HomeMy WebLinkAboutPermit PG10-104 - PERFORMANCE BICYCLEPERFORMANCE BICYCLE
351 STRANDER BL
PG1O-104
City o11)i'ukwila
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
Parcel No.: 2623049064
Address: 351 STRANDER BL TUKW
Project Name: PERFORMANCE BIKE
PLUMBING /GAS PIPING PERMIT
Permit Number: PG10 -104
Issue Date: 08/12/2010
Permit Expires On: 02/08/2011
Owner:
Name: REGENCY CENTERS LP
Address: C/0 PROPERTY TAX DEPT , PO BOX 790830 78279
Contact Person:
Name: JOSHUA KLIMP
Address: 10118 428TH AVE SE , NORTH BEND WA 98045
Email: RETROF11'PLUMBING @GMAIL.COM
Contractor:
Name: RETROFIT PLUMBING COMPANY
Address: 10118 428TH AVE SE , NORTH BEND WA 98045
Contractor License No: RETROPC914CP
Phone: (206)930 -5617
Phone: (206)930 -5617
Expiration Date: 02/17/2011
DESCRIPTION OF WORK:
CAP PLUMBING TO EXISTING HANDSINK IN MEN'S AND WOMEN'S RESTROOM. INSTALL
EXISTING FIXTURES AFTER NEW FLOORING AND WAINSCOTTING IS INSTALLED.
Value of Plumbing /Gas Piping: $1,500.00 Uniform Plumbing Code Edition: 2009
Fees Collected: $88.20 International Fuel Gas Code Edition: 2009
Permit Center Authorized Signature:
Date: c/ .?/ /off -// C�
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 perfor ce of work. I am authorized to sign and obtain this plumbing /gas piping permit.
Signature:
Print Name:
oS kw
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.
Date: 8 • ( 2 • ( O
doc: UPC -4/10
PG10 -104 Printed: 08 -12 -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:
r.zr
Date: g' (2 ' t l7
ordinances governing
or local laws regulating
doc: Cond -10/06 PG10 -104
Printed: 08 -12 -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.: 2623049064
Address:
Suite No:
Tenant:
351 STRANDER BL TUKW
PERFORMANCE BIKE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
PG10 -104
ISSUED
08/12/2010
08/12/2010
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 -104 Printed: 08 -12 -2010
CITY OF TUKWI•
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Plumbing/Gairmit No. p& to -/0 q
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.:
Site Address: 35 I STP-A 1 i)E R Q LV Tu awl t Suite Number: Floor:
Tenant Name: `(4r AN(.,E (l LE-
Property Owners Name: Clf C-- 1 Gad l�l'�e_S
Mailing Address: C/O "2DP&12. T `i `( X 769-r,
New Tenant: Yes D.. No
1�. C3DK 79 oe30
City State
Zip
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name:
�o,bl-JAlt'ri�
Mailing Address: Lot( 8 H 2 Al,: S$
Day Telephone: 1-O 130 S t
Poo-n+ (iD 'V � 'Ot1 S'
City State Zip
E -Mail Address: le-6-r9---of iT ?Lk) 11n.9,-cNCet 6t/1/1A11,_. Fax ■ Fax Number:
PLUMBING / GAS PIPING CONTRACTOR INFORMATION
Company Name:
4.4711e- 0 F-1 Pwto6l,1(?
Co .
Mailing Address: 1 o 2$ 4.1' P Sr
Contact Person: oc !FU?4- %l.t litkP
E -Mail Address: 2 ,2- 11 ')Cu rvt. g l L7 M A I LeOI't Fax Number: _-
Contractor Registration Number: 1Z61-12-0 tC_' 1%4 Cis
).)o pt 1S CVO
City
Day Telephone:
State Zip
204, 6i3O Pa 11
Expiration Date:
ARCHITECT OF RECORD — All plans must be stamped by Architect of Record
Company Name:
Mailing Address:
city
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
State
Zip
ENGINEER OF RECORD — All plans must be stamped by Engineer of Record
Company Name:
Mailing Address:
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
H:\Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Plumbing -Gas Piping Permit Application.doc
Revised: 7 -2010
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Valuation of Project (contractor's bid pi. $ 1500. 00 •
Scope of Work (please provide detailed information): CAp ecurnK /0J 15 l;Xbrf1 N CZ vf)S' /N e
1 N kV1& s Atn9 tJO /Ug i?&y"FnbM • 4�Tv265
A ' r : T R F J e -Oti lz I N c7 #J 10 W i N ScO vn Mtei i 5 /lu s r-c-4-6-1, •
Building Use (per Int'l Building Code):
Occupancy (per Int'l 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
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
1
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
2
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 Intemational 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 OWNER OR AUTHORIZED AGENT:
Signature: ✓[Li— ���
Print Name: oS IYu A k-L.A.A4
Mailing Address: 1 0 1 1 8 1/41243-r-- Iry U S
Date: et / 2 • / O
Day Telephone: (v' /50570/7
gypa--r1+ age ND t.OM it °�iS
City State Zip
Date Application Accepted: o� 12. ), 0
Date Application Expires:
Staff Initials: 4
H:\ Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Plumbing -Gas Piping Permit Application.doc
Revised: 7 -2010
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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.: 2623049064
Address: 351 STRANDER BL TUKW
Suite No:
Applicant: PERFORMANCE BIKE
RECEIPT
Permit Number: PG10 -104
Status: APPROVED
Applied Date: 08/12/2010
Issue Date:
Receipt No.: R10 -01562
Initials:
User ID:
Payee:
LAW
1632
Payment Amount: $88.20
Payment Date: 08/12/2010 11:53 AM
Balance: $0.00
JOSHUA KLIMP
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check
Authorization No.
ACCOUNT ITEM LIST:
Description
1046
88.20
Account Code Current Pmts
PLUMBING - NONRES
000.322.103.00.00 88.20
Total: $88.20
PAYMENT
RFCFi,Ep
doc: Receiot -06 Printed: 08 -12 -2010
INSPECTION RECORD
`t etain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project:
) C .r n-is$ v .2/ 6"./01
Type of Inspection:
i:- / /V,F-i
Address:
21i"/ - S7,g4Aw e
Date Called:
r"ecial Instructions:
Date Wanted:
e -2. -/ U
m.
p.m.
Requester:
Phone No:
aO6 .- 930 -.6.-6 /7
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
P
Inspe
Date:
n REINSPECTION FEE REQUIRED' •'ior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
•
R
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
INSPECTION RECORD P6 l C7 60
P ect: 21 A
Typpof Inspection:
i its ,) 377
J
Date Called
Special Instructions:
04 2 ) 3 �' 61 /
j (s , tx, — 1+6545 ur-
Date Wanted:
1 v
a.m.
Requester:
Pho7�:� _ 3 0
—.
G 1.7
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Inspector:
‘rik\A;c
Date: c 3 ,
❑ $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:
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 RETROFIT PLUMBING COMPANY UBI No. 602249060
Phone 2069305617 Status Active
Address 10118 428Th Ave Se License No. RETROPC914CP
Suite /Apt. License Type Construction Contractor
City North Bend Effective Date 2/17/2009
State WA Expiration Date 2/17/2011
Zip 98045 Suspend Date
County King Specialty 1 Plumbing
Business Type Individual Specialty 2 Unused
Parent Company
Business Owner Information
Name
Role
Effective Date
Expiration Date
KLIMP, JOSHUA JOHN
Owner
02/17/2009
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
1
AMERICAN STATES INS
CO
6621758
02/11/2009
Until Cancelled
$6,000.00
02/17/2009
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
OHIO CAS INS
CO
BHO53790064
02/06/2009
02/06/2011
$1,000,000.00
12/14/2009
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 08/12/2010