HomeMy WebLinkAboutPermit PG18-0084 - SHAG - TENANT IMPROVEMENT: INSTALL PLUMBING FOR SHAG OFFICE TISHAG
14400 TUKWILA
INTERNATIONAL BLVD
PGI 8-0084
Parcel No:
Address:
Project Name:
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.eov
PLUMBING/GAS PIPING PERMIT
0040000180 Permit Number: PG18-0084
14400 TUKWILA INTERNATIONAL Issue Date: 6/20/2018
BLVD Permit Expires On: 12/17/2018
SHAG
Owner:
Name:
Address:
Contact Person:
Name:
TUKWILA CITY OF
6200 SOUTHCENTER BLVD, TUKWILA,
WA, 98188
DAVE VAN DUINE
Address: 1624 135 PL NE , BELLEVUE, WA,
98005
Contractor:
Name: TRI-STATE PLUMBING INC
Address: 1624 135TH PL NE , BELLEVUE, WA,
98005
License No: TRISTI*245NZ
Lender:
Name:
Address:
111
Phone: (425) 643-3830
Phone: (425) 643-3830
Expiration Date: 10/1/2018
DESCRIPTION OF WORK:
TENANT IMPROVEMENT: INSTALL PLUMBING FOR SHAG OFFICE TI
FINAL INSPECTION ONLY - ROUGH -INS INSPECTED UNDER CORE BUILDING PLUMBING PERMIT PG16-0080
Valuation of Work: $7,190.00
Water District: 125
Sewer District: VALLEY VIEW
Fees Collected: $179.69
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
International Fuel Gas Code:
Permit Center Authorized Signature:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2017
2017
2017
2015
Date: LU -)01 �j
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 and agree to the conditions attached to this permit.
Signatur
Print N
'AGS C j l4C(( —J a I -
Date: 6
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: ***PLUMBING/GAS PIPING PERMIT CONDITIONS***
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 gauge.
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.
13: The applicant agrees that he or she will hire a licensed plumber to perform the work outlined in this permit.
14: All new plumbing fixtures installed in new construction and all remodeling involving replacement of
plumbing fixtures 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 ad
Conservation Standards in accordance with RCW 19.27.170 and the 2006 Uniform Plumbing Code Section
402 of Washington State Amendments
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
2000 GAS PIPING FINAL
8004 GROUNDWORK
Q o
1900 PLUMBING FINAL
9002 ROUGH -IN GAS PIPING
8005 ROUGH -IN PLUMBING
9001 UNDERGROUND
CITY OF TUKWIL
Community Development partment
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.:
Site Address: / "1 </ O 0 7J iC ' i LA Z r L + 'L l> Suite Number: Floor:
Tenant Name: S /-t' A &
PROPERTY OWNER
Name:
Address:
City:
State:
Zip:
CONTACT PERSON —person recei
communication
Name:
D kuc U 4-v Dui Ne_
Address: 6s -os
sos 2 33 r`" E_
City: State: Zip-
614—
Phone: Li - 6'13- 33o
Fax:
Email:
New Tenant: 54, Yes ❑.. No
PL MBIN G NTRACTOR
1 ON ,
Company Name:
I al- S"; L4ic PLQ04r3t,)67 /
Address: S- 33 112
P L S"I`
City: State:
W0o✓�,-v.l�Lc
Zip:
rc�I� 9'9072-
'90'7LPhone:
Phone:Fax:
'-f LS-- Or 3-- 3 x 3 0
1 2_1--
Contr Reg No.:T2 � sT / �`/ a
Exp Date:
Tukwila Business License No.:
Valuation of Project (contractor's bid price): $ l L
0
Scope of Work (please provide detailed information): /' J S -7vi` r° L.� -i f3, �(- J =� 2 S J f I G
rec
Building Use (per Int'l Building Code):
Occupancy (per Int'1 Building Code):
Utility Purveyor: Water: Sewer:
H:Wpplications\Forms-Applications On Line'2011 Applications\Plumbing Permit Application Revised 8-9-11.docx
Revised: August 2011
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Page 1 of 2
Indicate type of plumbing fixtures and/or, piping outlets being installed and the quantityow:
Fixture Type
Qty
Bathtub or combination
bath/shower
Dishwasher, domestic with
independent drain
I
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 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
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 OR AUTHORIZED AGENT:
Signature
Print Name fa—
pc) 1,4c itc-7")(3vS/ -
Mailing Address: 6SoS,2 33 (L2 p ` S r`
H:WpplicationsWorms-Applications On Line\2011 Applications\Plumbing Permit Application Revised 8-9-11.docx
Revised: August 2011
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Date: G Zv--(8
Day Telephone: 6/2-C- 6 `i
lrt�OOiO /-v`; c L
City
State Zip
Page 2 of 2
r ILA
jO
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermItTRAK
I ACCOUNT
QUANTITY
PAID
$179.69
PG18-0084. Address: 14400 TUKWILA INTERNATIONAL BLVD
Apn: 0040000180 $179.69
Credit Card Fee
$5.23
Credit Card Fee
R000.369.908.00.00
0.00
$5.23
PLUMBING
$166.15
PERMIT FEE
R000.322.100.00.00
0.00
$133.00
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$33.15
TECHNOLOGY FEE
$8.31
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R14757
R000.322.900.04.00
0.00 $8.31
$179.69
Date Paid: Wednesday, June 20, 2018
Paid By: WILLIAM QUACKENBUSH
Pay Method: CREDIT CARD 05535G
Printed: Wednesday, June 20, 2018 2:03 PM 1 of 1
SYSTEMS
CO TUKWILA ETRAKIT
6200 SOUTHCENTER BLVD
TUKWILA, WA 98188
206-433-1870
CITY OF TUKWILA
Date: 06/20/2018 02:01:16 PM
CREDIT CARD SALE
VISA
CARD NUMBER: **********0500 K
TRAN AMOUNT: $179.69
APPROVAL CD: 05535G
RECORD #: 000
CLERK ID: Bill
Thank you!
Customer Copy
Page 2 of 2
https://classic.convergepay.com/V irtualMerchant/transaction.do?dispatchMethod=printTra... 6/20/2018
INSPECTION RECORD t)
Retain a copy with permit 141-6):S
INSPECTION NO, PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Projec • i i' /,
Type of Inspe tion:
Lk r
fJ A-t—
Address:
Pig° 0 i
t
Ie. -I'
Date Called:
k
Special Instructions:
Date Wanted:
a.m.
p.m.
-
Requester:
Phone No:
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
7T32(.9A/
c
Ins pector:;Z5d(j...—
Date 2/— ZZ,ter/
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
TRI-STATE PLUMBING INC
Hoene Espanol Contact
Safety & Health Claims & Insurance
CoWashington State Department of
Labor & Industries
Page 1 of 5
A-Z1ndex help b1vL&I
Workplace Rights Trades & Licensing
TRI-STATE PLUMBING INC
Owner or tradesperson
Principals
QUACKENBUSH, WILLIAM J, PRESIDENT
MICHAEL, GARY V, VICE PRESIDENT
GOODMAN, WILLIAM E, VICE PRESIDENT
DARNELL, FRED N, VICE PRESIDENT
(End: 09/03/2002)
ARNONE, CHARLES J, VICE PRESIDENT
(End: 09/03/2002)
CANON, PAUL E, VICE PRESIDENT
(End: 09/13/2010)
MICHAEL, GARY V, VICE PRESIDENT
(End: 09/13/2010)
Doing business as
TRI-STATE PLUMBING INC
WA UBI No.
600 151 772
6505 233RD PL SE
WOODINVILLE, WA 98072
425-643-3830
KING County
Business type
Corporation
Governing persons
WILLIAM
J
QUACKENBUSH
PAUL E CANON;
GARY . MICHEAL;
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Construction Contractor
License specialties
GENERAL
License no.
TRISTI*245NZ
Effective — expiration
08/09/1976-10/01/2018
Bond
Lexon Ins Co
Bond account no.
9816460
Active.
Meets current requirements.
$12,000.00
Received by L&I Effective date
04/26/2013 04/20/2013
Expiration date
Until Canceled
Bond history
Insurance
Help us improve
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600151772&LIC=TRISTI*245NZ&SAW= 6/20/2018