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HomeMy WebLinkAboutPermit PG12-150 - BEST BUY MOBILEThis 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. PG 12 -150 Best Buy — Mobile 17250 Southcenter Parkway RECORDS DIGITAL D- ) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION F,age # Code Exemption � � �� Brief Explsnatoty Description, Statute /Rule The Privacy Act of 1974 evinces Congress' intent that Personal Information — social security numbers are a private concern. As such, individuals' social security numbers are Social Security Numbers redacted to protect those individuals' privacy pursuant 5 U.S.C. sec. DR1 Generally — 5 U.S.C. sec. to 5 U.S.C. sec. 552(a), and are also exempt from 552(a); RCW 552(a); RCW disclosure under section 42.56.070(1) of the 42.56.070(1) 42.56.070(1) Washington 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 Personal Information — numbers, electronic check numbers, credit expiration 11 DR2 Financial Information — dates, or bank or other financial account numbers, RCW RCW 42.56.230(4 5) which are exempt from disclosure pursuant to RCW 42.56.230(5) 42.56.230(5), except when disclosure is expressly required by or governed by other law. 05i-tiiOd 911 TJJflS �d }IaLLNZtEI3HLLf1OS ggj a'irnovt Asia isaa Parcel No.: Address: City Alt Tukwila 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 7888920020 17250 SOUTHCENTER PY TUKW Project Name: BEST BUY MOBILE Permit Number: Issue Date: Permit Expires On: PG12 -150 08/01/2012 01/28/2013 Owner: Name: Address: Contact Person: Name: Address: Email: WIG PROPERTIES LLC -SS 4811 134TH PL SE , BELLEVUE WA 98006 GARY KRUPP 1420 NW GILMAN BL , ISSAQUAH WA 98027 PLUMDOC 1 @HOTMAIL.COM Contractor: Name: EASTSIDE PLUMBING SERVICES Address: 1420 NW GILMAN BL , ISSAQUAH WA 98027 Contractor License No: EASTSPS980NA Phone: 206 200 -5553 Phone: 425 644 -3517 Expiration Date: 08/04/2012 DESCRIPTION OF WORK: INSTALL DRINKING FOUNTAIN Value of Plumbing /Gas Piping: Fees Collected: Electrical Service Provided by: Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complie $2,688.00 Uniform Plumbing Code Edition: 2009 $96.60 International Fuel Gas Code Edition: 2009 1xamied this permit and know the same to be true and correct. All provisions of law and ordinances with, whether specified herein or not. Date: ybi,DIA The granting of this permit does not press ine 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 t. Signature: Print Name: 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 PG12 -150 Printed: 08 -01 -2012 PERMIT CONDITIONS Permit No. PG12-150 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 PG12-150 Printed: 08 -01 -2012 CITY OF TUK A Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Plumbing/Gas Permit No. %At Project No. CP 12-' 4 W / cVbllt Date Application Accepted: 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 Site Address: / 72-Co -;077teGenre,L Tenant Name: King Co Assessor's Tax No.7t g f Z 40 Z O 1 Suite Number: 1 1 IP Floor: New Tenant: Er Yes — fHo6 ik PROPERTY OWNER Companyt 10e. Jv/,t;,/ �_7 ,t i •X� Name: 106 ,p12.0 pes .ire -S Address:,9 Ni dieo,d ld/� Address: State:WA_ Zip City: .--.“/4- 2,.. City: State: Zip: CONTACT PERSON - person receiving all project communication Companyt 10e. Jv/,t;,/ �_7 ,t i •X� Name 6��1/ Alm)", City: u7 UA-I4- State:10A{- Zip Z 7 Address:,9 Ni dieo,d ld/� Contr Reg No.:C4rs s 9 *xp Date. /V . ~i.� State:WA_ Zip City: .--.“/4- 2,.. fry Phone /o cuo J c.-s-3 Fax: g,` 7 -, D, ./4422, Email: pt-u ;44jo C 2 & /107-4,m4. appf ❑..No PLUMBING CONTRACTOR INFORMATION Companyt 10e. Jv/,t;,/ �_7 ,t i •X� /Name:E Addres)7'o90 O�o 61i/n'14i1) -Alio City: u7 UA-I4- State:10A{- Zip Z 7 Phone:l/2d- 4, qt‘ .IS 17 Fax: ieq 7 3ek •/i/z.2_, Contr Reg No.:C4rs s 9 *xp Date. /V . ~i.� Tukwila Business License No.:. C* tio2 ti e4 o 1ottri Valuation of Project (contractor's bid price): $ a 6 Of -� Scope of Work (please provide detailed information): 4. %/1,n /L //veil. Building Use (per Intl Building Code): Occupancy (per Int'l Building Code): Utility Purveyor:, Water. 'Tl7rlvr Tit-iN Sewer Indicate type of plumbing fixtures and/oFgas piping outlets being installed and the quanti elow: Fixture Type Qty Bathtub or combination bath/shower Dishwasher, domestic with independent drain Shower, single head trap �i 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 �i 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 �i 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 �i 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 OWNE QTR Ap' ! '� ZED AGENT: Signature: / �/ Date: g • / '1 Z Print Name: tom"✓' K am% I` Day Telephone: 43,06 ' s C'S- -ssa vim+ AJA- 9e02.7 City State Zip Mailing Address: / O /i)& 61 /l4'.11-+J �� Jo • City 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.TukwilaWA.gov RECEIPT Parcel No.: 7888920020 Permit Number: PG 12 -150 Address: 17250 SOUTHCENTER PY TURIN Status: APPROVED Suite No: Applied Date: 08/01/2012 Applicant: BEST BUY MOBILE Issue Date: Receipt No.: R12 -02258 Initials: JEM User ID: 1165 Payment Amount: $96.60 Payment Date: 08/01/2012 12:34 PM Balance: $0.00 Payee: GARY KRUPP TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 035303 ACCOUNT ITEM LIST: Description 96.60 Account Code Current Pmts PLUMBING - NONRES 000.322.103.00.00 96.60 Total: $96.60 doc: Receipt -06 Printed: 08 -01 -2012 INSPECTION RECORD Retain a copy with permit INSPECTION' O. PERMIT NO. OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 iv (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 ?6,12 15L) Project: f i Y tU 6 c 3,(. Type of Inspection: \-- %tJva: r, in .. (' -> Address: ` ! -7 2...S0 cDC N3 k C tom( Date Called: Special Instructions: Date Wa@nntted:: -7 C�-� F .�. r-: a:m. 4�P - Requester: Phone. No: Approved per applicable codes. El Corrections required, prior' to approval: COMMENTS: V Ins n REINSP /TION FEE REQUIRED. Prior to nex inspection fee Rust be., 1paid at, 300 Southcenter Blvd.. Suite 00. Call to schedule reinspectiom Date: 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) 431 -2451 Projet{� S t -.i JU ,,(e TYPe2of Inspection: - , ) ! J_ /t ! Address: 1.1750 Date Called: _ . -;. Special Instructions: Date Wanted: /. •Zawm Requester: Ph 6D 2 _ t ,3 on - , Approved per applicable codes. El Corrections required prior to approval..; COMMENTS: 1 Inspects' A or: Date: 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 INSPECTION NO. PERMIT NO. 6� CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100,.Tukwila. WA 98188 '�'z.. (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 P6 -fS0 Project: s_3,1 ' �� Type f Inspection: �. ►�� if J_A IL, -) A4 5 Address: I / 1 Z.5 0 Se P4r I'L41L -t/ Date Called: (S A ,p -e i rJre G.t ArA r Special Instructions: r 7�i f ,` n l vr� , mot. j dl Date Wanted: - (;a_m . �---- P. m. Requester: Pho e 2400 r`a S-S�j ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: 4 MJST— Gt R- c .S (pE (S A ,p -e i rJre G.t ArA r (�.. !j p ( 0-.s � ,1e t - e5 I / 2-2 jieeve.`.. se J f ; ‘' i)( S r-o 12 6-e-i o kac -1"-- rc-- '. ASS I o 149 K --. >xJ€(- ``D % =-A Q l,J uJ D r (i' precjut-e ©A S,-A , 1 ,,,,fit Sur(' NOT- ( D l! % sa PS, Date: n REINSPECTION FEE REQUIRE. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople ter Friendly Page • General /Specialty Contractor A business registered as a construction contractor with L &I 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 EASTSIDE PLUMBING SERVICES UBI No. 600396279 Phone 4256443517 Status Active Address 1420 Nw Gilman Blvd License No. EASTSPS980NA Suite /Apt. License Type Construction Contractor City Issaquah Effective Date 8/1/2002 State WA Expiration Date 8/4/2012 Zip 98027 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 EASTSPS150P5 EASTSIDE PLUMBING SERVICES Construction Contractor plumbing Unused 10/25/1985 8/20/2002 Archived RENOVSL966J1 RENOVATION SERVICES LLC Construction Contractor General Unused 4/21/2004 4/21/2006 Expired Business Owner Information Name Role Effective Date Expiration Date KRUPP, GARY J Owner 08/01/2002 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 2 FEDERATED MUTUAL INS CO 9319697 09/27/2003 Until Cancelled 09/27/2009 $6,000.00 09/29/2003 Assignment of Savings Information Savings Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 2 7/16/2009 Until Released Bond $6,000.00 7/17/2009 Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 10 Ohio Cas Ins Co BKS54185664 08/01/2011 08/01/2013 $1,000,000.00 07/11/2012 9 01-110 CAS INS BHO54185664 08/01/2010 08/01/2011 $1,000,000.00 08/03/2010 8 OOHIO CAS INS BHO54185664 08/01/2009 08/01/2010 $1,000,000.0007 /17/2009 7 FEDERATED MUTUAL INS CO 9849950 08/19/2007 08/19/2010 08/07/2009 $1,000,000.0007 /02/2009 6 FEDERATED MUTUAL INS CO 9849950 08/19/2006 08/19/2007 $1,000,000.0007 /05/2006 5 FEDERATED MUTUAL INS CO 9849950 08/19/2005 08/19/2006 $1,000,000.0008 /29/2005 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 08/01/2012