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HomeMy WebLinkAboutPermit PG07-146 - PUBLIC AMENITIESPUBLIC AMENITIES 635 ANDOVER PK W PGO7-146 Parcel No.: 2623049143 Address: Suite No: 635 ANDOVER PK W TUKW Tenant: Name: PUBLIC AMENITIES Address: 635 ANDOVER PK BLD 8 , TUKWILA WA Owner: Name: SOUTHCENTER CORPORATE SQUARE Address: 150 CALIFORNIA ST , SAN FRANCISCO CA Contact Person: Name: DON WYCOFF Address: 8425 219 TH ST SE , WOODINVILLE WA Contractor: Name: SAGER MECHANICAL INC Address: 8425 219 ST SE, STE 102 , WOODINVILLE WA Contractor License No: SAGERMI088NK DESCRIPTION OF WORK: ADD TWO SHOWERS, TWO LAVS, ONE WATER STUB, AND ONE SINK TO EXSISTING SPACE Value of Plumbing /Gas Piping: $13,000.00 Fees Collected: $138.00 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) 1 Food -waste grinder, commercial 0 Floor drain 0 Shower, single head trap 2 Lavatory 2 Wash fountain Receptor, indirect waste 0 Sinks 1 Urinals 0 Water Closet 0 doc: UPC-1 0/06 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 0 * *continued on next page ** Permit Number: Issue Date: Permit Expires On: Phone: Phone: 206 - 200 -3749 Phone: 425 402 -1930 Expiration Date: 08/10/2007 Uniform Plumbing Code Edition: 2003 International Fuel Gas Code Edition: 2003 Steven M Mullet, Mayor Steve Lancaster, Director PG07 -146 05/21/2007 11/17/2007 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 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 -146 Printed: 05-21 -2007 Permit Center Authorized Signature: I hereby certify governing this The gran construc Signature: Print Name: doc: UPC-10 /06 ermit does not pr performance of w 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 have read and examined this permit and know the same to be true and correct. .All provisions of law and ordinances be complied with, whether specified herein or not. W7 G( u)ye e)Fti Permit Number: Issue Date: Permit Expires On: Steven M Mullet, Mayor Steve Lancaster, Director PGO7 -146 05/21/2007 11/17/2007 Date: 1 / 4 S -'— .. 1 -1 0 7 ume to give authority to violate or cancel the provisions of any other state or local laws regulating I am authorized to sign and obtain this plumbing /gas piping permit. Date: 5 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 -146 Printed: 05-21 -2007 Parcel No.: 2623049143 Address: Suite No: Tenant: PUBLIC AMENITIES 1: ** *PLUMBING AND GAS PIPING * ** 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 635 ANDOVER PK W TUKW PERMIT CONDITIONS * *continued on next page ** Permit Number: Status: Applied Date: Issue Date: PG07 -146 ISSUED 05/21/2007 05/21/2007 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. PG07 - 146 Printed: 05-21 -2007 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. doc: Cond -10/06 The granting this permit does not presume to give authority to violate or cancel the provision of any other work or local laws regulating constructio the performance of work. Signature: �L/ Z��� / 1 4 V Date: 21 -(-) 7 Print Name: PG07 - 146 Printed: 05-21 -2007 E -Mail Address: CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: wxuv. ci.ttdtitilcr. wir.ris Tenant Name: Pa-64 itAlt,AJ / i i —S Name: va LA...) Y GOfi 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 ** - l King Co Assessor's Tax No.: 2 G 2 3 O'V 'IL/3 Site Address: tl' /�N 14"k a't/ ..6a) g Suite Number:_ Floor: / New Tenant: 0 Yes ID ..No Property Owners Name: -500 2lGPJ7ece._ e..0eP. Se., c )4,e 8____ e Mailing Address: 4 ?S i4� ' C Ace, 77/1cw/c-4 IC J T . //ye City State Zip CONTACT PERSON - who do we contact when your permit is ready to be blued Day Telephone: 7i+Z 206 .S 74/, Mailing Address: 1 V2'[ 2/9 s i 5 • Wbetbpov/e.4 State Zip Building Permit No. Mechanical Permit No. Plumbing/Gas Permit No. 1 60 -) 4 Public Works Permit No. Project No. City (For office use only) Fax Number: /2 S ("d 2 6 Z / GENERAL CONTRACTOR INFORMATION - (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) Company Name: S/ fie Mf ( GA L Mailing Address: 7s 2/9 7 7 SP,___,A6 /0e-- 0 trL 1c) � / ' 0 '- City Day Telephone: tots 2-v6 S 799 E -Mail Address: 1) 1.4.11 CDI GF - 5J 4 1"GE'ME.e 11 4A - r_A - 4 - -C Fax Number: ' 5 YO Z 6 Contractor Registration Number:_$#; E £ Al 10884/C Expiration Date: r - State Zip Contact Person: 0 LA-)Ye-C F F ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record Company Name: Mailing Address: City Day Telephone: Fax Number: Contact Person: E -Mail Address: State Zip ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: Q:\Applications\Porms- Applications On Line\ -2006 - Permit Application.doc Revised: 9 -2006 bh State 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 / • Dental unit, cuspidor Shower, single head trap L Urinals Dishwasher, domestic, with independent drain Lavatory 2 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 ftior PLUMBING AND GAS PIPING PERMIT INFORMATION - 206 - 431 -3670 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: - f2 " A-'3 /en L Mailing Address: S` /2 - Z /9 at ST - -4/oz- ze.,ceti 1 6 7-2 State Zip Day Telephone: Zee 240 P 4,9 Contact Person:.! d y L IC E -Mail Address: .41 s 4 /l1/l 6C,1Gfi /e-4L•G deft Contractor Registration Number: Sf f 2Al 08 � - Q:tApplications\Forms- Applications On Linel3 -2006 - Permit Application.doc Revised: 9 -2006 bh City Fax Number: �� yd Z e Z 1 Expiration Date: g ' G -7 Valuation of Plumbing work (contractor's bid price): $ (3C910 Valuation of Gas Piping work (contractor's bid price): $ Scope of Work (please provide detailed information): AbD 77.uo ,KOL /6e- / 7 4 )0 44t/S L- eAJ WA i Si'a tvtJES /tirCS 7n t41-sP.4)17 5A Building Use (per Int'l Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: Sewer: Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: 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. BUILDING 4 ' O R AUT ORIZ • A P NT: Signature: i /e1A Print Name: Mailing Address: 7 2/ 9 5 S4 ,"4 /D2 lNVNNV L 4.-Mt- 7e.1119 P 2_ City State Zip Date Application Accepted: S-0 -o7 Date Application Expires: 11— e-1 \a-7 Staff Initials: LL R Q:Applications\Forms-Applications On Line3-2006 - Petmit Application.doc Revised: 9 -2006 bh Date: Day Telephone: 4g e 2cX Page 6 of 6 Receipt No.: R07 -00897 Initials: WER User ID: 1655 Payee: SAGER MECHANICAL INC TRANSACTION LIST: Type Method 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.: 2623049143 Permit Number: PG07 -146 Address: 635 ANDOVER PK W TUKW Status: PENDING Suite No: Applied Date: 05/21/2007 Applicant: PUBLIC AMENITIES Issue Date: Amount Payment Check 13352 138.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts 000/322.100 138.00 Total: $ 138.00 Payment Amount: $ 138.00 Payment Date: 05/21/2007 10:30 AM Balance: $0.00 8437 05/21 9716 TOTAL 138.00 don: Rac..e.int -nR Printnd: 05-21 -9007 Proj t: Type of Inspection: Address: 6.3 S 4 rye 41„) Date Called: Special Instructions: Date Wanted: a j -36- 07 Cif p.m. Requester: Phone No: INSPECTION NO. pproved per applicable codes. INSPECTION RECORD Retain a copy with permit ,47 - / y.6. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3 El Corrections required prior to approval. COMMENTS: �0 REINSP CTION EE REQUIR D. Prior to inspection, fee must be id at 6300 Southcenter Blvd.. Sui a 100. Call the schedule reinspection. 'Receipt No.: 'Date: Projec : rj/ / /c' /1/ , X / f' S Type of inspection: A / /� / ) v /"�je ice/ � Address: (J5 J -7 »- i ce GL Date Called: Special Instructions: Date Waant�ed: U ? 3 � . _6 7 p.m. Requester: Phone No: o 6' 2. ?6- .5 6y 5 Approved per applicable codes. /e52-/Y6 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 El Corrections required prior to approval. COMMENTS: f.-) /, (7x/ — "1 ;0 /F r rpt No.: 0 REINSPECTION FEE R QUIRED. P to inspection, fee must be aid at 6300 Southcenter Blvd.. Suite 100. ll the schedule reinspection. 'Date: Protect: / P1-/(10//e /a�F.v /Vt ' 5 Type of Inspection: . 'Ni /? t/ h - /-v Address: 6735 /2 , -vvcvh2 P/4 t� Date Called: Special Instructions: Date Wanted: 8— / (0 - c27 p.m. Requester: Phone No: ,2 ©&— 27Co — SO6`/ INSPECTION RECORD Retain a copy with permit . /yC" INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION F 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3 A pproved per applicable codes. COMMENTS: Corrections required prior to approval. $58.00 REINSPECT! QI FEE REQUIRED. Prior to inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. !Receipt No.: 'Date: Project: ,1i Type of Ins ection: Q / l Addr ss: 5 / `Date lei Called: -----^ Special Instructions: Date Wanted :.A ��° G a.m. P.m. l � Requester: Phone No � ! �( >` ^� -y 2. - INSP ECTIO NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #1 00, Tukwila, WA 98188 PER )4 1 -367 ID Approved per applicable codes. Corrections required prior to approval. COMMENTS: /` ,-..--.._ El $58.00 REINSPECTION FEE REQUIRED. Prior to inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. 'Receipt No.: 'Date: Project: c. % / i - 4 te /qA A (...., of ns ection: N......4 1 1 . ' 00cfc-f-i Ad s: Date Called: -------. ....-- .41()Z6,1 Special Instructions: Date Wanted: 5 . -07 Ca_ P ..rn Requester: Phone No 24,94 ' 'Z INSPECTION RECORD Retain a copy with permit INSPECTION NO. PE&1IT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 981 88 El Approved per applicable codes. 1p, Corrections required prior to approval. COMMENTS: /14 (OA, • A41-- ‘.) y CI / /75 ' 1 L JJ $58.d01INSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. 'Receipt No.: 'Date: COMM TS: Type of Inspection: / v �`�yd>i�t / L�C/!J}'� Address: ( _?5 /3 9 P /7D c ,c. / �.P 11}, 7/ /a.v c w 4 c CK�� iii / ; / Cow w, 7 l -4,44 n; / DY fu v . /> A ,4 e �/ /,11,-/(75i / o.- -Q1 e /_ (D Iv) Date W Hied: 7/ ��, r >%., r -ec'e 1, ` /N.J I /G_f / ) Phone No: _ A Proje ��/7 " 1y'N/ i/� Type of Inspection: / v �`�yd>i�t / L�C/!J}'� Address: ( _?5 /3 v t / 60 Date Called: Special Instructions: Date W Hied: e Requester: Phone No: _ INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Approved per applicable codes. Corrections required prior to approval. INSPECTION RECORD Retain a copy with permit (206)431 -3 (Date: $58.00 REINS • CTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. 'Receipt No.: 'Date: Prnt: / Type o Inspection: Address: Date Called: Special Instructions: Date Wanted: 7- A° (7 (a.ry p.m. Requester: Phone NI": _ sg6 7.5 1/( - INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 E Approved per applicable codes. INSPECTION RECORD Retain a copy with permit P6o ? - 'y� (206)431 -3670 0 Corrections required prior to approval. COMMENTS: Sy S //if -1,d 17g ( -.7 ci f� $58.00 REINSPECTION F REQUIRED. Prior to inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. 'Receipt No.: Date: License Information License SAGERMI088NK Licensee Name SAGER MECHANICAL INC Licensee Type CONSTRUCTION CONTRACTOR UBI 602234477 Ind. Ins. Account Id 82794500 Business Type CORPORATION Address 1 8425 219TH ST SE STE 102 Address 2 City WOODINVILLE County KING State WA Zip 98072 Phone 4254021930 Status ACTIVE Specialty 1 PLUMBING Specialty 2 UNUSED Effective Date 8/12/1992 Expiration Date 8/10/2007 Suspend Date Separation Date Parent Company Previous License Next License Associated License Business Owner Information Name Role Effective Date Expiration Date SAGER, ROBERT T PRESIDENT 08/12/1992 Bond Amount SAGER, ANDREW VINCENT VICE PRESIDENT 08/12/1992 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date TRAVELERS Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 2 S.✓ 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= SAGERNII088NK 05/21/2007