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HomeMy WebLinkAboutPermit PG07-342 - FURNITURE CITYFURNITURE CITY 1045 ANDOVER PK E PGO7-342 Parcel No.: Address: Suite No: 1045 ANDOVER PK E TUKW Owner: Name: Address: City.A Tukwila Tenant: Name: FURNITURE CITY Address: 1045 ANDOVER PK E , TUKWILA WA Contact Person: Name: JOHN WARE Address: 4210 B ST NW SUITE F , AUBURN 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 Contractor: Name: FIVE STAR MECHANICAL Address: 3902 W VALLEY HY STE 200 , AUBURN WA Contractor License No: FTVESM *010JT DESCRIPTION OF WORK: NEW GAS LINE FOR NEW ROOF TOP HVAC UNIT Value of Plumbing /Gas Piping: Fees Collected: doc: UPC-10 /06 $500.00 $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 PLUMBING /GAS PIPING PERMIT FIXTURE TYPE AND OUANTITY Plumbing (cont.) 0 Building sewer and each trailer park sewer 0 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 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 Pining 0 Gas piping outlets (0 -5) 1 0 Gas piping outlets (6 +) 0 * *continued on next page ** Permit Number: Issue Date: Permit Expires On: Phone: Phone: 206 -786 -8278 Phone: 253 -833 -8284 Expiration Date: 04/30/2008 PG07 -342 01/22/2008 07/20/2008 Uniform Plumbing Code Edition: 2006 International Fuel Gas Code Edition: 2006 PG07 - 342 Printed: 01 -22 -2008 Permit Center Authorized Signature: I hereby certify that I have read and x governing this work will be complied doc: UPC -10/06 City off' 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 Number: PG07 -342 Issue Date: 01/22/2008 Permit Expires On: 07/20/2008 Date: O112-243 min this permit and know the same to be true and correct. All provisions of law and ordinances itk, 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 rfonnance work. Iam au o • ed to sign and d obtain this plumbing /gas piping permit. 9 n Signature: �` l Date: Print Name: K- ev /d L, 10 4 (1 t° j; 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 -342 Printed: 01 -22 -2008 Parcel No.: Address: Suite No: Tenant: 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 1045 ANDOVER PK E TUKW FURNITURE CITY 1: ** *PLUMBING AND GAS PIPING * ** PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: PG07 -342 ISSUED 12/19/2007 01/22/2008 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: Piping through concrete or masonry walls shall not be subject to any load from building construction. No plumbing piping shall be d 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 -342 Printed: 01 -22 -2008 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 - 43.1 -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. Si Print Name: 6 VQ / d Z / a Q rte' J Date: - Sr PG07 -342 Printed: 01 -22 -2008 CITY OF TUKWII / Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us 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 4 _ King Co Assessor's Tax No.: vtiev Suite Site Address: 10 1 4 -S Number: elE( New Tenant: No CONTACT PERSON Who do we contact when your permit is ready to be issued Plumtling/Gas Permit -No ; " ' (o 07-- 3 - L Project No, {Fo ice ;use only City State Floor: Tenant Name: Property Owners Name: Mailing Address: Zip Day Telephone: 266 7 & - 6 zoo' Name: c Mailing Address: 44 7 1 0 �� S 4 - �' t S P Aut ..� , 1, i4- 9 � gc:ri City State p E -Mail Address: iCAA t 1,/ Q.S M �� t . (fj,- Fax Number: 2..5 3- g�j - g�8s PLUMBING / GAS PIPING ;CONTRACTOR INFORMATIO Company Name: I \le__ S )i 4 C4 cut l r/A_ Mailing Address: (/). to R. S t. M t.J s P Contact Person. �O kA Ql /lam E -Mail Address: Jo Ir W c i -e vteck , O� Contractor Registration Number: 1/� 1 S rK y Contact Person: E -Mail Address: Contact Person: E -Mail Address: `l ' r✓ ` ` Q is Q:\Applications\Forms- Applications On Linen -2006 - Plumbing -Gas Piping Permit Application.doc Revised: 4-2006 bh L30, t 1 ,o ) State Zip City Day Telephone: 2.56 - 7e ? /,, " c6 2 7 Fax Number: 2.5 3- 852 - 6.85 Expiration Date: q_ c7 —og ARCHITECT OF RECORD - All plans must be wet stamped by Architect o Company Name: Mailing Address: City Day Telephone: Fax Number: State Zip ENGINEER OF RECORD - All plans must be wet stamped by Engineer o Company Name: �^ Mailing Address: 1 60(0 C.C�Op.e�t_ 1)011.1" 0 z ;IA) thria W 9135 City 0 --- 7 State Day 1" Zt Day Telephone: ) 7 � 08 7 Fax Number: Page 1 of 2 Fixture Types Qty . Fixture Type. Qty Fixture Type: Qry 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 Valuation of Project (contractor's bid price): $ 5a o , _ 0 Scope of Work (please provide detailed information): A (t & a VD , , 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. Day Te BUILDING 1 • 0 ' AUT _! RIZED A ENT: Signature _ Print Name: Mailing Address: Date Application Accepted: Q:\Applications\Fonns- Applications On Linen -2006 - Plumbing -Gas Piping Penni Application.doc Revised: 4 -2006 bb City ephone: ( l-o-- 0 B Date: — rG 7 79 State Date Application Expires: Staff Initials: Zip Page 2 of 2 Parcel No.: Address: 1045 ANDOVER PK E TUKW Suite No: Applicant: FURNITURE CITY Receipt No.: R07 -02800 Initials: WER Payment Date: 12/19/2007 10:07 AM User ID: 1655 Balance: $0.00 Payee: FIVE STAR MECHANICAL TRANSACTION LIST: Type Method Description Amount Payment Check 29952 110.00 ACCOUNT ITEM LIST: Description GAS - NONRES PLAN CHECK - NONRES gearf 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 Account Code Current Pmts 000/322.100 88.00 000/345.830 22.00 Total: $110.00 Permit Number: PG07 -342 Status: PENDING Applied Date: 12/19/2007 Issue Date: Payment Amount: $110.00 doc: Receiot -06 Printed: 12 -19 -2007 Prgjrct: t > / (0 Type of inspection: /- — /N9/ — e! Address: /Oyu 44//ev<4 Plec Date Called: Special Instructions: ' /Mel to Date Wanted: /-2e_ ®& ` . P.m. Request er: s Phone No 6C-W4-0671 COMMENTS: nspec 00 REINSPECTION EE REQUI - ' . Prior to inspection, fee must be aid at 6300 Southcenter Blvd.. S e 100. Call the schedule reinspection. ceipt No.: Dat -_ 'Date: INSPECTION RECORD Retain a copy with permit IN ION NO. PE�tjT NO. CITY OF TUKWILA BUILDING DIVISION KENO. 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Approved per applicable codes. E1 Corrections required prior to approval. COMMENTS: T ype of Inspection: 91)1 -.� t A f .* w111 Ae -p. ,tJ,/t,A ufA rPk 1 r ot-t`, P. - -F (. ; 4 jnT ) `' . j 4 tilt)(1 Af It .44 / � 2�'\�( . T L J, f A-1) A p Special Instructions: � w G � 5 / A. ;'r� r/leG) R vu F 10 p /{-VA c Uil. T r / f(.( 't S S / , r) ! sr ) t--- l f l/lf Requester: ASp? ( J •; 01 T7 ,1 11 .5 /. • i ' Jr -/� SLJ �' / AT /� .' � , . .-u , S (.,—)C1 J s - d 1 } / a d % j----. /« /t P r , n j 4 -p, r .0 ,:6) /1 - )4- 6 A c - /Y ST C le Project , ,��,: �, r1 T ype of Inspection: 91)1 -.� t A f Address: / U 4 S 1M �aU' p E . Date Calletl: Special Instructions: � w G � 5 / A. ;'r� r/leG) R vu F 10 p /{-VA c Uil. T r / Date Wanted: �t � / / - 23 '� - �.rr1 p.m. Requester: Phone No: 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 Approved per applicable codes. Corrections required prior to approval. $58.00 REINSPECTION FEE REIQUIRED. Prior to inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. Inspecto( Date: 2 3- 0 4A) REVISIONS i'lo changes shall be made to the scope of work without prior approval of • Tukwila Building Division. I, VOTE: Revisions will require a new plan submittal and may include additional plan review fees. (. • •• 4t • • Building 8 r 32,000 Square feet •• 1 • • • • • • 6 t o , * 4* • rrrnTi 'um to.0001- 000.(3 1T?sf.3cJ L12' x 14' Drive-in Truck Doors j IA- ii\ou-EA-TafK n Sculpture i 1 1 oe I moo • • • • • . • • • Building C 24,000 Square feet . • • • L 12'x 14' Drive -in Truck Doors FILE COPY Permit No•, Fq Plan review approval Is subject to enoas and omissions. Approval of won documents does not authorize the violation of adopted code or : Receipt i f•rfpproved mod:spy • • • • ?G 07 34 2. Date: 7 9-- 25 — City of Tukwila BUILDING DIVISION a•elr, iE` " � h 5•'c DEC 2 0 2007 C ; Y, C �1.� ° a i r i f a • RECEIVED DEC 1 '9 2007 PERMIT CENTEF ocu3 k"Gak);k_ T e_d PC:5)-;� xet—otiwk„ 3 0 DEPARTMENTS: 11 • g 'vision Public Works ❑ Complete TUES/THURS ROUTING: Please Route Documents/routing slip.doc 2-28-02 1 COORD COPY PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG07 - 342 DATE: 12 -19 -07 PROJECT NAME: FURNITURE CITY SITE ADDRESS: 1045 ANDOVER PK E X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Issued DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Structural Review Required Fire Prevention ❑ Planning Division Structural Incomplete ❑ Permit Coordinator DUE DATE: 12 -20 -07 Not Applicable Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: ❑ No further Review Required REVIEWER'S INITIALS: DATE: n APPROVALS OR CORRECTIONS: DUE DATE: 01 -17 -08 Approved ❑ Approved with Conditions Not Approved (attach comments) LI Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Business Owner Information Name Role Effective Date Expiration Date WARE, GERALD L 01/01/1980 Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 2 Washington State Department of Labor and Industries License Information License Licensee Name Licensee Type UBI Ind. Ins. Account Id Business Type Address 1 Address 2 City County State Zip Phone Status Specialty 1 Specialty 2 Effective Date Expiration Date Suspend Date Separation Date Parent Company Previous License Next License Associated License FIVESM *010JT FIVE STAR MECHANICAL CONSTRUCTION CONTRACTOR 601937083 CORPORATION 4210 B ST NW STE F AUBURN KING WA 980011717 2538528284 ACTIVE GENERAL UNUSED 4/30/1999 4/30/2008 COMFOP *064D2 FIVESSE941KU 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. OLD Bond Information Bond #3 Bond Company Name FEDERATED MUTUAL INS CO Bond Account Number 9899743 Effective Date 06/25/2006 Expiration Date Until Cancelled Cancel Date Impaired Date Bond Amount $12,000.00 Received Date 06/05/2006 https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= FIVESM *010JT 01/22/2008