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Home My WebLink AboutPermit PG14-0010 - CANNON - BREAKROOM SINKCANNON 12856 INTFI2URBAN AVE S PG14-OO1O Parcel No: Address: City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206-438-9350 Web site: http://www.TukwilaWA.gov PLUMBING/GAS PIPING PERMIT 2716000010 Permit Number: PG14-0010 12856 INTERURBAN AVE S BLDG 1 Issue Date: 1/31/2014 Permit Expires On: 7/30/2014 Project Name: CANNON Owner: Name: Address: EPROPERTY TAX INC DEPT #207 PO BOX 4900 , SCOTTSDALE, WA, 85261 Contact Person: Name: JOE PAPERNIK Address: Contractor: Name: Address: 11432 47 AVE NE , MARYSVILLE, WA, 98271 CITY PLUMBING INC 222 ANDERSON RD UNIT A, MOUNT VERNON, WA, 98273 License No: CITYPI*955KJ Expiration Date: 8/1/2014 Phone: (360) 661-5568 Phone: (360) 416-6653 Lender: Name: Address: DESCRIPTION OF WORK: MOVE EXISTING BREAKROOM SINK 4' ON SAME WALL. CAP PLUMBING IN WAREHOUSE. Valuation of Work: $1,600.00 Water District: TUKWILA Sewer District: TUKWILA SEWER SERVICE Fees Collected: $114.05 Current Codes adopted by the City of Tukwila: Internations Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: 2012 2012 2012 2012 International Fuel Gas Code: WA Cities Electrical Code: WA State Energy Code: 2012 2012 2012 Permit Center Authorized Signature: ) ) \ OcyL(9ll Date: 0 kill U I hearby 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 development permit -a d agree to the conditions attached to this permit. Signature: Print Name: k +ee-A-/ Date: / /477 This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. PERMIT CONDITIONS: 1: ***ELECTRICAL PERMIT CONDITIONS*** 2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector at each work site. 3: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 4: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter 296-46B WAC. 5: When any portion of the electrical installation is to be hidden from view by permanent placement of parts of the building, such equipment shall not be concealed until it has been inspected and approved by the Electrical Inspector. 6: The issuance of an electrical work permit shall not be construed to be a permit for, or an approval of, any violation of the provisions of the electrical code or other ordinances of the jurisdiction. Permits or related documentation that presumes to grant this authority are therefore not valid. 7: Any change in the scope of work described by the electrical work permit shall require additional work permits. Where approved plans have been issued, revisions to the plans and additional review may be required. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 2000 GAS PIPING FINAL 8004 GROUNDWORK 1900 PLUMBING FINAL 9002 ROUGH -IN GAS PIPING 8005 ROUGH -IN PLUMBING 9001 UNDERGROUND CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Plumbing/Gas Permit No. �7 ' V V l 0 Project No. Date Application Accepted: Ot 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.: 2716000010 Site Address: 12856 Interurban Ave S Suite Number: bldg 1 Floor: 1 Tenant Name: Cannon PROPERTY OWNER Name: Eproperty Tax Inc. Dept #207 Address: PO Box 4900 City: Scottsdale State: Wa Zip: 85261 CONTACT PERSON — person receiving all project communication Name: Joe Papernik Address: 11432 47th Ave NE City: Marysville State: Wa Zip: 98271 Phone: (360) 661-5568 Fax: (360) 454-0485 Email: japemik@cityplumbing.org New Tenant: 0 Yes ..No PLUMBING CONTRACTOR INFORMATION Company Name: City Plumbing Inc. Address: 11432 47th Ave NE City: Marysville State: Wa Zip: 98271 Phone: (360) 454-0481 Fax: (360) 454-0485 Contr Reg No.: CITYPI*955KJ Exp Date: 08/01/2014 Tukwila Business License No.: BUS-0993653 Valuation of Project (contractor's bid price): $ 1,600 Scope of Work (please provide detailed information): Move existing breakroom sink 4 feet on same wall. Cap plumbing in warehouse. Building Use (per Int'l Building Code): Occupancy (per Int'1 Building Code): Utility Purveyor: Water: Sewer H:\Applications\Forms-Applications On Line\201 I Applications\Plumbing Permit Application Revised 8-9-11.docx Revised: August 2011 bh Page 1 of 2 4ANY] , Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: Fixture Type Qty Bathtub or combination bath/shower Dishwasher, domestic with independent drain Shower, single head trap Sinks 1 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 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). 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 OWNER) R AILifIA&YLED AGENT: Signature: Print Name: Joe Papernik Mailing Address: 11432 47th Ave NE Date: 01/29/2014 Day Telephone: (360) 661-5568 Marysville Wa 98271 City State Zip H:\Applications\Fotnu-Applications On Line \20I I Applications \Plumbing Permit Application Revised 8-9-1 I.docx Revised: August 2011 bh Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT QUANTITY I PAID PermitTRAK $114.05 PG14-0010 Address: 12856 INTERURBAN AVE S BLDG 1 Apn: 2716000010 $11405 PLUMBING $114.05 PERMIT ISSUANCE BASE FEE EA SUPPLEMENTAL PERMIT PERMIT FEE TOTAL FEES PAID BY RECEIPT: R1029 R000.322.100.00.00 R000.322.100.00.00 R000.322.100.00.00 $32.50 $16.55 $65.00 $114.05 Date Paid: Friday, January 31, 2014 Paid By: CITY PLUMBING INC Pay Method: CREDIT CARD 311321 Printed: Friday, January 31, 2014 11:11 AM 1 of 1 SYSTEMS D INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION A., 6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206) 431.3670 Permit Inspection Request Line (206) 431-2451 Q6( 1.ocio Project: 0AI1/41r.d t Type of). spectioon:, rI n! Address: 12 5 v .t.t-1c rv.,/t A t..) Date Called: Special Instructions: Date Wanted: 2 - / - /y m. Reque$er: Phone No: pproved per applicable codes. t Corrections required prior to approval. COMMENTS: Date: r Prior to next i . Et�SPECTION FEE REQUIR D.nspection feemust be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit PSI zo 0 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: Type of Inspection: Add es : I J--05 .LN-i Ehttt.(3 A k,.1 Date Called: Special Instructions: Date Wanted: t`a `m. Requester: Phone No: q 6n0`�‘„c... /— SS r� t tiApproved per applicable codes. O Corrections required prior to approval. COMMENTS: Inspect r: I A 4AAAA T Date: �. . Prior to next inspection, fee must be p "d at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. I J PECTION FEE REQUIR ?6t ...o L3' 4) INSPECTION RECORD Retain a copy with permit UN-4-- - 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 Project 4NJlvd Type of Inspection: , I kelh-/N Pith Address: 1eZe5( ifRtti6H0 Date Called: Special Instructions: Date Wanted: ( crZ-(1 f4 (a.m. I Requester: O Pho 300 ,0 t Ss 6 Approved per applicable codes. Corrections required prior to approval. COMMENTS: n R SPECTION FEE RE RED. Prior to next inspection.' fee must be p. d 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 5outhcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Projeict: 4 JV Q N// Type of Inspection: Q_cA.V.i, LA - + a.1 P A� d S�ss: (0 _1_.A�.?TFQQ U 64 \I Date Called: Special Instructions: ct A 61\ Date Wanted: 2 — "7-(i p.m. Requester: Phone No: ElApproved per applicable codes. El Corrections required prior to approval. COMMENTS: kJ 0 a(i£sS U Inspectdr: Date: . /1 y Z�7 n REINSPECTION FEE REQUIRED. Prior tnext inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. CITY PLUMBING INC Page 1 of 2 °Mk, Washington State Department of Labor & Industries CITY PLUMBING INC Owner or tradesperson PAPERNIK III, JOSEPH S Principals PAPERNIK III, JOSEPH S RICHARD BERKMAN Doing business as CITY PLUMBING INC WA UBI No. 602 218 839 11432 47th ave ne MARYSVILLE, WA98271 360-454-0481 SNOHOMISH, County Business type Corporation Governing persons JOES IIIPAPERNIK License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Construction Contractor Active. Meets current requirements. License specialties PLUMBING License no. CITYPI*955KJ Effective — expiration 05/11/2005 — 08/01 /2014 Bond Lexon Ins Co Bond account no. 9808230 Received by L&I 07/07/2011 Insurance OHIO CAS INS CO Policy no. 54203169 Received by L&I 07/24/2013 Savings No savings accounts during the previous 6 year period. $6,000.00 Effective date 08/01/2011 $1,000,000.00 Effective date 08/01/2010 Expiration date 08/01/2014 https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602218839&LIC=CITYPI*955KJ&SAW= 01/31/2014