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HomeMy WebLinkAboutPermit PG10-106 - HAYWARD BAKERHAYWARD BAKER 11022 EAST MARGINAL WYS PG1O-106 Parcel No.: Address: City 4lTukwila 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 PLUMBING /GAS PIPING PERMIT 0323049168 11022 EAST MARGINAL WY S TUKW Project Name: HAYWARD BAKER Permit Number: Issue Date: Permit Expires On: PG10 -106 08/12/2010 02/08/2011 Owner: Name: Address: Contact Person: Name: Address: Email: Contractor: Name: Address: Contractor EMW SOUTH L L C 3006 NORTHUP WAY STE 303 , BELLEVUE WA 98004 MIKE SCHEFFLER 11021 128 PL NE , KIRKLAND WA 98023 METRO .AIR @ C O M CAST. NET METRO AIR INC 11021 128 PL NE , KIRKLAND, WA 98033 License No: METROAI995RC Phone: 425 922 -9198 Phone: 425 889 -8224 Expiration Date: 12/03/2011 DESCRIPTION OF WORK: INSTALL GAS PIPING FROM METER TO (3) RTU'S Value of Plumbing /Gas Piping: Fees Collected: Permit Center Authorized Signature: $0.00 Uniform Plumbing Code Edition: 2009 $96.60 International Fuel Gas Code Edition: 2009 Date: 6(4 1211 l7 I hereby certify that I have read and 4\ arr4ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complie with, 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% \\ Signature: Print Name: e fie \ ( N C \C LP 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 -4/10 PG10 -106 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.: 0323049168 Address: Suite No: Tenant: PERMIT CONDITIONS 11022 EAST MARGINAL WY S TUKW HAYWARD BAKER Permit Number: Status: Applied Date: Issue Date: PG10 -106 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 -106 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 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;��� Print Name: � S\�\�\ Date V doc: Cond -10/06 PG10 -106 Printed: 08 -12 -2010 CITY OF TUKWI,h Community DeveloprrM Department Permit Center 6300 Southcenter Blvd., Suite 100 . Tukwila, WA 98188 http://www.ci.tukwila.wa.us Plumbing/Galermit No. /Project No. W7--iokto (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 Site Addres��C\ 1-, ! 0 (l)C 6h` 'k, % •� Tenant Name: \ wiv�'l,'\ iS U King Co Assessor's Tax No.: 0912-01A � JU 1/ Floor: Suite Number: New Tenant: NJ Yes ❑..No Property Owners Name: Mailing Address: city State Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: 1 c'0 .1sZ 1 L, M, AAA, Day Telephone Mailing Address: \ \ *A1 � e1_ U (A\A 1 c , \ Q %r u �,+ City {� �Sttattee Zip E -Mail Address: 'i EV �z • (1� C b � ff'` ' Fax Number: — , a l PLUMBING / GAS PIPING CONTRACTOR INFORMATION Company Name f--7 'di, Mailing Address: City Contact Person: Day Telephone: E -Mail Address: -c i0 Fax Number: Contractor Registration Number \T 1 1°`' 1` C'\ �L. Expiration Date: State Zip 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 Contact Person: Day Telephone: E -Mail Address: Fax Number: ' Stite Zip 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 pr` $ Scope of Work (please provide detailed information): 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 . 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 fo'r 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 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 AUTHO Signatur��� Print Name ,%. 3r-ity YC " Mailing Address:1\ IDate Application Accepted: Date1) Day Tele hone �� "' CM ) City State Zip Date Application Expires: Staff Initials: , H:\Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Plumbing -Gas Piping Permit Application.doc Revised: 7 -2010 bh age 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 RECEIPT Parcel No.: 0323049168 Permit Number: PG10 -106 Address: 11022 EAST MARGINAL WY S TUKW Status: PENDING Suite No: Applied Date: 08/12/2010 Applicant: HAYWARD BAKER Issue Date: Receipt No.: R10 -01572 Initials: User ID: Payee: JEM 1165 Payment Amount: $96.60 Payment Date: 08/12/2010 04:04 PM Balance: $0.00 MIKE A SCHEFFLER, METRO AIR INC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 023771 ACCOUNT ITEM LIST: Description 96.60 Account Code Current Pmts GAS - NONRES 000.322.103.00.00 96.60 Total: $96.60 doc: Receiot -06 Printed: 08 -12 -2010 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit W 210--ID C0 PERMIT NO. (206)431 -3670 Project: /14y�ARD 64-1Zr�- Type of Inspection: F--/A 9 - ( #S Address: . / /0 '2 2— £ //4/116/1/4" D to Called: .._.... Special Instructions: ate Wanted: a.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COM ENTS: 71- le 4771if Inspecto�l1, I / .00 REINSPECTION FE REQUIRED. fior to inspection, fee must be paid at 6300 Southcenter B vd., Suite 100. Call to schedule reinspection. Date. A.//.f.4..._ /o JO Receipt No.: Date: INSPECTION NO. CITY OF TUKWILA BUILDING 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431 -2451 INSPECTION RECORD Retain a copy with permit /�L c 1,44 P6 o -ca PERMIT NO. DIVISION (206) 431 -3670 Pro ct: WA-15 Seir e Type of Inspection: , AJ 4 "-S �a Address: 1( h 7 E. AW6r A Date ailed: Special Instructions: Date Wanted: / 0 - (J — I 0 .m. p.m. Requester: 2(" ek.:0 r I - `3 A-t5 b ,nom Cr- i (J 6 rk-6 -4(1 S Phone No -(a (3 7- o'' 0 Approved per applicable codes. Corrections required prior to approval. COMMENTS:( Sc, 48.kt c l / `elf ci-- N - }z,. 4_9 0 0..-3 k,_ ,___e 5_5- -rb .1,- i. -f------ �a A s tit--L A -0 6 J A -%d, ri--, A ( 2 Au 1 ?rte �-t �-�-d-el A2 &VJ rod e Ld ICL � k a k.1- X f A 3- 3O L- 13P a A4 eA () c9-e. 6 fr 1 (r 7(- 42 2(" ek.:0 r I - `3 A-t5 b ,nom Cr- i (J 6 rk-6 -4(1 S 1r ( A eAkd r T ICJ ,tea Inspecto . Date: 3-(6 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 12" 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 P6(0 -t© Pro'ect: / 4 /� ,- Type pof Inspection: /__ l Ad r ss: (e 2t ■ / U/t t% <:11 Date Called Special Instructions: _ v Dat Wanted: a.m. i — cci -1 cl iz,71. r Requester: Phone No: ° > core ---3(07 - ooh'& '. Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector: Date: �AA�i 7® ---i 0 Yr REIN ECTION FEE REQUIR ,t...4.. . Prior to next�/nspection, fee must be aid t 6300 Southcenter Blvd., uite 100. Cal to schedule reinspection. P / P vitiA") Contractors or Tradespeople Per Friendly Page • General /Specialty Contractor A business registered as a construction contractor with LEI 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 METRO AIR INC UBI No. 602156865 Phone 4258898224 Status Active Address 11021 128Th Pl Ne License No. METROAI995RC Suite /Apt. License Type Construction Contractor City Kirkland Effective Date 12/3/2001 State WA Expiration Date 12/3/2011 Zip 98033 Suspend Date County King Specialty 1 Heating /Vent /Air - Conditioning And Refrig (Hvac /R) Business Type Corporation Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date SCHEFFLER, MICHAEL A President 12/03/2001 Amount HANLON, ASH T Vice President 12/03/2001 BK0105335685911/15/2008 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 CBIC 5E0682 11/15/2001 Until Cancelled $6,000.00 12/03/2001 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 7 co 10 CAS INS BK0105335685911/15/2008 11/15/2010 $1,000,000.00 10/09/2009 6 OHIO CAS INS BL053356859 11/15/2005 11/15/2008 $1,000,000.0010 /25/2007 5 HARTFORD CAS INS CO 52SBAPK9831 11/15/2003 11/15/2005 $1,000,000.00 10/28/2004 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