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Home My WebLink AboutPermit PG06-107 - EXTENDICAREUNKNOWN 16040 CHRISTENSEN RD STE 205 PG06 -107 City bt" 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 Parcel No.: 2523049039 Address' 16040 CHRISTENSEN RD TUKW Suite No: Permit Number: Issue Date: Permit Expires On: Steve Lancaster, Director PG06 -107 07/28/2006 01/24/2007 Tenant: Name: Address: Owner: Name: Address' UNKNOWN 16040 CHRISTENSEN RD, STE 205, TUKWILA WA MCELROY GEORGE & ASSOC INC 3131 S VAUGHN WAY STE 301, AURORA CO Contact Person: Name: BRIAN KNAPIK Address' 16149 #351 REDMOND WY, REDMOND WA Contractor: Name: MOSS BAY PLUMBING LIMITED Address: PMB 351 16149 REDMOND WY, REDMOND WA Contractor License No: MOSSBPL00000 Phone: Phone: 425 868 -8446 Phone: 425 868 -8446 Expiration Date: 03/15/2007 DESCRIPTION OF WORK: INSTALL BREAKROOM SINK. Value of Plumbing /Gas Piping: $0.00 Fees Collected: $88.00 Uniform Plumbing Code Edition: 2003 International Fuel Gas Code Edition: 2003 FIXTURE TYPE AND QUANTITY Plumbing Bathtub or combination bath /shower Bidet Clothes washer, domestic Dental unit, cuspidor Dishwasher, domestic, with independent drain... Drinking fountain or water cooler (per head) Food -waste grinder, commercial Floor drain Shower, single head trap Lavatory Wash fountain Receptor, indirect waste 0 Sinks 1 Urinals 0 Water Closet 0 Plumbing (cont.) 0 Building sewer and each trailer park sewer 0 0 Rain water system - per drain (inside bldg) 0 0 Water heater and /or vent 0 0 Industrial waste treatment interceptor, including 0 its trap and vent, except for kitchen type 0 grease interceptors 0 0 Repair or alteration of water piping and /or water 0 treatment equipment 0 0 Medical gas piping system serving one to five 0 inlets /outlets for a specific gas 0 0 Gas Piping Gas piping outlets (0 -5) 0 Gas piping outlets (6 +) 0 * *continued on next page ** doc: UPC - Permit PGO6 -107 Printed: 07 -28 -2006 City 6 Tukwila Steven M. Mullet, Mayor Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Fax: 206 -431 -3665 Web site: ci.tukwila.wa.us Steve Lancaster, Director Permit Number: PG06 -107 Issue Date: 07/28/2006 Permit Expires On: 01124/2007 Permit Center Authorized Signature: Vl 11A,,In Date: (}-11-Sj I hereby certify that I have read and xa in th permit and know the same to be true and correct. All provisions of law and ordinances governing this work will b mpli ith, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the perform /nceof work. I am authorized to sign and obtain this plumbing /gas piping permit. Signature:` J/t� // 4 , / am ! Date: 7 -2 tt-' Print Name$%V1/2-. 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 PG06 -107 Printed: 07 -28 -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: el.tukwila.wa.us Parcel No.: 2523049039 Address- 16040 CHRISTENSEN RD TUKW Suite No: Tenant: UNKNOWN PERMIT CONDITIONS Steve Lancaster, Director Permit Number: PGO6 -107 Status: ISSUED Applied Date: 07/28/2006 Issue Date: 07/28/2006 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 ** doe: Conditions PG06 -107 Printed: 07 -28 -2006 City of 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: ii/7A /4447-A/A Print Name: /Jr //,lam /4%J 14 Date: 7'Z Sr `c-C doc: Conditions PG06 -107 Printed: 07 -28 -2006 CITY OF TUKWILA Community Deyelopmebswepartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us xi No. Mt, 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" King Co Assessor's Tax No.: .-.--/W4-1 WV, Site Address: ottos, 910 C, / .07 )A. Suite Number: 743 .31— Floor: ..r2) Tenant Name: Property Owners Name: Mailing Address: New Tenant: .... Yes El ..No City State Zip '1cCiSTAICT:1$0,,S9N-:"Vi,oi4ii■veeatimetWken.j/eat,perink ii:reay.tribnissued " Name: /1?"1417,-- ..„/ " -f* Day Telephone: c./2. r-s P-FIC mailing Address/4, 1,1 3 SI 711P4,5,4.04,4p sirre, 4 ZAP E-Mail Address:fr9D 33 0...0,4.A72-../.7-440,4, Fax Number 24.4.e,— S keslo, Company Name: Mailing Address: /4 / Contact Person: E-Mail Address: Contractor Registration Number: sre9lds.A4/ Gil:To On v ilje/m. lda 72 City .12 Day Telephone: Fax Number: Expiration Date: State Zip Y2 r - k4S - s-vr( 3Ge 3//r/ 0? Company Name: Mailing Address: plans must bata;ttanpedliy'Areltiteet. 01Seturd Contact Person: E-Mail Address: City Day Telephone: Fax Number. State Zip ENGINZER 01? II.E:c0REL:4All plans 'mute be wet atiniiia41*Saiiiiaat.04-aior9. Company Name: Mailing Address: City Contact Person: Day Telephone: E-Mail Address: Fax Number: State Zip QMpplicationaWonns-Applicinions On LineU-2006 - Plumbing-Gas Piping Permit Applicationdoc Revised: 1-2006 bh Page 1 of 2 Valuation of Project (contractor's bid price): $ 44; 06 0 Scope of Work (pl ase provide detailed information): / / h1 ? r %/ h 7e 7, Jam„ 4 —a ,M 7swi� F-o L `6r 41.Ay re, - 71-t,h t.eft -)7 7-70 Gx /t Tenn 44-1 4,12 t Try re) / tie i s 7f 4`i Building Use (per Int'I Building Code): Occupancy (per Intl 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 Fiztgre Type: Qty FiXture Type: .:Qt} 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 XT APPLICATION NOTES 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDINGNER OR AUTHOR! G AGENT: Date: %' Z7 Up Signature: / /// /�L /) �/ t' Print Name: f br/�� Af'�/j. /E Day Telephone: '/2 %' - i * �" g" yVG Mailing Address: lG /yf 3 c7 /2,E0 &eel y ,?Nb,a, 4.4/2 Lyle 2C-GCI_ City State Zip Date Application Accepted: Date Application Expires: Staff Initials: O:Upplicationswomu- Applications On Line \ 3-2036 - Plumbing-Gas Piping Perini Appliation.doc Revised: 4-2006 bh Page 2 of 2 City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 RECEIPT Parcel No.: 2523049039 Permit Number: PGO6 -107 Address' 16040 CHRISTENSEN RD TUKW Status: ISSUED Suite No: Applied Date: 07/28/2006 Applicant: UNKNOWN Issue Date: 07/28/2006 Receipt No.: R06 -01407 Payment Amount: 58.00 Initials: JEM Payment Date: 09/08/2006 11:59 AM User ID: 1165 Balance: 50.00 Payee: MOSS BAY PLUMBING LIMITED TRANSACTION LIST: Type Method Description Amount Payment Check 9660 58.00 ACCOUNT ITEM LIST: Description Current Pmts Account Code PLUMBING - NONRES 000/322.100 58.00 Total: 58.00 9433 09/08 9710 TOTAL 58.00 doc: Receipt Printed: 09 -08 -2006 City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 RECEIPT Parcel No.: 2523049039 Permit Number: PG06 -107 Address: 16040 CHRISTENSEN RD TUKW Status: APPROVED Suite No: Applied Date: 07/28/2006 Applicant: UNKNOWN Issue Date: Receipt No.: R06 -01142 Payment Amount: 88.00 Initials: JEM Payment Date: 07/28/2006 02:02 PM User ID: 1165 Balance: $0.00 Payee: MOSS BAY PLUMBING LIMITED TRANSACTION LIST: Type Method .Description. Amount Payment Check 9535 88.00 ACCOUNT ITEM LIST: Description Current Pmts Account Code PLUMBING - NONRES 000/322.100 88.00 Total: 88.00 787? 07/28 ?-716 TOTAL doc: Receipt Printed: 07 -28 -2006 INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 206)431 -3670 Project: . ..r ,r44s Type of Inspection: /q ,,, Cam. /,✓-7€ S. Addresss/s %/:y� // ._/. y,,n / ~ ate Called: Special Instructions: (003yz4-o/ Date Wanted: G �,ry *ea er% Requester: Phone No: /y(I Approved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: 742 r LI S58. REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-36 Project: - i/Gr. J �/ ` ( Type of Inspection: !%��t N. /9a9 F .� !_ ' / Addre 60//0 (4 C4 t /.y ,D,,33to Called: 1 Specia Instructions: /�—_.� Date-Wanted: �f -7 / / 06 P.m. / Requester: Phone No: yZ-ea:* g ❑ Approved per applicable codes. Corrections required prior to approval. COMMENTS: C-n"'^ rj „trt') ,5I' �l `1a c G / /et Ins ecto Date: (AA'? i A- ./pit. -) 7"7 $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: /3 INSPECTION RECORD Retain a copy with permit CI OF TUKWILA BUILDING DIVISION 6300 So h4enter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project:, uGx KdUYi _ TYPQf nctiorc - 5- - � tik i z fre-t e Address: //'�� ,, // //'�-// Date Called: Special Instructions: Date Wanted:_ Requester: Phone o: 7-17Vs = 753 — /`T >, Approved per applicable codes. COMMENTS>) G >�Sk ` l /f -y ` //y frat d6e. C C, t�- 7 or / `f-T•'e Gc h p t . ter; i.&jtt/ S#c , 11/211-7 I 19 fir IRCorrections required prior to approval. eavaty ?._i C6 A,-. £,1%i.> 4 f!e /44 4h d, V @ d Inspector fity. 4497-4:7/ Date: $58.00 REINSPECT!' N FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: Look Up a Contractor, Electrician or Plumber License Detail Page I or 2 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 MOSSBPL00000 Licensee Name MOSS BAY PLUMBING LIMITED Licensee Type CONSTRUCTION CONTRACTOR UBI 602049480 Ind. Ins. Account Id Business Type CORPORATION Address 1 PMB 351 16149 REDMOND WAY Address 2 City REDMOND County KING State WA Zip 980523834 Phone 4258688446 Status ACTIVE Specialty 1 PLUMBING Specialty 2 UNUSED Effective Date 9/20/2000 Expiration Date 3/15/2007 Suspend Date Separation Date Parent Company Previous License BRIANTP073D4 Next License Associated License Business Owner Information Name Role Effective Date Expiration Date KNAPIK, BRIAN JOHN 01/01/1980 KNAPIK, MAXINE 01/01/1980 KNAPIK, ANDREW B TREASURER 04/11/2006 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date COLONIAL AM CAS & https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= MOSSBPL00000 07/28/2006