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Home My WebLink AboutPermit PG07-267 - WASHINGTON CITIES INSURANCE AUTHORITY (WCIA)WCIA 320 ANDOVER PK E, STE 320 PGO7-267 Parcel No.: 0223200060 Address: Suite No: Tenant: Name: WCIA Address: 320 ANDOVER PK E, STE 320 , TUKWILA WA Owner: Name: Address: Value of Plumbing /Gas Piping: Fees Collected: doc: UPC - 10/06 320 ANDOVER PK E TUKW Cit3avf 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 WA CITIES INSURANCE AUTHOR' 14900 INTERURBAN AVE S #210 , SEATTLE WA Contact Person: Name: V R HUBER Address: 3420 C ST NE , 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 INSTALL LUNCHROOM SINK $4,300.00 $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 FIXTURE TYPE AND OUANTITY * *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 -267 10/09/2007 04/06/2008 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 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 O Gas piping outlets (6 +) 0 PG07 -267 Printed: 10 -09 -2007 Permit Center Authorized Signature: Signature: Print Name: doc: UPC -10/06 City 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 and x ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be compile , whether specified herein or not. The granting of this permit does not presume o • ' e authority to violate or cancel the provisions of any other state or local laws regulating construction or the performance o1; wo thorized to sign and obtain this plumbing /gas piping permit. Permit Number: PG07 -267 Issue Date: 10/09/2007 Permit Expires On: 04/06/2008 Date: 10101 Date: 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 -267 Printed: 10 -09 -2007 Parcel No.: 0223200060 Address: 320 ANDOVER PK E TUICW Suite No: Tenant: WCIA 1: ** *PLUMBING AND GAS PIPING * ** ti/' 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 -267 ISSUED 10/09/2007 10/09/2007 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 bacldilled 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 -267 Printed: 10 -09 -2007 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 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. 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. PG07 -267 Printed: 10 -09 -2007 CITY OF TUKWII. .O' Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Name: /� g /X' Mailing Address: 34 E -Mail Address: Company Name: Mailing Address: Contact Person: E -Mail Address: Company Name: Mailing Address: Contact Person: E -Mail Address: Plumbing/Gas Permit No. Project No. 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** King Co Assessor's Tax No.: 0 27 /iVOd6U Site Address: Z7'3 � r ay,0�j / , G Suite Number: Tenant Name: $ae C Property Owners Name: rC' 4'/ �i�it�jCa7 Mailing Address: ge, & Company Name: �,� 1 is� <� Mailing Address: 3y�Q CST ,4 . •J Contact Person: ,je Zi E -Mail Address: Contractor Registration Number: .�i£,e,e i42-M Q:\Applieations\Fonns- Applications On Line \3-2006 - Plumbing-Gas Piping Permit Applieation.doc Revised: 4 -2006 bh City City 44e4 ARCHITECT OF RECORD -All plans must be wet stamped by Architecto ' For n ice use only) Floor: New Tenant: f 7 l .... Yes State ..No Zip CONTACT PERSON Who do we contact when your permit is ready to be issued Day Telephone: - (( 'D 6$ 9k0.0 City State Fax Number: 833 S° /fig State Zip PLUMBING / GAS PIPING CONTRACTOR INFORMATION State Zip Day Telephone: 246 J�J —j 6 Fax Number: 2 3— E3 —S/ S/8� Expiration Date: r9 7J O g' City Day Telephone: Fax Number: ENGINEER OF RECORD - All plans must be wet stamped by Engineer ;ol ecor State Zip city Day Telephone: Fax Number: Zip Page 1 of 2 Fixture Type: Qty . Fixture Type. Qty '- Fixture Type:. Qty Fixture :TYPe- City 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) 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): $ 3 6 U Scope of Work (please provide detailed information): 4 /� /t/ peit-S�vo/lt /4 2It G i /A � Building Use (per Int'l Building Code): .0/e/ei 4Y`v�At ZR5 Occupancy (per Int'l Building Code): Utility Purveyor: Water: 74 4 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 AUT Signature: Print Name: Mailing Address: Date Application Expires: Date Application Accepted: GENT: 3y, /1/1 �s Q:\Applications\Ponns- Applications On Line\3 -2006 - Plumbing -Gas Piping Perini Application.doc Revised: 4 -2006 bh Sewer: �/ Day Telephone: City Date: �/ rf�0Z State Zip Staff Initials: �/ Page 2 of 2 RECEIPT NO: R07 -02201 City of Tukwila Initials: JEM Payment Date: 10/09/2007 User ID: 1165 Total Payment: 246.00 Payee: HUBER'S PLUMBING CO. 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 SET ID: 1009 SET NAME: HUBER'S PLUMBING SET TRANSACTIONS: Set Member Amount PG07 -267 88.00 PG07 -268 158.00 TOTAL: 246.00 SET RECEIPT TRANSACTION LIST: Type Method Description Amount Payment Check 28529 246.00 TOTAL: 246.00 ACCOUNT ITEM LIST: Description PLUMBING - NONRES Account Code Current Pmts 000/322.100 TOTAL: 246.00 246.00 Project: 44 J C / 4 Type of Inspection:, / Address:, / Date Called: 70 � 0 y ov,- �, E Special Instructions: Date Wanted: a.m. Requester: Phone No: 5 -7- S'39 -7 S' - 7 � INSPECTION RECORD Retain a copy with permit P6-07-267 INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431- COMMENTS: El $58.00 REINSP ON FEE REQUIRED. Prior to inspection. fee must be paid at 6300 uthcenter Blvd., Suite 100. Call the schedule reinspection. 'Receipt No.: 'Date: 1 Approved per applicable codes. El Corrections required prior to approval. Project: CO Gi 4 Ty of Ins pecti / r /700 oG 1 /u I� bt„ t Address: r 0 330 / / ( l Date Called: _ _._._ Special Instructions: - Date Wanted: /o —; 6 —vim a. � . Requester: Phone No: —O‘ — -7 % —' 74/4 INSPECTION RECORD Retain a copy with permit INSPE ION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 PERMIT NO. ❑ Approved per applicable codes. COMMENTS: /147 I — z -� Inspector: 00 REINSPECTION E REQUIRED. Prior to inspection, fee must be id at 6300 Southcente Blvd., Suite 100. Call the schedule reinspection. 1R eiptNo.: 'Date: • M Corrections required prior to approval. Pron , 7 4 Type opr1section: Address: Date Called: Special Instructions: Date Wanted: /o �// //') a.m. Requester: Phone No: INSPECTION RECORD Retain a copy with permit INSPIION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector: `Date: S !' ito .00 REINSPECTION FEE REQUIRED. P for to inspection. fee must be aid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. ceipt No.: (Date: Project: er/ 1 Type o Inspecti n: ✓ eP, 0- /N /m2, 6 Address: 32) lv, -.- Date Called: Special Instructions: Date Wanted : r- � / 0 //l / I P.m. Requester: Phone No: 2 — - 2 3 44 7 7 267 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 -3670 Approved per applicable codes. EI Corrections required prior to approval. COMMENTS: (/ / //Z / ;d'4 ?) �� S 2/i1/74-- - /J (7 q NSPECTION FEE R ' t1IRED. P for to inspection. fee must be pa dal 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. 'Receipt No.: 'Date: IL 4.a . , eyy " ,, - +y:, -.e.3....Z .4 _;l '.w...., ... - ,• . ' ., , ,r,..,: . .....e 1r -∎s., ,:,,,. Project: bole A Type o spectio C \∎.‹) — i� ice, Address: 3 76 / P <6 Date Called: Special Instructions: Date WT nte : i ' 1 d / a - m. Requester: Phone No: 7L) — 5 i o -3db$ 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 -3 Approved per applicable codes. auctions required prior to approval. COMMENTS: 1_ I\1 (r l ,/t&J (>rQ Date J Rece't No.: 'Date: 10 $ 0 REINSPECTION FEE • EQUIRED. P or to inspection, fee must be at 6300 Southcenter Bl •.. Suite 100. 11 the schedule reinspection. 'v �.! + -^-, a.,63''4+. •. 1 4 ' '�"i:za. ^..' � "' .�:.- ».,._.. � ...- ��,... License Information License HUBERP*042M2 Licensee Name HUBER'S PLUMBING CO Licensee Type CONSTRUCTION CONTRACTOR UBI 601725669 Ind. Ins. Account Id #3 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 Bond Amount Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date #3 FEDERATED MUTUAL INS CO 9335611 09/13/2007 Until Cancelled $6,000.00 09/10/2007 AMERICAN Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 3 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= HUBERP *042M2 10/09/2007