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Home My WebLink AboutPermit PG11-127 - ACCUTECHACCUTECH 109 ANDOVER PK W PG1 1 -127 City oikukwila • 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.TukwilaWA.gov PLUMBING /GAS PIPING PERMIT Parcel No.: 3523049110 Address: 1109 ANDOVER PK W TUICW Project Name: ACCUTECH Permit Number: PG11 -127 Issue Date: 08/30/2011 Permit Expires On: 02/26/2012 Owner: Name: AMB PROPERTY CORP Address: 60 STATE ST STE 1200 C/O RE TAX , BOSTON MA 02109 Contact Person: Name: JEREMY MOELLER Address: PO BOX 3205 , IURKLAND WA 98083 Email: JEREMY @CFM- HVACR.COM Contractor: Name: C F M HEATING AND COOLING INC Address: PO BOX 3205 , KIRKLAND WA 98083 Contractor License No: CFMHEHC969CD Phone: 425 - 821 -1293 Phone: 425 821 -1293 Expiration Date: 02/04/2012 DESCRIPTION OF WORK: INSTALL FT OF 1" GAS LINE FOR NEW ROOFTOP A/C UNIT. Value of Plumbing /Gas Piping: Fees Collected: Electrical Service Provided by: Permit Center Authorized Signature: $450.00 Uniform Plumbing Code Edition: 2009 $120.75 International Fuel Gas Code Edition: 2009 Date: e‘&0-ii 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 hermit. Signature: Print Name: jC1XP I ``-! ! "l Oel l 1� 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: C8 -3D—/ l doc: UPC -4/10 PG11 -127 Printed: 08 -30 -2011 • PERMIT CONDITIONS Permit No. PG 11 -127 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: AU 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: 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. 8: 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. 9: 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. 10: 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 11 -127 Printed: 08 -30 -2011 CITY OF TUKWI Community Dove lopeint Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 httD: / /www.TukwilaWA.gov Plumbin 1;/ Gasrmit No. G 1)-7 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 Site Address: Tenant Name: AA1(1uelr Qt (k IA) (.c.4e((A- King Co Assessor's Tax No.. Suite Number: New Tenant: Floor: [X 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: 3(ed1\1 )(4 )(4 AI2r Mailing Address: 1. 0 . X E -Mail Address: 3-6(exy p C'- n - \ vain - (tin Day Tele hone: K; rk\tt City Fax Number: 1125 -a°Zi ` /2/3 t) 7600 State Z F3Z1- /3 (73ip PLUMBING / GAS PIPING CONTRACTOR INFORMATION Company Name: C He6iki1 6fM Cco 11(1), �t'1( - Mailing Address: o . BOX 6ZC, Contact Person: jean/ivn, E -Mail Address: Je(env, c Cfir A� t )11 a c( CDC Contractor Registration Number: C F lhF C \C ? (get) ae lleK rkland City Day Telephone: Fax Number: Expiration Date: (AA 96013 State Zip '(75 - 6Z - /213 q7'" LZ( -(3 ((3 02-10cil/2 ARCHITECT OF RECORD — All plans must be stamped by Architect of Record Company Name: ?k`3 i I(CL, -1- t! c - Mailing Address: 63 , euxtr t 64 St Ae 1b7 Contact Person: E -Mail Address: Seal. e w1 ? &)o City Zip Day Telephone: 20(0-n(1- 3 - t8 Fax Number: ENGINEER OF RECORD — All plans must be stamped by Engineer of Record Company Name: Mailing Address: l City Contact Person: Day Telephone: E -Mail Address: Fax Number: State Zip H:tApplications\Forms- Applications On Line\2010 Applications \7 -2010 - Plumbing -Gas Piping Permit Application.doc Revised: May 2011 bh Page 1 of 2 Valuation of Project (contractor's bid prill $ 1150 rl Scope of Work (please provide detailed information): 4_65+411 /, j / Z n2 w (Qo-E -90 AC I/1 i gas -for Building Use (per Int'l Building Code): l.E- l'TlC�2 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 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 - 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 OW OR AUTH)9MZED AGENT: Signature: ey ' Print Name: J eieon Ab6(lei Mailing Address: ? 0. o X 33o5 Day Telephone: City Date: 06-231) 1/Z5-621-17U ( hof3 State Date Application Accepted: 8 C Date Application Expires: H:1Applications\Porms- Applications On Line\2010 Applications17.2010 - Plumbing -Gas Piping Permit Application.doc Revised: May 2011 bh Zip Staff Initials: libe 1 Page 2 of 2 • 1 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.TukwilaWA.uov Parcel No.: 3523049110 Address: 1109 ANDOVER PK W TUKW Suite No: Applicant: ACCUTECH RECEIPT Permit Number: PG11 -127 Status: PENDING Applied Date: 08/23/2011 Issue Date: Receipt No.: R11 -01844 Payment Amount: $120.75 Initials: WER Payment Date: 08/23/2011 03:14 PM User ID: 1655 Balance: $0.00 Payee: CFM HEATING AND COOLING INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 6240 120.75 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts GAS - NONRES PLAN CHECK - NONRES 000.322.103.00.00 96.60 000.345.830 24.15 Total: $120.75 doc: Receiot -06 Printed: 08 -23 -2011 INSPECTION RECORD Retain a copy with permit INSPE TION O. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION C.- 6300 Southcenter Blvd., #100, Tukwila. WA 98188 la, (206) 431 -3670 Petrnit Inspection Request Line (206) 431 -2451 P6/(- (2� Proje/c�: /`t_GCr.c // E.CA Type f Inspection: t ra Ai- Address: / a fovli-LI Date Called: Special Instructions: 0 5/11 IP G- 0( S / Date Wanted:. 7 0/5 ' r { ----- p.m. Requester: Phone No: // Approved per applicable codes. Corrections required prior to approval. COMMENTS: Pr r i1s' J eXP Inspe tor- ri REINSPECTION FEE REQUIRES -Pr or to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. -tk3 INSPECTION RECORD Retain a copy with permit A.f 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 Q-+ Pcti -/27 Project: �� 0--\ Type of Inspection: �t N Al Co jj10 AIJiLA4I rJs`T 3f�o'v Address:1 I DoLdU ui Dite Called: ! Special Instructions: Date Wanted:. C O _ � , / (� 'aa..mm. Requester: •.---, Phone No EjApproved per applicable codes. Corrections required prior to approval. COMMENTS: jj10 AIJiLA4I rJs`T 3f�o'v e!I e ( 2•-- .: j) ) T- e l _'v/ &Pi- fiP ar■ gli..r .. ! 19 'Or Mil AA) A- (4;.fr4J,‘Ji pA_A---e " iLe — s GP i1.if i ,_.__ n A REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. . ' 1 i �ab 11.i t T=it INSPECTION RECORD Retain 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 PG/Hz-7 Project: 4 itgt .L, Address: ef � Specia4'0 structions: Type of Inspection: ZAV Date Called: Date Wanted: . /a -3--1 / a.m. Requester: ElApproved per applicable codes. Phone No: 246-42-3 -0-74 Corrections required prior to approval. COMMENTS: -AA te.4.€4-7 bp�'yy°errr,L d7.1 ri REIN PS ECTION FEE REQ RED. 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. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 P61'i� -`] PERMIT NO. Project: r Type of Instc,:ion ` 6k J. Address: JAS Date Calledt Special Instructions: //// / Date Wanted: ` i 5 y `.s„ P.m. Requester: ((( P on a No: Approved per applicable codes. El Corrections required prior to approval. COMMENTS: e___J N.) /°-s' req,./s7..., I( ri REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. • t If • PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG11 -127 DATE: 08 -23 -11 PROJECT NAME: ACCUTECH SITE ADDRESS: 1109 ANDOVER PK W X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # _ Revision # After Permit Issued DEPARTMENTS. t.kI � Buil Ing Division Public Works ❑ Fire Prevention Structural n Planning Division Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: Lx1 Incomplete DUE DATE: 08-25-11 Not Applicable ❑ 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 ❑ No further Review Required NI REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: DUE DATE: 09-22 -11 Approved n Approved with Conditions Xi Not Approved (attach comments) ❑ 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 Contractors or Tradespeople Pinter Friendly Page i General /Specialty Contractor A business registered as a construction contractor with La1 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 C F M HEATING AND COOLING INC UBI No. 602361244 Phone 4258211293 Status Active Address Po Box 3205 License No. CFMHEHC969CD Suite /Apt. License Type Construction Contractor City Kirkland Effective Date 2/4/2004 State WA Expiration Date 2/4/2012 Zip 98083 Suspend Date County King Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date CLANCY, SHAUN President 02/04/2004 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 2 DEVELOPERS SURETY a INDEM CO 798903C 02/04/2009 Until Cancelled $12,000.0012/17 /2008 1 RLI INS CO SRS1008639 02/04/2004 02/04/2009 03/12/2009 $12,000.0002/04 /2004 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 8 AMERICAN FIRE a CASUALTY CO BKA54333410 02/04/2011 02/04/2012 $1,000,000.00 01 /06/2011 7 Continental Western Ins Co CNP2739229 02/04/2008 02/04/2011 $1,000,000.00 01 /05/2010 6 OHIO CAS INS BKW53560669 02/04/2007 02/04/2008 $1,000,000.00 02/05/2007 5 OREGON AUTOMOBILE INSURANCE CO C01165399 02/04/2006 02/04/2007 $1,000,000.0002 /08/2006 4 NORTH PACIFIC INS CO C01917724 02/04/2006 02/04/2007 $1,000,000.00 01/27/2006 3 NORTHERN INS. CO. OF NEW YORK SCP42992611 02/04/2005 02/04/2006 $1,000,000.0001 /18/2005 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 08/30/2011