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HomeMy WebLinkAboutPermit PG07-022 - WESTFIELD SOUTHCENTER MALL - RADIO SHACKRADIO SHACK 1070 SOUThCENTER PY PG0 7-022 Parcel No.: 6364200010 Address: Suite No: 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.ci.tukwila.wa.us 1006 SOUTHCENTER MALL TUKW Tenant: Name: RADIO SHACK Address: 1070 SOUTHCENTER MALL , TUKWILA WA Owner: Name: WEA SOUTHCENTER BL Address: 11601 WILSHIRE BL , LOS ANGELES CA Contact Person: Name: DANI MEYERS Address: 1221 2 AV N , KENT WA Contractor: Name: HERMANSON COMPANY LLP Address: 1221 2ND AV N , KENT, WA Contractor License No: HERMACLOO5BJ DESCRIPTION OF WORK: INSTALL NEW LAVATORY AND WATER CLOSET. Value of Plumbing /Gas Piping: Fees Collected: Plumbing Bathtub or combination bath/shower Bidet Clothes washer, domestic Dental unit, cuspidor Dishwasher, domestic, with independent drain Drinking fountain or water cooler (per head) Food -waste grinder, commercial Floor drain Shower, single head trap Lavatory 1 Wash fountain 0 Receptor, indirect waste 0 Sinks 0 Urinals 0 Water Closet 1 doc: UPC - 10/06 $2,000.00 $98.00 PLUMBING /GAS PIPING PERMIT Uniform Plumbing Code Edition: 2003 International Fuel Gas Code Edition: 2003 FIXTURE TYPE AND OUANTITY * *continued on next page ** Permit Number: Issue Date: Permit Expires On: Phone: Phone: 206 -575 -9700 Phone: 206 - 575 -9700 Expiration Date: 08/25/2008 Gas Piping Gas piping outlets (0 -5) Gas piping outlets (6 +) Steven M Mullet, Mayor Steve Lancaster, Director PG07 -022 01/23/2007 07/22/2007 Plumbing (cont.) O Building sewer and each trailer park sewer 0 0 Rain water system - per drain (inside bldg) 0 O Water heater and/or vent 0 0 Industrial waste treatment interceptor, including 0 its trap and vent, except for kitchen type 0 grease interceptors 0 0 Repair or alteration of water piping and/or water O treatment equipment 0 0 Medical gas piping system serving one to five inlets /outlets for a specific gas 0 0 0 PG07 -022 Printed: 01 -23 -2007 Permit Center Authorized Signature: doc: UPC -10/06 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.ci.tukwila.wa.us Permit Number: PG07 - 022 Issue Date: 01/23/2007 Permit Expires On: 07/22/2007 Steven M Mullet, Mayor Steve Lancaster, Director Date: / ` 2� 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. Signature: » Date: / 3 -07 Print Name: D(.14'1 I nr) �� 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. PG07 -022 Printed: 01 -23 -2007 Parcel No.: 6364200010 Address: Suite No: Tenant: doc: Cond -10/06 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.ci.tukwila.wa.us 1006 SOUTHCENTER MALL TUKW RADIO SHACK 1: ** *PLUMBING AND GAS PIPING * ** PERMIT CONDITIONS 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. 8: No portion of any plumbing system or gas piping shall be concealed until inspected and approved. 8: 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. * *continued on next page ** Permit Number: Status: Applied Date: Issue Date: PG07 -022 ISSUED 01/23/2007 01/23/2007 PG07 -022 Printed: 01 -23 -2007 Signature: MU P5 5 Print Name: A Thid03 doc: Cond -10/06 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.ci.tukwila.wa.us Date: I hereby certify that I have read these conditions and will comply with them as outlined. 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 provision of any other work or local laws regulating construction or the performance of work. PG07 -022 Printed: 01 -23 -2007 Neu"' CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.citulavila. wa. us 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: 'O O t Jl� "l� ` J r ��.� Suite Number. 9 Floor: 1 Tenant Name: ���.1 Q LS- r: Tenant: ❑ Yes ka..No Property Owners Name: / CJ 10 (St -- ya_0(.- Mailing Address: 1070 Cep -d / rrek tA)L City State Zip CONTACT PERSON - who do we contact when your permit is ready to be issued Name: afti. ! �S oaa Day Telephone: (p -,c775-'� 766 Mailing Address: / hd 01/0 A �r ( l q?), City State Zip E -Mail Address: C11 � y e r� C he' rrn0,7S0/9 t COM Fax Number: l0 "6 75 -A8 GENERAL CONTRACTOR INFORMATION — (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) Company Name: Mailing Address: City State Zip Day Telephone: Fax Number: Expiration Date: Contact Person: E -Mail Address: Contractor Registration Number: ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record Company Name: Mailing Address: Contact Person: E -Mail Address: fief IMoU' )✓\ on > Lip Company Name: Mailing Address: I o l aRo (XIIP 1 ) y _ 1 2 , 4 , 0 ■ cA)A 9gC)?„D, City Day Telephone: Contact Person: r VCi KK' JiTCPAr\ E -Mail Address: ail e l r en @ kie.r C.t ti l7 . C n h- Q:Applications Fonns- Applications On Line0.2006 - Permit Applicationduc Revised' 9.2006 bh Building Permit No. Mechanical Permit No. Plumbing/Gas Permit No. Public Works Permit No. Project No (For office use only) P 01-rn_2, King Co Assessor's Tax No.: oZ( `Jl J`'t Q 00 State Zip City Day Telephone: Fax Number: ENGINEER OF RECORD All plans must be wet stamped by Engineer of Record State Zip Fax Number: c 9O( 575 9 $d) Page 1 of 6 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 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 PLUMBING AND GAS PIPING PERMIT INFORMATION - 206 - 431 -3670 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: f (ery 7ir7O .� Mailing Address: OA/ eR Q:Wpplications\Forms- Applications On Linel3 -2006 - Permit Applicationdoc Revised: 9 - 2006 bh Alp N • ffA/if Contact Person: (afili /r/el E -Mail Address: dmey// Ile n1OC.Ft40 - -t'. &Tm 2 Contractor Registration Number: eVfYJ qr' /0as B J Valuation of Plumbing work (contractor's bid price): $ .2.CY4) . cfl Valuation of Gas Piping work (contractor's bid price): $ rlA Scope of Work (please provide detailed information): p151 1/ (1) let) `Ct1JQ,(7)r"�{ arid CE) I � C /0 .t `Jl Building Use (per Int'l Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: 1/06 CCity q ©3 State Zip Day Telephone: 432:(O 575'97Z) Fax Number: r-Z — 57ti — 9 gfrip Expiration Date: O4/.4/177 Sewer: 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 Signature: 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). 1 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. ER OR AUTHORIZED AGENT: Q:\Applications`,Fotms- Applications On Linel3 -2006 - Permit Applicationdoc Revised: 9 -2006 bh Date: /7C /Q Print Name: Da"/ i KY)e (fer5 1 / ! Day Telephone: c9.0(r) .5 7 5 ' 7') Mailing Address: / 1 �h a),/o AI it et (f (/` H l City ��3� State Zip Y p Date Application Accepted: (— t ' 7 Date Application Expires: 1_Z3- 0? Staff 1 Page 6 of 6 'A1iI 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.ci.tukwila.wa.us RECEIPT Parcel No.: 6364200010 Permit Number: PG07 -022 Address: 1006 SOUTHCENTER MALL TUKW Status: APPROVED Suite No: Applied Date: 01/23/2007 Applicant: RADIO SHACK Issue Date: Receipt No.: R07 -00093 Payment Amount: $98.00 Initials: BLH Payment Date: 01/23/2007 01:19 PM User ID: ADMIN Balance: $0.00 Payee: DANI MEYERS TRANSACTION LIST: Type Method Description Amount Payment Check 1884 98.00 ACCOUNT ITEM LIST: Description PLUMBING - NONRES Account Code Current Pmts 000/322.100 98.00 Total: $98.00 4027 01/23 9716 TOTAL 98.00 doc: Receiot -06 Printed: 01 -23 -2007 Project: j Adel, u 1,_ S% Type of In estion: 7,...,, 4 . Addresl: Date Ca led: Special Instructions: Date Wanted: Requester: Phone No: 2, INSPECTION NO. INSPECTION RECORD Retain a copy with permit / PET 0 CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 2 - gZ pproved per applicable codes. El Corrections required prior to approval. COMMENTS: 7:3 / J 1 $58. RE1NSPECTION FE REQUIRED. Prior to inspection, fee must be " paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: • ' .÷.*.X r ' 4 ' '4 '..' , : ,- 4 , 4iilfir:141/ .41 1 - '''' 41 ' ' - -Atl - 4*^''''44.: Project: ,�4d/*6 , 5h��,fr Type of nspectign: , Rowh -/7" Address: /oO li Sd)t "►fv4//lj /T)4 /) Date Called: Special Instructions: Date Wanted: / -241-0 a Cpl Requester: Phone No: ,: — 6l 7 -.) i 5 9 INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 P667-- 001_ O rrpproved per applicable codes. Corrections required prior to approval. COMMENTS: Inspect Date% �y 7 El $58.00 R PECTION FEE REQUIRED. Prior to inspection, fee must be paid at • 00 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: License Information License HERMACLOO5BJ Licensee Name HERMANSON COMPANY LLP Licensee Type CONSTRUCTION CONTRACTOR UBI 602004844 Ind. Ins. Account Id PARTNER/MEMBER Business Type LIMITED LIABILITY COMPANY Address 1 1221 2ND AVE N Address 2 City KENT County KING State WA Zip 980322945 Phone 2065759700 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 1/11/2000 Expiration Date 8/25/2008 Suspend Date Separation Date Parent Company Previous License HERMAC'217NT Next License Associated License Business Owner Information Name Role Effective Date Expiration Date HERMANSON, RICHARD L PARTNER/MEMBER 01/01/1980 Bond Amount ALMON, KEVIN PARTNER/MEMBER 01/01/1980 MACDONALD, JAMES PARTNER/MEMBER 01/01/1980 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 2 Washington State Department of Labor and Industries 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. https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= HERMACL005BJ 01/23/2007