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HomeMy WebLinkAboutPermit PG08-188 - HEALTH FORCEHEALTHFORCE 6720 FORT DENT WAY PGO8-1 88 Parcel No.: Address: Suite No: CityOf 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 2954900455 6720 FORT DENT WY TUKW Permit Number: Issue Date: Permit Expires On: PG08 -188 07/14/2008 01/10/2009 Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: HEALTH FORCE 6720 FORT DENT WAY , TUKWILA WA JOHN C RADOVICH LLC 2835 82ND AVE SE #300 , MERCER ISLAND WA LARRY TACKETT 1711 PORT DR , BURLINGTON WA R & H MECHANICAL INC 1711 PORT DR , BURLINGTON WA Contractor License No: RHMECI *954LC Phone: Phone: 360 - 757 -6909 Phone: 360 - 757 -6909 Expiration Date: 07/19/2009 DESCRIPTION OF WORK: Value of Plumbing /Gas Piping: Fees Collected: $5,670.00 $184.00 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 0 its trap and vent, except for kitchen type 0 grease interceptors 0 O Repair or alteration of water piping and/or water 0 treatment equipment 0 O Repair or alteration of drainage or vent piping 0 2 Medical gas piping system serving (1 -5) 0 inlets /outlets for a specific gas 1 O Medical gas piping (6 +) inlets /outlets 1 O Gas Piping O Gas piping outlets (0 -5) 0 2 Gas piping outlets (6 +) 0 * *continued on next page ** doc: UPC -10/06 PG08 -188 Printed: 07 -14 -2008 City ofTukwila 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 -188 Issue Date: 07/14/2008 Permit Expires On: 01/10/2009 Permit Center Authorized Signature: Date: `v g 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 construction or Signature: Print Name: ermit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating f work. I am authorized to sign and obtain this plumbing /gas piping permit. �� J Dat,v I ( / Z1 nZ )4,vbRA)L1 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 -188 Printed: 07 -14 -2008 Parcel No.: 2954900455 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 6720 FORT DENT WY TUKW HEALTH FORCE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: PG08 -188 ISSUED 06/24/2008 07/14/2008 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 -188 Printed: 07 -14 -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,aerformance of work. Signature: Print Name: WRZ__ Ava-t,t) „JcE-1-f4/4/(1 Date: doc: Cond -10/06 PG08 -188 Printed: 07 -14 -2008 CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci. tulnvila. wa. us Building Permit No. Mechanical Permit No.. Plumbing/Gas Permit No. 1)609- t S $ 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.: el-eigii4R0 O"( ST Site Address: 6 7? 0 Farr P.01- Suite Number: 1 ( 0 Floor: 1 Tenant Name: H e.a /rhl ei Property Owners Name: Mailing Address: New Tenant: ❑ Yes EkNo City Slate Zip CONTACT PERSON - who do we contact when your permit is ready to be issued Name: a 4 N Mailing Address: g 71/ Pool ii'. Day Telephone: tci4 h W A Qf.Z3.7 State Zip E -Mail Address: /0,1 1 r A M e,c • C &s 7 Y Fax Number: 360 -747 - 6F /7 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: City Contact Person: E -Mail Address: State Zip Day Telephone: Fax Number: ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record Company Name: Mailing Address: Contact Person: E -Mail Address: Q \Applications \Forms - Applications On Line\3 -2006 - Permit Applicationdoc Revised 9 -2006 bh City Day Telephone: Fax Number: State Zip Page l of 6 PLUMBING AND GAS PIPING PERMIT INFORMATION - 206 - 431 -3670 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: g .tt H- e az/ /Get / Mailing Address: 17/1 Derr Contact Person: G apt.' 1 i"t city' State 9$37 Zip / / Day Telephone: 5/0- 7r7 6 re7 E -Mail Address: /arty t 4' f n se -c 1 • Ca i9 Fax Number: 3/6' 74--7 6 71q I/\ yifl rhi%c it-L c Expiration Date: 097/9709 Contractor Registration Number:_ Valuation of Plumbing work (contractor's bid price): $ $•/79. 2 5 Valuation of Gas Piping work (contractor's bid price): $ Scope of Work (please provide detailed information): Roc/9 a sS t% 2 T ®,��r'S awl Iadarof/S. ��,-51i�J l oCrt, !at- SVC( e✓ ' ;,-,ii, C `t Building Use (per Int'l Building Code): C Occupancy (per Int'l Building Code): e 8 v5i `I+ 5S 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 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 I Repair or alteration of drainage or vent piping 1 Medical gas piping system serving one to five inlets /outlets for specific gas Q:\Applications \Forms- Applications On Line\3 -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 he 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING �ER OR Signature: ED AGENT: Print Name: /WI art Mailing Address: /7/1 feV'T Date: 60fr Day Telephone: 36e 766-7 6 ear ny State Zip Date Application Accepted: Date Application Expires: ),..--14- O Staff Initials: Q:'Applications'Forms- Applications On Line \3 -2006 - Permit 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.: 2954900455 Permit Number: PG08 -188 Address: 6720 FORT DENT WY TUKW Status: PENDING Suite No: Applied Date: 06/24/2008 Applicant: HEALTHFORCE Issue Date: Receipt No.: R08 -02251 Initials: WER User ID: 1655 Payment Amount: $184.00 Payment Date: 06/24/2008 11:00 AM Balance: $0.00 Payee: R& H MECHANICAL TRANSACTION LIST: Type Method Descriptio Amount Payment Check 68727 184.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts PLAN CHECK - NONRES PLUMBING - NONRES 000/345.830 32.00 000.322.103.00.0 152.00 Total: $184.00 4061 06/24 9711 TOTAL 184.00 doc: Receiot -06 Printed: 06-24 -2008 INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 14-- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project F-teA t-,t h .,rtP Type of lnspection: rkJ A- r-- P(_ Address: 20 vii N' a ate Called: Special Instructions: /Requester: / / Da a Wanted: 12 /� / a:rt� p.m. / Phone No: z5-- x-2327 Approved per applicable codes. Corrections required prior to approval. • COMMENTS: P % tw \ i c`) `M y) n 1 El $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: INSPECTION RECORD Retain a copy with permit I SPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 p(o , -I cw Pro'ect: Typ • of Inspection: D Address: -0 f c 1 LJ M Date Called Specia Instructions: ,. (Date Wanted: -7-17-0e47-11' Requester: Phone No: ? S - off ' 2 2'� Approved per applicable codes. Corrections required prior to approval. COMMENTS: 1Inspector: Date: 7 -vi/ $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: ,tea —.. - — — ?Coo. — «� INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION INSPECTION RECORD Retain a copy with permit PERMIT NO. 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Prenct-: i {� r ( 1 "� 1I)/ c k, Type of Ins ection: �f CU A . t.J.1 / 1 Ad ress: Date Called: 5 ..------ 1 ;1 ?'0 ((+' ( 012--f-T L Special Instructions: l Date Wanted: � r 568 �`a.m� �Pm Requester: ) .0v3 J Phone No: kirP /i A- Approved per applicable codes. El Corrections required prior to approval. COMMENTS: 7 I.JA 1 Cc•sf,i'f. ) .0v3 J Afp i � J P ;� kirP /i A- 2'P5 /kJ ,A h Dater _/5-1-4) ❑ $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: \() t-a FILE COP P rmit 4 I 6, 1 3- F. REVIEWED FOR CODE COMPLIANCE APPROVED JUL 0 1 2008 City Of Tukwila " ?&080 100 RECEIVED JUN242008 PERMIT CENTER ti wG N 1. L G r/ �1a 1 t✓S F (f 214/5F @ 4 © 0 (1 RECEIVED JIM242008 PERMIT CENTER 12 -03 -2008 Chy of Tukwi Jim Haggerton, Mayor Department of Community Development Jack Pace, Director LARRY TACKETT 1711 PORT DR BURLINGTON WA 98233 RE: Permit No. PG08 -188 6720 FORT DENT WY 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 fmal 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 writing 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 01/13/2009 , 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, xc: er Marshall, t Technician Permit File No. PGO8 -188 6300 Southcenter Boulevard, Suite #100 0 Tukwila, Washington 98188 ® Phone: 206 - 431 -3670 a Fax: 206 - 431 -3665 PERMIT COORD COPY • PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG08 -188 PROJECT NAME: HEALTH FORCE SITE ADDRESS: 6720 FORT DENT WAY X Original Plan Submittal Response to Correction Letter # DATE: 06 -24 -08 Response to Incomplete Letter # Revision # After Permit Issued DEPARTMENT 14 Building Public Works Fire Prevention Structural n Planning Division U ❑ Permit Coordinator DETERMINATION O COMPLETENESS: (Tues., Thurs.) Complete Comments: Incomplete DUE DATE: 07 -01 -08 Not Applicable Permit Center Use Only INCOMPLETE LETTER MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: LETTER OF COMPLETENESS MAILED: TUESJTHURS ROUTING: Please Route n Structural Review Required No further Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved ❑ Approved with Conditions Notation: REVIEWER'S INITIALS: DUE DATE: 07 -29 -08 Not Approved (attach comments) DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents/routing slip.doc 2 -28 -02 Untitled Page • • General /Specialty Contractor A business registered as a construction contractor with LEti 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. R it H MECHANICAL INC Business and Licensing Information Name Phone Address Suite /Apt. City State Zip County Business Type Parent Company R Et H MECHANICAL INC 3607576909 1711 PORT DR BURLINGTON WA 98233 SKAG IT CORPORATION UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Separation Date Previous License Next License Associated License Specialty 1 Specialty 2 600311146 ACTIVE RHMECI "951 LC CONSTRUCTION CONTRACTOR 6/3/2005 7/19/2009 REFRII *206C6 GENERAL UNUSED Business Owner Information Name Role Effective Date Expiration Date CHRITTON, V SCOTT PRESIDENT 06/03/2005 Bond Amount Bond Information Page 1 of 3 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 6 CBIC SF2795 02/13/2004 Until Cancelled $12,000.0002/18 /2004 5 FIDELITY a GUARANTY INS CO 76011010677884 07/10/2002 Until Cancelled 03/19/2004 $12,000.00 07/05 /2002 4 UNITED STATES FID a GUAR CO 76011010677884 07/10/199207/10 /2002 $6,000.00 3 UNITED STATES 7601101067784 07/10/198807/10 /1992 $4,000.00 https: // fortress .wa.gov /lni/bbip/Detail.aspx ?License= RHMECI *951 LC 07/14/2008 LU uz w0 LU trt s ♦ ♦ ss ss ti ♦s ss ssss 6 z Too gx, tD C - CP c▪ a ▪ it • E 2 188° p O c, o G 3 q p .. > >. 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