HomeMy WebLinkAboutPermit PG06-076 - WASHINGTON CITIES INSURANCE AUTHORITYWASHINGTON CITIES
INSURANCE AUTHROTIY
320 ANDOVER PK E #280
PG06 -076
Parcel No.:
Address:
Suite No:
City old 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
PLUMBING /GAS PIPING PERMIT
0223200060
320 ANDOVER PK E TUKW
Permit Number:
Issue Date:
Permit Expires On:
Steve Lancaster, Director
PGO6 -076
06/26/2006
12/23/2006
Tenant:
Name: WASHINGTON CITIES INSURANCE AUTHORITY
Address: 320 ANDOVER PK E, #280, TUKWILA WA
Owner:
Name: WA CITIES INSURANCE AUTHORITY
Address: 14900 INTERURBAN AV S #210, SEATTLE WA
Contact Person:
Name: JEFF ESTEP
Address: 309 49 ST NE, SUITE A, AUBURN WA
Contractor:
Name: TRANSIT PLUMBING INC
Address: 309 49 ST NE, SUITE A, AUBURN WA
Contractor License No: TRANSPI101KK
Phone:
Phone: 253- 854 -4443
Phone: 253- 854 -4443
Expiration Date:08 /09 /2007
DESCRIPTION OF WORK:
INSTALL NEW KITCHEN SINK TO EXISTING SPACE.
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.)
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
doc: UPC - Permit
PGO6 -076 Printed: 06 -26 -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
Steve Lancaster, Director
Permit Number: PG06 -076
Issue Date: 06/26/2006
Permit Expires On: 12/23/2006
Permit Center Authorized Signature:ii rtb 'a ld 4
Date: 0— U/-o b
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 constructi9n -sr the performance of work. I am authorized to sign and obtain this plumbing /gas piping permit.
Signature:
Print Name: '- 7 is %n
Date: & - a-C, —tlf Q
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
PGO6 -076 Printed: 06 -26 -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
PERMIT CONDITIONS
Parcel No.: 0223200060
Address: 320 ANDOVER PK E TUKW
Suite No:
Tenant: WASHINGTON CITIES INSURANCE AUTHORITY
Permit Number:
Status:
Applied Date:
Issue Date:
Steve Lancaster, Director
PG06 -076
ISSUED
06/26/2006
06/26/2006
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: 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 -076 Printed: 06 -26 -2006
City arTukwila
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:
of law and ordinances
other work or local laws
Date: L —0(40
doc: Conditions PGO6 -076
Printed: 06 -26 -2006
Thane-
CITY OF TUKWlL1e
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: /Avww.ci.tukwila. wa.us
Building Permit No.
Mechanical Permit No.
Plumbing/Gas Permit No. r aw
Public Works Permit No.
Project No.
(For office use only)
01G
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 LOCATION
Site Address:
Tenant Name:
Property Owners Name:
Mailing Address:
King Co Assessor's Tax No.:
3,9-0
11-M Dt ItIWt ?Act 046115" STE P-80 Suite Number: '2-fa Floor:
rum- ta,M,A 9Btge.
ew Tenant: ❑ Yes
Pail. a Le'.
&) /m,2Z.G. DC- -✓'sLOpnnt--zar A/St
$..No
City
State
Zip
Name: jefF Or_. Ce' - %YL+4vSty —RurltirWA, Day Telephone: (i53'gsy —Ytin/
Mailing Address: c3 o 9 79 Sr. W Sit( )) taoS(J.e■ J LAIR 1000 D,
'Ciy 0-75:..1) J State Zip
E-Mail Address: Fax Number: 2559— VV-73
GENERAL CONTRACTOR INFORMATION —
(Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5) )
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Contractor Registration Number:
City
Day Telephone:
Fax Number:
Expiration Date:
State
Zip
ARCHITECT OF RECORD -All plans must be wet stamped by Architect of Record
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
State
Zip
ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Q Npptiutiwu\Fomu- Appiicatioas On Linea-2006 -Permit Applicaam doc
Revised: 4-2006
State
Zip
bh
Page of 6
PLI7763ING AND GAS PIPING PERMIT INFORMATION - 206 -431 -3670
PLUMBING AND GAS PIPING CONTRACTOR INFORMATION
Company Name: T Q y 1 "-oat B14.\
Mailing Address: _SCY9 '4 e5T. JS
Contact Person: Fe Cs
E-Mail Address:
Contractor Registration Number:
T1t'.405 Z I a /.tJG
4ii5144a X414- "ale OA
sty / Stare zip
Day Telephone: (a5,-- BSt/- v9S!'3
Fax Number: i3$t/ —gYfs
Expiration Date: 6- g Oq-
Valuation of Project (contractor's bid price): $ 60
Scope of Work (please provide detailed information):
A Oar Avg7,u 19 fc TO r xr 5 rer-i\fr-ti
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
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
Bidet
Food -waste grinder,
commercial
Receptor, indirect
waste
Clothes washer, domestic
Floor drain
Sinks
j
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
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
Additional medical gas
inlets/outlets - six or more
o:1Appliufianaoms-ApWlraiom on Li 3 -2006 - Permit Application. oe
Revised: 42006
bb
Page 5 of 6
PERMIT APPLICATION NOTES – Applicable to all permits in this application
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 pemlt is issued within 180 days following the date of application shall expire by limitation.
Wang and Mechanical Permit
The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be
requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition).
plumbing Permit
The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested
in writing and justifiable cause demonstrated. Section 103.4.3 Uniform 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.
Print Name:
Mailing Address:
Date: (-42-3-0C9
aJ �3}iSYriPr� Day Telephone: `i 5 .259- 4/y4-1,7
So/ I9C 57 7'— t' .) i4rr73Urns /tug– `,(8 00Q
City )tatc zip
Date Application Accepted:
40- 2G-o(v
Date Application Expires:
/Z -z4-0 to
Staff ' '
/
QUppliplimf V onv- Appliradmr On tina3 -2006 - Permit Appliotdoc
Revised: 4-2006
bb
Page 6 of 6
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
RECEIPT
Parcel No.: 0223200060 Permit Number: PGO6-076
Address: 320 ANDOVER PK E TUKW Status: APPROVED
Suite No: Applied Date: 06/26/2006
Applicant: WASHINGTON CITIES INSURANCE AUTHORITY Issue Date:
Receipt No.: R06 -00929 Payment Amount: 88.00
Initials: BLH Payment Date: 06/26/2006 01:02 PM
User ID: ADMIN Balance: $0.00
Payee: TRANSIT PLUMBING INC
TRANSACTION UST:
Type Method Description Amount
Payment Check 616419 88.00
ACCOUNT ITEM. LIST:
Description
Account Code Current Pmts
PLUMBING - NONRES
000/322.100 88.00
Total: 88.00
6818 6/26 9716 TOTAL 88,00
doc: Receipt Printed: 06 -26 -2006
FCoG -o7L'
INSPECTION RECORD
Retain a copy with permit
PER
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(fd•)431 3670
Project;
D1 (psi e a 3 /tle1JJ4Y11
Type of Inspection: -
F w" /
Address:
320 4?vclen/ir P1' e_
Date Called:
Special Instructions:
Date Wanted:
7— ZU —d(.,-0
a.1:17
P.m.
Requester:
Phone No:
®- Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
?tie*, tj / €`t'o / - Ara
Date:
?
$sJ/8/ 00 REINSPECT! FEE REQIRED. Prior to inspection, fee must be
id at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
INSPECTION NO.
INSPECTION RECORD (+ -u7
Retain a copy with permit
PER MK NO
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)431.367
Proje4t:�s �, It". Cl1CS
�W t
Type of lns( -I Yn1A (
(�ILw■au
Address:
rJ J `vim( P 1
Date Called:
bate
Special Instructions:
Date Wanted? 20_22,
vas
m
Requester:
Phone No:
EiApproved per applicable codes.
erections required prior to approval.
COMMENTS:
\Joy- ac b
p
Date:
.00 REINSPECTION E REQUIRED. or to inspection, fee must be
d at 6300 Southcenter Blvd., Suite 1 t r. Call to sechedule reinspection.
Receipt No.:
Date:
INSPECTION RECORD �tni �
b7�Retain a copy with permit
INSPECTION NO. PER
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)431 -36X0
Pro ect:
O Chi's
Type of Inspection:
Rel/ h -A/ ?AttetbAiii
Address:
,tea 4AIA frf 2 PA
Date Ca d:
Special Instructions: - i L.,p 5 ,4
jr5+6'Ke iL P
n 1� Q
c).411 Fi°0 ^
Cu / it rtt D
Date Wanted: a.m.
6 - .2 2-a6
Requester:
Phone No:
0763-es-it- 9`/413
`,Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
Dat :
(rpi-
.00 REINSPECTION FEE REQUIRED. 9rior to inspection, fee must be
d at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
R : cei pt No.:
Date:
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ades a Licensing
:General /Specialty Contractor
1A business registered as a construction contractor with L8I 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
TRANSPI101KK
Licensee Name
TRANSIT PLUMBING INC
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
601216965 Verify Workers Comp Premium
Status
Ind. Ins. Account
Id
54671901
Business Type
CORPORATION
Address 1
309 49TH ST N.E. SUITE A
Address 2
City
AUBURN
County
KING
State
WA
Zip
980021414
Phone
2538544443
Status
ACTIVE
Specialty 1
GENERAL
Specialty 2
UNUSED
Effective Date
5/12/1990
Expiration Date
8/9/2007
Suspend Date
Separation Date
Parent Company
Previous License
TRANSP`147KM
Next License
Associated
License
https: // fortress .wa.gov /lni/bbip/Detail.aspx ?License= TRANSPI101KK 06/26/2006