HomeMy WebLinkAboutPermit PG11-063 - 12628 BUILDING - VACANT SPACEVACANT SPACE
12628 INTERURBAN AV S
PG1 1 -063
City of/Tukwila
•
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Inspectio n Request Line: 206 - 431 -2451
Web site: http: //www.ci.tukwila.wa.us
PLUMBING /GAS PIPING PERMIT
Parcel No.: 0004800003
Address: 12628 INTERURBAN AV S TUKW
Project Name: VACANT SPACE
Permit Number: PG11 -063
Issue Date: 04/18/2011
Permit Expires On: 10/15/2011
Owner:
Name: GATEWAY OLYMPIA INC
Address: PO BOX 4900 #207 , SCOTTSDALE AZ 85261
Contact Person:
Name: VERN HUBER
Address: 3702 WEST VALLEY HY , AUBURN WA 98001
Email: NOT PROVIDED
Contractor:
Name: HUBER'S PLUMBING CO
Address: 3702 WEST VALLEY HWY #2 , AUBURN WA 98001
Contractor License No: HUBERP *042M2
Phone: 206 - 510 -3069
Phone: 253 839 -7876
Expiration Date: 07/17/2012
DESCRIPTION OF WORK:
REMOVE RPBA DEVICE ON WEST WALL OF SPRINKLER ROOM. DEVICE FED A PIECE OF
EQUIPMENT WHICH IS NO LONGER ON PREMISE.
Value of Plumbing /Gas Piping: $0.00 Uniform Plumbing Code Edition: 2009
Fees Collected: $47.25 International Fuel Gas Code Edition: 2009
Electrical Service Provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
OA 'W
Date: `l -' ( g ' I
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:
Print Name: AWDI% //44,
Date:
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.
doc: UPC -4/10
PG 11 -063 Printed: 04 -18 -2011
• •
PERMIT CONDITIONS
Permit No. PG11 -063
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
PG 11 -063 Printed: 04 -18 -2011
CITY OF TUKWISJ
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Plumbing/Ga *ermit No. Xj ( - C 6p 3
Project No.
(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
Site Address: . .2 5/ 7;c:/'/4 %Z,C?0 n
Tenant Name:
Property Owners Name: 4A' //L6!1y
Mailing Address: ,Xd' f'2- 9 2O 02`
- King Co Assessor's Tax No.:
Suite Number: �'_ Floor:
l,
city
New Tenant: ❑ Yes ❑..No
GI/9 9r
State Zip
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name:
Day Telephone: 510 —30(<3
Mailing Address:
City
Fax Number:
E -Mail Address:
State
Zip
PLUMBING / GAS PIPING CONTRACTOR INFORMATION
Company Name: jZrse s /7/ 9
Mailing Address: 3 702 / /t-
%% City State Zip
Contact Person: i '2' ,4 ,O�C,P Day Telephone: 2 s'/D- 3 D,(9
E -Mail Address: Fax Number:
Contractor Registration Number:
9.00/
Expiration Date:
ARCHITECT OF RECORD — All plans must be stamped by Architect of Record
Company Name:
Mailing Address:
City
Day Telephone:
E -Mail Address: Fax Number:
Contact Person:
State
Zip
ENGINEER OF RECORD — All plans must be stamped by Engineer of Record
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
State
Zip
H:4lpplications\Porms- Applications On Line \2010 Applications \7 -2010 - Plumbing -Gas Piping Permit Application.doc
Revised: 7 -2010
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Page 1 of 2
■M!
Valuation of Project (contractor's bid pill $ /y00
Scope of Work (please provide detailed information): ����� /J
�mO1/,C 1 /2LM _ /�,G O/1 I/4s7 Gl/ll��d7` jl�eP /1%��� /P4a7,2
•
Building Use (per Int'l Building Code):
Occupancy (per Int'I Building Code):
Utility Purveyor: Water: Sewer:
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
Fixture Type:
Qty
Fixture Type:
Qty
Fixture Type:
Qty
Fixture Type:
Qty
Bathtub or combination .
bath/shower
Bidet -
Clothes washer; domestic
Dental unit, cuspidor
Dishwasher, domestic,
with independent drain
Drinking fountain or
water cooler (per head)
Lavatory
Food -waste grinder,
commercial
Wash fountain
Floor Drain
Receptor, indirect waste
Shower, single head trap
Sinks
Urinals
Water Closet
Industrial waste treatment
interceptor, including trap
and vent, except for kitchen
type grease interceptors
Repair or alteration of
drainage or vent piping
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
Rain water system — per
drain (inside building)
Water heater and/or vent
Repair or alteration of
water piping and/or water
treatment equipment
/
Grease interceptor for
commercial kitchen ( >750
gallon capacity)
Each additional medical
gas inlets/outlets greater
than 5
Backflow protective
device other than
atmospheric -type vacuum
breakers 2 inch (51 mm)
diameter or smaller
Backflow protective device
other than atmospheric -type
vacuum breakers over 2
inch (51 mm) diameter
Each lawn sprinkler
system on any one meter
including backflow
protection devices
Atmospheric -type vacuum
breakers not included in
lawn sprinkler backflow
protections (1 -5)
Atmospheric -type
vacuum breakers not
included in lawn
sprinkler backflow
protections over 5
Gas piping outlets
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 AUTHO
Signature:
Print Name:
ENT:
27
Mailing Address: 3% /L St/ "
Date Application Accepted:
y
Date: 9
Day Telephone: 5O ?- 6/ 9
6 3 06
..4%11. 70 H 1 9'fW
City
State Zip
Date Application Expires:
Staff Initials:
H: Wpplications\Forms- Application, On Line12010 Applications17 -2010 - Plumbing -Gas Piping Permit Applicationdoc
Revised: 7 -2010
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Page 2 of 2
City of Tukwila
` \2 Department of Community Development
C 6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Fax: 206 - 431 -3665
Web site: hup://www.ci.tulcwila.wa.us
RECEIPT
•
Parcel No.: 0004800003 Permit Number: PG11 -063
Address: 12628 INTERURBAN AV S TUKW Status: PENDING
Suite No: Applied Date: 04/18/2011
Applicant: VACANT SPACE Issue Date:
Receipt No.: R11 -00747
Initials: WER
User ID: 1655
Payment Amount: $47.25
Payment Date: 04/18/2011 02:04 PM
Balance: $0.00
Payee: HUBER'S PLUMBING CO
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 31268 47.25
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
PLUMBING - NONRES
000.322.103.00.00 47.25
Total: $47.25
doc: Receiot -06 Printed: 04 -18 -2011
pev;ce. �OC&Jr
X. SPRINKLER II
11
X. ELECTR IC
EX. CEIVI
Cc.ppJ a�
here
REMOVE EXISTUNG NON - BEARING WALLS, DOORS
REMOVE EXISTING NON
WALLS
REMOVE EXISTING WALL FURRING
RE ACTIVATE DOORS
c-or re•Nrrhcee. OhlY
FLOOR PLAN: DEMOLITION
SCALE: VS° ■P -0°
RECEIVED
APR 18 2011
PERMIT CENTER
Page 1 of 1
Joanna Spencer - Fwd: Vacant Space TI @ 12628 Interurban Ave D11 -034
From: Joanna Spencer
To: Todd Reedy
Subject: Fwd: Vacant Space TI @ 12628 Interurban Ave D11 -034
CC: Bryan Still; Han Kirkland
Hi Todd,
Just to let you know that the plumber has applied taday
for a plumbing permit PG11 -063 to remove the internal RPPA.
Joanna
»> Joanna Spencer 02/25/2011 2:36 PM »>
Hi Todd,
Attached is letter from the applicant informing that the
1" internal RPPA will be removed under a future plumbing permit.
Do you need to be notified when this RPPA is being removed
under the future PG plumbing permit.
Thanks,
Joanna
»> Todd Reedy 02/15/2011 5:42 PM »>
Hi Joanna,
Regarding backflow protection at 12628 Interurban:
-This is Bldg. C at Tukwila Commerce Park.
-RPBA on domestic service for premise isolation is current.
-Fire DCDA is current.
- Irrigation DCVA is current.
-There is an internal 1" RPBA on domestic service in riser room that is overdue for testing. It was
due last May 2010 and we did not receive a test report. This assembly is downstream of the
premise isolation RPBA.
Let me know if you have any other questions,
Todd
jspencer @ci.tukwila.wa.us
PCa I I- D63
about:blank 04/18/2011
david
kehle
architect
February 22, 2011
City of Tukwila
Dept. of Public Works
6300 Southcenter Blvd. Suite 100
Tukwila, Washington 98188
Attn: Mr. Joanna Spencer
Re: Vacant Space
12628 Interurban Avenue South
011 -034
RECEIVED
FEB 2 5.2011
PUBLI WORKS
Dear Joanna,
I am in receipt of your correction letter dated February 17, 2011 regarding the above permit
tenant improvement and an internal 1" RPPA device which has not been tested.
This RPPA will be removed during the demolition process under a plumbing permit.
Please release this tenant improvement as the above RPPA will no longer be active on the site
and therefore no testing will be done.
Sincere
David Kehle
DK/mt
Cc: Mr. Gregory Coleman
Mr. Larry Lee
0225/vacantspace/citylet2- 22 -.11
1916 Bonair Drive S.W.
Seattle, WA 98116
PG II- 063
(206) 433 -8997
fax (206) 246 -8369
email: dkehle @dkehlearch.com
Z
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 �2..
INSPECTION RECORD
Retain a copy with permit
P61/ -063
PERMIT NO.
(206)431 -3670
Project:
l/R(A,ti 5 ?me
Type of Inspection:
r 14 A /
Address:
12 OS _i A,iP 4,k
Date Called:
Special Instructions:
Date Wanted:
q— , 2
_ 1
(
p.m.
Requester:
Phone No:
EqApproved per applicable codes. ❑ Corrections required prior to approval.
COMMENTS:
, t C ,0 %o1 /r--, 4'
erector
8
>^
0 REINSPECTION EE REQUIRED: Prior to inspection, fee must be
pa' d at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Date:
9 -12- f1
Re pt No.:
Date:
1
• 7". —7K.-:741—"ler•.V' -71•Fr• '• ' .ft ;";• • :•Ir' • ••••
. -( INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 0_ (206) 431-3670
Permit Inspection Request Line (206) 431-2451
fu —0‘3
Project: T
.5. °' c..e -
Type Inspection:
Address D
Date Called:
...-----
Special Instructions: D
Date Wanted -
4 fa m.
Requester:
Phone No —
SID CO '.3 I a —3° IOC?
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
prvJ
t. Go 4".if
t 1.
Inspecr: PLtfrA JL'
Date4
(
ri REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
I—I paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Per Friendly Page
•
General /Specialty Contractor
A business registered as a construction contractor with LEI 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 HUBER'S PLUMBING CO UBI No. 601725669
Phone 2538397876 Status Active
Address 3702 West Valley Hwy. North #2 License No. HUBERP•042M2
Suite /Apt. License Type Construction Contractor
City Auburn Effective Date 7/22/1996
State WA Expiration Date 7/17/2012
Zip 98001 Suspend Date
County King Specialty 1 Plumbing
Business Type Individual Specialty 2 Unused
Parent Company
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
HUBERP•232L7
HUBERS
PLUMBING CO
Construction
Contractor
Plumbing
Unused
6/27/1977
5/27/1997
Archived
Business Owner Information
Name
Role
Effective Date
Expiration Date
HUBER, VERNON R JR
Owner
07/22/1996
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
5
PLATTE RIVER INS CO
41152474
05/06/2010
Until Cancelled
$6,000.0005/26/2010
04 /05/2011
4
Coreat American Ins.
2875327
05/06/2009
Until Cancelled
05/08/2010
$6,000.00
04/21/2009
3
FEDERATED MUTUAL
INS CO
9335611
09/13/2007
Until Cancelled
05/06/2009
$6,000.0009/10/2007
04/21/2009
2
AMERICAN STATES INS
EX948812
06/25/2002
Until Cancelled
09/13/2007
$6,000.0006/14/2002
05/12/2008
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
14
State Farm Fire
F1 Cas Co
98VP6080
04/01 /2011
04/01 /2012
$1,000,000.00
04 /05/2011
13
OHIO CAS INS
CO
BRO(11)
53856312
03/30/2010
03/30/2011
$1,000,000.0003
/19/2010
12
LIBERTY
NORTHWEST
INS CORP
BR01053856312
03/30/2009
03/30/2010
$1,000,000.00
04/21/2009
11
FEDERATED
MUTUAL INS CO
9434729
06/14/2008
06/14/2009
04/23/2009
$1,000,000.00
05/12/2008
10
FEDERATED
MUTUAL INS CO
5077100
06/14/2007
06/14/2008
$1,000,000.00
06/29/2007
9
AMERICAN
SAFETY
INDEMNITY
01TSRGL0750
00
07/20/2006
07/20/2007
$1,000,000.00
07/20/2006
8
HARTFORD
CASUALTY INS
CO
52SBALU1219
07/20/2000
07/20/2006
$1,000,000.0006
/20/2005
https://fortress.wa.gov/lni/bbip/Print.aspx
04/18/2011