HomeMy WebLinkAboutPermit PG07-264 - VERIZON WIRELESSVERIZON WIRELESS
17100 SC PY STE 116
PGO 7-264
Parcel No.:
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
doc: UPC -10/06
2623049081
17100 SOUTHCENTER PY TUICW
VERIZON WIRELESS
17100 SOUTHCENTER PY, STE 116 , TUKWILA WA
WIG PROPERTIES LLC -SS
4811 134TH PL SE , BELLEVUE WA
BRENT ADKISSON
2020 S 320 ST #C -90 , FEDERAL WAY WA
D15 MECHANICAL
2020 S 320 ST #C -90 , FEDERAL WAY WA
Contractor License No: D 15MEM *930BT
Value of Plumbing /Gas Piping:
Fees Collected:
Cityf Tukwila
$500.00
$110.00
Plumbing
Bathtub or combination bath/shower 0
Bidet 0
Clothes washer, domestic 0
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
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
DESCRIPTION OF WORK:
INSTALL GAS LINES TO (2) HVAC ROOFTOP UNITS FROM EXISTING 2" GAS LINE IN TENANT
SPACE
Uniform Plumbing Code Edition: 2006
International Fuel Gas Code Edition: 2006
FIXTURE TYPE AND OUANTITY
Plumbing (cont.)
Building sewer and each trailer park sewer 0
Rain water system - per drain (inside bldg) 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
0 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
0 Medical gas piping (6 +) inlets /outlets 0
0 Gas Piping
0 Gas piping outlets (0 -5) 2
0 Gas piping outlets (6 +) 0
* *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 -264
10/10/2007
04/07/2008
PG07 -264 Printed: 10 -10 -2007
Permit Center Authorized Signature:
City Or 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 -264
Issue Date: 10/10/2007
Permit Expires On: 04/07/2008
Date:
016D�1j"a-
I hereby certify that I have read and :. • ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied , 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 pe ce of work. I am authorized to sign and obtain this plumbing /gas piping permit.
Date: /G '76 -6 7
Signature:
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.
doc: UPC -10/06
,tvT Ail 'Clcc
PG07 -264 Printed: 10 -10 -2007
Parcel No.: 2623049081
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
17100 SOUTBCENTER PY TUKW
VERIZON WIRELESS
1: ** *PLUMBING AND GAS PIPING * **
PERMIT CONDITIONS
* *continued on next page **
Permit Number:
Status:
Applied Date:
Issue Date:
PGO7 -264
ISSUED
10/04/2007
10/10/2007
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: 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 -264 Printed: 10 -10 -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.
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: /e — /G -0 7
PG07 -264 Printed: 10 -10 -2007
Name:
E -Mail Address:
CITY OF TUKWIL
Community DevelopmerirDepartment
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 LOCATION
.l � � g Co Assessor's Tax No.: L.(1' l '" — 'q o $(
Site Address: / /00 S CA c 14' am, f D /\ j ( Suite Number: / 16 Floor:
V
Tenant Name: CK Z Z (A-J 6L ESS New Tenant: g.... Yes El ..No
Property Owners Name: W L C ,A0,Exrs is Lt. C- SS
Mailing Address: �l 5 E / 3 � /‘ /� , gei1-e vt c e
�
Q'f'T 4pK7;
Mailing Address: o vZc--> . S, 2 D Sfi
City
State Zip
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Day Telephone: - 6- e 5 V.3--?
C-70 F L ,ecity3
City State Zip
Fax Number:
PLUMBING / GAS PIPING CONTRACTOR INFORMATION
Company Name: 27 /5 )4/1 2Ckc 1 (cd
Mailing Address: 2v�0 St -3207 51 4( C-0 F-e o Way &j4- 2B'
/State Zip
f� stat
Contact Person: /� £�T /�a( Day Telephone: -36b b (— 5 933
E -Mail Address:
Contractor Registration Number: 2)/5 g / '. 730 Expiration Date: o / / 3 / 2 0.97
ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
QMppliations\Vorms- Applications On Line\3 -2006 - Plumbing -Gas Piping Permit Application.doe
Revised: 4-2006
bh
Fax Number:
City
Day Telephone:
Fax Number:
State
Zip
City
Day Telephone:
Fax Number:
State
Zip
Page 1 of 2
Fixture Type:
Qty
Fixture Type
Q '
, Fix" ture 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
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 N Sfc /f ( S L,' -veS 7b 2 EA ftV goof 7a`D 4 &i) %5
e X% S f i v , a S L i .v & i A/ fe S7ca c e
Building Use (per Int'l 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 OW
Date Application Accepted:
Signature: /
Print Name: / 'v r /4Gt
risca
Mailing Address: 2 6 Zd S 7-R0 S' *C
Q:\Applications\Forms- Applications On Line\3 -2006 - Plumbing -Gas Piping Permit Application.doc
Revised. 4 -2006
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Date: / — / 7
Day Telephone: 3 8 D S- 933
,' dQ.►
cue-y t-✓ ?f4
City / State Zip
Date Application Expires:
Staff Initials:
Page 2 of 2
RECEIPT NO: R07 -02206
Initials: JEM
User ID: 1165
Payee: BRENT ADKISSON
SET ID: 1010 SET NAME: D15
SET TRANSACTIONS:
Set Member Amount
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: htip: //www.ci.tukwila.waus
M07 -212 215.58
PG07 -262 88.00
PG07 -263 88.00
PG07 -264 88.00
TOTAL: 479.58
TRANSACTION LIST:
Type Method Description
Payment Cash 479.58
TOTAL: 479.58
ACCOUNT ITEM LIST:
Description
GAS - NONRES
MECHANICAL - NONRES
SET RECEIPT
Account Code Current Pmts
000/322.100 264.00
000/322.100 215.58
TOTAL: 479.58
Payment Date: 10/10/2007
Total Payment: 479.58
Amount
Dora RECSETS -OR
RECEIPT NO: R07 -02172
Initials: JEM
User ID: 1165
Payee: BRENT ADKISSON
SET ID: S000000872 SET NAME: Tmp set/Initialized Activities
SET TRANSACTIONS:
Set Member Amount
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
M07 -212 54.00
PG07 -262 22.00
PG07 -263 22.00
PG07 -264 22.00
TOTAL: 120.00
TRANSACTION LIST:
Type Method Description
ACCOUNT ITEM LIST:
Description
MECHANICAL - NONRES
PLAN CHECK - NONRES
SET RECEIPT
Payment Date: 10/04/2007
Total Payment: 120.00
Amount
Payment Cash 120.00
TOTAL: 120.00
Account Code Current Pmts
000/322.100 6.08
000/345.830 113.92
TOTAL: 120.00
3 07 10 /04 .:7710 MAL
( 20 . 00
Project: . Ze W . i d e l
V
Type of I . 4 t-t
F7 o � f ,D •
y
Address:
1716 6 Sx01 C
f Ilk
Date Calle /
Called:
/
Special Instructions:
/' ✓ A '
to Wanted:
���
��
p.m.
R equester:
Phon No:
? o -
,6 -5433
COMMENTS:
Inspect
Dater c)
$58.00 REINSPECTION FEE REQUIRED. Prior to inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection.
'Receipt No.:
'Date:
INSPECTION RECORD
Retain a copy with permit
P66 q-1101
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION ''
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36
Approved per applicable codes. El Corrections required prior to approval.
0
Project:
Type of spectioryry: /"i
Address:
/ - 2/1)v
' } h (' r� ,fir /
Date Called:
c 4
Special Instructions:
Date Wante . .,,
Requester:
Phone No:
h) °S° - `/ 3 3
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION 4Z
6300 Southcenter Blvd., #100, Tukwila, WA 98188 ( $06)431-
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
1 0 7 -2 1(
INSPECTION RECORD
Retain a copy with permit
ti specto Dat :
v / /�
.644.7 1 tit �t A jl• �
58. REINSPECTION F REQUI . Prior to inspection, fee must be
pa u at 6300 Southcenter Blvd., S e 100. Call the schedule reinspection.
Re - pt No.: 'Date:
SCOPE OF WORK
Install 2 ea. New 1" Gas lines from Existing 2" Pipe to HVAC Units
FRE C
Permit Na
Plan review approval Is subject to errors and omiss.
Approval c; ezcumcnts do= not authorize
the violat,c:1 c; :.. .. coda cr crdir,3nC . Receipt
of apps cvci :: _ ; c -- c ; .1 ;uo; ^ 3 acknnot vledg d
By
Date: / /C -C
Qty of 1Ukwila
BUILDING DIVISION
Single Gas Line Hanging Detail
2" Square Washer w /nut
Bar Joist
3/8" All Thread
Loop Pipe Hanger
RTU 116 -1
6.5 Ton York
114 -aft
New 1" Gas Line to
HVAC Roof Top Unit
RTU 116 -2
75 Ton Ynrk
t At ! • ;
REVISIO
es shall be made to o vol Ao PO
No Chang without prior Dap p rov
o� work w ll n Q��p�it
Tukwila Building ELI
will require i1 n8W 1@§:
NOTE: Revisions Ian �B'1!
and ma: include additional p
REVIEWED FOR
CODE COMlPLTP NCE
OCT 0 9 2007
CIUi Of Tukw;;
ILDIK
RECEIVE[)
CITY OF T(Jl� iiI A
OCT 04Zuul
PEHMI.T CENTER
i t JI DING ''N FLOOR PLAN ip VE:Rizal I'dFIELUSS
'4"° 7 P 1 6 1 :1 1."4 2/(0 r 1
Verizon
Wireless
Southcenter Square
17100 Southcenter Pkwy
Tukwila, WA 98188
Suite #116
D15 MECHANICAL
2020 S. 320th St #C -90
Federal Way, WA 98003
HVAC PLANS
GP - 1.0
DE 1ARTMNTS: 10 4. 1
V
Build 'ng `iv s on AA
Public Works
Complete
Comments:
APPROVALS OR CORRECTIONS:
Documents/routing slip.doc
2 -28 -02
,PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: PG07 - 264 DATE: 10 -04 -07
PROJECT NAME: VERIZON WIRELESS
SITE ADDRESS: 17100 SOUTHCENTER PY, STE 116
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter # Revision # After Permit Issued
Fire Prevention
Structural
DETERMINATION OF COMPLETENESS: (Tues., Thurs.) .
Incomplete n
TUES/THURS ROU ING:
Please Route Structural Review Required
REVIEWER'S INITIALS:
❑
❑ Permit Coordinator
No further Review Required
DATE:
DATE:
Planning Division
❑
DUE DATE: 10-09-07
Not Applicable n
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
DUE DATE: 11-06-07
Approved ❑ Approved with Conditions Not Approved (attach comments) ri
Notation:
REVIEWER'S INITIALS:
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
Type
Impaired
Date
Amount
Received
Date
https:// fortress. wa. gov /lni/bbip /printer.aspx ?License= D15MEM *930BT 10/10/2007