HomeMy WebLinkAboutPermit PG07-293 - WIG PROPERTIESWIG PROPERTIES
17250 SOUTHCENTER PY
SUITE 148
PGO7-293
Parcel No.: 2623049117
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
City 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
WIG PROPERTIES
17250 SOUTHCENTER PY, STE 148 , TUKWILA WA
WIG PROPERTIES LLC-SS
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: D15MEM *930BT
DESCRIPTION OF WORK:
INSTALL (1) GAS LINE TO HVAC ROOFTOP UNIT FROM EXISTING 2" GAS LINE IN TENANT
SPACE.
Value of Plumbing /Gas Piping:
Fees Collected:
$250.00
$110.00
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
doc: UPC -10/06
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
PG07 -293
12/06/2007
06/03/2008
Uniform Plumbing Code Edition: 2006
International Fuel Gas Code Edition: 2006
Plumbing (cont.)
O Building sewer and each trailer park sewer 0
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
O 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
O Medical gas piping (6 +) inlets /outlets 0
0 Gas Piping
0 Gas piping outlets (0 -5) 1
0 Gas piping outlets (6 +) 0
PG07 -293 Printed: 12 -06 -2007
Permit Center Authorized Signature:
Signature:
Print Name: � [A' 7
City oi
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
us_
Permit Number: PGO7 -293
Issue Date: 12/06/2007
Permit Expires On: 06/03/2008
Date: d� 6
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 permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the orm tce of o k. I am authorized to sign and obtain this plumbing /gas piping permit.
Date: /2_ C -7 0 /
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 PG07 -293 Printed: 12 -06 -2007
Parcel No.: 2623049117
Address:
Suite No:
Tenant:
17250 SOUTHCENTER PT TURW
WIG PROPERTIES
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:
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.
8: 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: 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.
8: 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.
9: 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.
10: 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 -293
ISSUED
11/01/2007
12/06/2007
PG07 -293 Printed: 12 -06 -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.
doc: Cond -10/06 PG07 -293
Date: /2 ‘ ..".° 7
ordinances governing
or local laws regulating
Printed: 12 -06 -2007
J King Co Assessor's Tax No.: /112. 0
Site Address: / 70250 SO CA i Z ZrJ it / 2<' (» Y Suite Number: / / Floor:
0 /4
New Tenant: .... Yes 0 ..No
Property Owners Name: 1") Z G- l4".,e -✓ h e S
Mailing Address: 7' >/ r SE / . /e / /t4 e
city
Tenant Name:
CONTACT PERSON -Who do we contact when your permit is ready to be issued
Name:
E -Mail Address:
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Contact Person:
E -Mail Address:
CITY OF TUKWIL
Community Development Department
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**
State Zip
K "J T /! 5 _cOv∎ Day Telephone: 3 6 a T 59 ?i
Mailing Address: 2- 2U S ' , 3,26 27 ` $f # c Federal W G✓/� q �f�3
City l State Zip
Fax Number:
PLUMBING / GAS PIPING CONTRACTOR INFORMATION
D/5 /t 1 eC4.f.v; c a,(
?0v St 320 s� ` C Et-deed
w 9
/ City / State Zip
Contact Person: £t/7 ,4I /(, 55c s. Day Telephone: y60 f' S f 33
E -Mail Address: p Fax Number:
Contractor Registration Number: 2/5 ALE/ of ! 3d Q T Expiration Date:
Q:\Applications\Porms- Applications On Line\3 -2006 - Plumbing -Gas Piping Permit Application.doc
Revised: 4 -2006
bh
/- 30 — 20c77
ARCHITECT OF RECORD - All plans must be wet stamped b
Company Name:
Mailing Address:
city
Day Telephone:
Fax Number:
State
State
Zip
ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Recor
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
Zip
Page 1 of 2
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
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
G O
Valuation of Project (contractor's bid price): $ 2 50
Scope of Work (please provide detailed information):
,�•tls t / /l GG- 5 L e_ - , god s lo,' C/-
cy-wv S 2 " 5 Li' ,`,v 1e ta•t. s;Je e2 ,
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 OWNER EAU Z €NT: ( �! ,/, O(1' q
Signature: Date: ,J6 7
e C Day Telephone: 3‘0 o a S y>3
Mailing Address: „20 5 3 7 > 1- ?C Fed Y c & wx A 9g-003
City State Zip
Print Name:
Date Application Accepted:
gg
Date Application Expires:
cciretlAn
Q:\Applications\Forms- Applications On Line\3 -2006 - Plumbing -Gas Piping Pennit Application.doc
Revised: 4 -2006
bh
Staff Initials:
Page 2 of 2
Parcel No.: 2623049117 Permit Number: PG07 -293
Address: 17250 SOUTRCENTER PT TUKW Status: APPROVED
Suite No: Applied Date: 11/01/2007
Applicant: WIG PROPERTIES Issue Date:
Receipt No.: R07 -02681
Initials: WER Payment Date: 12/06/2007 03:00 PM
User ID: 1655 Balance: $0.00
Payee: BRENT ADKISSON
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
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
5745 12/06 9710 TOTAL 973.31
doc: Receipt -06 Printed: 12 -06 -2007
RECEIPT NO: R07 -02399
Initials: JEM
User ID: 1165
Payee: BRENT ADKISSON
SET ID: S000000885 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 -238 47.92
M07 -239 43.31
PG07 -293 22.00
PG07 -295 5.33
TOTAL: 118.56
TRANSACTION LIST:
Type Method Description
ACCOUNT ITEM LIST:
Description
PLAN CHECK - NONRES
SET RECEIPT
000/345.830
TOTAL:
Payment Date: 11/01/2007
Total Payment: 118.56
Amount
Payment Cash 118.56
TOTAL: 118.56
Account Code Current Pmts
118.56
118.56
Project: , ."
ot1/9 P79rOlt , /ii? .
Type Q.Inf spectiojc
//4/ 64
Address: /
/2256 _c'ew/I4t4 ACel
Date Called:
Special Instructions: I
Su <:' 2-- 4'8
A ,:,
ri,_, ( f:7 45 -
Date Wanted:
‘ - Z- ---
cm.
Requester:
Phone No: ____
'..
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 981 88
INSPECTION RECORD
Retain a copy with permit
(206)431-3670
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
ppinike (D),-A pi
l Inspe or:
r ate:( 0 2
$58.00 REINSPECTION FEE REOUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection.
Receipt No.:
'Date:
(
Project' , I / e-7 /�
Type Inspection: � c
�■
Address: _
/ 7 Sv�r�`
i
ate Called:
Special Instructions:
Date Wanted:
/2112A1
m.
p.m.
Requester:
Phone No:
q'o - e — .s'. 3
INSPECTION RECORD
Retain a copy with permit
/ i d7- �
INSPECTION NO. PERMIT NO. '
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3 7
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
I •ect
Date:
REINSPECTION FEE RE 'RED. Prio o inspection. fee must'
d at 6300 Southcenter Blvd.. uite 100. I1 the schedule reinspection.
'Receipt No.: `Date:
58
REVISIONS
17ib changes shall be made to the scope
of work without prior approval Building DivisI of
Division.
I NOTE: Revisions will require a new plan
i and may include additional plan review feS.ttal
Existing 2" Gas Line
5 Ton
HVAC
New 1" Gas Line
HVAC Gas Plan
#148 S Bldg
REVIEWED FOR
CODE COMPLIANCE
APPROVED
NOV 3 0 2007
C Of Tukwila `
BUILD_MPQ SION
FILE COPY
Permit Na, N 91- 1.9.9
Plan revtew eppnovel is subject m errors and
authodze
the violation of � ordinance. Receipt
of approved Field Cq ► and is
pate :, /2-
I
SEPARATE PERMIT
REQUIRED FOR:
gMechanical
,
ser
Electrical I
❑ Plumbing
El Gas Piping
i
City of Tukwila!
B UILDING DIVISION
City of Tukwila
BUILDING DIVISION
RECEIVED
CITY OF TUK WWILA
NOV 01 2007
PERMIT CENTER
C
' R'
4
...i , .hH+ ,
C'NV R W'+� n
It
0
t
r
-' •, vA.E,P. PUN
I ' T
te F.7 - 1
L I w
i
LANDLORD WORK
WIG
PROPERTIES
99U14CENTER
MARE
®ULDNG'S'
Strr fiB
inso S: UTMCEFFEA
PARKWAY
TUrc &
4.4115
41..
as i!h
IMANIM
Orb la
w
_f• -„
05 -08 -2008
BRENT ADKISSON
2020 S 320 ST, #C -90
FEDERAL WAY WA 98003
City of Tukwila
RE: Permit No. PG07 -293
17250 SOUTHCENTER PY TUKW
Dear Permit Holder:
Thank you for your cooperation in this matter.
Sincerely,
J • er Marshall
Permit Technician
xc:
Permit File No. PG07 -293
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila Building Division.
Per the International Codes, Uniform Plumbing/Fuel Gas Code and/or the National Electrical Code, every permit issued by the
Building Division under the provisions of the code shall expire by limitation and become null and void if the building or work
authorized by such permit is not commenced within 180 days from the date of such permit issuance, or if the building or work
authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days.
Based on the above, you are hereby advised to:
Call the City of Tukwila Inspection Request Line at 206 -431 -2451 to schedule for the next or final inspection.
This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if
the project should be considered abandoned.
If such determination is made, the International Codes, Uniform Plumbing/Fuel Gas Code and/or the National Electrical Code does
allow the Building Official to approve one extension of time for an additional period not exceeding 180 days. Extension requests
must be In writing and provide satisfactory reasons why circumstances beyond the applicants control have prevented action from
being taken.
In the event you do not call for the above inspection and receive an extension prior to 06/09/2008 , your permit will become null and
void and any further work on the project will require a new permit application and associated fees.
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
ACTIVITY NUMBER: PG07 -293 DATE: 11 -01 -07
PROJECT NAME: SUITE 148
SITE ADDRESS: 17250 SOUTHCENTER PY
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter #
Revision # After Permit Issued
DEPARTMENTS:
I ( l,e -o'1
B Id/ g Division
Public Works
Complete
Comments:
TUES/THURS ROUTING:
Please Route
REVIEWER'S INITIALS:
APPROVALS OR CORRECTIONS:
Approved ❑
Notation:
REVIEWER'S INITIALS:
Documents/routing slip.doc
2 -28 -02
PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
Fire Prevention
Structural
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Incomplete n
Approved with Conditions
n
Planning Division
❑ Permit Coordinator
C
C
DUE DATE: 11 -06-07
Not Applicable n
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Structural Review Required ❑ No further Review Required n
DATE:
DUE DATE: 12-04-07
Not Approved (attach comments) n
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
rr•'
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 12/06/2007