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Home My WebLink AboutPermit PG11-005 - KOTIS DESIGNKOTIS DESIGN 1165 ANDOVER PK W PG1 1 -005 City o*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 PLUMBING /GAS PIPING PERMIT Parcel No.: 3523049097 Address: 1165 ANDOVER PK W TUKW Project Name: KOTIS DESIGN Permit Number: Issue Date: Permit Expires On: PG11 -005 03/07/2011 09/03/2011 Owner: Name: WALTON CWWA SOUTHCENTER 4 L Address: C/O CTMT - WALTON RE TAX , 4678 WORLD PARKWAY CIR 63134 Contact Person: Name: Address: Email: TAN PHAN 21602 127 PL SE , KENT WA 98031 TANPHAN @YAHOO.COM Contractor: Name: PHAN PLUMBING SERVICE Address: 21602 127 PL SE , KENT WA 98031 Contractor License No: PHANPPS930KA Phone: 206 - 973 -6037 Phone: 206 973 -6037 Expiration Date: 05/01/2011 DESCRIPTION OF WORK: ROUGH -IN TWO SINKS, ONE WATER HEATER Value of Plumbing /Gas Piping: $3,500.00 Fees Collected: $154.88 Electrical Service Provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complie ami with, Uniform Plumbing Code Edition: 2009 International Fuel Gas Code Edition: 2009 Date: 03tv1. ,11 ed this permit and know the same to be true and correct. All provisions of law and ordinances hether specified herein or not. The granting of this permit does not pre • e 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: Date: 3 - 7 -// Print Name: / 4-/V 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 PG 11 -005 Printed: 03 -07 -2011 • • PERMIT CONDITIONS Permit No. PG11 -005 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. doc: UPC -4/10 PG11 -005 Printed: 03 -07 -2011 CITY OF TUKWIla Community Developm Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Plumbing/Gairmit No. .PG 1 1 00 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 A +ag22siZ . King Co Assessor's Tax No.: A l Site Address: Iii, S ANDotAX pA-Rk Suite Number: Tenant Name: l bTfs Dl� >Si&N Property Owners Name: 7c) 6144- kiax /11 AT/t &Leg Mailing Address: 63 I .0-10+4/ b &2 ALkD -5t . C Floor: New Tenant: ❑ Yes .. No City State Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: TANpty Mailing Address: 21 2.- 12l PL (€ E -Mail Address: ffn h Phan yed n . (_:ovh Day Telephone: City Fax Number: 2 973 Eo3 State Zip PLUMBING / GAS PIPING CONTRACTOR INFORMATION Company Name: pH t pl.whbinj -v,ce: Mailing Address: .2/60 L Contact Person: -7-714u p HUI E -Mail Address: #'u-h n Y l kovn q� V,�r %oo _ 6)A2 v, Contractor Registration Number: Expiration Date: City State Zip Day Telephone: 22 9 73 ‘c.3 7 Fax Number: 5/// 20/1 ARCHITECT OF RECORD — All plans must be stamped by Architect of Record Company Name: Jd V t P AE 14/, Mailing Address: S' u Contact Person: D,A(M kki1L E -Mail Address: 1 kept k— d ketl I c o -e17 • c')• �c2/fLe- City 474- 9-g1/4 State Zip Day Telephone: C2e6j Fax Number: 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\Porms- 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/ $ 4- S 61O • Scope of Work (please provide detailed information): n a t . (L SL-4 f 1 u . 9 4 4 4 - U �R 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 2 Urinals Water Closet Building sewer and each trailer park sewer Rain water system - per drain (inside building) Water heater and/or vent I - 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 i `�- 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 OWNE# OR AUTHORIZED AGENT: Signature: �— Date: Print Name: Pk pi Al Mailing Address: 71 6 nZ /2 7 PL fig- Day Telephone: City State Zip 1 Date Application Accepted: t 1 l Date Application Expires: - y Staff Initials: H: Applications\Forms- Applications On Line\2010 Applications17 -2010 - Plumbing -Gas Piping Perrnit Application.doc Revised: 7 -2010 bh Page 2 of 2 • • City of Tukwila 2 Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http:/lwww.ci.tukwila.wa.us Parcel No.: 3523049097 Address: 1165 ANDOVER PK W TUKW Suite No: Applicant: KOTIS DESIGN RECEIPT Permit Number: PG11 -005 Status: APPROVED Applied Date: 01/10/2011 Issue Date: Receipt No.: R11 -00432 Initials: User ID: Payee: JEM 1165 Payment Amount: $99.75 Payment Date: 03/07/2011 04:06 PM Balance: $0.00 TAN NGOC PHAN TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 160613 ACCOUNT ITEM LIST: Description 99.75 Account Code Current Pmts PLAN CHECK - NONRES PLUMBING - NONRES 000.345.830 -24.15 000.322.103.00.00 123.90 Total: $99.75 doc: Receiot -06 Printed: 03 -07 -2011 • • wq� 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.: 3523049097 Address: 1165 ANDOVER PK W TUKW Suite No: Applicant: KOTIS DESIGN RECEIPT Permit Number: PG11 -005 Status: PENDING Applied Date: 01/10/2011 Issue Date: Receipt No.: R11 -00052 Initials: User ID: Payee: WER 1655 Payment Amount: $55.13 Payment Date: 01/10/2011 03:16 PM Balance: $220.50 TAN PHAN TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 151540 ACCOUNT ITEM LIST: Description 55.13 Account Code Current Pmts PLAN CHECK - NONRES 000.345.830 55.13 Total: $55.13 doc: Receiot -06 Printed: 01 -10 -2011 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO Al CITY OF TUKWILA BUILDING DIVISION • 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: /..or-is )f5'6Ai Type of Inspection: . r:A �9d - df ?i ,eft Address: // 65" N.v AV Ply Cam. Date Called: --�- -- Roy /LA -4-4' Special Instructions: ,/ / Date Wanted: -4 /-- air .� 1/— / / p.m. Requester: Phone No: �? ? / '� v 6a - 7 7.7 '-c, .x�v •% Approved per applicable codes. Corrections required prior to approval. COMMENTS: pe/ tictr- kp(elp Inspect t: Aka Date: REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. P611 -bDs INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. C CITY OF TUKWILA BUILDING DIVISION'S 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Proj ct: ..� ' o 1 S je-S' GA/ Type f Inspectio . J (3v4 (f i' Ad ress: 1 ! (0 5 ANLvvU 1J/ Date Called: Special Instructions: N Date Wanted: 3 -1( '` I/ 7 a.m., p.m. Requester: Phone No: 3 _6037 1 jJApproved per applicable codes. D Corrections required prior to approval. COMMENTS: Are_A IL 144- W il iAJ 01? U c v i Inspec or: oA -- - . Date: 3, n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. 1 INSPECTION RECORD I Retain a copy with permit INSPECTION NO. PERMIT NO. A. CITY OF TUKWILA BUILDING DIVISION 6-1'.11 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Wr- Proj c ....-- ., Type of pectio Address: "r Date Caller f K Sp'I instructions: 04 ri .-0 -sj s .1 tj 12r for Keq Date Wanted: 3 " (7 �`a�� /( p.m. Requester: Phone �v —q `13 — 403 `% Approved per applicable codes. ['Corrections required prior to approval. COMMENTS: 1 D _ A rb L/1..k S ,-7 3 co P e La--6Q F d k , C •rte . - -A t )- 1 ; Inspector: Date: 3 '—T.__ n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. • • TO WHOM MAY CONCERN PHAN PLUMBING SERVICES RESPONP TO YOUR LETTER FROM PLAN REVIEW DEPARTMENT. 1 PLUMBING FIXTURE ON PLAN HAVE BEEN LABEL 2 WATER HEATER HAS BEEN LOCATED 3 GAS LINE DELETED THANK YOU TAN PHAN 2 -17 2011 NCOMPLETE "PG I o os +RECEIVED FEB 17 2011 PENT CENTER • f Thk wila January 12, 2011 Tan Phan 21602 127 PI SE Kent, WA 98031 Jim Haggerton, Mayor epartment of tom %'' unity Development Jack Pace, Director RE: Letter of Incomplete Application # 1 Plumbing /Gas Piping Permit Application PG11 -005 Kotis Design —1165 Andover Pk W Dear Mr. Phan, This letter is to inform you that your permit application received at the City of Tukwila Permit Center on January 10, 2011 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: Building Department: Dave Larson at 206 431 -3678 if you have any questions concerning the attached comments. 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, Bill Rambo Permit Technician Enclosures File: PGII -005 T: \Links \Dots \PG 1 I - 005 \PG I I -005 Incomplete Ltr 1I 1.DOC 6300 Southcenter Boulevard, Suite #100 m Tukwila, Washington 98188 o Phone: 206 - 431 -3670 o Fax: 206 - 431 -3665 • Tukwila Building Division Dave Larson, Senior Plan Examiner Determination of Completeness Memo Date: January 11, 2011 Project Name: Kotis Design Permit #: PG11 -005 Plan Review: Dave Larson, Senior Plans Examiner The Building Division has deemed the subject permit application incomplete. To assist the applicant in expediting the Department plan review process, please forward the following comments. (GENERAL NOTE) PLAN SUBMITTALS: (Min. size 11 x 17 to maximum size of 24x36; all sheets shall be the same size). (If applicable) Structural Drawings and structural calculations sheets shall be original signed wet stamped, not copied.) 1. The submitted plan is substantially lacking detail and labeling. All fixtures need to be shown on the floor plan. 2. Show the location of the water heater and its size. Please provide a typical water tank installation detail and label all proposed parts such as expansion tank. Insulation pad (elect HWT), T & P valve, etc. Is the HWT gas or electric? 3. Label parts on the gas piping system and in order to plan check this line we will need to see the line from the meter to the new equipment. Label both. Also give the size in BTU's of any new equipment and all existing equipment on the same line. Pipe lengths should include all lengths from new equipment back to the meter. Should there be questions concerning the above requirements, contact the Building Division at 206 -431- 3670. No further comments at this time. • PENH COPYf PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG11 -005 PROJECT NAME: KOTIS DESIGN SITE ADDRESS: 1165 ANDOVER PK W Original Plan Submittal Response to Correction Letter # DATE: 02 -17 -11 X Response to Incomplete Letter # 1 Revision # After Permit Issued DEPARTMENTS: ;Wilting Division Public Works Fire Prevention Structural Planning Division ❑ Permit Coordinator 1 DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Incomplete ❑ DUE DATE: 02 -22 -11 Not Applicable n 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 n No further Review Required n REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved Notation: Approved with Conditions DUE DATE: 03-22 -11 Not Approved (attach comments) n 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 *PEW COPY • PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG11 -005 PROJECT NAME: KOTIS DESIGN SITE ADDRESS: 1165 ANDOVER PK W X Original Plan Submittal Response to Correction Letter # DATE: 01 -10 -11 Response to Incomplete Letter # _ Revision # After Permit Issued DE • AR MENT : it • ing � Ivislo ' Public Works Fire Prevention Structural n Planning Division Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: Incomplete DUE DATE: 01-11-11 Not Applicable Permit Center Use Only INCOMPLETE LETTER MAILED: 1-19--- 1 LETTER OF COMPLETENESS MAIL D: Departments determined incomplete: BIdgr..-Fire ❑ Ping ❑ PW ❑ Staff Initials: U� TUES /THURS ROUTING: Please Route Structural Review Required No further Review Required n REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved Approved with Conditions Notation: REVIEWER'S INITIALS: DUE DATE: 02-08-11 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 • • City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Web site: http:/Avww.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: ' l 7- tt( Plan Check/Permit Number: P�ft- ooc ,] Response to Incomplete Letter # /❑ Response to Correction Letter # ❑ Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: trui4 aik, wocr ,Butioe rr p I Project Address: / /6S- ANDovee park Val; Raoli j -%ktv;lct WA Contact Person: A}/( pp -f}nt Phone Number: (2o,6) '1 73 6c) 7 Summary of Revision: S' PI! fin. 7 7 pPrfir - KAMM MTV OP TUKWILA FEB 17 20111 Sheet Number(s): "Cloud" or highlight all areas of revision including date of revisi n Received at the City of Tukwila Permit Center by: i c C/ / Entered in Permits Plus on ›—[''- ( 1 H: \Applications \Forms - Applications On Line \2010 Applications \7 -2010 - Revision Submittal.doc Created: 8 -13 -2004 Revised: 7 -2010 Contractors or Tradespeople Peter 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 PHAN PLUMBING SERVICE UBI No. 602721697 Phone 2069736037 Status Active Address 21602 127Th PI Se License No. PHANPPS930KA Suite /Apt. License Type Construction Contractor City Kent Effective Date 5/1/2007 State WA Expiration Date 5/1/2011 Zip 98031 Suspend Date County King Specialty 1 Plumbing Business Type Individual Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date PHAN, TAN Owner 05/01/2007 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 WESTERN SURETY CO 14978330 04/20/2007 Until Cancelled $6,000.00 05/01/2007 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 5 Ohio Cas Ins Co BH054438596 04/27/2011 04/27/2012 $300,000.0003/02 /2011 4 OHIO CAS INS BH05443596 04/27/2010 04/27/2011 $300,000.00 04/21 /2010 3 FARMERS INS EXCHANGE 603886145 04/27/2009 04/27/2010 $300,000.00 04/24/2009 2 FARMERS INS EXCHANGE 603886145 04/27/2008 04/27/2009 $300,000.00 04/04/2008 1 TRUCK INS EXCHANGE 603886145 04/27/2007 04/27/2008 $300,000.00 05/01/2007 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 03/07/2011