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Home My WebLink AboutPermit PG07-222 - CUSTOMER RESEARCHCUSTOMER RESEARCH 565 ANDOVER PK W PGO7-222 Parcel No.: Address: Suite No: Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: Contractor License No: NORTHCP930KA DESCRIPTION OF WORK: ROUGH -IN AND INSTALL COMPLETE KITCHEN SINK Value of Plumbing /Gas Piping: Fees Collected: doc: UPC - 10/06 2623049144 565 ANDOVER PK W TUKW City'-df 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 CUSTOMER RESEARCH 565 ANDOVER PK W , TUKWUJA WA SOUTHCENTER CORPORATE SQUAR 150 CALIFORNIA ST , SAN FRANCISCO CA MARK YURCZYK 9909 RAINIER AV S , SEATTLE WA NORTH COAST PLUMBING INC 9909 RAINIER AV S , SEATTLE WA $3,050.00 $88.00 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 PLUMBING /GAS PIPING PERMIT FIXTURE TYPE AND OUANTITY * *continued on next page ** Permit Number: Issue Date: Permit Expires On: Phone: Phone: 206 931 -6171 Phone: 206 420 -4600 Expiration Date: 05/01/2009 PGOZ -222 08/24/2007 02/20/2008 Uniform Plumbing Code Edition: 2006 International Fuel Gas Code Edition: 2006 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 0 its trap and vent, except for kitchen type 0 grease interceptors 0 0 Repair or alteration of water piping and/or water O treatment equipment 0 O Repair or alteration of drainage or vent piping 0 0 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 O Gas piping outlets (0 -5) 0 O Gas piping outlets (6 +) 0 PG07 -222 Printed: 08 -24 -2007 Permit Center Authorized Signature doc: UPC -10/06 City cif 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 -222 Issue Date: 08/24/2007 Permit Expires On: 02/20/2008 Date: O 12C W q I hereby certify that I have read and ex s permit a know the same to be true and correct. All provisions of law and ordinances governing this work will be complie th, a er 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 am authorized to sign and obtain this plumbing /gas piping permit. N Signature: " ` Date: 8"Z -0 7 Print Name: inG.rI■ C yreczYlC 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 -222 Printed: 08 -24 -2007 Parcel No.: 2623049144 Address: Suite No: Tenant: 565 ANDOVER PK W TUKW CUSTOMER RESEARCH 1: ** *PLUMBING AND GAS PIPING * ** 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 CONDITIONS Permit Number: Status: Applied Date: Issue Date: PG07 -222 ISSUED 08/24/2007 08/24/2007 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. doc: Cond -10/06 * *continued on next page ** PG07 -222 Printed: 08 -24 -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 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. Signature: Date: 6-2 y O 7 Print Name: m ,ek c yircz doc: Cond -10/06 PG07 -222 ordinances governing or local laws regulating Printed: 08 -24 -2007 Site Address: Name: rt< CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 hup://www.ci.tukwila.wa.us 5 Wouar -p < (.des.( Tenant Name: 0..5+6 ...Le Ser ).(c- Property Owners Name: Mel► waRstiur � Het 5 t- Mailing Address: 1141 2. Ave 50%-le 1 Sr{O Company Name: O . rite . Building Permit No. Mechanical Permit No. Plumbing/Gas Permit No. 4 ( 2 0171 — Public Works Permit No. Project No. (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 ** SITE LOCATION King Co Assessor's Tax No.: 5 O S 163 Suite Number: Floor. New Tenant: Yes ❑..No .95e.0-142 City wA state Day Telephone: 406 Q3 1- 6171 Mailing Address: City E-Mail Address: Fax Number: State CONTACT PERSON - who do we contact when your permit is ready to be issued Zip GENERAL CONTRACTOR INFORMATION — (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) Mailing Address: City Contact Person: Day Telephone: E-Mail Address: Fax Number: Contractor Registration Number: Expiration Date: Company Name: rr `d►r �i n Mailing Address: t2. \ S Ave State ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record LLC q iz1 City sate Zip Contact Person: Day Telephone: 206 7 Y E-Mail Address: Fax Number: 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: QUppliafims Forms- Applications On Lin 3 -x006 - Permit Appliufiaadoe Revised 94006 m State 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 1 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 PLUMBING AND GAS PIPING PERMIT INFORMATION - 206 -431 -3 70 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: /Yo i/4-1/i l n so-so P‘v t (40 ZAC. Mailing Address: C kCIOR gx 4,1 a.r Aie Contact Person: rIc ( Y# r c t x( E-Mail Address: t4c..k C vlorI df"FL ► co�044. . t4 4 Contractor Registration Number:Rl"HC'_p4 3o kA Valuation of Plumbing work (contractor's bid price): $ gOS .0 0 Valuation of Gas Piping work (contractor's bid price): $ Scope of Work (please provide detailed information): Polls- Zt l e.4 . L¢, sj 1 . • City State Zip Day Telephone: ?ol 4 .3/ - 4/7/ Fax Number: ON, VZO 460 Expiration Date: // /Z08 G.JA Vie // ea4,p /e /z Building Use (per Intl 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: QAApplia ionsWor - Applications On tmd3 -2006 - Permit Appliatioadoc Revised: 9-2006 tt, 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 OWNER �OR�AUUTH D AG / L/ l Signature: V l � I Print Name: 00414 (. �� rc Lark Mailing Address: 9qc q '4e/ 4'e S Date Application Expires: Date Application Accepted: ( 2-ci Q: Upplics /ions\Forms-- Applications OnUn 3- 2006- PermitAppliationdoc Revised: 9 -2006 611 Date: K - ZO - Z-0 7 Day Telephone: QO6 QV- 6/ 7/ Se -Ole 1%4 q //g City Star zip Staff Initials: c Page 6 of 6 Receipt No.: R07 -01800 Payee: MARK C YURCZYK TRANSACTION LIST: Type Method Description ACCOUNT ITEM LIST: Description PLUMBING - NONRES City of Tukwila Department of Community Deve 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.: 2623049144 Permit Number: PG07 -222 Address: 565 ANDOVER PK W TUKW Status: PENDING Suite No: Applied Date: 08/24/2007 Applicant: CUSTOMER RESEARCH Issue Date: Initials: JEM Payment Date: 08/24/2007 01:58 PM User ID: 1165 Balance: $0.00 Amount Payment Check 1111 88.00 Account Code Current Pmts 000/322.100 88.00 Total: $88.00 Payment Amount: $88.00 2022 08/24 9710 TOTAL 88.00 doc: Receiot -06 Printed: 08-24 -2007 Project: (.v s%. e - // pp e /f�I ►s ection: 710 /2,. �X- , Address: Date Called: Special Instructions: Date Wante I2� -7 p.m. P• Requester: Phone No: ) 7 INSPECTION NO. PERMIT O. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #1 00, Tukwila, WA 98188 (206)431 -3630 lea INSPECTION RECORD Retain a copy with permit r 1 i Approved per applicable codes. El Corrections required prior to approval. COMMENTS: t 7 6 F? 'Inspector: ❑ $58.00 ' ' EQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. 'Receipt No.: 'Date: • Pro ct: Type of Inspection: Address: 565 4„ -r2iP" ?ice zu Date Called: Special Instructions: Date D ante _ G �a m„ m. Requester: Phone No: 2 66 - J / — 6/7/ Approved per applicable codes. INSPECTION RECORD Retain a copy with permit PER IT NO. INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 - 70 El Corrections required prior to approval. COMMENTS: tor: Dat9 l e i> 58.00 REINSPECT ION FEE RE IRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. eceipt No.: 'Date: License Information License NORTHCP930KA Licensee Name NORTH COAST PLUMBING INC Licensee Type CONSTRUCTION CONTRACTOR UBI 602711857 Ind. Ins. Account Id #1 Business Type CORPORATION Address 1 9909 RAINIER AVE S Address 2 City SEATTLE County KING State WA Zip 98118 Phone 2064204600 Status ACTIVE Specialty 1 PLUMBING Specialty 2 SANITATION SYSTEM SIDE SEWER Effective Date 5/1/2007 Expiration Date 5/1/2009 Suspend Date Separation Date Parent Company Previous License Next License Associated License Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date #1 AMERICAN CONTRACTORS INDEM CO 100022456 04/23/2007 Until Cancelled $6,000.00 05/01/2007 Business Owner Information Name Role Effective Date Expiration Date YURCZYK, MARK C PRESIDENT 05/01/2007 YURCZYK, FARNAZ D SECRETARY 05/01/2007 Look Up a Contractor, Electric; or Plumber License Detail Page 1 of 2 4 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= NORTHCP930KA 08/24/2007