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HomeMy WebLinkAboutPermit PG06-084 - RIVERSIDE INNRIVERSIDE INN 14060 INTERURBAN AV S PG06 -084 Parcel No.: Address: Suite No: City t w 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 3365901055 14050 INTERURBAN AV S TUKW Permit Number: Issue Date: Permit Expires On: Steve Lancaster, Director PGO6 -084 07/1312006 01/09/2007 Tenant: Name: Address* Owner: Name: Address: RIVERSIDE INN 14060 INTERURBAN AV S, TUKWILA WA B.B.N. TRUST 14060 INTERUBAN AVE S, TUKWILA WA Contact Person: Name: JIM PERKINS Address' PO BOX 2109, REDMOND WA Contractor: Name: MERIT MECHANICAL INC. Address: PO BOX 2109, REDMOND, WA Contractor License No: MERITMI163CM Phone: Phone: 425 602 -2586 Phone: 425 883 -9224 Expiration Date:06 /01/2007 DESCRIPTION OF WORK: DISCONNECT 1 -3 COMPARTMENT SINK, 1 FLOOR SINK, DISHWASH STATION, REDIRECT DRAINS TO EXISTING GREASE INTERCEPTOR DRAIN LINE LOCATED IN CRAWL SPACE, DWV ONLY. Value of Plumbing /Gas Piping: $0.00 Fees Collected: $108.00 Uniform Plumbing Code Edition: 2003 International Fuel Gas Code Edition: 2003 FIXTURE TYPE AND QUANTITY Plumbing Bathtub or combination bath /shower Bidet Clothes washer, domestic Dental unit, cuspidor Dishwasher, domestic, with independent drain... Drinking fountain or water cooler (per head) Food -waste grinder, commercial Floor drain Shower, single head trap Lavatory Wash fountain Receptor, indirect waste 2 Sinks 0 Urinals 0 Water Closet 0 Plumbing (cont.) 0 Building sewer and each trailer park sewer 0 0 Rain water system - per drain (inside bldg) 0 0 Water heater and /or vent 0 0 Industrial waste treatment interceptor, including 0 its trap and vent, except for kitchen type 0 grease interceptors 0 0 Repair or alteration of water piping and /or water 0 treatment equipment 0 0 Medical gas piping system serving one to five 0 inlets /outlets for a specific gas 1 0 Gas Piping Gas piping outlets (0 -5) 0 Gas piping outlets (6 +) 0 * *continued on next page ** doc: UPC - Permit PGO6 -084 Printed: 07 -13 -2006 City E 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 -084 Issue Date: 07/13/2006 Permit Expires On: 01/09/2007 Permit Center Authorized Signature: Date: 01- Sap I hereby certify that I have read and -- mir'ed�this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will b' om 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 performance of work. I am authorized to sign and obtain this plumbing /gas piping permit. Signature: Are Print Name: Date: 7- / 3 -06 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 PG06 -084 Printed: 07 -13 -2006 City et 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.: 3365901055 Address: 14050 INTERURBAN AV S TUKW Suite No: Tenant: RIVERSIDE INN PERMIT CONDITIONS Steve Lancaster, Director Permit Number: PG06 -084 Status: ISSUED Applied Date: 07/13/2006 Issue Date: 07/13/2006 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 -084 Printed: 07-13-2006 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: cttukwila.wa.us Steve Lancaster, Director I hereby certify that I have read these conditions and will comply with them as outlined. 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 provision of any other work or local laws regulating construction or the performance of work. Signature: Print Name: at-4, Date: 2— —C.,g, doc: Conditions PGO6 -084 Printed: 07 -13 -2006 CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: //www. ci. tukwil a. wa. us Applications and plans must be complete in order to be accepted for plan review. Applications will not be accepted trough the mail or by fax. * *Please Print ** dd King Co Assessor's Tax No.: $ 3(p SSO to SS Site Address: 1'WD TartCYLtn&6 Ms.) 40 S • Suite Number: Floor: Tenant Name: Gto vas tee" Property Owners Name: loo uNrt* 41 6 4..1 no 6. New Tenant: ❑ Yes ❑..No Lyric £e4 Voy✓o0tc►J- Mailing Address: City State Zip CONTACT PERSON Name: Je„ Petit ',US Mailing Address: Po Box_ .2109 Day Telephone: 42S- (o0;- 26if ro 04to4)d W - n07 S- .zro City State Zip E -Mail Address: s?e-t Dos e M61Qtratearivti) t cote , comFax Number: 42C- f Fs--7 O S- Z GENERAL CONTRACTOR INFORMATION (Contractor Information for M eclianieal (pg 4) Tor Plumbing and Gas Pipiag (pg 5) ) Company Name: Mailing Address: Contact Person: E -Mail Address: Contractor Registration Number: City Day Telephone: Fax Number: Expiration Date: State Zip ARCiiITECT,OF RECORD - All plans must be Company Name: Mailing Address: Contact Person: E -Mail Address: City Day Telephone: Fax Number: State Zip ENGINEER OF RECORD - All plans mast be wet stamped by Engineer of Record Company Name: Mailing Address: • City Contact Person: Day Telephone: E -Mail Address: Fax Number: State Zip QMpplicationSPomis- Applications On Line\3 -3006 - Permit Application.doc Revised: 4-2006 bit Pagc 1 of 6 PLUMBING AND GAS PIPING PERMIT INFORMATION - 206- 431 -3670 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: Miter- Mee tfrtwwlC.(-C. q� Mailing Address: FO Der. x-10°1. EflstoAM tOt cbo73 -a(op Contact Person: Sr•tti Afire1[t.05 City State Zip Day Telephone: el ZS- •'oo7 -as$c, E -Mail Address: J PCti•In)s a net r n4et *4i.oae.tt . Cowl Fax Number: H 2 S— 8- S— 70$ Z Contractor Registration Number: MettTN1 iZG 3G Ml. Expiration Date: 6// /Ga'1 Valuation of Project (contractor's bid price): $ 0600 - Scope of Work (please provide detailed in formation): it9G0NNa s- I - 3 eowt/N -e «K emir S• et; K, I ftoo.t_ 5nuK Ors.#ea -eN SrotnenO, Ar4.¢efer ,Jta- .+.-aS ,-t n1071906 O seam 5cr fl)? •lcf•7/T'0/2 it 4-4.0 Lhoar Lvc.hra9 rst) C 124&4. $Ateerr &UO O N t s' 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 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 Q:Upplications\Portns- Applications On Line' -2006 - Permit Applicatioadec Revised 4-2006 bh Page5 of 6 New PERMIT APPLICATION NOTES - Applicable to all permits in this application Value of Construction — In all cases, a value of construction am ount should be entered by the applicant. Th is figure will be reviewed and is subjec t 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. Building 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. Sect ion 105.3.2 International Building Code (current edition). Plumbing Permit The Building Official may grant one extension of time for an ad ditional period not exceeding 180 days. The extension shall be requested in writing and justifiable cause dem onstrated. Section 103.4.3 Uniform PI umbing 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 OR AUTHORIZED AG . T: Signature: 7 c't Print Name: � MACQ Mailing Address: % ICS" Date: t•-• / Z Day Telephone: *45..; 6:10901.1' &fl %.? cZt Afg eagAA OKA t44- 9tGSZ City State Zip Date Application Accepted: 041 � _ f Date Application Expires. Di � t Staff Initials: Q: Applications \Fosms- Applications On Linev- 2006 -Remit Apprcaeon.doc Revised: 4-2006 bb Page 6 of 6 INSPECTIO 0. INSPECTION RECORD PC-06- Ogg Retain a copy with permit PERMIT - - CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: RI1/4)fSidi -EN NJ Type of Inspection: "F I NA 1 Address: 14050 C J1 LillPAr,j Date Called: Special Instructions: t}14 -tr Weei Date Wanted: - 2_— OG (a.r97 m. Requester: Phone No e3 c7 5V ti ZApproved per applicable codes. COMMENTS: Corrections required prior to approval. 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. Recet No.: Date: INSPEE'rrON NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit Project: Type of Inspection: COMMENTS: /) •� // 'Jai / croon * A s' 'loin, - Add ess:f 1171960 a V s Date Called: .i —,, Special Instructions: —Dafi Wanted: {c? (.im: Requester: } et, L 4 c/ --m,� eci • 74's _ Phone No: 4 Al . Approved per applicable codes. Corrections required prior to approval. COMMENTS: /) •� // 'Jai / croon * A e � 'loin, - c...4-7.2 ,, r — z 5 I-, eo z s 2) .v.- 5 see.,-r# .K /4 -.t:3 `ti t5 &4---_ „i- 7,,,/. _ 04 /' ,”; (75 0, taus no I- toi , ,4/ 5 f.� u�s� orv+o et, L 4 c/ --m,� eci • 74's _ p" , 6 /sn't, 4 Al . Inspector l 4 Date: g /�� 1 ❑$511.00 REINSPECTION 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. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 P fV'. 1" r AJ Type o In fic tion:. /AA - n/ HO 6 -72r6 6; / S Date Called: //°°� Special Instructions: Date Wanted: �.a,m. 7- z,Di -0(... P.m. Requester: CI c; n yyz G/3 Approved per applicable codes. COM ENTS: Q arrections required prior to approval. ctor: Date: e2v,�„ f rA�7 'Date: -d4 58.00 REINSP ION 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 T'k ? " INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36702, Project: // AiVP /Sic /e ,L/VA/ Type of Inspection: 4..--.9;".) — 6../,4si r"' Address: I4USv -L,jteiz.ibnn> Date Called: Special Instructions: Date Wanted: 7-Z8'OG P.m. Requester: Phone No: yyyttt fi Approved per applicable codes. +rrections required prior to approval. COMMENTS: 6) dy /1.1, it t'% 1/0"/, — 4,, Q CAJJ C rpe al— Zv"I%r� .00 REINSPECTION FyE REQUIRED! Prior to Inspection, fee must be d at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Re ' spt No.: Date: LOOK up a Contractor, Electrician or number License Detail Page 1 of 3 Set 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 MERITMI163CM Licensee Name MERIT MECHANICAL INC Licensee Type CONSTRUCTION CONTRACTOR UBI 600517946 Ind. Ins. Account Id 46817500 Business Type CORPORATION Address 1 PO BOX 2109 Address 2 City REDMOND County KING State WA Zip 980732109 Phone 4258839224 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 2/14 /1984 Expiration Date 6/1/2007 Suspend Date Separation Date Parent Company Previous License Next License AUTOMMC044QH Associated License Business Owner Information Name Role Effective Date Expiration Date KIRKWOOD, RODERICK V PRESIDENT 02/14/1984 KIRKWOOD, JOAN M SECRETARY 02/27/2006 FRICKBERG, WILLIAM MICHAEL VICE PRESIDENT 02/27/2006 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= MERITMI163CM 07/13/2006 City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 RECEIPT Parcel No.: 3365901055 Permit Number: PGO6 -084 Address: 14050 INTERURBAN AV S TUKW Status: APPROVED Suite No: Applied Date: 07113/2006 Applicant: RIVERSIDE INN Issue Date: Receipt No.: R06 -01021 Payment Amount: 108.00 Initials: JEM Payment Date: 07/13/2006 09:15 AM User ID: 1165 Balance: $0.00 Payee: MERIT MECHANICAL, INC. TRANSACTION. LIST: Type Method Description Amount Payment Check 22514 108.00 ACCOUNT ITEM LIST: Description Current Pmts Account Code PLUMBING - NONRES 000/322.100 108.00 Total: 108.00 7353 07/13 9716 TOTAL 108.00 doc: Receipt Printed: 07 -13 -2006