HomeMy WebLinkAboutPermit PG06-118 - OMNI SERVICEOMNI SERVICE
6840 FORT DENT WY
PG06 -118
Parcel No.:
Address:
Suite No:
City of Tvwila
Steven M Stet, Mayor
Department of Community Development
6300 Southcenter Boulevard, Suite #l00
Tukwila, Washington 98188
Phone: 206-431 -3670
Fax: 206 -431 -3665
Web site: ottukwila.wo.us
Steve Lancaster, Director
PLUMBING /GAS PIPING PERMIT
2954900425
6840 FORT DENT WY TUKW
Permit Number:
Issue Date:
Permit Expires On:
PG06 -118
08/14/2006
02/10/2007
Tenant:
Name: OMNI SERVICE
Address' 6840 FORT DENT WY, TUKWILA WA
Owner:
Name: JOHN C RADOVICH LLC
Address: 2000 124TH AVE NE #B 103, BELLEVUE WA
Contact Person:
Name: GARY W. MAGRUDER
Address: 10202 VANSTON AV N, SEATTLE WA
Contractor:
Name: ANDERSON MAGRUDER CO INC
Address: 315 5 AV S, STE 200, SEATTLE WA
Contractor License No: ANDERM*2930H
Phone:
Phone: 206 784 -4600
Phone: 206 784 -4600
Expiration Date:03 /07/2007
DESCRIPTION OF WORK:
REINSTALL NEW SINK OF EXISTING ROUGH IN
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 -118 Printed: 08 -14 -2006
City of Twila
Steven M. %set, Mayor
Department of Community Development
6300 Southcenter Boulevard, Suite 1100
Tulcwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: st.tukwila.wa.us
Steve Lancaster, Director
Permit Number: PG06 -118
Issue Date: 08/14/2006
Permit Expires On: 02/10/2007
Permit Center Authorized Signature:
I hereby certify that I have read an
ordinances governing this work will
Date: tJD P
is permit and know the same to be true and correct. All provisions of law and
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 the performance of work. I am authorized to sign and obtain this plumbing /gas pipin permit.
Signature: ----�- Date: �#6
le (J'r aa
Print Name: Sot /4
This permit shall become null and void if the-dtork 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 -118 Printed: 08 -14 -2006
CITY OF TUKWII A
DEPT. OF CO ".U;:ITY CGV.-LOPMENT
6360 ScUTHCEN l Ef t CLVD.
TUKWILA, WA SU168
PERMIT CONDITIONS
PERMIT CENTER
Parcel No.: 2954900425 Permit Number: PGO6 -118
Address: 6840 FORT DENT WY TUKW Status: ISSUED
Suite No: Applied Date: 08/14/2006
Tenant: OMNI SERVICE Issue Date: 08/14/2006
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 -118 Printed: 08-14-2006
DEPT. OF 00.'. :; :U:;; fY D:V; LOPE:NT
6300 C"UTh:.',:.NY 1 EDID.
TUKWI A, WA 0671,3
'FF '1111r 9 FNNTTp
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: Q`_fr--�v Date: 8 �`� ��a
Print Name:
doc: Conditions
PG06 -118 Printed: 08 -14 -2006
Community Development C artment
Permit Center )14r.'
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
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.: zq5 4/90 0 fees-
Site Address: (OR Hu+ j)a(.44- 1 A)0 y (I'a r#D-e L +7-i, Suite Number: Floor: 3 affePo.^
Tenant Name: O $411; ,cr eac- New Tenant: n.... Yes D ..No
Property Owners Name: a; C l Ck be Vet oq t ae)n -4- eo t A
Mailing Address: 2433 5 e2.4- 4342._ Qv .D a,.Sar.4e_ Zoo Went, -Ts laid (.r)/4 ?SO 510
City State Zip
Name: C7 Le, V c jit. cQ'cr .L
Co uc,
Mailing Address: �1
/07-62 EOcu,&-oin Aue t
Day Telephone: 0O4 - g64=16
uJ 44- 98/33
State Zip
Se 4c
City
Fax Number: 26(7- -reek 6 ea"
E -Mail Address:
IGASTIPINGiC1
Company Name: A%i9 Son ket.y4cQeirn CO , ttc,
Mailing Address: /02.62 EUaks�atp TIVc N
Contact Person: L 0.ry Le) , IAAA( ik
E -Mail Address: AM irtVOQ gtga(. COLA-1
Contractor Registration Number: AtA./D ER V\( 2136 I
Company Name:
Mailing Address:
A)1/)- -(2
SJ le toi4— `WS /37
City State Zip
Day Telephone: 2?C 'S'& o
Fax Number: ZO (o 78 ¥o4
Expiration Date: 3 -O`7
Contact Person:
E -Mail Address:
ENGI E O ItECORIL41: plansu►ustbe 0.
Company Name:
Mailing Address:
Oil 2
City
Day Telephone:
Fax Number:
State
Zip
geCrpCReca
Contact Person:
E -Mail Address:
Q:Upplicaliontpams-Applications On Linea -2006 - Plumbing-Gas Piping Petmit Applieetion doc
Revised. 4-2006
bb
City
Day Telephone:
Fax Number:
Page 1 of 2
State
Zip
to
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information): gge - '&04. 4. (I A)C. W Si Lt I< O tit L°7CA4l t
(OLI jLI - 1.K, (?epirts-e 2ntsir \- sittk
Building Use (per Int'I Building Code):
Occupancy (per Int'l 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
I
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
Per,trt:4 Fee SS
1 S±FduR b
To-k I `88
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 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS F THE STATE OF WASHINGTON, AND 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER 0
Signature:
ENT:
Date: 8-" (4 -a6
Name: G— ,S f:42.1 Day Telephone: zQf0 -`784' r�
Mailing Address: )DZdZ rU _ 4" kL lAt6- 7R/33
City
Date Application Accepted:
State Zip
Date Application Expires:
Staff Initials:
Q: Appliu,ionsWormu- Applications On LineV -2006 - Plumbing -Gm Piping Permit Application.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.: 2954900425 Permit Number: PG06 -118
Address: 6840 FORT DENT WY TUKW Status: APPROVED
Suite No: Applied Date: 08/14/2006
Applicant: OMNI SERVICE Issue Date:
Receipt No.: R06 -01252 Payment Amount: 88.00
Initials: JEM Payment Date: 08/14/2006 11:55 AM
User ID: 1165 Balance: $0.00
Payee: ANDERSON- MAGRUDER MECHANICAL
TRANSACTION LIST:
Type Method Description
Amount
Payment Check 005865 88.00
ACCOUNT ITEM -UST:
Description
Current Pmts
Account Code
PLUMBING - NONRES
000/322.100 88.00
Total: 88.00
8599 06/14 9716 TOTAL 88.00
doc: Receipt Printed: 08 -14 -2006
INSPECT N NO.
INSPECTION RECORD fl G //�
Retain a copy with permit I1-
P N"
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)43 b3
Project:
On- IAI/ Sri? 14e >°
Type of Inspection: V
/- /N9 /
Address:
6't r-2-7-- Dfntr cd
Date Called:
Date
Special Instructions:
Wan d: / a.m.
5 —/ S — DY P.m
Requester _
Phone No:
,o2oL- 372 -0317
04
proved per applicable codes. Corrections required prior to approval.
COMMENTS:
a, #uC.t/
nspector;
Date: g
-1 -4
0 $58.00 REINSPECTION FE C REQUIRtb. 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 1 of 6
Washington State Department of Labor and Industries
GenerallSpecialty 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
ANDERM *2930H
Licensee Name
ANDERSON MAGRUDER CO INC
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
600051104
Ind. Ins. Account Id
SECRETARY
Business Type
CORPORATION
Address 1
315 5TH AVE S
Address 2
SUITE 200
City
SEATTLE
County
KING
State
WA
Zip
98104
Phone
2067844600
Status
ACTIVE
Specialty 1
PLUMBING
Specialty 2
FIRE PROTECT SYSTEM
Effective Date
9/8/1971
Expiration Date
3/7/2007
Suspend Date
Separation Date
Parent Company
Previous License
Next License
ANDMAI *014OM
Associated License
Business Owner Information
Name
Role
Effective
Date
Expiration
Date
ANDERSON, RONALD
E
PRESIDENT
09/08/1971
MAGRUDER, DIANE B
SECRETARY
09/08/1971
MAGRUDER, DAVID L
VICE
PRESIDENT
09/08/1971
Bond Information
Bond
Bond Company Account
Effective
Expiration
Cancel
Impaired
Bond
Received
https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= ANDERM *2930H 08/14/2006