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HomeMy WebLinkAboutPermit PG12-210 - VACANT SPACEVACANT SPACE 6840 FORT DENT WY PG12 -210 City otirukwila • 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: VACANT SPACE Permit Number: PG12 -210 Issue Date: 12/11/2012 Permit Expires On: 06/09/2013 Owner: Name: PEPPERWOOD HOLDINGS LLC Address: 2835 82ND AVE SE #300 , MERCER ISLAND WA 98040 Contact Person: Name: GREG SMALLING Address: PO BOX 1917 , RENTON WA 98057 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 SINK AND WATER HEATER. WASTE, VENT, WATER ETC... Value of Plumbing /Gas Piping: Fees Collected: Electrical Service Provided by: Permit Center Authorized Signature: $2,000.00 Uniform Plumbing Code Edition: 2009 $137.81 International Fuel Gas Code Edition: 2009 Date: 1)---1 ( �L 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: Date: /2 ^77 --/ 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. r1nr. I IPf: -4/1 n P1;17 -71fl Printarl• 17-11-7012 • • PERMIT CONDITIONS Permit No. PG 12 -210 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. rinr. I IPC: -4/10 Pr 17 -71 f1 PrintMrt• 17- 11 -7n17 CITY OF TUKWIt.. Community Developmet. Jepartment 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 ** SITE LOCATION �/ King Co Assessor's Tax No.: 2' S� / �G' Y 2 s' Site Address: C) t 0 F,&r &,u1 Lly /C;(0- ()torn Suite Number: / Floor: / Tenant Name: MA-4. -CT " .6-/ / New Tenant: ❑ Yes PROPERTY OWNER Company Name: e, ficc. u ` e_ Name: yi_ e.,e Or9rt� — t (© Address: 2 3 ,+j j , sc 44 30e Z� City: %�� State: k,,,, q-- Zip: CONTACT PERSON -` communication Name: Sei /h L/ 4 U Address: j20 41 City: vc G'1'17Vt- State: Lj/1._ Zip: lbo57 Phone: ZD to 37 L 3 ZFax: 4, a z e, 265 Z Email: aSS ��cj..*s re 1 547. a� PLUMBING, CONTRACTOR INFORMATION, Company Name: e, ficc. u ` e_ Address: ,0 o— /7 / 7 City: (.. State: (_,_f- Zip: e g0- Phone: 2 ,6 37 L o 3)L Fax: 4.1.2.<---z z6 2 64, L. Contr Reg No.: / S#0,7&G).7, �6kExp Date: /2//,2_ Tukwila Business License No.: e �S3Z S3 Valuation of Project (contractor's bid price): $ 2, &D 0 Scope of Work (please provide detailed information): 1Uc..kJ L $ rC , v'c/o i / w fi r-t- , cTZ Building Use (per Int'1 Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: 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 /o piping outlets being installed and the quantitlow: 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) 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 drainage or vent piping I 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 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 PERMIT APPLICATION NOTES 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). 1 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 HORIZ 1 ENT: Signature: '"=j- Indicate j Print Name: C'--- 5 //Lt_.ix/Lr' Mailing Address: /90 /3c.) < /5/ 7 1-1 \Applications\Forms - Applications On Line \2011 Applications\Plumbing Permit Application Revised 8 -9 -11 docx Revised August 2011 bh Day Telephone: City Date: //-2--`6)' —/ ago& 3? z_ 6)532 State 7 ge)S"% 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.: 2954900425 Permit Number: PG 12 -210 Address: 6840 FORT DENT WY TUKW Status: PENDING Suite No: Applied Date: 11/29/2012 Applicant: VACANT SPACE Issue Date: Receipt No.: R12 -03214 Payment Amount: $137.81 Initials: WER Payment Date: 11/29/2012 10:37 AM User ID: 1655 Balance: $0.00 Payee: GREG SMALLING TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 219263 ACCOUNT ITEM LIST: Description 137.81 Account Code Current Pmts PLAN CHECK - NONRES PLUMBING - NONRES 000.345.830 27.56 000.322.103.00.00 110.25 Total: $137.81 rinr. Rarnint -(1R PrintPrl. 11 -7A -7f 12 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 ..J. (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 P612 —210 Project,: <-- ._ -iu ( s e Type f�lnspecti n: �� �I k i.._ r u AAB . Address: n .__. 0 for r �Eiv'r Date Called: Special ruc tions: Date Wanted:/ ...A.m. — 2 �' 3 p.m. Reques r:f� , Ph a No: fib (o 317 2.......03 3 Z. Approved per applicable codes. El Corrections required prior to approval. COMMENTS: pir Inspector: klX1 Date:) ('� ❑ 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 rt.)ctZ-`cam( c) Project: WV Ak � S o A(1 e Type of Inspection: t.. cic�1t -: hJ° Address: Date Called: Special Instructions: Date Wanted:. t 2_ 1 12_ I :a m._ Requester: Phone No: .o( 372 033 Approved per applicable codes. EiCorrections required prior to approval. COMMENTS: Ira"siector: Csq Js c-N- Date: I7 REINSPECTION FEE REQUIRED. Prior Ito next inspection. fee must be t ,4aid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection., :; REVIEWED FOR CODE COMPLIANCE APPROVED DEC 0 7 2012 City of Tukwila BUILDING DIVISION 1 1 i r. RECEIVED 2" ITY OF TUKWILA NOV 2 9 2012 PERMIT CENTER z FOR 314 RECEIVED CITY OF TUKWIL.A NOV 2 9 2012 PERMIT CEIY • E;= TRTAP PRIMER EXPANSION TANK (ET): AMTROL ST -5 RELIEF. T PIPE TO TO I� DRAIN FLOOR DRAIN "---\ IA TT k-1---S COLD WATER SUPPLY T -T- WAT E R HEATER FT HOT WATER SUPPLY CHECK VALVE THERMOMETER UNION DRAIN FINISHED FLOOR / VENT s\_ WASTE 24 GAUGE GALVANIZED DRAIN PAN WITH INDIRECT WASTE OUTLET WATER HEATER DIAGRAM NOT TO SCALE RECEIVED CITY OF TUKWILA NOV 2 9 2012 PERMIT CENTER • PER CO D COPY PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG12 -210 PROJECT NAME: VACANT SPACE SITE ADDRESS: 6840 FORT DENT WY X Original Plan Submittal Response to Correction Letter # DATE: 11 -29 -12 Response to Incomplete Letter # Revision # After Permit Issued DEPARTMENTS: BuTIding" Div sion� IV- Public Works Fire Prevention Structural Planning Division Permit Coordinator s DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 12 -04 -12 Complete Incomplete n Not Applicable n Comments: 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 REVIEWER'S INITIALS: No further Review Required DATE: APPROVALS OR CORRECTIONS: Approved n Approved with Conditions DUE DATE: 01 -01 -13 Not Approved (attach comments) n Notation: REVIEWER'S INITIALS: DATE: "Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents/routing slip.doc 2 -28 -02 Contractors or Tradespeople Pfir 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 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 12/12/2014 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 $1,000,000.0003 /01/2012 2 Ohio Cas Ins Co BR053764777 02/27/2009 02/27/2012 $1,000,000.0002 /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 Infractions /Citations Information No records found for the previous 6 year period https: // fortress .wa.gov /lni/bbip/Print.aspx 12/11/2012 FORT DENT OFFICE BUILDING 11 TUKWILA, WASHINGTON t =: .::T *J a LI t- ■d. 3' -0' : 3'-0' MIN ;1111S1 F!L COPY Pet mil No. Fly^ rc'Iiew approval is subject to errors and omissions. k-,373-vial of construction documents does not authc 3-a : of ;aon of any adopted code or ordinance. Receipt of approved Field . :!_o « +, , ,11, is ,rlediad: City Of Tukwila BUILDING DIVISION CHECKED BY: DC GH DATE: 2- 26 - P E 1IT SET REVISIONS/ISSUANCE: SCALE: 1 8" = t' —A" FIRST FLOOR PLAN REVIEWED FOR CODE COMPLIANCE APPROVED DEC 0 7 2012 City of u iIa BUILDING 'VISION NORTH TENANT: 0 a t= 0 0 0 co J co 0 a' Cf. cn P: max wE��3 PROvIPE WALL-MINTED I3RACKET FOR TV AT ii` -P` (VERIFY LOCATION AND 1.E G T LW TENANT). RENFORCE U 41.1. AS REQUIRED. 0 EXISTINCs MILLWORK PURR PARTI ION AS NECESSARY FOR tEW MILLWOM ' rt„VMSt me:" RESTROOM #115 EAST ELEV. SEPARATE PERMIT REQUIRED FOR: klebb Electrical ❑ Plumbing jGas POIng City of Tukwila BUILDING DIVISION SHEET TITLE: REVISIONS No changes shall be made to the scope of work without prior approval of Tukwila Building Division. DOTE: Revisions will require a new plan submittal and may include additional plan review fees.. o CONSTRUCTION PLAN FIRST FLOOR RECEIVED CITY OF TUKWILA NOV 2 9 2012 PERMIT CENTER REPRODUCTION, ALTERATION OR PUBUCAT1ON OF THIS DRAWING, WITHOUT EXPRESSED PERMISSION BY MS&A, IS A VIOLATION OF FEDERAL COPYRIGHT LAW. COPYRIGHT BY MS&A 2004. TI -3 z w 0 OF 5