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Home My WebLink AboutPermit PG06-020 - AMB INSTITUTIONAL ALLIANCE0g0 - 90Od S AV NIY8llilll ,LNI 95881 rIVNOILLfLIZSNI Sid Parcel No.: Address' Suite No: City t Tukwila Department of Community Development 6300 Southeenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206431 -3670 Fax: 206431 -3665 Web site: ci.tukwila.wa.us 2716000010 12856 INTERURBAN AV S TUKW Tenant: Name: AMB INSTITUTIONAL ALLIANCE Address: 12856 INTERURBAN AV S, TUKWILA WA Owner: Name: AMB INSTITUTIONAL ALLIANCE Phone: Address: C/O MCELROY GEORGE & ASSOC, 3131 S VAUGHN WAY STE 301 Contact Person: Name: DAVID KEHLE Address' 12720 GATEWAY DR STE 116, SEATTLE WA Contractor: Name: CITY PLUMBING INC Address: 222 ANDERSON RD UNIT A, MOUNT VERNON WA Contractor License No: CITYPI *955K) DESCRIPTION OF WORK: ALTER 2" DRAINLINE TO OP -SIDE OF WALL. REROUTE WATER LINES. Value of Plumbing /Gas Piping: $0.00 Fees Collected: $88.00 Plumbing Bathtub or combination bath /shower sewer 0 Bidet Clothes washer, domestic Dental unit, cuspidor Dishwasher, domestic, with independent drain Drinking fountain or water cooler (per head) doc: UPC - Permit 0 0 0 0 Food -waste grinder, commercial 0 Floor drain 0 Shower, single head trap Lavatory 0 Wash fountain 0 Receptor, indirect waste 0 Sinks 1 Urinals 0 Water Closet 0 PLUMBING /GAS PIPING PERMIT FIXTURE TYPE AND QUANTITY Plumbing (cont.) 0 Permit Number: Issue Date: Permit Expires On: Phone: 206 775 -9400 Phone: 360 416 -6653 Expiration Date:08 /01/2006 Uniform Plumbing Code Edition: International Fuel Gas Code Edition: Steven M. Mullet, Mayor Steve Lancaster, Director PG06 -020 05/09/2006 11/05/2006 2003 2003 Building sewer and each trailer park 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 Repair or alteration of water piping and /or water treatment equipment 0 0 Medical gas piping system serving one to five inlets /outlets for a specific gas 1 Gas Piping Gas piping outlets (0 -5) 0 Gas piping outlets (6 +) 0 PG06 -020 Printed: 05 -09 -2006 doe: UPC - Permit City t Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Fax: 206 -431 -3665 Web site: ci.tukwila.wa.us * *continued on next page ** Steven M. Mullet, Mayor Steve Lancaster, Director PG06.020 Printed: 05 -09 -2006 Permit Center Authorized Signature' I hereby certify that I have read a ordinances governing this work will b City en Tukwila Department of Community Development 6300 Southeenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206431 -3670 Fax: 206 -431 -3665 Web site: ci.tukwila.wa.us Steven M. Mullet, Mayor Steve Lancaster, Director Permit Number: PG06-020 Issue Date: 05/09/2006 Permit Expires On: 11/05/2006 Date: OG101 I 40 this permit and know the same to be true and correct. All provisions of law and with, whether specified herein or not. The granting of this permit does not resume to give authority to violate or cancel the provisions of any other state or local laws regulating corystruction or he perforpjance of work. I am authorized to sign and obtain this plumbing /gas piping permit. Date: 5 D (e Signature: ,M _ C V° Print Name: J Q r4 nl eftdUf1/4)14 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. doe: UPC - Permit PG06 -020 Printed: 05 -09 -2006 City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 PERMIT CONDITIONS Parcel No.: 2716000010 Permit Number: PG06 -020 Address: 12856 INTERURBAN AV S TUKW Status: ISSUED Suite No: Applied Date: 05/09/2006 Tenant: AMB INSTITUTIONAL ALLIANCE Issue Date: 05/09/2006 1: ** *PLUMBING AND GAS PIPING * ** 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: 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: Conditions * *continued on next page ** PG06 -020 Printed: 05 -09 -2006 Signature: Tukwila City of Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 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 o work. s„, U 1 Print Name: D-Q.CAI\I en 0J t f r Date: 5 ei doc: Conditions PG06 -020 Printed: 05 -09 -2006 CITY OF TUKWIL.& Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us Site Address: I it 5 anderu& Tenant Name: qvie, - rtv Property Owners Name: 1 v) Mailing Address: I - 70 Company Name: Mailing Address: Company Name: Mailing Address: - bittatpai 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** CONTACT PERSON -Who do we contact when your permit is ready to be issued PLUMBING / GABPIPING CONTRACTOR:INFORMATION Company Name: C PI I Jn Mailing Address: Contact Person:J0e) " VeAc ) r k E-Mail Address: Contractor Registration Number:C E ° i S ICJ etAtl Contact Person: E-Mail Address: Contact Person: E-Mail Address: Q ApplicationsWorms-Applications On LineG-2006 - Plumbing-Gas Piping Permit Application.doc Revised: 1-2006 bh King Co Assessor's Tax No.: 2:411/00 -- CP I GI MA, ti)6))Cv 01■4-.1, ALLi-Akice, Suite Number: Floor: City New Tenant: 0 .... Yes State State „No Zip Name: C/N i D DayTelephone: . 20C. / Mailing Address: I -2 70 Gail- tAAt DCW-TICE.Afick w CN City State Zip E-Mail Address: Fax Number: C ) t) C. NI/4--A 0 ut4 VOW/ kA)° e3 Cit State Zip Day Telephone: 3 £ 61 55( Fax Number:3 Fn W/6 6 6 Clid Expiration Date: to Zip City Day Telephone: Fax Number: ENGINEEHR OE RECORD.; Alt plans must !E■Wec4iiiiiikisytrigldeeibElee047 Zip City Day Telephone: Fax Number: Page I of 2 l ixtureType: ' 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 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 j t Medical gas piping system serving one to five inlets/outlets for specific gas Valuation of Project (contractor's bid price): $ p ff Scope of Work ( p l e a s e provide detailed information): 14€r- (J a i) rw I N I t .U-'- - i Z) b - C u i- v.,0, i l - Its rOu . W04-ft I I NeS 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: ' PERMIT APPLICATION PLICATIO$ NOTES - BUILDING QWN R AUTHO ICED AGENT: Signature: ^ - Print Name: 5 ( /3 �Uu ) 'ri 1 Date Application Accepted: i 1 Q: ApplicuionsWonnr- Applications On Line' -2006 - Plumbing-Gas Piping Perini APPliation.doc Revised: 4-2006 bb 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. City Date: S" - 2 - 0 6 3Go 2f ? 33 Day Telephone: 2-3 39 - 0/27 Mailing Address: State Zip Date Application Expires: Ifyi Staff Initials: Page 2 of 2 ACCOUNT ITEM LIST: Description City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 2716000010 Permit Number: PG06-020 Address: 12856 INTERURBAN AV 5 TUKW Status: PENDING Suite No: Applied Date: 05/09/2006 Applicant: AMB INSTITUTIONAL ALLIANCE Issue Date: Receipt No.: R06 -00638 Payment Amount: 88.00 Initials: 3EM Payment Date: 05/09/2006 03:24 PM User ID: 1165 Balance: $0.00 Payee: CITY PLUMBING TRAJtS &tfONClSTI Type Method Description Amount Payment Cash 88.00 PLUMBING - NONRES RECEIPT Account Code Current Pmts 000/322.100 88.00 Total: 88.00 5259 05/09 9'16 TOTAL 88.00 doc: Receipt Printed: 05-09 -2006 Project: / � Type of Inspection: Address: /2& fen% a44 � Date Called: Special Instructions: Date Waaap�ted: n ��77/ z2 -&6 a.t p.m. Requester: Phone No: INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PERMIT NO. (206)431 -361!0 „I /I Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: «i4 4 111 _teLdir 0 $58.00 REINSPECTION EE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: Project: _ /J'3 •1 NS / '1/ %3y "/ 4LL:AN!' Type of Inspection: J N4 / Addres ; /1 U St< .__' , id /d Date Called: Special Instructions: Date Wanted: 6:,-; - / C " O Co Ga,m.. P.m. Requester: P Up as'5 - s .. 7Gu C INSPECTION NO. INSPECTION RECORD Retain a copy with permit 4 tic a 2D PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -367 COMMENTS: AlAte AP AL. 7 _ f 47.4_197 v s PL,[lre /-7 54 ;45f//fi< el" s/41 51),/ -,S Inspector: Date: 44 CU) Approved per applicable codes. Corrections required prior to approval. ❑ $58.00 REINSPECTIOt7 FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: IDate: Project: f m (1 ITlS-I )niT1t>4 AL Type of Inspection: Z (IN `c,C — i ✓V Address: RE6 T-rJ- P Date Called: v Special Instructions: Date Wanted: '5 — IZ -0Cv mm. Requester: Phone No: INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 P6 (- 0 PERMIT NO. (206)431 -36 0 COMMENTS: Approved per applicable codes. Corrections required prior to approval. 17 $58. INSPECT! FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: IDate: Project: AA / $ sA 1 4 /L...0 Type of Ins ection: ' f �" . Address 4454 1.., .! /Y Date Cal ed: Special Ins ructions: / .r . Ua to Wanted: J /i v 6 ,� Requester�: Phone No: 2GY — <70 - 910 INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3 COMMENTS: Inspector- G 1e— Da te5J / / Approved per applicable codes. 0 Corrections required prior to approval. 1 $58.00 REINSPECTIZSN FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: Prgject: /3 Type of pection: � Size"! s Address: 54 �_ / -7t 1- fi7/ /`o' � DagteP) Iled: Special Instructions: Wanted: 5 —//a e. I `t? Requester: Phone No: INSPECYION NO. CITY OF TUKWILA BUILDING DIVISION ❑ Approved per applicable codes. INSPECTION RECORD Retain a copy with permit lc'cz-OZa PERMIT NO. 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36('0 l'1/l Corrections required prior to approval. COMMENTS: /*%) L i t e f bly t l c�,i 710 ti $58.I0 REINSPECTION FE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: License Information License CITYPI *955KJ Licensee Name CITY PLUMBING INC Licensee Type CONSTRUCTION CONTRACTOR UBI 602218839 Ind. Ins. Account Id VICE PRESIDENT Business Type CORPORATION Address 1 222 ANDERSON RD UNIT A Address 2 City MOUNT VERNON County SKAGIT State WA Zip 98273 Phone 3604166653 Status ACTIVE Specialty 1 BOILER/STEAM FIT/PROC PIPING Specialty 2 PLUMBING Effective Date 5/11/2005 Expiration Date 8/1/2006 Suspend Date Separation Date Parent Company Previous License CITYPMI985M3 Next License Associated License Business Owner Information Name Role Effective Date Expiration Date PAPERNIK, JOSEPH III PRESIDENT 05/11/2005 BERKMAN, RICHARD L VICE PRESIDENT 05/11/2005 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 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date ACCREDITED https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= CITYPI *955KJ 05/09/2006