HomeMy WebLinkAboutPermit PG06-182 - WESTFIELD SOUTHCENTER MALL - FOOTLOCKERFOOTLOCKER
•
957 SOUTHCENTER MALL
•
•
•
PG06 -182
Parcel No.:
Address:
Suite No:
City b' Tukwila
Steven M. Mullet, Mayor
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: ci.tukwila.wa.us
PLUMBING /GAS PIPING PERMIT
2623049023
957 SOUTHCENTER MALL TUKW
Permit Number:
Issue Date:
Permit Expires On:
Steve Lancaster, Director
PG06 -182
10/11/2006
04/09/2007
Tenant:
Name: FOOTLOCKER
Address: 957 SOUTHCENTER MALL, TUKWILA WA
Owner:
Name: WESTFIELD CORPORATION LLC
Address: 11601 WILSHIRE BL, LOS ANGELES CA
Contact Person:
Name: JEFF REINDEL
Address' 223 S LEWIS ST, MONROE WA
Contractor:
Name: AMERICAN MECHANICAL CORP
Address: 12311 227 AV SE, MONROE WA
Contractor License No: AMERIMC071BH
Phone:
Phone: 206 227 -1420
Phone: (206)467 -6407
Expiration Date:01 /08/2007
DESCRIPTION OF WORK:
INSTALL AN ADA DRINKING FOUNTAIN
Value of Plumbing /Gas Piping: $0.00
Fees Collected: $88.00
Uniform Plumbing Code Edition: 2003
International Fuel Gas Code Edition: 2003
FIXTURE TYPE AND QUANTITY
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
Wash fountain
Receptor, indirect waste 0
Sinks 0
Urinals 0
Water Closet 0
Plumbing (cont.)
0 Building sewer and each trailer park sewer 0
0 Rain water system - per drain (inside bldg) 0
0 Water heater and /or vent 0
0 Industrial waste treatment interceptor, including
0 its trap and vent, except for kitchen type
1 grease interceptors 0
0 Repair or alteration of water piping and /or water
0 treatment equipment 0
0 Medical gas piping system serving one to five
0 inlets /outlets for a specific gas 0
0
Gas Piping
Gas piping outlets (0 -5) 0
Gas piping outlets (6 +) 0
""continued on next page **
doc: UPC - Permit
PGO6 -182 Printed: 10-11-2006
City fdr Tukwila
Steven M. Mullet, Mayor
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: ci.tukwila.wa.us
Permit Number:
Issue Date:
Permit Expires On:
Steve Lancaster, Director
PG06 -182
10/11/2006
04/09/2007
Permit Center Authorized Signature.
I hereby certify that I have read and
ordinances governing this work will
b
�. a1 11 ..• 1 L tlLi,
-x: mined
: ..m -
The granting of this permit does
regulating constuetign o,
Signatur,
Print Name:
Date: 14 10,
this permit and know the same to be true and correct. All provisions of law and
d with, whether specified herein or not.
presume to a ive authority to violate or cancel the provisions of any other state or local laws
man :,.f ;(.' k. I am authorized to sign and obtain this plumbing /gas piping permit.
Date: / /— a 4
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.
doe: UPC - Permit
PG06 -182 Printed: 10 -11 -2006
CITY OF TUKV/l' A
DEPT OFCr,.,i ::TYC-T'T !r "`NT
6•C,J C I : ... •
TUi:v.1.A, L I
PERMIT CONDITIONS
PERMIT CENTER
Parcel No.: 2623049023 Permit Number: PGO6 -182
Address: 957 SOUTHCENTER MALL TUKW Status: ISSUED
Suite No: Applied Date: 10/11/2006
Tenant: FOOTLOCKER Issue Date: 10/11/2006
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.
**continued on next page**
doc: Conditions
PG06 -182 Printed: 10 -11 -2006
CITY OF TUKL7D A
DEPT. OF ry C:.' : • J"'!' -NT
Loo
C U:h.: ?l,, , I
TUKWILA, VJA £ , ,3
PPP IT CENTER
I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and ordinances
goveming 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.
Signatur
Print Name:
Date: lG — o A
doc: Conditions
PGO6 -182 Printed: 10-11 -2006
Community Developns ' nepartment
Permit Center bred
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
se.
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"
/{ King Co Assessor's Tax No.: 2(j ,Jp�j
Site Address: M G k1/l A- Pi L Y Suite Number: 3 q O Floor: / g
Tenant Name: rooT L D LtCjt
Property Owners Name:
Mailing Address:
New Tenant:. Yes
�..No
City
State
Zip
CONTACT PERSON -Who do we contact when your permit is ready to be issued
Name: ice/=
gar✓ n en— Day Telephone: 2 2, 6 -2_7_ i- (q Z_o
Mailing Address: 'Z Z S 5.._ to c-v r 5 5 T_ ni or--rto c bn- q a- ii-z_
City State Zip
E -Mail Address: 0. 17i5r.-' Inn- t- t7 1/4-rvt tc i 1 n-✓ Th c ?A t (ntJax Number: 'it S-- <((q - c(d "? ?
C v frttP. C o vt.--,
PLUMBING / GAS7NPING .CONTRACTOR .INFORMATION
''
Company Name: (4 ill t C 1 ✓} J Y31 Et
Mailing Address: Z.L {�77 5 - L Eric
Contact Person: S&KI 'motr INrcL
E- Mail Address: Jae /aJPCL C��krv2 2cta- i,si cIFr.'LO,4t_
Contractor Registration Number 6etw\ Cn .) C v�
City
State Zip
Day Telephone: Z o G- CG 7— G (/o 7
FaxNumber/Z - t(tj9 -cto7q
Expiration Date:
ARCHITECT OF RECORD - All plans mush be wet by Architect ot"itecoi
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
Contact Person:
E -Mail Address:
State
Zip
ENGINEER OF RECORD -'Ail plans must be wet stamped by Engineer of Record
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
Contact Person:
E -Mail Address:
Q:UpplieWonaonnrAppliWioo. On Lin033006 - Plumbing -Gat Piping Permit Applimiotdoc
Revisal: 4-2006
bh
State
Zip
Page 1 of 2
Valuation of Project (contractor's bid price): S 97 S
Scope of Work (please provide detailed information):
o v r.�Tl ✓1�J
Building Use (per hit'l Building Code):
Occupancy (per Int' 1 Building Code):
Utility Purveyor: Water: Sewer:
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
Value of Construction —.In all rues, 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 BXIf Il LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
Mailing Address: -7 2-3 5o, S
Date: /6 I— 6 6
Day Telephone:
5T
Medgv c— of "Z *-7
City
State Zip
I ll Date Application Accepted: IO I I
'Fixture'blic:
(7ty -:
r 'iktttre: pe•
Fixture Type: :. .
Qty:
Bathtub or combination
bath shower
Drinking fountain or water
cooler (per head)
I
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
Value of Construction —.In all rues, 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 BXIf Il LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
Mailing Address: -7 2-3 5o, S
Date: /6 I— 6 6
Day Telephone:
5T
Medgv c— of "Z *-7
City
State Zip
I ll Date Application Accepted: IO I I
Date Application Expires: �1 I I
j
V
Staff Initials:
/
Q Applicn6oSFonu- Applinlions On LinM3 -2006 - Plumbing-Gas Piping Penni Appliulion.doc
Revised: 4-2006
bb
Page 2 of 2
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
RECEIPT
Parcel No.: 2623049023 Permit Number: PGO6 -182
Address: 957 SOUTHCENTER MALL TUKW Status: APPROVED
Suite No: Applied Date: 10/11/2006
Applicant: FOOTLOCKER Issue Date:
Receipt No.: R06 -01614 Payment Amount: 88.00
Initials: JEM Payment Date: 10/11/2006 03:07 PM
User ID: 1165 Balance: 50.00
Payee: JEFF REINEEL
TRANSACTION LIST:
Type Method Description
Amount
Payment Cash 88.00
ACCOUNT ITEM LIST:
Description
Current Pmts
Account Code
PLUMBING - NONRES
000/322.100 88.00
Total: 88.00
0650 10/11 9716 TOTAL 88.00
doc: Receipt Printed: 10-11 -2006
INSPECT/ • NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY F TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431
Project:
/=GVT cot /«2
Type of Inspections
` /N9
Address: ,,.
9 / S% Se!/i%u�t'n!4 / ✓ /'4
Date Called:
//
Special Instructions:
Date Wanted:
/7— ? —o `
(gni'
P.m.
Requester:
Phone No:
171,Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
P - v4-,; ('am p irir
Irlspecto \: Date:
?A ua // /7 J8
$580 REINSPECTION F E REQUIRED. Prior to inspection, fee must be
a at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Re pt No.:
Date:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
R oL - /S2
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)4(1-
Project:
f o0f Zoo tev
Type of Inspection:
F�.vr /
\J
Address:
Q 5 7 Smr/ -6cpArk ✓n%zr .
Date Called:
l
Special Instructions:
Date Wanted:
/0 --2.G--d L
a.m'
m.
Requester:
Phone No:
Approved per applicable codes.
laCorrections required prior to approval.
COMMENTS:
f4 .u]4 -k/ N6(i} id GGU „--, c. ace'
el-e•eii; e r f _MOO,
X2.2 130eg p�4U /2c, w{7 r /r4 `-1y
Date:
/0 -7G- 41
58/00 REINSPECTION FEE REQUIRED. prior to inspection, fee must be
d at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
206)434136.ZD
c1, / ,1 ._ . III a, C:_ a
Ado e.
. e1 41a I I
Special Instructions:
Approved per applicable codes.
D. e Called:
19 011
Date Wanted: 10 /3 O co a.m
Corrections required prior to approval.
COM'INENTS:
j /y��/
(/) t ?rryit Z(/ �'✓ rx,/r;d — %' o
/t'em: &ff rooni !,6(,_5- /,e,
`
t
I
r: /c� gate:
A41/ k, / it a A a-, /O
$ .00 REINSPECTIO FEE REQUIRED. of to inspection, fee must be
d at 6300 Southcenter Blvd., Suit 00. Call o sechedule reinspection.
R eipt No.:
ate:
..vv.. vt..s v ............... ..........v.w. W. 1 1.u..v.., ....vv..av ._....u. ...gv . v...
two
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.
License Information
License
AMERIMC071BH
Licensee Name
AMERICAN MECHANICAL CORP
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
601433818
Ind. Ins. Account Id
53821001
Business Type
CORPORATION
Address 1
PO BOX 1136
Address 2
City
MONROE
County
SNOHOMISH
State
WA
Zip
982724136
Phone
2064676407
Status
ACTIVE
Specialty 1
BOILER/STEAM FIT/PROC PIPING
Specialty 2
PLUMBING
Effective Date
1/8/1993
Expiration Date
1/8/2007
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
Business Owner Information
Name
Role
Effective Date
Expiration Date
KING, CHERI L
PRESIDENT
01/08/1993
KING, KELLY E
TREASURER
01/08/1993
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
OLD
REPUBLIC
SURETY
Until
https : / /fortress.wa.gov /lni/bbip/ printer .aspx?License= AMERIMC071BH 10/11/2006