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Home My WebLink AboutPermit PG14-0153 - FOSTORIA PARK ASSOCIATES - GAS PIPING FOR RTUFOSTORIA PARK ASSOCIATES 4445 S 134 PL PG14-0153 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 Parcel No: 8700200020 Address: PLUMBING/GAS PIPING PERMIT 4445 S 134TH PL BLDG D Project Name: FOSTORIA PARK ASSOCIATES Permit Number: PG14-0153 Issue Date: 10/6/2014 Permit Expires On: 4/4/2015 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: FOSTORIA PARK ASSOC LLC 15100 SE 38TH ST #792 C/O ESM PROPERTIES INC, BELLEVUE, WA, 98006 LAURA SMITH 1221 SECOND VE N , KENT, WA, 98032 HERMANSON CO LIP 1221 2ND AVE N , KENT, WA, 98032- 2945 H ERMACL005 BJ Phone: (206) 920-1690 Phone: (206) 575-9700 Expiration Date: DESCRIPTION OF WORK: GAS PIPING FOR REPLCEMENT OF RTU (SEE M14-0173) Valuation of Work: $150.00 Water District: 125 Sewer District: TUKWILA SEWER SERVICE Fees Collected: $102.38 Current Codes adopted by the City of Tukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: 2012 2012 2012 2012 International Fuel Gas Code: WA Cities Electrical Code: WA State Energy Code: 2012 2014 2012 Permit Center Authorized Signature: 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: L. Date: 1U6, /JL, 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 2000 GAS PIPING FINAL 9002 ROUGH -IN GAS PIPING 9001 UNDERGROUND Tenant Name: CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Plumbing/Gas Permit No. ^ 01 -' ' Project No. Date Application Accepted: 0 j 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.: 8700200020 Site Address: 4445 S 134th P1 Tukwila, WA 98168 Suite Number: Fostoria Park Associates PROPERTY OWNER Name: ESM Properties Address: 15100 SE 38th St City: Bellevue State: WA Zip: 98006 CONTACT PERSON — person receiving all project communication Name: Laura Smith Address: 1221 2nd Ave N City: Kent State: WA Zip: 98032 Phone: (206) 920-1690 Fax: Email: LSmith@hermanson.com Floor: New Tenant: ❑ Yes ® ..No PLUMBING CONTRACTOR INFORMATION Company Name: Hermanson Address: 1221 2nd Ave N City: Kent State: WA Zip: 98032 Phone: (206) 920-1690 Fax: Contr Reg No.: HERMACLOO5BJ Exp Date: 08/25/2016 Tukwila Business License No.: 09-459 Valuation of Project (contractor's bid price): $ 150 Scope of Work (please provide detailed information): Replacement of (1) existing gas fueled roof top unit like for like. thm- 0(15) Building Use (per Int'I Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: Sewer: H:WpplicationsWorms-Applications On Line\2011 Applications\Plumbing Permit Application Revised 8-9-1 I.docx Revised: August 2011 bh Page I of 2 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 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 1 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 OWNER OR ACTH Signature: Print Name: Laura Smith IZ D AGEN s Mailing Address: 1221 2nd Ave N H:\Applications\Forms-Applications On Line\2011 Applications\Plumbing Permit Application Revised 8-9-1 Ldocx Revised: August 2011 bh Date: 10/03/2014 Day Telephone: (206) 920-1690 Kent WA 98032 City State Zip Page 2 of 2 DESCRIPTIONS PermitTRAK Cash Register Receipt City of Tukwila ACCOUNT QUANTITY PAID 14-0153 ress 34TH'PL BLDG'I 870020002C 02 GAS $97.50 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $32.50 PERMIT FEE R000.322.100.00.00 0.00 $65.00 TECHNOLOGY FEE $4.88 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R3240 R000.322.900.04.00 0.00 $4.88 $102.38 Date Paid: Monday, October 06, 2014 Paid By: HERMANSON CO LLP Pay Method: CREDIT CARD 134513 Printed: Monday, October 06, 2014 1:09 PM 1 of 1 SYSTEMS INSPECTION RECORD Retain a copy with permit INSPECTION N0. 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: e .1) S* t , VA-i- V. A5cy , Type o Ins ection: , r ,A_.5. AL , Adores : A Date d. Special nst uctions: Date anted: rn5 Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. +COMMENTS: Date: 1; t4. REINSPECTION FEE REQUIRE I . Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. uite 100. Call to schedule reinspection. HERMANSON COMPANY LLP - Page 1 of 3 0 Washington State Department of Labor & Industries HERMANSON COMPANY LLP Owner or tradesperson NICOLAISEN, KNUT H Principals NICOLAISEN, KNUT H, PARTNER/MEMBER BROCK, DANIEL L, PARTNER/MEMBER FOX, DEAN M, PARTNER/MEMBER HENGEL, STEPHEN A, PARTNER/MEMBER DYCKMAN, KENNETH A, PARTNER/MEMBER ROBINETT, PAUL J, PARTNER/MEMBER HERMANSON, RICHARD L, PARTNER/MEMBER ALMON, KEVIN, PARTNER/MEMBER (End: 08/05/2010) MACDONALD, JAMES, PARTNER/MEMBER (End: 08/05/2010) Doing business as HERMANSON COMPANY LLP WA UBI No. 602 004 844 1221 2ND AVE N KENT, WA98032-2945 206-575-9700 KING County Business type Limited Liability Partnership License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Construction Contractor Active. Meets current requirements. License specialties GENERAL License no. HERMACLOO5BJ Effective — expiration 01 /11 /2000— 08/25/2016 Bond WESTERN SURETY CO Bond account no. 929381801 $12,000.00 Received by L&I Effective date https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602004844&LIC=HERMACL005BJ&SAW= 10/06/2014