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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 bh 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 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 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