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Home My WebLink AboutPermit PG07-229 - FITNESS OUTLETFITNESS OUTLET 17250 SOUTHCENTER PY SUITE 100 PGO7-229 Parcel No.: 2623049117 Address: Suite No: Cit f 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 PY TUKW Tenant: Name: FITNESS OUTLET Address: 17250 SOUTHCENTER PY STE 100 , TUKWILA WA Owner: Name: WIG PROPERTIES LLC -SS Address: 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 PLUMBING /GAS PIPING PERMIT DESCRIPTION OF WORK: INSTALL GAS LINES FROM EXISTING 2" MAIN TO (2) HVAC ROOF TOP UNITS Value of Plumbing /Gas Piping: Fees Collected: $500.00 $110.00 Plumbing Bathtub or combination bath/shower 0 Bidet 0 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 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 PG07 -229 09/26/2007 03/24/2008 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 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 0 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 O Medical gas piping (6 +) inlets /outlets 0 O Gas Piping O Gas piping outlets (0 -5) 2 O Gas piping outlets (6 +) 0 PG07 -229 Printed: 09-26 -2007 Permit Center Authorized Signature: The granting of this permi construction or the pe Signature: Print Name: 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 Ar/v7 //c./M Permit Number: PG07 -229 Issue Date: 09/26/2007 Permit Expires On: 03/24/2008 es not pre ume to give authority to violate or cancel the provisions of any other state or local laws regulating ce of w orized to sign and obtain this plumbing /gas piping permit. Date: Date: `Q 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. 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 -229 Printed: 09 -26 -2007 Parcel No.: 2623049117 Address: Suite No: Tenant: 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 17250 SOUTHCENTER PY TUKW FITNESS OUTLET 1: ** *PLUMBING AND GAS PIPING * ** PERMIT CONDITIONS * *continued on next page ** Permit Number: Status: Applied Date: Issue Date: PG07 -229 ISSUED 08/31/2007 09/26/2007 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 -229 Printed: 09 -26 -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: 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 Date: / Mm- - 2 6 — O7 PG07 -229 Printed: 09 -26 -2007 Site Address: Tenant Name: CITY OF TUKWILAt,...) Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us SITE LOCATION File 55 MA. -/ f Property Owners Name: i q J +� e5 1L LC — SS Mailing Address: £/ // / 30 A • SE 'gem e u u 'e CONTACT PERSON - Name: E -Mail Address: Company Name: Mailing Address: f aim / A!/tk`cc, Contact Person: E -Mail Address: Contractor Registration Number: Contact Person: E -Mail Address: Company Name: Mailing 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 ** /7250 Boca L C e t, k f2,et,l ' ho do we contact when your permit is ready to be issued ie£✓ T Adk1 SSA lV /5/ * 770d r ARCIIITECT OF RECORD ; -All plans must be wet stamped by Arc Q:Mpplications\Fonns- Applications On Line13 -2006 - Plumbing -Gas Piping Permit Application.doc Revised: 4-2006 bh King Co Assessor's Tax No.: Suite Number: /DC..) Floor: City c�r4 . cz)< Day Telephone: City Fax Number: New Tenant: El .... Yes El ..No State Zip ?60 M 5933 Mailing Address: State Zip PLUMBING / GAS PIPING CONTRACTOR INFORMATION L2 /" ,kil a-.. ,-6J 20 .a_v s t ale.l l w w.1. 9��3 City State Zip Day Telephone: Fax Number: Expiration Date: 36O -S'H- 54'33 Company Name: Mailing Address: State Zip City Day Telephone: Fax Number: Zip State City Day Telephone: Fax Number: Page 1 of 2 Fixture Type: Qty : Fixture Type: Qty Fixture T YP e � : Fixture T e: QtY Bathtub or combination bath/shower Drinking fountain or water cooler (per head) Wash fountain Gas piping outlets p2 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): $ Scope of Work (please provide detailed information): s' I G�5 L °Ne s Fig Ex��s h c 2 L, ,v 1 gF_ J v goo T tA4,.iF1-5 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 OWNE Date: ?/31/0 7 Print Name: 17A fN T )/ S Sc/1n Day Telephone: 1 0 egg 5933 5. 320 " 5i 4 i &ar c �g�3 City Sta Zip Signature: Mailing Address: Zp p Date Application Accepted: 3 _3 _O7 Q:\Applications\Fonns- Applications On Line\3 -2006 - Plumbing -Gas Piping Penni Application.doc Revised: 4-2006 bh Date Application Expires: 3 08 Staff Initials: Page 2 of 2 Receipt No.: R07 -02098 Payee: BRENT ADKISSON ACCOUNT ITEM LIST: Descript ion GAS - 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.d.tukwila.wa.us RECEIPT Parcel No.: 2623049117 Permit Number: PG07 -229 Address: 17250 SOUTHCENTER PY TUKW Status: APPROVED Suite No: Applied Date: 08/31/2007 Applicant: FITNESS OUTLET Issue Date: Initials: WER Payment Date: 09/26/2007 11:44 AM User ID: 1655 Balance: $0.00 TRANSACTION LIST: Type Method Description Amount Payment Cash 88.00 Account Code Current Pmts 000/322.100 88.00 Total: $88.00 Payment Amount: $88.00 n 0 doc: Receiot -06 Printed: 09 -26 -2007 Parcel No.: 2623049117 Permit Number: PG07 -229 Address: 17250 SOUTHCENTER PY TUKW Status: PENDING Suite No: Applied Date: 08/31/2007 Applicant: FITNESS OUTLET Issue Date: Receipt No.: R07 -01855 Initials: WER Payment Date: 08/31/2007 03:19 PM User ID: 1165 Balance: $88.00 Payee: BRENT ADKISSON TRANSACTION LIST: Type Method Description Amount Payment Cash 22.00 ACCOUNT ITEM LIST: Description 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.ci.tukwila.wa.us RECEIPT Account Code Current Pmts 000/345.830 22.00 Total: $22.00 Payment Amount: $22.00 u.1 doc: Receipt -06 Printed: 08 -31 -2007 Project: ri Type of Inspection: Address: Date Called: Special Instructions: Date Wanted: / ) 0 / 3 1 /6-7 ria4 Requester: Phone No: INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PERMIT NO. (206)431-3670 pproved per applicable codes. Corrections required prior to approval. COMMENTS: Inspec o : 1 Date: JJ .00 REINSPECTIO FEE REQU ED. Prior to inspection. fee must be paid at 6300 Southcenter Blvd.. Site 100. Call the schedule reinspection. 'Receipt No.: 'Date: -- - , pi- , 4- , Project: /� /` f /le T of Inspection: 00 / l �• �� J Address: Address: � 7250 /1 1 Date Called: 1 / 1 :0� Special Instructions: _ Date Wanted: /U -26.—o a.m. Requester: Phone No: 2 5 7 7 — G/ /° Approved per applicable codes. 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 - /9L 11 P6-074- Ut' Corrections required prior to approval. COMMENTS: l✓; ( 0,o2/W ( f7 7/ 'Date: J $58.00 RECTION FEE REQUIRE . Prior t inspection. fee must be paid at 63;1 Southcenter Blvd.. Suite 100. Call he schedule reinspection. 'Receipt No.: p Date: Project: Type of Inspection: Address: II rf t � c SUV4h P7 Date Called: (rn� -7 'lY 1 ( 1-0 Special Instructions: vv►oi4 OVA (( Date Wanted: (U -�`1 G m` p.m. Requester: Phone No: 3L0'8gg 5 CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 COMMENTS: - PGO-_ 229 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. proved per applicable codes. Corrections required prior to approval. { AO REINSPECTION FEE REQUIRED. Prio to inspection. fee must be d at 6300 Southcenter Blvd., Suite 100. II the schedule reinspection. 'Receipt No.: 'Date: .g b frty/c5 Outer r Existing HVAC REVISIONS No changes shall be made to the scope of work without prior approval of Tukwila Building Division. NOTE: Revisions will require a new plan submittal and may include additional plan review fees. 1" Gas line By li Existing HVAC i Point of Connection Existing r Gas line Nan review approval Is subject to errors and omissions. Approval cf C r'ctlon documents does not authorize z.. z r ocirmmeff. m... 2 . 6 .- .: the vidaticn c? ry cc code or ordinanC• Remit* of approvcd CCICTIOViledged: Date: g- 2 City BUILD Fitness Outlet Suite •100 F. 1r7.5*.. *err • NY% 14 wax r- rar KJ Dune. et rom Lz FOR CODE COMPLIANCE HVAC Gas Pipe Plan APPROVED AUG — 6 21O7 ty Of Tukwila bu Lim*? uiVISION RECEIVE AUG 3 1 2007 PERMIT CENTEI, ACTIVITY NUMBER: PG07 -229 DATE: 08 -31 -07 PROJECT NAME: FITNESS OUTLET SITE ADDRESS: 17250 SOUTHCENTER PY X Original Plan Submittal Response to Correction Letter # Response to Incomplete Letter # Revision # After Permit Issued DEPARTMENTS: ife Bui • i v_ • ivision Public Vyork DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Please Route Documents/routing slip.doc 2 -28 -02 P'ERM%T COORD COPY `a PLAN REVIEW /ROUTING SLIP TUES/THURS ROUTING: Fire Prevention Structural ❑ Permit Coordinator Incomplete Structural Review Required Planning Division DUE DATE: 09 -06 -07 Not Applicable Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: ❑ No further Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: DUE DATE: 10-04 -07 Approved ❑ Approved with Conditions Not Approved (attach comments) ❑ Notation: REVIEWER'S INITIALS: DATE: 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 Name Bank Branch 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 =D 15MEM *930BT 09/26/2007