HomeMy WebLinkAboutPermit PG06-234 - SOUTHCENTER MEDICAL BUILDINGSOUTHCENTER MEDICAL
BUILDING
411 STRANDER BL
PG06 -234
Parcel No.:
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Value of Plumbing /Gas Piping:
Fees Collected:
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
0223200052
411 STRANDER BL TUKW
SOUTECENTER MEDICAL BLDG
411 STRANDER BL, STE 106 , TUKWWB,A WA
PLUMBING /GAS PIPING PERMIT
MEDICAL CTRS CO
C/0 NEWCASTLE REAL ESTATE , 15642 SE 24TH ST
RENEE LEON
1161149 PL W , MUKILT EO WA
Contractor:
Name: UNIVERSITY MECHANICAL CONTRACTOR
Address: 1300 N 130 , PO BOX 33723
Contractor License No: UNIVMC *343N9
DESCRIPTION OF WORK:
PLUMBING ROUGH -IN ON ONE OFFICE SINK, TIE INTO EXITING WATER, WASTE AND VENT
LINES (ABOUT 10' AWAY).
Plumbing
Bathtub or combination bath/shower
Bide
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
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 206364 -9910
Phone: 206- 364 -9900
Expiration Date: 10/03/2008
PG06 -234
12/05/2006
06/03/2007
$0.00 Uniform Plumbing Code Edition: 2003
$88.00 International Fuel Gas Code Edition: 2003
FIXTURE TYPE AND OUANTITY
0
0
Cana Pining
Gas piping outlets (0-5)
Gas piping outlets (6 +)
* *continued on next page **
Steven M. Mullet, Mayor
Steve Lancaster, Director
Plumbing (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
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
0
0
doc: UPC -10/06 PGO6 -234 Printed: 12 -05 -2006
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be compile
The granting of this permit does n • • re
construction or the • - c:
4
Signature: a I
Print Name:
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
Permit Number:
Issue Date:
Permit Expires On:
! /: i.
j v
i / S
Steven M. Mullet, Mayor
Steve Lancaster, Director
PGO6 -234
12/05/2006
06/03/2007
Date: PIA ttt/
s permit and know the same to be true and correct. All provisions of law and ordinances
r specified herein or not.
give authority to violate or cancel the provisions of any other state or local laws regulating
uthorized to sign and obtain this plumbing /gas piping permit.
Date: /Z /a / (-
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 front the last inspection.
doe: UPC -10/06 PGO6.234 Printed: 12 -05 -2006
Parcel No.: 0223200052
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
411 STRANDER BL TUB:W
SOUTBCENTER MEDICAL BLDG
1: ** *PLUMBING AND GAS PIPING * **
PERMIT CONDITIONS
* *continued on next page**
Permit Number:
Status:
Applied Date:
Issue Date:
PG06 -234
ISSUED
12/05/2006
12/05/2006
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.
8: 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 11-3.
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.
doc: Cond -10/06 PGO6 -234 Printed: 12 -05 -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 goveming
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:
doe: Cond -10/06
coy i1
Date:
PG06 -234 Printed: 12 -05 -2006
CITY OF TUKWILA
Community Development Department
Public WorJts Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
binslo nv.cialgylla wa cs
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**
King Co Assessor's Tax No.: Op— Ztd46d$5.2.
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Property Owners Name: m Cac. .w n vsCO I-1— C
Mailing Address: 4 [1 Sinksn P..,/` 'kv et Ct.:int. &'J%: b %cu.); IA - 1 r,Ut4' 9818 Q
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Fax Number: 'Z.
E -Mail Address: ri t tY16- u nte.i C orn-
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Mailing Address:
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Contact Person: Day Telephone:
E-Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
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Contact Person:
E -Mail Address:
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, EIXtU1'p 3'vpa.. �.:: �. � �<
'r3lY :;
�::P1xtHY'eTYpe . � . ,;
L)ti+..l�:'PiXtlti'C ?yptr; . �:.
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Bathtub or combination
bath /shower
Drinking fountain or water
cooler (per head)
Wash fountain
Gas piping outlets
Bidet
Food -waste grinder,
commercial
Receptor, indirect
waste
Clothes washer, domestic
Floor drain
Sinks
1
Dental unit, cuspidor
Shower, single bead trap
Urinals
Dishwasher, domestic,
with independent drain
Lavatory
Water Closet
Building sewer or trailer
Park sewer
Rain water system —per
drain (inside building)
Water heater and /or
vent
Additional medical gas
inlets/outlets — six or more
Industrial waste
pretreatment Interceptor,
including its trap and vent,
except for kitchen type
stream interceptors
r 1
Repair or alteration of water
piping and/or water treating
equipment
Repair or alteration
of drainage or vent
piping
Medical gas piping ayetcm
serving one to five
inlets/outlets for specific gas
PLUMBING AND GAS PD'ING CONTRACTOR INFORMATION /
Company Name: Udni✓Cf$t %Mte_�ne": Pad COVNVLLtJvs I P_-
Mailiug. s: 111nit •e64 Wtt.tki -co (s0 ()Barn -ttas
ad
State Zip
Contact Person: eapal Day Telephone: -]o- Ace-1— 9910
E- MailAddress: r1.1 nn e (.e tine: . f VY1 Fax Number: Zo.ar• 7%(o (o9$
Contractor Registration Number: 4 (4& 1 VAC ' 3ya tic/ Expiration Date'
s
Valuation of Plumbing work (contractor's bid price): $ . $ 0
Valuation of Gas Piping work (contractor's bid price): $ 0
Scope • •rk (please provide . etailcd info
•
,11
Building Use (per Int') Building Code):
Occupancy (per Intl Building Code):
Utility Purveyor. Water:
Indicate type of plumbing fixtures and /or gas piping outlets being installed and the quantity below:
SlasileeaaWra s- Appliadaaee tlel32eed- rawkAWIw hadee
Revisal: RIOS
OA
O N
Sewer:
Page 5 of 6
I Date Application Aeuepted: (`I
f
Date Application Expires:
o t t t
t —
Staff Initials:
,)
Value of Construction —In all cases,* value of constitution 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 — Application for which no permit is issued within 180 days following the date of application shall expire by limitation.
Building and Mechanical Permit
The Building Official may grant one or more extenaione 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 Coda (current edition).
1,;mhin¢ 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 OP THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR AUTHORIZED AGENT:
Signature: s [ 9. %J.t- J 0 _1-- —
Date: 12- S^ oC
Print Name: F PM€ I_{An Day Telephone: Zn(r -1- 9910
Mailing Address: Ulan “A'' P I i Jes4 ; vl c ({-co LAJA gR2"71 x/25
sop Zip
(pAptiodoWa Aeoiiaaiom On 4iS&2006• P S* AppWdc 4 e
Revised: MtOe
City
Page 6 of 6
Parcel No.:
Address:
Suite No:
Applicant:
Receipt No.: R07 -01078
Initials: JEM
User ID: 1165
Payee:
TRANSACTION LIST:
Type Method Description
ACCOUNT ITEM LIST:
Description Account Code
doc: Receipt -06
0223200052
411 STRANDER BL TUKW
SOUTHCENTER MEDICAL BLDG
UNIVERSITY MECHANICAL
Payment Cash
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
PLUMBING - NONRES 000/322.100
RECEIPT
Permit Ntunber:
Status:
Applied Date:
Issue Date:
Payment Amount:
Payment Date:
Balance:
Amount
58.00
Current Pmts
58.00
Total: $58.00
$58.00
PG06 -234
ISSUED
12/05/2006
12/05/2006
06/08/2007 10:13 AM
$0.00
9113 06/08 9716 TOTAL 58.00
Printed: 06-08 -2007
Parcel No.: 0223200052 Permit Number: PG06 -234
Address: 411 STRANDER BL TURIN Status: PENDING
Suite No: Applied Date: 12/05/2006
Applicant: SOUTHCENTER MEDICAL BLDG Issue Date:
Receipt No.: R06 -01905
Initials: JEM Payment Date: 12/05/2006 10:58 AM
User ID: 1165 Balance: $0.00
Payee: UNIVERSITY MECHANICAL
TRANSACTION LIST:
Type Method Description Amount
Payment Cash 88.00
ACCOUNT ITEM LIST:
Description
PLUMBING - NONRES
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: //wuwv.cttukwila.wa.us
RECEIPT
Account Code Current Pmts
000/322.100 88.00
Total: $88.00
Payment Amount: $88.00
doc: Receipt -06 Printed: 12 -05 -2006
Project:
. . / T 7 / f / 7 eV'' h ' P ; ; � 1 r .
Type of Inspection:
/ /-- ', A
Address:
Z1 // 57` /a t-.rr
l3 C
Date Called:
Special Instructions:
DatWanted: /57
Pan!
Requester:
Phone No
2cil ci3! - 35
ej
�` INSPECTION RECORD
c�I Retain a copy with permit
INSPE ION NO. .
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PERM NO.
U�
(206)431-3670
Approved per applicable codes. E Corrections required prior to approval.
COMMENTS:
its
r ate: / a__ ! r,�
O 0 REINSP FEE REQUIRED. Prior o inspection, fee must be
paid at 6300 S center Blvd., Suite 100. Call the schedule reinspection.
'Receipt No.:
(Date:
Protect:
.Do)/ /6gGst_ lf'y / ?er6r4/
of
Type of 1 spection: _, gOO Z
- g6o S
Address:
J S7,?.7.✓Je'a
' L-
Date Called:
Special Instructions:
Date Wanted:
/ O � '
/J?
p.m
Requester:
Phone No:
-S >
.g/ S
4
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
Pddl- 22
PERMIT NO.
CITY OF TUKWIL . BUILDING DIVISION 1
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3670
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
;58.00 REIN CTION FEE REQUIRED. Prior o inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection.
!Receipt No.:
IDate:
•
Project: ,
SO/ 7 /M et? /nir(g4
of Inspection:
EAU/ A% l
Address:
y il Srn -d'/ et-
Date Called:
Special Instructions:
Date Wanted:
5 30 r 0 2
Ca
P.m.
Requester:
7 3O - 9f3 s
P -266 —14V• -•
io
a
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 • (206)431 -3670
El Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
5 4 Corrections required prior to approval.
.00 REINSPECTION FE REQUIRED. Prior o inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection.
(Receipt No.:
IDate:
Project:
Type of Inspection:
`"_
Address:
t /// 4i,-i /// Si
Date Called:
Special Instructions:
fo'9 //
-2 •5 3aa7 79
Date Wanted:
S- - /
v.m.
Requester:
Phone No:
- Qoa 3G' c
/o
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERM
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-
Ej Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
Inspector:
Date: /q_
$58.00 REINSPECTION FEE REQUIRED. Prior o inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection.
!Receipt No.:
(Date:
1
Project:
in A avi kr
Type of I pection:
c- 4 ,z >
Address:
‘18 5inc 64e
e Ca led:
ri
Special instructions:
CO5, 3'O(
Date Wanted a.m.
? GS'
Requester:
Phone No gni"
2-06 -7,joetss •
INSPECT N NO.
*INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)431
' Corrections required prior to approval.
COMMENTS:
/3 LS "d9
4 " 1 " ci tn
.5-
j.e171, z4Zae, tai4
-ord., 4,a— /0
or" j Ay a A 4
0 Approved per applicable codes.
"'a $58.00 REINSPECTION F REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100 Call to sechedule reinspection.
Receipt No.:
Date:
10 -02 -2007
RENEE LEON
11611 49 PL W
MOULTED WA 982754255
RE: Permit No. PG06 -234
411 STRANDER BL TUKW
Dear Permit Holder:
In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila Building Division.
Per the Uniform Plumbing Code and/or International Fuel Gas Code, every permit issued by the Building Division under the
provisions of this code shall expire by limitation and become null and void if the building or work authorized by such permit is not
commenced within 180 days from the date of such permit, or if the building or work authorized by such permit is suspended or
abandoned at any time after the work is commenced for a period of 180 days.
Based on the above, you are hereby advised to:
Call the City of Tukwila Inspection Request Line at 206-431-2451 to schedule for the next or final inspection.
This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if
the project should be considered abandoned.
If such determination is made, the Plumbing and/or Gas Code does allow the Building Official to approve one extension of time for an
additional period not exceeding 180 days. Extension requests must be in writlnE and provide satisfactory reasons why circumstances
beyond the applicants control have prevented action from being taken.
In the event you do not call for the above inspection and receive an extension prior to 11/26/2007 , your permit will become null and
void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
er Marshall,
Permit Technician
xc: Permit File No. PG06 -234
City of Tukwila
Steven M. Mullet, Mayor
Department of Community Development Steve Lancaster, Director
AVM Cnnthrontor Rnnlovard Cnito *Inn • T,,kwlla Wachlnotnn OR1RR • Phnno• 2fA- 4171 -4A70 • Par. 2fA•dl1 •QAAS
05 -07 -2007
RENEE LEON
11611 49 PL W
MUIULTEO WA 98275 -4255
RE: Permit No. PG06 -234
411 STRANDER BL TUKW
Dear Permit Holder.
In reviewing our current records the above noted permit has not received a fmal inspection by the City of Tukwila Building Division.
Per the Uniform Plumbing Code and/or International Fuel Gas Code, every permit issued by the Building Division under the
provisions of this code shall expire by limitation and become null and void if the building or work authorized by such permit is not
commenced within 180 days from the date of such permit, or if the building or work authorized by such permit is suspended or
abandoned at any time after the work is commenced for a period of 180 days.
Based on the above, you are hereby advised to:
Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection.
This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if
the project should be considered abandoned.
If such determination is made, the Plumbing and/or Gas Code does allow the Building Official to approve one extension of time for an
additional period not exceeding 180 days. Extension requests must be in wrltine and provide satisfactory reasons why circumstances
beyond the applicants control have prevented action from being taken.
In the event you do not call for the above inspection and receive an extension prior to 06/12/2007 , your permit will become null and
void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
fer M shall,
Permit Technician
zc:
Permit File No. PG06 -234
City of Tukwila
Steven M. Mullet, Mayor
Department of Community Development Steve Lancaster, Director
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206- 431 -3670 • Fax: 206- 431 -3665
License Information
License
UNIVMC *343N9
Licensee Name
UNIV MECHANCL CONTRS INC
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
578025176
Ind. Ins. Account Id
SECRETARY
Business Type
CORPORATION
Address 1
11611 49TH PL W
Address 2
City
MUKILTEO
County
SNOHOMISH
State
WA
Zip
982754255
Phone
2063649900
Status
ACTIVE
Specialty 1
GENERAL
Specialty 2
UNUSED
Effective Date
8/29/1966
Expiration Date
10/3/2008
Suspend Date
Separation Date
Parent Company
Previous License
Next License
GRANSML982R3
Associated License
Business Owner Information
Name
Role
Effective
Date
Expiration
Date
BUSH, GERALD D
PRESIDENT
03/13/2002
GRANSTON, EDWARD
B
SECRETARY
03/13/2002
PETTERSON, DEAN M
TREASURER
03/13/2002
SMITH, DOUG
VICE
PRESIDENT
03/18/2002
KOMMERS, EDWARD
D
VICE
PRESIDENT
03/13/2002
09/13 /2004
VICE
Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 4
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.
https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= UNIVMC *343N9 12/05/2006