HomeMy WebLinkAboutPermit PG06-135 - KENT H LANDSBERG COMPANYKENT H LANDSBERG CO
6835 SEGALE PARK DR C
PG06 -135
City to 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: ctrukwila.wa.us
PLUMBING /GAS PIPING PERMIT
Parcel No.: 3523049018
Address' 5835 SEGALE PARK DR C TUKW
Suite No:
Permit Number:
Issue Date:
Permit Expires On:
Steve Lancaster, Director
PGO6 -135
08/28/2006
02/24/2007
Tenant:
Name: KENT H LANDSBERG COMPANY
Address' 5835 SEGALE PARK DR C, TUKWILA WA
Owner:
Name: SEGALE PROPERTIES
Address: PO BOX 88028, TUKWILA WA
Contact Person:
Name: JOHN KILDARE
Address: 813 ACADEMY ST, SUMNER WA
Contractor:
Name: PLUMBING EXPRESS INC
Address: 813 ACADEMY ST, SUMNER WA
Contractor License No: PLUMBEI986OO
Phone:
Phone: 253 255 -1828
Phone: 253 826 -4621
Expiration Date:09 /20/2006
DESCRIPTION OF WORK:
RIG APPROXIMATELY 30 LINEAR FEET OF 1" GAS PIPING
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 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
0
Gas Piping
Gas piping outlets (0 -5) 1
Gas piping outlets (6 +) 0
"continued on next page"
doc: UPC - Permit
PG06 -135 Printed: 08 -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: pi.tukwila.wa.us
Steve Lancaster, Director
Permit Number: PG06 -135
Issue Date: 08/28/2006
Permit Expires On: 02/24/2007
Permit Center Authorized Signature:
Date: Of /,- X9 el,
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 grantin r • permit does not presume to give authority to violate or cancel the provisions of any other state or local laws
regulating c •n or the perfy- ance of work. I am authorized to sign and obtain this plumbing/gas piping permit.
Signature: R [� A. / Date: —2`q -06 _
Print Name: P C " t n .4-CB G�
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 -135 Printed: 08 -28 -2006
City cfre 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
Parcel No.: 3523049018
Address: 5835 SEGALE PARK DR C TUKW
Suite No:
Tenant: KENT H LANDSBERG COMPANY
PERMIT CONDITIONS
Steve Lancaster, Director
Permit Number: PG06 -135
Status: ISSUED
Applied Date: 08/28/2006
Issue Date: 08/28/2006
•
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"
doc: Conditions
PG06 -135 Printed: 06 -26 -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: ci.tukwila.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 con tion or the performance of work.
Signature: i• it
�J /
Print Name: Prc4Giet ()Are) b SCE
Date: d 2_9 -06
doc: Conditions
PG06.135 Printed: 08 -28 -2006
Community DevelopmL ,IDepartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www,ci.tukwila.wa.us
Plumbing/ 3 Permit No.
ProjectNo.
•
(Foroffice y2
ap, 13C-
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: 58I3S se.
Tenant Name: PST 1 Alit
Property Owners Name: Se (r f%Ca r, Ie5
Mailing Address: en er h D i5 7✓1L01let ti
City
AP)< C-
fh
King Co Assessor's Tax No.:_tc2an 9 O si
Suite Number: Floor:
New Tenant: a.... Yes ❑ ..No
State
Zip
CONTACT PERSON -Who do we contact when your permit Is ready to be issued
Name: kt ctd\r t— Day Telephone: fR,5-3 cRYr /e' ZY
Mailing Address: $'/3 etc, 4 cri, i/ 5 4- -f k. K t/ Siem- LO 9RS )
/ City State Zip
E -Mail Address:
Fax Number:
[PLUMBING ( GAS PIPING CONTRACTOR INFORMATION
Company Name: f i rt T ICS S ..--L C
Mailing Address: 2/ 3tdy 54- A„ , in. ar- w it 78.39 a
City State Zip
Contact Person: 46 Lt. Day Telephone: aS 3 82% w,,, 2.- (
E -Mail Address: Fax Number: cP 513 )5'9% 2 33 0
Expiration Date: 9—g0 —o ce
Contractor Registration Number: OL)» ■ a er9j3�O D O
ARCHITECT OF RECORD -All plans must be wet stamped by Architect otRecord
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
City
Day Telephone:
Fax Number:
State
Zip
ENGINEER OF RECORD -Ali 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
Q1Applicnioia\Foeme- Applications On Linc\ -2006 • Plumbing -Gas Piping Permit Appliaion.doc
Revised' 4.2006
bh
Page 1 of 2
D
oa
Valuation of Project (contractor's bid price): $ SOQA C
Scope of Work (please provide detailed information): (�t a Q /PDX 30 / / t I 54.5 f Rio' ✓Iy
Building Use (per Intl 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 ipe .
Qty
Fixture Type: °
jty
Fixture `Type:
Qty
Fixture Type:',
Qty
Bathtub or combination
bath/shower
Drinking fountain or water
cooler (per head)
Wash fountain
-
Gas piping outlets
t
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
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 OORIZE GENT: iT
Signature:
Print Name:
Mailing Address:
89-3
-c Inn
Day Telephone:
3ktti,>n,er v.) 2'837
State Zip
Date: gap -0 Co
City
Date Application Accepted:
z(n / -
Date Application Expires:
„2 /na /
Staff Initials:
I
Q:UppliwionsWomu- Application. On Line\3 -2006 - Plumbing-Gas Piping Penni Application doe
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.: 3523049018 Permit Number: PG06 -135
Address: 5835 SEGALE PARK DR C TUKW Status: PENDING
Suite No: Applied Date: 08/28/2006
Applicant: VACANT SPACE Issue Date:
Receipt No.: R06 -01352 Payment Amount: 88.00
Initials: JEM Payment Date: 08/28/2006 02:17 PM
User ID: 1165 Balance: $0.00
Payee: PLUMBING EXPRESS INC.
TRANSACTION LIST:
Type Method Description
Amount
Payment Check 6566 88.00
ACCOUNT ITEM LIST:
Description
Current Pmts
Account Code
GAS - NONRES
000/322.100 88.00
Total: 88.00
9098 08/28 9716 7017L. ::.00
doc: Receipt
Printed: 08- 26-2006
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
PE
(2 t 6)431 -36 0
Project:
i.
Type of In
ion: - `
Address:
Sp
/.i
Da a Called:
Special Instructions: :
Date Wanted:
a:m.
Requester:
Phone No:
Approved per applicable codes.
OCoriections required prior to approval.
COMMENTS:
,7 re : 'L
(1A1 hel Date: ?, 0 _46
$58.00 REINSPECTION FEE REQUIRED. Prior to inspection; fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
INSPECT NO.
CITY OF TUKWILA BUILDING DIVISION
INSPECTION RECORD
Retain a copy with permit
6300 Southcenter Blvd., #100, Tukwila, WA 98188 /)(206)4
-36
Project: �II
an(icto('c Div
Type of Inspection!•..-
Address:
Yi C
Date Called:
111128
'
dv
r
Special Instructions: J
Date Wanted:
Requester:
--�-
TI / h
Phone No: n 2ss I$ZQ
pproved per applicable codes. El Corrections required prior to approval.
CO MENTS:
I;, - t /
Inspector
i 3 ( r,ige •? r-,
IdiPn
$58.0b REINSPECTIO FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Date:
Receipt No.:
Date:
. » »... .� ...,. .................... «,..........,....,.o.. ..g........
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
PLUMBEI98600
Licensee Name
PLUMBING EXPRESS INC
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
602226682
Ind. Ins. Account Id
VICE PRESIDENT
Business Type
CORPORATION
Address 1
813 ACADEMY ST
Address 2
City
SUMNER
County
PIERCE
State
WA
Zip
98390
Phone
2538264621
Status
ACTIVE
Specialty 1
PLUMBING
Specialty 2
UNUSED
Effective Date
9/20/2002
Expiration Date
9/20/2008
Suspend Date
Separation Date
Parent Company
Previous License
PLUMBE•077PR
Next License
Associated License
Business Owner Information
Name
Role
Effective Date
Expiration Date
KILDARE, JOHN T
PRESIDENT
09/20/2002
KILDARE, KRISTI
VICE PRESIDENT
09/20/2002
Bond Information
Bond
Bond
Company
Name
Bond Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
GREAT
AMER
INS CO
Until
https: // fortress. wa. gov /lni/bbip/ printer .aspx?License= PLUMBEI98600 08/28/2006