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HomeMy WebLinkAboutPermit PG08-265 - EISEIS 610 INDUSTRY DR PGO8-265 Parcel No.: 0223400010 Address: Suite No: CityV 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 610 INDUSTRY DR TUKW PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: PG08 -265 10/13/2008 04/11/2009 Tenant: Name: EIS Address: 610 INDUSTRY DR , TUKWILA WA Owner: Name: Address: LEHMAN SHANNA 2235 FARADAY AVE STE O , CARLSBAD CA Contact Person: Name: JEREMY MOELLER Address: PO BOX 82360 , KENMORE WA Contractor: Name: CFM HEATING AND COOLING INC Address: PO BOX 82360 , KENMORE WA Contractor License No: CFMHEHC969CD Phone: Phone: 425 - 481 -3471 Phone: 425 -481 -6239 Expiration Date: 02/04/2010 DESCRIPTION OF WORK: INSTALL NEW 3/4" GAS LINE FOR NEW ROOFTOP A/C UNIT. 12 FT OF TOTAL LENGTH Value of Plumbing /Gas Piping: $250.00 Fees Collected: Uniform Plumbing Code Edition: 2006 $92.00 International Fuel Gas Code Edition: 2006 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 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 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 0 Gas Piping 0 Gas piping outlets (0 -5) 1 0 Gas piping outlets (6 +) 0 * *continued on next page ** doc: UPC -10/06 PG08 -265 Printed: 10 -13 -2008 City otTukwila 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 -265 Issue Date: 10/13/2008 Permit Expires On: 04/11/2009 Permit Center Authorized Signature: Date: lo— 0-00 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: Print Name: ( L Y7// Ae-geK- Date: /o-13-49f) 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 -265 Printed: 10 -13 -2008 Parcel No.: 0223400010 Address: Suite No: Tenant: EIS 0 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 610 INDUSTRY DR TURW PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: PG08 -265 ISSUED 10/13/2008 10/13/2008 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 -265 Printed: 10 -13 -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: Print Name: C 114 Y J GN Date: !b 13'46 ordinances governing or local laws regulating doc: Cond -10/06 PG08 -265 Printed: 10 -13 -2008 CITY OF TUKWILA 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.-P 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: lc to (ndoSfry D Tenant Name: E 5 Property Owners Name: Mailing Address: King Co Assessor's Tax No.: 0 22-3 11000 ( Q Suite Number: Floor: New Tenant: .® Yes ❑ ..No CONTACT PERSON -- who''. Name: 3 ev--eivu 1 Moellei- City State Zip hen your permit is ready to be issued Mailing Address: .0. BIy( 625(1,0 E -Mail Address: 3-e-Are C C--Cvn YAUttC,S(. COjv Day Telephone: 4/75-- (/ /- ;3 e7 / /4,1 Mode (A).Q oz6 City Zip Fax Number: !ZS - y % w 'b 7 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: o: \Applications \Forms - Applications On Line \3 -2006 - Permit Application.doc Revised: 9 -2006 bh City Day Telephone: Fax Number: State Zip Page 1 of 6 BUILDING PERMIT INFORMATION - 206 - 431 -3670 Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): Existing Building Valuation: $ Will there be new rack storage? ❑ Yes ❑.. No If yes, a separate permit and plan submittal will be required. Provide All Building Areas in Square Footage Below 2ad Floor 3rd Floor Floors Interior Remodel Addition to Existing Structure Type of struction per IBC Type of Occupancy per IBC Basement Accessor Attached Gar cure tge Detached Garage Attached Carpoxt Detached C Covered Deck Uncovered Deck PLANNING DIVISION: Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) _ *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ Yes ❑ No If "yes ", explain: FIRE PROTECTION /HAZARDOUS MATERIALS: ❑ Sprinklers ❑ Automatic Fire Alarm ❑ None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes ❑ No If `yes', attach list of materials and storage locations on a separate 8-1/2" x 11" paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM ❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. Q: \Applications\Forms - Applications On Line \3 -2006 - Permit Application. doc Revised: 9-2006 bh Page 2 of 6 PLUMBI;NGJAND' GAS PIPING PERMIT INFORMATION - 206 - 431 -3670 _. PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: CF.M 1-'64 inq G4 n1 lt>o 1∎ '}�,o. 3,x 131oO �J Contact Person: J e/elm fr) Moo lI er E -Mail Address: edeohl �-em --hVQG(, 02)v OFM H E C9 tp? C-D Contractor Registration Number: Ken snare City Day Telephone: Fax Number: Expiration Date: (.A It,DZ� tate X 7— S'/91 -5-f7/ q!-;-- `& -clot a2 /ey/ib Zip Valuation of Plumbing work (contractor's bid price): $ Valuation of Gas Piping work (contractor's bid price): $ Z'S-!/• CD Scope of Work (please provide detailed information): 13153- I /Ielo 5/q " I 9t(�,Lo co C � 17 i on,( V 46(j 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 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 Q: Applications\Forms- Applications On Line'3 -2006 - Permit Application.doc Revised: 9 -2006 bh Page 5 of 6 PERMIT APPLICATION NOTES — Applicable to al permits n this applica 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 1 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 OWN Signature: Print Name: OR AUTIIORIZ 'D AGENT: /sd.,4L4 Mailing Address: (fej llev- 4 o 4 3vx 623(Qc, Day Telephone: City Date: /0 -- /3- 08 405 -- `/ /ql 34171 G State 98C2. Zip I Date Application Accepted: Date Application Expires: Staff Initials: I Q:\Applications\Forms- Applications On Line \3 -2006 - Permit Application. doe 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.: 2623049117 Permit Number: PG08 -266 Address: 17250 SOUTHCENTER PY TUKW Status: PENDING Suite No: Applied Date: 10/15/2008 Applicant: ALFRED ANGELO BRIDAL Issue Date: Receipt No.: R08 -03522 Payment Amount: $32.00 Initials: WER Payment Date: 10/15/2008 11 :21 AM User ID: 1655 Balance: $164.00 Payee: FREIHEIT & HO TRANSACTION LIST: Type Method Descriptio Amount Payment Check 18749 32.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts PLAN CHECK - NONRES 000/345.830 32.00 Total: $32.00 rtnr.: RenAint -OR Pri ntArl . 10- 15-2nnR 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.: 0223400010 Address: 610 INDUSTRY DR TUKW Suite No: Applicant: EIS RECEIPT Permit Number: PG08 -265 Status: PENDING Applied Date: 10/13/2008 Issue Date: Receipt No.: R08 -03507 Payment Amount: $92.00 Initials: WER Payment Date: 10/13/2008 03:40 PM User ID: 1655 Balance: $0.00 Payee: CFM HEATING TRANSACTION LIST: Type Method Descriptio Amount Payment Check 3510 92.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts GAS - NONRES 000.322.103.00.0 92.00 Total: $92.00 doc: Receiot -06 Printed: 10 -13 -2008 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 INSPECTION RECORD Retain a copy with permit Piz?, -ze9s' PERMIT NO. Proj t: Type of Inspectio : Address: „_ 1 0 -i- iOd l L S -IYj Date Called: Special Instructions: Date Wanted: t b —ice -av a.m. Requester: Phone No: 7 ©' _. 5 /d -- r // ,,_,) l- Approved per applicable codes. Corrections required prior to approval. COMMENTS: t (/1� h ei r Dat l $60 0 REINSPECTION FEE EQUIRED. Prior to inspection, fee must be -' paid at 6300 Southcenter Bl d., Suite 100. Call to schedule reinspection. 1Rceipt No.: !Date: Untitled Page 0 • General /Specialty Contractor A business registered as a construction contractor with Lltl 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. Business and Licensing Information Name Phone Address Suite /Apt. City State Zip County C F M HEATING AND COOLING INC 4254816239 PO BOX 82360 KENMORE WA 98028 KING Business Type CORPORATION Parent Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Previous License Next License Associated License Specialty 1 Specialty 2 602361244 ACTIVE CFMHEHC969CD CONSTRUCTION CONTRACTOR 2/4/2004 2/4/2010 GENERAL UNUSED Business Owner Information Name Role Effective Date Expiration Date CLANCY, SHAUN PRESIDENT 02/04/2004 Bond Amount Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 RLI INS CO SRS1008639 02/04/2004 Until Cancelled $12,000.00 02/04/2004 Insurance Information Page 1 of 2 Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 7 CONTINENTAL WESTERN INS CO CNP2739229 02/04/200802/04 /2009 $1,000,000.0002 /01/2008 6 OOHIO CAS INS BKW53560669 02/04/200702/04 /2008 $1,000,000.0002 /05/2007 5 AUTOMOBILE OREGON INSURANCE C01165399 02/04/2006 02/04/2007 $1,000,000.00 02/08/2006 https: / /fortress.wa. gov /lni/bbip/Detail. aspx ?License= CFMHEHC969CD 10/13/2008