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Home My WebLink AboutPermit PG06-115 - JACKSON DEAN CONSTRUCTIONJACKSON DEAN CONST 3414S 116 ST PG06 -115 CITY OF TUKWP A DEPT. OF CC.`.::::UNITY DGVELO"K:ENT 6360 CCUTHC NTER BLVD. TUKWILA, WA 98188 Parcel No.: 1023049012 Address: 3414 S 116 ST TUKW Suite No: PERMIT CENTER PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: PG06 -115 08/09/2006 02/05/2007 Tenant: Name: JACKSON DEAN CONSTRUCTION Address: 3414 S 116 ST, TUKWILA WA Owner: Name: AMC FAMILY LLC Address' AMBROSE M CRONIN IV, 140 NW 14TH AVE Contact Person: Name: MAREK GRUSZECKI Address: PO BOX 24567, SEATTLE WA Contractor: Name: MCKINSTRY CO LLC Address: PO BOX 24567, SEATTLE WA Contractor License No: MCKINCL942DW Phone: Phone: 206 - 832 -8122 Phone: (206)762 -23311 Expiration Date: 03/16/2008 DESCRIPTION OF WORK: INSTALL 2 GAS PIPING OUTLETS FOR ROOF TOP GAS PACKAGED ACU'S. 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 0 Receptor, indirect waste 0 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 0 Gas Piping Gas piping outlets (0 -5) 2 Gas piping outlets (6 +) 0 * *continued on next page ** doe: UPC - Permit PG06 -115 Printed: 08-09 -2006 Permit Number PG06 -115 Issue Date: 08/09/2006 Permit Expires On: 02/05/2007 Permit Center Authorized Signature: AUldek- kow Date: 8 -4-t4 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 construct' • - . die performance of work. I am authorized to sign and obtain this plumbing /gas piping permit. Signatur . � Date: G- ° Cr Print Name: / r Gt;P-ty 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 -115 Printed: 08 -09 -2006 CITY OF TUKWILA DEPT. OF COM::UmTY DEVELOPMENT 6300 SOUTHCENTER BLVD. TUKWILA, WA 98188 PERMIT CONDITIONS fRMIT CENTER Parcel No.: 1023049012 Permit Number: PGO6 -115 Address' 3414 S 116 ST TUKW Status: ISSUED Suite No: Applied Date: 08/09/2006 Tenant: JACKSON DEAN CONSTRUCTION Issue Date: 08/09/2006 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: 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. 8: Piping in the ground shall be laid on a firm bed for its entire length. Trenches shall be backfiiled 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. 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 PGO6 -115 Printed: 08-09 -2006 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. Signatur Date: Print Name: G/e doc: Conditions PG06 -115 Printed: 08 -09 -2006 y CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 httal/www.citukwilawa. us Building Permit No. Mechanical Permit No. Plumbing/Gas Permit No. pep 42—* I i5 Public Works Permit No. Project No. (For office use only) Applications and plans must be complete in order to be accepted for plan review. Applications will not be accepted hrough the mail or by fax. * *Please Print ** SITE LOCATION 31414 le" King Co Assessor's Tax No.: /oa304 go I a Site Address: 5 . J f �, rSuite Number: Floor: Tenant Name: vacg 5f. OC�A/C ererac,r%ltlC lam`+ New Tenant: ❑ Yes tNo Property OwnersName/tnC alttty LI.C. Mailing Address: Igo kt V j L/ g 44% City State Zip CONTACT PERSON Name44F ie t5gag —414ZZ Six f' Day Telephone: a'o- t fl —B�� Mailing Address: Z,'( , 4CSYp SefOne '91E04 E -Mail Address: A l a r McKre p S [iP7 J . e&n1 Fax Number: ate, S?6 � ' &City 7/ Z'p GENERAL CONTRACTOR INFORMATION — (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg S) ) ntAti Company Name: inCV,Z j3 f 66. �}��y /j Mailing Address: (0 Eby .2 S(O % ,Milt• /! r-4 e `Z.6 (24 ,� �!'/ / ,. y City �SSttate 8 Zip Contact Person: in�kjet�t C9aa g,5ez �t� � � Day Telephone: 7OC��in� ' O ,j`a -1313i E -Mail Address: Al MEfrC watt r S 1/�. l 9H Fax Number: � aT+ - K.o f —1(6 7J Contractor Registration Number: etc w. '. Ca- ILO bcc) Expiration Date: 3 - Oa 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: State Zip Q:Wpplications'Pon,s- Applications 011 Line '3 -1006 - Permit Applicacmr.doc Revised: 4-2006 m Page 1 of 6 PLUMBING AND GAS PIPING PERMIT INFORMATION - 206 - 431 -3670 PLUMBING AND GRAS I G CONTRACTOR/INFORMATION Company Name: // `[ 51/t e `C7r Mailing Address: Sgc 244S7Q 7 Contact Person: //►/ £ ,Z 45.57EGn E -Mail AddressInMekYs e mce, rsor.ania Contractor Registration Number: ,Dc lfrisLGL en 4a-tot€i 5647-afi cal- City State Zip Day Telephone: at 6` q 32 I 72 !J Fax Number: azz. 74 (4'61 Expiration Date: 3 — 14, - 0A Valuation of Project (contractor's bid price): $ c ,tea Scope of Work (please provide detailed information): ie" raw!, Ar 12450r 64s P4e646F7 CGt 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 G tpin$ outlets �/ % IM ry Mot 5 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:Upplicafio s\'oms- Applications On tine'3 -2036 - Permit Applicafiofdoc Revised. 4-2306 bh 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 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). 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 Uriform 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 Signature: PrintN Mailing Address: it dVx ,2s-t e7 Date: 5 rU e ` 4 -/ma c% J%n �eDay�Telep hone: Se*•7O3 —(1 gf9 ilw/ •> 1:6 City State Zip Date Application Accepted: ^ Date Application Expires: 2 -4 —o1 Staff Initiate Qt Applications \Pomu- Applications On Line \3.2006 - Permit Applicatian.doc ae ise& 4-2006 bh Page 6 of 6 City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 RECEIPT Parcel No.: 1023049012 Permit Number PG06 -115 Address* 3414 S 116 ST TUKW Status: APPROVED Suite No: Applied Date: 08/09/2006 Applicant: JACKSON DEAN CONSTRUCTION Issue Date: Receipt No.: R06 -01228 Payment Amount: 88.00 Initials: BLH Payment Date: 08/09/2006 12:54 PM User ID: ADMIN Balance: $0.00 Payee: MCKINSTRY CO TRANSACTION LIST: Type Method Description Amount Payment Check 8333 88.00 ACCOUNT ITEM LIST: Description Current Pmts Account Code GAS - NONRES 000/322.100 88.00 Total: 88.00 ,A n f •j i;I�'. doc: Receipt Printed: 08 -09 -2006 1 INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd„ #100, Tukwila, WA 98188 PER (206)431 -36 Pr : ,— 'obelteCtst) .---4141 we of Inspection: t- Address: Date Called: (jG L� Special Instructions: Date Wed A d G Requester: Phone No: 0~206.6— 62/2 Approved per applicable codes. 0Corrections required prior to approval. COMMENTS: 174/, 5--t of J.? 0f $58.b9tiEINSPECTION 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, Electri '1 or Plumber License Detail Page 1 of l 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 MCKINCL942DW Licensee Name MCKINSTRY CO LLC Licensee Type CONSTRUCTION CONTRACTOR UBI 602569922 Ind. Ins. Account Id 70616500 Business Type LIMITED LIABILITY COMPANY Address 1 PO BOX 24567 Address 2 City SEATTLE County KING State WA Zip 98134 Phone 2067623311 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 3/16/2006 Expiration Date 3/16/2008 Suspend Date Separation Date Parent Company Previous License Next License MCKIN••372N0 Associated License Business Owner Information Name Role Effective Date Expiration Date PEDERSEN, JAMIE D AGENT 03/16/2006 ALLEN, DEAN C PARTNER/MEMBER 03/16/2006 MOORE, DOUGLAS 3 PARTNER/MEMBER 03/16/2006 ALLEN, DAVID E PARTNER/MEMBER 03/16/2006 TEPLICKY, JOSEPH PARTNER/MEMBER 03/16/2006 Bond Information https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= MCKINCL942DW 08/09/2006