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Home My WebLink AboutPermit PG07-320 - 17100 BUILDING - SUITE 156WIG PROPERTIES 17100 SOUTHCENTER PY SUITE 156 PGO7-320 Parcel No.: 2623049081 Address: Suite No: Owner: Name: Address: DESCRIPTION OF WORK: RUN 1" GAS LINE TO HVAC UNIT Value of Plumbing /Gas Piping: Fees Collected: doc: UPC -10/06 Citjf 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 17100 SOUTHCENTER PT TUKW Tenant: Name: SUITE 156 Address: 17100 SOUTHCENTER PY, STE 156 , 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: D 15MEM *930BT $200.00 $110.00 Plumbing Bathtub or combination bath/shower 0 Bidet 0 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: 360 888 -5433 Phone: 360 888 -5433 Expiration Date: 01/30/2009 PG07 -320 12/10/2007 06/07/2008 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 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 O 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 0 Gas piping outlets (0 -5) 1 O Gas piping outlets (6 +) 0 PG07 - 320 Printed: 12 -10 -2007 Permit Center Authorized Signatur 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 , J Permit Number: PG07 -320 Issue Date: 12/10/2007 Permit Expires On: 06/07/2008 Date: l2l do1431— I hereby certify that I have read an • ex • ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complie wi , 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 peftormance of work. I ant authorized to sign and obtain this plumbing /gas piping permit. Date: / %19 7 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 -320 Printed: 12 -10 -2007 Parcel No.: 2623049081 Address: Suite No: Tenant: SUITE 156 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 17100 SOUTHCENTER PY TUKW PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: PG07 -320 ISSUED 11/29/2007 12/10/2007 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: 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. 8: 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. 9: 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 -320 Printed: 12 -10 -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 performance of work. Signature: Date: / 2 //d/ 7 Print Name: xfN T A)/( S5°`^ doc: Cond -10/06 PG07 -320 Printed: 12 -10 -2007 SITE LOCATION King Co Assessor's Tax No.: Site Address: /7 /0 S °to TtAcie4e7 & GJ t Suite Number: /5 Floor: Tenant Name: S'HEL L - F/2 £ E Z £ ,ro -f eci New Tenant: D.... Yes 0 ..No Property Owners Name: 1AJJ6- , le0 TX� S LL C-515 Mailing Address: 5� 8/i sr. 13c/ � %- n. ed !.e l/m e CONTACT PERSON -Who do we contact when your permit is ready to be issued Name: 8/QrA/T A '5 Mailing Address: E -Mail Address: PLUMBING / GAS PIPING CONTRACTOR INFORMATIO Company Name: Mailing Address: •0 S, 320 5f C— 9' 0 � d e''''') GJ � 2e66 ? City State _ Zip Contact Person: %J/2 £A/T 4,91k) S Sw.. Day Telephone: 96Z 4 25 ' 5 V 33 Fax Number: Expiration Date: E -Mail Address: Contractor Registration Number: 17 /5/ * ?goo T ARCHITECT" OF RECORD - All plans must be wet stamped by Architect of.Recor Company Name: Mailing Address: Contact Person: E -Mail Address: 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 Permit No. Project No, (For ; f /ice u se n nlyj . . 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 ** D /S !M ec4.c ,v,, -c 6,) Q:1Applications'Ponns- Applications On Line13 -2006 - Plumbing -Gas Piping Permit Application.doc Revised: 4 -2006 bh City city Fax Number: 2*0.4- 61011 rob State Zip Day Telephone: 3 07- 5 '3. State State Zip City Day Telephone: Fax Number: ENGINEER OF RECORD - All plans must be wet stamped by Engineer 'of Company Name: Mailing Address: Zip Contact Person: State Zip City Day Telephone: Fax Number: Page I of 2 Fixture Type.; , QtY , kxture Type: " City Fixture Type= Qty . Fixture Type: ! Qty Bathtub or combination bath/shower Drinking fountain or water cooler (per head) Wash fountain Gas piping outlets { t 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 Valuation of Project (contractor's bid price): $ 00 Scope of Work (please provide detailed information): Building Use (per Intl 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 OWNS R AUTHORIZ D AGENT: Signature: Name: O FJ 7 i Ssw� Day Telephone: 3 0 66 c fl '3 Mailing Address: � d r, 7 ; 0 TL S+ C �c / `�ec`� � rJ� 1� 4. / X73 City State Zip Date Application Accepted: ei Q:\Applications\Forms- Applications On Line\3 -2006 - Plumbing -Gas Piping Penni Application.doc Revised: 4 bh Date: / 1 Staff Initials: Page 2 of 2 RECEIPT NO: R07 -02718 Initials: JEM User ID: 1165 Payee: BRENT ADKISSON SET TRANSACTIONS: Set Member Amount ACCOUNT ITEM LIST: Description GAS - 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 SET ID: 1210A SET NAME: D15 MECH PG07 -320 88.00 PG07 -321 88.00 TOTAL: 176.00 SET RECEIPT Account Code Current Pmts 000/322.100 TOTAL: Payment Date: 12/10/2007 Total Payment: 176.00 TRANSACTION LIST: Type Method Description Amount Payment Cash 176.00 TOTAL: 176.00 176.00 176.00 5920 12/11 9710 TOTAL 176.00 RECEIPT NO: R07 -02624 Initials: JEM User ID: 1165 Payee: BRENT ADKISSON SET TRANSACTIONS: Set Member Amount ACCOUNT ITEM LIST: Description MECHANICAL - 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 SET RECEIPT Payment Date: 11/29/2007 Total Payment: 120.00 SET ID: S000000905 SET NAME: Tmp set/Initialized Activities M07 -257 39.61 M07 -258 36.39 PG07 -320 22.00 PG07 -321 22.00 TOTAL: 120.00 TRANSACTION LIST: Type Method Description Amount Payment Cash 120.00 TOTAL: 120.00 Account Code Current Pmts 000/322.100 3.22 000/345.830 116.78 TOTAL: 120.00 5467 11/29 9710 TOTAL 120.00 Project), j cl_ Type ofrec:: di: I Address: _ ili 0 I- C • p A ir_ai .4 D;te Called: Special Instructions: / / ?ate Wanted: i CO 2 " Requester: ,......„- Phone No: I SPECTION NO. Retain a copy with permit INSPECTION RECORD P6 or7 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION V- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3670 VI Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: oxiut kG-fAelt: P Inspec r: !Date: L J $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: - 1 Prole= . , 7e /56. • Typef Inspecjion: / _ KA/9/1 &I S Address: . 7 >06 5th/it/&' P Date Called: Special Instructions: ' Date Wanted / / 2/22 AT) IQ Requester: Phone No: 3 66 - 6r_g-- / 1 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 981 88 (206)431-3 Approved per applicable codes. Corrections required prior to approval. COM EFS: Inspe Date: a INSPECTION RECORD Retain a copy with permit Receipt No.: 'Date: /?,d 7-4 PERMIT NO. .00 REINSPECTION FEE QUIRED. P or to inspection, fee mus • e paid at 6300 Southcenter Blvd, Suite 100.,Call the schedule rein •ection. 4 '+x `0 REVISIONS No changes shall be made pproval of scope of work without prior Division. Tukwila Build Revisions will require a tan submittal • Revi e review fbmit ' NOTE: k and may include additional p (2,866 S.F. 1 152 1 0 0 L n u 0 1" Gas L 4 Ton RTU T.B.D. (2 273 S.F.) lI 0.961 S.F.) FILE COPY Permit No. Plan review apps is sublect to errOre and not authorize Approval of consa 1Ct 0l documents ordinance. . Receipt the violation of �nc9� of approved d l By Date: S Ep RA p E PERMIT REQUIRED FOR: re Mechanical Electrical Plumbing ❑ Gas Piping City of Tukwila BUILpING DIVISION City of Tukwila BUILDING DIVISION (3,99 S.F. ) RECEIVED CITY OF TUKWILA NOV 2 9 2007 pEl-iIvilT CEN I ER b15 Mechanical 2020 5. 320th St Suite #C -90 Federal WWay WA Q L m ��Q/'s I- L 0 .� Z c � S s 5 o U '^ vJ ti) HVAC PLAN M -1 05 -08 -2008 BRENT ADKISSON 2020 S 320 ST #C -90 FEDERAL WAY WA 98003 RE: Permit No. PG07 -320 17100 SOUTACENTER 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, J -r Marshall Permit Technician xc: Permit File No. P007 -320 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 ACTIVITY NUMBER: PG07 -320 DATE: 11 -29 -07 PROJECT NAME: SUITE 156 SITE ADDRESS: 17100 SOUTHCENTER PY X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Issued DEPARTMENTS: ,� Bui iI g Di "vision I 2' Public Works DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: Notation: REVIEWER'S INITIALS: Documents/routing slip.doc 2 -28 -02 PLAN REVIEW /ROUTING SLIP PERMIT COORD COPY Fire Prevention Structural Incomplete ❑ ❑ n ❑ Permit Coordinator ❑ Planning Division DUE DATE: 12-04-07 Not Applicable ❑ Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUESITHURS ROU ING: Please Route Structural Review Required REVIEWER'S INITIALS: APPROVALS OR CORRECTIONS: Approved ❑ Approved with Conditions No further Review Required DATE: DUE DATE: 01 -01-08 Not Approved (attach comments) DATE: n 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 12/10/2007