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Home My WebLink AboutPermit PG07-100 - PDSPDS 12773 GATEWAY DR PGO7-100 Parcel No.: 2716000060 Address: Suite No: Tenant: Name: PDS Address: 12773 GATEAY DR , TUKWII,A WA Owner: Name: Address: 12773 GATEWAY DR TUKW AMB INSTITUTIONAL ALLIANCE Phone: C/O 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 (3) NEW GAS OUTLETS (REFERENCE PERMIT M07 -082) Value of Plumbing /Gas Piping: Fees Collected: $15,000.00 $88.00 Plumb g Bathtub or combination bath/shower Bidet Clothes washer, domestic Dental unit, cuspidor Dishwasher, domestic, with independent drain Drinldng 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 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 PLUMBING /GAS PIPING PERMIT FIXTURE TYPE AND OUANTITY * *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 -100 04/18/2007 10/15/2007 Uniform Plumbing Code Edition: 2003 International Fuel Gas Code Edition: 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 0 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 Repair or alteration of drainage or vent piping 0 0 Medical gas piping system serving (1 -5) 0 inlets /outlets for a specific gas 0 0 Medical gas piping (6 +) inlets /outlets 0 0 Gas Piping 0 Gas piping outlets (0 -5) 3 0 Gas piping outlets (6 +) 0 PG07 -100 Printed: 04 -18 -2007 Permit Center Authorized Signature: k �i�A Signature: Print Name: 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 eelai AelIer Permit Number: PG07 -100 Issue Date: 04/18/2007 Permit Expires On: 10/15/2007 Steven M Mullet, Mayor Steve Lancaster, Director Date: oc-th D t c' 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 th, 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 per{ormance of work. I am authorized to sign and obtain this plumbing /gas piping permit. Date: 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 - 100 Printed: 04 -18 -2007 Parcel No.: 2716000060 Address: Suite No: Tenant: PDS 12773 GATEWAY DR TUICW 1: ** *PLUMBING AND GAS PIPING * ** 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 PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: 5: No portion of any plumbing system or gas piping shall be concealed until inspected and approved. * *continued on next page ** PGO7 -100 ISSUED 04/18/2007 04/18/2007 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. 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 -100 Printed: 04 -18 -2007 Signature: 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. M ertet-t4 eYpmy Mo4V Date: v'T lE3 - PG07 -100 Printed: 04 -18 -2007 '27/3 Gciikok4y Or. P c ) Property Owners Name: lac ese Q (Ivey kti @y n, Mailing Address: 1e1OCC) ON/ 4e1\90 Road "ruk.u; Site Address: Tenant Name: Name: Mailing Address: Company Name: Mailing Address: Contact Person: E -Mail Address: Contractor Registration Number: Company Name: Mailing Address: Contact Person: E -Mail Address: Company Name: Mailing Address: 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 � 1 � x 87-3G0 Q: Applieations \Fams- Appliestions On tine13 -2006 - Permit Applieation.doe Revised: 9-2006 bb 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.: 211 e - DO(oO Suite Number: New Tenant: City WA State Floor: +i Yes El -No C ie) f 8�3 Zip o`do we contact when your permit is ready ti Day Telephone: 4 125' 1 ' ari niae ki g Bb233 City state Zip E -Mail Address: Fax Number: 4125 ' f 3 507 I RAL CONTRACTOR INFORMATION Contractor Informiation for Mechanical (pg'4) for Plumbing Gas Piping (pg 5 City Day Telephone: Fax Number: Expiration Date: State State State Zip City Day Telephone: Fax Number: Zip City Contact Person: Day Telephone: E -Mail Address: Fax Number: Zip Page 1 of 6 Valuation of Project (contractor's bid price): $ Existing Building Valuation: $ Scope of Work (please provide detailed information): Will there be new rack storage? ❑ Yes Q: Applicetiam\Fonns- Applications On line\3 -2006 - Permit Application.doc Revised: 9-2006 en ❑.. No If yes, a separate permit and plan submittal will be required. PLANNING DIVISION: Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling: 'Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ Yes ❑ No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑ Sprinlders ❑ Automatic Fire Alarm ❑ None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes ❑ No If "yes', attach list of materials and storage locations on a separate 8 - 1 /2 "x 11" paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM ❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. Page 2 of 6 Sewer District ❑ ...Tukwila ❑ ...Sewer Use Certificate ❑ ...Total Cut cubic yards ❑ ...Total Fill cubic yards ❑ ...Sanitary Side Sewer ❑ ...Cap or Remove Utilities ❑ ...Frontage Improvements ❑ ...Traffic Control ❑ ...Backflow Prevention - Fire Protection Irrigation Domestic Water PUBLIC WO RKS PERMIT INFORMATION 206- 433 -017 Scope of Work (please provide detailed information): Please refer to Public Works Bulletin #1 for fees and estimate sheet: Water District ❑ ...Tukwila 0... Water District #125 ❑ ...Water Availability Provided Q Appticationa\Forms- Applications On UneV -2006 - Permit Applieation.doe Revised 9 -2006 bh Call before you Dig: 1 -800- 424 -5555 ❑ .. Highline ❑... ValVue ❑ .. Renton ❑...Sewer Availability Provided Proposed Activities (mark boxes that apply): ❑ ...Right -of -way Use - Nonprofit for less than 72 hours ❑ ...Right -of -way Use - No Disturbance ❑ ... Construction /Excavation/Fill - Right -of -way Non Right -of -way ❑ .. Abandon Septic Tank ❑ .. Curb Cut ❑ .. Pavement Cut ❑ .. Looped Fire Line ❑ .. Work in Flood Zone ❑ .. Storm Drainage ❑ .. Renton ❑ .. Seattle Septic System: ❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. Submitted with Application (mark boxes which apply): ❑ ...Civil Plans (Maximum Paper Size — 22" x 34 ") ❑ ...Technical Information Report (Storm Drainage) ❑ .. Geotechnical Report ❑ ...Bond ❑ .. Insurance ❑ .. Easement(s) ❑ .. Maintenance Agreement(s) ❑ .. Right -of -way Use - Profit for less than 72 hours ❑ .. Right -of -way Use — Potential Disturbance ❑ ...Permanent Water Meter Size... WO # ❑ ...Temporary Water Meter Size.. 11 WO # ❑ ...Water Only Meter Size WO # ❑...Deduct Water Meter Size ❑ ...Sewer Main Extension Public _ Private _ ❑ ...Water Main Extension Public Private ❑...Traffic Impact Analysis ❑...Hold Harmless — (SAO) ❑...Hold Harmless — (ROW) ❑ .. Grease Interceptor ❑ .. Channelization ❑ .. Trench Excavation ❑ .. Utility Undergrounding FINANCE INFORMATION Fire Line Size at Property Line Number of Public Fire Hydrant(s) ❑ ...Water ❑ ...Sewer ❑ ...Sewage Treatment Monthly Service Billing to: Name: Day Telephone: Mailing Address: Water Meter Refund/Billing: Name: Mailing Address: City State Zip Day Telephone: City State Zip Page 3 of 6 11n tTyile qty . `Unit`Type, . Qty ,'. Unit Type: Qty Boiler /Compressor: t ty Fumace<100K BTU Air Handling Unit >10,000 CFM Fire Damper 0 -3 HP /100,000 BTU Furnace>100K BTU Evaporator Cooler Diffuser 3 -15 HP /500,000 BTU Floor Furnace Ventilation Fan Connected to Single Duct i Thermostat 3 15 -30 HP /1,000,000 BTU Suspended/Wall/Floor Mounted Heater Ventilation System ' Wood/Gas Stove 30-50 HP /1,750,000 BTU Appliance Vent Hood and Duct Emergency Generator 50+ HP /1,750,000 BTU Repair or Addition to Heat/Refrig/Cooling System Incinerator - Domestic Other Mechanical Equipment Air Handling Unit <10,000 CFM .2 �J Incinerator — Comm/Ind � o` � c � L ` '1 2 `J MECHANICAL CONTRACTOR INFORMATION Company Name: C1) P Fit t i n5 Cit ry CoO ng , S f11 - Mailing Address: PC? 130k (CO (323 Contact Person: �ettC kest E -Mail Address: //�� Contractor Registration Number: (,CM ( C H C (o y CD Valuation of Mechanical work (contractor's bid price): $ 25 t°° Scope of Work (please provide detailed information): Tiff Ct I I C, f cqs cvkfie. ( 1) Seir ram `/ Use: Residential: New .... ❑ Commercial: New .... [ . Fuel Tvpe: Electric ❑ Gas Other: Indicate type of mechanical work being installed and the quantity below: QUpplications\Fomis- Appliatiau On lined -2006 - Permit Applicatian.doc Revised 9.2006 bh Replacement .... ❑ Replacement .... ❑ 00 (4.-11)00 City Day Telephone: Fax Number: Expiration Date: kttWk q�o2b State Zip c�D - Y[hl -3'171 f25 ' • '( - 967/ 772 - C cka ezi 4C thi:4 -5 +k eklAckA 4 ( ) Coln'1 Virv Page 4 of 6 - Fixture Ty. pe , ; ':` .. = qty .'Fixture:Type Qty: < Fixture Type: Qty° Fixture TYpe 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 .UMBING AND GAS PIPING PERMIT INFORMATION °:2 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Cc 1-1 (AQaA- ins 4neA Con 9 97 &7X f57-;h0 max City Contact Person: 6 q J 1 W Z r Day Telephone: E -Mail Address: Fax Number: Expiration Date: Company Name: Mailing Address: Contractor Registration Number: Valuation of Plumbing work (contractor's bid price): $ Valuation of Gas Piping work (contractor's bid price): $ 16 60 . 0 Scope of Work (please provide detailed information): S YISTA 1 ( ?) YWJAJ -(e,-k '(,r (.) Ji o'F . Building Use (per Int'I Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: Q: ApplicationsWonns- Applications On line\3 -2006 - Permit Application.doc Revised: 9 -2006 bh GfA4c coq co State Zip 4 CIP' ? l C. ( 2 5• qf3 Qb - J Sewer: Page 5 of 6 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 OWNER OR AUTHORIZED AGENT: Print Name: (J 3 Ml..1 KAeler Mailing Address: 90 Ott 8 t 0o Signature: Date Application Expires: Date Application Accepted: _ _ + wA QMppliaations\Forms- Applications On Line\3 -2006 - Permit Application.doc Revised 9 -2006 bh City Date: CS( Day Telephone: 405 4 65 I' 3Y7 / Kenmore WA g8ceR State Zip Page 6 of 6 RECEIPT NO: R07 -00605 Initials: JEM User ID: 1165 SET TRANSACTIONS: Set Member Amount ACCOUNT ITEM LIST: Description GAS - NONRES MECHANICAL - NONRES PLAN CHECK - 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. cL tukwila. wa. us Payee: CFM HEATING AND COOLING INC. SET RECEIPT Payment Date: 04/18/2007 Total Payment: 530.45 SET ID: S000000732 SET NAME: Tmp set/Initialized Activities M07 -082 442.45 PG07 -100 88.00 TOTAL: 530.45 TRANSACTION LIST: Type Method Description Amount Payment Check 12065 530.45 TOTAL: 530.45 Account Code Current Pmts 000/322.100 88.00 000/322.100 359.96 000/345.830 82.49 TOTAL: 530.45 7276 04/19 9716 TOTAL 530 =45 Project A Type of Inspection: ....... Addres / ...",/ Date Called: Special Instructions: ) Date Wante a.m. P.m. Requester: Phone No: INSPECTION RECORD Retain a copy with permit INSP N NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PERMIT NO. (206)431-3670 P‘r? roved per applicable codes. Corrections required prior to approval. COMMENTS: 6)4 7,9 pi)41 fl $ • REINSPECTION F E REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. Receipt No.: 'Date: Project:p Type of Inspection: Address: /2.--ons: 7 g/ -6:C/A-Wei Date Called: 7 Special Instr cti /6ate Wanted: Ca.; P.m. Requester: Phone No: 2, INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 981 88 (206)431-3 Approved per applicable codes. E1 Corrections required prior to approval. COMMENTS: A-7,40,e7 /)-re // /*/ Lie? z 'Inspector: r ate: 5: 2„ ... 3 El $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. r eceipt No.: 'Date: Project: ( �/J/) J \ J Type of Ins ./7.l.0 • / Address: Date Called: Special Instructions. Date Wanted i v / . . Requester: Phone No: INSPECTION RECORD Retain a copy with permit INSPECTIOILNO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 El Approved per applicable codes. COMMENTS: l) drbvfr7 .2,) Corrections required prior to approval. Date .02 1J $58.0O EINSPECTION FE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedute reinspection. Receipt No.: Date: Xc: 10 -02 -2007 GARY WIRTA PO BOX 82360 KENMORE WA 98028 RE: Permit No. PG07 -100 12773 GATEWAY DR TUKW Dear Permit Holder: In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the Uniform Plumbing Code and/or International Fuel Gas Code, every permit issued by the Building Division under the provisions of this code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days. Based on the above, you are hereby advised to: Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection. This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if the project should be considered abandoned. If such determination is made, the Plumbing and/or Gas Code does allow the Building Official to approve one extension of time for an additional period not exceeding 180 days. Extension requests must be in writine and provide satisfactory reasons why circumstances beyond the applicants control have prevented action from being taken. In the event you do not call for the above inspection and receive an extension prior to 11/19/2007 , your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, er Marshall, Permit Technician Permit File No. PG07 -100 City of Tukwila Steven M Mullet, Mayor Department of Community Development Steve Lancaster, Director 6.7n/1 .Sonthrvnter Roulavard_ Suite. #100 • Tukwila. Washington 98188 • Phone: 206- 431 -3670 • Fax: 206 - 431 -3665 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, Electri^'an 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 /lni/bbip /printer.aspx ?License= CFMHEHC969CD 04/18/2007