HomeMy WebLinkAboutPermit PG07-121 - RIVERVIEWRIVERVIEW
16300 CHRISTENSEN RD
PG07 -121
Parcel No.:
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
DESCRIPTION OF WORK:
INSTALL NEW SINK AND HOT WATER TANK
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 1
Urinals 0
Water Closet 0
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
2523049078
16300 CHRISTENSEN RD TUKW
MCELROY GEORGE & ASSOC INC
3131 S VAUGHN WAY STE 301 , AURORA CO
KRISTINA GEILER
PO BOX 1136 , MONROE WA
Contractor:
Name: AMERICAN MECHANICAL CORP
Address: 12311 227 AV SE , MONROE WA
Contractor License No: AMERIMC071BH
$6,800.00
$98.00
PLUMBING /GAS PIPING PERMIT
RIVERVIEW
16300 CHRISTENSEN RD, STE 304 , TUKWILA WA
FIXTURE TYPE AND OUANTITY
0
* *continued on next page **
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 206 467 -6407
Phone: (206)467 -6407
Expiration Date: 01/08/2009
Uniform Plumbing Code Edition: 2003
International Fuel Gas Code Edition: 2003
Steven M Mullet, Mayor
Steve Lancaster, Director
PG07 -121
05/07/2007
11/03/2007
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
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) 0
Gas piping outlets (6 +) 0
PG07 -121 Printed: 05-07 -2007
Permit Center Authorized Signature:
I hereby certify that I have read andtex
governing this work will be complie
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 -erf• rmanc7/•f work. am uthorized to sign and obtain this plumbing /gas piping permit. J�
Signature: /= %■/ � �L . Date:
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
Permit Number: PG07 -121
Issue Date: 05/07/2007
Permit Expires On: 11/03/2007
Steven M Mullet, Mayor
Steve Lancaster, Director
Date: K14
ed this permit and know the same to be true and correct. All provisions of law and ordinances
, whether specified herein or not.
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 -121 Printed: 05-07 -2007
Parcel No.: 2523049078
Address:
Suite No:
Tenant:
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
16300 CHRISTENSEN RD TUKW
RIVERVIEW
1: ** *PLUMBING AND GAS PIPING * **
PERMIT CONDITIONS
* *continued on next page **
Permit Number:
Status:
Applied Date:
Issue Date:
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.
PGO7 -121
ISSUED
05/07/2007
05/07/2007
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 -121 Printed: 05-07 -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
4/./(t-4
I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and
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
construction or the performance of work.
Date:�
ordinances governing
or local laws regulating
PG07 -121 Printed: 05-07 -2007
Site Address:
Tenant Name: \ \K 1 \\ \OXK
Property Owners Name:
Mailing Address:
Name:
Mailing Address:
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 s; 'www. ci. t ukwila. wa. us
Contractor Registration Number:
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Q: Applications\Forms- Applications On Linel3 -2006 - Permit Application.doc
Revised: 9 -2006
bh
Building Permit No.
Mechanical Permit No.
Plumbing/Gas Permit No
Public Works Permit No.
Project No.
City
(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 **
King o Assessor's Tax N��o.���` T k'
Suite Number 5�4 . Floor: - 1
New Tenant: El Yes ❑ ..No
State
CONTACT PERSON — who do we contact when your permit is ready to be issued
IL glib il* 11P
Day Telephone , -
c C t nber: �
Ar Zip
� \ -- 4
GENERAL CONTRACTOR INFORMATION —
(Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5))
State
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Expiration Date:
ARCHITECT OF RECORD — All plans must be wet stamped by Architect of Record
State
City
Day Telephone:
Fax Number:
ENGINEER OF RECORD — All plans must be wet stamped by Engineer of Record
State
Zip
Zip
Zip
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
Gas piping outlets
Bidet
Food -waste grinder,
commercial
Receptor, indirect
waste
Clothes washer, domestic
Floor drain
Sinks
'5/
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
L ILUMBING AND GAS PIPING PERMIT INFORMATION - 206 -431 -3670
PLUMBING AND GAS PIPING CONTRACTOR INFO ' • TION
Company Name: 1■ .f ♦ L u` \ L. \ ■∎ %.. , *
Mailing Address: Val �.t._ . \ i %k . '_
1y1 � nn
City State ` Zip
Contact Person'.1 - 1 ` . X ` g 1�- Day Telephone � ` �A� ^�Q���
E -Mail Address: \ I ->a \4Q Q ..Q
h\ `C'C- C.S.pa 1x umber v... 1 ' .• k 0 \
Contractor Registration Number: % ` \∎-.31 Wlaa , Expiration Date: K)\ C;Q cl \
Valuation of Plumbing work (contractor's bid price): $
of Gas Piping work (contractor's bid price): $
Scope of Work (please rrovide detailed information):
• ,11111- �� �� Ulf _■
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:Wpplications\Forms- Applications On Line.3-2006 - Permit Application.doc
Revised: 9 -2006
bh
Sewer:
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.
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 07 AUT ORIZ
Signature:
Print Name:
Mailing Address:
Date Application Accepted:
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).
NT:
X 1131P
Date: 6
Day Telephone: - 2b
4 ,9
City State Zip
Date A
pplication Expires: 01.
()slat*
Q:\Applications\Forms- Applications On Line3-2006 - Permit Application. don
Revised: 9 -2006
bh
Staff Initials:
Page 6 of 6
i
Receipt No.: R07 - 00759
Payee: AMERICAN MECHANICAL CORP
TRANSACTION LIST:
Type Method Description
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.: 2523049078 Permit Number: PG07 -121
Address: 16300 CHRISTENSEN RD TUKW Status: PENDING
Suite No: Applied Date: 05/07/2007
Applicant: RIVERVIEW Issue Date:
Initials: JEM Payment Date: 05/07 /2007 08:57 AM
User ID: 1165 Balance: $0.00
Amount
Payment Check 17925 98.00
Account Code Current Pmts
000/322.100 98.00
Total: $98.00
Payment Amount: $98.00
7885 05/07 9716 TOTAL 98.00
doc: Recelot -06 Printed: 05-07 -2007
Pt:
,
V1(UIrLO
Type of Inspection: ,
V I NJ 'LI " \.
r
Addre
1 (.)
0 0 k (LC-k(•)"(■-\
Date Call
(2.
---
Special Instructions:
Date Warited: .
("9" 2 CD c
Requester:
Phone No: ..)
2-t 7C 072 S ---
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)431-3
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
PO - vi (. te
Date:
(,—
nspe o:
00 REINSPECTION IRED. Prior to inspection, fee must be
id at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection.
'Receipt No.:
'Date:
Pr ect:
,VP ✓VifIt/
Type of Inspection: N.
�7) 7/ — ii✓ /P1(1
Address:
/(100 1 1/‘? /.5 7 A/
Date Called:
p 00
Special Instructions:
Date Wanted:
fn`
.1 / 7 ` ° ' m '
Requester:
Phone No:
,--2.o 6 -39 4- - '
SPECTION NO.
CITY OF TUKWILA BUILDING DIVISIO
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
/ 72/
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
In pector l
��il j I l^ _ i�,r Dat I 7'/ v
58.gb REINSPECTION FEE EQUIRED. Prior to inspection, fee must be
al at 6300 Southcenter B d., Suite 100.'1 Call the schedule reinspection.
J Recij6t No.:
'Date:
M!. ,.._ . _ ; .,.ML.f../L.e .�. ... ' y' — $
License Information
License
AMERIMC071BH
Licensee Name
AMERICAN MECHANICAL CORP
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
601433818
Ind. Ins. Account Id
53821001
Business Type
CORPORATION
Address 1
PO BOX 1136
Address 2
City
MONROE
County
SNOHOMISH
State
WA
Zip
982724136
Phone
2064676407
Status
ACTIVE
Specialty 1
BOILER/STEAM FIT/PROC PIPING
Specialty 2
UNUSED
Effective Date
1/8/1993
Expiration Date
1/8/2009
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
Business Owner Information
Name
Role
Effective Date
Expiration Date
KING, CHERI L
PRESIDENT
01/08/1993
Bond
Amount
KING, KELLY E
TREASURER
01/08/1993
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
OLD
REPUBLIC
SURETY
Until
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.
https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= AMERIMC071BH 05/07/2007