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Permit PG06-211 - GOUGH DEVELOPMENT
GOUGH DEVELOPMENT 16674 53 AV S PG06 -211 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 8858800079 18674 53 AV S TUKW PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: Steve Lancaster, Director PG06 -211 11/07/2006 05/06/2007 Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: GOUGH DEVELOPMENT 1667453AVS,TUKWILAWA GOUGH 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 THORNDYIIE AV W , SEATTLE WA Contractor License No: BOBSNNC9770B Phone: Phone: 425889 -9345 Phone: 425 889 -9345 Expiration Date: 09/02/2007 DESCRIPTION OF WORK: (3) GAS PIPING OUTLETS Value of Plumbing /Gas Piping: Fees Collected: $0.00 $88.00 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 Sinks Urinals Water Closet Uniform Plumbing Code Edition: 2003 International Fuel Gas Code Edition: 2003 FIXTURE TYPE AND OUANTITY 0 0 Plumb' g (cont.) Building sewer and each trailer park sewer 0 Rath water system - per drain (inside bldg) 0 Water heater and/or vent 0 Industrial waste treatment interceptor, including its trap and vent, except for kitchen type grease interceptors 0 Repair or alteration of water piping and/or water treatment equipment 0 Medical gas piping system serving one to five inlets /outlets for a specific gas 0 Gas Pining Gas piping outlets (0-5) Gas piping outlets (6 +) * *continued on next page ** 3 0 doc: UPC -10/06 PGO6.211 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: / /wtvw.ci.tukwila.wa.us Steve Lancaster, Director Permit Number: PGO6 -211 Issue Date: 11/07/2006 Permit Expires On: 05/06/2007 Permit Center Authorized Signature: I hereby certify that I have read and e governing this work will be complied Date: II IDA,610 permit an 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 pennit. -y Signature: ( f mtt Date: /F O /X06 Print Name: WY k hip ch 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 PG06.211 Printed: 11 -07 -2006 Parcel No.: 8858800079 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.ci.tukwila.wa.us 16674 53 AV S TUEW GOUGE DEVELOPMENT PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: PG06 -211 ISSUED 11/07 /2006 1I/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. 8: 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 -211 Printed: 11 -07 -2006 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.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: Peik Print Name: P4,4f , \ yhThiti, 1 p cm (AK. Date: /I -D7 -o,6 doc: Cond -10/06 PG06 -211 Printed: 11-07 -2006 Community Developme%,'partment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htko://www.ci.tukwila.wa.us Piumbing/G ermitNo. 4�— �[ \ Project No. (For officeuse y) 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 LOCATION Site Address: Tenant Name: King Co Assessor's Tax No.: O O) 5 fig % 19077 -7 % 16 6 [ c( Ue Suite Number: Floor: H ow-Le 41<ri fSu do/ <vS' Property Owners Name: ri 151 e 21,1 t'_ co" Her S' Mailing Address: / i (? Pon City New Tenant: D .... Yes ❑ ..No wd, 9f osS state Zip ONTACT PERSON '..;;Who do we Contact When your permit is ready to be issued Name: CA-4 V re S WU 14 -1 t? Mailing Address: a 6 J /I S 4 » P E- Mail Address: e. k) U/ Vh ® bobs n c. con, Day Telephone: Lit) 5 -c g BI -93 ($S /'f tie -me' Leif 9c903V Fax Number: 0 S -gO 9-0 61 PLUMBING`! GAS PIPING CONT Company Name: a 0 b 1. fC e-i�� C 73 f-Y o c/lr t Old Mailing Address: i3 6 3 Alt 6' PL '� 3S0 IICt� Ita�Ei u/,� gga3 y 1..�- k /i &'i...0 City /' Sate Zip Contact Person: n ',, S � �1 Day Telephone: ,�t �S "0 c� Q "/q�.3 t/�� E-Mail Address: � t Ll / vvi .b o/O S' O 1 • con.? Fax Number: T 0 9/7/7 �"C�cr et" V�t 3 Contractor Registration Number: 0 / ✓N e_ ff 17DQ Expiration Date: ARCHITECT OFItECORD ` Al [ plans must be wet stamped by otRetotd Company Name: Mailing Address: Contact Person: E-Mail Address: city Day Telephone: Fax Number: State Zip ENGINEER OF RECORD — All plans mast be wet stamped by Engineer of Record Company Name: Mailing Address: City Day Telephone: Fax Number: Contact Person: E -Mail Address: Q:Appliatimu\Fenn-Applications On LincU.2006 • Plumbing -Gas Piping Permit AppliationAoc R.vind: 4-2006 bb state Zip Page 1 of 2 h f e Valuation of Project (contractor's bid price): ): $ /o DO' (l C Scope of Work (please provide detailed information): 19.6s p to pe. t-o 4' - n d) e e 17 u/ / rip /&c. Building Use (per Intl Building Code): Occupancy (per Int'1 Building Code): Utility Purveyor: Water: Sewer: Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: liatureYBe qty, F( #turclyiYe :; -, ,:, .Qt3;Flxturg'Type: Date Application Expires: Qt) 'FixkireType.. °':2ty :, Bathtub or combination bath/shower Drinking fountain or water cooler (per head) l V 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 / 1 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 OWNER OR AUTHORIZED AGE Signature: Print Name: 'fir Mailing Address: 13 -6 31 Al Date: / I 07-0 lJ Day Telephone: (i 9 5 ' e (es- /9 6 P1 S-t- 3s© kzvttoi,i d wA qs o' 'y City State Zip Date Application Accepted: Date Application Expires: Staff Initials:: I I l V a (6 01-1 ' Q:Upplientions\Fonmdppliatipn On LineU- 2006 - Plumbing-Gas Piping Pam' Applicntion.doc Revised: 0-2006 bh Page 2 of 2 Parcel No.: Address: Suite No: Applicant: 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 8858800079 18674 53 AV S TURW GOUGH DEVELOPMENT RECEIPT Permit Number: Status: Applied Date: Issue Date: PG06 -211 ISSUED 11/07/2006 11/07/2006 Receipt No.: R07 -00160 Initials: LAW User ID: 1632 Payment Amount: Payment Date: Balance: $58.00 02/05/2007 01:18 PM $0.00 Payee: DAVIS & ROBINSON INC DBA MAJESTIC BUILDERS TRANSACTION LIST: Type Method Description Amount Payment Check 6714 ACCOUNT ITEM LIST: Description Account Code 58.00 Current Pmts GAS - RES 000/322.100 58.00 Total: $58.00 4541 02/05 9716 TOTAL. 59.000 don: Receipt -06 Printed: 02-05-2007 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax 206431 -3665 Web site: http: //www.ci.tukwila.waus SET RECEIPT RECEIPT NO: R06 -01779 Initials: JEM User ID: 1166 Payee: BOB'S NEW CONSTRUCTION INC. Payment Date: 11/07/2006 Total Payment: 176.00 SET ID: 1107 SET NAME: MAJESTIC SET TRANSACTIONS: Set Member Amount PG06 -210 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 Doe: RECSETS -06 1545 11/00 X710 TOTAL 176.00 3 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit )431 Project: . 1Ue, , , Anype AV L ' _. �m —;dress. of Ip`ction: 6 //U'9/ /� `./ y /f S Date Called: dr ,1-G 71.>3 Aif s Special Instructions: Date Wanted: ew Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. OMMENTS: Inspect° . 58. 0 REINSPECTIO FEE RE REQUIRED. PH Date: 2 - -Gw7 ni5 Q or 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 DIVISIO 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit Proj t: e Cod_ e,h- _/)•d. Type of Inspection: GAS t '" Address: /6674/ S> Au S Date Called: Special Instructions: Date Wanted: //- /3 - a c Ca.rtr. vtrr Requester: Phone No: BSI -24/— 6 76 ill Approved per applicable codes. El Corrections required prior to approval. COMMENTS: nspect Date: ‘(A) D $58.0 REINSPECT N FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Cait 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 Project: Project e- /3 Typ ;• Inspectiolsae• fl!r , aft,< Addres h Date a e• : Speci Instructiods: �" - '� Date Wanted: /1— 9 c: p.m Requester: Phone No: 0Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: N A- nspector: 0 558. NSPECTI�t REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Date: 4.40frer‘ Receipt No.: r, Date: INSPECYION NO. INSPECTION RECORD Retain a copy with permit .r._ CITY OF TUKWILA BUILDING DIVISION PER 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36t0 Project: //O Type of Inspection: N. Address /lam 79O_ S Date Cal d: / II Special Instructions: ,57.3 Date Wanted: n �m Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: zif%701C1 at ;47 nspecto $58.00 REINSPECTIO PE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.' Date: -/3 0L Receipt No.: Date: LVV31 Vll 0.1AVLL110.AAJI, li1YYLL1% "flII V1 114111U1/4e1 LLYYIIDY YY10.11 1 0.5Y 1 VL L 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 BOBSNNC9770B 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, HEAGLE 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