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Home My WebLink AboutPermit PG10-092 - FIBERDYNEFIBERDYNE 17616 WEST VALLEY HY PG1O-092 City oftukwila 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.tulcwila.wa.us PLUMBING /GAS PIPING PERMIT Parcel No.: 2523049017 Address: 17616 WEST VALLEY HY TUKW Project Name: FIBERDYNE Permit Number: PG 10 -092 Issue Date: 08/06/2010 Permit Expires On: 02/02/2011 Owner: Name: BROMEL DAVID K Address: 3409 S LAURELHURST DR NE , SEATTLE WA 98105 Contact Person: Name: DARREN PARMLEY Address: 81 WILLIAMS AV S , RENTON WA 98057 Email: Contractor: Name: PROGRESSIVE BUILDING SOLUTIONS Address: 1746 NW 60 ST , SEATTLE WA 98107 Contractor License No: PROGRBS903K8 Phone: 206 -788 -7374 Phone: 206 - 437 -9395 Expiration Date: 11/18/2011 DESCRIPTION OF WORK: INSTALL KITCHEN SINK IN NEW BREAK ROOM Value of Plumbing /Gas Piping: $1,600.00 Uniform Plumbing Code Edition: 2009 Fees Collected: $120.75 International Fuel Gas Code Edition: 2009 Permit Center Authorized Signature: Date: 6---(O'10 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 the performance of work. I am authorized to sign and obtain this plumbing /gas piping permit. Signature: Date: gl61/4 0 Print Name: This permit shall become null and void if the worl'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 -4/10 PG10 -092 Printed: 08 -06 -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 Parcel No.: 2523049017 Address: Suite No: Tenant: 17616 WEST VALLEY HY TUKW FIBERDYNE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: PG 10 -092 ISSUED 07/28/2010 08/06/2010 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: All new plumbing fixtures installed in new construction and all remodeling involving replacement of plumbing fixtures and fittings in all residential, hotel, motel, school, industrial, commercial use or other occupancies that use significant quantities of water shall comply with Washington States Water Efficiency and Conservation Standards in accordance with RCW 19.27.170 and the 2006 Uniform Plumbing Code Section 402 of Washington State Amendments. 12: 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. 13: 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 PG 10 -092 Printed: 08 -06 -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 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: Date: /4 Print Name: doc: Cond -10/06 PG 10 -092 Printed: 08 -06 -2010 CITY OF TUKWILA° Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: //www. ci. tukwila. wa. us Site Address: Tenant Name: Plumbing /Gas Permit 'No. roject No.- s `" (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 ** King Co Assessor's Tax No.:),S� 301-4 q0 ( 7 / - Le t LE l j A 1( 41 Suite Number: Floor: New Tenant: Yes ❑..No F l o 1 (`+ E- Property Owners Name: ..5-0 E Mailing Address: 3 y n w LA K r A l ii.., Pr ti E. 5.E Ar -< .._ 1 OS State Zip City CONTACT : PERSON ; -. who : do we contact when your permit:is ready to be issued, • Name: D A (2- Mailing Address: E -Mail Address: Day Telephone: W l l ■ Awl 5 ✓a) -c_ S 0 City 2o4- -73 -7 `.4 w/h `tVOS7 State Zip 0 t Z . 4 2 J c prc rG55:JG r-4) , Number: PLUMBING'/ GAS PIPING CONTRACTOR INFORMATION> Company Name: Mailing Address: Pro Sr .5 -9._ g So 1. Sg4 --rrL_ City Day Telephone: zoC - 1 g ' 7 3 -74 t z-1 N•w . L; Tsel 5:1 Contact Person: D A(_2 -E1-J PAC-'"'\ E -Mail Address: OA 20-E6-) P(0 5 re NW .,CC"Fax Number: Contractor Registration Number: Pro 0-3s cl o 3 tL g State Zip Expiration Date: 1c6 ti ARCHITECT OF RECORD All plans must be wet stamped by Architect of Record Company Name: Mailing Address: FAQ u zt l� I 3c 4-■A 5;0E. AS5c -2-5b 5 EA--r t -'— Contact Person: A O �� E -Mail Address: (•FA Q D B.r■I ' L 1 - , ■ ' Cam^^ City Day Telephone: Z c - 3 2-S -- 2553 Fax Number: State Zip ENGINERb REePRD;= All- plans :must be wet stamped byEngmeer.of Record Comp an Mailing Address: l 1 ' 1 1 `' ' Contact Person: E -Mail Address: H:\Applications\Porms- Applications On Line\2009 Applications \1 -2009 - Plumbing -Gas Piping Permit Application.doc Revised: 1 -2009 bh City Day Telephone: Fax Number: State Zip Page 1 of 2 IP 1111 Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): io+.arD �-.s h-q 14 c: Lc.. c.c ci_ S /'d A-r- 43 to •2.0 c vt^ • Building Use (per Int'l Building Code): w ikr / a RF, Occupancy (per Int'I Building Code): Utility Purveyor: Water: — R A 01 Sewer: i 1�'c w \ ` c--. Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: .Fixture .Type: .. °:. : Qtjb ,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 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 OWN • 1R - UTHORIZED AGENT: Signature: I� r 5 tut l.t,.,bkk Print Name: Mailing Address: (% C 16 Lie It (/w1 Date: 7- Xi- Day Telephone: 4'd 3 0 " 6-3 5-<-( City State Zip Date Application Accepted: l—' 7 -r0 Date Application Expires: 1.—e) & —iI Staff Initials: I H:\Applications \Forms- Applications On Line Applications \I -2009 - Plumbing -Gas Piping Permit Application.doc Revised: 1-2009 bh 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 Parcel No.: 2523049017 Address: 17616 WEST VALLEY HY TUKW Suite No: Applicant: FIBERDYNE RECEIPT Permit Number: PG 10 -092 Status: APPROVED Applied Date: 07/28/2010 Issue Date: Receipt No.: R10 -01517 Payment Amount: $96.60 Initials: BLH . Payment Date: 08/06/2010 01:54 PM User ID: ADMIN Balance: $0.00 Payee: PROGRESSIVE MECHANICAL TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 135323 ACCOUNT ITEM LIST: Description 96.60 Account Code Current Pmts PLUMBING - NONRES 000.322.103.00.00 96.60 Total: $96.60 PAYMENT RF(FI\,Fr doc: Receiot -06 Printed: 08 -06 -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 Parcel No.: 2523049017 Address: 17616 WEST VALLEY HY TUKW Suite No: Applicant: FIBERDYNE RECEIPT Permit Number: PG10 -092 Status: PENDING Applied Date: 07/28/2010 Issue Date: Receipt No.: R10 -01437 Initials: User ID: WER 1655 Payment Amount: $24.15 Payment Date: 07/28/2010 02:49 PM Balance: $96.60 Payee: PROGRESSIVE MECHANICAL TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 144904 ACCOUNT ITEM LIST: Description 24.15 Account Code Current Pmts PLAN CHECK - NONRES 000.345.830 24.15 Total: $24.15 doc: Receiot -06 Printed: 07 -28 -2010 7 _ INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION tg 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 p ,iO,oq Project: , Type 9,f. Inspecti n: Address: ss: / , . /�l 1 t (0 < (0 v t Date Called: Special Instructions: . Date Wanted:G _ t, a rJr e O r f �� p.m. Requester: Phone No: ^ Sig -r? 3 71 I /1 Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: new M Lo 1--,00 ex ■ V -''' Inspectr: J il Date:`. (-7 ,....,` 0 $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: �i INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF T.UKWILA BUILDING DIVISION 14- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 ($46)431 -3670 p�to -a4'1 Pr- ; J U J1 Typo 0Inspection: _ J r Az Address: �/ 17 Cot � 0- U� ( Date Called:�rj J /K_ Special Instructions: /7. Date Wanted: '( 2 10 m1 p.m. Requester: Phx `Nto _7E5,49 ' .73, r7 Approved per applicable codes. El Corrections required prior to approval. COMMENTS: ---tom ,nJ z 1 ) / I _ 1, , n OL,Nk $60.00 REINSPECTION FEE'REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Inspector: Date: Receipt No.: Date: ■ -- ��..�.. -.i_ • PEW D PY t. • PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG10 -092 PROJECT NAME: FIBERDYNE SITE ADDRESS: 17616 WEST VALLEY HY X Original Plan Submittal Response to Incomplete Letter # DATE: 07 -28 -10 Response to Correction Letter # Revision # After Permit Issued EPARTMENTS: C uTding vi ion SS) NA- 1- -( O Public Wdrks Fire Prevention Structural Planning Division ❑ Permit Coordinator 1 DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Incomplete DUE DATE: 07 -29-10 Not Applicable Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES /THURS ROUTING: Please Route Structural Review Required REVIEWER'S INITIALS: No further Review Required DATE: APPROVALS OR CORRECTIONS: Approved ❑ Approved with Conditions Notation: REVIEWER'S INITIALS: DUE DATE: 08-26-10 Not Approved (attach comments) DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents /routing slip.doc 2 -28-02 Ul King County Department of Natural Resources and Parks Wastewater Treatment Division Tot - Non - Residential Sewer Use Certification • 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 Prope rt y Street Address City Owner's Name Subdivision Name rt p2-r101 Ti.l lc_ w q �bo State ZIP ONE in P7ro Ane L Lot # Subdiv. # Block # Building Name (if applicable) Owner's Phone Number (with Area Code) Property Contact Phone Number (with Area Code) Owner's Mailing Address Property Tax ID # Party to be Billed (if different from owner) City or Sewer District Date of Connection Side Sewer Permit # Please report any demolitions of pre- existing building on this property. Credit for a demolition may be given under some circumstances. Demolition of pre- existing building? ❑ Yes ❑ No Was building on Sanitary Sewer? ❑ Yes ❑ No 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 rt'ulc�ilr►, A. Fixture Units Fixture Units x Number of Fixtures = Total Fixture Units 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 f 3 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 Total Fixture Units Residential Customer Equivalent (RCE) 20 fixture units equal 1.0 RCE Total No. of Fixture Units _ 20 3 RCE 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 RCE RCE WD CITY OF TUKWILA PERMIT 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 Date Print Name of Owner /Representative 1058 (Rev. 9/07) White - Kino County Yellow - Local Sewer Aaencv Pink - Sewer Customer • ®zoze Contractors or Tradespeople Peer Friendly 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 PROGRESSIVE BUILDING SOLUTIONS UBI No. 602937027 Phone 2064379395 Status Active Address 1746 Nw 60Th St License No. PROGRBS903K8 Suite /Apt. License Type Construction Contractor City Seattle Effective Date 5/28/2010 State WA Expiration Date 11/18/2011 Zip 98107 Suspend Date County King Specialty 1 General Business Type Individual Specialty 2 Unused Parent Company Other Associated Licenses License Name Type 'Specialty Specialty 1 2 Effective Date Expiration Date Status PROGRM'916QQMECHANICAL PROGRESSIVE Construction Contractor Heating /Vent /Air- Conditioning And Refrig (Hvac /R) Unused 11 /18/2009 11/18/2011 Inactive Business Owner Information Name Role Effective Date Expiration Date LOBO, SURAJ RANDALL Owner 05/28/2010 Bond Information Page 1 of 1 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 2 American Contractors Indem CO 100126984 05/28/2010 Until Cancelled $12,000.00 05/28/2010 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 1 NAVIGATORS INS CO 4610103231 11/17/2009 11/17/2010 $1,000,000.00 05/28/2010 Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period https: // fortress .wa.gov /lni/bbip /Print.aspx 08/06/2010 LE-0 L.EN D o \D PEx r p of vnPI1 -- 1)(9 to o92 FILE C PY iI20 Pi.% W 1(2'' PEI ff't 5ELD _ ru✓.i Gk_ai CvJ gtv,3 -vt-cr NuJ (,� REVIEWED FOR CODE COMPLIANCE 1 APPROVED F:LJ 0 5 2010 City of Tukwila BUILDING DIVISION A- 5 Lj RECEIVED JUL 282010 r� _ ? P _ /i, ` / P{ I�RMIT CENTER VA2L i .%�.�C/ 1 il�[�'I�S�I .�.� 1 /G.41 �� f;l� !✓ �A1 (rlT. d:.J� - a . - 1 IC - 3 14 FILE COPY pt rmIt No. d'r2 REVIEWED FOR — CODE COMPLIANCE APPQAVED Auk) o 5 2010 C'ty of Tukwila BU 1NG DIVISION K15 ICTLI -eN S ivo1L5a. civ tnz t 7 La I is w. ,� a i►£ y 1- ��c.�� OA R.LE rJ P AILwA.I4.!j _ «C—rCSS;,4.- ; RECEIVED JUL 28 2010 PERMIT CENTER SEPARATE PERMIT REQUIRED FOR: ormechanical atlectrical ❑ Plumbing Gitas Piping City of Tukwila EU.. DUG DIVISION a REVISIONS No changes shall be made to the scope of work without prior approval of Tukwila Building Division. NOTE: Revisions will require a new plan submit and may include additional plan review fees. FELE COPY Permit No., % !o• 042 a Plan review approval is subject to errors and omissions. ksrroval of construction documents does not authorize he violation of any adopted code or ordinance. Receipt approved Field Copy and conditions is acknowledged: By Date :, $R4 /� City Of Tukwila BUILDING DIVISION a L Finished Product Room Lay Up Room Server Pantry Storage Steve Lambert Men's Mil II iMIYYI _U1.1 REVIEWED FOR CODE COMPLIANCE APPonVED hv0 05 2010 vu( City of Tukwila BUILDING DIVISIM1 %(O oq2. RECEIVED JUL 28 2010 PERMIT CENTER