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Home My WebLink AboutPermit PG10-051 - WEA RAINIER UNISERVThis 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. PG 10 -051 WEA Rainier Unisery 575 Andover Park West 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. WEA RAINIER UNISERV 575 ANDOVER PK W PG1O-051 Parcel No.: 2623049144 Address: Suite No: 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.c1.tukwila.wa.us PLUMBING /GAS PIPING PERMIT 575 ANDOVER PK W TUKW Permit Number: Issue Date: Permit Expires On: PG10 -051 04/08/2010 10/05/2010 Tenant: Name: Address: Owner: Name: Address: WEA RAINIER UNISERV 575 ANDOVER PK W , TUKWILA WA SOUTHCENTER CORPORATE SQUAR 150 CALIFORNIA ST , SAN FRANCISCO CA Contact Person: Name: DON WYCOFF Address: 8425 219 ST SE #102 , WOODINVILLE WA Contractor: Name: SAGER MECHANICAL INC Address: 8425 219 ST SE, STE 102 , WOODINVILLE WA Contractor License No: SAGERMI088NK Phone: Phone: 206 200 -3749 Phone: 425 402 -1930 Expiration Date: 08/10/2011 DESCRIPTION OF WORK: ADD (1) WATER HEATER AND (1) SINK TO EXISTING TENANT SPACE Value of Plumbing /Gas Piping: Fees Collected: $2,900.00 $110.25 Uniform Plumbing Code Edition: 2006 International Fuel Gas Code Edition: 2006 FIXTURE TYPE AND QUANTITY 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 0 Receptor, indirect waste 0 Sinks 1 Urinals 0 Water Closet 0 Plumbing (cont.) Building sewer and each trailer park sewer 0 Rain water system - per drain (inside bldg) 0 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 0 Medical gas piping (6 +) inlets /outlets 0 Gas Piping Gas piping outlets (0 -5) 0 Gas piping outlets (6 +) 0 * *continued on next page ** doc: UPC -7/07 PG10 -051 Printed: 04 -08 -2010 City oPrukwila 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 -051 Issue Date: 04/08/2010 Permit Expires On: 10/05/2010 Permit Center Authorized Signature: I hereby certify that I have read and ex governing this . • ill be complied The grant construe g of this pe on or ,4 e pe Signature: Date: 04V414 (/414 d this permit and know the same to be true and correct. All provisions of law and ordinances hether specified herein or not. 't does not pres to give authority to violate or cancel the provisions of any other state or local laws regulating ormanc of wort . I am authorized to sign and obtain this plumbing /gas piping permit. Date: y �D Print Name: 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 -051 Printed: 04 -08 -2010 Parcel No.: 2623049144 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 575 ANDOVER PK W TUKW WEA RAINIER UNISERV PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: PG 10 -051 ISSUED 04/08/2010 04/08/2010 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 PG10 -051 Printed: 04 -08 -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 this work will be complied with, whether specified herein or not. The granting of this permit does not p - sume to give authority to violate or cancel the provision of any other work constructio - o e performance of w • rk. Signature: Print Name: Date: 171 ordinances governing or local laws regulating doc: Cond -10/06 PG10 -051 Printed: 04 -08 -2010 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: / /www. ci. tkwila. wa. us Plumbing/Gas Permit No. ?&W - O ( 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: 575 Andover Park W, Tukwila, Wa Tenant Name: WEA Rainier Unisery King Co Assessor's Tax No.: 2623049149 Suite Number: 203 Floor: 2 New Tenant: ❑ Yes ❑ ..No Property Owners Name: SOUTHCENTER CORPORATE SQUAR Mailing Address: 575 Andover Park W, Tukwila, Wa City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: Don Wycoff Day Telephone: (206) 200 -3749 Mailing Address: 8425 219th St SE #102 Woodinville Wa 97072 E -Mail Address: dwycoff @sagermechanical.com City State Fax Number: (425) 402 -6721 Zip PLUMBING / GAS PIPING CONTRACTOR INFORMATION Company Name: Sager Mechanical Mailing Address: 8425 219th St SE #102 Woodinville Wa 98072 City Contact Person: Don Wycoff Day Telephone: Fax Number: Expiration Date: E -Mail Address: dwycoff @sagermechanical.com Contractor Registration Number: sagermi088nk State (206) 200 -3749 (425) 402 -6721 08/10/2009 Zip ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record Company Name: Mailing Address: Contact Person: E -Mail Address: City Day Telephone: Fax Number: State Zip ENGINEER OF RECORD -All plans must be wet stamped by Engineer of Record Company Name: Mailing Address: Contact Person: E -Mail Address: H:\Applications\Fonms- Applications On Line \2009 Applications \1 -2009 - Plumbing -Gas Piping Permit Application.doc Revised: 1 -2009 bh City State Zip Day Telephone: Fax Number: Page 1 of 2 • • Valuation of Project (contractor's bid price): $ 2,900 Scope of Work (please provide detailed information): Add one (1) water heater and one (1)sink to existing tenant space 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: 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 1 Urinals Water Closet Building sewer and each trailer park sewer Rain water system — per drain (inside building) Water heater and/or vent I 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 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 caul- .emonstrated. Section 103.4.3 International Plumbing Code (current edition). 1 HEREB Y THAT I HAVE READ ANDS EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY • RY BY THE LAWS O STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDIN CERT F PERJ T: Signature: • Date: 04/10/2010 Print Name: Don Wycoff / Day Telephone: (206) 200 -3749 Mailing Address: 8425 219th S 102 Woodinville Wa 98072 City State Zip Date Application Accepted: V tr Date Application Expires: Staff Initials: lir/ i H:\Applications\Forms- Applications On Line\2009 Applications \I-2009 - Plumbing -Gas Piping Permit Application.doc Revised: 1 -2009 bh e2of2 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 Parcel No.: 2623049144 Address: 575 ANDOVER PK W TUKW Suite No: Applicant: WEA RAINIER UNISERV RECEIPT Permit Number: PG 10 -051 Status: PENDING Applied Date: 04/08/2010 Issue Date: Receipt No.: R10 -00600 Payment Amount: $110.25 Initials: JEM Payment Date: 04/08/2010 02:32 PM User ID: 1165 Balance: $0.00 Payee: SAGER MECHANICAL, INC. TRANSACTION LIST: Type Method Descriptio Amount Payment Check 15258 110.25 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts PLUMBING - NONRES 000.322.103.00.00 110.25 Total: $110.25 PAYMENT RECEIVED doc: Receiot -06 Printed: 04 -08 -2010 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 114- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 %;o -051 Project: �� Type of Inspection: Fil( Yee -��P� Address: Date Called: Special Instructions: Date Wanted: �a. LA— )--/— I0 �C Py... Requester: \U)A Phone No: -IUto_ 100— 37LI q Approved per applicable codes. Corrections required prior to approval. COMMENTS: Insp¢ctor: t\ 1 n Dat 3 ri $60.00 REINSPECTION FE E EQUIRED . Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: 106 ( 5 INSPECTION NO. INSPECTION RECORD Retain a copy with permit LA CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PERMIT NO. (206)431 -3670 jec RA", .P ,S Type of 1pspectio Address: .57S O .5 v'F-r- kA/ Date Called: 17 ii Special Instructions: o3982,4) -0I / / Date Wanted: 4 -21--(O —a.m' Requester: ,..�-0, Phone No: /�� 2.06 -993 -`� / Approved per applicable codes. El Corrections required prior to approval.: COMMENTS: n tJJ ,j p p rb J i 10 4 4 17 ii S-f 4 I5JpDgi de_ '. A 1 K ,..�-0, j4< -4 re_ 6 ( JL_� � n Inspector: Date: ( tJ ri $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: Contractors or Tradespeople ter Friendly Page General /Specialty Contractor A business registered as a construction contractor with LW 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 Sager Mechanical Inc 4254021930 8425 219Th St Se Ste 102 Woodinville Wa 98072 King Corporation UBI No. Status License No: License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602234477 Active SAGERMI088NK Construction Contractor 8/12/1992 8/10/2011 Plumbing Unused Business Owner Information Name Role Effective Date Expiration Date Sager, Robert T President 08/12/1992 Bond Amount Sager, Andrew Vincent Vice President 08/12/1992 01/10/2008 Bond Information Page 1 of 1 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 3 TRAVELERS CAS & SURETY 104575403 07/19/2005 Until Cancelled $6,000.0008/02/2005 04/28/2009 2 OLD REPUBLIC SURETY CO YLI238326 08/12/2001 Until Cancelled 08/28/2005 $6,000.0007/09/2001 06/27/2008 Assignment of Savings Information Savings Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 1 8/11/1992 Until Released Bond $4,000.00 Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 10 Continental Western Ins Co cnp275882721 05/01/2009 05/01/2010 $1,000,000.00 04/28/2009 9 CONTINENTAL WESTERN INS CNP253520423 05/01/2008 05/01/2009 $1,000,000.00 06/27/2008 8 CONTINENTAL WESTERN GROUP CNP2535204 08/10/2007 08/10/2008 $1,000,000.0007 /31/2007 7 CONTINENTAL WESTERN INS CO CNP2535204 08/10/2005 08/10/2007 $1,000,000.0008 /07/2006 6 CONTINENTAL WESTERN INS CO CNP2535204 08/10/2004 08/10/2005 $1,000,000.0008 /09/2004 5 AMERICAN STATES INS CO 01CG2085973 08/10/2004 08/10/2005 $1,000,000.00 08/03/2004 4 AMERICAN STATES INS CO 01CG2085972 08/10/2003 08/10/2004 $1,000,000.00 08/28/2003 Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 04/08/2010