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HomeMy WebLinkAboutPermit PG08-286 - DOMESTIC ABUSE WOMEN'S NETWORK (DAWN)DAWN 18200 CASCADE AV PGO8-286 Parcel No.: 7888900170 Address: Suite No: City'�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 18200 CASCADE AV TUKW Permit Number: Issue Date: Permit Expires On: PG08 -286 11/26/2008 05/25/2009 Tenant: Name: DOMESTIC ABUSE WOMEN'S NETWORK Address: 18200 CASCADE AV , TUKVVILA WA Owner: Name: RIVERPOINT TWO LLC Address: 1100 OLIVE WAY #340 , SEATTLE WA Contact Person: Name: ADI SMAJIC Address: 12219 SE 65 ST , BELLEVUE WA Contractor: Name: V J PLUMBING Address: 13024 111 AVE NE , KIRKLAND WA Contractor License No: VJPLU * *987N 1 Phone: Phone: 206 419 -8090 Phone: 425- 830 -4418 Expiration Date: 05/23/2009 DESCRIPTION OF WORK: INSTALL SINK (SAME WALL WHERE THERE IS AN EXISTING DRAIN) Value of Plumbing /Gas Piping: $700.00 Fees Collected: $92.00 International Fuel Gas Code Edition: Uniform Plumbing 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 2006 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 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 -286 Printed: 11 -26 -2008 ook City opt 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.tukwilawa.us Permit Number: Issue Date: Permit Expires On: PG08 -286 11/26/2008 05/25/2009 Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complied The granting of this pe + f does not pres construction or the peir rn ce of Signature: f // Print Name: Date: 1062 1.0 V� ed this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. e to give authority to violate or cancel the provisions of any other state or local laws regulating authorized to sign and obtain this plumbing /gas piping permit. Date: 4J1 S 1 y(C_V 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 -286 Printed: 11 -26 -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 PERMIT CONDITIONS Parcel No.: 7888900170 Address: Suite No: Tenant: 18200 CASCADE AV TUKW DOMESTIC ABUSE WOMEN'S NETWORK Permit Number: Status: Applied Date: Issue Date: PG08 -286 ISSUED 11/26/2008 11/26/2008 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 -286 Printed: 11 -26 -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: -b( Date: doc: Cond -10/06 PG08 -286 Printed: 11 -26 -2008 CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htip://www.ci.tukwilo. wa. us Building Permit No. �t�' %,"""" ''i►y� Mechanical Permit No. Plumbing/Gas Permit No. Public Works Permit No. Project No. (For ofce 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 M7200 C45C4 bE 4 � Site Address: M. 200 -SVI - T u AU c t-A Tenant Name: bA' '- King Co Assessor's Tax No.: '1 W-A Suite Number: Floor: 1 Property Owners Name: c K 1-r' E Lo r ►'i N T Mailing Address: 11 00 cX \ V E 5� ri€ 1-tco New Tenant: City Yes ❑ ..No Zip State CONTACT PERSON - who do we contact when your permit is ready to be issued kb\ S►'IR'� 1 C Mailing Address: a2-ti `_`} 6,73-P‘ I E -Mail Address: +t'1f 41 I C 6* 1'150 .- C e7%� Day Telephone: City Fax Number: BOG lticr 499v �v TYc State Zip GENERAL CONTRACTOR INFORMATION — (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) Company Name: SY1 C Mailing Address: 12 Z t'? S 2 111 ST t l E-,/ J I City Contact Person: A Sh An IC Day Telephone: E -Mail Address: ;--k1-A.`' 1 C 0 PI 5 1✓ - C C M Fax Number: Expiration Date: Contractor Registration Number: 5M# L 21?2 State Zip 2©6 40 logo 00 ci ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record Company Name: Mailing Address: Contact Person: E -Mail Address: - ABC?- H ()LL soc s 0 L. ✓ 4- `74! 2Z PAUL_ �7 Zip �— � � j Day Telephone: 24247 ,� * 3 L U Z l,]^ E --Colk Fax Number: (J4.)(; / 3Z2 ¢2 55 !f City ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: Q:'Applications\Forms- Applications On Line'3 -2006 - Permit Application.doc Revised: 9 -2006 bh State Zip Page 1 of 6 PLUMBING AND GAS PIPING PERMIT INFORMATION - 206- 431 - 3670', PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: - U A\ ,} L Mailing Address: _ (11T', AVE N - City /- state zip Contact Person: V 4 Wo A l< or 1 �"� Day Telephone: `it --,17 l c30 Lj 4 /< E -Mail Address: Fax Number: > I Contractor Registration Number: PL ' 9<_'? I Expiration Date: 05 23 2061 Valuation of Plumbing work (contractor's bid price): $ I09 Valuation of Gas Piping work (contractor's bid price): $ Scope of Work (please provide detailed information): i 05-1-/k1 t S-('UK (5;4 .f'I F \X14 Lk J1-115i7f v z - A 1 n1 W 15 2 I U c. ILL, N C k 5.6k+,. r z/ Building Use (per Int'l Building Code): Occupancy (per Int'I 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 t 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 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 A Signature: Print Name: ZED AG Date: /2G A? Day Telephone: 2.0 '/9 �o O Mailing Address: / ,22 f City State Zip Date Application Accepted: Date Application Expires: Staff Initials: Q: \Applications\Forns- 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.: 7888900170 Permit Number: PG08 -286 Address: 18200 CASCADE AV TUKW Status: PENDING Suite No: Applied Date: 11/26/2008 Applicant: DOMESTIC ABUSE WOMEN'S NETWORK Issue Date: Receipt No.: R08 -03835 Payment Amount: $92.00 Initials: JEM Payment Date: 11/26/2008 02:08 PM User ID: 1165 Balance: $0.00 Payee: SMAJIC CONSTRUCTION, LLC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1348 92.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts PLUMBING - NONRES 000.322.103.00.0 92.00 Total: $92.00 9976 11/26 9710 TOTAL 92.00 doc: Receipt -06 Printed: 11 -26 -2008 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit P6 04/ PERMIT NO. (206)431 -360 Project: On esjir C. AQ&S t it)h Tope of Ins Lion: j ...r {-t. - pt K J , Addr s: 1 pl 7 j � ►. Date Called: . - S oat Instructions: Date Wanted: / r -I t ..'4,016- _ a m. p.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD -•"''� Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PERMIT NO. (206)431 -3670 Proj p i e ii? r b�I5 Type Inspectio tci rya,} At Addr ss: t ?lob 0 (3%e Or Date Called: Spec :Instructions: ' Date Wanted* 1 Z jo 7 1 d r p.m. Requester: 1 Phone N 2— li 1 CI -goc : pproved per applicable codes. Corrections required prior to apwp oval. COMMENTS: ) � t o gipacAie Gs \- „■rc. Date: / 2 oZ 0. ' } REINSPECTION FEE QUIRE ! Prior to inspec {ion, tee must be aid 6300 Southcenter Blvd Suite A100. Call to schedule reinspection. Date: Untitled Page General /Specialty Contractor A business registered as a construction contractor with Lai 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 Business Type Parent Company V J PLUMBING UBI No. 4258304418 Status 13024 111TH AVE NE KIRKLAND WA 98034 KING INDIVIDUAL License No. License Type Effective Date Expiration Date Suspend Date Previous License Next License Associated License Specialty 1 Specialty 2 602228499 ACTIVE VJPLU**987N1 CONSTRUCTION CONTRACTOR 8/21/2002 5/23/2009 GENERAL UNUSED Business Owner Information Name Role Effective Date Expiration Date AKOPIAN, VAROUJ OWNER 08/21/2002 Bond Amount Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 2 DEVELOPERS SURETY Ft INDEM CO 572309C 02/01/2004 Until Cancelled $12,000.00 02/07/2005 1 HARTFORD FIRE INS CO 01 BSBBU3551 08/15/2002 02/01/2004 $12,000.00 08/21/2002 Insurance Information Page 1 of 2 Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 7 WESTERN HERITAGE INS CO SCP19319842 11/08/2008 11/08/2009 $1,000,000.00 11/07/2008 6 LLOYDS OF LONDON (UNDERWRITER SCP235974 11/08/200711/08 /2008 $1,000,000.0011 /08/2007 LLOYDS OF https: // fortress .wa.gov /lni/bbip/Detail. aspx ?License = VJPLU* *987N 1 11/26/2008