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