HomeMy WebLinkAboutPermit PG08-119 - GATEWAY NORTH - BUILDING 4GATEWAY NORTH
BLDG 4
3315 S 116 ST
PGO8-1 19
Parcel No.:
Address:
Suite No:
CitAbf 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
0923049068
3315 S 116 ST TUKW
PLUMBING /GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On:
PG08 -119
04/23/2008
10/20/2008
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
GATEWAY NORTH - BUILDING 4
3315 S 116 ST , TUKVVILA WA
TTA/E PROPERTY TAX DEPT 207
PO BOX 4900 , SCOTTSDALE AZ
BUD KLOSTERMAN
600 INDUSTRY DR #8 , TUKWILA WA
STATE MECHANICAL COMPANY
600 INDUSTRY DR 8 , TUKWILA WA
Contractor License No: STATEMC 141 C7
Phone:
Phone: 206 - 575 -7527
Phone:
Expiration Date: 09/01/2009
DESCRIPTION OF WORK:
INSTALL (1) SINK AND (1) DISHWASHER
Value of Plumbing /Gas Piping:
Fees Collected:
$3,700.00
$154.00
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 0
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 1
0 Medical gas piping (6 +) inlets /outlets 1
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 -119 Printed: 04 -23 -2008
City ("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 -119
Issue Date: 04/23/2008
Permit Expires On: 10/20/2008
Permit Center Authorized Signature:
oia
Date: 4-)--3---OS
I hereby certify that I have read and examined this permit and know the same to be true and correct. 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 provisions of any other state or local laws regulating
construction or the •erformance of work. I am auth . -d to sign and obtain this plumbing /gas piping permit.
Signature:. ..�' L(j� Date:
Print Name: 00a i�—ti �c�TC —I �%` a it
q a3-CP
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 -119 Printed: 04 -23 -2008
Parcel No.: 0923049068
Address:
Suite No:
Tenant:
IP •
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
3315S116STTUB:W
GATEWAY NORTH - BUILDING 4
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
PG08 -119
ISSUED
04/16/2008
04/23/2008
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 -119 Printed: 04 -23 -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:
is() a 4 lam moN
— � 3 61> Date:
doc: Cond -10/06
PG08 -119 Printed: 04 -23 -2008
CITY OF TUKWILIP
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Building Permit No.
Mechanical Permit No.
Plumbing/Gas Permit No.
Public Works Permit No.
Project No.
(For office use only)
?Goo -tlq
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:�7
King Co Assessor's Tax No.: CC?' 2.3 0490 (12 g
Suite Number: t ct Floor: - r
Tenant Name: (7the. 0.j J'J (*�l b\c5`� - New Tenant: ❑ Yes
Property Owners Name `TT A/E to"„ -A-y_ �'aX - - 17P44- Rd
Mailing Address:
City
State
Zip
CONTACT PERSON - who do we contact when your permit is ready to be issued
Name: 'RUG, K_lt -i-e(' moon
Mailing Address: (dd rhdu 4 y !'r ##. $„ Tl4+ (c 9 8'f fg
State Zip
lov cal — K tOS-4et Vrto i. C- ho+rrAck■ I • C 00'1 Fax Number: ,qO Co = 5 7 S— -7 5d...9
Day Telephone: /Roca - 5 75 - 7 5 a.-7
E -Mail Address:
City
GENERAL CONTRACTOR INFORMATION —
(Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5))
Company Name: S++ D 12Lv10.V1 t C x
Mailing Address: (.Q00
Contact Person:
E -Mail Address: �
Contractor Registration Number J 1 AT E MC / / ( 69-
'icy. K\nsa- e.r-ryl h - -
Kup 14/A 378"0
City
Day Telephone: , C) (9 .575- 75a-7
Fax Number: vC36, 575
Expiration Date: 9/ I /O cr
State Zip
ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record
Company Name: --
Mailing Address:
Zip
Contact Person:
E -Mail Address:
City
Day Telephone:
Fax Number:
State
ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
QlApplications Forms- Applications On Lane \3:2006 - Permit Application.doc
Revised: 9 -2006
bb
City
Day Telephone:
Fax Number:
State
Zip
Page 1 of 6
PLUMBING AND GAS PIPING PERMIT INFORMATION — 206 - 431 -3670
PLUMBING AND GAS PIPING CONTRACTOR INFORMATION
Company Name:CL-A—e., (//\ GAl0.Vl 1 C a, /
Mailing Address: (QQO TlnatiS4 Or -# gJ 1 UIW 1 I u wA �8-i 8'd
""►► City State Zip
Contact Person: 3Liv\ - 1C I Q S+ e.f YY► Qlh Day Telephone: 26 6 - 557 5- 75a7
E -Mail Address: ] Fax Number: OAP - 575 7 kcf
Contractor Registration Number: STA- TCKhC /'4 1 C9- Expiration Date: c (,Q g
Valuation of Plumbing work (contractor's bid price): $ 1 d
Valuation of Gas Piping work (contractor's bid price): $
Scope of Work (please provide detailed information): ■ _
hn o I� L'k -
ck
Building Use (per Inf1 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
I
Dental unit, cuspidor
Shower, single head trap
Urinals
Dishwasher, domestic,
with independent drain
1
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
I
t
Medical gas piping system
serving one to five
inlets/outlets for specific gas
Q:\Applicafions\Fonns- Applications On Line U-2006 - Permit Application.doc
Revised: 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 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.
BUILDING OWNER OR AUTHORIZED AGENT:
Signature:
Date: y- L//2 g
Print Name: e>U t. OS 4 t(1(\ah Day Telephone: 'd Co- 5 75 - 7 S
Mailing Address: - (006 i elus' Pr
g
77;4,0110, (,.%A 9g/ g'g'
City State Zip
Date Application Accepted: o
Date Application Expires:
6
Staff Initials:
l f tQ
Q: Wppbcations\Fomrs- Applications On Line U-2006 - Pennii Application :doe
Revised: 9 -2006
bh
Page 6 of 6
City of Tukwila
Department of Commun_ ity 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.: 0923049068 Permit Number: PG08 -119
Address: 3315 S 116 ST TUKW Status: PENDING
Suite No: Applied Date: 04/16/2008
Applicant: GATEWAY NORTH - BUILDING 4 Issue Date:
Receipt No.: R08 -01198
Initials: WER
User ID: 1655
Payment Amount: $154.00
Payment Date: 04/16/2008 10:05 AM
Balance: $0.00
Payee: STATE MECHANICAL
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 24630 154.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
PLAN CHECK - NONRES
PLUMBING - NONRES
000/345.830 26.00
000.322.103.00.0 128.00
Total: $154.00
7DTX_ 00
doc: Receiot -06 Printed: 04 -16 -2008
INSPECTION RECORD
Retain•a copy with permit
INSPECTION 0. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION P.
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project:
Type of Inspection: `
Address:
Date/Called:
Special Instructions:
/
Date Wanted:
a.m..
0,- d�p.m.
'
Requester:
Phone -2,5- `
34_1_ 431-0(o
Approved per applicable codes. LJ Corrections required prior to approval.
COMMENTS:
Ci 1 1 .,,A, f (c-?1G �,� _.
d'A � -
A
Inspect r:
Dater 3 d — Dk
$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
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
ti
Project:
c /�+�'1 P
A Jay
lvll
Type of InspeStion:M '1
� /lam --j I u i2
1
Address: 3 5
3) s ✓''
1 r •,�
l
Date Called:
Special Instructions:
�J;(�4 1
,A-7A 1-1
_.
t o t
Date Wanted:
S -30'03
�a�..
p.m.
Requester:
t
- f i In-1(
_
Phone Nq: 2 S - 31S Col O
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
r i s- N41
/J j4 f
AJle1'r y[ /:2)r---
t
- f i In-1(
4,'r (2 A
.A )r I1 4
Ai- ke i -
. a
Inspect r:
Date:! d
$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:
kk
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION P-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Proj,ett: n ��
S (aJ /
TyD of Inspection: � h
p a i P t, L.. iJ`� ,;/
Address:_
-T"'
ST-
Date Called
Special Instructions:
t
Ste, `_` ` J
Date Wanted:
4.7 g -
C
a m.,
p.m.
Requester:
Phone No:
Approved per applicable codes. LJ Corrections required prior to approval.
COMMENTS:
Insp
Date:
El $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:
INSPECTION RECORD ti
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA. '981'88 (206)431 -3670
Proj --,A4 '-
ri i�
T� e,�f trlspec ion t i�j , Pt-
Address:
331 1
Date Called:
4`
Special Instructions:
Date Wanted:
Li ze, _oe• .
Requester:
Phone No:
proved per applicable codes.
Corrections required prior to approval.
COMMENTS
t( P�
buy (� �h
Date
$58.00 REINSPECTION FEE REQUIRED. Prior to inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Cat the schedulejeinspection.
Receipt No.:
Date:
�l
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.
Proj
A le 1..)0A-1
Type of Inspection:
Y -tr1 care
Address:
?3(S S ) 1,54
Date Called:
Special Instructions:
Date Wanted:
LI — Z L/- Oa p.m
Requester:
Phone No:
. 0C -7 Y _ 3 67
® Approved per applicable codes. Corrections required prior to approval.
COMMENTS: /
Inspector:
Date:
$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:
-
.5 1, 1 4,1 TCe I e
_5* VII Nel Tt
- PGoo 19
---
RECEIVE)
N 18
PERMIT CENTEI
.(
1 4Nt4 vri
..‘
RECEJVEr
a 1 6 NOR
PERMIT CENTh
ACTIVITY NUMBER: PG08 -119 DATE: 04 -16 -08
PROJECT NAME: GATEWAY NORTH — BLDG 4
SITE ADDRESS: 3315 S 116 ST
X Original Plan Submittal -
Response to Correction Letter #
Response to Incomplete Letter #
Revision #
After Permit Issued
DEPARTMENTS:
Buil:i jg Division
Public Works It Structural
- v b
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
Comments:
Permit Center Use Only
INCOMPLETE LETTER MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
LETTER OF COMPLETENESS MAILED:
TUES/THURS ROUTING:
Please Route
REVIEWER'S INITIALS:
APPROVALS OR CORRECTIONS:
• •
PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
Approved n Approved with Conditions
Notation:
REVIEWER'S INITIALS:
Documents/routing slip.doc
2 -28 -02
Fire Prevention
Incomplete
Structural Review Required
DATE:
DATE:
Planning Division
Permit Coordinator
DUE DATE: 04 -17 -08
Not Applicable
I 1 No further Review Required
Not Approved (attach comments)
n
DUE DATE: 05-15-08
n
n
u
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
License Information
License
STATEMCI41C7
Licensee Name
STATE MECHANICAL COMPANY
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
600611697
Ind. Ins. Account Id
#3
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
Cancel
Date
01/01/1980
Bond
Amount
DEWITT, RALPH E
#3
01/01/1980
200686359
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
#2
UNITED
PACIFIC INS
CO
686359
02/27/1988
07/27/2001
$4,000.00
02/27/1998
Look Up a Contractor, Electrician 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.
•
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