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Home My WebLink AboutPermit PG06-142 - SAFEWORKSSAFEWORKS 365 UPLAND DR PG06 -142 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: cj. tukwila. wa. us Parcel No.: 8836500070 Address: 365 UPLAND DR TUKW Suite No: PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: Steve Lancaster, Director PG06.142 09/12/2006 03/11/2007 Tenant: Name: SAFEWORKS Address: 365 UPLAND DR, TUKWILA WA Owner: Name: SAFEWORKS PROPERTIES LLC Address: 365 UPLAND DR, TUKWILA WA Contact Person: Name: RAY FLIPPIN Address: PO BOX 2272, REDMOND WA Contractor: Name: RAY'S PLUMBING & HEATING LLC Address: 20528 NE UNION HILL RD, REDMOND WA Contractor License No: RAYSPPH946ND Phone: Phone: 425 890 -8800 Phone: 425 868 -2032 Expiration Date:08 /04/2008 DESCRIPTION OF WORK: ROUGH IN AND INSTALL NEW 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" doe: UPC - Permit PG06 -142 Printed: 09 -12 -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: ci.tukwila.wa.us Steve Lancaster, Director Permit Number PGO6 -142 Issue Date: 09/12/2006 Permit Expires On: 03/11/2007 Permit Center Authorized Signature: ,/ I I hereby certify that 1 have read and ordinances governing this work will be mpli AV, filitC Date: Ott 117'I( s permit and know the same to be true and correct. All provisions of law and th, 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 .r the a formance of work. I am authorized to sign and obtain this plumbing /gas piping permit. Signature: Date: 4//27/e G' Print Name: 704y 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 -142 Printed: 09 -12 -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: ci.tukwila.wa.us Parcel No.: 8836500070 Address: 365 UPLAND DR TUKW Suite No: Tenant: SAFEWORKS PERMIT CONDITIONS Steve Lancaster, Director Permit Number: PGO6 -142 Status: ISSUED Applied Date: 09/12/2006 Issue Date: 09/12/2006 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 PGO6 -142 Printed: 09 -12 -2006 City drTukwila 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: fi.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 construction or the performance of work. Signature: Print Name: Date: `7/4 -z7e'F doc: Conditions PG06 -142 Printed: 09-12 -2006 Community Developmenkuipartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila. wa.us Plumbing/G. verniii N0...:: KAP c-t- 19 Z-- Projeal.No:: •,.- ',::'.-:::),-,,, '1 '.....: .-::;:-.•,,,,,,':... ,.: --: :". . ' - ": - . /f0t:osicclio'.0#:,,-,..",,,:::erY, 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: 6/),,i/nc., Tenant Name: Se yC \A,-,, 'Alf King Co Assessor's Tax No.: 175&l12 -002v Suite Number: Floor: New Tenant: 0 .... Yes 14-140- Property Owners Name: Mailing Address: City State Zip CONTACT PERSON -who do we contact when your permttIs ready to be issued Name: Mailing Addr ss: P Dy Telephone: Vir ?a ("cc 142t c'cr-C7) City State Zip E-Mail Address: Fax Number: 9-2...0 16-cr 2 0-7-7.- MBING / GAS PIPING CONTRACTOR INFORMATION Company Name: Rik, 742 z.-,‘,71.2. AivienCeLc-, Mailing Address: • • .ord Contact Person: At ji F//e] E-Mail Address: r e Pen Contractor Registration Numbei: 7sl4Yr 17.17/4/ 94' C Azo a City State Zip Day Telephone: tift C 59c elar, Fax Number: V2S gCe Se77? Expiration Date: 8/0 Se/Cr ARC1DTECT OF RECORD - plans must be wet stamped by Architect of RecOrd Company Name: Mailing Address: Contact Person: E-Mail Address: City Day Telephone: Fax Number: State Zip ENGINEER OF RECORD -MI plans must be wet stamped by Engineer of Record Company Name: Mailing Address: Contact Person: E-Mail Address: Q:Upplications \ Formsapplieations On Linea-2006 - Plumbing-Gas Piping Punk Application.doe Revised: I-2006 bb City Day Telephone: Fax Number: State Zip Page 1 of 2 Valuation of Project (contractor s bid price): $ 2.44re a (.9_J n t Scope of Work (please provide detailed information): /5 n e Q r. i City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 RECEIPT Parcel No.: 8836500070 Address: 365 UPLAND DR TUKW Suite No: Applicant: SAFEWORKS Permit Number: PG06 -142 Status: PENDING Applied Date: 09/12/2006 Issue Date: Receipt No.: R06 -01426 Payment Amount: 88.00 Initials: JEM Payment Date: 09/12/2006 02:18 PM User ID: 1165 Balance: $0.00 Payee: RAY'S PLUMBING AND HEATING TRANSACTION LIST: Type Method Description Amount Payment Check 9738 88.00 ACCOUNT ITEM LIST: Description Current Pmts Account Code PLUMBING - NONRES 000/322.100 88.00 Total: 88.00 9576 09/12 9716 TOTAL 88.00 doc: Receipt - Printed: 09 -12 -2006 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit (206)431. 620 Project: -.579f- doe ,4' s Type of Inspection: \J /-_-",-;./...9t Address: .3(,5 2 /ALAN') O.? Date Called: Special instructions: Date Wanted: m. /2 -20-04. p.m. Requester: Phone No: 0206- 42 7 - 36.5-0 Approved per applicable codes. D Corrections required prior to approval. OMMENTS: j{lmi f (107413k 1-(' J 6f 00 REINSPECTION E REQUIRED. Prior to inspection, fee must be d at 6300 Southcent Blvd., Suite 100. Call to sechedule reinspection. Re ipt No.: Date: INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit PER 06)431 -367 Project: _- / S -a cctn -ev-v Tf Inspection: Type / /�.� /J ` /"2c. Address: Date Called: — r� 7 Special Instructions!" Date Wanted: 9- /-?--( am: Requester: Phone No: proved per applicable codes. El Corrections required prior to approval. OMMENTS: !1 IZdtt9'�1 i . J - � (0 tte-- // Date 8.00 REINSPECTION FEE REQUIRED. Prio o inspection, fee must be aid at 6300 Southcenter Blvd., Suite 100 all to sechedule reinspection. (Receipt No.: rla 'WI+nk'wt-tsrri t SAFt Date: 1 0.SV 1 1../1 Washington State Department of Labor and Industries General/Speclalty 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 RAYSPPH946ND Licensee Name RAY'S PLUMBING & HEATING LLC Licensee Type CONSTRUCTION CONTRACTOR UBI 602611861 Ind. Ins. Account Id #1 Business Type LIMITED LIABILITY COMPANY Address 1 20528 NE UNION HILL RD Address 2 City REDMOND County KING State WA Zip 98073 Phone 4258682032 Status ACTIVE Specialty 1 PLUMBING Specialty 2 UNUSED Effective Date 8/4/2006 Expiration Date 8/4/2008 Suspend Date Separation Date Parent Company Previous License RAYSPH* 1580T Next License Associated License Business Owner Information Name Role Effective Date Expiration Date FLIPPIN, RAY PARTNER/MEMBER 08/04/2006 Bond Amount Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date #1 OLD REPUBLIC SURETY CO YLI204448 06/01/2006 Until Cancelled $6,000.00 08/04/2006 https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= RAYSPPH946ND 09/12/2006