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Home My WebLink AboutPermit PG07-295 - OFFICE #116SUITE 116 17250 SOUTHCENTER PY EXPIRED 06-09-08 PGO7-295 Parcel No.: 2623049117 Address: Suite No: Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: BRENT ADKISSON Address: 2020 S 320 ST, #C -90 , FEDERAL WAY WA DESCRIPTION OF WORK: INSTALL (1) NEW GAS LINE TO NEW HVAC UNIT FROM EXISTING 2" GAS LINE. 17250 SOUTHCENTER PY TUKW OFFICE #116 17250 SOUTHCENTER PY, STE 116 , TUKWILA WA Value of Plumbing /Gas Piping: Fees Collected: WIG PROPERTIES LLC -SS 4811 134TH PL SE , BELLEVUE WA Contractor: Name: D15 MECHANICAL Address: 2020 S 320 ST #C -90 , FEDERAL WAY WA Contractor License No: D I5MEM *930BT $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 City .A 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 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 PGO7 -295 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 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 0 Gas Piping O Gas piping outlets (0 -5) 1 0 Gas piping outlets (6 +) 0 PG07 -295 Printed: 12 -06 -2007 Permit Center Authorized Signature: City o`t / 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 daRciAJ Permit Number: PG07 -295 Issue Date: 12/06/2007 Permit Expires On: 06/03/2008 Date: = (O' U 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. The granting of this p - 't does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the • - c - of work. authorized to sign and obtain this plumbing /gas piping permit. / Signature: Date: -� 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 PG07 -295 Printed: 12 -06 -2007 Parcel No.: 2623049117 Address: Suite No: Tenant: OFFICE #116 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 17250 SOUTECENTER P'Y TUKW PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: PG07 -295 ISSUED 11/01/2007 12/06/2007 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: 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 -295 Printed: 12 -06 -2007 Signature: 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 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. Print Name: gi iN 7 / 1/k i f$cN Date: /2 c doc: Cond -10/06 PG07 -295 Printed: 12 -06 -2007 Site Address: Tenant Name: E -Mail Address: Company Name: Mailing Address: Contact Person: E -Mail Address: CITY OF TUKW11.4,.., Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Name: R , & J T /j d K ►‘ SSG Mailing Address: Z ' , 320 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** /72 Svu. kc -r f /lam/ ` #* Property Owners Name: �s G 1 h ' ti eS Mailing Address: L,/F /( 5 6 / 3 9 271 PL t ��- -- 821/e i/Ne , Lv/� City CONTACT PERSON -Who do we contact when your permit is ready to be issued City Fax Number: PLUMBING / GAS PIPING CONTRACTOR INFORMATION p/ 1� r �0 5, 3A0 51 of c -7O / c/e 'I ('c • T /4./M'S Contact Person: E -Mail Address: Contractor Registration Number: p /� f� Em 930 ✓&T Plumbing/Gass Permit Project No. "1 (For office use only Kin Co Assessor's Tax No.: 21029,c6 Suite Number: //‘ Floor: New Tenant: ,.... Yes 0 ..No Day Telephone: 360 - gee - S el 33 S f -#C 9O Fe /Q 4) wa7 (,.1/f 98 Zip City Day Telephone: Fax Number: L State State State Zip 36 — se t -5933 Expiration Date: / ' 3G - 2O' ARCHITECT OF RECORD- All plans must be wet stamped by Architect of Record Company Name: Mailing Address: Q:lApplications\Porma- Applications On Linel3 -2006 - Plumbing -Gas Piping Permit Appliation.doc Revised: 4 -2006 bh City Day Telephone: Fax Number: State State Zip GV/i rrb0.3 Zip ENGINEER OF RECORD - AlI plans must be wet stamped by Engineer of Recor Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: Zip Page 1 of 2 Fixture Type. Qty . Fixture Type Qh' 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 IOW d� Valuation of Project (contractor's bid price): $ 2 n 5o Scope of Work (please provide detailed information): _ ti / / E4 /V _i_ J S L ," 'to New f -/UAC (,t- >^ F■rvwv eX )15 f-. L, g. 2 ' S 1 1 A/C Building Use (per Int'l 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: 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 OWN Signature: Print Name: Date Application Accepted: E ' i ' • li .. HORIZ s I ' ■ .— iQ £Af T /7 P/c fj> a " 1 Day Telephone: Mailing Address: ,020 s s 320 7-1 Sf ('? c o l �,'OJ ( t ` f w,4 City State Date Application Expires: cc I vtlivb ilk livAs-- Q:Wpplications\Forms- Applications On Line \3 -2006 - Plumbing -Gas Piping Permit Application.doc Revised: 4 -2006 bh Date: /1 l Staff Initials: � gao3 Zip Receipt No.: R07 -02684 Payee: BRENT ADKISSON ACCOUNT ITEM LIST: Description GAS - NONRES 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 Parcel No.: 2623049117 Permit Number: PG07 -295 Address: 17250 SOUTBCENTER PY TUICW Status: APPROVED Suite No: Applied Date: 11/01/2007 Applicant: OFFICE #116 Issue Date: Initials: WER Payment Date: 12/06/2007 03:06 PM User ID: 1655 Balance: $0.00 TRANSACTION LIST: Type Method Description Amount Payment Cash 104.67 Account Code Current Pmts 000/322.100 88.00 000/345.830 16.67 Total: $104.67 Payment Amount: $104.67 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 Payment Cash 118.56 TOTAL: 118.56 ACCOUNT ITEM LIST: Description PLAN CHECK - NONRES SET RECEIPT Amount Account Code Current Pmts 000/345.830 TOTAL: Payment Date: 11/01/2007 Total Payment: 118.56 118.56 118.56 Proicct , ti- // 4 ( - 1 /I — /CC ■ Type of Inspection: . .01 4 - ;Xi' •Ific Address: L ) 72 6 5d) (iheLrit-re ate Call d: Special Instructions: ate Wanted: / Requester: Phone2z 3 c_...1c.-;--• - INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3 OMMENTS: I rate: 00 REINSPECTION E REQUIRED. rior to inspection, fee must be aid at 6300 Southcenter Blvd.. Suite 1J. Call the schedule reinspection. 'Receipt No.: 'Date: Approved per applicable codes. El Corrections required prior to approval. SE SEPARATE PERMIT REDUIRED FOR: (Mechanical [ Electrical ❑ Plumbing Gas Piping Dity of Tukwila BU LDING DIVISION REVIEWED FOR CODE COMPLIANCE APPROVED NOV 3 0 2007 4 Ton HVAC a) J 0 CD z Of Tukwila ING ?IVISJQ i Existing 2" Gas Line HVAC Gas Plan #116 S Bldg REVISIONS No chances shall be made to the scope of work without prior approval of Ti kwila Building Division. NOTE: Ravi: ions will require a new plan submittal and may irciude additional plan review fees. FILE COPY Permit No. Plar review approval Is subject to ems and missions. Approval of constnkfion documents do1S not edhodze goo. Receipt the violation of any adopted code or of approved Field fl Y and Cotten By Date: / 2 dity of Tukwila BUII/DING DIVISION RECEIVED CITY OF TUKWILA NOV 01 2007 PERMIT CENTER 0 s ids r M cME.P. PLAN ,"y YAM M .. sdi ids • w • ti 05 -08 -2008 BRENT ADKISSON 2020 S 320 ST, #C -90 FEDERAL WAY WA 98003 RE: Permit No. PG07 -295 17250 SOUTHCENTER PY TUKW Dear Permit Holder: 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. Thank you for your cooperation in this matter. Sincerely, er Marshall Permit Technician xc: Permit File No. P007 -295 city of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 HERMIT COORD COPY PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG07 - 295 DATE: 11 -01 -07 PROJECT NAME: SITE ADDRESS: SUITE 116 17250 SOUTHCENTER PY X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Issued DEPARTMENTS: Bull ng DrnTision Public Works Complete Comments: Please Route Documents/routing slip.doc 2 -28 -02 DETERMINATION OF COMPLETENESS: (Tues., Thurs.) TUES/THURS ROUTING: REVIEWER'S INITIALS: Fire Prevention Structural Incomplete ❑ Structural Review Required APPROVALS OR CORRECTIONS: Approved ❑ Approved with Conditions Notation: REVIEWER'S INITIALS: n No further Review Required DATE: DATE: Planning Division Not Approved (attach comments) Permit Coordinator n DUE DATE: 11-06-07 Not Applicable LI Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: DUE DATE: 12 -04-07 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 12/06/2007