HomeMy WebLinkAboutPermit PG06-063 - CHURCH BY THE SIDE OF THE ROADCHURCH BY THE SIDE OF
THE ROAD
3455 S 148 ST
PG06 -063
Parcel No.:
Address:
Suite No:
City of Tukwila
Steven M. Mullet, Mayor
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
PLUMBING /GAS PIPING PERMIT
0041000122
14825 TUKWILA INTERNATIONAL BL TUKW
Permit Number:
Issue Date:
Permit Expires On:
Steve Lancaster, Director
PG06 -063
06/14/2006
12/11/2006
Tenant:
Name:
Address:
Owner:
Name:
Address:
CHURCH BY THE SIDE OF THE ROAD
3455 5 148 ST, TUKWILA WA
CHURCH BY SIDE OF THE ROAD
P 0 BOX 68545, SEATTLE WA
Contact Person:
Name: ALLAN L. GALICIL
Address: PO BOX 68545, SEATTLE WA
Contractor:
Name: NORPAC HEATING & AIR CONDITION
Address: 3414 A STREET SE #102, AUBURN, WA
Contractor License No: NORPAHA123M5
Phone:
Phone: 206 243 -5024
Phone: 206 931 -0610
Expiration Date:09 /13/2007
DESCRIPTION OF WORK:
PROVIDE AND INSTALL 1" GAS PIPING FROM METER TO KITCHEN FOR NEW GAS STOVE.
Value of Plumbing /Gas Piping: $0.00 Uniform Plumbing Code Edition: 2003
Fees Collected: $88.00 International Fuel Gas Code Edition: 2003
FIXTURE TYPE AND QUANTITY
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 0
Wash fountain 0
Receptor, indirect waste 0
Sinks 0
Urinals 0
Water Closet 0
Plumbing (cont.)
0 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 0
Gas Pioing
Gas piping outlets (0 -5) 1
Gas piping outlets (6 +) 0
doc: UPC - Permit
PGO6 -063 Printed: 06 -14 -2006
City or Tukwila
Steven M. Mullet, Mayor
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 **
Steve Lancaster, Director
doc: UPC - Permit
PG06 -063 Printed: 06 -14 -2006
City or Tukwila
Steven M. Mullet, Mayor
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
Steve Lancaster, Director
Permit Number: PG06 -063
Issue Date: 06/14/2006
Permit Expires On: 12/11/2006
Permit Center Authorized Signature:
I hereby certify that I have read an
Date:
his permit and know the same to be true and correct. All provisions of law and
ordinances governing this work will mplied with, 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 constrp ion or the perf tgri anEe of work. I am authorized to sign and obtain this plumbing /gas piping permit.
Signature: .,I 4 o� Date: 6I14'U�
Print Name: Ly6rta L C, R u CA c
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.
doc: UPC - Permit
PGO6 -063 Printed: 06 -14 -2006
City &Tukwila
Steven M. Mullet, Mayor
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
PERMIT CONDITIONS
Steve Lancaster, Director
Parcel No.: 0041000122 Permit Number: PG06 -063
Address: 14825 TUKWILA INTERNATIONAL BL TUKW Status: ISSUED
Suite No: Applied Date: 06/14/2006
Tenant: CHURCH BY THE SIDE OF THE ROAD Issue Date: 06/14/2006
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.
* *continued on next page **
doc: Conditions
PG06 -063 Printed: 06 -14 -2006
City or Tukwila
Niabre
Steven M. Mullet, Mayor
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
Steve Lancaster, Director
I hereby certify that I have read these conditions and will comply with them as outlined. All provisions
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
regulating construction or the performance of work.
Signature:
ti
L:
Print Name: t�t�t1 L C t c
of law and ordinances
other work or local laws
Date: 61410(.0
doc: Conditions
PGO6 -063 Printed: 06 -14 -2006
CITY OF TUKWILAs."
Community Developmentbepartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://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**
0 0
King Co Assessor's Tax No.: 00 *100 - O12_2 -404
Site Address: 34S S 1 4-tr ST- -1.V.1.01LA tAJA Suite Number: Floor: l eg
Tenant Name: a Pur-e.1+ %t 114 e S tot 0,---17ta lem-D New Tenant: El .... Yes Ed ..No
Property Owners Name: Ali...-02*-1 1-- CIAL-10C 4GC-/-3-7-
Mailing Address: ?C) to, (08S4-'s S enitc,6 LJA q$162?
City State
[CONTACT PERSON.lintia cOntietiviteitEioat'oerMittireitifrOe'‘'::
Name: u L C-Auoc_
Mailing Address: ?Cl 7crc largS4C-
E-Mail Address: 41.- azsia oze,
Day Telephone: 201.p '2•4 • So"2-44-
(ADA- 9R)to?
City State Zip
Fax Number: .20L 2414 /144-b
Company Name: tlAL72- C- 1464-n1-1 /1 A43.13 A- CZ._ Eng b OKI tAm t—,
Mailing Address: g-S. A-\4- 4 S-re-ea7) SLtt-T6 102- ArCte/LP-1■1 OA- Ch?co7,-0P)bo
City State Zip
Contact Person: brJas OVLtN Day Telephone: 2S4, -1-S1 -01.00?
Fax Number: 2 C3 .4 3) • bt.
Expiration Date: 0-7-fity
E-Mail Address:
I . CUM
Contractor Registration Number: 1■\ 02-94 tAA 12-MAS
[ ARClittgcTy pyncosp rritisr.,be „W. etariiiiitied:iiiirArehttee.00t*Icord,:,,.,.1,,,,
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E-Mail Address: Fax Number:
State
Zip
:'ENGINEEROE„RECIWt4111111.11‘inuat lie:wctaMniped[bylitginear"Of Reetnit
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E-Mail Address: Fax Number:
State
Zip
Q:\AppIications\Porms-ApptiCJliOflS On LieM3-2006 - Plumbing-Om Piping Permit Application.dec
Revised: 4-2006
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Page 1 of 2
Valuation of Project (contractor's bid price): $ 2 x$67 l
Scope of Work (please provide detailed information): 920V i D6 ST—1 —U- 111 71►_L(.\
l M P \egsz. -to 1Ln- cuC —t,► FOR- Nso Gras. Thou6
Building Use (per Intl Building Code):
Occupancy (per Int'1 Building Code):
Utility Purveyor: Water: Lfl D t Sewer: \4 Ai 01.26
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
Fixture Type:
Qty
Fixture Type:
Qty
Fixture Ty pei
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
Ram 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
APPLICATION :NOTE
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 1 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 0
Signature:
R 0 111' @S 71 AGENT:
Print Name: � u 1- G L
Mailing Address: ?o lox /o SA'S
Date: 42/ 1q 0 (�
Day Telephone: 20 C9 e.z-3 n ) 74
�e�a Tt6 it) A $ 1 10?
City State 24'
Date Application Accepted: 1
&e i H
Date Application Expires:
I `{r Vi i
Staff Initials:
t
Q Uppacetion.Womu-Applicaiom On Line\3 -2006 • Plumbing-Gas Piping Permit Application doe
Revised: 4-2006
bb
Page 2 oft
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
RECEIPT
Parcel No.: 0041000122 Permit Number: PG06 -063
Address: 14825 TUKWILA INTERNATIONAL BL TUKW Status: PENDING
Suite No: Applied Date: 06/14/2006
Applicant: CHURCH BY THE SIDE OF THE ROAD Issue Date:
Receipt No.: R06 -00863 Payment Amount: 88.00
Initials: 3E14 Payment Date: 06/14/2006 11:25 AM
User ID. 1165 Balance: $0.00
Payee: CHURCH BY THE SIDE OF THE ROAD
TRANSACTYONIIST:
Type Method Description Amount
Payment Check 54717 88.00
ACCOUNT now LIST:
Description
Account Code Current Pmts
GAS - NONRES
000/322.100 88.00
Total: 88.00
i6 /1 a 9'716 TOTAL 63.00
doc: Receipt
Printed: 06 -14 -2006
3
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)431 -36
Project:
//
ril? Z S •ei 14C
Type of Inspection: A \
i� Y 405
Addres
)v 2S 7-773
D.2e✓I'
Special Instructions:
Date Wanted:aJ3
`17" --4 -66
—v
p.m.
Requestet:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
OMMENTS:
$58.00 REINSPECT! t' FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PER
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36
Project: /
Type of Inspection: c.
Address:
Nn z-r 771 Vec
Date Ca ed:
Special Instructions:
Date Wanted:`/
a.m.
Requester:
Phone No:
Approved per applicable codes.
,
Corrections required prior to approval.
COMMENTS:
Ze
Inspector ? Date
El$58.00 REINSPECTIO FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
1-
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
/96 6G oG3
PER
( 06
P
C "42/rC e4,5/de /2/if?/
of Insc
"co,.17;v
+
Ca
Ad resso25, CO /
Date Called:
p��
Special Instructions:
Date W nted:
— /lm —O C
(am..
p.m.
Requester:
Phone No
-243 -_5— a z y
MApproved per applicable codes.
COMMENTS:
Corrections required prior to approval.
6) 7,„,i,,,,e„,„,ex 4../AL
"Zat l -��
nspector:
\1lVl/I 10IAMAMJOW
Date: py�I //// �����y�
WC,C IALlas
❑ $58.00 REINSPECTION FEE REQUIR D Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
Look Up a Contractor, Electrician or Plumber License Detail
r
Washington State Department of Labor and Industries
GeneraUSpecialty 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
NORPAHA123M5
Licensee Name
NORPAC HEATING & A/C INC
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
601092283
Ind. Ins. Account Id
VICE PRESIDENT
Business Type
CORPORATION
Address 1
3414 A ST SE STE 102
Address 2
01/01/1980
City
AUBURN
County
KING
State
WA
Zip
98002
Phone
2539310608
Status
ACTIVE
Specialty 1
GENERAL
Specialty 2
UNUSED
Effective Date
7/25/1988
Expiration Date
9/13/2007
Suspend Date
Separation Date
Parent Company
Previous License
Next License
NORPAAC03IN1
Associated License
Business Owner Information
Name
Role
Effective Date
Expiration Date
DEVLIN, DENNIS K
Cancel
Date
01/01/1980
Bond
Amount
DEVLIN, PATTY L
VICE PRESIDENT
11/03/2003
SD1343
GOETZ, LARRY L SR
Until
Cancelled
01/01/1980
01/01/1980
Bond Information
Bond
Bond Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
#7
CBIC
SD1343
07/18/2001
Until
Cancelled
512,000.00
09/06/2001
Page 1 of 3
https: // fortress .wa.gov /Ini/bbip /printer.aspx ?License= NORPAHA123M5 06/14/2006