HomeMy WebLinkAboutPermit PG07-192 - CALIFORNIA HYDRONICSCALIFORNIA HYDRONICS
12828 GATEWAY DR
PG07 -192
Parcel No.:
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
2716000050
12828 GATEWAY DR TUKW
CALIFORNIA HYDRYONICS
12828 GATEWAY DR , TUKWILA WA
RREEF AMERICA REIT II CORP/
PO BOX 4900 #207 , SCOTTSDALE AZ
VERN HUBER
3420 C ST NE STE 305 , AUBURN WA
Contractor:
Name: HUBER'S PLUMBING CO
Address: 3420 C ST NE , AUBURN WA
Contractor License No: HUBERP*042M2
DESCRIPTION OF WORK:
ROUGH -IN AND TRIM 1 NEW KITCHEN SINK
Value of Plumbing /Gas Piping:
Fees Collected:
$1,400.00
$98.00
Plumbing
Bathtub or combination bath/shower
Bidet
Clothes washer, domestic
Dental unit, cuspidor
Dishwasher, domestic, with independent drain
Drinking 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
Cityf 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
Uniform Plumbing Code Edition: 2006
International Fuel Gas Code Edition: 2006
FIXTURE TYPE AND OUANTITY
Plumbing (cont)
O Building sewer and each trailer park sewer 0
O Rain water system - per drain (inside bldg) 0
0 Water heater and/or vent 0
0 Industrial waste treatment interceptor, including
1 its trap and vent, except for kitchen type
O 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
O Medical gas piping system serving (1 -5)
0 inlets /outlets for a specific gas 0
0 Medical gas piping (6 +) inlets /outlets 0
1 Gas Piping
0 Gas piping outlets (0 -5) 0
0 Gas piping outlets (6 +) 0
* *continued on next page **
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 206 - 510 -3069
Phone: 253 839 -7876
Expiration Date: 07/06/2008
PG07 -192
07/20/2007
01/16/2008
PG07 -192 Printed: 07 -20 -2007
Permit Center Authorized Signature:
City o`rTukwila
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
(A)k,k
Permit Number: PG07 -192
Issue Date: 07/20/2007
Permit Expires On: 01/16/2008
Date: - 1" )0 J 7
I hereby certify that I have read and examined this permit and know the same to be true and correct. 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 provisions of any other state or local laws regulating
construction or the performance of work. I anyuthorized to sign and obtain this plumbing /gas piping permit.
Date: DX ��' > /C��
Signature:
Print Name:
doc: UPC -10/06
/z/7m/ 4/
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 - 192 Printed: 07 -20 -2007
Parcel No.: 2716000050
Address:
Suite No:
Tenant:
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
12828 GATEWAY DR TUKW
CALIFORNIA HYDRYONICS
1: ** *PLUMBING AND GAS PIPING * **
PERMIT CONDITIONS
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.
PG07 -192
ISSUED
07/20/2007
07/20/2007
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.
doc: Cond -10/06
* *continued on next page **
PG07 -192 Printed: 07 -20 -2007
f
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
/e//2‘1400,
Date:
d
PG07 -192 Printed: 07 -20 -2007
Name:
E -Mail Address:
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
E -Mail Address:
CITY OF TUKWILA
Community Developmen epartment
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**
Site Address: /. 7 f Z,Cy� /ma ,3�,
Tenant Name:
Property Owners Name: ,f 7 c 49),t,P co
Mailing Address: Q, ,& Y V9O0 :o7
Mailing Address: 3 92 e c7 / 30
Contact Person: � rAZAZ
E -Mail Address:
Contractor Registration Number: Aid/C2 / Q y 2/,).2.
Q:\Applications\Forms - Applications On Line\3 -2006 - Plumbing -Gas Piping Permit Application.doc
Revised: 4 -2006
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PLUMBING / GAS PIPING CONTRACTOR INFORMATION
c _r7 Z! ", as
City
Fax Number:
,0a7- 9
SITE LOCATION
King Co Assessor's Tax No.: 27/ (00 a a S U
Suite Number: Floor:
New Tenant: [... Yes ❑ ..No
S 1/
ity tate Zip
CONTACT PERSON —Who do we contact when your permit is ready to be issue
Day Telephone: 20 ( SJ
State
Zip
// 9 �oo
City
Day Telephone: ,2 ®zf Sid 30i,
Fax Number:
Expiration Date:
State Zip
ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Rec
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:
Zip
Contact Person:
City
Day Telephone:
Fax Number:
State
Page 1 of 2
Fixture Type::
QtY
Fixture Type:
Qty
- Fixture Type:
Ely :
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
Urinals
Dishwasher, domestic,
with independent drain
I
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
Valuation of Project (contractor's bid price): $ / r>
Scope of Work (please provide detailed information):
Building Use (per Int'l Building Code):
Occupancy (per Int'l Building Code):
Utility Purveyor: Water:
� /,r
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 OR AU D AGENT:
Date: 0o 07
Day Telephone: 2O6 K/ 3 d g' 7
Mailing Address: 3 7 (") e , 5'74 ' #3 0 S %� 9 SOD
City
Signature:
Print Name: � 1e
l/yeJ>?�C/j0le 5
Sewer:
/4
State Zip
Date Application Expires:
Date Application Accepted:
Q:Wpplications\Forms- Applications On Line\3 -2006 - Plumbing -Gas Piping Perini Appliation.doc
Revised: 4 -2006
bh
Staff Initials:
Page 2 of 2
Parcel No.: 2716000050
Address: 12828 GATEWAY DR TUB:W
Suite No:
Applicant: CALIFORNIA B:YDRYONICS
Payee: HUBERS PLUMBING
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
Receipt No.: R07 -01444 Payment Amount: $98.00
Initials: WER Payment Date: 07/20/2007 02:46 PM
User ID: 1655 Balance: $0.00
TRANSACTION LIST:
Type Method Description Amount
Payment Check 27829 98.00
Account Code Current Pmts
000/322.100 98.00
Total: $98.00
Permit Number: PG07 - 192
Status: PENDING
Applied Date: 07/20/2007
Issue Date:
0589 07/23 9710 TOTAL 98.00
doc: Receiot -06 Printed: 07 -20 -2007
Project; _
v / /1 j '✓
' / /9f' �'% ��
Type of Inspection:
/ ; . - "-a /
Ad /..2 d
/. r.. c_ 6 L(J,7
Date Called:
Special Instructions:
Date Wan ed:
/X m`T
Requester:
Phone No:
..26�j-
/ O -
. tfi 6 c 7
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)431 -36
tg Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
I
//' /T / N
Date:
0 REINSPECTION FEE R IRED. P for to inspection, fee must be
id at 6300 Southcenter Blvd., ite 10 . Call the schedule reinspection.
Receipt No.:
'Date:
Project:
� F'c.it.)/
Type of nspection:
R C./(� / " ark, f /71 6
Addres
) „ �f7
,, LL -,
�Lt� /`� EJ
Date Called:
pecia
nstructions:
Date Wanted:
7 4 Z 3 — d -7
a.m.
p.m)
Requester:
Phone No
.266' S /a —3i(
RECOIZb
F
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
roved per applicable codes.
ac ' %cam 3 ire. _•«- ?.. s
/
El Corrections required prior to approval.
eirwAit4e
Cj MEWTS:
Date:
EINSPECTION FEE R = UIRED 'rior o inspection, fee must be
t 6300 Southcenter Blvd. uite 1 '0. Call the schedule reinspection.
R e' - No.: 'Date:
License Information
License
HUBERP*042M2
Licensee Name
HUBER'S PLUMBING CO
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
601725669
Ind. Ins. Account Id
Business Type
INDIVIDUAL
Address 1
3420 C ST NE
Address 2
City
AUBURN
County
KING
State
WA
Zip
98001
Phone
2538397876
Status
ACTIVE
Specialty 1
PLUMBING
Specialty 2
UNUSED
Effective Date
7/22/1996
Expiration Date
7/6/2008
Suspend Date
Separation Date
Parent Company
Previous License
HUBERP*232L7
Next License
Associated License
Business Owner Information
Name
Role
Effective Date
Expiration Date
HUBER, VERNON R JR
OWNER
07/22/1996
Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 3
'saw
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
Bond
#2
Bond
Company
Name
AMERICAN
STATES
INS CO
Bond
Account
Number
EX948812
Effective
Date
06/25/2002
Expiration
Date
Until
Cancelled
Cancel
Date
Impaired
Date
Bond
Amount
$6,000.00
Received
Date
06/14/2002
AMERICAN
https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= HUBERP *042M2 07/20/2007