HomeMy WebLinkAboutPermit PG10-003 - CARTERS BABIES AND KIDSCARTERS BABIES AND KIDS
17250 SOUTHCENTER PY
SUITE 144
PG1 0-003
Parcel No.: 7888920020
Address:
Suite No:
Cityif Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Inspection Request Line: 206 - 431 -2451
Web site: http: / /www.ci.tukwila.wa.us
PLUMBING /GAS PIPING PERMIT
17250 SOUTHCENTER PY TUKW
Permit Number:
Issue Date:
Permit Expires On:
PG 10 -003
01/12/2010
07 /11/2010
Tenant:
Name: CARTERS FOR BABIES AND KIDS
Address: 17250 SOUTHCENTER PY SUITE 144 , TUKWILA WA
Owner:
Name: WIG PROPERTIES LLC -SS
Address: 4811 134TH PL SE , BELLEVUE WA
Contact Person:
Name: CLAUDINE SEIDLER
Address: 4811 S 134 PL SE , BELLEVUE WA
Contractor:
Name: AIR 1 HEATING INC
Address: 2304 26 ST SE , PUYALLUP WA
Contractor License No: AIR1H1H950QG
Phone:
Phone: 425 - 641 -2044
Phone: 253 227 -5433
Expiration Date: 11/16/2011
DESCRIPTION OF WORK:
INSTALL 2 GAS LINE TO 2 HVAC UNITS
Value of Plumbing /Gas Piping: $500.00
Fees Collected: $96.60
Uniform Plumbing Code Edition: 2006
International Fuel Gas Code Edition: 2006
FIXTURE TYPE AND OUANTITY
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
0
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 0
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) 2
Gas piping outlets (6 +) 0
* *continued on next page **
doc: UPC -7/07
PG 10 -003 Printed: 01 -12 -2010
City "Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Inspection Request Line: 206 - 431 -2451
Web site: http: / /www.ci.tukwila.wa.us
Permit Number: PG 10 -003
Issue Date: 01/12/2010
Permit Expires On: 07/11/2010
Permit Center Authorized Signature:
off
Date: [ — l )- 1 O
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 do - not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the perfor Irce of w • rk. I . m ed to sicpLancLobtain this plumbing /gas piping permit.
Signature: /. i - Date:
Print Name:
YgiAri
-/d
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 -7/07
PG 10 -003 Printed: 01 -12 -2010
• •
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
Parcel No.: 7888920020
Address:
Suite No:
Tenant:
17250 SOUTHCENTER PY TUKW
CARTERS FOR BABIES AND KIDS
Permit Number:
Status:
Applied Date:
Issue Date:
PG 10 -003
ISSUED
01/12/2010
01/12/2010
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
PG 10 -003 Printed: 01 -12 -2010
• •
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 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.
Signature:
Print Name:
'1y7>9V/lslc4.,
/Z-/
Date:
doc: Cond -10/06
PG 10 -003 Printed: 01 -12 -2010
S
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Plumbing /Gas Permit No. T6 la— 00 3
Project No.
(For office 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
King Co Assessor's Tax No.: 788892-0020 -07
Site Address: 17250 Southcenter Pkwy, Tukwila, WA 98188 Suite Number: 144 Floor: 1
Tenant Name:
Carter's Retail Inc.
Property Owners Name: Wig Properties LLC -SS
Mailing Address: 4811 134th Place SE
New Tenant: J Yes ❑ ..No
Bellevue
WA 98006
City
State
Zip
CONTACT PERSON — Who do we contact when your permit is ready to be issued.
Name: Claudine Siedler
Mailing Address: 4811 134th Place SE
Day Telephone: (425) 641 -2044
Bellevue WA 98006
E -Mail Address: csiedler @wigproperties.com
City State
Fax Number: (425) 865 -8648
Zip
PLUMBING / GAS PIPING CONTRACTOR INFORMATION
Company Name: Air 1 Heating Inc.
Mailing Address: 20825 SR 410 E #536
Bonney Lake
WA 98391
City State Zip
Contact Person: Brent Adkisson Day Telephone: (360) 888 -5433
E -Mail Address: brentadkisson @hotmail.com Fax Number: (206) 829 -9357
Expiration Date:
Contractor Registration Number: AT IQ jH11+9SO4&
ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record
Company Name: Kenneth L. Butts Architect AIA
Mailing Address: 124 Stagecoach Road
Contact Person: Kenneth L. Butts
E -Mail Address: KbAIA @adelphia.net
Bell Canyon
CA 91307
City State Zip
Day Telephone: (818) 999 -4272
Fax Number: (818) 999 -4321
ENGINEER OF RECORD — All plans must be wet stamped by Engineer of Record
Company Name: Don Penn Consulting Engineering
Mailing Address: 635 Westport Pkwy, Suite 300
Grapevine
Contact Person: Don Penn
E -Mail Address: donpenn @donpenn.com
H: \Applications \Fomu - Applications On Line\2009 Applications \I-2009 - Plumbing -Gas Piping Permit Application.doc
Revised: 1 -2009
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TX 76051
City State Zip
Day Telephone: (817) 410 -2858
Fax Number: (817) 251 -8411
Page 1 of 2
Valuation of Project (contractor's bid price): $ 500
Scope of Work (please provide detailed information): Install 2 gas line to 2 HVAC units
Building Use (per Int'l Building Code):
Occupancy (per Int'l Building Code):
Utility Purveyor: Water: Sewer:
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
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
2
PERMIT APPLICATION NOTES -
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 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 OWNER OR AUTHORIZED AGENT:
Signature:
Print Name:
mohan K. Wig
Mailing Address: 4811 134th Place SE
Date: 01/12/2010
Day Telephone: (425) 747 -8540
Bellevue WA 98006
City
State
Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
H:\ Applications\Forms- Applications On Line\2009 Applications \1.2009 - Plumbing -Gas Piping Permit Application.doc
Revised: 1-2009
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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.: 7888920020 Permit Number: PG 10 -003
Address: 17250 SOUTHCENTER PY TUKW Status: PENDING
Suite No: Applied Date: 01/12/2010
Applicant: CARTERS FOR BABIES AND KIDS Issue Date:
Receipt No.: R10 -00045
Initials:
User ID:
Payee:
WER
1655
Payment Amount: $96.60
Payment Date: 01/12/2010 01:19 PM
Balance: $0.00
ANJALI WIG
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA -
Authorization No. 042979
ACCOUNT ITEM LIST:
Description
96.60
Account Code Current Pmts
GAS - NONRES
000.322.103.00.00 96.60
Total: $96.60
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 01 -12 -2010
INSPECTION RECORD
Retain a copy with permit Pd/0 --d03
INSPECTION NO. f PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project:
/" ✓d D (A- /f l �5
Type of sp coon: ��
--/-/ AM /
Address. //'' / /-4/ /�
/ 72 `7 V <" er 'eti L0. -
D tte 21,IIle .
�.
Special Instructions:
Date Wan/3/O
.,Z
'gyp —..•
Requester:
Phone No:
V
Approved per applicable codes. 0 Corrections required prior to approval.
COMMENTS:
r4/ ;-71 ,41,0 44-
Inspe o Dat
r
$6
.00 REINSPECTION FEE REQUIR0. Prior to inspection, fee must be
id at 6300 Southcent r Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
. _ __ ._.s. 2o-,_s,...,s:7,-,:
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
P610 -9a3
4r
PERMIT NO.
(206)431 -3670
Project:
( ' h /'? 7F€5
Type of Inspection:
620.1/6 hz- —r'N — G4;
Address:
/72.5-0 <5"d'i777,rfA/m-P /x/
Date Called:
Special Instructions:
Date Wanted:
/— /y— /o
a.m.
Requester:
Phone No:
34o— ec°8 —s443
❑ Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Inspector:
I`J
Date:
I ,4 /3
❑ $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
Untitled Page
•
•
General /Specialty Contractor
A business registered as a construction contractor with Lai 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 AIR 1 HEATING INC UBI No. 602554917
Phone 2532275433 Status ACTIVE
Address 20825 SR 410E #536 License No. AIR1 H1 H950QG
Suite /Apt. License Type CONSTRUCTION CONTRACTOR
City BONNEY LAKE Effective Date 11/7/2005
State WA Expiration Date 11/16/2011
Zip 98391 Suspend Date
County PIERCE Specialty 1 GENERAL
Business Type Corporation Specialty 2 UNUSED
Parent Company
License
Name
Type
Specialty
1
Specialty 2
Effective
Date
Expiration
Date
Status
UNITEHC967KP
UNITED
HEATING
Et
COOLING
LP
CONSTRUCTION
CONTRACTOR
GENERAL
UNUSED
5/17/2004
5/17/2006
EXPIRED
AIR1 H * *988MA
AIR 1
HEATING
CONSTRUCTION
CONTRACTOR
SHEET
METAL
AIR
HEAT,VENTILATION,EVAPORAT
7/1/2002
7/1/2006
RELICENSED
UNITEHC995JT
UNITED
HEATING
Et
COOLING
LP
CONSTRUCTION
CONTRACTOR
GENERAL
UNUSED
4/30/2001
5/24/2004
RELICENSED
Business Owner Information
Name
Role
Effective Date
Expiration Date
LOVISON, TODD
AGENT
11/07/2005
Bond
Amount
LOVISON, TODD
PRESIDENT
11/07/2005
1516029206/28/2009Canc
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
2
WESTERN
SURETY CO
1516029206/28/2009Canc
06/28/2005
Cancelled
$12,000.0007/10
/2008
DEVELOPERS
1
SURETY it
838083C
11/07/2005
07/10/2008
$6,000.00
11/07/2005
INDEM CO
Insurance Information
Insurance
Company
Name
Policy
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Amount
Received
Date
1
OHIO CAS
INS CO
BH052980074
06/28/2005
06/28/2010
$1,000,000.00
05/29/2009
Page 1 of 1
https: // fortress .wa.gov /lni/bbip /Detail.aspx 01/12/2010