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Home My WebLink AboutPermit PG06-066 - ESCHELONESCHELON 13035 GATEWAY DR EXPIRED PG06 -066 City otTukwila 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: ct.tukwila.wa.us PLUMBING /GAS PIPING PERMIT Parcel No.: 0004800015 Address: 13035 GATEWAY DR TUKW Suite No: Permit Number: Issue Date: Permit Expires On: Steve Lancaster, Director PG06 -066 06/15/2006 12/12/2006 Tenant: Name: ESCHELON Address: 13035 GATEWAY DR, TUKWILA WA Owner: Name: AMB INSTITUTIONAL ALLIANCE Phone: Address: C/O MCELROY GEORGE & ASSOC, 3131 S VAUGHN WAY STE 301 Contact Person: Name: VERN HUBER Address: 3420 C ST NE, AUBURN WA Contractor: Name: HUBER'S PLUMBING CO Address: 30604 54TH AVE 5, AUBURN WA Contractor License No: HUBERP *042M2 Phone: 206 -510 -3069 Phone: (253)839 -7876 Expiration Date: 06/29/2006 DESCRIPTION OF WORK: INSTALL NEW C01I-tt SINK. Value of Plumbing /Gas Piping: $0.00 Fees Collected: $88.00 Uniform Plumbing Code Edition: 2003 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 1 Urinals 0 Water Closet 0 plumbing (cont.1 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 Pining Gas piping outlets (0 -5) 0 Gas piping outlets (6 +) 0 doe: UPC - Permit PG06 -066 Printed: 06 -15 -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: ci.tukwila.wa.us Steve Lancaster, Director Permit Number: PG06 -066 Issue Date: 06/15/2006 Permit Expires On: 12/12/2006 Permit Center Authorized Signature: Litha_ Date: (to"16 -Ole I hereby certify that I have read and examined this permit and know the same to be true and correct. 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 provisions of any other state or local laws regulating construction or the perfor» • c •work. I am authorized to sign and obtain this plumbing /gas piping permit. Date: � Signature: Print Name: /( )!�l/l/�,� /e 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 PG06 -066 Printed: 06 -15 -2006 City o '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 Parcel No.: 0004800015 Address: 13035 GATEWAY DR TUKW Suite No: Tenant: ESCHELON PERMIT CONDITIONS Steve Lancaster, Director Permit Number: PG06 -066 Status: ISSUED Applied Date: 06/15/2006 Issue Date: 06/15/2006 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: 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. 6: 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 -066 Printed: 06 -15 -2006 City o'rTukwila 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: Print Name: -� %e 70, �' " A of law and ordinances other work or local laws Date: i e tei doc: Conditions PGO6 -066 Printed: 06-15-2006 CITY OF TUKWILA Community Developmentt'epartment 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: /8035 4,77 o@y6; Tenant Name: XsC./1E1 n Property Owners Name. 77..1 ✓01 Mailing Address: 544' r/ /19' King Co Assessor's Tax No.: Suite Number: //q New Tenant: Floor: Z .... Yes .No p7 yam/%K City State Zip CONTACT -Who db we contact wh Name: , j‘,2 ffed /he r permif is ready to he issued Day Telephone: _761c-57.67— 3O S Mailing Address: Zip E -Mail Address: Company Name: /aolb:f>2. s /� /Gl/Ilh7 Mailing Address: • 3920 ds�T //I j4/1.4 Contact Personj4/1.4 /Ylf.2 E -Mail Address: // JJ Contractor Registration Number: �`�z6,Q 042 :2— City Fax Number: State iht4 City Day Telephone: 2 O-t Fax Number: 23-3 Company Name: Mailing Address: Contact Person: E -Mail Address: z Ml n41 friar 7— State Zip c/6 3 OiY 85 5 tss-66 Expiration Date: 1 6 City Day Telephone: Fax Number: State Zip Company Name: Mailing Address: All plans oust be wet stamped by Tsngtneer of Contact Person: E -Mail Address: Q:\Applialion5Wonm- Appliadone On LineUQ006 - Plumbing -GU Piping Permit Application.doc Reviled: 4-2006 bb City Day Telephone: Fax Number: State Zip Page 1 of 2 Valuation of Project (contractor's bid price): $ '2 0 — Scope of Work (please provide detailed information): Z24Z7 Gs/eAr'n »A Building Use (per Intl Building Code): 01// C 1C Occupancy (per Int'1 Building Code): Utility Purveyor: Water: Sewer: Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: Fixture Type: Qty: ° Fixture Type: Qty Eixture Type: .; Wash fountain :'Qty Fixture. Type: Gas piping outlets Qty: Bathtub or combination bath/shower Drinking fountain or water cooler (per head) 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 Medical gas piping system serving one to five inlets/outlets for specific gas 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 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. BUILDING OWNER UT s% rr AGENT: Signature: ' /G% i /j 9 p Print Name: �/l/l r/ s(i G lJ /Cie Mailing Address: 39,30 C 4>7 Date: aft%fritti Day Telephone: - 20dc5?6 .G/Z/, 9f a City State Zip Date Application Acce tad: 1a- IC- D(P Date Application Expires: I7 — I5'1)CO Staff nitials: Q Appacatiom4on ,- Applkatiom On Linen -2006 .PlumbingGa Npiva Pami AppliutWn.doc Revised: 42006 bh Page 2 of 2 City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 RECEIPT Parcel No.: 0004800015 Permit Number: PG06 -066 Address: 13035 GATEWAY DR TUKW Status: APPROVED Suite No: Applied Date: 06/15/2006 Applicant: ESCHELON Issue Date: Receipt No.: R06 -00876 Payment Amount: 88.00 Initials: BLH Payment Date: 06/15/2006 01:56 PM User ID: ADMIN Balance: $0.00 Payee: HUBER'S PLUMBING TRANSACTION -LIST: Type Method Description Amount Payment Check 26748 88.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts PLUMBING - NONRES 000/322.100 88.00 Total: 88.00 6473 06/15 9716 TOTAL 83.00 doc: Receipt Printed: 06 -15 -2006 INSPECTION RECORD Retain a copy with permit INSPECT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -367 Project: p owELoAi Type of Inspection:. Aehrih -.Ai )431-11 tr46,ti Address: I3 v & S 6, ; :<104 7.fi2 Date Called: COMMENTS: Special Instructions: t Date Wanted:, s, Q a Requester: 4 - ' Phone No: ao. -S/6 -30Z Mtpproved per applicable codes. Corrections required prior to approval. COMMENTS: l- y • .. , 4 /l 1 Date:"7 f/ 4) ❑$58.0 EINSPECTION F REQUIRED. Prior to inspection, fee must'be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: 11 -01 -2006 VERN HUBER 3420CSTNE AUBURN WA 98002 City of Tukwila Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director RE: Permit No PG06 -066 13035 GATEWAY DR TUKW Dear Permit Holder: In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code and/or the International Mechanical Code, every permit issued by the Building Division under the provisions of this code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days. Based on the above, you are hereby advised to: Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection. This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if the project should be considered abandoned. If such determination is made, the Building Code does allow the Building Official to approve one or more extensions of time for additional periods not exceeding 90 days each. Extension requests must be in writing and provide satisfactory reasons why circumstances beyond the applicants control have prevented action from being taken. In the event you do not call for the above inspection and receive an extension prior to 12/16/2006, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. xe: Permit File No. PG06 -066 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 -431 -3665 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. License Information License HUBERP*042M2 Licensee Name HUBER'S PLUMBING CO Licensee Type CONSTRUCTION CONTRACTOR UBI 601725669 Ind. Ins. Account Id Business Type INDIVIDUAL Address 1 30604 54 AVE S Address 2 City AUBURN County KING State WA Zip 98001 Phone 2538397876 Status ACTIVE Specialty 1 PLUMBING Specialty 2 UNUSED Effective Date 7/22/1996 Expiration Date 6/29/2006 Suspend Date Separation Date Parent Company Previous License HUBERP*232L7 Next License Associated License Business Owner Information Name Role Effective Date Expiration Date HUBER, VERNON R JR OWNER 07/22/1996 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date #2 AMERICAN STATES INS CO EX948812 06/25/2002 Until Cancelled $6,000.00 06/14/2002 AMERICAN https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= HUBERP *042M2 06/15/2006