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Home My WebLink AboutPermit PG12-187 - MONEYTREEMONEYTRELE 6720 FORT DENT WY PG12 -187 City d*i'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 PLUMBING /GAS PIPING PERMIT Parcel No.: 2954900455 Address: 6720 FORT DENT WY TUKW Project Name: MONEY TREE Permit Number: PG12 -187 Issue Date: 10/10/2012 Permit Expires On: 04/08/2013 Owner: Name: JOHN C RADOVICH LLC Address: 2835 82ND AVE SE #300 , MERCER ISLAND WA 98040 Contact Person: Name: RAY SHERMAN Address: 6720 FORT DENT WY , SEATTLE WA 98188 Email: RSHERMAN @BAKERCONSTRUCT.COM Contractor: Name: LOYAL MECHANICAL Address: 6747 15 AV NW , SEATTLE WA 98117 Contractor License No: LOYALM141OK Phone: 509 - 475 -2032 Phone: Expiration Date: DESCRIPTION OF WORK: INDIRECT WASTE FOR DRINKING FOUNTAIN. Value of Plumbing /Gas Piping: Fees Collected: Electrical Service Provided by: Permit Center Authorized Signature: $500.00 Uniform Plumbing Code Edition: 2009 $47.25 International Fuel Gas Code Edition: 2009 461/k— Date: I– 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 permit. Signature: Print Name: cg-14n,,,, Date: (o ^ `-(2_ This permit shall became 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 -187 Printed: 10 -10 -2012 PERMIT CONDITIONS Permit No. PG 12 -187 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 m 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 m 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 -187 Printed: 10 -10 -2012 CITY OF TUKWIing Community DevelopmAr epartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 littp://www.TukwilaWA.gov Project No Date Apphcatlon Acceptei Date Application Expires: 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'LOCATI Site Address: G 7 20 Fc"I ' Tenant Name: 1 V I OR ((fie_ King Co Assessor's Tax No.: 2'35- (f (7 4 5 Suite Number: 9---S Floor: 2- ROPRTYYOW N ER yj .. Name: _7h h /%2`/d V i,QI1 I... L G Address: 2e3 / /4-V: se City: m rstitattk Zip9 Ott t , CONTACTiPERSON 7 person'recervmgalhprojea coniitnnicatn`; io a"�r+ ,..... �',' Name: S�z�, City: Feel// State :l iG ZiP? .(,, l Address: n� �J �, �- Ara,, Contr Reg No.: I �/ I / ,cp,Date: / ,., q J3 l /1 City: g�� State: l /� 7 VZip: G� Phone: So 9 ze\?- 270ax: Email: f i _ _ c� e%m& lrl r 6 ) t ! J C . . t(P.ti Cnt v - eak New Tenant: ❑ Yes j.. No `PLUMBING,CONTRORINFORMA.TION stx.,,. -,`:, Company Name: Rometev, 1010,„h,. , Address: 249' N W 57(9,.._ S / City: Feel// State :l iG ZiP? .(,, l Phone: 7.0 rl in y ax: "1 Contr Reg No.: I �/ I / ,cp,Date: / ,., q J3 l /1 Tukwila Business cense/yNo.: a•• - ' .e.- _<•F- Valuation of Project (contractor's bid price): $ D t2r-2 Scope of Work (please provide detailed information): 1 h d; W of Building Use (per Int'I Building Code): Occupancy (per Int'I Building Code): 6 Utility Purveyor: Water: 1(/ c_';1 (,v H:1Applications\Forms- Applications On Line \2011 Applications\Plumbing Permit Application Revised 8 -9 -1 l.docx Revised: August 2011 bh Sewer: 774■ U-; (l(k Page 1 of 2 4 Indicate type of plumbing fixtures and/or as piping outlets being installed and the quanti elow: • 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) 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 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 PERMIT APPLICATION, NOTES - f , ti ,fir q. s. Fixture TypeV4 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 . ` 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 OWNS OR AUTHO ED AGENT: Signature: Date: 4 Print Name: b-r C 5I Day Telephone: SL29 4 55-2e3 2- Mailing Address: (Q \? ZO City State Zip 4 H:WpplicationsWorms- Applications On Line \201 l Applications\Plumbing Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh 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.: 2954900455 Address: 6720 FORT DENT WY TUKW Suite No: Applicant: MONEY TREE RECEIPT Permit Number: PG12 -187 Status: APPROVED Applied Date: 10/10/2012 Issue Date: Receipt No.: R12 -02822 Payment Amount: $47.25 Initials: BLH Payment Date: 10/10/2012 12:35 PM User ID: ADMIN Balance: $0.00 Payee: LOYAL MECHANICAL TRANSACTION LIST: Type Method Descriptio Amount Payment Check 8722 47.25 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts PLUMBING - NONRES 000.322.103.00.00 47.25 Total: $47.25 doc: Receiot -06 Printed: 10 -10 -2012 INSPECTION RECORD Retain a copy with permit Pt 3.2 I C3 �7 INSPE TION NO. PERMIT NO: CITY OF TUKWILA BUILDING DIVISION .. 6300 Southcenter Blvd., #100, Tukwila: WA 98188 .I (206) 431-3670 Permit Inspection Request Line (206) 431 -2451 _ Project: imaNIFcri- C2 . Type of Inspection: e, 1,..i A t_ -9(m 4 + Address: ( 77 Torn- ; 07 ()JP Date Called: Special Instructions: Date Wanted:. ti 12./1Z--. _ "mom . Requester: Phone No: OC) -' 1.175 20 �• 3,7 EjApproved per applicable codes. ElCorrections required prior :to, approval. COMMENTS: Inspector: Date :. n REINSPECTION FEE REQUIRED. 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. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 /76 /2 , 5 ? Project: /71C ft /fe,d rA-fc Type of Inspection:, 7?4% /c /h -/'✓' Address: e.-, 72 0 Fes? i ,13,4A "` Date Called: Special Instructions: /1 - Date Wanted:. /In—/ / —17 awn) (P Requester: Phone No: 051 "; /? -5 - 2-632- JApproved per appli(able codes. Corrections required prior to approval. COMMENTS: Inspect% Date: - 1 l REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter-Blvd:,' Suite 100. Call to schedule reinspection. Contractors or Tradespeople Per 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 LOYAL MECHANICAL INC UBI No. 600636538 Phone 2067898029 Status Active Address 6747 15Th Ave Nw License No. LOYALMI1410K Suite /Apt. License Type Construction Contractor City Seattle Effective Date 9/12/1986 State WA Expiration Date 1/7/2013 Zip 98117 Suspend Date County King Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date LARSON, BRIAN L Cancel Date 01/01/1980 Bond Amount Received Date LARSON, SONIA K Secretary 09/12/1986 06/27/2000 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 8 RLI INS CO SRS1017122 11/25/2009 Until Cancelled 09/19/2013 $12,000.0011 /30 /2009 7 RLI INS CO SRS1017122 05/26/2005 11/25/2009 09/19/2010 09/19/2012 $6,000.0005/26/2005 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 30 American Fire & Casualty Co BKA 55244009 09/19/2012 09/19/2013 $1,000,000.00 09 /14/2012 29 Continental Western Ins Co CNP2894699 09/19/2010 09/19/2012 $1,000,000.00 09/15/2011 28 TRUCK INS EXCHANGE 035143064 09/19/2010 09/19/2011 $2,000,000.00 09/16/2010 26 TRUCK INS EXCHANGE 035143064 09/19/2007 09/19/2010 $2,000,000.00 09/23/2009 25 NATIONWIDE MUTUAL INS CO ACP7560780383 01/01/2007 01/01/2008 $1,000,000.00 12/29/2006 24 NATIONWIDE MUTUAL INS CO ACP7550780383 01/01/2006 01/01/2007 $1,000,000.00 01/12/2006 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 Infractions /Citations Information No records found for the previous 6 year period https: // fortress .wa.gov /lni/bbip/Print.aspx 10/10/2012