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Home My WebLink AboutPermit PG12-039 - DR PATRICIA JITODAIDR PATRICIA JITODAI 16870 SOUTHCENTER PY PG1 2-039 City oftukwila 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.: 2623049129 Address: 16870 SOUTHCENTER PY TUKW Project Name: DR PATRICIA JITODAI Permit Number: PG 12 -039 Issue Date: 03/16/2012 Permit Expires On: 09/12/2012 Owner: Name: PARKWAY SQUARE L L C Address: PO BOX 5003 , BELLEVUE WA 98009 Contact Person: Name: MATT DEMISON Address: 3717 LAKE WASHINGTON BL N , RENTON WA 98056 Email: BIGFOOTPLUMBING @GMAIL.COM Contractor: Name: BIGFOOT PLUMBING LLC Address: 3717 LAKE WASHINGTON BL N , RENTON WA 98056 Contractor License No: BIGFOPL911C4 Phone: 425 - 269 -5680 Phone: 425 - 269 -5680 Expiration Date: 02/24/2013 DESCRIPTION OF WORK: PROVIDE ROUGH -IN AND TRIM PLUMBING FOR TWO NEW LAV SINKS AND RELOCATE A THIRD LAV SINK Value of Plumbing /Gas Piping: Fees Collected: Electrical Service Provided by: Permit Center Authorized Signature: $6,000.00 Uniform Plumbing Code Edition: 2009 $171.94 International Fuel Gas Code Edition: 2009 /(jAAf Date: 03//6, 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: Print Name: Cd" "-- Date: d.7(Z 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 PG12 -039 Printed: 03 -16 -2012 PERMIT CONDITIONS Permit No. PG 12 -039 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 PG12 -039 Printed: 03 -16 -2012 CITY OF TUKWI Community Developmeallepartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukvvilaWA.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** Site Address: k f:;. 30 co,,--\\-,cevAer Tenant Name: C.ie cKe cA-0 sr- r _ +'0 aot CONTACTTERSON person receiving all.pioject- comthunication Name: ---1 ‘ e 0 1 Se ■\.,,,J. I V‘k =;JC \ .evon i so •-■ Address: 31 \--) Lck. \,, u Jo s\.,. City: Name: v_ 0 sev, () 0, rr-k s Address: eot 0 ..f, S-0 .0 Zip: o» 0 City: o Phone: -. 5-,_ 1 ,,,,i,. s 630 Fax: Lo Zip: '''S' 00 1 CONTACTTERSON person receiving all.pioject- comthunication Name: ---1 ‘ e 0 1 Se ■\.,,,J. I V‘k =;JC \ .evon i so •-■ Address: 31 \--) Lck. \,, u Jo s\.,. City: (1...e.A State: (..,) \A Zip: ,9051, Phone. - ' CO. S--:Z 6 9 ! ax: Email: v..) 1 r' -114 crl D \ Lr. •-nr. \n 1\ " s ■;;;) Cf va1/4.4 "A . Co NA-..... • ••■ King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: [gt Yes LI.. No PLUMBING CONTRACTOR . Company Name: , -\uv.,.\:1■-‘ L k--- C Address: -s_\ v_t C.A. v e City: A `it--,----o ••■ State: Zip: o» 0 S (9 Phone: -. 5-,_ 1 ,,,,i,. s 630 Fax: Contr Reg No.: (.,, ..cc, c, L911 ci Exp Date: 2 _ vs Tukwila Business License No.: Valuation of Project (contractor's bid price): $ 0 CO Scope of Work (please provide detailed information): 0 vo ci`R eo, " 4 r -"‘ of -"j031C e-t 5) •-■ V-- .5 oc..Ae 6 te•-k. 5 Building Use (per Int'l Building Code): Occupancy (per Intl Building Code): Utility Purveyor: Water: H:\Applications\Forms-Applications On Line \ 2011 Applications \Plumbing Permit Application Revised 84.11.docx Revised: August 2011 bh Sewer: Page 1 of 2 Indicate type of plumbing fixtures and/or piping outlets being installed and the quantiii elow: `Fixture Type..). Qiy 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) I Each additional medical gas inlets /outlets greater than 5 Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections (1 -5) Fixture Type 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 I 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 Fixture Type Qty.': 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 I Backflow protective device other than atmospheric -type vacuum breakers over 2 inch (51 mm) diameter Gas piping outlets Fixture Type 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 `PERMIT,APFLICATIONNOTES -:: 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. BUILDI T N• AUTHORIZED AGENT: Signa e: Print Name: v 1 \I■N/■ \ O 37\1 L4 \L� w� SLR. ,t\A ' Mailing Address: H:WpplicationsWorms- Applications On Line \2011 Applications\Plumbing Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh Date: 3 ^ — Day Telephone: Vi r - City State Zip 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.TukwilaWA.gov RECEIPT Parcel No.: Permit Number: PG 12 -039 Address: 16870 SOUTHCENTER PY TUKW Status: PENDING Suite No: Applied Date: 03/07/2012 Applicant: DR JITODAI Issue Date: Receipt No.: R12 -00949 Initials: User ID: Payee: WER 1655 Payment Amount: $171.94 Payment Date: 03/07/2012 11:17 AM Balance: $0.00 BIGFOOT PLUMBING TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 101465 ACCOUNT ITEM LIST: Description 171.94 Account Code Current Pmts PLAN CHECK - NONRES PLUMBING - NONRES 000.345.830 34.39 000.322.103.00.00 137.55 Total: $171.94 doc: Receiot -06 Printed: 03 -07 -2012 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 Project: .l),' PA R C'.Z 4 Type of Inspection::. - Y,,v 4 (.-- : Address: Date Called: Special Instructions: Date Wanted:. 7— /3 - /2! a.m., %..p Requester: Phone No: _ Approved per applicable codes. Corrections required prior to approval.;: COMMENTS: Eb R0-1(5 ,1.1 _ ApPlAc,/ s', Insp- tor: Date: inspection. -fee' niust be l to schedule.reinspection REI PECTION FE REQUIRED. P \rior to ne x pa'd at 6300 Southcenter Blvd., Suite 100. C INSPECTION RECORD I Retain a cop y permit ermit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila: WA 98188 't -• (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: r... lii2 4)4+1-- i`CD. ' Type of Inspection: 11 Cora J/LK ()tic' 44 Address: VW/Co/4V / 16 �-� , .IC.i ` 4 Called: / 414 �� Speciallnst�ct on Date Want • - f't - a. err � ( p.m. Requester: Phone No: ElApproved per applicable codes. 'corrections required prior to approval. G COMMENTS: Qfr 0 94--1.DrO d } .0-3 Akn /) f J- v, I ,� 1 / i f A A4, if —7-T 6 p t ,,,-, I L (. Aat DA-,‘ :- t t7', of 'i Inspector: Dater, i y - V , n REINSPECTION FEE REQUIRED. rior`to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. 4 p■,, C ✓,.e REVIEWED FOR CODE COMPLIANCE APPROVED ATE ERP MIT REQUIRED FOR Methmdcal sectdad Pltobing fill Gas P1114 City of Tukwila `.UILDING DIVISION REVISIONS No � shall be made to the scope of work without prior approval of Tukwila Building Division. NOTE: Revisions will require a new plan swat and may include additional plan review fees. 1 % f �L 4 1 MAR 14 2012 k� City o T kwila BALDING (VISION FILE COPY Nor. P6-12 Plan review approval Is alibis Ito worn svi wisdom Approval ci oonalution dI does not audlorize the violation of any adopted code or Whom . Receipt otapproved Field admo ledped: I, Oats City Of l WILDING DIVISION RECEIVED MAR 07 2012 PERMIT C NTER vAH (KJA( ■ �CcJ \OLo��O \a REVIEWED FOR CODE COMPLIANCE APPROVED MAR 14 2012 City of Tukwila BUILDING DIVISION RECEIVED MAR 07 2012 PERMIT CENTER PLOW GUM '�` PLAN EVIEW /ROUTING SLIP ACTIVITY NUMBER: PG12 -039 DATE: 03 -07 -12 PROJECT NAME: DR PATRICIA JITODAI SITE ADDRESS: 16870 SOUTHCENTER PY X Original Plan Submittal Response to Correction Letter # Response to Incomplete Letter # Revision # After Permit Issued DEPARTMENTS: I Ku� fl' u ding Division s /V/ Public Wat is Fire Prevention Structural Planning Division ❑ Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: Incomplete DUE DATE: 03 -08-12 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 REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved ❑ Approved with Conditions Not Approved (attach comments) ❑ Notation: REVIEWER'S INITIALS: DATE: DUE DATE: 04-05-12 Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents /routing slip.doc 2 -28 -02 King County Department of Natural Resources and Parks Wastewater Treatment Division 039 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 \ So Cc Aer (2\L.0' -7 Property Street Address City e Owner's Name 818g State ZIP Subdivision Name Subdiv. # Lot # Block # Building Name Of applicable) (ti'-S ) IAS 3�3cs Owner's Phone Number (with Area Code) Property Contact Phone Number (with Area Code) Owner's Mailing Address 50o3 \ &'■\ c`sbock For King County Use Only Account # No. of RCEs Monthly Rate Property Tax ID # Z- 1/4°1 3 0' — `1 1.7—q Party to be Billed (if different from owner) City or Sewer District \ : \C� Date of Connection Side 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 y1No Was building on Sanitary Sewer? tgr�Yes 0 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 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 Sink, bar or lavatory 2 1 `L Lk Sink, Clinic flushing 8 8 Sink, kitchen 3 2 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 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 2. RCE 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 L a 7— RCE RCE RECEIVED MAR 07 2012 PERMIT CENTER 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 correct. 1 deviation will require resubmission orrec Signature of Owner /Representative stand that the capacity charge levied will be based on this information and any Print Name of Owner /Representative 1058 (Rev. 9/07) for determination of a revised capacity charge. Date 1 White — Kina County \ ' \ r Vv Yellow — Local Sewer Aaencv Pink — Sewer Customer Contractors or Tradespeople P 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 BIGFOOT PLUMBING LLC 4252695680 3717 Lake Washington Blvd N Renton WA 98056 King Limited Liability Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602901049 Active BIGFOPL911C4 Construction Contractor 2/24/2009 2/24/2013 Plumbing Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status INEEDNP904LW I NEED A PLUMBER NOW LLC Construction Contractor Plumbing Unused 6/16/2010 6/16/2012 Active Business Owner Information Name Role Effective Date Expiration Date DENNISON, DAYTON MATTHEW Partner /Member 02/24/2009 Bond Amount SERAFINE, JARROD LEE Partner /Member 02/24/2009 02/07/2011 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 Lexon Ins Co 9804584 02/23/2011 Until Cancelled $6,000.0002/17/2011 /11/2012 1 COLONIAL AM CAS & SURETY OF MARYLAND LPM4077872 02/23/2009 Until Cancelled 02/23/2011 $6,000.00 02/24/2009 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 4 TRUCK INS EXCHANGE 601717171 02/23/2011 02/23/2013 $1,000,000.0001 /11/2012 3 TRUCK INS EXCHANGE 604717171 02/23/2010 02/23/2011 $1,000,000.0002 /16/2010 1 TRUCK INS EXCHANGE 604717171 02/23/2009 02/23/2010 $1,000,000.00 02/24/2009 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 03/16/2012