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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