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Home My WebLink AboutPermit PG14-0055 - SEGALE TEMPORARY HOUSING UNIT 10 - SANITARY SEWER AND DOMESTIC WATERSEGALE TEMP HOUSING UNIT 10 19407 SOUTHCENTER PKWY PG1 4-0055 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.gov PLUMBING/GAS PIPING PERMIT Parcel No: 0222049043 Permit Number: PG14-0055 Address: 19407 SOUTHCENTER PKWY Issue Date: 5/13/2014 Permit Expires On: 11/9/2014 Project Name: SEGALE TEMPORARY HOUSING #10 Owner: Name: Address: , , WA, Contact Person: Name: STEVE NELSON Phone: (206) 575-2000 Address: PO BOX 88028 , TUKWILA, WA, 98138 Contractor: Name: SEGALE PROPERTIES LLC Phone: (206) 575-2000 Address: PO BOX 88028 , TUKWILA, WA, 98138 License No: SEGALPL902CCt Expiration Date: 4/1/2016 Lender: Name: Address: DESCRIPTION OF WORK: CONNECT SANITARY SEWER AND DOMESTIC WATER TO TEMPORARY HOUSING UNIT Valuation of Work: $3,875.00 Water District: HIGHLINE Sewer District: TUKWILA SEWER SERVICE Fees Collected: $131.78 Current Codes adopted by the City of Tukwila: Internations Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: 2012 International Fuel Gas Code: 2012 WA Cities Electrical Code: 2012 WA State Energy Code: 2012 2012 2012 2012 Permit Center Authorized Signature: '�(�- Date: 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: T-A3/`i 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: <NONE> PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 8004 GROUNDWORK 1900 PLUMBING FINAL 8005 ROUGH -IN PLUMBING CITY OF TUKWI• Community Development Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Plumbing/Gas Permit No. 1-2biq--occ-c Project No. 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 King Co Assessor's Tax No.: 0222049043 Site Address: 19407 Southcenter Parkway Suite Number: Floor: Tenant Name: Segale Temporary Housing Unit #10 PROPERTY OWNER Name: Segale Properties LLC Address: 5811 Segale Park Dr C City: Tukwila State: WA Zip: 98188 CONTACT PERSON — person receiving all project communication Name: Steve Nelson Address: PO Box 88028 City: Tukwila State: WA Zip: 98138 Phone: (206) 575-2000 Fax: (206) 575-1837 Email: snelson@segaleproperties.com New Tenant: ❑ Yes ❑ ..No PLUMBING CONTRACTOR INFORMATION Company Name: Segale Properties LLC Address: PO Box 88028 City: Tukwila State: WA Zip: 98138 Phone: (206) 575-2000 Fax: (206) 575-1837 Contr Reg No.: SEGALPL902CQ Exp Date: 04/01/2015 Tukwila Business License No.: Valuation of Project (contractor's bid price): $ 3,875 Scope of Work (please provide detailed information): Connection sanitary sewer and domestic water to temporary housing unit. Building Use (per Int'1 Building Code) - Occupancy (per Int'l Building Code): Utility Purveyor: Water IRC 2012 Highline Sewer: Tukwila H:\Applications\Forms-Applications On Line\2011 Applications\Plumbing Permit Application Revised 8-9-11.docx Revised: August 2011 bh Page 1 of 2 Indicate type of plumbing fixtures and/or gay piping outlets being installed and the quantity u.,.ow: Fixture Type Qty Bathtub or combination bath/shower Dishwasher, domestic with independent drain 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 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 N R OR AUTI9RACJENT: Signature: Date: 04/14/2014 Print Name: Steven R. Nelson Day Telephone: (206) 396-2011 Mailing Address: PO Box 88028 Tukwila WA 98138 City State Zip H:\ApplicationsWorms-Applications On Line\2011 Applications\Plumbing Permit Application Revised 8-9-11.docx Revised: August 2011 bh Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS I ACCOUNT I QUANTITY PermitTRAK- PAID $1,958.88 D14-0119 Address: 19301 FRAGER RDS Apn: 0222049043 . $357.94 DEVELOPMENT $347.54 PERMIT FEE R000.322.100.00.00 $207.90 PLAN CHECK FEE R000.345.830.00.00 $135.14 WASHINGTON STATE SURCHARGE B640.237.114 $4.50 TECHNOLOGY FEE $10.40 TECHNOLOGY FEE R000.322.900.04.00 $10.40 D14-0120 Address: 19301 FRAGER RD S Apn: 0222049043 $357.94 DEVELOPMENT $347.54 PERMIT FEE R000.322.100.00.00 $207.90 PLAN CHECK FEE R000.345.830.00.00 $135.14 WASHINGTON STATE SURCHARGE B640.237.114 $4.50 TECHNOLOGY FEE $10.40 TECHNOLOGY FEE R000.322.900.04.00 $10.40 D14-0121 Address: 19301 FRAGER RD S Apn: 0222049043 $357.94 DEVELOPMENT $347.54 PERMIT FEE R000.322.100.00.00 $207.90 PLAN CHECK FEE R000.345.830.00.00 $135.14 WASHINGTON STATE SURCHARGE B640.237.114 $4.50 TECHNOLOGY FEE $10.40 TECHNOLOGY FEE R000.322.900.04.00 $10.40 D14-0122 Address: 19301 FRAGER RD S Apn: 0222049043 $357.94 DEVELOPMENT $347.54 PERMIT FEE R000.322.100.00.00 $207.90 PLAN CHECK FEE R000.345.830.00.00 $135.14 WASHINGTON STATE SURCHARGE B640.237.114 $4.50 TECHNOLOGY FEE $10.40 TECHNOLOGY FEE R000.322.900.04.00 $10.40 PG14-0054 Address: 19301 FRAGER RD S Apn: 0222049043 $131.78 PLUMBING $125.50 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 $32.50 PERMIT FEE R000.322.100.00.00 $93.00 Date Paid: Wednesday, April 16, 2014 Paid By: SEGALE PROPERTIES LLC Pay Method: CHECK 2157 Printed: Wednesday, April 16, 2014 9:01 AM 1 of 2 CR SYSTEMS Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT QUANTITY PAID PermitTRAK $1,958.88 PG14-0054 Address: 19301 FRAGER RD S Apn: 0222049043 $131.78 TECHNOLOGY FEE $6.28 TECHNOLOGY FEE R000.322.900.04.00 $6.28 PG14-0055 Address: 19301 FRAGER RD S Apn: 0222049043 $131.78 PLUMBING $125.50 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 $32.50 PERMIT FEE R000.322.100.00.00 $93.00 TECHNOLOGY FEE $6.28 TECHNOLOGY FEE R000.322.900.04.00 $6.28 PG14-0056 Address: 19301 FRAGER RD S Apn: 0222049043 $131.78 PLUMBING $125.50 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 $32.50 PERMIT FEE R000.322.100.00.00 $93.00 TECHNOLOGY FEE $6.28 TECHNOLOGY FEE R000.322.900.04.00 $6.28 PG14-0057 Address: 19301 FRAGER RD S Apn: 0222049043 $131.78 PLUMBING $125.50 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 $32.50 PERMIT FEE R000.322.100.00.00 $93.00 TECHNOLOGY FEE $6.28 TECHNOLOGY FEE R000.322.900.04.00 $6.28 TOTAL FEES PAID BY RECEIPT: R1818 $1,958.88 Date Paid: Wednesday, April 16, 2014 Paid By: SEGALE PROPERTIES LLC Pay Method: CHECK 2157 Printed: Wednesday, April 16, 2014 9:01 AM 2 of 2 SYSTEMS INSPECTION RECORD .� 055 �-� 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 Projects--- Type e of Inspectio : Address: Dat lied: AML --- Special Instructions: Date Wanted: -7 / /_ .- / — /% 'ZI:rn., tam Regoester: Phone No: ``Approved per applicable codes. Corrections required prior to approval. COMMENTS: / l 1\� /�. /d7in///AL), (Z - LDP/A/r/0�/ , ' 5, /- ,N ei,'f/- -/ A. — /) d /A/ -> , , - inspectt$5r: 11 /j2w44") .1 CJ ..../a--S-.../i ri iEREQU. / , mbe / aidINSPECTION at 6300 SouthcenterFEE Blvd.IRED, SuitePrior 100.to Callext toinspectionschedule fee reinspectustion. Datt`�` SEGALE PROPERITIES LLC Page 1 of 2 0 Washington State Department of Labor & Industries SEGALE PROPERITIES LLC Owner or tradesperson SEGALE, MARIO A Principals SEGALE, MARIO A, PARTNER/MEMBER SEGALE, MARIO A, AGENT Doing business as SEGALE PROPERITIES LLC WA UBI No. 602 023 533 PO BOX 88028 TUKWILA, WA98138-2028 206-575-2000 KING County Business type Limited Liability Company License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Construction Contractor License specialties GENERAL License no. SEGALPL902CQ Effective — expiration 02/18/2010— 04/03/2016 Bond SAFECO INS CO OF AM Bond account no. 6115146 Received by L&I 03/28/2002 Insurance Alaska National Insurance Co Policy no. 14DLS31006 Received by L&I 03/28/2014 Insurance history Savings Active. Meets current requirements. $12,000.00 Effective date 02/18/2010 $1,000,000.00 Effective date 04/01/2014 Expiration date 04/01/2015 https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602023533&LIC=SEGALPL902CQ&SAW= 05/13/2014