HomeMy WebLinkAboutPermit PG10-014 - WESTFIELD SOUTHCENTER MALL - FIREWORKSFIREWORKS
261 SOUTHCENTER MALL
PG1O-014
Parcel No.: 9202470010
Address:
Suite No:
Citytf 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
261 SOUTHCENTER MALL TUKW
Permit Number:
Issue Date:
Permit Expires On:
PG10 -014
02/10/2010
08/09/2010
Tenant:
Name:
Address:
Owner:
Name:
Address:
FIREWORKS
261 SOUTHCENTER MALL , TUKWILA WA
WEA SOUTHCENTER LLC
11601 WILSHIRE BL, 12TH FLOOR , LOS ANGELES CA
Contact Person:
Name: JACOB BROCK
Address: 1221 2 AV N , KENT WA
Contractor:
Name:
Address:
Contractor License No:
Phone:
Phone: 206 575 -9700
Phone:
Expiration Date:
DESCRIPTION OF WORK:
INSTALL GAS PIPING TO ONE UNIT
Value of Plumbing /Gas Piping:
Fees Collected:
$2,000.00
$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) 1
Gas piping outlets (6 +) 0
* *continued on next page **
doc: UPC -7/07
PG10 -014 Printed: 02 -10 -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:
Issue Date:
Permit Expires On:
PG 10 -014
02/10/2010
08/09/2010
Permit Center Authorized Signature:
I hereby certify that I have read and e
governing this work will be complied
Pea Date: 09-I [ V°
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 pres
construction or the performance of work.
Signature:
Print Name:
e to give authority to violate or cancel the provisions of any other state or local laws regulating
I am authorized to sign and obtain this plumbing /gas piping permit.
co c."-
Date:
Z /iv /zoCU
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
PG10 -014 Printed: 02 -10 -2010
Parcel No.: 9202470010
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
261 SOUTHCENTER MALL TUKW
FIREWORKS
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
PG10 -014
ISSUED
02/03/2010
02/10/2010
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 art
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 -014 Printed: 02 -10 -2010
r •
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:
Date:
2 _/CV /zo(O
doc: Cond -10/06
PG10 -014 Printed: 02 -10 -2010
CITY OF TUKWILA II
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
,Plumbing /Gas:Permit No.
'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
Site Address:
la"Th 5mc..14u,. +cr :di l3luc{
King Co Assessor's Tax No.: 2.L.2 3 d c/ q 0e6
Suite Number: Floor:
Tenant Name: F /ryiJ or A.S New Tenant: ❑ Yes • rj..No
Property Owners Name: tic5'1- 4i tad Silo vp:n Te ..�
Mailing Address: /07U Srsµ'N+ c.c' cr Mali 7:3 /vo
City
• State
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issue
Name: •mow c / C o c4
Mailing Address:
E -Mail Address:
I2Z.l Zncl /4.rc- .A/
jb to c& @hUn+avtSon -
Day Telephone: ZCG "57S c)o
City State Zip
Fax Number:
,PLUMBING,/ GAS PIPING: CONTRACTOR INFORMATION:
Company Name:
Mailing Address:
-k r►c•►so n Cc,
/z21 24c( Ai-G.
I1/
i
p City
Contact Person: .[�S 1 CVc& Day Telephone:
E -Mail Address: I / Fax Number:
fContractor Registration Number: I R•/�1.4CGcose 3 Expiration Date:
State
9d ) 3.Z
Zip
Z
3
2-4)0
ARCHITECT•OF.'RECORD. All plans must be wet Stamped by Architect of Record
Company Name:
Mailing Address:
State Zip
City
Contact Person: Day Telephone:
Fax Number:
E -Mail Address:
ENGINEER OF, RECORD - All plans;must be wet stamped by Engineer`of Record
Company Name:
Mailing Address:
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
H:\Applications\Porms- Applications On Line \2009 Applications \I -2009 - Plumbing -Gas Piping Permit Application.doc
Revised: 1 -2009
bh
Page 1 of 2
Valuation of Project (contractor's bid rice): $
Scope of Work (please provide detailed information):) S- 1a,�'( 9ea,S p .4:/0 gin, %
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
FixtureType:
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
1
,
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 OW R OR AUTHO� I ED AGENT:
Signature:
Print Name:
Mailing Address: (?i2 ( 2 44( ,1.-t
Day Telephone:
Date: Z .3/10
City
u/9
State
Zip
Date Application Accepted:
6
!
Date Application Expires:
r
1
Staff Initials:
H:\Applications\Forms- Applications On 1..ine \2009 Applications \I-2009 - Plumbing -Gas Piping Permit Application.doc
Revised: 1 -2009
bh
Page 2 of 2
Cityatf 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
SET RECEIPT
RECEIPT NO: R10 -00181
Initials: JEM
Payment Date: 02/03/2010
User ID: 1165 Total Payment: 559.51
Payee: JACOB BROCK/HERMANSON CO LLP
SET ID: S000001342 SET NAME: Tmp set/Initialized Activities
SET TRANSACTIONS:
Set Member
EL10 -0078
M10 -015
PG10 -014
TOTAL:
Amount
75.60
387.31
96.60
75.60
TRANSACTION LIST:
Type Method Description Amount
Payment Credit C VISA - - - 559.51
TOTAL: 559.51
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
GAS - NONRES
MECHANICAL - NONRES
PLAN CHECK - NONRES
000.322.101.00.0
000.322.103.00.0
000.322.102.00.0
000.345.830
75.60
96.60
309.85
77.46
TOTAL: 559.51
PAYMENT
RECEIVED
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PG i o _o,.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 j(206)431 -3670
Project:.,
f-�r�war�.l
Type of Inspection:
C;nwl 64S P:P;At
Address:
2, -6 1 5 (--- MAI (
Date Called:
Special Instructions:
Date Wanted: m.
'(6' rc) .m.
Requester:
Phone No: -- �j /_
2i0 (o— + . zi +57 Sop
Approved per applicable codes. Corrections required prior to approval. a.
COMMENTS:
t" 14-- Ofhs,rt /F7AJ-f
Ins D Ct
D`Fe: I v
x.00 REINSPECTION FE EQUIR D. Prior to ' nspection, fee must be
id at 6300 Southcenter Bl Sui - 100. Call to schedule reinspection.
Receipt No.:
Date:
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
Grp
0-0(1
PERMIT NO.
(206)401 -3670
Project:
Type of Inspection: I.
,R_ 0 L, k ,-/u 64:3 p,i0
Address:
? ( 56_ MA-1 I
Date Called:
7
Special Instructions:
Date Wanted:
&
`
Requester:
Phone No:
7,,,9 C / O
(0 /)1 ! 154
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
3S ps
Inspec'or:
)'Qv
r7 $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 L8l 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
HERMANSON COMPANY
LLP
2065759700
1221 2ND AVE N
KENT
WA
980322945
KING
Limited Liability
Company
UBI No.
Status
License No.
License Type
Effective Date
Expiration
Date
Suspend Date
Specialty 1
Specialty 2
602004844
ACTIVE
HERMACLOO5BJ
CONSTRUCTION
CONTRACTOR
1/11/2000
8/25/2010
GENERAL
UNUSED
Other Associated Licenses
Page 1 of 2
License
Name
Type
Specialty 1
Specialty
2
Effective
Date
Expiration
Date
Status
HERMAC *016RN
HERMANSON
CORPORATION
CONSTRUCTION
CONTRACTOR
GENERAL
UNUSED
1/11/2000
8/21 /2002
ARCHIVED
HERMAC*217NT
HERMANSON
CORPORATION
CONSTRUCTION
CONTRACTOR
AIR
HEAT,VENTILATION,EVAPORATMETAL
SHEET
8/30/1979
8/21 /2000
ARCHIVED
Business Owner Information
Name
Role
Effective Date
Expiration Date
HERMANSON, RICHARD L
PARTNER /MEMBER
01/01/1980
Bond
Amount
ALMON, KEVIN
PARTNER /MEMBER
01/01/1980
929381801
MACDONALD, JAMES
PARTNER /MEMBER
01/01/1980
Bond Information
Bond
Bond
Company
Name
Bond Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
4
WESTERN
SURETY CO
929381801
01/01/2006
Until
Cancelled
$12,000.00
12/01/2005
3
TRAVELERS
CAS Et
SURETY CO
081S103514123BCM07/22/2001
Until
Cancelled
01/01/2006
$12,000.0008/21
/2001
2
TRAVELERS
CAS it
SURETY
081S103514123BCM
01/01/200107/22
/2001
$6,000.00
12/18/2000
1
UNITED
PACIFIC
INS CO
B2975140
01/01/2000
Until
Cancelled
01/01/2001
$6,000.00
https: // fortress .wa.gov /lni/bbip /Detail.aspx 02/10/2010