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Home My WebLink AboutPermit PG12-042 - JOHN C RADOVICH BUILDINGJOHN C. RADOVICH BUILDING 6840 FORT DENT WY PG1 2-042 »lTukwila City • 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.: 2954900425 Address: 6840 FORT DENT WY TUKW Project Name: JOHN C RADOVICH BUILDING Permit Number: PG 12 -042 Issue Date: 03/12/2012 Permit Expires On: 09/08/2012 Owner: Name: PEPPERWOOD HOLDINGS LLC Address: 2835 82ND AVE SE #300 , MERCER ISLAND WA 98040 Contact Person: Name: GREG SMALLING Address: 2204 NE 28 ST , RENTON WA 98056 Email: GREG @GSMECHANICALSHOP.COM Contractor: Name: GS MECHANICAL LLC Address: PO BOX 1917 , RENTON WA 98057 Contractor License No: GSMECML928RK Phone: 206 372 -0332 Phone: 206 - 372 -0332 Expiration Date: 12/12/2012 DESCRIPTION OF WORK: INSTALL NEW ELECTRIC WATER HEATER WITH EXPANSION TANK TO REPLACE OLD WATER HEATER Value of Plumbing /Gas Piping: Fees Collected: Electrical Service Provided by: Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be compli $500.00 Uniform Plumbing Code Edition: 2009 $47.25 International Fuel Gas Code Edition: 2009 4,4li Date: O?,I11J (Z ned this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. The granting of this permit does not p construction or the performance of work. on the back of this permit. Signature: e to 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: CT /I n—G— /(U 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 -042 Printed: 03 -12 -2012 PERMIT CONDITIONS Permit No. PG 12 -042 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 PG12 -042 Printed: 03 -12 -2012 Site Address: CITY OF TUKW4 Community Develops' . department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http: / /www.TukwilaWA.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 ** (g qO / '(TA wki Tenant Name: H1/ 0" et 4- Name: I& D uc Jer to n,, c v. ( 0 Address: Z e 3� AL) SG City: pie c.C-'1. I5 kun State: Li If Zip: ie)010 ■ Name: Address: 2 20c/ 4,2t- 29" S r City: //t_et / State: L."4_ Zip: y�Q 0 Phone: s A ` Fax: 5 6 .... .(- Email: a fc y / �� `J.SMer.4cneu. /,5-40 co t---‘ King Co Assessor's Tax No.: Suite Number:..? G Floor: 3 New Tenant: ❑ Yes Company Name: G5 r'ce- anweci-c Address: po tQ o, /Ty 7 City: P eP o ✓ Phone: ' Contr Reg No.: / 5fyitc Itla QkExp Date: / /, .2._-- Tukwila Business License No.: ��c ( / King Co Assessor's Tax No.: Suite Number:..? G Floor: 3 New Tenant: ❑ Yes Company Name: G5 r'ce- anweci-c Address: po tQ o, /Ty 7 City: P eP o ✓ Phone: ' Contr Reg No.: / 5fyitc Itla QkExp Date: / /, .2._-- Tukwila Business License No.: ��c ( / of Project (contractor's bid price): $ Scope of Work (please provide detailed information): /V< < 2 S� t, �<<.� c l`, .-� r Building Use (per Int'l Building Code): Occupancy (per Int'1 Building Code): Utility Purveyor: Water: Sewer: H:\Applications\Porms- Applications On Line \2011 Applications\Plumbing Permit Application Revised 8 -9 -1 I.docx Revised. August 2011 bh Page 1 of 2 Indicate type of plumbing fixtures and/or piping outlets being installed and the quanti 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) Repair or alteration of water piping and/or water treatment equipment 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 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 Fixture Type Qty Bidet Drinking fountain or water cooler (per head) Lavatory Urinal Water heater and/or vent Repair or alteration of drainage or vent piping Repair or alteration of water piping and/or water treatment equipment Backflow protective device other than atmospheric -type vacuum breakers over 2 inch (51 mm) diameter Backflow protective device other than atmospheric - type vacuum breakers 2 inch (51 mm) diameter or smaller Gas piping outlets Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections over 5 low: 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 Backflow protective device other than atmospheric -type vacuum breakers over 2 inch (51 mm) diameter Gas piping outlets Fixture Type 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 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: Day Telephone: Mailing Address: City H:\Applications\Forms- Applications On Line\2011 Applications\Plumbing Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh State Zip Page 2 of 2 6 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -43 1 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.TukwilaWA.gov Parcel No.: 2954900425 Address: 6840 FORT DENT WY TUKW Suite No: Applicant: JOHN C RADOVICH BUILDING RECEIPT Permit Number: PG 12 -042 Status: APPROVED Applied Date: 03/12/2012 Issue Date: Receipt No.: R12 -01017 Payment Amount: $47.25 Initials: JEM Payment Date: 03/12/2012 12:46 PM User ID: 1165 Balance: $0.00 Payee: GREG SMALLING, GS MECHANICAL LLC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 41215G ACCOUNT ITEM LIST: Description 47.25 Account Code Current Pmts PLUMBING - NONRES 000.322.103.00.00 47.25 Total: $47.25 doc: Receiot -06 Printed: 03 -12 -2012 INSPECTION RECORD: Retain a copy with permit 7 INSPECTION NO. PERMIT NO. CITY `OF TUKWILA BUILDING DIVISION ` 6300 Southcenter. Blvd., #100, Tukwila. WA 98188 (206) 431 -367 Permit Inspection Request Line (2b6) 431 -2451 Project + Cf - AI I i1(IAi&' P Type of Inspection: i-- )Al4' /_°-/ hrlvt 10 Address : .. Date Called: Special Instructions::' e/ F)t2b& - 05 SOC d/ Date Wanted:. 3 -2Z._!Z a.m: p.m. Requester: Phone No a2 6<z) — 3 72 -03g.7 Approved per applicable codes. Corrections required prior to approval. COMMENTS:: Date: 3 —ZZ R INSPECTION FEE REQUJRED. Prior t next inspection, fee must be p>d at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople Titer Friendly Page I 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 GS MECHANICAL LLC 2063720332 Po Box 1917 Renton WA 98057 King Limited Liability Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602564160 Active GSMECML928RK Construction Contractor 12/12/2008 12/12/2012 General Unused Business Owner Information Name Role Effective Date Expiration Date SMALLING, GREG Partner /Member 12/12/2008 Amount SMALLING, GARY Partner /Member 12/12/2008 BKS53764777 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 CBIC SI1307 12/09/2008 Until Cancelled $12,000.00 12/12/2008 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 3 Ohio Security Ins Co BKS53764777 02/27/2012 02/27/2013 $1,000,000.00 03/01/2012 2 Ohio Cas Ins Co BR053764777 02/27/2009 02/27/2012 $1,000,000.00 02/24/2011 1 CBIC C11S11307 12/09/2008 12/09/2009 03/13/2009 $1,000,000.00 12/12/2008 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 03/12/2012