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Home My WebLink AboutPermit PG07-178 - LANE BRYANTLANE BRYANT 17250 SOUTHCENTER PY PGO7-1 78 Parcel No.: 2623049117 Address: Suite No: Tenant: Name: Address: Owner: 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 17250 SOUTHCENTER PT TUKW WIG PROPERTIES LLC -SS 4811 134TH PL SE , BELLEVUE WA Contact Person: Name: BRENT ADKISSON Address: 2020 S 320 ST #C -90 , FEDERAL WAY WA Contractor: Name: D15 MECHANICAL Address: 2020 S 320 ST #C -90 , FEDERAL WAY WA Contractor License No: D 15MEM *930BT $500.00 $110.00 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 LANE BRYANT 17250 SOUTHCENTER PY, STE 124 , TUKWILA WA Permit Number: Issue Date: Permit Expires On: DESCRIPTION OF WORK: INSTALL (1) EACH 2" GAS LINE FROM GAS METER TO NEW TENANT SPACE FOR FUTURE DISTRIBUTION BY TENANT. FIXTURE TYPE AND OUANTITY 0 * *continued on next page ** Phone: Phone: 360 888 -5433 Phone: 360 888 -5433 Expiration Date: 01/30/2009 Uniform Plumbing Code Edition: 2003 International Fuel Gas Code Edition: 2003 Steven M Mullet, Mayor Steve Lancaster, Director PG07 -178 07/10/2007 01/06/2008 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) 1 Gas piping outlets (6 +) 0 PG07 -178 Printed: 07 -10 -2007 Permit Center Authorized Signatur I hereby certify that I have read an governing this work will be compli The granting of this pernu • oes not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the pe ce of w • I am au orized to sign and obtain this plumbing /gas piping permit. / Date: 710 -O 7 Signature: 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 -178 Issue Date: 07/10/2007 Permit Expires On: 01/06/2008 Steven M Mullet, Mayor Steve Lancaster, Director Date: all 401- permit and know the same to be true and correct. All provisions of law and ordinances er specified herein or not. Print Name: 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 -178 Printed: 07 -10 -2007 Parcel No.: 2623049117 Address: Suite No: Tenant: 1: ** *PLUMBING AND GAS PIPING * ** doc: Cond - 10/06 LANE BRYANT 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 17250 SOUTHCENTER PT TUKW PERMIT CONDITIONS * *continued on next page ** Permit Number: Status: Applied Date: Issue Date: PG07 -178 ISSUED 06/22/2007 07/10/2007 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: 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. 8: 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 -178 Printed: 07 -10 -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. 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: Print Name: doc: Cond -10/06 112[Nr Date: 7- /0 -0 7 PG07 -178 Printed: 07 -10 -2007 CITY OF TUKWILL Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us PLUMBING / GAS PIPING PERMIT APPLICATION 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.: '2r P j — 1 111 - Site Address: t S'i �T�.Ce•,ii (kw Suite Number: L27 Floor: �a ► � t vex v\--1 Tenant Name: Property Owners Name: (,S.T ( Prope✓ t; e_S / LC — $ 3 � Mailing Address: `i ', / / ?iy /'/ Ij el( - Live CONTACT PERSON -Who do we contact when your permit is ready to be issued ��£NT Aal,/,sSov. Mailing Address: 2()?.() 5 g‘2_0 Name: E -Mail Address: Are,wd - Aolki S c " l_ Atl¢w, Company Name: Mailing Address: Contact Person: E -Mail Address: Contractor Registration Number: _/BLS' M EM *13a'9 T Contact Person: E -Mail Address: Contact Person: E -Mail Address: D 1 .5 - / t-M•V -2o 2L 5 3oZo 71 " 5 f - C-7o ‘11,J7" / SSG►. Q:Npplications\Forms- Applications On Line,3 -2006 - Plumbing -Gas Piping Permit Application.doe Revised: 4 -2006 bh City New Tenant: 1.... Yes ❑ ..No w4 State Zip Day Telephone: 36 -ge -5 7 33 � Fede►'e w Sta � V3 Zip L •Cove Fax Number: PLUMBING / GAS PIPING CONTRACTOR INFORMATION c4 2f o5 f e-CCc A City Day Telephone: ?6O ',4' 5 .33 Fax Number: Expiration Date: State Zip 3 O ARCHITECT OF RECORD ; All plans must be wet stamped by Architect of Company Name: Mailing Address: City Day Telephone: Fax Number: State Zip ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record Company Name: Mailing Address: City Day Telephone: Fax Number: State Zip Page 1 of 2 Fixture Type ^. Qty : Fixture .Type . t ty ,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 W Valuation of Project (contractor's bid price): $ 5e Scope of Work (please provide detailed information): J 5YvJ/ / E4- 2 " s L; Ne F,' as b,�rt ,B �,^ ►� s /1(.,i4 -ac folr, Building Use (per Intl Building Code): Occupancy (per Intl Building Code): Utility Purveyor: Water: Sewer: Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: 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. The Building Official may grant one extension of time for an additional period not to exceed 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 International 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 :1c TH I RIZ . • • ENT. Signature: Date Application Accepted: Q:\Applications\Forms- Applications On Line\3 -2006 - Plumbing -Gas Piping Penni Application.doc Revised: 4 -2006 bh Date: 6T Print Name: I � Oar / 6 Day Telephone: 3 ' o �o 9'3 Mailing Address: ,2 0,20 5 320 i k 5 *C-70 _70 // Li`-y CJA Wco3 City 7 State Zip Date Application Expires: (9,1 Eit Staff Initials: i age 2 of 2 r ... Drrcrme rib RECEIPT NO: R07 -01339 Initials: JEM User ID: 1165 Payee: BRENT ADKISSON SET TRANSACTIONS: Set Member Amount ACCOUNT ITEM LIST: Description GAS - NONRES MECHANICAL - 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 SET RECEIPT SET ID: 0710 SET NAME: D15 M07 -142 516.80 PG07 -177 116.00 PG07 -178 88.00 TOTAL: 720.80 Payment Date: 07/10/2007 Total Payment: 720.80 TRANSACTION LIST: Type Method Description Amount Payment Cash 720.80 TOTAL: 720.80 Account Code Current Pmts 000/322.100 204.00 000/322.100 516.80 TOTAL: 720.80 0149 07/12 'r710 TOTAL 720.80 RECEIPT NO: R07 -01212 Payee: D15 MECHANICAL 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.tukwilawa.us Initials: JEM Payment Date: 06/22/2007 User ID: 1165 SET ID: 0622 SET NAME: D15 MECHANICAL SET TRANSACTIONS: Set Member Amount M07 -142 121.70 PG07 -177 29.00 PG07 -178 22.00 TOTAL: 172.70 SET RECEIPT Total Payment: 172.70 TRANSACTION LIST: Type Method Description Amount Payment Cash 172.70 TOTAL: 172.70 ACCOUNT ITEM LIST: Description PLAN CHECK - NONRES Account Code Current Pmts 000/345.830 TOTAL: 172.70 172.70 ,.'._ 06/25 97.16 __... t O t AL. 172=70 Project: LAS. 63 ec - - t Type of Inspectipn: Fi N q 1— G A S B p ; Nj Address: _ 1 S O See ' -/ / IVY '{ )(1 Date Called: Special Instructions: Date Wante : Vim„ I O 1 L 107 " p.m. Requester: Phone No: 25 3 - __(oZV7 P - e j INSPECTION RECORD Retain a copy with permit INSPECTION NO. PE MIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 COMMENTS: r Approved per applicable codes. El Corrections required prior to approval. 0 $58.00 REINSPECTION EE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcen er Blvd.. Suite 100. Call the schedule reinspection. 'Receipt No.: 'Date: :'- ..=o-- ` ' -��.r� °:�`y �Y - _'�" _�cs'ti�,rtY =`_ - • .- "aary.- ,...:_3',iots.._, Pr sect: Type of, nspecti n: Address: /72 3-0 -- ,4/,f/.- . '''(' Date Called: r Special Instructions: Date Wa ted: - 2 / . y.2 Requester: Phone N OD J - y3 3 INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 206)431 - 36110 Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: Inspector $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: ,_4 : 9, - f Bid No changes shall be made to the s repo of work without prior approval of Tc z silo Guild:no Divis :en. NOTE: Ravi:ions will require a new plan submfti and may include additional plan review fees. FILE Permit No. Plan review approval Is subject to ewes and omissions. Approval of cones doosnents does not authorize the violation of any accepted code or ordinanc.... Receipt of a p p r o v e d Re 4 C- � acknmvied9ed; By Date: City of Tukwila BUILDING DIVISION Kt C CODE E OMPLIANCE APPROVED JUN 2 6 1I 001 City Of Tukwila BUILDING 2.. _ N Mali ■■ ■II\ ,7d ?, +: dil ■ ■11 ■ ■!■ 1I! ■� ■ ■1 , , ...��.•.,��_�.1 �.� III■ ■■ ■ ERISMINI it a III \'4 14 awe 11 ■ EMENINI 11 s • 'S' BUILDING 1 Southcenter Parkway /7250 sk,«,e. aildir g Suites ' L A Ai - & 1A)7 + + + + + + + + + + + + 4 + + + + + + + + + + + 4 4 4 4 4 4 4 4 h + - - -�. + + + 4 4 4 4 4 F + + 4 4 4 4 4 - -- 4 J:T + + + + + + + + + + 4. + + + + + + 4 4 4 + 4 • 4 4 4 + + + + + + + + + + + + + + + ♦ 4 4 4 4 4 4 • • • + + + + + + + + + + + ++ 4- + + + ++ + + + + ++ 4 + + + + + + A.. • s A A . A • • 4.. 0. • e • • A. • A. • A. • A. • A• • A • • {4 • • A. • 4 4 Etc. 4 I. • 4 sCo,oQ- + • 4 af , - ` � 4- M f t. 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 .4 4 4 4 4 4 4 ♦ 4 4 . - As RECEIVED TUKW1L A SUN 2 2 20Q7 F�bitiir ct: er6 "} ACTIVITY NUMBER: PG07 -178 DATE: 06 -22 -07 PROJECT NAME: LANE BRYANT SITE ADDRESS: 17250 SOUTHCENTER PY, STE 124 X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Issued DEPARTMENTS: ME Building Division Public Works DETERMINATIQN OF COMPLETENESS: (Tues., Thurs.) Complete Comments: APPROVALS OR CORRECTIONS: Documents/routing slip.doc 2 -28.02 PERMIT COORD COPY PLAN REVIEW/ROUTING SLIP Fire Prevention Structural Incomplete TUES/THURS ROU ING: Please Route Structural Review Required REVIEWER'S INITIALS: Planning Division ❑ No further Review Required DATE: DATE: ❑ Permit Coordinator ❑ DUE DATE: 06-26-07 Not Applicable ❑ Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: DUE DATE: 07-24 -07 Approved ❑ Approved with Conditions Not Approved (attach comments) n Notation: REVIEWER'S INITIALS: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: License Information License D15MEM *930BT Licensee Name D15 MECHANICAL Licensee Type CONSTRUCTION CONTRACTOR UBI 601841514 Ind. Ins. Account Id Business Type INDIVIDUAL Address 1 2020 S 320TH ST #C -90 Address 2 City FEDERAL WAY County KING State WA Zip 98003 Phone 3608885433 Status ACTIVE Specialty 1 AIR HEAT,VENTILATION,EVAPORAT Specialty 2 SHEET METAL Effective Date 1/30/2007 Expiration Date 1/30/2009 Suspend Date Separation Date Parent Company Previous License Next License Associated License Business Owner Information Name Role Effective Date Expiration Date ADKISSON, BRENT OWNER 01/30/2007 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. Bond Information No Matching Information Savings Information Savings Bank Bank Branch Name Location Assignment of Savings Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= D15MEM *930BT 07/10/2007