HomeMy WebLinkAboutPermit PG07-300 - ZONAROOC
AV GVDSVD OOZST
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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