HomeMy WebLinkAboutPermit PG13-024 - CITY OF TUKWILA - FIRE STATION 51 ALTERATIONCITY OF TUKWILA
FIRE STATION 51
444 ANDOVER PK E
PG1 3-024
Parcel No.:
Address:
City ATukwila
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
0223400080
444 ANDOVER PK E TUKW
Project Name: CITY OF TUKWILA - FIRE STATION 51
Permit Number:
Issue Date:
Permit Expires On:
PG13-024
02/14/2013
08/13/2013
Owner:
Name: TUKWILA CITY OF
Address: 6200 SOUTHCENTER BLVD , TUKWILA WA 98188
Contact Person:
Name: CAROLYN SIMONS
Address: 6300 SOUTHCENTER BL, STE 100 , TUKWILA WA 98188
Email:
Contractor:
Name: MR ROOTER PLUMBING
Address: 1120 SW 16TH SUTIE IA , RENTON WA 98005-2639
Contractor License No: MRROOP*022NE
Phone: 206 433-7151
Phone: (425)226-0603
Expiration Date: 08/19/2014
DESCRIPTION OF WORK:
INSTALL HOT AND COLD WATER BIBS
Value of Plumbing/Gas Piping:
Fees Collected:
Electrical Service Provided by:
Permit Center Authorized Signature:
$1,520.00
$60.90
I hereby certify that I have read and ex
governing this work will be complied
The granting of this permit does not pres
construction or the performance of work.
on the back of this pe�nit
Signature:
Uniform Plumbing Code Edition:
International Fuel Gas Code Edition: 2009
2009
7I Date:
ne • this permit and know the same to be true and correct. All provisions of law and ordinances
h, w ether specified herein or not.
e o 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:
410,2A -
JAW
Date: Q f 11)' 13
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.
Il/•.A7 flnA oa..a..d• AO aA Olt,4
•
PERMIT CONDITIONS
Permit No. PG 13-024
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
PG13-024 Printed: 02-14-2013
CITY OF TUKWal
Community Develop Department
Permit Center
6300 Southcenter Blvd.. Suite 100
Tukwila, WA 98188
littp://www.TukwilaWA.aov
Date Application Accepted:
Date • Application Expires:
(For office use only)
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.: D 2-240VLAt
Site Address:
444 Anawe,r Par\ E
Tenant Name: C41.CO\Y v. 5 +V1nn�/15
Suite Number: Floor:
New Tenant: ❑ Yes ❑.. No
PROPERTY OWNEI
Name:
OF flVilLit
Address: 1 n - OO �L-
City: 1-4
t f I LA_
State:
Zip: a blgi
'CONTACT ;PERSON - person receiving all project
communication •
Name:
Address: 2000 5 W ' 5-k
Address:
Phoneeq,9) 2,)h-0003 Fax:
City:
State: Zip:
PhoneoG 1 1{
33 11 (1 Fax:
Email: 691CO / 1(1. - ; M0 t15 P--i-kAl i,\ 0.wa. a OV
1
PLUMBING 'CONTRACTOR =INFORMATION
Company Name: At'. 12\0b}tor
Address: 2000 5 W ' 5-k
City: <2.0%.-M,g-- State: Wjk Zip:9ilb4
Phoneeq,9) 2,)h-0003 Fax:
Contr Reg No.: Aikmo lf O jxp Date: `.bho./ \ „
Tukwila Business License No.: b tA5 ... OG`Ct ash, t
Valuation of Project (contractor's bid price): $ I 1 :7 ao - 00
Scope of Work (please provide detailed information): ‘1.iN'VEAW t o k Coo,\,,A,\„,,t b1,5
Building Use (per Int'l Building Code):
Occupancy (per Int'l Building Code):
Utility Purveyor: Water:
H:\Applications\Forms-Applications On Line\2011 Applications\Plumbing Permit Application Revised 8-9-11.docx
Revised: August 2011
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Sewer:
AvvV-
Page 1 of 2
Indicate type of plumbing fixtures and/oripiping outlets being installed and the quantit.ow:
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
111
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
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
I 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
p
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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNE • 1 AUTHO t' AGENT:
Signature: ;,ice/��/2
Print Name: ROUe,r- /v`I\\Cr
Mailing Address:
P,Ooo 5 \1(0*h y+ -
Date: t4/ 1 3
Day Telephone: (.4=3S) 6— O GO 3
01(6 164
State) Zip
City
H:Wpphcauons\Forms-Applications On Lmet2011 Applications'Plumbmg Permit Application Revised 8-9-1 I.docx
Revised: August 2011
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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.: 0223400080 Permit Number: PG 13-024
Address: 444 ANDOVER PK E TUKW Status: PENDING
Suite No: Applied Date: 02/14/2013
Applicant: CITY OF TUKWILA - FIRE STATION 51 Issue Date:
Receipt No.: R13-00815
Initials: JEM
User ID: 1165
Payment Amount: $60.90
Payment Date: 02/14/2013 01:14 PM
Balance: $0.00
Payee: ROBERT MILLER, SPOSARI INC DBA MR ROOTER
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 02586G
ACCOUNT ITEM LIST:
Description
60.90
Account Code Current Pmts
PLUMBING - NONRES
000.322.103.00.00 60.90
Total: $60.90
.1..... D......:..1 nc
Priniari• m_14._7ni�
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF.TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 43i-3670
'Perm'it:Inspection Request Line (206) 431-2451
2t/
Proj t:: -
, OA tit w, a-
Type Inspection:
1 A L_._—
Address: '
to c 0�,
I
Date Called:
__,..
Special Instructions: `Date
Wanted:.
2-'.2-I_I-7->
•
a.m..
P.m.
Requester:
Phone No:
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
Date'
1
REINSPECTION FEE REQUIRED. Pr for to ne inspection. fee must be
paid: at 63 0 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
491
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 981881 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
�Gf3-�2�j
Project:
Ci i T L1 n-,---- tt t,�1Tm A
Type ..lnspe,ctiory �� f � p.
i (�
VV � �
, r{AL,
Addres :
ArkinDate
nu -6.f
Called:
Special Instruct ons:
Date Wanted:, ,Z r �3 - _a.m..
t p.m.
Requester:
--
Phones Nso:� (3 (0 ..-9352._
Approved per applicable codes.
ElCorrections required prior to approval.
COMMENTS: • c� �
0l 'Y (o i (Ned �A_Jc e._,- kJ /.4._.
00,/
�/ ? h v t/1 -`,0 _ t -i- fv o (
LQ C° -z. p.c) 1--3%nJspce-I-,\9
Insp
1
Date
Ry NSPE •TION FEE REQUIRED. Prior to next nspection, fee muse
pd at 6i00 Southcenter Blvd., uite 100. Call to schedule reinspection.
i
INSPECTION RECORD P ((3—�2--
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 F. (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project:
r JF�u� id11�•�l
Type f�nspection;Ni
'� 1J �Jiuti3•/1.
Adss.,_
A
jar
Date Called:
-tod14-'7G14/A-7/-,o .
Special Instructions:
r
Date Wanted;/ a.m.
Z t C--'(___3 p.m.'
Requester:
Phonne No:
' "j —OGU
t-0 In" ( .
ElApproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
0 04,....5 h .
-tod14-'7G14/A-7/-,o .
//
Mr- ,e, Al
de"tea.
s69
:< 1/ A0
ga.G. S ./f r
-,,
7
7.1
I
Inspector:
Inspector:(A
-1)CI
Date:
2—/5/3
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
•
Contractors or Tradespeopleonter 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 MR ROOTER PLUMBING UBI No. 601432172
Phone 2067639010 Status Active
Address 1120 Sw 16Th Ste 1A License No. MRROOP"022NE
Suite/Apt. License Type Construction Contractor
City Renton Effective Date 8/5/1998
State WA Expiration Date 8/19/2014
Zip 98057 Suspend Date
County King Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company SPOSARI INC
sated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
MRR00"077DJMRROOTER
23
Construction
Contractor
General
Unused
3/11/1993
8/10/1998
Archived
GLASSD*963DC
GLASS
DOCTOR
Construction
Contractor
General
Unused
3/3/2004
3/3/2012
Expired
Business Owner Information
Name
Role
Effective Date
Expiration Date
SPOSARI, VINCENT
President
08/05/1998
Bond Information
Page 1 of 2
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
6
CBIC
SB3633
08/10/2001
Until Cancelled
$12,000.00
08/19/2002
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
23
Federated
Mutual Ins Co
5269004
10/26/2012
10/26/2013
$1,000,000.00
09/27/2012
22
American Fire
a Casualty Co
BKA54532071
09/10/2012
10/10/2012
$1,000,000.0008/24/2012
21
American Fire
a Casualty Co
BKA54532071
09/10/2011
10/31/2012
$1,000,000.0008/24/2012
20
AMERICAN FIRE
AND CASUALTY
COM
BKA54532071
09/10/2010
09/10/2011
$1,000,000.00
10/01/2010
18
FEDERATED
MUTUAL INS CO
9355220
09/10/2008
09/10/2011
09/21/2010
$2,000,000.00
08/23/2010
17
FEDERATED
MUTUAL INS CO
05119107
09/10/2007
09/10/2008
$1,000,000.00
09/10/2007
16
ALLIED INS CO
ACT071119332
09/10/2006
09/10/2007
$1,000,000.0009/05/2006
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
httns: //fortress.wa. aov/lni/bbin/Print.asnx
02/14/2013