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Home My WebLink AboutPermit PG07-217 - INSPAINSPA 17100 SOUTHCENTER PY SUITE 112 PGO7-217 Parcel No.: Address: Suite No: Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: Cityf Tukwila 2623049081 17100 SOUTHCENTER PY TUKW INSPA 17100 SOUTHCENTER PY, STE 112 , TUKWILA WA WIG PROPERTIES LLC -SS 4811 134TH PL SE , BELLEVUE WA BRENT ADKISSON 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 DESCRIPTION OF WORK: INSTALL GAS LINE TO (3) NEW HVAC ROOFTOP UNITS Value of Plumbing /Gas Piping: Fees Collected: 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 doc: UPC /06 $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 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 PLUMBING /GAS PIPING PERMIT FIXTURE TYPE AND OUANTITY * *continued on next page ** Permit Number: Issue Date: Permit Expires On: Phone: Phone: 360 888 -5433 Phone: 360 888 -5433 Expiration Date: 01/30/2009 PGO7 -217 08/31/2007 02/27/2008 Uniform Plumbing Code Edition: 2006 International Fuel Gas Code Edition: 2006 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 0 its trap and vent, except for kitchen type 0 grease interceptors 0 O Repair or alteration of water piping and/or water O 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 0 Gas Piping O Gas piping outlets (0 -5) 3 0 Gas piping outlets (6 +) 0 PG07 -217 Printed: 08 -31 -2007 Permit Center Authorized Signature: Signature: Print Name: doc: UPC -10/06 City oHTukwila 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 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 p t does not pres a to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the a ormtce of wor m uthor • to sig„ and obtain this plumbing /gas piping permit. CAS-(. Date: P-1 -0 7 /idkiSfov\ Permit Number: PGOZ -217 Issue Date: 08/31/2007 Permit Expires On: 02/27/2008 Date: O 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 -217 Printed: 08-31 -2007 Parcel No.: 2623049081 Address: Suite No: Tenant: INSPA 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 17100 SOUTHCENTER PY TUKW PERMIT CONDITIONS * *continued on next page ** Permit Number: Status: Applied Date: Issue Date: PG07 -217 ISSUED 08/22/2007 08/31/2007 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: 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. 9: 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 - 217 Printed: 08 -31 -2007 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: A - CV 7— / // 33O\ doc: Cond -10/06 *id 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 Date: ; 7 PG07 -217 Printed: 08-31 -2007 CITY OF TUKWILL, Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us // King Co Assessor's Tax No.: 2112.-54 { vO' Site Address: f 7/00 SoutIi(eJ-et/ // �Y Suite Number: 112 Floor: Tenant Name: Zi�tf Property Owners Name: G Arai rai h e5 I LC-5 Mailing Address: 9 ?// S 1 397 A. 82f CONTACT PERSON —Who do we contact when your permit is ready to be issued Name: RA r'✓ / /I S5G1" E -Mail Address: Contractor Registration Number: Contact Person: E -Mail Address: Contact Person: E -Mail Address: 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 ** Vi5i i4 1 1/4 - c3c g T Q:\Applications\Forms- Applications On Line\3 -2006 - Plumbing -Gas Piping Permit Application.doc Revised: 4 -2006 bh City New Tenant: 0 .... Yes 0 ..No )4 ?ca36 State Zip Day Telephone: -md 3'r0 593_3 Mailing Address: Zip city Fax Number: PLUMBING / GAS PIPING CONTRACTOR INFORMATION Company Name: 1 / /5 f i ed kavv. t`CJ Mailing Address: - 2G 2G 5t ?,20 5 1 c20 fr Ly 4- t' 2g 3 ity State Q �j Zip Contact Person: Pie &i T ,4d kl _l < C c . Day Telephone: 3 6t U �p 5 I 3? E -Mail Address: Fax Number: State Expiration Date: / 7 ? d 7 ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record Company Name: Mailing Address: State Zip City Day Telephone: Fax Number: ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record Name: Mailing Address: State Zip City Day Telephone: Fax Number: Page 1 of 2 Fixture Type: . Qt: i Fixture Type: Qty ° Fixture Type: .. YP 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 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 Valuation of Project (contractor's bid price): $ 560 Scope of Work (please provide detailed information): X/U5cia G. To 3 4 / k 7 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: 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 Ii' UTHO ' ZE I AG Signature: Print Name: Q:\Applications\Fonns- Applications On Line'3 -2006 - Plumbing -Gas Piping Permit Application.doc Revised: 4 -2006 bit Date: F —2 2 -07 gg £xi Day Telephone: 3c0 0 Z 5 ✓ I? Mailing Address: 2c>.r) S 7,2e) 54 C C c� / �4' 9gr- - City / State Zip Date Application Accepted: VD 22 1(vq- Date Application Expires: f n Page 2 of 2 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.: 2623049081 Permit Number: PGO7 -217 Address: 17100 SOUTHCENTER PY TUKW Status: APPROVED Suite No: Applied Date: 08/22/2007 Applicant: INSPA Issue Date: Receipt No.: R07 -01853 Initials: WER Payment Date: 08/31/2007 03:10 PM User ID: 1165 Balance: $0.00 Payee: BRENT ADKISSON TRANSACTION LIST: Type Method Description Amount Payment Cash 88.00 ACCOUNT ITEM LIST: Description GAS - NONRES Account Code Current Pmts 000/322.100 88.00 Total: $88.00 Payment Amount: $88.00 doc: Receiot -06 Printed: 08-31 -2007 T..... Tlo/ •ecnr• /10 RECEIPT NO: R07 -01761 Initials: JEM User ID: 1165 Payee: BRENT ADKISSON SET TRANSACTIONS: Set Member Amount ACCOUNT ITEM LIST: Description MECHANICAL - NONRES PLAN CHECK - 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.citukwila.wa.us SET ID: 5000000831 SET NAME: D15 M07 -182 71.00 PG07 -216 22.00 PG07 -217 22.00 TOTAL: 115.00 SET RECEIPT TRANSACTION LIST: Type Method Description Amount Payment Cash 115.00 TOTAL: 115.00 Account Code Current Pmts 000/322.100 .03 000/345.830 114.97 TOTAL: 115.00 Payment Date: 08/22/2007 Total Payment: 115.00 - ;,?03 E/22 '??10 9r; 1 Project: 1 r..),..a Type of Inspection: 1 ( Address: Date Called: Special Instructions: Date Wanted: '1 /Q Requester: Phone No: INSPECTION RECORD Retain a copy with permit R INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 '(206)431-3670 pproved per applicable codes. El Corrections required prior to approval. Inspec COMMENTS: c )e" e' "cf I. Date: p3 $58. EINSPECTION FEE QUIRED. Prior to inspection, fee must be pa at 6300 Southcenter 131v Suite 100. Call the schedule reinspection. Cirpt No.: 'Date: 4 "' A -41.10e- Project;`__ „V- --?l5 iN A- T e s ectio - YP P i � - 1 vJ It Address: Date Called: Special Instructions: Date Wanted: (� , 1 6 - U'� - a: - , .. . Requester: Phone No: PERMIT NO. CITY OF TUKWILA BUILDING DIVISION g- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3 A pproved per applicable codes. Ei Corrections required prior to approval. COMMENTS: Ins dect INSPECTION NO. 1 ReceiptiNo.: AA"."77 INSPECTION RECORD Retain a copy with permit I REINSPECTION D. riot to inspection, fe 1 . Calt the schedul REQUIRE fee must be p id,t 6300 Southcente Blvd.. Suite schedule reinspection. 'Date: i 67-217 PEUSE OF DOCUMENTS VERFY SCALE 1 DOCUMENT. MD THE =A3 MO DEGONS INCORPORATED 1145 HERON, M AN INSTRIAJFUJT OF PROCESSIONAL ma+a, IS THE PROPERTY OF NV OMIMONA 04C. AND IS NOT 10 SE USED. IN 001041 00 IN PART, FOR ANY OTHER PROJECT WITHOUT THE MITTEN AUTHDPoZA11ON OF HV ENGINEERING. COPYRIGHT. HY ENCINEEAIN% INC. era ONE MOH ORAMNO EN OIEIGIN r NDt ONE 31041 DN 1X13 D ADJUST SCALES _ ACCOROIN0.Y. - 0 TO BE MSTALED UNDER SHELL CONTRACT (1W.) ROOF PLAN - HVAC NORTH SCALE: 1/4' >■ 1'0' Ran review approval Is subject to ems and omisslone, Approval of construction documents does not authorize the violation of c:iy ccce; cd code or ordinan e. Receipt of apprcvc:l rc:a end c• d:tio e• Is admotviedged: f.J By Date: -- 37-0 7 City of Tukwila BUILDING DIVISION REVISIONS scope - - - - No r made t o the scope changes s hall be pP . of work without prior approval Tukwila Building new plan submitta Revisions will require nal Pin review fees. and may i�lude adds SEPARATE PERMIT REQUIRED FOR: Mechanical grEiectrical ra 'Plumbing ❑ Gas Piping City of Tukwila BUILDING DIVISION REVIEWED FOR CO DE COMPLIANC APPROV A UG23 2001 Of u Oa B ILDIN DMSION RECEIVED CITY OF TUK\AIILA AUG 2 2 2001 I , PERMIT CENTER KARREMAN +ASSOCIATES drchltecture 231 Gowen Place NW Bainbridge Island Washington 98170 tel / fax 206 842 1253 e — mail frankOkarrem an.com ARCHITECTS STAMP CONSULTANTS: HV Engineering, Inc — ConeulUnA Engineers 7100 Linden Ave. N. Suite 1 ® Seattle. OeehEntton. 95105 n.engineering. ei. - Ph...: 19001 70. -0039 7 .. (0 700_1350 ROOF PLAN HVAC SCALE: 1/4•=1'-0' ISSUE DATE: 7/27/07 REVISIONS: PERMIT SET M2.0 ACTIVITY NUMBER: PG07 -217 DATE: 08 -22 -07 PROJECT NAME: I SPA SITE ADDRESS: 17100 SOUTHCENTER PY, STE 112 X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter it Revision # After Permit Issued DEPARTMENTS: N W/ Bui ing ivision Public Works Complete Comments: Documents/routing slip.doc 2 -28-02 PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP Fire Prevention Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 08 -23-07 Incomplete ❑ Not Applicable ❑ Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW El Staff Initials: TUES/THURS ROUT NG: Please Route Structural Review Required REVIEWER'S INITIALS: APPROVALS OR CORRECTIONS: Approved ❑ Approved with Conditions Notation: REVIEWER'S INITIALS: No further Review Required DATE: DATE: Planning Division Permit Coordinator n DUE DATE: 09-20 -07 Not Approved (attach comments) n Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: License Information License DI5MEM*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 Name Bank Branch Location Assignment of Savings Number Effective Date Release Date Assignment Impaired Type Date Amount Received Date https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= D15MEM *930BT 08/31/2007