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HomeMy WebLinkAboutPermit PG07-300 - ZONAROOC AV GVDSVD OOZST }IVMOZ Parcel No.: 7888900170 Address: Suite No: Value of Plumbing /Gas Piping: Fees Collected: doc: UPC -10/06 18200 CASCADE AV TUKW Cit3 f Tukwila Tenant: Name: ZONAR Address: 18200 CASCADE AV , TUKWILA WA 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 Owner: Name: RIVERPOINT TWO LLC Address: 1100 OLIVE WAY #340 , SEATTLE WA Contact Person: Name: SCOTT GUSTAFSON Address: 12424 48 DR SE , EVEREIT WA Contractor: Name: SACKETT CONSTRUCTION INC Address: 2114 120 PL SW , EVERETT WA Contractor License No: SACKECI965M9 DESCRIPTION OF WORK: INSTALL 2 BREAKROOM SINKS REVISION #1 INCLUDES ADDITIONAL SINK (BAR SINK) $13,100.00 $128.00 Plumbing Bathtub or combination bath/shower 0 Bidet 0 Clothes washer, domestic 0 Dental unit, cuspidor 0 Dishwasher, domestic, with independent drain 0 Drinking fountain or water cooler (per head) 0 Food -waste grinder, commercial 0 Floor drain 0 Shower, single head trap 0 Lavatory 0 Wash fountain Receptor, indirect waste 0 Sinks 3 Urinals 0 Water Closet 0 PLUMBING /GAS PIPING PERMIT FIXTURE TYPE AND QUANTITY 0 * * continued on next page ** Permit Number: Issue Date: Permit Expires On: Phone: Phone: 425- 263 -2681 Phone: 524- 210 -3373 Expiration Date: 07/29/2008 PG07 -300 11/08/2007 05/06/2008 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 Water heater and/or vent 0 Industrial waste treatment interceptor, including its trap and vent, except for kitchen type grease interceptors 0 Repair or alteration of water piping and/or water treatment equipment 1 Repair or alteration of drainage or vent piping 1 Medical gas piping system serving (1 -5) inlets /outlets for a specific gas 0 Medical gas piping (6 +) inlets /outlets 0 Gas Piping Gas piping outlets (0-5) 0 Gas piping outlets (6 +) 0 PG07 -300 Printed: 11 -14 -2007 Permit Center Authorized Signature: Signature: Print Name: doc: UPC -10/06 City Cif 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 a amir<ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied 'th, whether specified herein or not. J The granting of this permit do not presume to ve authority to violate or cancel the provisions of any other state or local laws regulating construction or the perfo e w k. I amithorized to sign and obtain this plumbing /gas piping permit. Date: / ! L V seed (lust/Ma,/ Permit Number: PG07 -300 Issue Date: 11/08/2007 Permit Expires On: 05/06/2008 Date: i i I { L{ ( Q1- 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 -300 Printed: 11 -14 -2007 Parcel No.: 7888900170 Address: Suite No: DESCRIPTION OF WORK: INSTALL 2 BREAKROOM SINKS Value of Plumbing /Gas Piping: Fees Collected: doc: UPC -10/06 Cityf Tukwila 18200 CASCADE AV TUKW Tenant: Name: ZONAR Address: 18200 CASCADE AV , TUKWILA WA Contact Person: Name: SCOTT GUSTAFSON Address: 12424 48 DR SE , EVEREIT WA Contractor: Name: SACKETT CONSTRUCTION INC Address: 2114 120 PL SW , EVEREIT WA Contractor License No: SACKECI965M9 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 Owner: Name: RIVERPOINT TWO LLC Address: 1100 OLIVE WAY #340 , SEATTLE WA $13,100.00 $118.00 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 PLUMBING /GAS PIPING PERMIT FIXTURE TYPE AND OUANTITY * *continued on next page ** Permit Number: Issue Date: Permit Expires On: Phone: Phone: 425 - 263 -2681 Phone: 524 - 210 -3373 Expiration Date: 07/29/2008 PG07 -300 11/08/2007 05/06/2008 Uniform Plumbing Code Edition: 2006 International Fuel Gas Code Edition: 2006 Plumbing (cont.) 0 Building sewer and each trailer park sewer 0 O Rain water system - per drain (inside bldg) 0 0 Water heater and/or vent 0 O 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 O treatment equipment 1 0 Repair or alteration of drainage or vent piping 1 O Medical gas piping system serving (1 -5) 0 inlets /outlets for a specific gas 0 0 Medical gas piping (6 +) inlets /outlets 0 2 Gas Piping 0 Gas piping outlets (0 -5) 0 0 Gas piping outlets (6 +) 0 PG07 -300 Printed: 11 -08 -2007 Permit Center Authorized Signature: City o"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 [JAIL( 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 d s not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performe of • • rk. I a> utho • ed o sign and obtain this plumbing /gas piping permit. Date: L ? doc: UPC-10 /06 Signature: � � / Print Name: l . V J AA OrV Permit Number: PG07 -300 Issue Date: 11/08/2007 Permit Expires On: 05/06/2008 Date: - 8 - 07 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 -300 Printed: 11 -08 -2007 Parcel No.: 7888900170 Address: Suite No: Tenant: ZONAR 18200 CASCADE AV TUKW 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: PG07 -300 ISSUED 11/08/2007 11/08/2007 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 backfilled 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 -300 Printed: 11 -08 -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 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 perfornnce of work. Signature: Print Name: doc: Cond -10/06 .k- o.,. 11— 07 5 bi 6i, US rt PG07 -300 Printed: 11 -08 -2007 SITE LOCATION Site Address Tenant Name: Property Owners Name: Mailing Address: CITY OF TUKWILk Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.citulcwila.wa.us Applications and plans must he complete in order to he accepted for plan review. Applications will not be accepted through the mail or by fax. ` I21eaile Pi 1 , 8 2_60 Ca AJt (1/41 Z6 facv. CONTACT PERSON - who do we contact when your permit is ready to he issued Name: J2VZLi Ye Mailing Address: E -Mail Address: GENERAL CONTRACTOR INFORMATION — (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) Company Name: 14 ali ina Address: Contractor Registration Number. 4 Building Permit No. O Mechanical Permit No. L J ZI Plumbing/Gas Permit No. Wi O7- 300 Public Works Permit No. Project No. (For office use only) King Co Assessor's Tax No.: 7 j e90 - Or? D New Tenant: y Yes ❑..No Day Teleph e: 763 Z6 8 ! Sr i. l )Qr OP q8W O Fax Number: T 2 Day LCIepS4 "Ili. Expiration Date: ARCIIITECT OF RECORD - All plans must be wet stamped by Architect of Record Company Name: N'lailing Address: C OIL LU'_ i L 2 ii. ENGI OF RECORD - All plans must be wet stamped by Engineer of Record Company Name: :11,1 i 111 A ;:; .. ; CuuuteL ret sUn. LJti'{ L CI=i.'IiiiltL. tray 1 elepllul le. 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 ,4 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 PLUMBING AND GAS PIPIN ' ERMIT INFORMATION - 206 -431- 70 PLUMBING AND GAS PIPING tt l O AS PIP I G CONTRACTOR INF RMATION Company Name: S&L_ N,s+rJLHOw Mailing Address: 2 1 (`4 120 .fti � Lk) Se otk (,us +li-eaa Contact Person: L E-Mail Address: Se.ottt-i.uSff Son) �Qf"tzo ,NLT Contractor Registration Number: 6Pt t I e . 1 (25rnct Valuation of Plumbing work (contractor's bid price): $ 14, / 00 Valuation of Gas Piping work (contractor's bid price): $ Scope of Work (please provide detailed information): Building Use (per Int'l Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: rn 11 2 brew room Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: Q:Upplicatio s FOrms Applications On LineV- 2006 - Permit Application.doc Revised: 9-2006 bh Ed re,lt WA- 170 City State Day Telephone: q a 26-3 ^ 26a.a Fax Number: Expiration Date: SiNkS Sewer: Page 5 of 6 PERMIT APPLICATION NOTES — Applicable to all permits in this application 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. )3uilding and Mechanical Permit The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition). Signature: Plumbing Permit The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 Uniform 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 0 Date Application Accepted: Date: / 0 7 Print Name: a (-G VS 71 r 7 /V Day Telephon `1 z — Z 6 .7 768/ Mailing Address: 12'12V qv- Se Zvveli tt/R ��3 State Zip 9g ZO$ Date Application Expires: Q:\ Applications\Forms- Applications On Line\3 -2006 - Permit Application.doc Revised 9-2006 bh City Staff Initials: Page 6 of 6 1 Parcel No.: 7888900170 Address: Suite No: Applicant: ZONAR Receipt No.: R07 -02487 Initials: JEM User ID: 1165 Payee: TRANSACTION LIST: Type Method Description Payment Check 5123 ACCOUNT ITEM LIST: Description 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 18200 CASCADE AV TUKW SACKETT CONSTRUCTION, INC. Account Code PLUMBING - NONRES 000/322.100 RECEIPT Permit Number: Status: Applied Date: Issue Date: Payment Amount: 310.00 Payment Date: 11/14/2007 10:21 AM Balance: 30.00 Amount 10.00 Current Pmts 10.00 Total: $10.00 4973 11/14 9710 TOTE. PG07 -300 ISSUED 11/08/2007 11/08/2007 10.00 doc: Receipt-06 Printed: 11 -14 -2007 Receipt No.: R07 -02447 Initials: WER User ID: 1655 Payee: SACKETT CONSTRUCTION ACCOUNT ITEM LIST: Descript doc: Receipt -06 PLUMBING - 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.: 7888900170 Permit Number: PG07 -300 Address: 18200 CASCADE AV TUKW Status: PENDING Suite No: Applied Date: 11/08/2007 Applicant: ZONAR Issue Date: TRANSACTION LIST: Type Method Description Amount Payment Check 5122 118.00 Account Code Current Pmts 000/322.100 118.00 Total: $118.00 Payment Amount: 6118.00 Payment Date: 11/08/2007 09:18 AM Balance: 60.00 Printed: 11-08 -2007 Project_ -....osirko, , Type of Inspection: Pt •-s-m- ...) Address: I t ■Z C-16,S. cAm4N G" Date Called: . Special Instructions: 4 / 1 Date Wanted: 1 24 2..(14 07 Olt' Requester: r Phone No: 3 Approved per applicable codes. l Inspector: 07 0 lz• INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 63 00 Southcenter Blvd., #100, Tukwila, WA 981 88 ;(206)43 1 - 67 COMMENTS: Corrections requifed prior to approval. !Date: 1 24107 El $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: Project: n Ty of�nsp 4 / V Add 0 (J Date Called: Special Instructions: /^ _ Date Wanted• r _ ? / 7/z// " / p.m. Requester: Phone No: _ 206 -51,1 -' 64� 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 - 6 ' 0 COMMENTS: rece / % �d / Approved per applicable codes. ''corrections required prior to approval. W E] $58.00 REM "ECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. (Receipt No.: 'Date: . ProJect: _��- v & A � Type o nspection• i�(n 11 i IQ P h Address: I 6 A() Date Called: Special Instructions: Date Wante : _ ;� 11 1 15(11 a, , Requester: Phone No: 4 - 2(i / 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 P607 366 pproved per applicable codes. El Corrections required prior to approval. 1 COMMENTS: K ( 1 a Irv% 'Inspector: 'Date: $8 .00 REINS CTION FEE REQUIRED. Prior to inspection. fee must be paid at 6300 outhcenter Blvd.. Suite 100. Call the schedule reinspection. 'Receipt No.: 'Date: • • a.= Date: 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 Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fad etc 11-1 07 Plan Check/Permit Number: ❑ Response to Incomplete Letter # ❑ Response to Correction Letter # Lld Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: Project Address: Contact Person: ,) (tp Summary of Revision: Z 3AJ ?Z0 0 (° aS( {q ( It / (W-(4 pi - 60/•- ) Phone Number: `f Z ' Z6 - ?A? ) 1 .ems Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by I 1 A tklt. Entered in Permits Plus on II l ( ‘applications\forms- applications on tinekevision submittal Created: 8 -13 -2004 Revised: Steven M Mullet, Mayor Steve Lancaster, Director ) 07-boo NOV 14 2007, License Information License SACKECI965M9 Licensee Name SACKETT CONSTRUCTION INC Licensee Type CONSTRUCTION CONTRACTOR UBI 602416040 Ind. Ins. Account Id VICE PRESIDENT Business Type CORPORATION Address 1 2114 120TH PL SW Address 2 #A City EVERETT County SNOHOMISH State WA Zip 98204 Phone 4252103373 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 7/29/2004 Expiration Date 7/29/2008 Suspend Date Separation Date Parent Company Previous License Next License Associated License Business Owner Information Name Role Effective Date Expiration Date SACKETT, JOHN P PRESIDENT 07/29/2004 Bond Amount SACKETT, JERI VICE PRESIDENT 07/29/2004 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date COLONIAL AM CAS & SURETY OF Until 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 perfonn 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 = SACKECI965M9 11/08/2007