HomeMy WebLinkAboutPermit PG11-094 - 12628 BUILDING - SPEC EASTThis record contains information which is exempt from public disclosure
pursuant to the Washington State Public Records Act, Chapter 42.56 RCW
as identified on the Digital Records Exemption Log shown below.
PG11 -094
Spec East
12628 Interurban Avenue South
RECORDS DIGITAL D- ) EXEMPTION LOG
THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION
Page # tode Exemption = 8rlef Explanatory DeSclriptiop �t�tutel ule
The Privacy Act of 1974 evinces Congress'
intent that social security numbers are a private
concern. As such, individuals' social security
Personal Information —
numbers are redacted to protect those
Social Security Numbers
individuals' privacy pursuant to 5 U.S.C. sec.
5 U.S.C. sec.
DR1
Generally — 5 U.S.C. sec.
552(a), and are also exempt from disclosure
552(a); RCW
552(a); RCW
under section 42.56.070(1) of the Washington
42.56.070(1)
42.56.070(1)
State Public Records Act, which exempts under
the PRA records or information exempt or
prohibited from disclosure under any other
statute.
Redactions contain Credit card numbers, debit
card numbers, electronic check numbers, credit
Personal Information —
expiration dates, or bank or other financial
RCW
12
DR2
Financial Information —
account numbers, which are exempt from
42.56.230(5)
RCW 42.56.230(4 5)
disclosure pursuant to RCW 42.56.230(5),
except when disclosure is expressly required by
or governed by other law.
SPEC EAST
12628 INTERURBAN AV S
PG1 1 -094
City oiliI'ukwila
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.: 0004800003
Address: 12628 INTERURBAN AV S TUKW
Project Name: SPEC EAST
Permit Number:
Issue Date:
Permit Expires On:
PG11 -094
07/15/2011
01/11/2012
Owner:
Name: GATEWAY OLYMPIA INC
Address: PO BOX 4900 #207 , SCOTTSDALE AZ 85261
Contact Person:
Name:
Address:
Email:
Contractor:
Name:
Address:
MIKE NELSON
899 WEST MAIN , AUBURN WA 98001
MIKEN@ SEATTLEME C HANI CAL. C OM
Phone: 253 - 939 -9495
IECS INC. Phone: 206 939 -9495
P.O. BOX 19252 , SEATTLE, WA 98109
Contractor License No: IECS * * *044QL
Expiration Date: 11/20/2012
DESCRIPTION OF WORK:
EXTEND EXISTING 1" GAS LINE UP THRU ROOF FOR NEW ROOF TOP UNIT. ABOUT 10' OF
PIPE TOTAL
Value of Plumbing /Gas Piping:
Fees Collected:
Electrical Service Provided by:
Permit Center Authorized Signature:
$500.00
$120.75
Uniform Plumbing Code Edition: 2009
International Fuel Gas Code Edition: 2009
Date: /‘..-/
l/
I hereby certify that I have read and examined this per 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 t
construction
on the bac
Signature:
not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
e of work. I am authorized to sign and obtain this plumbing /gas piping permit and agree to the conditions
Date: >X5-///
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 -094 Printed: 07 -15 -2011
• •
PERMIT CONDITIONS
Permit No. PG 11 -094
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 -094 Printed: 07 -15 -2011
0
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Building Permit No.
Mechanical Permit No. t 11' Oqh
Plumbing/Gas Permit No. i % t t - q
Public Works Permit No.
Project No.
(For office use only)
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
a
1) 2 it
Site Address: �G4 ' INTERURBAN AVE.
Tenant Name: spec space
Property Owners Name:
Mailing Address: 12720 GATEWAY DRIVE, SUITE 200 TUKWILA WA.
King Co Assessor's Tax No.: 000480003
Suite Number:
RREEF PROPERTY MGMT.
New Tenant:
Floor:
❑ Yes
❑ ..No
98168
City
State
Zip
CONTACT PERSON - who do we contact when your permit is ready to be issued
Name: MIKE NELSEN
Mailing Address: 899 west main Auburn wa.
Day Telephone: 2 5 3 9 3 9 9 4 9 5
E -Mail Address: MIKEN@SEATTLEMECHANICAL.COM
City
State
Zip
Fax Number: 253-939-9260
GENERAL CONTRACTOR INFORMATION —
(Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5))
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Contractor Registration Number:
City
Day Telephone:
Fax Number:
Expiration Date:
State
Zip
ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
City
Day Telephone:
Fax Number:
State
Zip
ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record
Company Name: CT Engineering inc.
Mailing Address: 181 Nickerson st. Suite 302
Contact Person: Rick Hudson
E -Mail Address:
Q: Applications\Fonns- Applications On Line Z-2006 - Permit Application.doc
Revised: 9.2006
bh
City State
Day Telephone: 206 - 285 -4512
Fax Number: 206 - 285 -0618
Zip
Pagel of 6
PLUMBING AND GAS PIPING PERMIT INFORMATION - 206 -431 -3670
PLUMBING AND GAS PIPING CONTRACTOR INFORMATION
Company Name: IECS INC
Mailing Address:8 9 9 WEST MAIN AUBURN WA 98001
Contact Person: MIKE NELSEN
E -Mail Address: MIKEN @SEATTLEMECHANICAL. COM
Contractor Registration Number: I ECS I * * * 0 4 4 QL
City State Zip
Day Telephone: 2539399495
Fax Number: 2539399260
Expiration Date: 11/20/2011
Valuation of Plumbing work (contractor's bid price): $
Valuation of Gas Piping work (contractor's bid price): $ 500.00
Scope of Work (please provide detailed information): EXTEND EXISTING 1" GAS L INE UP THRU ROOF
FOR NEW ROOF TOP UNIT. ABOUT 10' OF PIPE TOTAL.
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
Drinking fountain or water
cooler (per head)
Wash fountain
Gas piping outlets
1
Bidet
Food -waste grinder,
commercial
Receptor, indirect
waste
Clothes washer, domestic
Floor drain
Sinks
Dental unit, cuspidor
Shower, single head trap
Urinals
Dishwasher, domestic,
with independent drain
Lavatory
Water Closet
Building sewer or trailer
park sewer
Rain water system — per
drain (inside building)
Water heater and/or
vent
Additional medical gas
inlets/outlets — six or more
Industrial waste
pretreatment interceptor,
including its trap and vent,
except for kitchen type
grease interceptors
Repair or alteration of water
piping and/or water treating
equipment
Repair or alteration
of drainage or vent
piping
Medical gas piping system
serving one to five
inlets /outlets for specific gas
Q:\Applications\Fotms- Applications On Line\3 -2006 - Permit Application.doc
Revised: 9 -2006
bh
Page 5 of 6
PERMIT APPLICATION NOTES — Applicable to all permits in this application
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.
Building and Mechanical Permit
The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be
requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition).
Plumbing Permit
The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested
in writing and justifiable cause demonstrated. Section 103.4.3 Uniform 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 ptIZED AGENT:
Signature:
Print Name: MIKE NELSEN
Mailing Address: 899 WEST MAIN AUBURN WA . 98001
Date: 7 -7 -2011
253-939-9495
Day Telephone:
City
State
Zip
Date Application Accepted: `"7 t I
Date Application Expires:
l....
_7-
Staff Initials: /J
,(//
Q:\Applications\Forms- Applications On Line3.2006 - Permit Application.doc
Revised: 9 -2006
bh
Page 6 of 6
CiP 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. ci. tukwila. wa. us
SET RECEIPT
RECEIPT NO: R11 -01389
Initials: WER
Payment Date: 07/07/2011
User ID: 1655 Total Payment: 475.81
Payee: IECS INC
SET ID: 070711 SET NAME: SPEC EAST
SET TRANSACTIONS:
Set Member Amount
M11 -092 355.06
PG11 -094 120.75 •
TOTAL: 355.06
TRANSACTION LIST:
Type Method Description Amount
Payment Check 49154 475.81
TOTAL: 475.81
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
GAS - NONRES
MECHANICAL - NONRES
PLAN CHECK - NONRES
000.322.103.00.0
000.322.102.00.0
000.345.830
96.60
284.05
95.16
TOTAL: 475.81
'•`'`. — „�'�`: a%.`'` jt r'`
INSPECTION RECORD c3
Retain a copy with permit
INSPECTION NO.
)06 it-oq
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:
I/yjf�'.4&r S Pilo �
Type of Inspection:
F►Nv1 /
Address:
I.2-62 u ...Li.!-lor ?,,e.ry
Date Called:
Special Instructions:
Date Wanted:
9— /sf-
/!
C-m�
Requester:
.
Phone No:
RIApproved per applicable codes. a Corrections required prior to approval.
COMMENTS: 0 124* ti - r../ — 4 //W # of
Date:
) -2 c„,. - ���,� 5” -) /- f /
ECTION FEE REQUIRE . Prior to next inspection. fee must be
at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. `
1,
INSPECTION RECORD :
Retain al'Opy Mill permit
INSPECTION NO.
PERMIT NO.
CITY OF TUKWILA•BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 g. (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project:
ZY)Fe (44E57--
Type of Inspection:
Address:
Tivi,,2f,6,m/
Date Called:
ielVS
Special Instructions:
Date Wanted:
crm.
p.m.
Requester:
Phone No:
.
ElApproved per applicable codes.
COMMENTS:
CTikCorrections required prior to approval.
1-717/ 1,7
REI SPECTION FEE REQUIR
D4te:
/,/," . •
D. Prior next inspection. fee must be
id at 6300 Southcenter Blvd.. uite O. Call to schedule reinspection.
•
PE T,M1t`.,t -
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: PG11 -094
PROJECT NAME: SPEC EAST
SITE ADDRESS: 12628 INTERURBAN AV S
X Original Plan Submittal Response to Incomplete Letter #
DATE: 07 -07 -11
Response to Correction Letter #
Revision # After Permit Issued
DEPARTMENTS:
kit) C
Ilding Ivision
Public Works ❑
Fire Prevention
Structural
Planning Division
Permit Coordinator
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
yc)
Incomplete
DUE DATE: 07 -12 -11
Not Applicable
a
Comments:
Permit Center. Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES/THURS ROUTING:
Please Route Structural Review Required ❑ No further Review Required ❑
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS:
Approved
Notation:
n
Approved with Conditions
DUE DATE: 08 -09 -11
Not Approved (attach comments)
REVIEWER'S INITIALS: DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Documents/routing slip.doc
2 -28 -02
Contractors or Tradespeople Priitter Friendly Page
1
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
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
IECS INC
2069399495
Po Box 19252
Seattle
WA
981091252
King
Corporation
UBI No. 601639846
Status Active
License No. IECS "`044QL
License Type Construction Contractor
Effective Date 11/13/1996
Expiration Date 11/20/2012
Suspend Date
Specialty 1
Specialty 2 Unused
Heating /Vent /Air - Conditioning And Refrig (Hvac /R)
Other Associated Licenses
License
Name
Type
Specialty 1
Specialty
2
Effective
Date
Expiration
Date
Status
SEATTMI038NR
SEATTLE
MECHANICAL INC
Construction
Contractor
Metal
Fabrication
Unused
8/19/1997
11/4/2001
Archived
Business Owner Information
Name
Role
Effective Date
Expiration Date
HUMPHREY, GEORGE
01/01/1980
Bond Information No records found for the previous 6 year period
Assignment of Savings Information
Page 1 of 1
Savings
Assignment of Savings Account Number
Effective Date
Release Date
Assignment Type
Impaired Date
Amount
Received Date
2
10/10/1996
3/4/2009
Bond
08/01/2010
$4,000.00
Insurance Information
Insurance
Company Name
Policy Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Amount
Received Date
WEST
12
AMERICAN INS
BKW1153913555
08/01/2010
08/01/2011
$1,000,000.00
07/28/2010
CO
LIBERTY
11
NORTHWEST
BKW1053913555
08/01/2009
08/01/2010
$1,000,000.00
07/21/2009
INS CORP
10
FEDERAL
MUTUAL INS CO
9821065
08/01/2007
08/01/2009
$1,000,000.0006
/26/2008
9
FEDERATED
5090561
08/01/2006
08/01/2007
$1,000,000.00
07/31/2006
MUTUAL INS CO
8
OREGON AUTO
C031557907
08/01/2005
08/01/2006
$1,000,000.00
07/29/2005
INS CO
7
AUTO
NS
C01161842
C01161842
11 /04/2004
11/04/2005
$1,000,000.00
11 /03/2004
Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period
Warrant Information No unsatisfied warrants on file within prior 6 year period
https: / /fortress.wa. gov /lni/bbip /Print.aspx
07/15/2011