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HomeMy WebLinkAboutPermit PG18-0102 - PROLIANCE BONE & JOINT URGENT - PLUMBING DEMO AND INSTALL NEW FIXTURESPROLIANCE BONE & JOINT URGENT CARE 150 ANDOVER PARK W PGI 8-0102 City of Tukwila a t of Community Development 6300 SouthcenteBoulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431'3670 Inspection Request Line: 206-438-9350 VVebs|te:http://www.TukmUoVVA.nov PLUMBING/GAS PIPING PERMIT Parcel No: 0223100010 Permit Number: PG18-0102 Address: l50ANDOVER PARK VV Issue Date: 10/19/2018 Permit Expires On: 4/17/2019 Project Name: PROLIANCE BONE & JOINT URGENT CARE Owner: Name: OPEN FRAME LLC Address: 14900 INTERURBAN AVE S #130 C/O J5HPROPERTIES INC, TUKYV|UA,WA, 98168 Contact Person: Name: MARK C YURCZYK Address: l3733457AVE 3[,NORTH BEND, WA, 98045 Contractor: Name: Address: License No: Name: Address: NORTH COAST PLUMBING INC 13733 457TH AVE SE, NORTH BEND, WA, 98075 NORTHCP93OKA ''' Phone: (206) 931-6171 Phone: (206) 420-4600 Expiration Date: 5/1/2019 DESCRIPTION OF WORK: PLUMBING DEMO AND INSTALL OF NEW FIXTURES INCLLJDES REMOVAL OF THE EXISTING 3/4" RPBA (NOT NEEDED FOR PROLIANCE TI) AND CAPPING ALL INTERIOR GREASE WASTE LINES. EXISTING OUTSIDE GREASE INTERCEPTOR STAYS AND WAS PUMPED EMPTY PER INVOICE # 1156450. Valuation of Work: $71,620.00 Water District: TUKVV|LA Sewer District: TUKWILA Fees Collected: $305.25 Current Codes adopted by the City ofTukwita: International BuHding Code Edition: International Residential Code Edition: Iriternational Mechanical Code Edition: Uniform Plumbing Code Edition: International Fuel Gas Code: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-468: WA State Energy Code: 2017 2017 2017 2015 Permit Center Authorized Signature: LOA) CW Date: c946 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. Signature: Print Name: Date: I——A4-1v 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 ofa 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 /` / 15: ~^~~~~~~~~^~^~~~°~°**^*"~"~~~^^^^~ PUBLIC WORKS CONDITION *~~~~~"*~*~~~~~~~°~°~** The applicant or cortractor must ':aII the Public Works (206) 433-0179 minimum 24 hours in advance TO SCHEDULE A MANDATORY Public Works INSPECTION for CAPPING GREASE WASTE LINES INSIDE THE BUILDING going to the outside grease interceptor. The existing outside grease interceptor was pumped already and shall will remain in place. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206)43O'9]50 8004 GROUNDWORK 1900 PLUMBING FINAL 8005 ROUGH'|NPLUNiB|NG CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov / Plumbing/Gas Permit No. ¥G1 S"O(G% Project No. Date Application Accepted: 8-e-19 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.: 0223100010 Site Address: 150 Andover Park West Suite Number: Floor: 1 Tenant Name: Pro Liance Bone & Joint PROPERTY OWNER Name: Mark C Yurczyk Name: Pro Liance City: North Bend State: WA Zip: 98045 Address:4011 Talbot Road Email: mark@northcoastplumbing.net City: Renton State: WA Zip: 98055 CONTACT PERSON — person receiving all project communication Name: Mark C Yurczyk Address: 13733 457th Ave SE City: North Bend State: WA Zip: 98045 Phone: 2069316171 Fax: 2064204601 Email: mark@northcoastplumbing.net New Tenant: ® Yes ..No PLUMBING CONTRACTOR INFORMATION Company Name: North Coast Plumbing Address: 13733 457th Ave SE City: North bend State: WA Zip: 98045 Phone: 2064204600 Fax: 2064204601 Contr Reg No.: NORTHCP930KA Exp Date: 5/31/19 Tukwila Business License No.: Valuation of Project (contractor's bid price): $', 71620.00 Scope of Work (please provide detailed information): imib (4 Building Use (per Int'l Building Code): medical office building Occupancy (per Int'l Building Code): 99 Utility Purveyor: Water: Sewer: H:\Applications\Forms-Applications On Line'2011 Applications\Plumbing Permit Application Revised 8-9-11.docx Revised: August 2011 bh Page 1 of 2 r 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 2 Shower, single head trap 1 Sinks 4 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) 2 Lavatory 1 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 2 Wash fountain 1 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 2 Receptor, indirect waste 1 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 OR AUTHORIZED AGENT: Signature: Print Name: Mark C czyk Mailing Address: 13733 457th Ave SE H:\Applications\Forms-Applications On Line\2011 Applications \Plumbing Permit Application Revised 8-9-11 .docx Revised: August 2011 bh Date:: 8/8/18 Day Telephone: 206-931-6171 North Bend WA 98045 City State Zip Page 2 of 2 ash Register4Receipt City of Tukwila 1 DESCRIPTIONS ACCOUNT 1 QUANTITY PAID PerrnitTRAK $305.25 PG18-0102 Address: 150 ANDOVER PARK W Apn: 0223100010 $305.25 Credit Card Fee $8.89 Credit Card Fee R000.369.908.00.00 0.00 $8.89 PLUMBING $284.96 PERMIT FEE R000.322.100.00.00 0.00 $194.82 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $33.15 PLAN CHECK FEE R000.322.103.00.00 0.00 $56.99 TECHNOLOGY FEE $11.40 TECHNOLOGY FEE R000.322.900.04.00 0.00 $11.40 I I TOTAL FEES PAID BY RECEIPT: R151.17 1 $305.25 Date Paid: Wednesday, August 08, 2018 Paid By: MARK YURCZYK Pay Method: CREDIT CARD 037430 Printed: Wednesday, August 08, 2018 1:12 PM 1 of 1 YSTEMS r CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1870 CITY OE TUKWILA Date: 08/08/2018 01:11:24 PM CREDIT CARD SALE VISA CARD NUMBER: **********9654 K TRAN AMOUNT: $305.2.5 APPROVAL CD: 037430 RECORD #: 000 CLERK ID: Bill Thank you! Customer Copy Page 2 of 2 https://classic.convergepay.com/Vir tualMerchant/transaction.do?dispatchMethod=printTran... 8/8/2018 INSPECTION RECORD Retain a copy with permit INSPECTION NO. P RMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: Peoc.,4"ies &y fjw..r4Puomplfx, ort 4frae-t✓ Type of Inspection: Date Called: 'Ft444---- Address: /-D iia Special Instructions: Date Wanted:m. 17- tj p.m. Requester: 6/i/‘ Phone No: (o - y7/ 42.2E3 ElApproved per applicable codes. LJ Corrections required prior to approval. COMMENTS: REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit P�16-oioz INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 63005.iouthcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 • • ect:\ p • 1 ellr- jjeto n e of inspection: / Addr1lPess: 64,42. Date C ed: — (J Special Instructions: Date Wanted:an -7 - zoLc/ p.m. Requester: Phone No: ® Approved per applicable codes. Corrections required prior to approval. COMMENTS: a 1181116111111111 Inspector: REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD I Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter 13Ivd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 P618-0102 Projec: t .In- forrif • it 7-)01.A &Ike Type of Inspection: Grouc work PI ri J prior to approval. Address: 50 Aildnvcr-Prirt-vr, Date Called: Special Instructions: "X-17Ce..c 9 '00 A.M. Date nted: ...1"Af a,.2..2, a.m%. CF;771. Requester: et rlc V 1 Ure2-Yg Phone No: I'm Approved per applicable codes. Corrections required prior to approval. CO E PLeAJ r ( nIoNtt xate risb 4( 540 r i) 15 ,,,.. ' . 4 of 4 '.f 4 4 r At / . . • 4.. / .1 4 . — / Alf A at S AO CA) and /SP -74 7f 9 VCc Inpecto 3-sQ REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southc:enter Blvd.. Suite 100. Call to schedule reinspection. 1.0 INSPECTION RECORD Retain a copy with permit 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 ioa Pro - : 0II' an( -acne -t—rAnt Type of Inspection: (PASC .fi re r Address: / AP'i Date Called: Special Instructions: Date Wanted: �0 //,i a.m. p.m. Requester: Phone No: Approved per applicable codes. L 1 Corrections required prior to approval. COMMENTS: alkoit, t SA a 61xivt oid .4 t I tv raitcnimp/ Date: (� ) 1 9) l0 ZJ REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. FILE COPY Permit No. T'Gr0-0 to ?— Plan review approval is subject to errors and omissions. Approval of construction documents does not authorize the violation of any adopted coda or ordinance. Receipt of approved Field Copy and conditions is acknowicd;ad: By Date: City of Tukwila BUILDING DIVISION :L....AT EiJiR:ED FOR: EriVothanical ailectrIcal 0 Plumblno 04as Pipkv REVISIONS No changes shall be rodde to the scope of work without prior approval of Tukwila Building Division NOTE: Revisions will require a new plan submittal and may include additional plan review fees. j REVIEWED FOR CODE COMPLIANCE APPROVED OCT 17 2018 ki14/ City of Tukwila BUILDING DIVISION 0 } P61)? UAvr Q0➢ 9E1 1? 2i•-0 t4 A r U)A Evt, h o i'i ;T R`0164 FRAMELESSIERIIME MASS DOOR Ala PM t. SYSTEM SUPPORTED 1Q FLOOR PLAN - NEW ur.To c 3 C Td - ' p FIli9 i REVIE' i<E • FOR CODE COMPLIANCE APPROVED OCT 17 2018 City of Tukwila• BUILrI O DIVIS-I r, 1 EVI C}) L MJ 141 0 Vag alD SuDIA0 COMM PANEL SYSTEM ��`71NIHA90YE HEM MOTORSENSOH INSTALL WITH ACCOSSSEE z to t zatr zauz GENERAL NOTES aoa 1Ta Sr.1. GLASS STOREFRONT SYSTFIT 10MATCH EI09TN0 EMU ONNUM. LOCATION FOR DOOR AGEISM INSTALL YATHACCES919L.E PREMEDS 1. PATEN ANO REP I1 EA8TIN08lMMONO EINEL0FE ROTH $IERIOR AMD SPERM EDE OF WALIE RECONSTRUCT WALLS TO MATCH E1091EIG O S 8IRLN111OI1. PREPARE WNL FOR NEW FINISHES M BOSOMED SEE AA 0I FORADPTIRW. OETMS 2 COOIIDPATE NEW TASK INMEOLWGL ELECTRIC* NO PULSING WISH ANY NOT SE DEICATEDONPUNS. 7. FLOORWNL REI MRE INSTNUTION OF OEMEN1111OUS FLOOR SELF LEVELING 811ERLAYLEFR. PRODUCT 10 SE COMPATIR E WITH JEW FLOOR FINENES A. ARCM EXIEMOR 9EUHE SLING TOPPV 0 FOR RESURFACES EIDER ORI E^� BUM ASARCO SOT OR AFRiOVED EOLEWLENI BPSIAl1 WITH NO4 P R Fi RCM AGGREGATE • S OtO'2-. I_TR# T� tgba t 425,778.1530 21011 76th Aso W.5ulto 210 f 425.774.7803 Edmonds WA 911026 InfoOlgb8rchKKtscom www.tgb rchltscts.com RECEil!_ v CITY o .TI..;K'Ni'! /1. • SEP 1 9 2018 PERMIT CEt.•.11 E:-4 PROLIANCE BONE & JOINT URGENT CARE 100 ANDOVER PARK W TUKWILA, WA 98188 FLOOR PLAN PROJECT INFORMATION .PROJECT LEAD: DRAWN SY: PERMIT$ SHEET N0 A2. /VDL.hhNC.E t au1 WATER Rix SEW RA REVIEWED FOR CODE COMPLIANCE APPROVED OCT 17 2018 City of Tukwila BUILDING DIVISION RECEOVED ©o! OF ThCZtS2C[A AUG 0 8 2018 PERE, ©ENVER LAl-1 MS -I S4 S-2 S-7 S-4- OF-1 itf-1 Z 1 1 1. l 1 1 1 1 I CLU6 H I/AtUF 1 i E1 LvALL •LAv4 -ro2Y MOP GINIL ' 5z►.lk S.n1 V_ rrl IC w / EYE wAskt smAk Wt ©, DervttetrrI(s o,.►rAraJ TcE �MA���kl4en. 1�1KK" /4 ( gereit S 1 3 2- Z Z . .5. i 5 1 3 ' . 2 z 3-5- -sOF .S l 5" (A) (8)(6) (6) ,�_..... ....._._._.o6' iP_.' v.01? • E(X 11 IG 41F vrit sTir FirvirilECH Oso 2+1 C 0 1" VIA A cup g i 1 FLOOR._PLMN -_NEW__. Ere to t? • rf L1( `� 1L G...c4: u1—S4 t;H.: azo itr 1 CSP 4i �✓ (.14.4 sla.11 eAuf A� Msec.. =lat. r !4 -JE To EV �f SS r� O11) FRAMEIESSIERCIIITE GIASS000RAND PANEL SYSTEM SUPPORTED 2"Lo 2J' vT/Z a p SLIMS 00CRAND PANG SYSTEM --o m1 mow HEAD • IDTL314 SENSOR NSTALLWYH ACCESSIBLE THRESHOLDS. :OCT 1.7" 13 0Da is City of Tukwila BUILDING DIVISIO ■• 6 DF -1 3A!�v (l.. '131:) C.ki xTARV LJAsTC R VEA1 ?l t? M V7 011? GENERAL NOTES SIM — GLASS STOREFRONT SYSTEM TOLNTCHEXISTING SYSTEM ON BUILDING. LOCATION FOR 000RACTUATOR INSTALL WITH ACCESSIBLE THRESHOLDS 1. PATCH AND REPAIR EMBOSS BUILDING ENVELOPE BOTH INTERIOR AND EXTERIOR SIXE CF WALLS RECONSTRUCT WALLS TO HARNESSINGCONSTRU0S0N PREPARE WAX. FORNEW FINISHES AS BCNEOULEO EEE A501 FOR ADDITIONAL CETAAS 2 COORDINATE NEWWOAN IN MECHANICAL ELECTRICAL AND PLUMBING WHICH MAY NOT BE INDICATED ON PUNS, 3 FLOOR%ILL REQUIRE IHSTALLATIONOF(EMENIITIOUBFLOOR SELF LEVELING UT58RLAYMEM. PRODUCT TO DE COMPATIBLE MTN NEW FLOOR FRISKS. 4. PROVIDE EXIERTORSELP•IEVELNG TOPPING FOR RESURFACING EXTERIOR WORK SUCH ASMEMO] 0RAPPROVED EOUMLEN( INSTALL YAM NONSLIP SURFACE ASININE AGGREGATE • 1 tgba t 425.778.1530 2191176th Ave W. Sults 210 f 425.774.7803 Edmonds WA 98028 Info®tgbarchltects.com www.tgbarchlucts.com RECE:I�: CITY OF TUKWILA.. SEP 1 9 2018 PERMIT CENTER PROLIANCE BONE & JOINT URGENT CARE 160 ANDOVER PARK W TUKWILA, WA 98188 FLOOR PLAN PROJECT INFORMATION ,_ PROJ0CTNUMBER ... 18003 CRS MIA PERMR# 58007110 A2.11 kR-1 LAV -1 5' C.o. 12.'' 1 FS -1. vTR FO-\ FKDLIANLE emir IDT.ssri 1 -- 'L' vrr2 1 1 1 1 yl REVIEWED FOR CODE COMPLIANCE APPROVED OCT 17 2018 City of Tukwila BUILDING DIVISION rwr fy pa TRAP SEAL PRIMERS No form of trap that depends for its seal upon the action of movable parts shall be used. Each fixture trap shall have a liquid seal...and shall be protected from freezing. Floor drain or similar traps directly connected to the drainage system and subject to infrequent use shall be protected with a trap seal primer. Trap seal primers shall be directly connected to the water supply and shall be accessible for maintenance. (2015 UPC 1005.0, 1006.0 & 1007.0) F><ffsesi 2''vfR cvs W C-1 Lk'J-1 FD -1 2 MFS -I S-1 1 S- 2 1 5-3 1 bF-1 1 1 Floba IttarT Wo -11 1M. LAV R-1012 Y 21' eloof of t4 2" FlDb R S.tI4 k 2" No. c r4 2SxZI STWZ 33x2 - 1,Ja11 LP'J w / a ./A5t-t ZS -1r2./ SD eal,. ADA (Abri OM OF 70.3KIELA AU6 08 2018 PENEUT ©ERSV!R poiir ai <122.) ,C. 008TINU HCAENSTito 5-4 2P V'.T/2. 1." WA 11,2 cm i FRMEIESS IER IJTE GLASS 00242 MO PAM. SYSTEM SUPPORTED 0 3„C© • O FL ARAN UP••1'.0'. L.LLgTTkw L)A .TG E VENT �SP d ..J 1 7a 1n GENERAL NOTES -DIADS SICRFFRONT SYSTEM TO MATCH EIDSTNG SYSTEM ONBULf80. EOCATONfOR DOOR ACTUATOR INSTALL MTH ACCESSS.E 71WES110t01 1. PATCHANO REPAIR WSRMS0OWO ENVELOPE 80111OITERIOR NOEXTERIOR RETE OF WM.LS. RECONSTRUCT WALLS TO MAI01008101GOOIBTRIICTION PREPARE WNLFORNEW FN0E8 A9 SPJEOULED. SEE A601 FCRAMORAL OETNIS 2. COORIXNATE 8EW11O881 INLEOMMCM ELEOTPYX NDP1.116010W148111 WY ROT DE ROWED ON RMS. 3 F101RYALL REWIRE NSTAWTTON OF MENTOROUSFLOCASELF LEVELING IRLERIAYMENT. PRODUCT TO DE COMPATIBLE HUM MEW FLOOR FIIOSIES. /. PROVO EXTERIORSELF.LEVEEING TOPPING FORREMWACHG EXTERIOR YANA SOOT ASARDIXI301CRAPPROVED EOUMIENR EISTALL mM NONSLIP SURFACE NOME AGGREGATE tgba t 425.779.1530 f 425.774.7803 2191176th Ave W.SWte 210 Edmonds WA98026 Infeetgbarchltact .com www.tgbarchliecu.com PROLIANCE BONE & JOINT URGENT CARE 150 ANDOVER PARK W TUKWILA, WA 08188 FLOOR PLAN PROJECT INFORMATION PROJECT NUMBER: 18003 A2.11 DJoz- Care /SO 1¢n/r'bueffic pt4 ‘,.01 SGwEat A 3"ST DN 3" RD 3"OST DN RE: CML D SANITARY OUTSIDE TO GREASE I IE=24.00' RE: CML DRAWINGS FOR SANITARY DRAIN 5'-0" OUTSIDE OF BUILDING TO GREASE INTERCEPTOR WINGS0' FOR VENT 5'-0" F BUILDING �RCEPTOR .N 60‘,1‘),-- cgewp,„ lE=24.80' RE: CIVIL DRAWINGS FOR GREASE WASTE 5'-0" OUTSIDE OF BUILDING &"3.. -57�- S c�-w�� ECO (TYPICAL (TYPIr..AI ) SERVICE YARD • DINING III TOILET VESTIBULE 4"OST 4"OST DN IE=25.0b' RE: CIVI DRAWINGS FOR STORM 'RAIN 5'-0" OUTSID o OF BUILDING COUNTER • DINING I SLEEVE (TYPICAL) 8"ST OFFICE 2"V UP 4`Iti- 3"GW-®( FD2 ELEC ROOM ii'GGGM :UM NUM 1111111 MN 'AIM auu.•■ Gm. INNS IMMEM PATIO (TYPICAL) 2"VBF- (ast) 3"OST DN f 3" 3"ST DN SCULLERY BM ' IIIIIIIIIIi� . rJ� I,,,,0rw-Aw.ranw�renusyi�l tem yl �, EPIqii ii Iii iL►i Cc N -722, esisTlit4 a�d•A a FFE=29.00' I\ / I \ / I 4"05T L V J 4" (FD2). SERVICE STATION 1 ENTRY START IE=27.50' 3"OST NOTEi REFER TO PLUMBI NIA RISER DIAGRAM, SHEET P4,0, FOR PIPE SIZES. NOT SHOWN ON FLOOR PLAN. WASTE AND VENT FLOOR PLAN SCALE: 1/4"=1'O" PLAN NOTES: 01 COORDINATE DRAINAGE PIPE INSTALLATION WITH BEVERAGE CONDUIT. REFER TO KITCHEN PLANS FOR SIZE AND FINAL LOCATION OF BEVERAGE CONDUITS. 0 REFER TO KITCHEN PLANS FOR SODA, BEER, AND REFRIGERATION CONDUITS. INSTALL CONDUITS BELOW SLAB OR ABOVE THE CEILING AS INDICATED ON THE DRAWINGS. NO PVC CONDUIT, ALLOWED ABOVE THE CEILING. IF DRAWINGS INDICATE CONDUIT ABOVE THE CEILING, USE LLIC . 0COORDINATEELECTRICAL PLUMBINGMETATUBING PIPE ROU(EMT)TING AWAY FROM ELECTRIC PANELS. MAINTAIN CLEARANCES PER NEC. O STORM DRAIN, SIZE PER PLAN, DOWN TO BELOW. GRADE. PROVIDE A WALL CLEANOUT AT 24"'AFF, UNLESS OTHERWISE NOTED. O PROVIDE CAST IRON PIPE FROM FLOOR SINK TO MAIN BRANCH CONNECTION, MINIMUM OF TEN I•tti LENGTH. dkV,4,444/0 HENDER.S N ENGINEERS INCORPORATED 8325 LENEXA DRIVE, SUITE 40D LENEXA, KANE3A8 66214-1695 PH 913.307.5300 FX 919.307.5400 WW W.HENDER9DNENSIN EERB.00IM 0650001814 architecture + interiors SCHEER. • TAN•AKA DENNEHY RILEY ARC HI -T E C TS 3190—K .Airport Loop Drive Costa Mesa, California 92626 (714) 444-1960 (71 4) 444-3160 Fax design@stdr.net FIELD VERIFICATION Contractor slap verify dr figured crane/lions and conditions at the job site and notify MDR Ar hitecta, Inc. of any dimensiond errors, omissions or discrepancies before beginning or fabricating ony work Do not state these drawings, COPYRIGHT These drawings are the property and copyright of Scheer Tanaka Dennehy Riley Architects, Inc. and shall not be used on any other work except by agreement with Scheer Tanaka Dennehy Riley Architects, Inc.. © FDR ARCHITECTS, INC. 1 2-20-07 HEALTH SUBUIT L 2 5-01-07 Alf SUBIETAL 3 6-14-07 BID SET 4 7-12-07 ONCY REVISIONS Drawing Title PLUMBING WASTE & VENT PLAN Job No. 06298 Scale I/4"_110' Drawn EC Date fC-xiiiivaLLi No PraZ �4 (ISD/o2- ProL�u„«. 5011e d' Je;nk Cay -e )eSA\/E 3EEkA587S lS� fiNAuEl¢ PK September 18, 2018 RE: Grease Interceptor 150 Andover Park W, Tukwila, WA 98188 To Whom It May Concern: This office manages Park West Plaza, which includes 150 Andover Park W, Tukwila, WA 98188 (Premises), for property owner, Open Frame, LLC. Please be informed that on or about April 4, 2018, after California Pizza Kitchen vacated the Premises, Evergreen Sanitation, Inc pumped out the interceptor for the above -referenced address. Please see enclosed Invoice No. 1156450, dated April 4, 2018. If there are any questions, please don't hesitate to give me a call. Sincerely, Authorized Agent for Open Frame, LLC Gardner Erickson I VP of Property Management Direct: 425.440.7922 I Cell: 206.348.3976 gardnere@fjshproperties.com 1 www.jshproperties.com encl: As stated cc: Toni Brosio-Ward at T.Brosio-WardCJproliancesurgeons.com RECEIVE'. SEP 2 4 TUKWILA PUBLIC WORKS RECEIVED CITY OF TUKWILA SEP 1 9 2018 PERMIT CENTER . ORR€CT} N ! T R # .._.,.... V(06/ 0 101- 14900 Interurban Ave S, Ste 130 1 Seattle, WA 98168 1 T 206.244.2000 F 206.674.4666 • OPERATED BY TANDEM SERVICE CORP., INC. *316 D.LONG SEPIIC SERVICE 653.6030 • CE ) EVERfIRt N 5MI TMK N. INC T43I)67 221N67 MLA SEPTIC SERVICE iE269'J! AL 314.06plFC SERVICE 465.7766 bsanm LYON SEPTIC SERVICE OR EA61SIGE SEPTIC SEIMCE 11151255 PLEASE VISIT OUR WEBSITE AT WWW.EVERrXENSA CUSTOMER NAME: ©/ae 11 Ploot e t "ll ADDRESS:/"I / / (t'1..1a 11 ,1 V ' SANI4AARI SEPTIC 36.-7574 75.14110 SR 7245 ri A SEPTIC PUMPER 1.800-777,93T4 112-0444 335.41)43 655.0305 146-0004 P.O. BOX 259, LAKE STEVENS, WA 98258 74M-0&32 Li SQ:, w FERVR:EE MAPLE 'PA LEY SEPI IC 4M EAST NAL SEPT IC SERVICE MAANLI ll SEPTIC SERVICE RETRON SEPTIC SERVICE ENUMCLAW SEPTIC SERVICE J J JAMSON .SEPTIC SVC 432-0d11 510.6252 362-7TA0 2714.103 6266425 MMJ$4 417-4422 2658242 PAVE ("0 TATION.COM FOR INFORMATION AND CUSTOMER SATISFACTION SURVEY �! ). 7 CR O COMM. b DATE: 1 L t 1 C'+/1 1- /Mb NEXT SERVICE DUE 1 1 `STATE: ed%1I ZIP:�TIQ SERVICE AMOUNT 21- 500 GALLON SEPTIC TANK - PUMPING 9 0 4'&' -- GALLON PUMP CHAMBER - PUMPING f� / .0 '(114•'3 . - (1.6 00 GALLONS AT • DISPOSAL FEE /7-6 :11:u1 1_4(7 t✓< /„ att/ 1000 (1/ . ,ilia d' •�u 1 fit _, /p ( - , ---- 1t/r1- 4200ly%/ r 9 f` ._1 rw.l f e ,�f• Teri?.'(-ff.�-C11(G j/f TAX CHECKED BAFFLES - OK LEVEL HIGH BACK FLOW LEVEL HIGH BACK FLOW TSR1VTTV SY.4TFM APPROVED Y '--�jt�i l/GartNwENrk#MYarfi2*Pm,14p N. 2015 PUMP SYSTEM EFFLUENT Fug, ALL UDS HAVE RISERS MANTENANCE CONTRACT ALL UDS HAVE RISERS - D IGGING St • B AFFLE INSTALL (EWA Ful FRTNEN1 uPON CpSW.L IITN vv..' Eby Hftw,..Ar0V.00E3 ENTV HAVE BEE`! FADE INVOICENO. 1156603 DRNER 4','S I V V 5.4' J AL .� 655 , 6 5 TOTAL 7'. r/ V 0? 0, 4.k_ tiou t91 C•U( G.Z Q) 10111 0 11014 111111•0106114.11Y pt 110 Q*0016611 10 MVOS SL** 1IML 0000 10 751E *0t1C si1RJ,5001/r0IMNTE IM MK11stR 1e008s GRANTS P4010245 10154 a1/M& 1;i NFHINfiNTMMEs NOW 41/10114 TO ACCESS M 011101) PI4011K1Y A101111$11.01114$ 7010.0 /NM5LEri/ Di 1111 f1V11/1tMM*102 AIMO IC 40410H ) NA.O ALL OAMAOlM0. 1 10 r1 01` 110604 Mr:L •.ywlsnw 0 blinuTo.ti+wvMw► 10*6011111101.8101=.1010111114C11111/010111 LIFT Tari r'ET *41?AISA*o10111112 fOf/*NOV. E 111110010 011#1.1. w/d1coR0 OPERATED BY TANDEM SERVICE CORP., INC. FRONTIER SEPTIC SERVICE 3341011 D COMM FNNRONMENTN. 117.33011 455-100 692.7075 066074 166934* 0 LYON SEPTIC SERVICE OR n LONG SEPTIC SERVICE EASTSIOE SEPTIC SEANCE 662-0660 1165.1300 EVERGREEN 6A16TAT121L INC. 743.11067E 331.11157 AAAIPIIC SEANCE 3112.61911 VANS 1EPTIC SERVICE 4617764 P.O. BOX 259, LAKE STEV;NS, WA 98258 E A SEPTIC RAWER 1.050-7735071 *626441 3354443 794.1472 0524306 7464E154 SEP IICEE55147 S AMPLE *LLFY SEPTIC SVC. EAST ILL SEPTIC SERVICE SACTU0JI SEPTIC SERVICE RE34TON SYPTC SERVICE 0MAICIAw SEPT Y' SERVICE 171- 675542 n J J JACKSON SEPTIC SVC 1166.40544 047464 �. 253.6242 PLEASE VISIT OUR WEBSIITE AT WWW.EVEROREE�N•SANITATION.COM FOR INFORMATION AND CUSTOMER SATISFACTION SURVEY CUSTOMER NAME q% C t• -core M t,�1sM ProPe.rt ADDRESS: al<0 max' 4 pan RI) CITY: T vii 4.k), '�. u�• �pL�PH/2,206 -/t11ES.O COMMte DATE: -.Vika I 30 ``HH NEXT SERVICE DUE t f STATEW QTY bC IL: JOB AT: CCl/ '[�T"rti 0. l a. Z 2. i S © /r1Ex.) of- +y, • t.,.1 • -714A tLJi�� est/Q CALLED N BY: rn't-t ( 14 S/ tic) p ►L H' i . I. not t) er-tn 9rte4 sv..'T?-r ? • ha c'3/)11 . h Crit.. � e.Ae_cie„ n'14a .r1 . t a-. we Ter‘A.1N -'ngra t. SERVICE g/CTI GALLON SEPTIC TANK - PUMPING GALLON PUMP CHAMBER • PUMPIPIG Ocact GALLONS AT • DISPOSAL. FEE $ O CHECKED BAFFLER -OK {...DIGGING leitt WORK APPROVED BY: FFLE INSTALL TERMS: FLU. PAYMENT UPON CO WLEY INVOICE NO. 11564 0 ROM we atur*40*RV 4710 amount weirdoes *1*11GNN4 Aro 4 10000 T4081111. p M yi7 "wean"weantu RANIEl1umnecisatam,wieege70 I�, A4T7 L l�Y MIY WiINNAI RM 4af1LIaR m li 40* A1p1O44Nl010. AOAW*3 10 111++' MID ARMS LEVEL HIGH BACK FLOW GRAVITY SYSTEM I� 1 PUMP SYSTEM J EFFLUENT FILTER t� ALL UDS HAVE RISERS - MAINTENANCE CONTRACT WORK APPROVED BY: FFLE INSTALL TERMS: FLU. PAYMENT UPON CO WLEY INVOICE NO. 11564 0 ROM we atur*40*RV 4710 amount weirdoes *1*11GNN4 Aro 4 10000 T4081111. p M yi7 "wean"weantu RANIEl1umnecisatam,wieege70 I�, A4T7 L l�Y MIY WiINNAI RM 4af1LIaR m li 40* A1p1O44Nl010. AOAW*3 10 111++' MID ARMS August 17, 2018 City of Tukwila Department of Community Development MARK C YURCZYK 13733 457 AVE SE NORTH BEND, WA 98045 RE: Correction Letter # 1 PLUMBING/GAS PIPING Permit Application Number PG18-0102 PROLIANCE BONE & JOINT URGENT CARE - 150 ANDOVER PARK W Dear MARK C YURCZYK, Allan Ekberg, Mayor Jack Pace, Director This letter is to inform you of corrections that must be addressed before your development permit can be approved. All correction requests from each department must be addressed at the same time and reflected on your drawings. I have enclosed comments from the following departments: PW - PG DEPARTMENT: Joanna Spencer at 206-431-2440 if you have questions regarding these comments. « 1) Sheet A2.11 WATER PLAN shows an existing RPBA inside mechanical room that our Water Dept. in not aware of. Please provide us backflow info: size/manufacturer/model no., and serial no. so Public Works can check it against out data base. The only RPBA in our database that was installed inside the former California Pizza Kitchen was a 3/4" RPBA for the beverage machine connection, but that is probably not the assembly that is shown in the mechanical room on your plans. 2) Please have the above RPBA tested and submit test report to Public Works. There is also an outside 1.5" RPBA on a hotbox northwest of the building next to the bus stop, which is current on testing. 3) There is an outside grease interceptor that was serving California Pizza Kitchen. Due to tenant change, please have this Grease Interceptor pumped and submit pumping information to Public Works. Please contact the property management company, since they might have the current Grease Interceptor pumping records already. 4) You have an option to modify the interior plumbing, so there will be no sewer flowing through this grease interceptor. Please address the comments above in an itemized format with applicable revised plans, specifications, and/or other documentation. The City requires that two (2) sets of revised plan pages, specifications and/or other documentation be resubmitted with the appropriate revision block. In order to better expedite your resubmittal, a 'Revision Submittal Sheet' must accompany every resubmittal. I have enclosed one for your convenience. Corrections/revisions must be made in person and will not be accepted through the mail or by a messenger service. Sincerely, Bill Rambo Permit Technician File No. PG 18-0102 6300 Southcenter Boulevard Suite #100 • Tukwila Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 Joanna Spencer From: Todd Reedy Sent: Monday, August 13, 2018 1:42 PM To: Joanna Spencer Subject: RE: 150 APW CA Pizza Kitchen Interior Bldg Hi Joanna, There is a 1.5" RPPA installed outside behind the meter for premise isolation that is now current on testing. The only KPPAinour database that was installed inside the former California Pizza Kitchen was a3/4^RPRAfor the beverage machine connection. It is current on testing as it was last tested October 2017, but that is probably not the assembly that is shown in the mechanical room on the plans. The RPPA installed outside covers their premise isolation from the public water system. Any required backflow preventers for fixture protection inside would be under the purview of the Building Department. Todd Reedy Water Quality Specialist Tukwila Water Department (I06)431'2169 (206)571-6309 cell Frmnv:]nannaSoencer Sent: MondayAugust 13, 2018 1:22 PM To: Todd Reedy <Todd.Reedy@TukwilaWA.gov> Cc: Joanna Spencer <]oanna.Spencer0DTukvvi|aVVA.gov> Subject: RE: 150 APW CA Pizza Kitchen Interior BIdg Hi Todd They have a TI application to use this bldg. as a medical clinic. They show an exist RPPA inside the mech room. Is it current? Joanna From: Todd Reedy Sent: Thursday, July 12, 2018 7:06 AM To: Joanna Spenoer<Joanna.Spencer@Tukwi|aVVA.gov> Subject: RE: 150 APW CA Pizza Kitchen Interior BIdg Good Morning Joanna, The backflow testing at Califorr,ia Pizza Kitchen is current with the exception of their RPPA behind the meter for premise isolation. For some reason it always gets missed when their other assemblies are tested. | have afeeling they might think that it is the responsibility of the shopping center to test it. It is Iocated behind the meter west ofthe building on their frontage. |tisa1.5"RPPA, S/N H05016. Let me know if you need any additional info, Todd Reedy Water Quality Specialist Tukwila Water Department (206)431'I169 y� /\ From: Joanna Spencer Sent: Wednesday, July 11, 2018 5:06 PM To: Todd Reedy <Todd.Reedy@TukwilaWA.gov> Cc: Joanna Spencer <Joanna.SpencerTukwiIaWA.gov> Subject: 150 APW CA Pizza Kitchen Interior Bldg Good Afternoon Todd Are their backflows current or RPPA test report is stilt pending? Joanna From: Todd Reedy Sent: Wednesday, January 17, 2018 8:20 AM To: Joanna Soencer=1oanna.Spencer@TukvvtaVVA.gov> Subject: RE: 150 APW CA Pizza Kitchen Interior Demo D18-0017 Good Morning Joanna, California Pizza Kitchen at 150 APW is current on backflow testing with the exception of their 1.5" RPPA on the domestic service connection, which is overdue. It is Iocated in a hotbox northwest of the building next to the bus stop. Let me know ifyou need any additional information, Todd From: Joanna Spencer Sent: Tuesday, January 16, 2018 4:49 PM To: Todd Reedy «Todd.Reedy@Tukwi|aVVA.Rov> Cc: Joanna Spencer <Joanna .SpencerTukwiIaWA.gov> Subject: 15OAPVV[APizza Kitchen Interior Demo D18'0O17 Good afternoon Todd Are their backflows up to date ? Joanna 2 DERMIT COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: PG18-0102 DATE: 08/08/18 PROJECT NAME: PROLIANCE BONE & JOINT URGENT CARE SITE ADDRESS: 150 ANDOVER PARK W X Original Plan Submittal Response to Correction Letter # Revision # Revision # before Permit Issued after Permit Issued DEPARTMENTS: intCH 8 Building Division II p CO 14,. Piiblic Works Fire Prevention Structural Planning Division Permit Coordinator 11 PRELIMINARY REVIEW: Not Applicable (no approval/review required) REVIEWER'S INITIALS: DATE: 08/09/18 Structural Review Required DATE: APPROVALS OR CORRECTIONS: Approved Corrections Required (corrections entered in Reviews) Notation: Sq, Ater DUE DATE: 09/06/18 Approved with Conditions Denied (ie: Zoning Issues) REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Q Departments issued corrections: Bldg 0 Fire 0 Ping 0 PW41 Staff Initials: 12/18/2013 )PERMIT COORD COPY r; PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: PG18-0102 DATE: 09/24/18 PROJECT NAME: PROLIANCE BONE & JOINT URGENT CARE SITE ADDRESS: 150 ANDOVER PARK W Original Plan Submittal Response to Correction Letter # 1 Revision # before Permit Issued Revision # after Permit Issued DEPARTMENTS: Building Division ri Fire Prevention n Planning Division ri ch Aux to Public Works NE Structural ri Permit Coordinator PRELIMINARY REVIEW: Not Applicable (no approval/review required) REVIEWER'S INITIALS: DATE: 09/25/18 Structural Review Required DATE: LI APPROVALS OR CORRECTIONS: Approved DUE DATE: E Approved with Conditions Corrections Required Denied (corrections entered in Reviews) (le: Zoning issues) Notation: 10/23/18 REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg 0 Fire 0 Ping EJ PW D Staff Initials: 12/18/2013 0 Date R\(//o\\ ti City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Web site: http://www.TukwilaWA.gov REVISION SUBMITTAL Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Plan Check/Permit Number: PG 18-0102 ❑ Response to Incomplete Letter # ❑ Response to Correction Letter # 1 ❑ Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner ❑ Deferred Submittal # Project Name: Proliance Bone & Joint Urgent Care Project Address: 150 Andover Park W Contact Person:„ Arrc.:Z. Summary of Revision: 10 Q e�+•o epeet-.4 sib,-„ PPM / t%4 RECEIVED CITY OF TUKWILA SEP 19 2018 PERMIT CENTER Phone Number: /No q31 - 6l1 l n e, -c.16-4 toe_ u.s:t,\ v..exa4Zviq 1 PP OA 3 r P/9 -k1 Sas %SOu4-,`Avr . ha, -100 i% - ,c a( /L4+u Q,»1 /aHd /Nee.) / y-►�orte •draw\ Elie-►-/ree i Setvv, Tom $mow\,y gteaSt la‘ker Ge - e- 1noS tgeav (Jclmpa.cl a lA l�42. Las; \ t eo1/4,k e -td o t l lec..so, t)c t4e. l.: ✓1 e-5 Sheet Number(s): 2.� v W�4� 914.„n / A 2.\\ 5 a'..e ..,, Wase t 1 A,.4 Pk,� "Cloud" or highlight all areas of revision includinlate ,vf rv{sion Received at the City of Tukwila Permit Center by: Entered in TRAKiT on 10 C:\Users\bill-ADesktop\Revision Submittal Form.doa Revised: August 2015. NORTH COAST PLUMBING INC • k Washington State Department of I Labor & Industries 11 orne Espanol Contact Safety & Health Claims & Insurance Page 1 of 2 Search L&I A -Z Endo( Help My L.V1 Workplace Rights Trades & Licensing NORTH COAST PLUMBING INC Owner or tradesperson Principals YURCZYK, MARK CHRISTOPHER, PRESIDENT YURCZYK, FARNAZ D, SECRETARY Doing business as NORTH COAST PLUMBING INC WA UBI No. 602 708 839 13733 457th Ave SE NORTH BEND, WA 98045 206-420-4600 KING County Business type Corporation Governing persons FARNAZ DANESH YURCZYK MARK C YURCZYK; License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Construction Contractor License specialties PLUMBING License no. NORTHCP930KA Effective — expiration 05/01/2007— 05/01/2019 Bond AMERICAN CONTRACTORS INDEM CO Bond account no. 100022456 Active. Meets current requirements. $6,00000 Received by L&I Effective date 05/01/2007 04/23/2007 Expiration date Until Canceled insurance NATIONWIDE PROPERTY AND CASUAL $1,000,000.00 Policy no. ACP3008761061 Received by L&I Effective date 05/01/2018 04/20/2018 Expiration date 04/20/2019 Help us improve https://securelni.wa.gov/verify/Detail.aspx?UBI=602708839&LIC=NORTHCP9301(A&SAW= 10/19/2018 NORTH COAST PLUMBING INC American States Insurance Co Policy no. 01 C1133701 $1,000,000.00 Received by L&I Effective date 01/15/2018 02/19/2018 Expiration date 02/19/2019 Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings ...................................._................................ . No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period, but some debts may be recorded by other agencies. License Violations No license violations during the previous 6 year period. Workers' comp Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums. L&I Account ID 135,417-00 .............._...._._ Doing business as NORTH COAST PLUMBING INC Estimated workers reported Quarter 2 of Year 2018 "1 to 3 Workers" L&I account contact T2 / LINDA ALGUIRE (360)902-4678 - Email: POTH235@Ini.wa.gov Account is current. Public Works Strikes and Debarments Verify the contractor is eligible to perform work on public works projects. Contractor ...... Strikes ........................................ No strikes have been issued against this contractor. Contractors not allowed to bid No debarments have beeniissued against this contractor. Workplace safety and health No inspections during the previous 6 year period. Page 2 of 2 0, Washington State Dept. of Labor 8 Industries. Use of this site is subject to the laws of the state of Washington. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602708839&LIC=NORTHCP930KA&SAW= 10/19/2018