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Permit PG06-038 - ACME SHOPS
ACME SHOPS 150 ANDOVER PK W PG06 -038 City ow `ukwila Parcel No.: 0223100010 Address 150 ANDOVER PK W TUKW Suite No: 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 Tenant: Name: ACME SHOPS Address: 150 ANDOVER PK W, TUKWILA WA Owner: Name: GIBSON PROPERTIES LLC Address: 401 ANDOVER PARK E, TUKWILA WA Contact. Person: Name: GARY MAGRUDER Address: 10202 EVANSTON AV N, SEATTLE WA Contractor: Name: ANDERSON MAGRUDER CO INC Address: 315 5 AV S, STE 200, SEATTLE WA Contractor License No: ANDERM *2930H DESCRIPTION OF WORK: PLUMBING AND GAS PIPING FOR FUTURE TENANTS. Value of Plumbing /Gas Piping: $0.00 Fees Collected: $270.00 Plumbing Bathtub or combination bath /shower sewer 0 Bidet 0 Clothes washer, domestic 0 Dental unit, cuspidor 0 Dishwasher, domestic, with independent drain Drinking fountain or water cooler (per head) 0 Food -waste grinder, commercial 0 Floor drain 0 Shower, single head trap Lavatory 3 Wash fountain 0 Receptor, Indirect waste 0 Sinks 0 Urinals 0 Water Closet 3 doc: UPC - Permit PLUMBING /GAS PIPING PERMIT Uniform Plumbing Code Edition: 2003 International Fuel Gas Code Edition: 2003 FIXTURE TYPE AND QUANTITY Permit Number: Issue Date: Permit Expires On: Steven M. Mullet, Mayor Phone: Phone: 206 784 -4600 Phone: 206 784 -4600 Expiration Date:03 /07/2007 Steve Lancaster, Director PG06 -038 05/31/2006 11/27/2006 Plumbing jcont.l 0 Building sewer and each trailer park Rain water system - per drain (inside bldg) 0 Water heater and /or vent 3 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 0 Gas Piping Gas piping outlets (0 -5) 5 Gas piping outlets (6 +) 2 PG06 -038 Printed: 05 -31 -2006 doe: UPC - Permit City awl' ukwila 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 PG06.038 Printed: 05-31-2006 Permit Center Authorized Signature: Signature: Print Name: doc: UPC - Permit City o'r°r fukwila 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 I hereby certify that I have read an ordinances governing this work will b omp d with, whether specified herein or not. Steven M. Mullet, Mayor Steve Lancaster, Director Permit Number: PG06 -038 Issue Date: 05/31/2006 Permit Expires On: 11/27/2006 Date: 1647A `an this permit and know the same to be true and correct. All provisions of law and 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 mance of work. I am authorized to sign and obtain this plumbing /gas piping permit. Date: 5 / 6 5. (0, tl-tcyucees 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. PG06 -038 Printed: 05 -31 -2006 City aukwila Parcel No.: 0223100010 Address: 150 ANDOVER PK W TUKW Suite No: Tenant: ACME SHOPS 1: ** *PLUMBING AND GAS PIPING * ** 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 PERMIT CONDITIONS Permit Number: PG06 -038 Status: ISSUED Applied Date: 05/31/2006 Issue Date: 05/31/2006 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. Steven M. Mullet, Mayor Steve Lancaster, Director 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 -038 Printed: 05-31 -2006 Signature City orFukwila 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. Print Name: fy t3 Per Ler doc: Conditions Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Fax: 206 - 431 -3665 Web site: cttukwila.wa.us Steven M. Mullet, Mayor Steve Lancaster, Director Date: -5 PG06 -038 Printed: 05-31 -2006 CITY OF TUKWILA Community Development,dafi'ment 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 Address: / Tenant Name: O r . ho1DS Property Owners Name: ©neti Fr-ttMC L L C Mailing Address: 2.34,5 CAr1'i(Ot -t - Polk+ Name: @ ty 13 ‘40e't Ai Kees Mailing Address: /O .O Z �tktk5�oti Of Nt 1 9 E -Mail Address: O t wt,Q IAA C Q G a% ro Jn Company Name: AoCX9r"50 O 0o• Sur Mailing Address: /0? n7 Y tkui .s 40 4 40e AA C rq 1 � ectc&r — Cat :Etc, avhett t qao l. (o Contractor Registration Number: A IV DEF. M*1930 il Contact Person: E -Mail Address: E -Mail Address: Company Name: Mailing Address: Contact Person: E -Mail Address: Company Name: Ft), th-r 5evi Arr (l 4errES Mailing Address: / 4II —� `7 - ` n A ve ° . tctt / Contact Person: O WI -,.1 A t�Co F1 Q: Appliatiau\FamsAppliatioa On Line- 3006 - Plumbing -Gs Piping Permit Appliationtoc Revised: 4-2006 bit King Co Assessor's Tax No.: Suite Number: C' r C FtJtel City City Day Telephone: Fax Number: City p Z-Z 31000 /0 Floor: / s New Tenant: 0 .... Yes 0 ..No to-A- 91103 3 State Day Telephone: ZO — 794 0 7n4,-79 Expiration Date: 3- / -0 7 State Zip CONTACT PERSON ho do we eontact when yo>fr Permit is r City State Zip Fax Number: 70 A ySg tl) 99/37 State Zip 2-06 -Mc/ -s4606 cat ?A/oz State Zip Day Telephone: tae— (A2- (/70 Fax Number: 70 h — 4 - 698 a Zip City Day Telephone: Fax Number: Page 1 of 2 Fixture Type: 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 , 7 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 3 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 cafe a Valuation of Project (contractor's bid price): $ e57 rre, Scope of Work (please provide detailed information): ? kK wtb t won ? / `'7I n - a-^ Building Use (per Int'I Building Code): Occupancy (per Intl Building Code): Utility Purveyor: Water: Sewer: Indicate type of plumb 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 j 80 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 103.43 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 OWNER QB. kVT3IZED AGENT: Signature. Print Name: Day Telephone: Mailing Address: / 2- Z EtAti. -t 4 oe N ,ccLilae- Date Application Expires: I Date Application Accepted: Q Applications \Foms -Appliwions On Linet3- 2006- Plumbing{ms Piping Penni Appliaiion.doc Reviled: 4.2006 bh City Date: 5 - 3/ - 0e= ZOb- f ij -e{ion 987 .33 State Zip Staff Initials: Page 2 of 2 City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 0223100010 Permit Number: PG06 -038 Address' 150 ANDOVER PK W TUKW Status: PENDING Suite No: Applied Date: 05/31/2006 Applicant: ACME SHOPS Issue Date: Receipt No.: R06 -00760 Payment Amount: 270.00 Initials: JEM Payment Date: 05/31/2006 12:00 PM User ID: 1165 Balance: $0.00 Payee: ANDERSON - MAGRUDER MECHANICAL TRANSACTION UST: Type Method Description doc: Receipt RECEIPT Amount Payment Check 005610 270.00 ACCOUNT ITEM .LIST: Description GAS - NONRES PLUMBING - NONRES Account Code Current Pmts 000/322.100 102.00 000/322.100 168.00 Total: 270.00 Printed: 05-31-2006 Project: AC , 1Qe-7 / Type of Inspection: - C--;ifs /iv , a! Address: /0 v sAia ovf e ,2x w Date Called: Instructions: ned: Date Wanted: /y— oo a.ny cir Requester: Phone No: 6 Approved per applicable codes. INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 COMMENTS: Peiemi / et ,p / #/r / / D .00 REINSPECTION FEE REQUIRE D paid at 6300 Southcenter Blvd., Suite Corrections required prior to approval. Dat u . or to inspection, fee must be f ]Call to sechedule reinspectlon. Receipt No.: Date: Project: Type of Inspectiofi''(it'/L, Address; A �� I , 1 SO -5 � Date Call ,: Special Instructions: /22' At caw, J 061151/9`0 /Phone Date Wanted: �.. /: a.m. p.m. Requester: N o y77 .Z t INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36 Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector: Co no INSPECTION RECORD Retain a copy with permit Date: i g pi $58.00 REINSPECTIOw FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: 27 Project: (9 0 5t /oP Type of Inspection: r- /),/,-7/ Address: / Std nn/Doi FT? Die &, Date Called: Special Instructions: Date Wanted: _ 2 V-- U " 6 a.m. .m Requester: Phone No: ad G -37z - x337 5- INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Approved per applicable codes. INSPECTION RECORD Retain a copy with permit pN,a6 -o (206)431-3670 Corrections required prior to approval. C TS: Pe-re■tt etwv? £ 0 REINSPECTION FE REQUIRED. Prior o inspection, fee must be at 6300 Southcenter Blvd., Suite 100. :II to sechedule reinspection. Rec No.: Date: Date: Project: C /Xk f'� Typ�pf lnpe / e / • j / /` ��J61 !z �/lLC Address: Date Called: Z/ �j `�,(, Special Instructions: Date Wanted: P•m• Requester: Phone No: INS r CTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tuktylla, WA 98188 proved per applicable codes. El $5$.00 REI paid at 63 (Receipt No.: s , p.a1 INSPECTION RECORD Retain a copy with permit p6 &6-oz Corrections required prior to approval. COMMENTS: Date: 7 zt_ G,j CTION FEE REQUIktp. Prior to inspection, fee must be outhcenter Blvd., Suite 100. Call to sechedule reinspection. Date: Pro' c t: 3c Corrections required prior to approval. Type of In ty ion: COMMENTS: Ad )50 A-ndO2er () Date Called: 7/ f f0(0 Special Instructions: k‘co GI fact-e4 Date Wanted: t % i a.m. p.m. Reques r / (fin c Ci st ' Phone No: Approved per applicable codes. 3c Corrections required prior to approval. COMMENTS: (Bk.& l0e kAN.At ,W o r AA5 - 2. M M JwMk cu t sJ 1 Q.�tM,t.. ..t YT 1�i k‘co GI fact-e4 INSPECTION RECORD Retain a copy with permit Pu b O1 PERMIT CITY OF TUKWILA BUILDING DIVISION ? INSPECTION NO. 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 $58:80 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Inspector: i2 ) Date: I 0/06 Receipt No.: Date: 1 Project: n //6P 3 $ Type of Inspection: ke nt� /� - %1l Address: / So !`lam a✓ CR Pc-- Date Called: Special Instructions: Date Wante : ` / 2— d es. a.m. Requester: Phone No: 0 Approved per applicable codes. INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PERMIT ( 06)431 -367 D Corrections required prior to approval. COMMENTS: /] /I /it'd ff{ f / <Y , /•ll 1frY i - r / !cam .AI 2 4 ❑ $58. 0 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: Project: y Typ of Inspection: Addres Date Called: Special Instructions: Date Wanted. -1 py 4 nc-e � a.m� p.m. Requester: Phone No: Approved per applicable codes. INSPECTION RECORD Retain a copy with permit ON NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 206)431 -36X0 El Corrections required prior to approval. COMMENTS: p Inspector: Date: ❑ $58.00 REINSPECTION FEE R QUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: Project: � � Type of Inspection: 1. - .�!.�.e/ 6/en% Add sC Date Called: Special Instructions: P 4-- Date Wanted,. p. u . . Requester: Phone No: INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Approved per applicable codes. COMMENTS: � re2vH pie v/ 1../ _ /' ,e x tot 4 / Date: At/ ti❑ $58.0 INSPECTION EE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. 'Receipt No.: T NO. 'Date: P (206)431 -367 Corrections required prior to approval. Project: /I !9 Cill P Sd oS Type of Inspectio uv 4. RATA ✓ ,n .] WA Address: /5v /anioow Date Called: COMMENTS: Special Instructions: Date Wanted: a.m. Requester: n / Ce,�r A-5/1, /1, 2/S Phone No: go& 372 - (2332 , j �s -/ Approved per applicable codes. 13 Corrections • • required prior to approval. COMMENTS: r_=L 0 n / Ce,�r A-5/1, /1, 2/S yr- , j �s -/ it C re'S An. . � . , cot/ 7,04- y y- 346 S Inspector. / C fl / n /J Date: / . INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PER 2 06)4 3 k36 ri $58.00 REINSPECTION CtE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: 'Date: Business Owner Information Name Role Effective Date Expiration Date ANDERSON, RONALD E PRESIDENT 09/08/1971 MAGRUDER, DIANE B SECRETARY 09/08/1971 MAGRUDER, DAVID L VICE PRESIDENT 09/08/1971 Look Up a Contractor, Electriciin °lumber License Detail se 'Mr 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. 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 ANDERM *2930H ANDERSON MAGRUDER CO INC CONSTRUCTION CONTRACTOR 600051104 CORPORATION 315 5TH AVE S SUITE 200 SEATTLE KING WA 98104 2067844600 ACTIVE PLUMBING FIRE PROTECT SYSTEM 9/8/1971 3/7/2007 ANDMAI *0140M Bond Information Bond Company Bond Account Effective Expiration Cancel Impaired Bond Received Page 1 of 6 https: / /fortress .wa.gov /lni/bbip /printer.aspx ?License= ANDERM *2930H 05/31/2006