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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 bh Page 1 of 2 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 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.: 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