HomeMy WebLinkAboutPermit PG10-150 - PACIFIC NW PERIODONTICSPACIFIC NW
PERIODONTICS
411 STRANDER BL
SUITE 107
PG10 -150
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
PLUMBING /GAS PIPING PERMIT
Parcel No.: 0223200052
Address: 411 STRANDER BL TUKW
Project Name: PACIFIC NW PERIODONTICS
Permit Number: PG10 -150
Issue Date: 11/18/2010
Permit Expires On: 05/17/2011
Owner:
Name: MEDICAL CENTERS CO LLC
Address: 411 STRANDER BLVD STE 107 , TUKWILA WA 98188
Contact Person:
Name: BOB SATKO
Address: PO BOX 1496 , MAPLE VALLEY WA 98038
Email: SATKO@COMCAST.NET
Contractor:
Name: LOCAL PLUMBING & CONST INC
Address: PO BOX 1496 , MAPLE VALLEY WA 98038
Contractor License No: LOCALPC063J9
Phone: 425 432 -6647
Phone: 425- 432 -6647
Expiration Date: 08/23/2011
DESCRIPTION OF WORK:
INSTALL PLUMBING FOR (2) SINKS AND (1) LAUNDRY WASHER
Value of Plumbing /Gas Piping: $3,000.00 Uniform Plumbing Code Edition: 2009
Fees Collected: $154.88 International Fuel Gas Code Edition: 2009
Permit Center Authorized Signature:
Date: l 1 i U /
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 and agree to the conditions
on the back of this permit.
Signature: ( - k Fi - Z d
Print Name: 134\0 Z°'A
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 -150 Printed: 11 -18 -2010
• •
PERMIT CONDITIONS
Permit No. PG 10 -150
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: 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.
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.
doc: UPC -4/10
PG 10 -150 Printed: 11 -18 -2010
CITY OF TUKRA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
Plumbing /Gas Permit No. 1 }1.
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.: 0;2.1,1-120051-...,
Site Address: L j! I 5�rc v d� r 6I v D '' 11 Suite Number: 36 2- Floor: 3 r-
Tenant Name: 1 f N lii�■0etOvN Tenant: ❑ 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: 'bob Sak\' -o
Mailing Address: Po $OX l4 ti b
E -Mail Address: 54kti.0 e CM14 '%$#. NaA---
Day Telephone: I-125- W 32 ^ (e) 7
Mq`plc Volt VVA 8038
City
State Zip
Fax Number: 4'29 - 413 - 84 67
PLUMBING / GAS PIPING CONTRACTOR INFORMATION
Company Name: (,1 4 ptvraA,inoN C6r'15k-((c- -►t74 SN C•
Mailing Address: PO 50 S 14,1 co ■j k 1/att
City
Contact Person: & kr) S 0A-K b
E -Mail Address: So \(b c CoN A5t. NO'
Contractor Registration Number: I-0 Ca\ PL flo?7�
W'
State
Zip
Day Telephone: Lil 432 ^ (o(oLt'7
Fax Number: 112 • 1113,.8%1
Expiration Date: 4-2:3 -2 0 (
ARCHITECT OF RECORD — All plans must be stamped by Architect of Record
Company Name: el 0.4 W(P `'
Mailing Address: 510 KirtilANt vitt y
Contact Person: 5ak-24DA.
E -Mail Address: d f f/6 E 14 (AO CO/(-(
)4.‘ 00114.
City
Day Telephone: 42-5- 7C2, -5393
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:
State
Zip
H:\Applications\Fonns- 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 prr $ 3j. 00 0 S
Scope of Work (please provide detailed information): IN .4l c\.l. P 6146 For 2" Sr alit 4
L� LavAdrj vtla5k,X,
Building Use (per Int'I Building Code):
Occupancy (per Intl 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
2
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 -
IDate Application Accepted:
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 OWNER OR AUTHORIZED AGENT:
Signature: Date: /a 9 ' 2 ° /0
Print Name:
606 344-Ko
Mailing Address: P0 50X 4 49 (
lob-Li I to
Day Telephone: V2 5 4/32- -406 /7
nkiptc. Vati4A., wI '8 5
City State Zip
Date Application Expires:
H:\Applications\Forms- Applications On lane\2010 Apphcatrons \7 -2010 - Plumbing-Gas Piping Permit Applicatioadoc
Revised: 7 -2010
bh
oK►2ce1u
Staff Initials:
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.: 0223200052
Address: 411 STRANDER BL TUKW
Suite No:
Applicant: PACIFIC NW PERIODONTICS
RECEIPT
Permit Number: PG10 -150
Status: PENDING
Applied Date: 10/26/2010
Issue Date:
Receipt No.: R10 -02171
Payment Amount: $154.88
Initials: JEM Payment Date: 10/26/2010 12:27 PM
User ID: 1165 Balance: $0.00
Payee: LOCAL PLUMBING AND CONTRUCTION INC.
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 6793 154.88
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
PLAN CHECK - NONRES
PLUMBING - NONRES
000.345.830 30.98
000.322.103.00.00 123.90
Total: $154.88
doc: Receiot -06 Printed: 10 -26 -2010
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PG /0-
� Uv
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:
P/9- 7 i, /e A/2,.)
Type of Inspection:
>C, A/•�L
Address:
4/// .,`577 9/VA /7
Date Called:
Special Instructions:
�-
Date Wanted:
c. _. 2 — //
m
p.m.
Requester:
Phone No:
.20i- Z/qq -2-T7-
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
e epre
P
In pector:
lug
Date2��
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
lain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
Gti(
PG0 -f
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 431 -2451
(206) 431 -3670
Projt' 1 -"N A (, %
Type of Inspection:
'
Address: n X.
Date Called:
Special Instructions:
Date Wanted:
0 / _
(rrs.nia.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval. -7
COMMENTS:
f,J A5 €f
Inspector:
Date: l Z
n REINSPECTION FEE REQUIRED. Prior ,to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
P4.0 -ilsc)
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION -
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Pr ct:
<_�` o �tJw
Typ of Inspection:
0C�
PL -4.
Address` ( 5iva-A
Date Called:
OP( sk e.-r 3-1) v ti\J- , n \-p
Special Instructions:
-i v 4d
dV
Date Wanted:
Requester:
IQ r
.— 6 r J (-ha Lti6 P -1.,
Phone No
7,A
--3 %
-6211'
ElApproved per applicable codes. ['Corrections required prior to approval.
COMMENTS:
A-41--. PA A-hr-DJ A4
p
• ki,e_ e,b,
OP( sk e.-r 3-1) v ti\J- , n \-p
IQ r
.— 6 r J (-ha Lti6 P -1.,
p Lk/ Li Apy-A dr_.-64
„
n
Date:
( A
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
City o, ('Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
November 1, 2010
Bob Satko
PO Box 1496
Maple Valley, WA 98038
RE: Letter of Incomplete Application # 1
Plumbing /Gas Piping Permit Application PG10 -150
Pacific NW Periodontics — 411 Strander BI
Dear Mr. Satko,
This letter is to inform you that your permit application received at the City of Tukwila Permit Center on
October 26, 2010 is determined to be incomplete. Before your application can continue the plan review
process the attached /following items from the following department(s) need(s) to be addressed:
Public Works Department: Dave McPherson at 206 431 -2448 if you have any questions
concerning the following comment.
1) Please complete the enclosed Non - Residential Sewer Use form.
Please address the comment above in an itemized format with applicable revised plans, specifications,
and /or other documentation. The City requires that two (2) sets of revised plans, specifications and /or
other documentation be resubmitted with the appropriate revision block.
In order to better expedite your resubmittal a Revision Submittal Sheet must accompany every
resubmittal. I have enclosed one for your convenience. Revisions must be made in person and will
not be accepted through the mail or by a messenger service.
If you have any questions, please contact me at the Permit Center at (206) 431 -3670.
Sincerely,
Jenn'fer.Marshall
it Technician
Enclosures
File: PG10 -150
W:\Permit Center \incomplete Letters\2010 \PG10 -150 Incomplete Ltr # 1.DOC
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
(‘PERMITC01 :DC PY
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: PG10 -150 DATE: 11/04/10
PROJECT NAME: PACIFIC NW PERIODONTICS
SITE ADDRESS: 411 STRANDER BL
Original Plan Submittal
Response to Correction Letter #
X Response to Incomplete Letter # 1
Revision # after Permit Issued
DEPARTMENTS:
Building ivision
W Il
�ublic 11�� t0
Fire Prevention
Structural
Planning Division
Permit Coordinator
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
Comments:
Incomplete
❑
DUE DATE: 11/09/10
Not Applicable
T1
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES /THURS ROUTING:
Building
Please Route Structural Review Required n No further Review Required ❑
REVIEWER'S INITIALS:
DATE:
APPROVALS OR CORRECTIONS:
Approved ❑ Approved with Conditions
Notation:
REVIEWER'S INITIALS:
DUE DATE: 12/07/10
Not Approved (attach comments) n
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections:
Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Documents/routing slip.doc
2 -28 -02
PERMIT WORD CQPV
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: PG10 -150 DATE: 10/26/10
PROJECT NAME: PACIFIC NW PERIODONTICS
SITE ADDRESS: 411 STRANDER BL
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter # Revision # after Permit Issued
DEPARTMENTS:
Building 'vision rtil
Public W r s
Fire Prevention
Structural
n
Planning Division
Permit Coordinator ❑
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete n Incomplete
Comments:
DUE DATE: 10/28/10
Not Applicable
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW)it Staff Initials:
TOES /THURS ROUTING:
Building
Please Route ❑ Structural Review Required ❑ No further Review Required n
REVIEWER'S INITIALS:
DATE:
APPROVALS OR CORRECTIONS:
DUE DATE: 11/25/10
Approved Approved with Conditions ❑ Not Approved (attach comments) n
Notation:
REVIEWER'S INITIALS:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections:
Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Documents/routing slip.doc
2 -28 -02
to
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
REVISION SUBMITTAL
Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through
the mail, fax, etc.
Date: Plan Check/Permit Number: PG 10 -150
• Response to Incomplete Letter # 1
❑ Response to Correction Letter #
❑ Revision # after Permit is Issued
❑ Revision requested by a City Building Inspector or Plans Examiner
Project Name: Pacific NW Periodontics
Project Address:
Contact Person:
411 Strander Bl
506 seni-it'a
Phone Number: Y25 — y3z -6(04 7
Summary of Revision:
Sheet Number(s):
"Cloud" or highlight all areas of revision including date of revision
Received at the City of Tukwila Permit Center by: y.
Entered in Permits Plus on
\applications \forms - applications on Iine\revision submittal
Created: 8 -13 -2004
Revised:
km King County
Department of Natural Resources and Parks
Wastewater Treatment Division
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
4 I t ST w Nxf.)
SA c= J 3o --
Property Street Address
TAk -tit .e-k
City
Owner's Name
C us ea
£giP,
State ZIP
Subdivision Name
Subdiv. #
Building.Name G•1"kr`
(if applicable)
( 20 ) ape' — 776
Owner's Phone Number (with Area Code)
( 20(D ) 57s-- ) 5'S' I
Property Contact Phone Number (with Area Code)
Owner's Mailing Address
Lot #
Block #
For King County LOOnly
Account #
No. of RCEs
Monthly Rate
CITY TUKWILA
NOV 0 1 2010
Property Tax ID #63-a2 �y l�/442 '-
Ooh
Party to be Billed (if different from owner)
City or Sewer District
Date of Connection
f�
r rc4chL amide 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
4 I I 5'V ply- - r v °/ (rj S-i,
t
e.I�in;
Sra
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
I
'
Sink, bar or lavatory
2
1
i ,
Sink, Clinic flushing
8
8
Sink, kitchen
3
2
.
4
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
'3
it
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
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
INCOMPLETE
LTR#
p`EPIo 150
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 cgrer I understan
deviation will require resubmission of corected data
� t i
Signature of Owner /Representative
Print Name of Owner /Representative
1058 (Rev. 9/07)
e capacity charge levied will be based on this information and any
ation of a evised capacity charge.
i 6 Date 1 I 1 3 p u
White — Kina County Yellow — Local Sewer Aoencv Pink — Sewer Customer
Contractors or Tradespeople Pter 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 LOCAL PLUMBING & CONST INC UBI No. 601491379
Phone 4254326647 Status Active
Address Po Box 1496 License No. LOCALPC063J9
Suite /Apt. License Type Construction Contractor
City Maple Valley Effective Date 4/29/1994
State WA Expiration Date 8/23/2011
Zip 98038 Suspend Date
County King Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
SATKOC10770LSATKO
CONSTRUCTION INC
Construction
Contractor
General
Unused
9/13/1993
8/23/1994
Archived
Business Owner Information
Name
Role
Effective Date
Expiration Date
SATKO, CHRISTINE
01/01/1980
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
4
CBIC
SA9082
08/23/2001
Until Cancelled
$12,000.00
08/23/2001
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
13
Continental
Western Ins Co
CNP2705054
08/23/2007
08/23/2011
$1,000,000.00
07/06/2010
12
FEDERATED
SERVICE INS CO
9805805
08/23/2006
08/23/2007
$1,000,000.00
08/22/2006
11
AMERICAN
STATES INS CO
01CD483115 30
08/23/2004
08/23/2006
$1,000,000.00
08/09/2005
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 11/18/2010
FILE COPY
Permit No.. V' 1 0 !10
Plan rear approval le subject to anus and omissions.
Approval of construction documents does not authoflze
th:`• violation of any adopted code or ordnance. Receipt
of approved Field Copy and cond as is acknowledged:
By
Date, l V IS' 271 o
City Of liskwila
BUILDING DIVISION
SEPARATE PERMIT
REQUIRED FOR
®'Mechanied
l
0 Plumbing
&3t as Pipkv
City of Tukwila
Blii�_ING DIVISION
GENERAL NOTES
Plumbing work for the following;
Sterilization Room #111 Install 1 sink at existing laundry washer location. Laundry washer to be removed. Waste Line
Point of Connection right behind sink, in wall above concrete floor. Vent Line Point of Connection in wall right behind
sink. Hot and Cold Water Line Point of Connection in wall right behind sink.
Op #8 Install 1 Lavatory on East wall. Waste line 11/2" piping to be installed in wall with Point of Connection at 2" Waste
Line behind sink in Sterilization Room #111. Vent Line Point of Connection in ceiling above Sterilization Room #111.
Hot and Cold Water Line Point of Connection in ceiling above Sterilization Room #111.
Laundry Room #108 Install plumbing for 1 laundry Washer at existing sink location. Sink to be removed. Waste Line
Point of Connection right behind sink, in wall above concrete floor. Vent Line Point of Connection in wall right behind
existing sink/new laundry washer location. Hot and Cold Water Line Point of Connection in wall right behind sink
All waste and vents to be ABS plastic.
All new water piping to be PEX.
Nail plates to be installed on studs to protect plumbing.
REVIEWED FOR
CODE COMPLIANCE
APPROVED
kJJ1R2010
City of Tukwila
BUILDING DIVISION
REVISIONS
No changes shall be made to the scope
of work without prior approval of
Tukwila Building Division.
WIT'=: Rev siors will require a new plan submittal
1 _ _ .' mai i-� :'ude additional plan review fees.
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CITY OF TUKW(LA
OCT 2 6 2010
',ttiMfl CENTER
?&110---ICV
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DATE 10.26.10
DRAWN:
Laura Satko
SHEET #
1