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Home My WebLink AboutPermit PG11-158 - REGENCY CLEANERSREGENCY CLEANERS 950 ANDOVER PK E PG1 1 -158 City alkukwila 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.: 2623049105 Address: 950 ANDOVER PK E TUKW Project Name: REGENCY CLEANERS Permit Number: Issue Date: Permit Expires On: PG11 -158 10/18/2011 04/15/2012 Owner: Name: NATIONWIDE LIFE INS Address: REAL ESTATE INVESTMENT , ONE NATIONWIDE PLAZA 43215 Contact Person: Name: Address: Email: TERRY FLETCHER 950 ANDOVER PK E , TUKWILA WA 98188 N/A Contractor: Name: PACIFIC CONTRS & HVAC LLC Address: 11101 SE 208 ST #824 , KENT WA 98031 Contractor License No: PACIFCH910RW Phone: 206 371 -9738 Phone: 206 954 -4822 Expiration Date: 12/16/2011 DESCRIPTION OF WORK: COME OFF EXISTING 2" GAS LINE WITH REGULATOR FOR (3) RTU'S AND (5) DRYERS TO REPLACE EXISTING PERMIT PG08 -269 Value of Plumbing /Gas Piping: Fees Collected: Electrical Service Provided by: Permit Center Authorized Signature: $900.00 Uniform Plumbing Code Edition: 2009 $137.55 International Fuel Gas Code Edition: 2009 I hereby certify that I have read and e governing this work will be complied Date: io1 l 1b d this permit and know the same to be true and correct. All provisions of law and ordinances ether specified herein or not. The granting of this permit does not pres construction or the performance of work. on the back of this permit. Signature: o give authority to violate or cancel the provisions of any other state or local laws regulating I am authorized to sign and obtain this plumbing /gas piping permit and agree to the conditions Print Name: ✓ c � `/ �iL' (G mac.. 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: /6 /( doc: UPC -4/10 PG11 -158 Printed: 10-18 -2011 • PERMIT CONDITIONS Permit No. PG 11 -158 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 PG 11 -158 Printed: 10 -18 -2011 Site Address: CITY OF TUKW4A4 Community Developme.. Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http:/iwww.TukwilaW A. gov 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 ** Tenant Name: King Co Assessor's Tax No.: gsd (AJ9 I ,c� k ?gig Suite Number: / Floor: Name: LI' psc.ovn 7 Address: d ��O ✓f p City: (✓ %. State: G ✓ A_ Zip: c 'j k E b 5 ai Name: Address: c?.50 4 r vs., f lC L- 6 Address: c7SQ A,_et Po 1,4, pk- City: (c..4v ;- 1„._ State: w Zip: c, k -7 , Phone: n o z_ 3 7/ _ 7 73sFax: s� Email: New Tenant: ❑ Yes E.. No Valuation of Project (contractor's bid price): $ ?DO - Q 0 Scope of Work (please provide detailed information): "-L O -� 4/(1—k CGS t.., jZro r �o `! A-TU1 S /i 5x; 51 Pe. i /r3 2,6R Building Use (per Int'l Building Code): Occupancy (per Int'l Building Code): Utility Pazveyor. Water: Sewer: H:\Applications \Forms- Applications On Line \2011 Applications\Plumbing Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh Page 1 of 2 Company Name: &c, ;,11,L CQCA-7-�c7� fS Address: c?.50 4 r vs., f lC L- 6 City: —: k - ;/ State: kv, Zip: 9gThg Phone: 96 6." 3 7 (_ r 7j -Fax: Ai, vC_.. Contr Reg No.: AGE c / �i6 k 1/Exp Date: e /� Tukwila Business License No.: Valuation of Project (contractor's bid price): $ ?DO - Q 0 Scope of Work (please provide detailed information): "-L O -� 4/(1—k CGS t.., jZro r �o `! A-TU1 S /i 5x; 51 Pe. i /r3 2,6R Building Use (per Int'l Building Code): Occupancy (per Int'l Building Code): Utility Pazveyor. Water: Sewer: H:\Applications \Forms- Applications On Line \2011 Applications\Plumbing Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh Page 1 of 2 Indicate type of plumbing fixtures and/or piping outlets being installed and the quantit low: Fixture Type : Qty Bathtub or combination bath/shower Dishwasher, domestic with independent drain Shower, single head trap Sinks Rain water system — per drain (inside building) Grease interceptor for commercial kitchen ( >750 gallon capacity) Each additional medical gas inlets /outlets greater than 5 Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections (1 -5) ir .fixtire Type 2 Qty Bidet Drinking fountain or water cooler (per head) Lavatory Urinal Water heater and/or vent Repair or alteration of water piping and/or water treatment equipment Backflow protective device other than atmospheric - type vacuum breakers 2 inch (51 mm) diameter or smaller Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections over 5 ir dFtxture Trype Clothes washer, domestic Food -waste grinder, commercial Wash fountain Water closet Industrial waste treatment interceptor, including trap and vent, except for kitchen type grease interceptors Repair or alteration of drainage or vent piping Backflow protective device other than atmospheric -type vacuum breakers over 2 inch (51 mm) diameter Gas piping outlets ir ,Fixta �YPe� • ' , . Qty , . Dental unit, cuspidor Floor drain Receptor, indirect waste Building sewer and each trailer park sewer Each grease trap (connected to not more than 4 fixtures - <750 gallon capacity Medical gas piping system serving 1 -5 inlets /outlets for a specific gas Each lawn sprinkler system on any one meter including backflow protection devices NOT 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR AUTHORIZED AGENT: Signature: Date: /(07// Print Name: Mailing Address: 9ge / tJovtr Q k t✓ . H1ApplicationsWornts- Applications On Line12011 Applications\Plumbing Permit Application Revised 8-9-11 dons Revised. August 2011 bh Day Telephone: L"/A— City State Zip Page 2 of 2 CM 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. tukw ila. wa. us SET RECEIPT RECEIPT NO: R11 -02280 Initials: JEM Payment Date: 10/18/2011 User ID: 1165 Total Payment: 504.00 Payee: PACIFIC HEATING & COOLING SET ID: S000001590 SET NAME: Tmp set/Initialized Activities SET TRANSACTIONS: Set Member Amount M11 -151 PG11 -158 TOTAL: 252.00 252.00 252.00 TRANSACTION LIST: Type Method Description Amount Payment Credit C VISA 504.00 TOTAL: 504.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts GAS - NONRES 000.322.103.00.0 MECHANICAL - NONRES 000.322.102.00.0 252.00 252.00 TOTAL: 504.00 INSPECTION RECORD Retain a copy with permit 1/`"1- INSPECTIOt� 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 1,z.: Project: %1/ Type of Inspection: /+ Address. - 4ate Called. r 5peciarinstruction� - ,�, , rte% Date Wan ed:. �� / 2_ p:m. Requester: /,1-0077 Phone No: Approved per applicable codes. D- Corrections required prior to approval. COMMENTS: REINSPECTION FEE REQ RED Prior to next inspection, fee must be paid at 6300 Southcenter Blvd Suite 100. Call to schedule reinspectio'n. Contractors or Tradespeople *ter 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 Phone Address Suite /Apt. City State Zip County Business Type Parent Company PACIFIC CONTRS & HVAC LLC 2069544822 11101 Se 208Th St # 824 Kent WA 98031 King Limited Liability Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602953966 Active PACIFCH910RW Construction Contractor 12/16/2009 12/16/2011 General Unused Business Owner Information Name Role Effective Date Expiration Date WERNER, RONALD SCOTT Partner /Member 12/16/2009 Bond Amount 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 American Contractors Indem CO 100147836 12/08/2010 Until Cancelled 11.2.25706 -1KNT ALASKAN COPPER & BRASS CO InterPlead: No KING $12,000.0012/08 /2010 1 PLATTE RIVER INS CO 41189605 12/10/2009 Until Cancelled 01/01/2011 $12,000.0012/16 /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 DEVELOPERS SURETY & INDEM CO BIS00001778 12/16/2009 12/16/2011 11.2.25706 -1KNT ALASKAN COPPER & BRASS CO InterPlead: No KING $300,000.0012/09 /2010 Summons /Complaint Information Cause County Complaint Judgment Status Payment Paid By 11 -2- 30193 -1SEA RUSSELL & ROBERT CAHALL InterPlead: No KING Date: 09/07/2011 Amount: $4,136.67 Bond(s): 100147836 Date: Amount: $0.00 Open Date: Amount: 11.2.25706 -1KNT ALASKAN COPPER & BRASS CO InterPlead: No KING Date: 08/01/2011 Amount: $1,797.96 Bond(s): 41189605 Date: Amount: $0.00 Open Date: Amount: Warrant Information No unsatisfied warrants on file within prior 6 year period https: // fortress .wa.gov /lni/bbip/Print.aspx 10/18/2011