HomeMy WebLinkAboutPermit PG08-195 - PANNATONIPANNATONI
6840 FORT DENT WY
PG08-195
Parcel No.: 2954900425
Address:
Suite No:
Cityef 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
6840 FORT DENT WY TUKW
Permit Number:
Issue Date:
Permit Expires On:
PG08 -195
07/08/2008
01/04/2009
Tenant:
Name: PANNATONI
Address: 6840 FORT DENT WAY , TUKWILA WA
Owner:
Name: PEPPERWOOD HOLDINGS LLC
Address: 2835 82ND AVE SE #300 , MERCER ISLAND WA
Contact Person:
Name: BUD KLOSTERMAN
Address: 600 INDUSTRY DR #8 , TUKWILA WA
Contractor:
Name: STATE MECHANICAL COMPANY
Address: 600 INDUSTRY DR 8 , TUKVVILA WA
Contractor License No: STATEMC141C7
Phone:
Phone: 206 - 575 -7527
Phone:
Expiration Date: 09/01/2009
DESCRIPTION OF WORK:
.ADDING 1 SINK AND 1 DISHWASHER HOOK UP TO OFFICE BREAK ROOM
Value of Plumbing /Gas Piping:
Fees Collected:
$2,200.00
$128.00
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 -195 Printed: 07 -08 -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: PGO8 -195
Issue Date: 07/08/2008
Permit Expires On: 01/04/2009
Permit Center Authorized Signature:
Date: ` og oe
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 performance of work. I am authorized to sign and obtain this plumbing /gas piping permit.
Signature: s Date: 7- Y-02
Print Name: 6( ,rj■ `l 05k r ti
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 -195 Printed: 07 -08 -2008
Parcel No.: 2954900425
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
6840 FORT DENT WY TUICW
PANNATONI
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
PG08 -195
ISSUED
07/08/2008
07/08/2008
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 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 -195 Printed: 07 -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
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
construction or the performance of work.
Signature: � �� Date: 7- F^ 0 ?
Print Name: i'UC k A CLS4e--f 'NICV '
ordinances governing
or local laws regulating
doc: Cond -10/06 PG08 -195
Printed: 07 -08 -2008
CITY OF TUKWILL
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
hup://www.ci.tukwila.wa.us
Building Permit No.
Mechanical Permit No.
Plumbing/Gas Permit No. 0 0- i 613--
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
Site Address:
lD 51 LID Fo�4- Dem- W
Tenant Name: f * DIM"
d�f1Ce
Property Owners Name: kjee.Ciw)oc,c& . n`c.\ ■vnco. s
Mailing Address: COO W F'or4- 1)6 '
King Co Assessor's Tax No.: a 5 LI 100 L-1,15
Suite Number: '350 Floor:
New Tenant: ta Yes ❑ ..No
LLC
City
W/-
State
Zap
CONTACT PERSON - who do we contact when your permit is ready to be issued
Name: 'B u \ 40Si-e- f Y1\cm
Mailing Address: (cOO 1 nd J 4-j l7 (
E -Mail Address: bUa — tOS -XW1011 & %C541110.1 - CO Wn
Day Telephone: aoc. -- 5 -7 5- ? 5 a7
0. c Fl FMS'
City State Zip
Fax Number: 00(9' 5'75 _ 75a
GENERAL CONTRACTOR INFORMATION —
(Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5))
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Contractor Registration Number:
City
Day Telephone:
Fax 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:
City
Day Telephone:
Fax Number:
State
Zip
ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Q: Wpplications\Forms- Applications On LineU -2006 - Permit Application.dec
Revised: 9 -2006
bh
City
Day Telephone:
Fax Number:
Page 1 of 6
State
Zip
PLUMBING AND GAS PIPING PERMIT INFORMATION - 206 - 431 -3670
PLUMBING AND GAS PIPING
/V CONTRACTOR INFORMATION
Company Name: 4- -c i-e_ (' I -e1...1/1Clv\t Cat - - -
Mailing Address: WO 1 ndusAD Pr -
Contact Person:sua kIQS c
E -Mail Address: bull - \! 1os-i W oY elio +yt ail . Cov►',
Contractor Registration Number: TAl' E/1'IC l I ( i`3-
Tolcwilek WA- 98/88
City State Zip
Day Telephone: oQ &(.Q - 575 -7S).
Fax Number: aO(o _ 5 75 - 75a 9
Expiration Date: CV /0 q
Valuation of Plumbing work (contractor's bid price): $ -OS,'OO
Valuation of Gas Piping work (contractor's bid price): $
Scope of Work (please provide detailed information): A & V V\ 1 S I ✓I o d ■AOd 1%
∎6NnwaS)Ntif
Building Use (per Int'I 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
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
1
Repair or alteration
of drainage or vent
piping
Medical gas piping system
serving one to five
inlets/outlets for specific gas
Q:Wpplications \Forms- Applications On LineU -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 OW R OR 7RIZED GENT:
Signature:
Print Name:
Mailing Address: (200 (Y IX)511 .
8
Date: 7/8 o S
Day Telephone: a)(o' 575 —75.-7
`Tut ,d t WA- 9E188
City
State Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
Q:\ApplicatonsWomis- 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
Parcel No.: 2954900425
Address: 6840 FORT DENT WY TUKW
Suite No:
Applicant: PANNATONI
RECEIPT
Permit Number: PG08 -195
Status: PENDING
Applied Date: 07/08/2008
Issue Date:
Receipt No.: R08 -02447 Payment Amount: $128.00
Initials: WER Payment Date: 07/08/2008 10:19 AM
User ID: 1655 Balance: $0.00
Payee: STATE MECHANICAL
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 25008 128.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
PLUMBING - NONRES
000.322.103.00.0 128.00
Total: $128.00
4565 07/08 9711 TOTAL 128400
doc: Receipt -06 Printed: 07 -08 -2008
P6 -r�>
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
(206)431 -3f 7
Proj t:
FA- MA itMi
Type of Inspecti n:
c;A,x
j-1Aedc..
Addre ;s: 6 (,),T..._ 6e4v ! ,,Ay
6 W
Called:
Special Instructions:
`
D to Wanted:
,
U
/
I �f
a.m..
''1112-
c
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
g0,1 e-o e Inspect
Date: 61, S d
❑ $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 NO.
CITY OF TUKWILA BUILDING DIVISION fe.
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
Pr 'ect: _
pfd mk)/}-4 &Ai I
TypepkInspection: , 1/
1{-) ALAU�- 'N — iN
Addre :
&OLID Pf DAB
Date Called:
Special Instructions:
Date Wanted:
�__ /
—G1� p.m.
Requester:
Phone No:
-716 -950-7
E1Approved per applicable codes. ❑ Corrections required prior to approval. -
COMMENTS:
ke_4\ 00
•
Inspector:
Date: 5..
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 NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
(206)431 -3670
ProjRct:
rye t N Ai A
TypL of Inspection:
n�_`
ITV L 7�
1)( f
t
Address:
124 o r t r— jfitir
Date Callkd:
kC.11re 1`• AceAs-
/
Special Instructions:
Date Wanted _
f
— vr-
Requester:
Phone No
7b 7
— Vori
ElApproved per applicable codes.
orrections required prior to approval.
COMMENTS:
n�_`
ITV L 7�
Q 1 a/ 4 .
t
1
kb T1- - 1,3 A
kC.11re 1`• AceAs-
T -hi 11-, j-. A r -.
r-1
-eX T -J L) r
V- \ A-) e
\p.A--,"
Inspect¢r:
rate: -7 - -4)(r
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:
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.
License Information
License
STATEMC141C7
Licensee Name
STATE MECHANICAL COMPANY
Licensee Type
CONSTRUCTION CONTRACTOR
UB1
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
Page 1 of 2
https: / /fortress.wa.gov /lni/bbip /printer. aspx ?License= STATEMC 141 C7 07/08/2008