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Home My WebLink AboutPermit PG07-321 - 17250 BUILDING - SUITE 136SUITE 136 17250 SOUTHCENTER PY, SUITE 136 PGO7-321 Parcel No.: 2623049117 Address: Suite No: Value of Plumbing /Gas Piping: Fees Collected: Urinals Water Closet doc: UPC -10/06 Citof 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 PT TUKW Owner: Name: WIG PROPERTIES LLC -SS Address: 4811 134T1I 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 DESCRIPTION OF WORK: INSTALL (1) NEW 1" GAS LINE TO HVAC UNIT $200.00 $110.00 plumbing Bathtub or combination bath/shower 0 Bidet 0 Clothes washer, domestic 0 Dental unit, cuspidor 0 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 PLUMBING /GAS PIPING PERMIT Tenant: Name: SUITE 136 Address: 17250 SOUTHCENTER PY, STE 136 , TUKWILA WA 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 -321 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 Water heater and/or vent 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 0 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 0 Gas piping outlets (6 +) 0 PG07 -321 Printed: 12 -10 -2007 City of Tukwila Permit Center Authorized Signature: I VV& doc: UPC -10/06 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 Number: PG07 -321 Issue Date: 12/10/2007 Permit Expires On: 06/07/2008 Date: 49 I hereby certify that I have read and e#am ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied 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 performance of work. I am authorized to sign and obtain this plumbing /gas piping permit. / �� Signature: ,-A7r-- ! l ` Date: 2 U / 0 7 Print Name: �A C. A/ r A6/k s -f " 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 -321 Printed: 12 -10 -2007 Parcel No.: 2623049117 Address: Suite No: Tenant: SUITE 136 doc: Cond -10/06 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 SOUTHCENTER PY TUICW 1: ** *PLUMBING AND GAS PIPING * ** PERMIT CONDITIONS * *continued on next page ** Permit Number: Status: Applied Date: Issue Date: PG07 -321 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. PG07 -321 Printed: 12 -10 -2007 Signature: Print Name: ��f4'; Ad/' I f f at '` 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 -321 Date: / Z// /' ordinances governing or local laws regulating Printed: 12 -10 -2007 Site Address: Tenant Name: E -Mail Address: Company Name: Mailing Address: Contact Person: E -Mail Address: Contact Person: E -Mail Address: Contact Person: E -Mail Address: CITY OF TUKWIL, Community Developmen Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us (For 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** SITE LOCATION � // King Co Assessor's Tax No.: 17 2 50 co � 'o^C. `'/ / ',COY OY Suite Number: / Stf CL L - FR £ C2 j- to C�fr'cv. Property Owners Name: Po/Oet// i eS L I- C - 53 Mailing Address: 98/ 1 SE / 3 Sei /e Li/a e City Name: RA F / T / ` �" XxSSO Contractor Registration Number: V /5/VI1 730e Q:1Applications'Ponns- Applications On Line13 -2006 -Plumbing-Gas Piping Permit Application.doc Revised: 4 -2006 bh Plumbing/Gas Permit Na LJ /!� 1 Project No, City Fax Number: New Tenant: ice use only) Floor: .... Yes D ..No (' uil 98'40 (� State Zip CONTACT PERSON -Who do we contact when Your is ready to be issued Day Telephone: WO S '33 Mailing Address: State Zip PLUMBING / GAS PIPING CONTRACTOR INFORMATION -72 15 m e c i.c,,,., t - c 4 ,L oa2O S t 30 7' 5 #C 9U Fed etrrvl w wi' - 2 e003 fig City State Zip , £Ai 7 APX so A Day Telephone: 3 6) -3E3 -5 9 33 Fax Number: Expiration Date: 1 - 3 0 ' °� ARCHITECT OF RECORD — All plans must be wet stamped by Architect of Record Company Name: Mailing Address: State City Day Telephone: Fax Number: Zip ENGINEER OF RECORD - All plans must be wet stamped l Company Name: Mailing Address: City Day Telephone: Fax Number: State Zip Page 1 of 2 Fixture Type: Qty . Fixture Type: Qty Fixture Type: ' {qty" _. Fixture Type. QV :. Bathtub or combination bath/shower 291 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 Date Application Accepted: ( q....1 Date Application Expires: Staff Initials: I 291 / Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): BUILDING OWNER Signature: Print Name: /E'F /tiet' /" 5 L t/ Vn c Building Use (per Intl Building Code): Occupancy (per Int'1 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. AUTHO D GEN Q:\Applications\Fonns- Applications On Line\3 -2006 - Plumbing -Gas Piping Perm' Application.doc Revised: 4 -2006 bh Date: I I- 29 -0 7 &? (.v T , ,4 !ki SSA Day Telephone: .3‘ Mailing Address: O 20 5, .2.o k S'-f -WO'70 /fit 7(e#a W ay $00, City / State Zip Page 2 of 2 Doc: RECSETS -06 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 RECEIPT SET ID: 1210A SET NAME: D15 MECH PG07 -320 88.00 PG07 -321 88.00 TOTAL: 176.00 000/322.100 TOTAL: Payment Date: 12/10/2007 Total Payment: 176.00 TRANSACTION LIST: Type Method Description Amount Payment Cash 176.00 TOTAL: 176.00 Account Code Current Pmts 176.00 176.00 5920 12/11 9710 TOTAL 176.00 RECEIPT NO: R07 -02624 Initials: JEM User ID: 1165 Payee: BRENT ADKISSON SET ID: S000000905 SET NAME: Tmp set/Initialized Activities SET TRANSACTIONS: Set Member Amount 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 -257 39.61 M07 -258 36.39 PG07 -320 22.00 PG07 -321 22.00 TOTAL: 120.00 TRANSACTION LIST: Type Method Description Payment Cash 120.00 TOTAL: 120.00 ACCOUNT ITEM LIST: Description MECHANICAL - NONRES PLAN CHECK - NONRES City of Tukwila SET RECEIPT Payment Date: 11/29/2007 Total Payment: 120.00 Amount 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: Type of n: P, Inspe tio 1 , V 6,As P a ki Address: S dw�G,c , � IrZs f:�{ p A Ca lled: ,o Special Instructions: r` t S U (` k - - ! 3 b i Date Wanted: ( ? � ae r �- P. Requester: Phone No: 3(no - n8' - 5133 pG v'l -32a 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 -3670 21A pproved per applicable codes. Corrections required prior to approval. COMMENTS: P 1 lnspr- n /� ) 1Date:4 $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: P t: // ? �� P (O Type o nspecti99n� /' / ii 4fl i 'V c_, 07-c Address: r / 726 der) /4,' ia ate Called: Special Instructions: ate to : . Requester: P e l ' 6 - pJ � lrlC� - -S 7 / 3 � / INSPECTION NO. INSPECTION RECORD Retain a copy with permit 7-72/ PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36 \\ COMMENTS: spect 1_ _ _ _1 I � / c .00 REINSPECTION FEE EQUIRED. Prio to inspection, fee must be aid at 6300 Southcenter Bl . Suite 100. t the schedule reinspection. 'Receipt No.: 1Date: Approved per applicable codes. E1 Corrections required prior to approval. T.B.D (2,480 SF) 1 132 1 Jr V.` 2" Gas T.B.D (2503 SF) 1 136 1 200 .AlviP 4.31 CIRCUIT PANELS r i 4 Ton RTU J REVISIONS Ii No changes shall be made to the scope of work without prior approval of Tukwila Building Division. NOTE: Revisions will require a new plan submittal and may include plan review fees ude additional 140 1 T.B.D (2.121 SF} Fag Penu or( '......ff„,-) 1 .r.V ..1 :•1:\\ , -„, "- 1:4 . fc, .• ' -\\%" 1 ...f7t.... ''-', i •;:.717 . .. 1 ••••., -0-` • 44. °•• . % .,..;1 • .4' - IV — and l ° city el' BU1t.DING I • Of 0 and doesnot : sil egb. At 4.5 111. •in igh s •Im' 4 N Z nor. • 7‘,...44,2,17....k..11.14.4144.4.4 •- :41 ef • - • • • 44 1. , • • - - ATE PERMIT QUIRED FOR: Mechanical Electrical NA Plumbing 0 Gas Piping City of Tukwila ILDING DIVISION • Ai „„ • • 1". • " 01, T.B.D (1,983 SF) I 144 I RECEIVED CITY OF TUKWILA NOV 29 2007 PativilT GEN! ER r ' arr 4; 14'1 ; Z I• l'il' s. ... . . - • :, ••••=-14 ° • . ^ +"¢ • • 4 I A. • I ••••••^". 0 • •p; `4 " .4"",• • .4,4:t . ''`V 414,. b15 Mechanical 2020 5. 320th St Suite #C-90 Federal Way, WA 98003 HVAC PLAN M — 1 ACTIVITY NUMBER: PG07 -321 DATE: 11 -29 -07 PROJECT NAME: SUITE 136 SITE ADDRESS: 17250 SOUTHCENTER PY X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Issued DEPARTMENTS: Bun DAiisn Public Works Complete ti Comments: Please Route Documents/routing slip.doc 2 -28-02 ' PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP TUES/THURS ROUTING: REVIEWER'S INITIALS: 1 APPROVALS OR CORRECTIONS: Fire Prevention Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Incomplete n Structural Review Required ❑ Permit Coordinator No further Review Required DATE: DATE: Planning Division n 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: n DUE DATE: 01-01-08 Approved Li Approved with Conditions I� Not Approved (attach comments) n Notation: REVIEWER'S INITIALS: 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 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 Page 1 of 2 https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= D15MEM *930BT 12/10/2007