Loading...
HomeMy WebLinkAboutPermit PG09-132 - PANATTONI CONSTRUCTIONPANATTONI CONSTRUCTION 6840 FORT DENT WAY P 09 -132 Parcel No.: 2954900425 Address: Suite No: Tenant: Name: Address: Value of Plumbing /Gas Piping: Fees Collected: doc: UPC -7/07 6840 FORT DENT WY TUKW Cityef Tukwila Contractor: Name: STATE MECHANICAL COMPANY Address: 600 INDUSTRY DR 8 , TUKWILA WA Contractor License No: STATEMC 141C7 DESCRIPTION OF WORK: INSTALL (1) NEW BREAK ROOM SINK 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 1 Urinals 0 Water Closet 0 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 PANATTONI CONSTRUCTION 6840 FORT DENT WAY , TUKWILA WA Owner: Name: PEPPERWOOD HOLDINGS LLC Address: 2835 82ND AVE SE #300 , MERCER ISLAND WA Contact Person: Name: BUD KLOSTERMAN Address: 6840 FORT DENT WAY , TUKWILA WA $1,500.00 $92.00 FIXTURE TYPE AND OUANTITY 0 * *continued on next page ** 0 PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: Phone: Phone: 206 - 575 -7527 Phone: Expiration Date: 09/01/2011 PG09 -132 11/10/2009 05/09/2010 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 -132 Printed: 11 -10 -2009 Permit Center Authorized Signature: City ofirukwila 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: PG09 -132 Issue Date: 11/10/2009 Permit Expires On: 05/09/2010 Q 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 this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or th- performance of work. I am authorized to sign and obtain this plumbing /gas piping permit. Date: ( / (/l v/© C( Signature: Print Name: doc: UPC -7/07 w L ci r E 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 -132 Printed: 11 -10 -2009 Parcel No.: 2954900425 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 6840 FORT DENT WY TUKW PANATTONI CONSTRUCTION 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 -132 ISSUED 11/10/2009 11/10/2009 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 -132 Printed: 11 -10 -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 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: ?LAD P-tY1 At doc: Cond -10/06 PG09 -132 Date: ` ! 0 /d ordinances governing or local laws regulating Printed: 11 -10 -2009 SITE LOCATION � JJ �O � W r ' /�`' King Co Assessor's Tax No.: aq.c LI 4O ` 0 Site Address: 8 `1 0 •' DE Suite Number: ,� � _ Floor: Tenant Name: KJi NI 1 ()Fit CC New Tenant: ® Yes ❑ .. No Property Owners Name: Mailing Address: CONTACT PERSON - who do we contact when your permit is ready to be issued Name: Kp G$� fJ_ Mailing Address: (060 1 Ale ` Utsr &/ Pk_ S E -Mail Address: bt)• ■ - 5 kL4 Ch ° 17t(2. — GENERAL CONTRACTOR INFORMATION — (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) Company Name: S i1 / v eC14tei N1 4 L Mailing Address: (QCJID I N D UST PlA g Contact Person: 4 D A � LQST 4 Lost-6 E -Mail Address: �D S IT.- lCt'v�t ► vvet Contractor Registration Number: 5T6TE c. 1 4 lc ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record Company Name: Mailing Address: Contact Person: E -Mail Address: ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record Company Name: Mailing Address: Contact Person: E -Mail Address: CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: / /wiFw.ci.tukwila.wa.us Q_ \Applications \Forms- Apphcaoons On Idnc \3 -2006 - Permit Application doc Rertsed• 9- 201)6 bh Building Permit No. Mechanical Permit No. Plumbing /Gas Permit No. Public Works Permit No. Project No. (For office use only) GO'?- 137_, 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 ** City State Day Telephone:2„0(D 5 7 � W A c !O C/R$ City State Zip Fax Number: 2- - 75 2.4 /04.0 iC.14 City State Zip Day Telephone: .7- ` 576 ' 7 5 27 Fax Number: - 7L 576 ` 7�✓ 2- Expiration Date: /(/ I I City Day Telephone: Fax Number: State City Day Telephone: Fax Number: Page 1 of 6 State Zip Zip Zip 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 i Dental unit, cuspidor Shower, sin • le 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 PLUMBING AND GAS PIPING PERMIT INFORMATION - 206 - 431 -3670 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: STATE / o ecti4 //CALL Mailing Address: L bfZ #" Contact Person: UP 6.41S16 A) E -Mail Address: F7iiaa s-11.--04e &w in • rtf Contractor Registration Number: G ,rte TT / 1 4/ e� !c%I6 iLR W q$i Sfs City State Zip Day Telephone: 2000 67 5 — 75 Fax Number: 2062 576 - 76 Zq Expiration Date: C V VI Valuation of Plumbing work (contractor's bid price): $ 1 Valuation of Gas Piping work (contractor's bid price): $ Scope of Work (please provide detailed information): (N5' ) Ll AJG1 ',QC- C - i 7 S (1"! (L Building Use (per Int'I 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: Q:\Applications \Forms- Applications On Line\ -2006 - Permit Application. doe Revised 9 -2006 bh Sewer: 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. Print Name: 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). 1 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 1'O APPLY FOR THIS PERMIT. BUIl..DING OW' 1 R AUT . !; ZED AGE T: Signature: I. .' Date: ( OA C I Day Telephone: 0G — 5 7 6 - 7 p 751 Mailing Address: (COO (At() VST / P2 # g TO Kw ( L ,,q I, JA I 0 icep State Zip UD iL as Zf14I' _ Date Application Accepted: Date Application Expires: Staff Initials: 1 Q:\ Applications \Forms - Applications. on Lme \3 -21 Ku - Permit Application.doc Revised: 9 -2006 bh City Page 6 of 6 Receipt No.: R09 -01781 Initials: WER User ID: 1655 Payee: STATE MECHANICAL • 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 TRANSACTION LIST: Type Method Descriptio Amount Payment Check 27065 92.00 Authorization No. ACCOUNT ITEM LIST: Description PLUMBING - NONRES RECEIPT Parcel No.: 2954900425 Permit Number: PG09 -132 Address: 6840 FORT DENT WY TUKW Status: PENDING Suite No: Applied Date: 11/10/2009 Applicant: PANATTONI CONSTRUCTION Issue Date: Payment Amount: $92.00 Account Code Current Pmts 000.322.103.00.00 92.00 Total: $92.00 Payment Date: 11/10/2009 11:45 AM Balance: $0.00 PAYMENT RECEIVED doc: Receiot -06 Printed: 11 -10 -2009 Pr F A A ^ I ` � J \ TYP e � � s 9f Inspectk x Address: SA t� rT Date Called: �(� � Special Instructions: / Date Wanted: ( �1 , a.m. — 3 (' 0 1 . m . Requester: Phone S 7 - / 7 f ! / --1 INSPECTION RECORD etain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PERMIT NO. (206)431 -3670 rif ( Approved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: p I (.0 LI (e_.;f 2 Insp ctor: ‘kk, Date: 1 2 -3(---b1 ri $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: !Date: Prrct , + ft11 Go A Jr--- Type of Inspection -1-.6 Address: 640 ra T 1 )LA ) Date Called: Special Instructions: 8/ ( 1 /4 S Date Wanted: I J( d o a `� p.m. Requester: Phone No: �,a(a— X 75 - - 7 S 2 '7 INSPECTION RECORD Retain a copy with permit p 04 - 3 24 4? PERMIT NO. INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 V,^ Approved per applicable codes. ❑ Corrections required prior to approval. 6 COMMENTS n ,7 7 u.i,' /g edli J 6 )1 4 4 U F , nspector Date: / r -4 — 00 REINSPECTI N FEE REQUIR .'. Prior to inspection, fee ust be d at 6300 Southc nter Blvd., Suit= 100. Call to schedule re spection. Receipt No.: Date: . . . _ Kind of Fixture Fixture Units No. of Fixtures Total Fixture Units Public Private Public Private Bathtub and Shower 4 4 Shower, per head 2 2 Dishwasher 2 2 Drinking fountain (each head) 1 .5 Hose bibb (interior) 2.5 2.5 Clotheswasher or laundry tub 4 2 Sink, bar or lavatory 2 1 Sink, Clinic flushing 8 8 Sink, kitchen 3 2 i 7 Sink, other (service) 3 1.5 Sink, wash fountain, circle spray 4 3 Urinal, flush valve, 1 GPF 5 2 Urinal, flush valve, >1 GPF 6 2 Urinal, waterless 0 0 Water closet, tank or valve, 1.6 GPF 6 3 Water closet, tank or valve, >1.6 GPF 8 4 tell King County Department of Natural Resources and Parks Wastewater Treatment Division Non- Residential Sewer Use Certification Owner's Name Total Fixture Units Residential Customer Equivalent (RCE) 20 fixture units equal 1.0 RCE Total No. of Fixture Units = 4 1.0 RCE 20 13 Z • To be completed for all new sewer connections, reconnections or change of use of existing connections. • This form does not apply to repairs or replacements of existing sewer connections within five years of disconnect. Please Print or Type ( e go L i0 Fc(Kr t sui W y Property Street Address 1 u GC*a City State ZIP Subdivision Name Lot # City or Sewer District - - Subdiv. # Block # Date of Connection Building Name f'� T t ��4QIL Side Sewer Permit # (if applicable) Please report any demolitions of pre - existing building on this property. ( ) Credit for a demolition may be given under some circumstances. Owner's Phone Number (with Area Code) Demolition of pre- existing building? ❑ Yes ❑ No ( ) Was building on Sanitary Sewer? ❑ Yes ❑ No Property Contact Phone Number (with Area Code) Owner's Mailing Address Was Sewer connected before 2/1/90? ❑ Yes ❑ No Sewer disconnect date: Type of building demolished? Request to apply demolition credit to multiple buildings? ❑ Yes ❑ No A. Fixture Units Fixture Units x Number of Fixtures = Total Fixture Units z 1058 (Rev. 9/07) White - Kino County Yellow - Local Sewer Aoencv For King County Use Only Account # No. of RCEs Monthly Rate Property Tax ID # Party to be Billed (if different from owner) B. Other Wastewater Flow (in addition to Fixture Units identified in Section A) Type of Facility /Process: Estimated Wastewater Discharge: Gallons /days Residential Customer Equivalents (RCE): 187 gallons per day equals 1.0 RCE Total Discharge (gal /day) _ 187 C. Total Residential Customer Equivalents: (add A & B) A B o tlI Print Name of Owner/Representative .)L �G�t;�` --A449-7V /V RCE ORECEIVED ARTY OFTUKWILA NOV i1 a 2009 EIRMYT CENTER Pursuant to King County Code 28.84, all sewer customers who establish a new service which uses metropolitan sewage facilities shall be subject to a capacity charge. The amount of the charge is established annually by the King County Council at a rate per month per residential customer or residential customer equivalent for a period of fifteen years. The purpose of the charge is to recover costs of providing sewage treatment capacity for new sewer customers. All future billings can be prepaid at a discounted amount. All future billings can be prepaid at a discounted amount. Questions regarding the capacity charge or this form should be referred to King County's Wastewater Treatment Division at 206 - 684 -1740. I certify that the information given is correct. I understand that the capacity charge levied will be based on this information and any deviation will require resubmission of corrected data for determination of a revised capacity charge. Signature of Owner /Representative " �� t� � Date r �A c/o Ct Pink - Sewer Customer . ®uwv License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status DESIGM '110NQ DESIGN MECHANICAL CONSTRUCTION CONTRACTOR BOILER /STEAM FIT /PROC PIPING PLUMBING 8/18/19898/17/1993 ARCHIVED RXHCO "121 NA R X H COMPANY CONSTRUCTION CONTRACTOR PLUMBING BOILER /STEAM FIT /PROC PIPING 8/1/1988 7/27/1999 ARCHIVED GERRICI163B3 GERRIK COMPANY INC CONSTRUCTION CONTRACTOR GENERAL UNUSE 1/23/19841/9/1991 02/27/198602/27 ARCHIVED Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 3 TRAVELERS CAS Et SURETY CO 200686359 07/27/2001 Until Cancelled $6,000.00 08/14/2001 2 UNITED PACIFIC INS CO 686359 02/27/1988 07/27/2001 $4,000.00 02/27/1998 1 PACIFIC MARINE INS CO 25063 02/27/198602/27 /1988 Name Role Effective Date Expiration Date PLATZ, GREG D 01/01/1980 DEWITT, RALPH E 01/01/1980 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 STATE MECHANICAL COMPANY 2065757527 600 INDUSTRY DR 8 TUKWILA WA 98188 KING Corporation UBI No. 600611697 Status ACTIVE License No. STATEMC141C7 License Type CONSTRUCTION CONTRACTOR Effective Date 2/27/1986 Expiration Date Suspend Date Specialty 1 PLUMBING Specialty 2 UNUSED 9/1/2011 Other Associated Licenses Business Owner Information Bond Information I Insurance Information 0 Page 1 of 2 I https: // fortress .wa.gov /lni/bbip /Detail.aspx 11/10/2009