HomeMy WebLinkAboutPermit PG06-210 - GOUGH DEVELOPMENTGOUGH DEVELOPMENT
16668 53 AV S
PG06 -210
Parcel No.:
Address:
Suite No:
City of 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: http: / /www.ci.tukwila.wa.us
8858800077
16668 53 AV S 'MEW
PLUMBING /GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On:
Steve Lancaster, Director
PGO6 -210
11/07/2006
05/06/2007
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
GOUGE DEVELOPMENT
1686853AVS,TUB:WILAWA
GOUGE DEVELOPMENT INC
3002 S WALKER ST , SEATTLE WA
CURTIS HULME
13633 NE 126 PL , KIRKLAND WA
Contractor:
Name: BOB'S NEW CONSTRUCTION INC.
Address: 2800 THORNDYKE AV W , SEATTLE WA
Contractor License No: BOBSNNC977OB
Phone:
Phone: 425889 -9345
Phone: 425889 -9345
Expiration Date: 09/02/2007
DESCRIPTION OF WORK:
Value of Plumbing /Gas Piping:
Fees Collected:
$0.00 Uniform Plumbing Code Edition:
2003
898.00 International Fuel Gas Code Edition: 2003
FIXTURE TYPE AND OUANTITY
Plumbing
Bathtub or combination bath/shower 0
Bidet 0
Clothes washer, domestic 0
Dental unit, cuspidor 0
Dishwasher, domestic, with independent drain
Drinking fountain or water cooler (per head)
Food -waste grinder, commercial
Floor drain
Shower, single head trap 0
Lavatory 0
Wash fountain 0
Receptor, indirect waste 0
Sinks 0
Urinals 0
Water Closet 0
Plumbina (cont.)
Building sewer and each trailer park sewer 0
Rain water system - per drain (inside bldg) 0
Water heater and/or vent 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
Medical gas piping system serving one to five
inlets/outlets for a specific gas 0
Gas Pining
Gas piping outlets (0-8)
Gas piping outlets (6 +)
* *continued on next page**
3
0
doc: UPC -10/06
PGO6 -210 Printed: 11-07 -2006
City of 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: http: / /www.ci.tukwila.wa.us
Steve Lancaster, Director
Permit Number: PGO6 -210
Issue Date: 11/07 /2006
Permit Expires On: 05/06/2007
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complied
Date: l (Ma{
1 a{
permit and know the same to be true and correct. All provisions of law and ordinances
r 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 or the performance of work. I am authorized to sign and obtain this plumbing /gas piping permit.
Date: O 7- O€
Print Name:
Pe-4r 4 fli (' f &u
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.
doe: UPC -10/06 PG06 -210 Printed: 11 -07 -2006
Parcel No.: 8858800077
Address:
Suite No:
Tenant:
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: http. / /www.cttukwila.wa.us
16668 53 AV S TUKW
GOUGH DEVELOPMENT
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
PG06 -210
ISSUED
11/07/2006
11/07/2006
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: Piping through concrete or masonry walls shall not be subject to any load from building construction. No plumbing
piping shall be directly embedded in concrete or masonry.
10: 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.
11: Piping in the ground shall be laid on a firm bed for its entire length. Trenches shall be backfilled 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.
12: 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: Cond -10/06
PG06 -210 Printed: 11 -07 -2006
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206431 -3670
Fax: 206 -431 -3665
Web site: http : / /www.ci.tukwila.wa.us
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: I
Print Name: P`^ ' Ark r lr p `" ` c-cic
Date: / r 01-06
doc: Cond -10/06 PGO6 -210 Printed: 11 -07 -2006
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.crtukwila.wa.us
Building Permit No.
Mechanical Permit No. �{"
Plumbing/Gas Permit No. i t', -2-40
0
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 through the mail or by fax.
**Please Print **
SITE LOCATION
Site Address:
King Co Assessor's Tax No.: % Can
Suite Number: Floor:
Tenant Name: N0.ScS!%%L .Dck, /cle/`4'
Property Owners Name: t s0.S- '1 /c 61/4 i / t
et-r
Mailing Address: ) a o l I ,vl `O n$'se kb �CdL�n it
New Tenant: ❑ Yes El No
City
State
Q
Zip
CONTACT PERSON - who do we contact when your permit is ready to be issued
Name: CctA1 -1A )-f- J..n L p Day Telephoonne: ya /T 3 9 73 ys-
Mailing Address: I C 3 3 A, a Ja Gm� r C I� it /L A n- L L., 4 9fQ ?7
� // City c+ State p Zip
E -Mail Address: CJtc t /0Y e— (c) s j )L• Ccn.+-r Fax Number: '%? 88 / -0C !1
GENERAL CONTRACTOR INFORMATION — .
_ (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5))
Company Name: t ia).^_t N rL9,6CG /t LL,,
Mailing Address: 3 D I o a It "b N��' /Ctn.A u 4 9sa
Address:
Contact Person:
id-J044 °L--
City �/ State r� n Zip
/ // Day Telephone: /9s-gg 9 - / ' Y z-
E- Mail Address: C Jtc 1 tc,4p) bob - r'ao --c Fax Number: eita- Sg9 —oc So
Contractor Registration Number: V,ogS/U/VC-97%Oi Expiration Date: C}. / %/07
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:
QM W IicnionsTo ms- Applications On L .eU 3006 - Permit Appl ication.oc
Revised 93006
bh
State
Zip
Page 1 of 6
PLUMBING AND GAS PIPING PERMIT INFORMATION — 206 - 431 -3670
PLUMBING AND GAS PIPING CONTRACTOR INFORMATION
Company Name: Re S C c-.-) eo0- SYTe -,o , t, rA.
Mailing Address:
Contact Person:
E -Mail Address: �.- -,���p �5 c �n7 C . C c.-c Fax Number: t /�/�1 g P CC .3p
Contractor Registration Number: �NAr 9 770.4 Expiration Date: 9! 7 /rn 2
N� a
City � // State Zip
Day Telephone: `Z ),S gg 7 ['3 9 t ys
Valuation of Plumbing work (contractor's bid price): $
Valuation of Gas Piping work (contractor's bid price): $ /00a0 Y/
Scope of Work (please provide detailed information): Cci- 7 )PP 1�p tea /w.nr� G, c.JT)
"PL!G er..ce—d, Gfc -
Building Use (per Int'I Building Code):
Occupancy (per Int'I Building Code):
Utility Purveyor: Water: Sewer:
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
Future 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
3
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
i
I
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
QU{ylicerimswarms- Appliusians On Li eU -2006 -Permit Appliratiantoc
Revised 9.2006
bb
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 dare 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 ( cunent 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 Uniform 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 0 • ' OR AUFHORIZ i��
Signatur
Print Name:
Date:
.41 �r Day Telephone: 5o) �g 9 93'Y5
Mailing Address:_ 43 633 tJ / pZg ft -S! 1 =356 4--/AL-4.. cL (-3A- 9 3 y
City State p
Date Application Accepted: 1i Wet/
Date Application Expires: 0,41
Staff Initials.
QUtpbcrianstFOn u- Awliueons a. t.o,eu.zoon • tit Applicedon.doc
Rn+sed 9.2906
bb
Page 6 of 6
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206-431-3665
Web site: hitp: /hvww.ci.tukwila.wa.us
SET RECEIPT
RECEIPT NO: R06 -01779
Initials:
User ID:
JEM
1166
Payee: BOB'S NEW CONSTRUCTION INC.
Payment Date: 11/07/2008
Total Payment: 178.00
SET ID: 1107 SET NAME: MAJESTIC
SET TRANSACTIONS:
Set Member Amount
PG06 -210 i 88.00
PG06 -211 88.00
TOTAL: 88.00
TRANSACTION LIST:
Type Method Description Amount
Payment Check 401325 176.00
TOTAL: 176.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
GAS - RES
000/322.100
TOTAL:
176.00
176.00
Doc: RECSEIS -06
1545 11 /OEi ?710 TOTAL 176.00
INSPECTION RECORD
Retain a copy with permit
INSPEf'.PIOR NO PER
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36
Project:
,4 /cc (ofrocit#
Type of Inspection:
F %vim / G.ts
c
A dress:
/ O 6 6 4 ' :r 4a S
Date Called:
Special Instructions:
Date Wanted
a- # -o -
a.m.
Requester: •
Phone No:
c2 5-3_ aG. 6 -GY is- '7
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
IDate:-z'_.
ri $58.0 REINSPECTION PEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
a s `, r?'.:.:y icn^�n i ,. s. . ,!., •.• ,., F"'""*_4L `.] %.a.saii .a.wm 4t1- -.1.4- s
2
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
06)431 -36
Pro ct:
rh i.r/�yn�F,t,
Type of Inspection:
'�,ig /(�fIS)
Address: g 37 nU
/-f
Date Called:
Special Instructions:
Date Wanted:
^7
!
r
Req er:
Phone No:
❑ Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
do. A, rl f.A" ni
t
nspector:
Z
Date:
p 6 7
E $58.00 REINSPECT! ON FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.: 'Date:
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
INSPECTION RECORD
Retain a copy with permit
6300 Southcenter Blvd., #100, Tukwila, WA 98188 206)43J -3ry7
Proj //ect: [L %j��
•
Type of Inspection:/ i��Y�Q9�.
Address:
Date Called:
Special Instructions:
Date Wanted: // a.m.
//— r� - o(-,
Requester:
' it
Phone No: /
0253- 2 / -lc% 7c)
Approved per applicable codes. Corrections required prior to approval, ,3
•
OMMENTS:
'gk = citteAle A' -1'.i
NA-.
nspector:
s58. Ob kINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
LVVI� VII 6'. V1LLl GVLV1, 1i1VV✓ 1% • VL 11✓111✓Vl LLYY11JY LYLa11
Washington State Department of Labor and Industries
General/Specialty Contractor
A business registered as a constriction 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
BOBSNNC977OB
Licensee Name
BOB'S NEW CONSTRUCTION INC
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
602320559
Ind. Ins. Account Id
PRESIDENT
Business Type
CORPORATION
Address 1
2800 THORNDYKE AVE W
Address 2
City
SEATTLE
County
KING
State
WA
Zip
98199
Phone
4258899345
Status
ACTIVE
Specialty 1
GENERAL
Specialty 2
UNUSED
Effective Date
9/2/2003
Expiration Date
9/2/2007
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
Business Owner Information
Name
Role
Effective
Date
Expiration
Date
DAN, FREIDBURG
AGENT
09 /02/2003
OLSON, CRAIG
PRESIDENT
09 /02/2003
RANDY, BEAGLE
SECRETARY
09 /02/2003
STEVE,
CHRISTIANSON
TREASURER
09 /02/2003
OLSON, VERN
VICE
PRESIDENT
09/02/2003
Bond Information
https: // fortress. wa. gov /lni/bbip/ printer .aspx?License= BOBSNNC977OB 11/07/2006