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Home My WebLink AboutPermit PG08-199 - PLATINUM WEARThis record contains information which is exempt from public disclosure pursuant to the Washington State Public Records Act, Chapter 42.56 RCW as identified on the Digital Records Exemption Log shown below. PG08 -199 Platinum Wear 17100 Southcenter Parkway, Suite 136 RECORDS DIGITAL D- ) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION Page # tode Exemption = 8rlef Explanatory DeSclriptiop �t�tutel ule The Privacy Act of 1974 evinces Congress' intent that social security numbers are a private concern. As such, individuals' social security Personal Information — numbers are redacted to protect those Social Security Numbers individuals' privacy pursuant to 5 U.S.C. sec. 5 U.S.C. sec. DR1 Generally — 5 U.S.C. sec. 552(a), and are also exempt from disclosure 552(a); RCW 552(a); RCW under section 42.56.070(1) of the Washington 42.56.070(1) 42.56.070(1) State Public Records Act, which exempts under the PRA records or information exempt or prohibited from disclosure under any other statute. Redactions contain Credit card numbers, debit card numbers, electronic check numbers, credit Personal Information — expiration dates, or bank or other financial RCW 14 DR2 Financial Information — account numbers, which are exempt from 42.56.230(5) RCW 42.56.230(4 5) disclosure pursuant to RCW 42.56.230(5), except when disclosure is expressly required by or governed by other law. PLATINUM WEAR 17100 SOUTHCENTER PY SUITE 136 PGO8-199 Parcel No.: Address: Suite No: Cit3411)f 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 2623049081 17100 SOUTHCENTER PY TUKW Permit Number: Issue Date: Permit Expires On: PG08 -199 07/30/2008 01/26/2009 Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: PLATINUM WEAR 17100 SOUTHCENTER PY, STE 136 , TUKWILA WA WIG PROPERTIES LLC -SS 4811 134TH PL SE , BELLEVUE WA BRENT ADKISSON 2020 S 320 ST #C -90 , FEDERAL WAY WA Contractor: Name: D15 MECHANICAL Address: 2020 S 320 ST #C -90 , FEDERAL WAY WA Contractor License No: D 15MEM *930BT Phone: Phone: 360 888 -5433 Phone: 360 888 -5433 Expiration Date: 01/30/2009 DESCRIPTION OF WORK: INSTALL (1) 1" GAS LINE TO HVAC ROOFTOP UNIT Value of Plumbing /Gas Piping: Fees Collected: $200.00 $100.00 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 OUANTITY 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 O treatment equipment 0 0 Repair or alteration of drainage or vent piping 0 O Medical gas piping system serving (1 -5) 0 inlets /outlets for a specific gas 0 0 Medical gas piping (6 +) inlets /outlets 0 O Gas Piping 0 Gas piping outlets (0 -5) 1 0 Gas piping outlets (6 +) 0 * *continued on next page ** doc: UPC-10/06 PG08 -199 Printed: 07 -30 -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 -199 Issue Date: 07/30/2008 Permit Expires On: 01/26/2009 Permit Center Authorized Signature: WjL".*f Date: 1 30t/ 6 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 perf•rmance of w•rk. I am authorized to sign and obtain this plumbing /gas piping permit. Date: ( r Signature: Print Name: 14r/V 4 rAf) X 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 -199 Printed: 07 -30 -2008 Parcel No.: 2623049081 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 17100 SOUTHCENTER PY TUKW PLATINUM WEAR PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: PG08 -199 ISSUED 07/08/2008 07/30/2008 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: 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. 8: 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. 9: 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 -199 Printed: 07 -30 -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: /�£,✓T 4(, Sfc� Date: doc: Cond -10/06 PG08 -199 Printed: 07 -30 -2008 CITY OF TUKWIL' Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Plumbing/Gas Permit No. ?&t7 111 Project office use only) PLUMBING / GAS PIPING PERMIT APPLICATION 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.: `'`,V'f �--eic' Site Address: / 7/00 .5r�� -� 1'kC e l; i /i �t " Suite Number: /3 Floor: New Tenant: .... Yes ..No Tenant Name: P%Ca t,' iv. lk v✓. L/J ecG y Property Owners Name: i 16.--- irtrcipe ✓°tr e S L LC. `55 Mailing Address: 187 1 /39 '-k 'PL , 5i d 1 e Vim+ E. City CONTACT PERSON L J4- State Zip e contact when your permit is ready to be issued Name: 8l: f 7 l't S Scn. Day Telephone: 36--6) g 5 4, 33 Mailing Address: City Fax Number: E -Mail Address: PLUMBING / GAS PIPING CONTRACTOR INFORMATION Company Name: V /5 [M State Zip Mailing Address: c:)2-c) S. 3:2.0P^ ^ s7 C-?c) w w,f X1-)3 Contact Person: Of �.� , c k+ S Sc/x"- E -Mail Address: �I� Contractor Registration Number: �/ jj s E/ 1 930 A T City Day Telephone: .?,66 ` b ` tis'_ 9 3 3 Fax Number: Expiration Date: State Zip 1 _3v 200? ARCHITECT OF RECORD; - All pl Is -must be et stamped by Architect ofR 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 Engine Company Name: Mailing Address: City Day Telephone: Fax Number: Contact Person: E -Mail Address: Q:\Applications\Porms- Applications On Line \3 -2006 - Plumbing -Gas Piping Permit Application.doc Revised: 4 -2006 bh State Zip Page 1 of 2 Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): 1- %i'57oJ I / F)4 / `' 5 L "Y, 1 /1t14 C goo ' toe L Building Use (per Intl 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 Types 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 Repair or alteration of drainage or vent piping Medical gas piping system serving one to five inlets /outlets for specific gas PERMIT APPLICATION NOTES 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. The Building Official may grant one extension of time for an additional period not to exceed 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 International 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 R AUTHORIZED GENT: Signature: Print Name: R1 r / Ad ;' c'v- Date: / -7-0 (, Day Telephone: 360 -O c g- `_3 '3 Mailing Address: 2o 23 .�'+ 3'ZG '71` j „ C_ ) /d e /J co W. - 9goo3 City State Zip Date Application Accepted: �) Date Application Expires: / ii 1 Staff Initials: Q:\Applications\Forms- Applications On Line \3 -2006 - Plumbing -Gas Piping Permit Application.doc Revised: 4 -2006 bh u Page 2 of 2 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:/lwww.ci.tukwila.wa.us RECEIPT Parcel No.: 2623049081 Permit Number: PG08 -199 Address: 17100 SOUTHCENTER PY TUKW Status: APPROVED Suite No: Applied Date: 07/08/2008 Applicant: PLATINUM WEAR Issue Date: Receipt No.: R08 -02783 Initials: WER User ID: 1655 Payment Amount: $80.00 Payment Date: 07/30/2008 10:17 AM Balance: $0.00 Payee: BRENT ADKISSON TRANSACTION LIST: Type Method Descriptio Amount Payment Cash 80.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts PLUMBING - NONRES 000.322.103.00.0 80.00 Total: $80.00 5456 07/30 9710 TOTAL 638.75 doc: Receiot -06 Printed: 07 -30 -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 SET RECEIPT RECEIPT NO: R08 -02465 Initials: JEM User ID: 1165 Payee: BRENT ADKISSON Payment Date: 07/08/2008 Total Payment: 160.00 SET ID: S000001071 SET NAME: Tmp set/Initialized Activities SET TRANSACTIONS: Set Member Amount M08 -175 68.00 M08 -176 52.00 PG08 -198 20.00 PGO 8 T1 =9�fi9 20.00 TOTAL: 160.00 TRANSACTION LIST: Type Method Description Amount Payment Cash 160.00 TOTAL: 160.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts MECHANICAL - NONRES PLAN CHECK - NONRES 000.322.102.00.0 .25 000/345.830 159.75 TOTAL: 160.00 4554 07/08 9711 TOTAL 160.00 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 Proj."57 4,, 7 Type Inspection: �_ • / Address: es/// .� cll /4n,./ 4/ ./ Date Called: Special Instructions: Date Wanted: a.m. Requester: Phone No: Approved per applicable codes. El Corrections required prior to approval. COMMENTS: 4.r Date ice/ $58.00 R.EINSPECTION 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 PER IT NO. CITY OF TUKWILA BUILDING DIVISION • 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Pro Vt 1 ( i un A 4 K. Typ f Inspection: 'Act -- I k3 Address: 1!71 D0 lihF e_ K.,-; Date Called: °ir p `I Special Instructions: Date Wanted: 1 a m� p.m. Requester: Phone -1 ..,64 -1 ? --L-13� 1pproved per applicable codes. D Corrections required prior to approval. COMMENTS: 4AI t4 1137..4 O. ' REINSPECTIONEE REQU ED. Prior to inspection, fee must be id�t 6300 Southcenter Blvd., S cite 100. Call to schedule reinspection. Receipt' No.: ,Date: • PERMIT COORD COP P PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG08 -199 DATE: 07 -8 -08 PROJECT NAME: PLATINUM WEAR SITE ADDRESS: 17100 SOUTHCENTER PY, SUITE 136 X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Issued DEPARTMENTS: 1- �� Bui ( g r ivision Public Works n Fire Prevention Structural n Planning Division n Permit Coordinator n DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete 71 Comments: Incomplete n DUE DATE: 07 -10 -08 Not Applicable U Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES/THURS ROUTING: Please Route 71 Structural Review Required ❑ No further Review Required n REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved Ti Approved with Conditions Notation: REVIEWER'S INITIALS: DUE DATE: 08 -7 -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 Litl 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. D15 MECHANICAL Business and Licensing Information Name D15 MECHANICAL Phone 3608885433 Address 2020 S 320TH ST #C -90 Suite /Apt. City State Zip County FEDERAL WAY WA 98003 KING Business Type INDIVIDUAL Parent Company 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 601841514 ACTIVE D15MEM *930BT CONSTRUCTION CONTRACTOR 1/30/2007 1/30/2009 AIR HEAT,VENTILATION,EVAPORAT SHEET METAL Business Owner Information Name Role Effective Date Expiration Date ADKISSON, BRENT OWNER 01/30/2007 Received Date Assignment of Savings Information Savings Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 1 01/29/2007 Until Released Bond 01 /03/2009 $6,000.001/30/2007 Insurance Information Page 1 of 1 Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 2 OHIO CAS INS CO BHO53443229 01/03/2008 01 /03/2009 $1,000,000.0012 /27/2007 1 OHIO CAS INS CO BHO53443229 01/03/2007 01/03/2008 $300,000.00 01/30/2007 https: // fortress. wa. gov /lni/bbip/Detail.aspx ?License =D 15MEM *930BT 07/30/2008 0 Suite #136 odId set 115 MECHANICAL p co I O It p C O A N3 vi co o`m N LL HVAC PLANS O 1 • rotAll SCOPE OF WORK p •o . o .9 e4 o 6 u U >•Pw° Cpy g y y zzzx CL, .. U 0 mcd is ['FR- 2-s CL I a I- CC • s o CD O2 wsci❑ UQ tt3 CD D Z (a r12,_ a) OJ t cc.,2 0C� M CD co co C!) 2" Square Washer w /nut 3/8" All Thread Loop Pipe Hanger 0 vl All Units Complete with Disposable Filters, Economizer w/ Hood, Smoke Duct Detector & Thermostat 120K BTU 10.5 EER Cooling Capacity 87,000 BTU (H) DCG 090 Packaged Gas 0 S ve H x SCOPE OF WORK p •o . o .9 e4 o 6 u U >•Pw° Cpy g y y zzzx CL, .. U 0 mcd is ['FR- 2-s CL I a I- CC • s o CD O2 wsci❑ UQ tt3 CD D Z (a r12,_ a) OJ t cc.,2 0C� M CD co co C!) 2" Square Washer w /nut 3/8" All Thread Loop Pipe Hanger