address
/ 249
411/ / %
D e Called:
Specia Instr ctions:
Dat vanted:
+/�
a.m.
Requester:
Phone No:
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.
Corrections required prior to approval.
COMMENTS:
I
/ '4 l aeegis
ri $58. REINSPECTION F REQUIRED. Prior to inspection, fee rtust be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
Project:
(<4., t
Type t, 4 ,1
Address: Y
5720 �4 a /�
ate Calle :
Speci Instructions: at e
Wanted:�
/ — / / ,0�
a.m.
p.m
Requester:
Phone N ,/ 7
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
El Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
■
Corrections required prior to approval.
COMMENTS: ,) ±
'4°4 glr
El $58.b0REINSPECTION FEE REQUIRED. Prior to inspection, fee must 6e
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedute reinspection.
Receipt No.:
Date:
License Information
License
MACDOFS980RU
Licensee Name
MACDONALD/MILLER FAC SOL INC
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
602254260
Ind. Ins. Account Id
SECRETARY
Business Type
CORPORATION
Address 1
PO BOX 47983
Address 2
City
SEATTLE
County
KING
State
WA
Zip
98106
Phone
2067684180
Status
ACTIVE
Specialty 1
GENERAL
Specialty 2
UNUSED
Effective Date
12/31/2002
Expiration Date
12/31/2008
Suspend Date
Separation Date
Parent Company
Previous License
DIVCOI'988RC
Next License
Associated License
Business Owner Information
Name
Role
Effective Date
Expiration Date
SIGMUND, FREDRIC
PRESIDENT
12/31/2002
KOPET, TYLER
SECRETARY
12/31/2002
KOPET, TYLER
TREASURER
12/31/2002
LOVELY, STEVE C
VICE PRESIDENT
12/31/2002
Look Up a Contractor, Electrir" In 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
https:// fortress. wa. gov /lni/bbip /printer.aspx ?License= MACDOFS980RU 04/04/2007