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