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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