HomeMy WebLinkAboutPermit PG08-059 - LTS LEDCORLTS LEDCOR
16000 CHRISTENSEN RD
STE 200
PGO8-059
Parcel No.: 2523049077
Address:
Suite No:
CitAf 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
16000 CHRISTENSEN RD TUKW
Permit Number:
Issue Date:
Permit Expires On:
PG08 -059
02/25/2008
08/23/2008
Tenant:
Name:
Address:
Owner:
Name:
Address:
LTS LEDCOR
16000 CHRISTENSEN RD, STE 200 , TUKWILA WA
BRCP RIVERVIEW PLAZA LLC
248 HOMER AVE , PALO ALTO CA
Contact Person:
Name: KRISTINA GEILER
Address: PO BOX 1136 , MONROE WA
Contractor:
Name: AMERICAN MECHANICAL CORP
Address: PO BOX 1136 , MONROE WA
Contractor License No: AMERIMC071BH
Phone:
Phone: 206 467 -6407
Phone: (206)467 -6407
Expiration Date: 01/08/2009
DESCRIPTION OF WORK:
INSTALL SINK, DISHWASHER & HOT WATER TANK FOR TENANT IMPROVEMENT
Value of Plumbing /Gas Piping:
Fees Collected:
$4,632.00
$116.00
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: 2006
International Fuel Gas Code Edition: 2006
FIXTURE TYPE AND QUANTITY
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 1
0 Industrial waste treatment interceptor, including
1 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 Repair or alteration of drainage or vent piping 0
0 Medical gas piping system serving (1 -5)
0 inlets /outlets for a specific gas 0
0 Medical gas piping (6 +) inlets /outlets 0
1 Gas Piping
0 Gas piping outlets (0 -5) 0
0 Gas piping outlets (6 +) 0
* *continued on next page **
doc: UPC -10/06
PG08 -059 Printed: 02 -25 -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
Permit Number: PGO8 -059
Issue Date: 02/25/2008
Permit Expires On: 08/23/2008
Permit Center Authorized Signature:
I hereby certify that I have read and e
governing this work will be complied
The granting of this permit doe
construction
Signa
Date: 02-
ed this permit and know the same to be true and correct. All provisions of law and ordinances
, whether specified herein or not.
t presume to • ive authority to violate or cancel the provisions of any other state or local laws regulating
work. ,: thorized to sign and obtain this plumbing /gas piping permit.
Print Name:
Date: L — - - cIED
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 -059 Printed: 02 -25 -2008
Parcel No.: 2523049077
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
16000 CHRISTENSEN RD TUKW
LTS LEDCOR
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
PG08 -059
ISSUED
02/25/2008
02/25/2008
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 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
PG08 -059 Printed: 02 -25 -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.
Signatur
Print Name:
Date: —7 Zr -0 e
doc: Cond -10/06
PG08 -059 Printed: 02 -25 -2008
1
• •
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6.00 Southcehtet Blvd., Suite 100
Tukwila, WA 98188
hitp: /Gieit'iv.cistiiI ila.iva: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
K. _ Co Assessor's Tax _ i
Site Address: N‘1114.1110 \ ' _,Ik`1 lb, 1 4, Suite Numbej ) Floor:
Tenant Name: \ \Q l Crsi2 _ New Tenant: ❑ Yes
Property Owners Name: _ c ) Q....1-7 ., \ \ � � _ 9 \ \
Mailing Address:
City
..No
State
Zip
CONTACT PERSON — who do we contact when your permit is ready to be issued
Name:
Day Telephone: _
Mailing Address:__
City
Fax Number:
E -Mail Address:
State
Zip
GENERAL CONTRACTOR INFORMATION
(Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5))
Company Name:
Mailing Address: _
City
Contact Person: — _ _ Day Telephone:
E-Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
State
Zip
ARCHITECT OF RECORD — All plans must be wet stamped by Architect of Record
Company Name.
Mailing Address:
Contact Person:__
E-Mail Address:
Ciiy
Day Telephone:_
Fax Number:
State
Zip
ENGINEER OF RECORD = All plans must be wet stamped by Engineer of Record
Company Name: -
Mailing Address: _
City State Zip
Contact Person: Day Telephone:
E =Mail Address: Fax Number:
'QAApplications\Forms =Applications On Line\4006 = Permit Apptication.doc
Revised `9 =2006
bh
Page 1 of 6
'PLUMBING AND GAS PIPING PERMIT INFORMATION — 206 - 431 -3670
PLUMBING AND GAS PIPING CONTRACTOR�INF RMATION
Company Name: \QQ 2OX \ ` \� ) , CXN\CO
Mailing Address:
WKoNQ 3Q-,
Contact Person:'-15 \NTH \ J J 2
City .State Zip
Day Telephon -
8-Mail Address: \ &-12— C-A -C4--•••z5Q -CC -AV\ Fax Number:(
Contractor Registration Number�� Expiration Date:
Valuation of Plumbing work (contractor's bid price): $
Valuation of Gas Piping work (contractor's bid price): $ J
Scope of Work (please provide detailed information).
tom. \ �� ► .�� �� ��
• :■■ 41-■■
Building Use (per Int'l Building Code):
Occupancy (per Int'l 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
Dental unit, cuspidor
Shower, single head trap
Urinals
r
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
o: \Applications\Forms - Applications On Line \3-2006 - Permit Application.doc
Revised 9 -2006
bh
Page 5 of 6
i
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 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 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.
BUILD1 A R U HORI = _
Signature. • *►.T •• N}S`r
Print Name: Sv \N
Mailing Add Q_- x
Date: Di V
Day Telephone: 7J V! Ako k0 R
City State Zip
Date Application Accepted:
u2.IZS r9t.
Date Application Expires:
Staff Initials:
/
Q:Wpplications\Forins- Applications On Line\ 2006 = Peemii Application.doc
Revised: 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.: 2523049077 Permit Number: PG08 -059
Address: 16000 CHRISTENSEN RD TUKW Status: PENDING
Suite No: Applied Date: 02/25/2008
Applicant: LTS LEDCOR Issue Date:
Receipt No.: R08 -00529
Initials: JEM
User ID: 1165
Payment Amount: $116.00
Payment Date: 02/25/2008 04:03 PM
Balance: $0.00
Payee: AMC
TRANSACTION LIST:
Type Method Description Amount
Payment Check 19007 116.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
PLUMBING - NONRES
000.322.103.00.0 116.00
Total: $116.00
91 20 02/26 6 t?- 710 TOM! 1.16
doc: Receipt -06 Printed: 02 -25 -2008
it 7
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
Project:
L76 L•-e-/mod'
Type of Inspection:
FiN9 /
Address:
/ 0 O CAr",:z%,t,sr,, i 9
Date Called:
Special Instructions:
Date Wanted:
.g - Ov 1p m
Requester:
Phone No:
aa6-- 7u °G-S7 -741
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
11
'Ay\
_ (xf -_Pi 1 l'Aiet IC_
C
, A' e A , u ,1--b tD�t
5M
(E�/
/ ) s -e A ,
!
p1M,c
-° LV (.ems
Inspector:
6uk_1)\ kkrA
$58.00 REINSPECTION FEE REQUIRED. Prior o inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection.
Dates-3( _ J "
Receipt No.:
Date:
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #1 00, Tukwila, WA 98188 (06)431;3670
ProjecS: T� n
Type of Ins ection: /.7 V/ - / 1
Address:
/644 0 C6ris/y� -A/
Da e C sled:
ie
Special Instructions:
Date Waned:
c2 /ZjJ6?
r.0
p.m.
Requester:
Phone No:
_ 6 -227- / Y2O
pproved per applicable codes. ❑ Corrections required prior to approval.
COMME 5:
r Date:
5.00 REINSPECTION FEE QUIRED. Prior o inspection, ee must be
id at 6300 Southcenter Blvjl.. Suite 100. Call the schedule reinspection.
V
I 9eipt No.:
Date:
Look Up a Contractor, Electri an 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
AMERIMC071BH
Licensee Name
AMERICAN MECHANICAL CORP
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
601433818
Ind. Ins. Account Id
53821001
Business Type
CORPORATION
Address 1
PO BOX 1136
Address 2
City
MONROE
County
SNOHOMISH
State
WA
Zip
982724136
Phone
2064676407
Status
ACTIVE
Specialty 1
BOILER/STEAM FIT/PROC PIPING
Specialty 2
PLUMBING
Effective Date
1/8/1993
Expiration Date
1/8/2009
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
Business Owner Information
Name
Role
Effective Date
Expiration Date
KING, CHERI L
PRESIDENT
01/08/1993
KING, KELLY E
TREASURER
01/08/1993
•
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
OLD
REPUBLIC
SURETY
Until
Page 1 of 2
https: // fortress .wa.gov /1ni/bbip /printer:aspx ?License= AMERIMC071 BH 02/25/2008