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Home My WebLink AboutPermit PG09-039 - SOUND MENTAL HEALTHSOUND MENTAL HEALTH 6100 SOUTHCENTE BL Parcel No.: 3597000221 Address: Suite No: 6100 SOUTHCENTER BL TUKW Tenant: Name: SOUND MENTAL HEALTH Address: 6100 SOUTHCENTER BL , TUKWILA WA Owner: Name: CENTERPLEX Address: 6100 SOUTHCENTER BL STE 150 , TUKWILA WA Contact Person: Name: BRIAN KNAPIK Address: 16149 #351 REDMOND WY , REDMOND WA Contractor: Name: MOSS BAY PLUMBING LIMITED Address: PMB 351 16149 REDMOND WY , REDMOND WA Contractor License No: MOSSBPL00000 DESCRIPTION OF WORK: INSTALL (1) SINK, (1) LAV, (1) TOILET, AND (1) DRINKING FOUNTAIN REVISION #1: ADD (1) SINK TO SCOPE OF WORK Value of Plumbing /Gas Piping: Fees Collected: doc: UPC -7/07 Citlikf 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 $6,000.00 $144.00 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 PLUMBING /GAS PIPING PERMIT 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 0 its trap and vent, except for kitchen type 1 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 1 Medical gas piping system serving (1 -5) 0 inlets /outlets for a specific gas 0 0 Medical gas piping (6 +) inlets /outlets 0 2 Gas Piping 0 Gas piping outlets (0 -5) 0 1 Gas piping outlets (6 +) 0 * *continued on next page ** • Permit Number: Issue Date: Permit Expires On: Phone: 206 246 -9986 Phone: 425 868 -8446 Phone: 425 868 -8446 Expiration Date: 03/15/2011 PG09 -039 04/22/2009 10/24/2009 Uniform Plumbing Code Edition: 2006 International Fuel Gas Code Edition: 2006 PG09 -039 Printed: 05 -05 -2009 Permit Center Authorized Signature: Print Name: doc: UPC -7/07 City O 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 and e a ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied ith 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 ign and obtain this plumbing /gas piping permit. Signature: 3 fr / /h r � / L Date: 5 S ° /?/ • Permit Number: PG09 -039 Issue Date: 04/22/2009 Permit Expires On: 10/24/2009 Date: 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. PG09 -039 Printed: 05 -05 -2009 Parcel No.: 3597000221 Address: Suite No: Tenant: Name: Address: Owner: Name: Address: Value of Plumbing /Gas Piping: Fees Collected: doc: UPC -7/07 Citytf 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 6100 SOUTHCENTER BL TUKW SOUND MENTAL HEALTH 6100 SOUTHCENTER BL , TUKWILA WA CENTERPLEX 6100 SOUTHCENTER BL STE 150 , TUKWILA WA Contact Person: Name: BRIAN KNAPIK Address: 16149 #351 REDMOND WY , REDMOND WA Contractor: Name: MOSS BAY PLUMBING LIMITED Address: PMB 351 16149 REDMOND WY , REDMOND WA Contractor License No: MOSSBPL00000 DESCRIPTION OF WORK: INSTALL (1) SINK, (1) LAV, (1) TOILET, AND (1) DRINKING FOUNTAIN $6,000.00 $131.00 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) 1 Food -waste grinder, commercial 0 Floor drain 0 Shower, single head trap 0 Lavatory 1 Wash fountain Receptor, indirect waste 0 Sinks 1 Urinals 0 Water Closet 1 PLUMBING /GAS PIPING PERMIT FIXTURE TYPE AND QUANTITY 0 * *continued on next page ** Permit Number: Issue Date: Permit Expires On: Phone: 206 246 -9986 Phone: 425 868 -8446 Phone: 425 868 -8446 Expiration Date: 03/15/2011 PG09 -039 04/22/2009 10/19/2009 Uniform Plumbing Code Edition: 2006 International Fuel Gas Code Edition: 2006 Plumbing (cont.) Building sewer and each trailer park sewer 0 Rain 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 PG09 -039 Printed: 04 -22 -2009 Permit Center Authorized Signature: / I hereby certify that I have read and governing this work will be complied 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: l ' /././2—," Print Name: 1 /Y doc: UPC -7/07 • 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 arm ed this permit and know the same to be true and correct. All provisions of law and ordinances ith, whether specified herein or not. • Permit Number: PG09 -039 Issue Date: 04/22/2009 Permit Expires On: 10/19/2009 Date: 0 11- Date: 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. PG09 -039 Printed: 04 -22 -2009 Parcel No.: 3597000221 Address: Suite No: Tenant: doc: Cond -10/06 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 6100 SOUTHCENTER BL TUKW SOUND MENTAL HEALTH 1: ** *PLUMBING AND GAS PIPING * ** PERMIT CONDITIONS * *continued on next page ** Permit Number: Status: Applied Date: Issue Date: 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. PG09 -039 ISSUED 04/22/2009 04/22/2009 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. PG09 -039 Printed: 04 -22 -2009 • 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 M 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: / #/2� /<74'/ � Print Name: / - 3." -- //i.: J doc: Cond -10/06 PG09 -039 Date: 6 / ` 2.1- ` d ordinances governing or local laws regulating Printed: 04 -22 -2009 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us Plumbing /Gas Permit No. PW1oPYI Project No. (For 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.: 5 cf' ? 49490 2. L / Site Address: (i/ b (2 S d./ A C!/�/�r - , U I--- Suite Number: Floor: ,f 6 90100 JUG 1 KpriAlk New Tenant: ❑ Yes ..No Tenant Name: Property Owners Name: Mailing Address: Contact Person: E -Mail Address: H:\Applications \Forms - Applications On Line \2009 Applications \1 -2009 - Plumbing -Gas Piping Permit Application.doc Revised: 1.2009 bh City Expiration Date: State CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: / 3 /` / / < / /( yy�� Day Tele� hone: L ( Z. - G � - � 5� �� Mailing Address: / /Y / 3 ,�/ /��/�6��wi�I � �h� GL.� 5.F"a J Z 7 City E -Mail Address: 170 d S .I3 )f, / A yd. Fax Number: State Zip PLUMBING:/ GAS PIPING CONTRACTOR INFORMATION . Company Name: v !U 5,c A 1:5/ P I. t-- "07-..73 f4 T Mailing Address: /C/ Y 5 4/ Z 1J / 22— til/ 1 -/ 2 i*,& Le/ cll. cll. GJ M L ity State Zip Contact Person: /_ ., / C Zo,' Day Telephone: 2& ' ii--- a ky kC E -Mail Address: #1,00.f S X11 ",, - / Fax Number: Contractor Registration Number: /AP f31)e... eynb e, 0 / /r/ ZO// ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record Company Name: Mailing Address: State Zip Zip City Day Telephone: Fax Number: ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: Page 1 of 2 Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty 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 Building sewer and each trailer park sewer Rain water system - per drain (inside building) Water heater and /or vent Industrial waste treatment interceptor, including trap and vent, except for kitchen type grease interceptors Each grease trap (connected to not more than 4 fixtures - <750 gallon capacity) Grease interceptor for commercial kitchen ( >750 gallon capacity) Repair or alteration of water piping and/or water treatment equipment Repair or alteration of drainage or vent piping Medical gas piping system serving 1 -5 inlets /outlets for a specific gas Each lawn sprinkler system on any one meter including backflow protection devices Each additional medical gas inlets/outlets greater than 5 Backflow protective device other than atmospheric -type vacuum breakers 2 inch (51 mm) diameter or smaller Backflow protective device other than atmospheric -type vacuum breakers over 2 inch (51 min) diameter Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections (1 -5) Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections over 5 Gas piping outlets Valuation of Project (contractor's bid price): $ 9/ CP Scope of Work (please provide detailed information): 72-1. / - J Si 4/(, 1 ►_ 1 x Jr 7 Building Use (per Int'l Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: Indicate type of plumbing fixtures and /or gas piping outlets being installed and the quantity below: PERMIT 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). 1 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 OWIN.Rt OR AUTHORIZED AGE : Signature: Print Name: /2// �J _ �i�/�� ?"l ( Day Telephone: V 1 r- Fr 1 ' SIP/‘ Mailing Address: City Date Application Accepted: ei4l2zlo0\ Date Application Expires: H:1Applications Applications On Line12009 Applicationsll -2009 - Plumbing -Gas Piping Permit Application.doc Revised: 1.2009 bh Sewer: Date: -6,j State Zip Staff Initials: e2of2 Parcel No.: 3597000221 Address: Suite No: Applicant: SOUND MENTAL HEALTH Receipt No.: Initials: User ID: Payee: TRANSACTION LIST: Type Method ACCOUNT ITEM LIST: Description doc: Receiot -06 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 • City of Tukwila 6100 SOUTHCENTER BL TUKW R09 -00680 JEM 1165 MOSS BAY PLUMBING LIMITED Payment Check Authorization No. PLUMBING - NONRES Descriptio Amount 11797 13.00 Account Code RECEIPT 000.322.103.00.0 Payment Date: Balance: Current Pmts 13.00 Total: $13.00 • Permit Number: Status: Applied Date: Issue Date: Payment Amount: $13.00 PG09 -039 ISSUED 04/22/2009 04/22/2009 05/05/2009 09:55 AM $0.00 PAYMENT R CEIVED Printed: 05 -05 -2009 • 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.: 3597000221 Permit Number: PG09 -039 Address: 6100 SOUTHCENTER BL TUKW Status: PENDING Suite No: Applied Date: 04/22/2009 Applicant: SOUND MENTAL HEALTH Issue Date: Receipt No.: R09 -00613 Payee: MOSS BAY PLUMBING LIMITED TRANSACTION LIST: Type Method Descriptio Amount Payment Check 11772 131.00 Authorization No. ACCOUNT ITEM LIST: Description PLUMBING - NONRES Account Code Current Pmts 000.322.103.00.0 131.00 Total: $131.00 Payment Amount: $131.00 Initials: JEM Payment Date: 04/22/2009 01:01 PM User ID: 1165 Balance: $0.00 PAYMENT RECEIVED doc: Receiot -06 Printed: 04 -22 -2009 COM)VIENTS: • 4)144 k -,,,j - n,,,..%r/ - I -e . L i \---,-...,. i Ot., t , I Ale /1 4 I Address: r !OO Sd1tkN 0 1 1. : 'On v.Ie V1ve kizi A rev v tr I N n,l , kv trA `'fw A L K1 } IJ c. c 6 b r o navy e co 1 c c ; 1..4",rc&9 -- 7 31-6 k ct ►...,'� Date Wanted: _ "1� C.9 /a "rr Requester: 1 1 ( -q 453 14 7 Pro ect: Type of Inspection: Address: r !OO Sd1tkN t (L Date Called: Special Instructions: Date Wanted: _ "1� C.9 /a "rr Requester: Ph ne No: _,0o -sv ( -q 453 14 7 INSPECTION RECORD Retain a copy with permit INSPECT I NO. TIE NO. CITY OF TUKWILA BUILDING DIVISION ��``' 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Approved per applicable codes. Corrections required prior to approval. - Date: ea-- f 0.00 REINSPECTION FE REQUIRE . Prior to inspection, fee must be aid at 6300 Southcenter Blvd., Suite 00. Call to schedule reinspection. Receipt No.: Date: COMMENTS: V A 0 6 lw Iig0. -( v 16 P DateFCalled: ,,.1 'kr -0. ----- 2\ / o ✓ 1/ Date Wanted: 4ik fAt.e - >v.. A l /A/4/c, f s --- c -------... / \ Pro ect: Tyre of Inspection: Address: 0l (0 0 k 13_J DateFCalled: Special Instructions: Date Wanted: Requester: Phone No: z oC. -1- 7 ?I g_ p(d: INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Approved per applicable codes. INSPECTION RECORD Retain a copy with permit Inspecto I Corrections required prior to approval. Date: � - REINSPECTION FEE REQUIRED. to inspection, fee must be at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: Projec Type of Inspection: Address: 6/00 574A/2' Date Called: Special Instructions: Date Wanted: � � _ z a �. g Requester: Phone No: 20C^ 66' INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION Peas -(1391 PERI&T NO. 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Approved per applicable codes. LJ Corrections required prior to approval. COMMENTS: bcw ✓ - w fi k a Inn vd Z c- S . L)G kJ —f <b a- .J A 04 —1-0 t I�r Insp ce t8 00 REINSPECI'ION FEE 2EQUIRED Prior to inspection, ffe must be d at 6300 Southcenter BIJd., Suite 100. Call to schedule r inspection. Re - ipt No.: 'Date: 7 Date: 5 Date: • • 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 Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Iv '1 ❑ Response to Incomplete Letter # ❑ Response to Correction Letter # Revision # j after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner PERMIT CENTER Project Name: f i -' �� l\ . MA /l \ l - es `14 Project Address: l e L 4 7 Contact Person: /& t2>& , //C Phone Number: /Z S" — g y/.)/2 / Summary of Revision: Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by: ti Entered in Permits Plus on \applications\forms- applications on line\revision submittal Created: 8 -13 -2004 Revised: Plan Check/Permit Number: EIVED CITY E F TUKWILA MAY 0 5 2009 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 3 CBIC SG8566 08/24/2007 Until Cancelled 04/11/2006 ARCHIVED $6,000.00 08/20/2007 2 COLONIAL AM CAS & SURETY OF MD LPM4048886 03/15/2002 Until Can $6,000.00 02/21 /2002 1 COLONIAL AM CAS & SURETY OF MD LPM4048886 08/24/2000 03/15/2002 $4,000.00 License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status BRIANTP073D4 BRIAN THE PLUMBER CONSTRUCTION CONTRACTOR PLUMBING UNUSED 3/24/19933/15/2001 04/11/2006 ARCHIVED Name Role Effective Date Expiration Date KNAPIK, BRIAN JOHN 01/01/1980 KNAPIK, MAXINE 01/01/1980 KNAPIK, ANDREW B TREASURER 04/11/2006 Untitled Page • • 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 MOSS BAY PLUMBING LIMITED 4258688446 PMB 351 16149 REDMOND WAY REDMOND WA 980523834 KING Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602049480 ACTIVE MOSSBPL00000 CONSTRUCTION CONTRACTOR 9/20/2000 3/15/2011 PLUMBING UNUSED Other Associated Licenses Business Owner Information Bond Information Page 1 of 2 https: // fortress .wa.gov /lni/bbip/Detai1.aspx 04/22/2009