HomeMy WebLinkAboutPermit PG09-010 - SPEC TENANTSPEC TENANT
12830 INTERURBAN AV S
PGO9-010
Parcel No.: 2716000010
Address:
Suite No:
Cityf 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
12830 INTERURBAN AV S TUKW
Tenant:
Name: SPEC TENANT
Address: 12830 INTERURBAN AV S , TUKWILA WA
Owner:
Name: RREEF AMERICA REIT II CORP/
Address: PO BOX 4900 #207 , SCOTTSDALE AZ
Contact Person:
Name: VERNON HUBER
Address: 3420 C ST NE #30 , AUBURN WA
Contractor:
Name: HUBER'S PLUMBING CO
Address: 3420 C ST NE , AUBURN WA
Contractor License No: HUBERP *042M2
Value of Plumbing /Gas Piping:
Fees Collected:
Plumbing
Bathtub or combination bath/shower 0
Bidet 0
Clothes washer, domestic 0
Dental unit, cuspidor 0
Dishwasher, domestic, with independent drain 0
Drinking fountain or water cooler (per head) 0
Food -waste grinder, commercial 0
Floor drain 0
Shower, single head trap 0
Lavatory 1
Wash fountain
Receptor, indirect waste 0
Sinks 0
Urinals 0
Water Closet 1
doc: UPC -10/06
$3,000.00
$186.50
•
PLUMBING /GAS PIPING PERMIT
FIXTURE TYPE AND QUANTITY
0
* *continued on next page **
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 206 510 -3069
Phone: 253 839 -7876
Expiration Date: 07/17/2010
DESCRIPTION OF WORK:
CAP OLD PIPING IN WALL AND FLOOR, ROUGH -IN AND TRIM LOCATION OF NEW WC, LAV, HW
TANK, AND COFFEE SINK.
PG09 -010
02/03/2009
08/02/2009
Uniform Plumbing Code Edition: 2006
International Fuel Gas Code Edition: 2006
Plumbing (cont.)
Building sewer and each trailer park sewer 0
Rain water system - per drain (inside bldg) 1
Water heater and /or vent 1
Industrial waste treatment interceptor, including
its trap and vent, except for kitchen type
grease interceptors 0
Repair or alteration of water piping and/or water
treatment equipment 0
Repair or alteration of drainage or vent piping 0
Medical gas piping system serving (1 -5)
inlets /outlets for a specific gas 1
Medical gas piping (6 +) inlets /outlets 0
Gas Piping
Gas piping outlets (0 -5) 0
Gas piping outlets (6 +) 0
PG09 -010 Printed: 02 -03 -2009
Permit Center Authorized Signature:
doc: UPC -10/06
City ("Tukwila
Print Name: E 5 R v 7 2_
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: PGO9 -010
Issue Date: 02/03/2009
Permit Expires On: 08/02/2009
Date: 1-1 -
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. c�
Signature: � - Date: /
3 -- v
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.
PG09 -010 Printed: 02 -03 -2009
Parcel No.: 2716000010
Address:
Suite No:
Tenant:
12830 INTERURBAN AV S TUKW
SPEC TENANT
1: ** *PLUMBING AND GAS PIPING * **
• •
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 CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
PG09 -010
ISSUED
01/22/2009
02/03/2009
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.
doc: Cond -10/06
* *continued on next page **
PG09 -010 Printed: 02 -03 -2009
•
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
I hereby certify that I have read these conditions and will comply with them as outlined. All provisions
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
construction or the performance of work.
Signature: � —
Print Name: 4tf�.2/r= - i B e rrt -e,L.
doc: Cond -10/06
PG09 -010
Date: Z _3 - 7~
of law and ordinances governing
other work or local laws regulating
Printed: 02 -03 -2009
SITE LOCATION
Site Address: /7 _77 ‘Rr /
Tenant Name:
Property Owners Name:
Mailing Address:
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
hup: //www. ci. tukwila. wa. us
CONTACT PERSON — who do we contact when your permit is ready to be issued
Name: - !� /
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 **
/ "
4
'-0d .fir
02 ic
Mailing Address: /9J7( �p // _c /4/
Si "
GENERAL CONTRACTOR INFORMATION —
(Contractor Information for Meeeh (pg 4) for P�mb'ng and Gas Piping (pg 5))
Company Name: ,4' G /s / '4 /1/ 1/2,5
Contact Person: ,(� G1 -//k
E -Mail Address:
Q:\Apphcatioos\Forou- Appiicatio,s ()o limit -2006 - Pcnn,t Appt:ratioaaoc
Revised: 9-2006
bh
•
Building Permit No. —
Mechanical Permit No.
Plumbing/Gas Permit No. . 0 -- l 0
Public Works Permit No.
Project No.
King Co Assessor's Tax No.: V-7/6 (fir OO / 0
.1 4 SO Suite Number: Floor:
Ze . D ,( New Tenant: [ Yes ❑..No
if
City
D) Telephone:
Mailing Address: "a j6 X 060 7
(For office use only)
Zip
State
State
City
E -Mail Address: Fax Number:
i 1 9 � J/
City State Zip
Day Telephone: 2 OP
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
ARCHITECT OF RECORD — All plans must be wet stamped by Architect of Record
Company Name:
Mailing Address:
Zip
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
ENGINEER OF RECORD — All plans must be wet stamped by Engineer of Record
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
Fax Number
Page 1of6
Zip
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)
I
Water heater and/or
vent
l
/
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
l
Medical gas piping system
serving one to five
inlets/outlets for specific gas
PLUMBING AND GAS PIPING PERMIT INFORMATION - 206 -431 -3670
PLUMBING AND GGA P 5 CONTRA TOR INF IRIVATION
Company Name: £1e5 � ��1z ' /✓ /�
Mailing Address: 39;2(3 /i/
Contact Person: l�f / — /YI// �i'
E -Mail Address:
Cont actor Registration Number:
A rr
Valuation of Plumbing work (contractor's bid price): $ ' OaU
Valuation of Gas Piping work (contractor's bid price): $
> ,
Scope of Work (plea�se ovi�de detailed information): t � '� � /j5 / f /1fi /ll / ✓�� Ifs
A five-- `, gym oG' 04 o7 iz� 6 Gem
/ ,e
I/L/� .7fOZ 7/
City State Zip
Day Telephone: „2e 5--/o �. j4. 7
Fax Number: .26 83.3 -S/'7 6
Expiration Date: 0 7 O / U
Building Use (per Int'l Building Code):
Occupancy (per Intl Building Code):
Utility Purveyor: Water: Sewer:
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
Q: Applications Forms- Applications On Linen -2006 - Permit Application don
Revised: 9-1006
bh
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 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).
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 O 7
Date Application Accepted:
/AeEN
Signature: 1
Print Name: � ,�c4 G�'.G' n4
Mailing Address: _34 L .5‘t /ley
0 `1
Q:\ApplicationsWotms- Application On final -2006 - Permit Application doe
Revised: 9 -2006
bh
I Date Application Expires:
I
Date: D/ o2 /
Day Telephone: 201(',/0 - 3 U i< 7
./4/14/24 rte/, 9f21 Y
City State Zip
Page 6 of 6
Payee: HUBERS PLUMBING
ACCOUNT ITEM LIST:
Description
PLUMBING - NONRES
•
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
Initials: WER Payment Date: 02/03/2009 10:27 AM
User ID: 1655 Balance: $0.00
Parcel No.: 2716000010 Permit Number: PG09 -010
Address: 12830 INTERURBAN AV S TUKW Status: APPROVED
Suite No: Applied Date: 01/22/2009
Applicant: SPEC TENANT Issue Date:
Receipt No.: R09 -00175 Payment Amount: $157.00
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 29303 157.00
RECEIPT
Account Code Current Pmts
000.322.103.00.0 157.00
Total: $157.00
F
doc: Receiot -06 Printed: 02 -03 -2009
Receipt No.: R09 -00121
Payee: HUBER'S PLUMBING CO.
ACCOUNT ITEM LIST:
Description
PLAN CHECK - NONRES
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
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 29291 29.50
RECEIPT
Parcel No.: 2716000010 Permit Number: PG09 -010
Address: 12830 INTERURBAN AV S TUKW Status: PENDING
Suite No: Applied Date: 01/22/2009
Applicant: SPEC TENANT Issue Date:
Initials: JEM Payment Date: 01/22/2009 01:43 PM
User DD: 1165 Balance: $157.00
Account Code Current Pmts
000/345.830 29.50
Total: $29.50
Payment Amount: $29.50
1770 01/22 9707 TOTAL
29.50
doc: Receiot -06 Printed: 01 -22 -2009
Prole
/. 7T II/
Type of IJr spection:
r I,ti,, i % /'h .4 6
Al 4 - 1
Address:
/'Z <936 .iv
r7 v"_6 4-n ,
Date Called:
Special Instructions:
Date Wanted:
3- �3 - 5
O
Requester:
Phone No
.2. p 6- 3c14-i5 ,'6
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (20
VI ,..„
Approved per applicable codes.
COMMENTS:
aenvekte 1 1
Date:
El Corrections required prior to approval.
ri $6 0 REINSPECTION FE EQUIR . Prior to inspection, fee must be
pa at 6300 Southcenter Blvd., Suit 100. Call to schedule reinspection.
Receipt No.:
Date:
Pro'
. ¢C' �,�9
Typ of Inspection:
• -'6 jLi - ' -' /)6 la
N
Address:
/2-e30_2 d4fv
Date Called:
_ ,
Special Instructions:
Date Wanted:
e=( / z/74/
P.m
Requester:
Phone No: p+ p
,3 4'7 —7 7(
INSPECTION RECORD
Retain a copy with permit ,e 7-41 0
PERMIT NO.
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -
V
Approved per applicable codes. 0 Corrections required prior to approval.
COMMENTS:
,42 Al # •A7 — *44/1.-t-/
Spector:
1
/7
A.► /a{.
REINSPECTION FEE ' QUIR D. Prior to inspection, fee must be
at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
1 COPY
P-i' f
P- r: ? w approval b sublect CM= d c:rttse
c. cn won document la . . 1 cultr.k
Raid Copy and =dam is Iti,e; ::1
BY
Date:. — 3 ' —
O 8
r m
R
Mid Tv.
D I I
42'
REVISIONS
No changes stall be made to the scope
of work without prior approval of
Tukwila Building Division.
NOTE: Revisions will require a new plan submittal
auu may multiunit' Mari wnvitsw web.
SPEC TENANT IMPROVEMENT
12830 INTERURBAN AVE SO. (GCC BLDG 1)
TUKWILA, WASHINGTON
mp
ti tYJ�CYYCI� ruP
it COMP . F: CE
PR IR
JAN 2 9 2009
RECEM
JAN 2 11009
PERMIT CENTER
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evf^ ete • ~A, , jve. /l�l •� s rte.
1 2 - : fai• 3 e , 7/.
ACTIVITY NUMBER: PG09 - 010 DATE: 01 -22 -09
PROJECT NAME: SPEC TENANT
SITE ADDRESS: 12830 INTERURBAN AV S
X Original Plan Submittal
Response to Correction Letter #
Response to Incomplete Letter #
Revision # After Permit Issued
DEPARTMENTS:
VL 4wC, ti"
Building Div ision
Public Works
PLAN REVIEW /ROUTING SLIP
r
.NN AsS
Fire Prevention
Structural
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete V
Comments:
APPROVALS OR CORRECTIONS:
Documents/routing slip.doc
2 -28 -02
W R
Incomplete
•
n
U Permit Coordinator ❑
H
DUE DATE: 01-27-09
Permit Center Use Only
INCOMPLETE LETTER MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
LETTER OF COMPLETENESS MAILED:
TUES/THURS RO TING:
Please Route Structural Review Required n No further Review Required ri
REVIEWER'S INITIALS:
DATE:
Planning Division
Not Applicable
DUE DATE: 02-24-09
Approved E. Approved with Conditions wr Not Approved (attach comments)
Notation:
REVIEWER'S INITIALS:
DATE: t'c)-q'D/
n
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
3
FEDERATED
MUTUAL
INS CO
9335611
09/13/2007
Until
Cancelled
$6,000.0009/10/2007
2
AMERICAN
STATES INS
CO
EX948812
06/25/2002
UntilUntil led
09/13/2007
$6,000.00
06/14/2002
1
AMERICAN
STATES INS
CO
EX94881206/25/199606/25/2002
$4,000.00
Insurance
Company
Name
Policy
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Amount
Received
Date
FEDERATED
11
MUTUAL
9434729
06/14/200806/14
/2009
$1,000,000.0005
/12/2008
INS CO
Name
Role
Effective Date
Expiration Date
HUBER, VERNON R JR
OWNER
07/22/1996
Untitled Page
General /Specialty Contractor
A business registered as a construction contractor with LOEI 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
County
Business Type
Parent
Company
HUBER'S PLUMBING
CO
2538397876
3420 C ST NE
AUBURN
WA
98001
KING
Individual
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Previous License
Next License
Associated
License
Specialty 1
Specialty 2
601725669
ACTIVE
HUBERP *042M2
CONSTRUCTION
CONTRACTOR
7/22/1996
7/17/2010
HU BERP`232L7
PLUMBING
UNUSED
Business Owner Information
Bond Information
Insurance Information
•
•
https: / /fortress.wa. gov /lni/bbip/Detail.aspx ?License= HUBERP* 042M2
Page 1 of 3
02/03/2009