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HomeMy WebLinkAboutPermit PG12-163 - SLEEP TRAINSLEEP TRAIN 301 TUKWILA PY PG12 -163 City otI'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.TukwilaWA.gov Parcel No.: 0223000010 Address: 301 TUKWILA PY TUKW Project Name: SLEEP TRAIN PLUMBING /GAS PIPING PERMIT Permit Number: PG12 -163 Issue Date: 08/27/2012 Permit Expires On: 02/23/2013 Owner: Name: BETA HOLDINGS LTD Address: 18827 BOTHELL WAY NE , BOTHELL WA 98011 Contact Person: Name: GARY VOGLER Address: PO BOX 174 , PACIFIC WA 98047 Email: GVPLUMBING33 @GMAIL.COM Contractor: Name: G V PLUMBING & CONSTRUCTION Address: PO BOX 174 , PACIFIC WA 98047 Contractor License No: GVPLUC *021R3 Phone: 206 423 -3359 Phone: (206)233 -2621 Expiration Date: 01/22/2014 DESCRIPTION OF WORK: PLUMBING OF (1) WATER CLOSET AND (1) LAV Value of Plumbing /Gas Piping: Fees Collected: Electrical Service Provided by: Permit Center Authorized Signature: $3,375.00 Uniform Plumbing Code Edition: 2009 $110.25 International Fuel Gas Code Edition: 2009 Date: a 7/4,2 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: n• (.cam V t/ �� Print Name: J OS%\ \1 0L5 t, Date: 9 -27 - 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 -163 Printed: 08 -27 -2012 • • PERMIT CONDITIONS Permit No. PG 12 -163 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 -163 Printed: 08 -27 -2012 CITY OF TUKWA Community Developmt. Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 littp://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 ** Site Address: s ©( TUkw 1 l cl L.) King Co Assessor's Tax No.: 02.2 300 —COLO Tenant Name: 5 t e e rc fl PROP Name: rb e sk, Address: 1112-'1 Q �+ City: 11),2:11, ( State: 4A_ Zi : Feau Y Name: & card/ Address: n x V4 City: t` bL Ct'C l� State: (JA Zip: 9 1) 0 Phone:Cj� (0) 23 - 5?ascc Fax: N f pc Email: c4 Plu,tMbir933 @MQ11.co(r Suite Number: /V/ Floor: 1 New Tenant: Yes ❑.. No Valuation of Project (contractor's bid price): $ 3)S-7- S: CD Scope of Work (please provide detailed information): M bath ra 0 i'n to'tle + /`l lavj Building Use (per Int'I Building Code): Occupancy (per Int'l Building Code): ! Utility Purveyor: Water: 1 A L-V1 i LI H: \Applications \Forms - Applications On Line \2011 Applications Plumbing Permit Application Revised 8- 9- 11.docx Revised. August 2011 bh Sewer: L Pr Page 1 of 2 Company Name: GN, pl. k trylhl(l & Ce cuc�1'iJn Address: c) fox 13 , I City: Pa 6.0 ■c_ State: WA Zip: c(8, 0 /4-7 Phone: (2_001. f Z3 -b359 Fax: PN /A Contr Reg No.: (VFLU C ' 0 Z 1 R3 Exp Date: 1 /22 /2c 1L) Tukwila Business License No.: Valuation of Project (contractor's bid price): $ 3)S-7- S: CD Scope of Work (please provide detailed information): M bath ra 0 i'n to'tle + /`l lavj Building Use (per Int'I Building Code): Occupancy (per Int'l Building Code): ! Utility Purveyor: Water: 1 A L-V1 i LI H: \Applications \Forms - Applications On Line \2011 Applications Plumbing Permit Application Revised 8- 9- 11.docx Revised. August 2011 bh Sewer: L Pr Page 1 of 2 Indicate type of plumbing fixtures and/or s piping outlets being installed and the quantit elow: Fixture Type Qty Bathtub or combination bath/shower Dishwasher, domestic with independent drain Shower, single head trap 1. Sinks 1 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) Fixture Type Qty Bidet Drinking fountain or water cooler (per head) Lavatory 1. Urinal 1 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 Fixture Type Qty Clothes washer, domestic Food -waste grinder, commercial Wash fountain Water closet 1 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: Signature: C L,/� �0 AUTHORIZED Date: 6-2:7- 20 \` - Print Name: 1.05V) Dg I e ( Day Telephone: 20 b "Sc) - (PCI Mailing Address: t-.)/3 ' 1-] 4 Pa i`CT', L H.Applications\Forms- Applications On Line \2011 Applications\Plumbing Permit Application Revised 8 -9 -1 I.docx Revised August 20] 1 bh 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 Parcel No.: 0223000010 Address: 301 TUKWILA PY TUKW Suite No: Applicant: SLEEP TRAIN RECEIPT Permit Number: PG12 -163 Status: APPROVED Applied Date: 08/27/2012 Issue Date: Receipt No.: R12 -02454 Initials: User ID: LAW 1632 Payment Amount: $110.25 Payment Date: 08/27/2012 10:10 AM Balance: $0.00 Payee: GV PLUMBING & CONSTRUCTION TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd MC Authorization No. 168994 ACCOUNT ITEM LIST: Description 110.25 Account Code Current Pmts PLUMBING - NONRES 000.322.103.00.00 110.25 Total: $110.25 doc: Receiot -06 Printed: 08 -27 -2012 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 y.2_ (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 12 -r& 7j Project: .- 51-- P Tr2A,t`? Type of Inspection: F-- i IUAra P1l Address: 30 I ji:tc.4.J0--A pt.j Date Called: Special Instructions: Date Wanted:. 9- t7 m,, 0_.m.. Requester: Phone No: 2'- . ct Z — 3 3 557 .Approved per applicable codes. D Corrections required prior to approval. COMMENTS: /V;A ■ (`;, f REINSPECTION FEE REQIRED. Prior to# ext inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 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 PC, 1L -it.,3 Project: - �1_c/F. -7 1-? i'V; Type of Inspection: an11 6.1-I - -; I,.) Addiess: 1C: 1 - it4.w-t_LA :>(-1 Date Called: Special Instructions: Date Wanted:. Vim. Requester: Phone No: (2-0Co - z--1z:3 -.3 5 9 Approved per applicable codes. ElCorrections required prior to approval. COMMENTS: ( Inspect" (44-1a, 1 ,LIP1/L\41 / 1 Date: -EINSPECTION FEE REWIRED. PriIor to next inspection. fee must be 'rid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. V Contractors or Tradespeople litter 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 G V PLUMBING & CONSTRUCTION UBI No. 600142739 Phone 2537351344 Status Active Address P 0 Box 174 License No. GVPLUC*021R3 Suite /Apt. License Type Construction Contractor City Pacific Effective Date 12/23/1998 State WA Expiration Date 1/22/2014 Zip 98047 Suspend Date County King Specialty 1 General Business Type Individual Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date VOGLER, GARY L Owner 12/23/1998 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 DEVELOPERS SURETY E INDEM CO 856610C 12/14/2001 Until Cancelled $12,000.00 12/14/2001 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 7 Ohio Security Ins Co BKS54981318 01/01/2012 01/01/2013 51,000,000.00 12/20/2011 6 CBIC C11S11418 01/01/2009 01/01/2012 $1,000,000.00 12/13/2010 5 OOHIO CABINS BH053439196 01/01/2006 01/01/2009 51,000,000.00 12/10/2007 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 08/27/2012