HomeMy WebLinkAboutPermit PG08-301 - PACIFIC COURT APARTMENTS - BUILDING BPACIFIC COURT
APARTMENTS -BLDG
4028S146ST
1
Parcel No.: 0040000250
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
4028 S 146 ST TUKW
PLUMBING /GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On:
PG08 -301
12/29/2008
06/27/2009
Tenant:
Name:
Address:
Owner:
Name:
Address:
PACIFIC COURT APARTMENTS BLDG B
4028 S 146 ST , TUKVVILA WA
MOHAJER HOSSEIN SABOUR
12645 NE 140TH ST , KIRKLAND WA
Contact Person:
Name: SHAY SABOUR
Address: 12645 NE 140 ST , KIRKLAND WA
Contractor:
Name: EXCLUSIVE HOMES INC
Address: 12645 NE 140 ST , KIRKLAND WA
Contractor License No: EXCLUHI951CC
Phone:
Phone: 425 - 829 -7429
Phone: 425 829 -7429
Expiration Date:
DESCRIPTION OF WORK:
PIPING FOR THE PRESSURE RELIEF VALVE TO THE OUTSIDE OF THE BUILDING
Value of Plumbing /Gas Piping: $300.00
Fees Collected: $80.00
Uniform Plumbing Code Edition: 2006
International Fuel Gas Code Edition: 2006
FIXTURE TYPE AND OUANTITY
Plumbing
Bathtub or combination bath/shower 0
Bidet 0
Clothes washer, domestic 0
Dental unit, cuspidor 0
Dishwasher, domestic, with independent drain 0
Drinking fountain or water cooler (per head) 0
Food -waste grinder, commercial 0
Floor drain 0
Shower, single head trap 0
Lavatory 0
Wash fountain
Receptor, indirect waste 0
Sinks 0
Urinals 0
Water Closet 0
0
Plumbing (cont.)
Building sewer and each trailer park sewer 0
Ram water system - per drain (inside bldg) 0
Water heater and /or vent 0
Industrial waste treatment interceptor, including
its trap and vent, except for kitchen type
grease interceptors 0
Repair or alteration of water piping and/or water
treatment equipment 0
Repair or alteration of drainage or vent piping 0
Medical gas piping system serving (1 -5)
inlets /outlets for a specific gas 0
Medical gas piping (6 +) inlets /outlets 0
Gas Piping
Gas piping outlets (0 -5) 0
Gas piping outlets (6 +) 0
* *continued on next page **
doc: UPC -10/06
PG08 -301 Printed: 12 -29 -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 -301
Issue Date: 12/29/2008
Permit Expires On: 06/27/2009
Permit Center Authorized Signature:
Date:
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 o
Signature:
s permit do
he perfo
t presume to give hority to violate or cancel the provisions of any other state or local laws regulating
ce of work. I am authorize to sign and obtain this plumbing /gas piping permit.
Print Name: 7Sf ( J 4o r - fr f 1l
This permit shall become null and void if the work i's'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 -301 Printed: 12 -29 -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.: 0040000250
Address:
Suite No:
Tenant:
4028 S 146 ST TUKW
PACIFIC COURT APARTMENTS BLDG B
Permit Number:
Status:
Applied Date:
Issue Date:
PG08 -301
ISSUED
12/29/2008
12/29/2008
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 m 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 -301 Printed: 12 -29 -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 e to give authority to violate or cancel the provision of any other work or local laws regulating
constructioryer me perform
Signature:
Print Name: // "[fiq w 7i
doc: Cond -10/06
PGO8 -301 Printed: 12 -29 -2008
•
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
• `TGo
g- 30
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 Address: if 0 2
Tenant Name:
Property Owners Name:
Mailing Address:
King Co Assessor's Tax No.: QDI 9. � O )-�
Suite Number: Floor:
New Tenant: D .... Yes ..No
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city
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o we contact wh`nn yourzpermitls react
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State Zip
Name: s y j gdbvf
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Mailing Address: /
E -Mail Address: S°r G — - -C-42-71 • 6t)"..-1
Day Telephone: t.1 'rte S 4414
City
Fax Number:
State Zip
—TC Ici rf
Company Name:
Mailing Address:
Contact Person:
7w(
SLt�y
E -Mail Address: S licr�
Contractor Registration Numb 217.X. C_ / u H / ¶ / c
Snit 3 Dv /
C.,, ,� r �p `2 c Fax Number: d 0 a — }Sly .— (Q ' ( \ 1
Expiration Date: C'... —
City State Zip
Day Telephone: y 2' -
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
r(P"-
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
City
Day Telephone:
Fax Number:
State
Zip
Q:Wpplications'Forms- Applications On Line3-2006 - Plumbing -Gas Piping Permit Application.doc
Revised: 4 -2006
City
Day Telephone:
Fax Number:
State
Zip
Dearrm ,..en
•
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
0
Building Use (per Intl Building Code):
Occupancy (per Int'l Building Code):
Utility Purveyor: Water: J,a ,?}, etj-cr
Sewer:
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
vFixtiirgfType i } r
Qty:;
Fixture Type: ::'.6,-L 'e � t
Qty.
- Fixture Type:
Qty:ii
Fixture Type:
',I 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).
XAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
F WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILD
Signature:
Print Name:
Mailing Address:
Date: `r---5,6 b
Day Telephone:
City
State
Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
Q:1Applications\Forms- Applications On Line13 -2006 - Plumbing -Gas Piping Permi Application -doc
Revised: 4.2006
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://www.ci.tukwila.wa.us
RECEIPT
Parcel No.: 0040000250 Permit Number: PG08 -301
Address: 4028 S 146 ST TUKW Status: PENDING
Suite No: Applied Date: 12/29/2008
Applicant: PACIFIC COURT APARTMENTS BLDG B Issue Date:
Receipt No.: R08 -03980 Payment Amount: $80.00
Initials: WER Payment Date: 12/29/2008 02:08 PM
User ID: 1655 Balance: $0.00
Payee: BANK OF AMERICA
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 10781520 80.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
PLUMBING - NONRES
000.322.103.00.0 80.00
Total: $80.00
0853 12/29 9707 TOTAL 80.00
doc: Receiot -06 Printed: 12 -29 -2008
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
J:__ %
CITY OF TUKWILA BUILDING DIVISION : x-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)4'1 -3670
Project / /977 /'
�ir.."_.
Type O Sp
lion:
A��s�
/1( ( ,
Date Called:
Special Instructions:
`\
&I `
/
« IS k \
Date Wanted-
/ -- /
—Q�
�p.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
j zkA
A /6 rirvl,
T
Date: _ - Z1
N
ri $60.00 REINSPECTION FEE REQ IRED. Prior to ins ection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Cell to schedule reinspection.
Receipt No.:
1Datt:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Projeeti � j? /f/ /4/
/ / /
Type of Ins ection:
r"/ 1�, >9 � - /4)/ (c -s.t/
Addre� s n s, ft/6 5
Date Called:
D cam, bret-.! A v -e.T----no IV:A
'^
Special instructions:
Ii
Date Wanted:
/-- -5 -ac
o' r-e a r c,J ; il-N 6p-e% or k-' 4
m.
Requester:
Phone No:
412-4 `C...)
t
2�
Approved per applicable codes.
Corrections required prior to approval. 7
COMMENTS:
'`M ( se; I v-4 c- -1)Y d( ,%i 3,Q:A
1�'{ t c_k r -3 .1 1 j7 .. w4-11.1
/04,i:
D cam, bret-.! A v -e.T----no IV:A
o krCl A-7— f 1 ,4-,,D AfYM('ATI )'diJ
4,.J AT-v- . 4- . ;1. t../ 1,i :' E i eitriC
• `.
o' r-e a r c,J ; il-N 6p-e% or k-' 4
hale.
• - 7
n , n
Inspect
LJ$60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Date:
Receipt No.:
Date:
Untitled Page
•
e
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.
Business and Licensing Information
Name
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent
Company
EXCLUSIVE HOMES
INC
4258297429
12645 NE 140TH ST
KIRKLAND
WA
98034
KING
CORPORATION
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Previous License
Next License
Associated
License
Specialty 1
Specialty 2
601919766
ACTIVE
EXCLUHI951CC
CONSTRUCTION
CONTRACTOR
2/3/2005
2/3/2009
GENERAL
UNUSED
Business Owner Information
Name
Role
Effective Date
Expiration Date
MOHAJER, HOSSEIN S
PRESIDENT
02/03/2005
Bond
Amount
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
1
AMERICAN
STATES INS
CO
6324515
12/27/2004
Until
Cancelled
$12,000.00
02/03/2005
Insurance Information
Page 1 of 2
Insurance
Company
Name
Policy
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Amount
Received
Date
4
NATIONAL
FIRE >f
MARINE
INS CO
72LPS007836
02/01/2008
02/01/2009
$1,000,000.00
01/31/2008
3
NATIONAL
FIRE it
MARINE
INS CO
72LPS
003849
02/01/2007
02/01/2008
$1,000,000.00
01/30/2007
https: // fortress .wa.gov /lni/bbip/Detail.aspx ?License= EXCLUHI951 CC
12/29/2008