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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: Look Up a Contractor, Electnc?n or Plumber License Detail agma Stain CYai'arune o or tborand Industries New Topic Index I Contact Info Horne Safety Claims @ Insurance Workplace Rights Page 1 of 3 Find a Law or Rule Get a Form or Publication Look Up a Contractor, Electrician or Plumber Printer Friendly Version 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