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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 bb 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