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HomeMy WebLinkAboutPermit PG13-058 - MONEYTREE - ALTERATIONMONEYTREE 6720 FORT DENT WY PG1 3-058 City opTukwila 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 TIIKW Project Name: MONEYTREE Permit Number: PG 13-058 Issue Date: 04/30/2013 Permit Expires On: 10/27/2013 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 , TUKWILA WA 98188 Email: RAY.SHERMAN@BAKERCONSTRUCT.COM Contractor: Name: LOYAL MECHANICAL INC Address: 6747 15 AV NW , SEATTLE WA 98117 Contractor License No: LOYALMI141 OK Phone: 509-475-2032 Phone: 206-789-8029 Expiration Date: 01/07/2015 DESCRIPTION OF WORK: ROUGH -IN AND TRIM OUT 2 BREAK ROOM SINKS AND 1 INDIRECT WASTE RECEPTOR. ADD RECIRCULATING PUMP TO BUILDING HOT WATER TANK. Value of Plumbing/Gas Piping: Fees Collected: Electrical Service Provided by: Permit Center Authorized Signature: $5,000.00 $189.00 Uniform Plumbing Code Edition: 2009 International Fuel Gas Code Edition: 2009 Date: 4— 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: 6Q-60__ 7kf) (-( Lik_e Print Name: Date: y(3 20/3" 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. PERMIT CONDITIONS Permit No. PG 13-058 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: All new plumbing fixtures installed in new construction and all remodeling involving replacement of plumbing fixtures and fittings in all residential, hotel, motel, school, industrial, commercial use or other occupancies that use significant quantities of water shall comply with Washington States Water Efficiency and Conservation Standards in accordance with RCW 19.27.170 and the 2006 Uniform Plumbing Code Section 402 of Washington State Amendments. 12: 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. 13: 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 PG13-058 Printed: 04-30-2013 CITY OF TUKWJ Community Developmen-epartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http:liwww.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 LOCATIO Site Address: r1 -1)1J- . Tenant Name: /lovy PROPERTY OWNER Name: Address: City: State: Zip: CONTACTPERSON e on receiving allproject Cir i ;-un ic.11 Name: aY -rw-..a..-•1 Address: City: State: Zip: Phone: 667_ c/7 -7033Fax: Email: %-ct S v,<c3.., Q, x3-.re_cm-s.fi'Gwl King Co Assessor's Tax No.: Suite Number: Z96 Y900 L/ SS� Floor: New Tenant: ❑ Yes Z.. No PLUMB CONTRACTOR INFORMATION Company Name: 0t Yom` / /16_,c14.0„1 to `1 C_Itl I Address: yen ,� / , ) G1 tz,��,� zz / `► WStatee: _Z City: �c�T l �� Zip: QO � !O I 17 Phone: Z,x-n9_(6oZgFax: 7-%°6 —7$7-5615 Contr Reg No.: w yn` ,-I y `O/<Exp Date: Tukwila Business License No.: 9 3 ,8s - Valuation of Project (contractor's bid price): $ `'rC)C)d AA p Scope of Work (please provide detailed information): /20> t'.- /it a vcd 7t ©CA.'4- len U r k Keao Ie& irl�.npCrr-e 4 &t.,e Sce�P_r7-For- 0 FLANK.? 4-0 b (r f ho % �,��a--fie < -fz�,.� t�• Building Use (per Int'I Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: Sewer: H1Applications\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/¢s piping outlets being installed and the quantelow: Fixture Type Qty Bathtub or combination bath/shower Dishwasher, domestic with independent drain II 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 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 dram 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING-,QWNERORAUTHORJZEDAGENT: Signature: C3-6 t e-tt�tQ,t�.to�1� Date: i' 1 q -Lo rs Print Name: \ j& Day Telephone: 7.0 - `.� 16'--S j Mailing Address: City State Zip H. Wpplications\Forms-Applications On Line \2011 Applications \Plumbing Permit Application Revised 8-9-11. docx Revised' August 2011 bh Page 2 of 2 i • 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: MONEYTREE RECEIPT Permit Number: PG13-058 Status: PENDING Applied Date: 04/19/2013 Issue Date: Receipt No.: R13-01368 Payment Amount: $189.00 Initials: WER Payment Date: 04/19/2013 01:10 PM User ED: 1655 Balance: $0.00 Payee: LOYAL MECHANICAL TRANSACTION LIST: Type Method Descriptio Amount Payment Check 9049 189.00 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts PLAN CHECK - NONRES PLUMBING - NONRES 000.345.830 37.80 000.322.103.00.00 151.20 Total: $189.00 D.inf.,1• M_10_9A11 INSPECTION RECORD Retain a copy with permit f 6I 3 -c9$ INSPECTION NO. PERMITNO. „ ,/ CITY OF TUKWILA BUILDING DIVISION 6300.Southcenter .Blvd., #100, Tukwila. WA 98188 g-(206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project. vAe - e Type of In pection: .. At P(L)kk Address: t r (� O eeCr Date Called: Special Instructions: Date Wanted:. 8!tom --- / p.m. Requester: Phone No: pproved per applicable codes. t__ J Corrections required prior to approval. COMMENTS: Pr 7 W Inspect0_10 j Dater n REINSPECTION FEE REQUIRED. Pr'or to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit PGl 3 -OSS PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: MOON E ili li4 Type of Inspection: t2Out,44 - s, N i t .bl AJC, Address: Co 72-o FORT c i W 4 Date Called: Special Instructions: Date W nted:. - LZ -13 a 6! p.m. Requester: Phone No: SDG -t-11S - WI 1 BApproved per applicable codes. ElCorrections required prior to approval. j COMMENTS: f I ) IQ0-tiGi L1 -,--; p fdvt7c9 „LJ, 0 Ld d}-4' ✓ V - 1 .f. i� Date: r7-2?—%/2., ION FEE REQUIRED. Prior to next inspection. fee must be 00 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit tnspection:Request Line (206) 431-2451. INSPECTION RECORD Retain a copy with permit PERMIT NO. Project: Type of Inspection: Address:Date 67 ' _r.-Dim,fit.T l (.tX' Called: Special Instructions: Date -tet. — (aa`.m. Ire Requester: ElApproved per applicable codes. Corrections required prior to approval. COMMENTS:. fj 69 /5 .'� 00? - 6 0/ , U (V/ 067/ /1 I Inspecto _ Dat EINSPECTION FEE') EQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd:, Suite 100. Call to schedule reinspection. I�JfISI E � \(LATT OFFICE 204 OFFICE 203 t OFFICE 202 1 .1/ OFFICE 201 ;t 4 4 Edi C Opp it (foo fit MAN Approval of vinlation of r j1 riCtlih4,rl Y . a Oo dg ,,N me *treed - _ J v.0 =1i/ 1. I •N . ? I°I k../ errors n', ocAde antl doss not authlr z or ordinance. Ro pt r'•1. '•- D FOR LIANCE ED 6 2013 City maline -9or5r Or. xr-72Tt .I NT°__ E 482Fi%FE y Dv -to 04,443 ocfirr- DISH DRAWER _I MAKER HAMPEF PANTRY MICRO & GEEZER aRAWER REF REF F.E.C. MAILBOXES MAILROOM/UPS SHIPPING CTR PLOTTER RECYCLE W_QRK_ RQ0 0 O CONFER ROOM 11 txP To ntzEG NCE WAS, r-. r. . . 1 . ...- ,L — • RECEPTION SERVER ROOM SEPARATE REQUIrr F41 1✓.., � 1.-,arJ ectr ca0 MIT OR: 1l Gas P/Pt8 City of Tukwil BUILDING DIV. cL RE!/ NS Flo changes sha „r4:' a made to the scope of work wi t prior approval of Tukw uilding Division_ NOTE: .Revisi►; will require a new On submittet ar J may ude additional plan review fess. I z'�` RECEIVED Z I'oC CITY OF TUKWILA APR 192013 PERMIT CENTER (JO irnitK OFFICE 204 OFFICE 203 OFFICE 202 CFFY OF TUKWILA R 19 2013 PERMIT CENTER OFFICE 201 BREAK ROOM DISH DRAWER OERHAMPER RECYCLE REVIEWED CODE COMPL APPROV1 APR 2 6 20 Gc11)p oc' i (-48". City of TukwI BUILDING OIVI; PA TRY ICRO & REF RZE<R RAWER REF BEY- F.E.C. C a ;ION MAILBOXES_] MAI LROO 1/U PiS SHIPPING�f CTR PLOTTER RECYCLE - WO -RK -ROOM - SHR1D • RECEPTION PIMP -�C 02,1 cfr E T'W K CONFERENCE ROOM )i coca "Poc- 1 1E C DC f PLAN REVIEW/ROUTING SLIP ACTIVITY NUMBER: PG13-058 PROJECT NAME: MONEYTREE SITE ADDRESS: 3720 FORT DENT WY X Original Plan Submittal DATE: 04-19-13 Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Issued D PARTME T : 151/ B 'ng D�vi,'sion Q AS Public Works Fire Prevention Structural n Planning Division n n Permit Coordinator 1111 DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 04-23-13 Completer -X1 Incomplete ❑ Comments: Not Applicable. n Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg 0 Fire 0 Ping 0 PW 0 Staff Initials: TUES/THURS ROUTING: Please Route Structural Review Required ❑ No further Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: DUE DATE: 05-21-13 Approved ❑ Approved with Conditions ❑ Not Approved (attach comments) n Notation: REVIEWER'S INITIALS: DATE: Permit Center. Use. Only r; CORRECTION LETTER MAILED: Departments issued corrections: Bldg 0 Fire 0 Ping 0 PW 0 Staff Initials: Documents/routing slip.doc 2-28-02 Contractors or Tradespeople Pf ter Friendly Page • Page 1 of 2 General/Specialty Contractor A business registered as a construction contractor with Lai 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. LOYALMI141 OK Suite/Apt. License Type Construction Contractor City Seattle Effective Date 9/12/1986 State WA Expiration Date 1/7/2015 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 01/01/1980 Bond LARSON, SONIA K Secretary 09/12/1986 06/27/2000 Bond Information Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance. Bond Bond Account Effective Expiration Cancel Impaired Bond Received Bond Company Number Date Date Date Date Amount Date 29 Name CNP2894699 09/19/2010 09/19/2012 $1,000,000.0009/15/2011 8 RLI INS CO SRS1017122 11/25/2009 Until Cancelled $12,000.0011/30/2009 7 RLI INS CO SRS1017122 05/26/2005 11/25/2009 $6,000.0005/26/2005 Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance. Company NameDate Policy Number Effective Expiration Date Cancel Date Impaired Date Amount Received Date 30 American Fire 8 Casualty Co BKA 55244009 09/19/2012 09/19/2013 $1,000,000.0009/14/2012 29 Continental Western Ins Co CNP2894699 09/19/2010 09/19/2012 $1,000,000.0009/15/2011 28 TRUCK INS EXCHANGE 035143064 09/19/2010 09/19/2011 $2,000,000.0009/16/2010 TRUCK INS httns://fortress.wa.gov/lni/bbin/Print. asnx 04/30/2013