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Permit PG10-024 - BAY VALUE SERVICES
BAY VALUE SERVICES 4385 S 133 ST PG1 0-024 Parcel No.: 2613200133 Address: Suite No: City* Tukwila • Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Inspection Request Line: 206- 431 -2451 Web site: http: / /www.ci.tukwila.wa.us 4385 S 133 ST TUKW PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: PG 10 -024 02/16/2010 08/15/2010 Tenant: Name: Address: BAY VALUE SERVICES 4385 S 133 ST , TUKWILA WA Owner: Name: SEBCO INC Address: 4020 E MADISON ST #320 , SEATTLE WA Contact Person: Name: BERT FIELDS Address: PO BOX 267 , BLACK DIAMOND WA Contractor: Name: DIAMOND PLUMBING INC Address: PO BOX 267 , BLACK DIAMOND WA Contractor License No: DIAMOPIO 10JK Phone: Phone: 206 786 -0171 Phone: 360 886 -0440 Expiration Date: 01/04/2011 DESCRIPTION OF WORK: INSTALL 1" GAS LINE TO NEW ROOFTOP UNIT Value of Plumbing /Gas Piping: Fees Collected: $2,200.00 $63.00 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 Uniform Plumbing Code Edition: 2006 International Fuel Gas Code Edition: 2006 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 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 -7/07 PG10 -024 Printed: 02 -16 -2010 • City of Tukwila • Department of Community Development 6300 Southcenter Boulevard, Suite # 100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Inspection Request Line: 206 - 431 -2451 Web site: http: / /www.ci.tukwila.wa.us Permit Number: PG 10 -024 Issue Date: 02/16/2010 Permit Expires On: 08/15/2010 Permit Center Authorized Signature: I hereby certify that I have read and e governing this work will be complied min ith, 1 4\a, V a,4A Date: 02- Ai I t-0 d this permit and know the same to be true and correct. All provisions of law and ordinances hether 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. Date: i& Signature: Print Name: 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 -7/07 PG10 -024 Printed: 02 -16 -2010 Parcel No.: 2613200133 Address: Suite No: Tenant: • 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 4385 S 133 ST TUKW BAY VALUE SERVICES PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: PG 10 -024 ISSUED 02/16/2010 02/16/2010 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 PG10 -024 Printed: 02 -16 -2010 • 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: 715— ordinances governing or local laws regulating doc: Cond -10/06 PG10 -024 Printed: 02 -16 -2010 CITY OF TUKWILP Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us Sl[TE LOCATION.' Site Address: Tenant Name: Plumbing /Gas Permit No.;; :Project No For..ofJice 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 ** N� s� 113 g S 133 L 0", (iGLe- Property Owners Name: S e,6Cc Mailing Address: 44 2.0 CONTACT PERSON - Who do we contact when Your permit is ready to be issued.. King Co Assessor's Tax No.: a& 13v?d03 Suite Number: New Tenant: City Floor: ❑ Yes E'.. No `tam 9r7 /4? Zip Name: Day Telephone: Mailing Address: E -Mail Address: City State Zip Fax Number: PILUMBI'NG / GAS PIPING` CONTRACTOR INFORMATION Company Name: 17/970/7/112//07‘3,-* Mailing Address: ?a74) C o2 % 2 Contact Person: Fes,: E -Mail Address: City State Zip Day Telephone: 0219 d /7/ Fax Number: 36a ,( O VC' Contractor Registration Number: D /v1 © /4„3--1r' Expiration Date: / /�% /e3`/ ARCHITECT- OF RECORD All plans must be wet stamped by Architect of Recor Company Name: Mailing Address: city Day Telephone: Fax Number: Contact Person: E -Mail Address: State Zip ENGINEER 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: H:\Applications\Porms- Applications On Line\2009 Applications \1 -2009 - Plumbing -Gas Piping Permit Application.doc Revised: 1-2009 bh Page 1 of 2 • e)v Valuation of Project (contractor's bid price): $ as !X� 1, t Scope of Work (please provide detailed information): / G'- i i d'o otf 10 Le h sI' 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 FixtureType: 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 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 mm) diameter Each lawn sprinkler system on any one meter including backflow protection devices 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 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). 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 OW ' OR AUTHO IZED Signature: �L Print Name: 2e // 1L-x. Mailing Address: !, ? / 'OA' c (o Date: L. d?de2 Day Telephone: p206, i 0/ 7/ /74' C.`C �im�a�� �147A- City State Zip Date Application Accepted: 02_ it l^ Date Application Expires: Staff Initials: . .4--d' I H:\Applications\Forms- Applications On Line \2009 Applic tions \I -2009 Plumbing -Gas Piping Permit Application.doc Revised: 1 -2009 bh Page 2 of 2 • City of Tukwila 1004701 -1 00 1 02, +14/2010 001 101 Dc:D Perm- Plus - General Fund $43.00 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.: 2613200133 Permit Number: PG10 -024 Address: 4385 S 133 ST TUKW Status: PENDING Suite No: Applied Date: 02/16/2010 Applicant: BAY VALUE SERVICES Issue Date: Receipt No.: R10 -00261 Initials: User ID: JEM 1165 Payment Amount: $63.00 Payment Date: 02/16/2010 11:30 AM Balance: $0.00 Payee: BERT R FIELDS, DIAMOND PLUMBING INC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. ACCOUNT ITEM LIST: Description 63.00 Account Code Current Pmts GAS - NONRES 000.322.103.00.00 63.00 Total: $63.00 doc: Rer.eiot -06 Printed: 02 -16 -2010 INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36 Pr t: \./ 6 , Type of Ins ection: Address Date Called: Special Instructions: Date Wanted: a I. Requee"ster: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: f)i/ Dat. bb * ri 60 i 0 REINSP CTION F REQUI D. Prior to inspection, fee must be pai at 6300 Southcenter B vd., Su' e 100. Call to schedule reinspection. Re ei't No.: Date: INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CIT\ OF TUKWILA BUILDING DIVISION VQ- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3 P6/0 -v2y Pro Act: ?, 94s Vi% /z ',2,,t e$ Type o Inspection: )PeD(y�i ,.,/ - 6/1 s Address: .4/3K5' s /33si Date Called: Special Instructions: Date Wanted: ..2 / 7.-- /O gnu p.m. Requester: Phone No: IXI Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: Date: 2-f7-f3 0.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be aid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Refeipt No.: Date: Contractors or Tradespeople Per Friendly Page • Page 1 of 2 General /Specialty Contractor A business registered as a construction contractor with L8I 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 Diamond Plumbing Inc UBI No. 601921672 Phone 3608860440 Status Active Address P 0 Box 267 License No. DIAMOPI010JK Suite /Apt. License Type Construction Contractor City Black Diamond Effective Date 4/12/1999 State Wa Expiration Date 1/4/2011 Zip 98010 Suspend Date County King Specialty 1 Plumbing Business Type Corporation Specialty 2 Unused Parent Company Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status DIAMOP *044JW Diamond Plumbing Construction Contractor Plumbing Carpentry/Framing 4/16/1996 4/15/1999 Archived Business Owner Information Name Role Effective Date Expiration Date Fields, Bert R IiNbsp; 01/01/1980 Bond Amount Fields, Linda S &tNbsp; 01/01/1980 6459066 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 4 AMERICAN STATES INS CO 6459066 01/04/2007 Until Cancelled $6,000.0012/28/2006 01/14/2010 3 DEVELOPERS SURETY &t INDEM CO 518959C 01/04/2002 Until Cancelled 02/22/2007 $6,000.0012/13/2001 Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 12 AMERICAN STATES INS 24CC2621252 01/30/2010 01/30/2011 $1,000,000.00 01/14/2010 https://fortress.wa.gov/lni/bbip/Print.aspx 02/16/2010