HomeMy WebLinkAboutPermit PG09-041 - KING COUNTY METRO TRANSIT SOUTThis 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.
PG09 -041
King County Metro — Transit South Base
12100 East Marginal Way South
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
12
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.
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TV0-60-9d
Parcel No.: 7340600421
Address:
Suite No:
Value of Plumbing /Gas Piping:
Fees Collected:
doc: UPC -7/07
City`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
12100 EAST MARGINAL WY S TUKW
Owner:
Name: KING COUNTY
Address: 500 K C ADMIN BLDG , SEATTLE WA
Contact Person:
Name: RICHARD ZALAC
Address: PO BOX 5056 , KENT WA
Contractor:
Name: ADEPT
Address: PO BOX 5056 , KENT WA
Contractor License No: ADEPT* *945CS
DESCRIPTION OF WORK:
IN-PLACE PIPE RESTORATION OF INDUSTRIAL WATER SYSTEM
$189,337.00
$45.00
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 0
Wash fountain
Receptor, indirect waste 0
Sinks 0
Urinals 0
Water Closet 0
PLUMBING /GAS PIPING PERMIT
Tenant:
Name: KING COUNTY METRO TRANSIT SOUTH BASE
Address: 12100 EAST MARGINAL WY S , TUKWILA WA
FIXTURE TYPE AND QUANTITY
0
* *continued on next page **
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 253 850 -8518
Phone: 253 850 -8518
Expiration Date: 12/03/2009
PG09 -041
04/29/2009
10/26/2009
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) 0
Water heater and /or vent 0
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 1 g
Repair or alteration of drainage or vent piping 0
Medical gas piping system serving (1 -5)
inlets /outlets for a specific gas 0
Medical gas piping (6 +) inlets /outlets 0
Gas Piping
Gas piping outlets (0 -5) 0
Gas piping outlets (6 +) 0
PG09 -041 Printed: 04 -29 -2009
Permit Center Authorized Signature:
I hereby certify that I have read and e
governing this work will be complied
Signature:
doc: UPC -7/07
City ofTukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http://www.citukwila.wa.us
GkAl
ed 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 presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or th- • e ' o ance of work. I am authorized to sign and obtain this plumbing /gas piping permit.
Print Name: <3L"1 >:l D 1■ LC /
Permit Number: PG09 -041
Issue Date: 04/29/2009
Permit Expires On: 10/26/2009
Date: 1/
Date:
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 -041 Printed: 04 -29 -2009
Parcel No.: 7340600421
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
12100 EAST MARGINAL WY S TUKW
KING COUNTY METRO TRANSIT SOUTH BASE
1: ** *PLUMBING AND GAS PIPING * **
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
PG09 -041
ISSUED
04/29/2009
04/29/2009
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 -041 Printed: 04 -29 -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 of law and
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
construction or the performance of work.
Signature: I �i�+ %���
Print Name: V r) Ha, i 7 I$ f E. 2t,i g 12
doc: Cond -10/06 PG09 -041
Date: 4 1•c:. 2 62 9
ordinances governing
or local laws regulating
Printed: 04 -29 -2009
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukvvila.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
King Co Assessor's Tax No.: 3' m.. ON2 /
Site Address: kiln() E AsrAddArwi..a1 iotiy .Sovnv. rakw,ln, wA 92G, Suite Number: Floor:
Tenant Name: >�i nrq Cc�, - yGrrzo r�a.vs.> Soolw A4SZ. New Tenant: ❑ Yes Er..No
Property Owners Name: I< ;,.. Co4Nt y
Mailing Address:
yn r f lora .d ✓t ,
Name: t icwarcD z.n1A
YMtiae F/onfl
CONTACT PERSON — who do we contact when your permit is ready to be issued
Mailing Address: Po Sox so$4 KL..r IJA 9P 04 - So5 - 6
E - Mail Address: r icio'd s. P v d opt me.c.loa oat. Co wt.
GENERAL CONTRACTOR INFORMATION —
(Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5))
Company Name: Sett ✓: u s /.a c
Mailing Address: Po Box SOS
Contact Person: 2;c.1a20 Zalac-
E -Mail Address:
Company Name:
Contact Person:
r fe. lifittet Z.lP, act t ptr>reci►4n loge /. !Adel
Contractor Registration Number:_,//),pr i Nkfr fs/c'eS
,e) /7
Building Permit No. •
Mechanical Permit No.
Plumbing /Gas Permit No.
Public Works Permit No.
Project No.
(For office use only)
S
EA 'rile_
City
Day Telephone:
Gl� 9I /e V
State Zip
Asa. .9 SO -85
City State
Fax Number: a sd • 85o.0 9/0
State
State
Zip
'4/ .' 9.1'06
State Zip
/ ir
City
Day Telephone: .?s 3•X50 • aS / 8
Fax Number: ,tS3• 9 /o
Expiration Date: /a • 0.3.09
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
Mailing Address:
City
Day Telephone:
E -Mail Address: Fax Number:
H\Applications \Forms - Applications On Line\2009 Applications \1 -2009 - Permit Application.doc
Revised: 1 -2009
bh
Zip
Page 1 of 6
Fixture Type:
Qty
Fixture Type:
Qty
Fixture Type:
Qty
Fixture Type:
Qty
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
Building sewer and each
trailer park sewer
Rain water system — per
drain (inside building)
Water heater and /or vent
Industrial waste treatment
interceptor, including trap
and vent, except for kitchen
type grease interceptors
Each grease trap
(connected to not more
than 4 fixtures - <750
gallon capacity)
Grease interceptor for
commercial kitchen ( >750
gallon capacity)
Repair or alteration of
water piping and/or water
treatment equipment
'
Repair or alteration of
drainage or vent piping
Medical gas piping
system serving 1 -5
inlets /outlets for a
specific gas
Each additional medical
gas inlets /outlets greater
than 5
Backflow protective
device other than
atmospheric -type vacuum
breakers 2 inch (51 mm)
diameter or smaller
Backflow protective device
other than atmospheric -type
vacuum breakers over 2
inch (51 mm) diameter
Each lawn sprinkler
system on any one meter
including backflow
protection devices
Atmospheric -type vacuum
breakers not included in
lawn sprinkler backflow
protections (1 -5)
Atmospheric -type
vacuum breakers not
included in lawn
sprinkler backflow
protections over 5
Gas piping outlets
Contact Person:
E -Mail Address:
CA1.4i2U
PLUMBING AND GAS PIPING PERMIT INFORMATION - 206 - 431 -3
PLUMBING AND GAS PIPING CONTRACTOR INFORMATION
Company Name: /�AKalf.../1 4 /Aitil40/ dry ' ✓, cef c
Mailing Address: 00 AoX .s D �C "4",c1 4) 9,4)n6y
City State Zip
Day Telephone: 2s3., RS /8
Z.942 r-
/'IGya.i I Leacie -4o3 c_Aa A 1 rnZ. C.OI 1
Contractor Registration Number: Alzier r 4 vc S
Valuation of Project (contractor's bid price): $ /,PQ 33 7.
Scope of Work (please provide detailed information):
fyfr" -
/ N - 0 4 cc._ /.p.— 'err >d' nJ 4//7u. rdr ,o
Building Use (per Int'I Building Code):
Occupancy (per Int'I Building Code):
Utility Purveyor: Water: Sewer:
Indicate type of plumbing fixtures and /or gas piping outlets being installed and the quantity below:
Fax Number: . R5 /l1
Expiration Date: /A , o a . n 4
H:Wpplications \Forms - Applications On- Line\2009 Applications \1-2009 Permit Application.doc
Revised. 1-2009
bh
Page 5 of 6
Date Application Accepted:
of kvi
PERMIT APPLICATION NOTES — Applicable to all permits in this application
Value of Construction — In all casts, 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWN R AUTHORIZED AGENT:
Signature: A74 Date: q.., q • o
Print Name:
Mailing Address: P O 3ax
H:\Applications\Fons- Applications On Line \2009 Applications \1.2009 - Permit Application.doc
Revised. 1 -2009
bh
Day Telephone: 3.8 s .8S7A
City
kM- saes/
State Zip
Date Application Expires: Staff Initials:
Page 6 of 6
Receipt No.: R09 -00651
ACCOUNT ITEM LIST:
Description
PLUMBING - NONRES
1
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
Payee: ADEPT MECHANICAL SERVICES, INC.
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 7885 45.00
Authorization No.
RECEIPT
Account Code Current Pmts
000.322.103.00.0 45.00
Total: $45.00
Parcel No.: 7340600421 Permit Number: PG09 -041
Address: 12100 EAST MARGINAL WY S TUKW Status: APPROVED
Suite No: Applied Date: 04/29/2009
Applicant: KING COUNTY METRO TRANSIT SOUTH BASE Issue Date:
Payment Amount: $45.00
Initials: JEM Payment Date: 04/29/2009 01:40 PM
User ID: 1165 Balance: $0.00
ENT
ECEVED
PAY
doc: Receipt -06 Printed: 04 -29 -2009
Project:
/ 0 %1/6 ( ,v /yf1 //v
Type ofjspection:
.N4
Address: —
Date Called:
Special Instructions:
Date Wanted:
, 2 d
('-a;2
m.
— v
Requester:
Phone No:
INSPECTION RECORD
Retain a copy with permit
P6t-321l
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION 44--
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
dadh, 4f/Led-i,
cv0
.00 REINSPECTION FEE EQUIRED. ' rior to inspection, fee must be
paid at 6300 Southcenter Blv.., Suite 110. Call to schedule reinspection.
Receipt No.: ,Date:
k\cL
6
Bond C
Bond B
Bond E
Effective E
Expiration C
Cancel I
Impaired B
Bond R
Received
3 C
AMERICAN U
100020987 0
04/02/2007 C
Until
$12,000.00 1
11/ 16/2007
2 C
CBIC 6
634709 0
02/10/1998 U
Until 0
05/19/1999 $
$4,000.00
1 C
CBIC 6
634709 0
02/10/199302/10 /1998 $
$4,000.00
Specialty Specialty 2 Ef Date Effective Ex Date on Status
ADEPT BOILER /STEAM
ADEPTMS075C2 MECHANICAL CONSTRUCTION PLUMBING FIT /PROC 2/22/1993 12/3/2007 INACTIVE
SERVICES CONTRACTOR PIPING
INC
Name R ole Effective Date Expiration Date
BURR, SHELTON N 02/10/2006
BURR, VALERIE B 02/10/2006
Assignment of
Savings Savings Effective Release Assignment Impaired Amount Received
Account Date Date Type Date Date
Number
2
12/03/2001 Until Bond $6,000.0012/3/2001
Released
Untitled Page
1
General /Specialty Contractor
A business registered as a construction contractor with LEI 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 ADEPT UBI No. 601443349
Phone 2538508518 Status ACTIVE
Address PO BOX 5056 License No. ADEPT * *945CS
Suite /Apt. License Type CONSTRUCTION CONTRACTOR
City KENT Effective Date 2/10/2006
State WA Expiration Date 12/3/2009
Zip 980645056 Suspend Date
County KING Specialty 1 GENERAL
Business Type Corporation Specialty 2 UNUSED
Parent Company
her Associated Licenses
Business Owner Information
Bond Information
Assignment of Savings Information
• Page 1 of 2
https: // fortress .wa.gov /lni/bbip/Detail.aspx 04/29/2009
Untitled Page
1
General /Specialty Contractor
A business registered as a construction contractor with LEI 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 ADEPT UBI No. 601443349
Phone 2538508518 Status ACTIVE
Address PO BOX 5056 License No. ADEPT * *945CS
Suite /Apt. License Type CONSTRUCTION CONTRACTOR
City KENT Effective Date 2/10/2006
State WA Expiration Date 12/3/2009
Zip 980645056 Suspend Date
County KING Specialty 1 GENERAL
Business Type Corporation Specialty 2 UNUSED
Parent Company
her Associated Licenses
Business Owner Information
Bond Information
Assignment of Savings Information
• Page 1 of 2
https: // fortress .wa.gov /lni/bbip/Detail.aspx 04/29/2009