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Home My WebLink AboutPermit PG06-106 - SEATTLE MENTAL HEALTHSEATTLE MENTAL HEALTH 6100 SOUTHC R BL PG06 -106 Parcel No.: Address: Suite No: City ter' 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 PLUMBING /GAS PIPING PERMIT 3597000221 6100 SOUTHCENTER BL TUKW Permit Number: Issue Date: Permit Expires On: Steve Lancaster, Director PG06 -106 07/28/2006 01/24/2007 Tenant: Name: SEATTLE MENTAL HEALTH Address: 6100 SOUTHCENTER BL, TUKWILA WA Owner: Name: CENTERPLEX Address' 6100 SOUTHCENTER BL STE 150, TUKWILA WA Contact Person: Name: JEFF FARLEY Address: 1081 CEDAR AV, MARYSVILLE WA Contractor: Name: NEW ENGLAND PLUMBING & CONTRS Address: PO BOX 1583, MARYSVILLE WA Contractor License No: NEWENPC995NG Phone: 206 246 -9986 Phone: 360 - 657 -4812 Phone: 360 - 657 -4812 Expiration Date:04 /22/2007 DESCRIPTION OF WORK: ADDING PLUMBING FIXTURES FOR A.D.A. COMPLIANCE. Value of Plumbing /Gas Piping: $0.00 Fees Collected: $158.00 Uniform Plumbing Code Edition: 2003 International Fuel Gas Code Edition: 2003 FIXTURE TYPE AND QUANTITY Plumbing Bathtub or combination bath /shower 0 Bidet 0 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 0 Sinks 1 Urinals 0 Water Closet 2 Plumbing (cont.) Building sewer and each trailer park sewer 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 1 grease interceptors 0 0 Repair or alteration of water piping and /or water 2 treatment equipment 0 0 Medical gas piping system serving one to five 2 inlets/outlets for a specific gas 0 0 Gas Piping Gas piping outlets (0 -5) Gas piping outlets (6 +) * *continued on next page ** doc: UPC - Permit 0 0 PG06 -106 Printed: 07 -28 -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 -106 Issue Date: 07/28/2006 Permit Expires On: 01/24/2007 Permit Center Authorized Signature: Date: -7- 2.-9-0 10 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 gerfofmance of work. I am authorized to sign and obtain this plumbing /gas piping permit. Signature: Print Name: Date: 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 PGO6 -106 Printed: 07.28 -2006 CITY OF TUKWI DEPT. 63 OF COMMUNITY O SUTFIC N T ER GLVD. TUKWILA, WA 98188 PERMIT CONDITIONS PERMIT CENTER Parcel No.: 3597000221 Permit Number: PG06 -106 Address: 6100 SOUTHCENTER BL TUKW Status: ISSUED Suite No: Applied Date: 07/2812006 Tenant: SEATTLE MENTAL HEALTH Issue Date: 07128/2006 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: Piping through concrete or masonry walls shall not be subject to any load from building construction. No plumbing piping shall be directly embedded in concrete or masonry. 10: All pipes penetrating floor /ceiling assemblies and fire - resistance rated walls or partitions shall be protected in accordance with the requirements of the building code. 11: Piping in the ground shall be laid on a firm bed for its entire length. Trenches shall be backfilled in thin layers to twelve inches above the top of the piping with clean earth, which shall not contain stones, boulders, cinderfill, frozen earth, or construction debris. 12: 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 -106 Printed: 07 -28 -2006 CITY OF TUKWIIA DEPT. OF COMMUNITY DEVELOPMENT 6300 SOUTHCENTER CLVD. TUKWILA, WA 98188 PERMIT CENTER 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: dA) c-674 Date: c Z 0 doc: Conditions PG06 -106 Printed: 07-28-2006 CITY OF TUKWILA Community Deyelopmeihaiepartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us Permit No. 1740(Q 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: 7061 0-4 4A./ AA") Tenant Name: Sitl..) 0 • Afet.400-e--A,C?7 Property Owners Name: Mailing Address: King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: 0--. Yes 0 ..No City State Zip CONTACT PERSON - Name: et when your permit is ready to be issued A_ %lief- Mailing Address: kir/ Ceed7-, ' IIX EA/ Day Telephone: cn in-liP/2., City State Zip E-Mail Address: Fax Number: Company Name: cei–i) Mailing Address: Contact Person: Ars-teW Fax Number: E-Mail Address:A.frtai Contractor Registration Number: Expiration Date: id/01444f 411 °ea /1-v•C- ittip_"-cr k4i Ale7- City J Str Zi Day Telephone:_g40 OS / 72— Company Name: Mailing Address: Contact Person: E-Mail Address: City Day Telephone: -Fax Number: State Zip EnginiM. of Retard. . . , : • Company Name: Mailing Address: City Contact Person: Day Telephone: E-Mail Address: Fax Number: State Zip Q: ApplicationsWorms-Applications On Line \ 3-2006 - Plumbing-Gas Piping Permit Application.doc Revised: 1-2006 bh Page 1 of 2 Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): cod Building Use (per Intl Building Code): 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 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 Additional medical gas inlets/outlets — six or more 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 PERMIT. APPLICATION: NQTES 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 OR AUTHORIZED AGENT: Signature: Date: Print Name: Day Telephone: Mailing Address: City State Tip IDate Application Accepted: Date Application Expires: Staff Initials: Q: Applications \ Forms- Applications On Line 3 -3006 - Plumbing-Gas Piping Penni Appliation.doc Revised: 4 -2006 bh Page 2 of 2 PLUMBING AND GAS PIPING PERMIT INFORMATION - 206 -431 -3670 PLUMBING AND AS PIP 0.7 CTOR INFORMATION Company Name: Qe.„) Mailing Address: /a14 € ✓ Ace" %l*ra G✓c- L fG 0ZS2 �/ `/ ` City Sm /e Zip Contact Person: ,Y. ///,1-'06' dt - vD/ Day Telephone: •.S'fjgJ 7c 4* Y 2 E -Mail Address: /l.& < n . / (--/-444 � r Contractor Registration Numberat. )&' K14( ax Number- .Z• (63 Expiration Date: Valuation of Project (conttactor's bid price): $ "U " "- ,%� / / / n Scope of Work (please provide detailed information): / 3j T • " - / �! v$t 4 t 1' - • 4 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 4. Sinks / Dental unit, cuspidor Shower, single head trap Urinals Dishwasher, domestic, with independent drain Lavatory r1-- Water Closet Building sewer or trailer park sewer Rain water system — per drain (inside building) Water heater and/or vent y,� j' 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 QAAppliceua ao ms- Application Oa Line \3 -3006 - Permit AwI4atiotArc Revised: 43006 ER Page 5 of 6 PERMIT APPLICATION NOTES— Applicable to all permits in tfus 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 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 Section 105.3.2 International Building Code (current edition). Pltunbina 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 andjustifiable 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNE Signature: r DAGENT: Print Name: Mailing Address Day Telephone: 17 Date:/Z 7/06 Zip I Date Application Accepted: Date Application Expires: Staff Initials: QMAPPika onaonv- Appliwian On nLa 3- 3006 - Permit ApplirmiotAoc Revised: 43006 Y Page 6 of 6 City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 RECEIPT Parcel No.: 3597000221 Permit Number: PGO6 -106 Address: 6100 SOUTHCENTER BL TUKW Status: PENDING Suite No: Applied Date: 07/28/2006 Applicant: SEATTLE MENTAL HEALTH Issue Date: Receipt No.: R06 -01141 Payment Amount: 158.00 Initials: BLH Payment Date: 07/28/2006 01:22 PM User ID: ADMIN Balance: $0.00 Payee: NEW ENGLAND PLUMBING & CONTRS TRANSACTION LIST: Type Method Description Amount Payment Check 3090 158.00 ACCOUNT ITEM LIST: Description Current Pmts Account Code PLUMBING - NONRES 000/322.100 158.00 Total: 158.00 - -n' 07,23 9717 TOTAL. 1.58..00 doc: Receipt Printed: 07 -28 -2006 INSPECTIOITNO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #1 00, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit Project: ;y •e of Inspection: Ad r s: 4 jl £ Cf." 0/ a te Called: Spe la Instructio s: Date Wanted: �j / a.m. Requester: Phone No: I�{Approved per applicable codes. 0Corrections required prior to approval. COMMENTS: Date: e6 n $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: Z INSPECTION RECORD �J Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PERM (206)431 -3670 Project: S'4Kc MA) /R/ 4,04 Type of Inspection: r;,✓ V Address: /0-0 Sovvoreen/ /r ,'6L. Date Called: Special Instructions: Date Wanted: 37-/o- m oG . Requester: F /f,/tk Phone No: «2 s- 3/4j4/5--s/92i Approved per applicable codes. ElCorrections required prior to approval. OMNENTS: eac 58.00 REINSPECTION FEE paid at 6300 Southcenter B eceipt No.: Date: /— /d am tEQUIRED. P or to inspection, fee must be d., Suite 100. Call to sechedule reinspection. IDate: INSPECTION NO. INSPECTION RECORD Retain a copy with permit P604 -1oCep CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PER (206)431 -360 Approved per applicable codes. `Corrections required prior to approval. COMMENTS: &) iji JReal( c f 1 J /c S ; nspect r: Date: -o v —S 5 .00 REINSPECT!, FEE QUIRED. Prior - inspection, fee must be id at 6300 Southcenter Blvd., Suite 100. C l to sechedule reinspection. Receipt No.: Date: Type of Inspection; --et.' t /7h' 6 Address: /00 Sao%'v rr & v /00 Date Called: Special Instructions.:--- - - if 1s Date Want-d: a. Phone No: 9LS- yS- °G9 Approved per applicable codes. `Corrections required prior to approval. COMMENTS: &) iji JReal( c f 1 J /c S ; nspect r: Date: -o v —S 5 .00 REINSPECT!, FEE QUIRED. Prior - inspection, fee must be id at 6300 Southcenter Blvd., Suite 100. C l to sechedule reinspection. Receipt No.: Date: Look Up a Contractor, Electnrlan or Plumber License Lletall 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 NEWENPC995NG Licensee Name NEW ENGLAND PLUMBING & CONTRS Licensee Type CONSTRUCTION CONTRACTOR UBI 602003638 Ind. Ins. Account Id 99079200 Business Type INDIVIDUAL Address 1 PO BOX 1583 Address 2 City MARYSVILLE County SNOHOMISH State WA Zip 98270 Phone 3606574812 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 8/7/2001 Expiration Date 4/22/2007 Suspend Date Separation Date Parent Company Previous License NEWENC•000BF Next License Associated License Business Owner Information Name Role Effective Date Expiration Date COYLE, JOHN F OWNER 08/07/2001 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 112 HARTFORD FIRE INS CO 13BSBAR4914 07/23/2001 Until Cancelled $12,000.00 08/07/2001 INDEMNITY rage 1 or t https: / /fortress .wa.gov /lni/bbip /printer.aspx ?License= NEWENPC995NG 07/28/2006