HomeMy WebLinkAboutPermit PG08-279 - ALFRED ANGELO BRIDALThis 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.
PG08 -279
Alfred Angelo Bridal
17250 Southcenter Parkway, Suite 136
RECORDS DIGITAL D- ) EXEMPTION LOG
THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION
Page # tode Exemption = 8rlef Explanatory DeSclriptiop �t�tutel ule
The Privacy Act of 1974 evinces Congress'
intent that social security numbers are a private
concern. As such, individuals' social security
Personal Information —
numbers are redacted to protect those
Social Security Numbers
individuals' privacy pursuant to 5 U.S.C. sec.
5 U.S.C. sec.
DR1
Generally — 5 U.S.C. sec.
552(a), and are also exempt from disclosure
552(a); RCW
552(a); RCW
under section 42.56.070(1) of the Washington
42.56.070(1)
42.56.070(1)
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 numbers, electronic check numbers, credit
Personal Information —
expiration dates, or bank or other financial
RCW
15
DR2
Financial Information —
account numbers, which are exempt from
42.56.230(5)
RCW 42.56.230(4 5)
disclosure pursuant to RCW 42.56.230(5),
except when disclosure is expressly required by
or governed by other law.
ALFRED ANGELS BRIDAL
17250 SOUTHCENTER PY
STE 136
PGO8-279
Cit3
f 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
PLUMBING /GAS PIPING PERMIT
Parcel No.: 2623049117
Address: 17250 SOUTHCENTER PY TUKW
Suite No:
Permit Number:
Issue Date:
Permit Expires On:
PG08 -279
11/18/2008
05/17/2009
Tenant:
Name: ALFRED ANGELO BRIDAL
Address: 17250 SOUTHCENTER PY, STE 136 , TUKWILA WA
Owner:
Name: WIG PROPERTIES LLC -SS
Address: 4811 134TH PL SE , BELLEVUE WA
Contact Person:
Name: BRENT ADKISSON
Address: 2020 S 320 ST, C -90 , FEDERAL WAY WA
Contractor:
Name: D15 MECHANICAL
Address: 2020 S 320 ST #C -90 , FEDERAL WAY WA
Contractor License No: D 15MEM *930BT
Phone:
Phone: 360 888 -5433
Phone: 360 888 -5433
Expiration Date: 01/30/2009
DESCRIPTION OF WORK:
ADD (2) GAS OUTLETS TO EXISTING GAS LINE
Value of Plumbing /Gas Piping:
Fees Collected:
$1,000.00
$115.00
Plumbing
Bathtub or combination bath/shower
Bidet
Clothes washer, domestic
Dental unit, cuspidor
Dishwasher, domestic, with independent drain
Drinking fountain or water cooler (per head)
Food -waste grinder, commercial
Floor drain
Shower, single head trap
Lavatory
Wash fountain
Receptor, indirect waste
Sinks
Urinals
Water Closet
Uniform Plumbing Code Edition: 2006
International Fuel Gas Code Edition: 2006
FIXTURE TYPE AND QUANTITY
Plumbing (cont.)
0 Building sewer and each trailer park sewer 0
0 Rain water system - per drain (inside bldg) 0
0 Water heater and/or vent 0
0 Industrial waste treatment interceptor, including
0 its trap and vent, except for kitchen type
0 grease interceptors 0
0 Repair or alteration of water piping and/or water
0 treatment equipment 0
0 Repair or alteration of drainage or vent piping 0
0 Medical gas piping system serving (1 -5)
0 inlets /outlets for a specific gas 0
0 Medical gas piping (6 +) inlets /outlets 0
0 Gas Piping
0 Gas piping outlets (0 -5) 2
0 Gas piping outlets (6 +) 0
* *continued on next page **
doc: UPC -10/06 PG08 -279 Printed: 11 -18 -2008
City otTukwila
•
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.ci.tukwila.wa.us
Permit Number:
Issue Date:
Permit Expires On:
PG08 -279
11/18/2008
05/17/2009
Permit Center Authorized Signature:
I hereby certify that I have read and e
governing this work will be complied
Date: t Vl Va
Led this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
The granting of this permit does not pre
construction or the pe
Signature:
Print Name:
e t gi .e- authority to violate or cancel the provisions of any other state or local laws regulating
authorized to sign and obtain this plumbing /gas piping permit.
f21-.i7 41/6;5$
Date: /1 -/
-o
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 -10/06
PGO8 -279 Printed: 11 -18 -2008
Parcel No.: 2623049117
Address:
Suite No:
Tenant:
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
17250 SOUTHCENTER PY TUKW
ALFRED ANGELO BRIDAL
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
PG08 -279
ISSUED
11/06/2008
11/18/2008
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: Cond -10/06
PG08 -279 Printed: 11 -18 -2008
0
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.ciduk-wila.wa.us
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 perfo ce of work.
Signature:
Print Name:
/RE r �lal /� SSA
Date: //.--/ e-08'
doc: Cond -10/06
PG08 -279 Printed: 11 -18 -2008
CITY OF TUKWIL`"'
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Plumbing /Gas Permit No. PDT 2-11
Project No.
ffice 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 5o Sou. -r e t% "XtvY
King Co Assessor's Tax No.: 1 G- ( 4 l t
Suite Number: / 2 Floor:
Tenant Name: 1 1 FRCP . liA)G'•LO B%zlp4- L New Tenant: g.... Yes ..No
Property Owners Name: tr./ 1 fir- 12K toFJQ T I ( $
Mailing Address:
gar �3� 5-6"
City
�4
State
goo 6.
Zip
CONTACT PERSON -W
contact when your permit is ready to
be issued
Name:
g"/ T /- >��KJ`s Su-.
Mailing Address:
E -Mail Address:
Day Telephone: ? C) " 8- O g "5733
City
Fax Number:
State
Zip
PLUMBING
GAS PIPING CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Contractor Registration Number: Ms S M E M i( 05' 3 g
/5 141 e-c- k u.r. CO3-,1
,Zo Vi c, S. 320 �` Sf C -9Q
r )4 A>^ •/T
Fee?" w 4 /•j,�- S��x3
City State Zip
7 O - ger- 5'j3
Day Telephone:
Fax Number:
Expiration Date:
ARCHITECT OF RECORD, =-
All plans must be wet stamped by Architect ofRecord
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
City
Day Telephone:
Fax Number:
State
Zip
ENGINEER OF RECOR:
— Alt planssmust be wet stamped by Engineer of Record
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Q:\Applications\Forms - Applications On Line \3 -2006 - Plumbing -Gas Piping Permit Application.doc
Revised: 4.2006
bh
City
Day Telephone:
Fax Number:
State
Zip
Page 1 of 2
Valuation of Project (contractor's bid price): $ �Q�Q
Scope of Work (please provide detailed information):
461d d Exf`d 7,t / cJ ` Jt v\ s
Building Use (per Int'i 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:
.Ftxturey,T�ype_, ,' �;, �
Qty
Fixture T a �� ` � ' ` `�'
k - ` '
�Fixture.T_ `e' ,�
,< ,
�_ �
���'txtare�T. eF.. �
Qty
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
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 1 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
Signature:
AUTHORIZED AGENT:
Print Name:
Mailing Address: Za 20 S • y7.1, . 57' C ,O Cede ✓.I w7 /t-
City State Zip
RA £'r 4ol kr's.$
Date: //— 6-mo o
Day Telephone: 360
Date Application Accepted: • ( ��
(� 'Z'
Date Application Expires: � /
01
Staff Initials:
Q:1Applications\Forms- Applications On Line13.2006 - Plumbing -Gas Piping Penni Application.doc
Revised: 4 -2006
bh
Page 2 of 2
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.: 2623049117 Permit Number: PG08 -279
Address: 17250 SOUTHCENTER PY TUKW Status: APPROVED
Suite No: Applied Date: 11/06/2008
Applicant: ALFRED ANGELO BRIDAL Issue Date:
Receipt No.: R08 -03782
Initials: JEM
User ID: 1165
Payment Amount: $92.00
Payment Date: 11/18/2008 01:41 PM
Balance: $0.00
Payee: BRENT ADKISSON
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Cash 92.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
GAS - NONRES
000.322.103.00.0 92.00
Total: $92.00
9713 11/18 9707 TOTAL 92.00
doc: Receiot -06 Printed: 11 -18 -2008
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: htta: //www.ci.tukwila.wa.us
SET RECEIPT
RECEIPT NO: R08 -03706
Initials: JEM
Payment Date: 11/06/2008
User ID: 1165 Total Payment: 200.00
Payee: D15 MECHANICAL
SET ID: S000001128 SET NAME: Tmp set/Initialized Activities
SET TRANSACTIONS:
Set Member
M08 -270
P,GO'8- 2'719
TOTAL:
Amount
177.00
23.00
177.00
TRANSACTION LIST:
Type Method Description Amount
Payment Cash 200.00
TOTAL: 200.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
MECHANICAL - NONRES
PLAN CHECK - NONRES
000.322.102.00.0 75.50
000/345.830 124.50
TOTAL: 200.00
INSPECTION RECORD
Retain a copy with permit
P6a 49.
INSPECTI N NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3
Project:
PiIf-2fc'tD A C1i0
Type of Inspection:
6AS- 1--.,N...u► r
Address:
111 50 Sal ktte 4-J04 ai
Date Called:
Special Instructions:
Date Want d: a.m., 12- (1 (D8
Requester:
Phone No:
.%C.) — 'al-S i%3--...
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
1
`PPy, M, I. CleN.k H'
1
i1
.
+
it
4
,
■
r
o
p or:
1
Date:
)7 /I/ /OLD
0.00 REINSPECTION F E REQUIRED. Prior to inspection, fee must be
did at 6300 Southcenter Blvd!(, Suite 100. Call to schedule reinspection.
Re eipt No.:
Date:
'�4C,HC't4_5Mtletaiga. -P- '- -02.x- 2{391. - ..
INSPECTION RECORD
...--- :iiain a copy with permit
INSEEEPION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
P6 o° Z79
Pro.t4 1_te (J ilAJ(FLo e d
8 Type 1 ftnspect (' I1- ;v l, 641
Address:
co4% `_ �l_ 1�teCalled:
� �
Q
Special Instructions:
Date Wanted:
1z.i01/a4a
a
Requester:
Phone No:
....4Approved per applicable codes. Corrections required prior to approval.
COMMENTS:.
-
Inspecto
Date) z d% /rz,
❑ $60.00 EINSPECTION FEE RE%UIREP Prior to inspection, fee must be
]paid 6300 Southcenter Blvd., Spite 100. Call to schedule reinspection.
R
Date:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION ice'
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
r
1.;
Project: /41.
/�
Tyke f Inspection:
Address:
/77_ jo ..c6
,,I�'�i�,
Date Called:
Special Instructions:
Date Wanted: /A-2.4"-°45 Cm,
Requester:
Phone No:
Approved per applicable codes.
COMMENTS:
ii? 4 Corrections required prior to approval.
�I1r�� ,+'f.6'�.'�%cd�4;I.:���__ _ -. �'°, r_= r.• Y', 6V, c�2l :K.;r,�= tt;:,�;+yy_._.n"z..M�.,
ri $60.00 REINSPECT! o FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
'Date:
PERMIT COORD COPY •
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: PG08 -279 DATE: 11 -06 -08
PROJECT NAME: ALFRED ANGELO BRIDAL
SITE ADDRESS: 17250 SOUTHCENTER PY, STE 136
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter # Revision # After Permit Issued
DEPARTMENTS:
AA
Bung D1�iisi n I'
Public Works
Fire Prevention
❑ Structural
Planning Division
❑ Permit Coordinator ❑
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
Comments:
Incomplete
n
DUE DATE: 11-11-08
Not Applicable
Permit Center Use Only
INCOMPLETE LETTER MAILED:
LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES /THURS R TING:
Please Route Structural Review Required n No further Review Required ❑
REVIEWER'S INITIALS:
DATE:
APPROVALS OR CORRECTIONS:
Approved
Notation:
u
Approved with Conditions
DUE DATE: 12-09-08
Not Approved (attach comments) ❑
REVIEWER'S INITIALS:
DATE:
Permit Center Use Only i •
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Documents/routing slip.doc
2 -28 -02
Untitled Page
•
•
Page 1 of 1
General /Specialty Contractor
A business registered as a construction contractor with LEtI 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
Phone
Address
Suite /Apt.
City
State
Zip
D15 MECHANICAL UBI No.
3608885433 Status
2020 5 320TH ST
#C -90
FEDERAL WAY
WA
98003
County KING
Business Type INDIVIDUAL
Parent
Company
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Previous
License
Next License
Associated
License
Specialty 1
Specialty 2
601841514
ACTIVE
D15MEM *930BT
CONSTRUCTION CONTRACTOR
1/30/2007
1/30/2009
AIR
H EAT,VENTI LATI ON, EVAPORAT
SHEET METAL
Business Owner Information
Name
Role
Effective Date
Expiration Date
ADKISSON, BRENT
OWNER
01/30/2007
Received
Date
Assignment of Savings Information
Savings
Assignment of
Savings
Account
Number
Effective
Date
Release
Date
Assignment
Type
Impaired
Date
Amount
Received
Date
1
01/29/2007
Until
Released
Bond
Date
$6,000.001/30/2007
Date
Insurance Information
https: // fortress .wa.gov /lni/bbip/Detail.aspx ?License =D 15MEM *930BT
11/18/2008
Company
Policy
Effective
Expiration
Cancel
Impaired
Received
Insurance
Name
Number
Date
Date
Date
Date
Amount
Date
2
OHIO CAS
INS CO
BH053443229
01/03/2008
01/03/2009
$1,000,000.0012
/27/2007
1
OHIO CAS
INS CO
BH053443229
01/03/2007
01/03/2008
$300,000.00
01/30/2007
https: // fortress .wa.gov /lni/bbip/Detail.aspx ?License =D 15MEM *930BT
11/18/2008
HVAC EQUIPMENT SCHEDULE
YORK ROOF TOP UNITS (208 /230- 3Phase)
Unit #
CFM
Type of Heat
Model #
Gas BTUs
RTU 136 -1
2000
Packaged Gas
DJ 060
79,000
RTU 136 —2
1600
Packaged Gas
DJ 048
60;000
RTU 1'36 -3
20011
Packaged Gas
DJ 060
79,000
All Units Complete with Disposable Filters, Economizer
w/ Hood, Smoke Duct Detector & Thermostat
SCOPE O WOK
Install 2ea New York 5 Ton Roof Top Units
Space has Existing York 4 Ton, Roof Top Unit
Install Duct System from 3ea Roof Top Units
Install and vent 2ea. New 70' CFM Bath Fans.
Install 3ea Honeywell Touch Screen Stats
Install 2ea New Gas Outlet's. from Existing, line
Single Gas Line Hanging Detail
2" Square Washer w/
Bar Joist
3/8" All Thread
Loop Pipe
K Mom
'P cc�r N
i16 CFY
REVISIONS
No changes shall be made to the scope
of work without prior approval of
• B ildin • Division.
NOTE Revisions will require a new plan submitta
and may include additional plan review fees.
RTU 136-1
1t' Rd
IT Rd
1P
IT Rd
G. VP. Um
1P MaI.M
Existing 2 GW Line
10 17 Rd
Ar
RTU 136-2
SEPARATE PERMIT
REQUIRED FOR:
ical
(Plumbing
0 Gas Piping
City of Tukwila
BUILDING DIVISION
IT R01
New 1• m Lino
1S Rdi
1P1
e]D WI
sre
10
IT Rd
nlar review approval is subject to e
Appoova; of constriction document
the violation, of any adopted' fie' or
of approved Field Co, and
17, Rd
14 Rd
Byy°A
ee0
ate :
1P
RTU 136-3
10• eupq i
e1e I i
aEcdvED
GrrY OF'1'UKtMt;,q,
NOV 0 6 2001
PERMITi C CENTER
FED E COPY
r:
Permit NO
17 Rd
City of Tukwila
BUILDING DIMS, s N
B"Rtl'
1 i ' CODE COMP J
APPROVE
NOV 1 4, 200
1
a
Of Tukwal
DMS
Women's Restroom
DO C FGD
9.th F.nl
Men's Restroo
as' and' c
es not
dinar=
is assn
„`„,
g�
B ri d a
Southcenter Square
17250 Southeenter P
IA19818a
HVAC PLAN
Suite #136
D15. MECHANICAL,
2020 S. 320thi St #C -90
Federal' Way;,WA980Ci3
M e ■i . ®I