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HomeMy WebLinkAboutPermit PG08-010 - LEGACYLEGACY 16400 SOUTHCENTER PY, SUITE 100 PGO8-010 Parcel No.: 2623049021 Address: Suite No: Tenant: LEGACY • 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 16400 SOUTHCENTER PY TUKW PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: PG08 -010 ISSUED 01/08/2008 01/08/2008 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 m 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 PG08 -010 Printed: 01 -08 -2008 • • 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: Print Name: ,0C1.4' lafr/crkvian Date: / C 7 doc: Cond -10/06 PG08 -010 Printed: 01 -08 -2008 Parcel No.: 2623049021 Address: Suite No: City litf 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 PLUMBING /GAS PIPING PERMIT 16400 SOUTHCENTER PY TUKW Permit Number: Issue Date: Permit Expires On: PG08 -010 01/08/2008 07/06/2008 Tenant: Name: LEGACY Address: 16400 SOUTHCENTER PY, STE 100 , TUKWILA WA Owner: Name: LEGACY PARTNERS I TUKWILA L Address: 10655 NE 4TH ST #812 , BELLEVUE WA Contact Person: Name: BUD KLOSTERMAN Address: 600 INDUSTRY DR #8 , TUKWILA WA Contractor: Name: STATE MECHANICAL COMPANY Address: 600 INDUSTRY DR 8 , TUKWILA WA Contractor License No: STATEMC141C7 Phone: Phone: 206 575 -7527 Phone: Expiration Date: 09/01/2009 DESCRIPTION OF WORK: INSTALLATION OF ONE SINK Value of Plumbing /Gas Piping: Fees Collected: $2,000.00 $92.00 Uniform Plumbing Code Edition: 2006 International Fuel Gas Code Edition: 2006 FIXTURE TYPE AND QUANTITY Plumbing Bathtub or combination bath/shower 0 Bidet 0 Clothes washer, domestic 0 Dental unit, cuspidor 0 Dishwasher, domestic, with independent drain 0 Drinking fountain or water cooler (per head) 0 Food -waste grinder, commercial 0 Floor drain 0 Shower, single head trap 0 Lavatory 0 Wash fountain 0 Receptor, indirect waste - 0 Sinks 1 Urinals 0 Water Closet 0 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 Repair or alteration of drainage or vent piping 0 Medical gas piping system serving (1 -5) inlets /outlets for a specific gas 0 Medical gas piping (6 +) inlets /outlets 0 Gas Piping Gas piping outlets (0 -5) 0 Gas piping outlets (6 +) 0 * *continued on next page ** doc: UPC -10/06 PG08 -010 Printed: 01 -08 -2008 City otTukwila 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: PG08 -010 Issue Date: 01/08/2008 Permit Expires On: 07/06/2008 Permit Center Authorized Signature: • Date: 0( 1 vD 1o) I hereby certify that I have read and e ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied , whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of arty other state or local laws regulating construction or performance of work.) am aphorized to sign and obtain this plumbing /gas piping permit. Signature. Print Name: &X K (6sIzr Artco Date:(- K ^ or 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 -10/06 PG08 -010 Printed: 01 -08 -2008 CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 hitp., a it. i- tukiriliiura.us Building Permit No. Mechanical Permit No. Plumbing /Gas Permit No. 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 King Co Assessor's Tax No.:2 r(. AI©Ct 9 0"I1 Site Address: k 64 Oa S OJ'klAQ€4 pc r)L YAJ Suite Number: I (I Q Floor: Tenant Name: 1..Qc cy S-0J+1n^Ce_tn%r' pw -i(.vk . New Tenant: ❑ Yes ❑..No Property Owners Name: L.Q g4Cy P �-•A- V r3 J Mailing Address: /OOQ E 3-1 1A-(j'6 Plat -kc _ Ct`�v City State Zip CONTACT PERSON - who do we contact when your permit is ready to be issued Name: BU& _ r Y— O 54-QV d ck lA Mailing Address: ( O 174tds% Dr it- Day Telephone: WC " 5 7 5 ` 7 51-7 cir/rV City State Zip E -Mail Address: Fax Number: g0(0 575 ' 7S al GENERAL CONTRACTOR INFORMATION — (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) Company Name: SA-Q1t aZ MQclnav�t(.�1 Mailing Address: WO .i v uS4 -rj Pr - 7 Contact Person: .'vc\ K-k OS- I-eVY1Gtr1 E -Mail Address: Contractor Registration Number: S"-TAT E ML. ( 41C City State Zip Day Telephone: ' O(a- S.75 - 7 5 a 7 FaxNumber:X(D` 5` ( 1 — 75-a Expiration Date: C1// 7c ARCHITECT OF RECORD — All 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 - All plans must be wet stamped by Engineer of Record Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: Q \Applications \Forms- Applications On Lme \ -Il06 - Permil Application doc Revised: 9 -2(116 bh State Zip Page 1 of 6 • • PLUMBING AND GAS PIPING PERMIT INFORMATION — 206 - 431 -3670 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: S tak+2_ Me_ckG.hl (cAS Mailing Address: Goo 1-4,054-d_n or Contact Person: E -Mail Address: Contractor Registration Number: STAT EMC 14 ( C T ud, s-kexwvAIA i)K.i,v 91 I IF City State Zip Day Telephone: 0 O(9 " - 75 -15 -1 Fax Number: t —575 — 7 5x7 Expiration Date: (Vi lO g Valuation of Plumbing work (contractor's bid price): $ ,�` 000 Valuation of Gas Piping work (contractor's bid price): $ Scope of Work (please provide detailed information): Ma OY\Q StrN14.. Building Use (per lnt'I 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 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 Bidet Food -waste grinder, commercial Receptor, indirect waste Clothes washer, domestic Floor drain Sinks 1 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 Q:\Applications \Forms - Applications On Line\3 -2006 - Peru Apphcaaon.doc Reosed 9 -2006 bh 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 fcc schedules. Expiration of Plan Review — Applications 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 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 (current 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 1 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 Signature: OR AUTH • ' ED EN,p ►�/ Date: '- Q Print Name: i-�' N C.-M �e/L" *�7 Day Telephone: j(0— 575 — 75c Mailing Address: (VV --0 L ` `g v %LGut �c� li4 9.Y7F Date Application Accepted: City State Zip '0LI(212 Iv' Date Application Expires: Staff Initials: 1. Q:\ Applications \Forms - Applications On Line \3 -2006 - Permit Apphcanon.doc Reused. 9 -2006 bh 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: http.• / /www.ci.tukwila.wa.us RECEIPT Parcel No.: 2623049021 Permit Number: PG08 -010 Address: 16400 SOUTHCENTER PY TUKW Status: PENDING Suite No: Applied Date: 01/08/2008 Applicant: LEGACY Issue Date: Receipt No.: R08 -00062 Initials: JEM User ID: 1165 Payment Amount: $92.00 Payment Date: 01/08/2008 12:03 PM Balance: $0.00 Payee: STATE MECHANICAL CO TRANSACTION LIST: Type Method Description Amount Payment Check 24112 92.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts PLUMBING - NONRES 000.322.103.00.0 92.00 Total: $92.00 6962 01/08 9710 TOTAL 92.00 doc: Receipt -06 Printed: 01 -08 -2008 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit /2L ,7648o/6 PERMIT NO. (206)431 -3 Project: 2. r.- f l 7* Type of Inspection: FM447- i Address: /6 vo b Si /4 ifro , Date Called: peip.‘r Special Instructions: pes e � A ( ( )f < ^ (x- SP .d ce AA:,—<C 1,-,k2''"r Date W ted e` - P.m. Requester: Phone No: Q6 6 --7g -a38`5. Approved per applicable codes. LJ Corrections required prior to approval. COMMENTS: 1 y} �� , /�-! - �-._]! 4—, a t C. t / I i. 3 (./ / ta,A-Lp(p._ peip.‘r Inspect br: kA__41& Date: / .3, t& Ei $58.00 REINSPECTION FEE REQUIRED. Prior to inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. Receipt No.: Date: INSPECTION RECORD n�U /Q Retain a copy with permit ' V G a INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (2 06)431 -367 Project: .2 .41,�,.�� Type o Inspection: U e/ - /.v P/ .4 !, Address / 14!'C 5e4.7/Cl Atiivre-,- P ate Called: Special Instructions: 9-///e 160 Date Wanted: Requester: Phone No: Approved per applicable codes. El Corrections required prior to approval. COMMENTS: 5/N // .fir N� - l� g -/N — 04/// Date: I -1c / -� $58.00 REINSPECTION F REQUIRO. Prior o inspection, fee must be paid at 6300 Southcenter lvd.. Suite 100. Call the schedule reinspection. Receipt No.: Date: Look Up a Contractor, Electriin or Plumber License Detail 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 STATEMC141C7 Licensee Name STATE MECHANICAL COMPANY Licensee Type CONSTRUCTION CONTRACTOR UBI 600611697 Ind. Ins. Account Id Business Type CORPORATION Address 1 600 INDUSTRY DR 8 Address 2 City TUKWILA County KING State WA Zip 98188 Phone 2065757527 Status ACTIVE Specialty 1 PLUMBING Specialty 2 UNUSED Effective Date 2/27/1986 Expiration Date 9/1/2009 Suspend Date Separation Date Parent Company Previous License GERRICI163B3 Next License Associated License Business Owner Information Name Role Effective Date Expiration Date PLATZ, GREG D 01/01/1980 DEWITT, RALPH E 01/01/1980 • Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date #3 TRAVELERS CAS & SURETY CO 200686359 07/27/2001 Until Cancelled $6,000.00 08/14/2001 Page 1 of 2 https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= STATEMC 141 C7 01/08/2008