The URL can be used to link to this page

Home My WebLink AboutPermit PG10-105 - 12624 BUILDING - VACANTVACANT 12624 INTERURBAN AV S EXPIRED 02 -13 -I1 PG1O-105 City oliI'ukwila 1 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 Parcel No.: 0004800003 Address: 12624 INTERURBAN AV S TUKW Project Name: VACANT Permit Number: PG10 -105 Issue Date: 08/12/2010 Permit Expires On: 02/08/2011 Owner: Name: GATEWAY OLYMPIA INC Address: PO BOX 4900 #207 , SCOTTSDALE AZ 85261 Contact Person: Name: VERN HUBER Address: 3702 WEST VALLEY HWY N #200 , AUBURN WA 98001 Email: vrhuber @comcast.net Contractor: Name: HUBER'S PLUMBING CO Address: 3702 WEST VALLEY HWY #2 , AUBURN WA 98001 Contractor License No: HUBERP *042M2 Phone: (206)510 -3069 Phone: 253 839 -7876 Expiration Date: 07/17/2012 DESCRIPTION OF WORK: CAP DRAIN LINE. Value of Plumbing /Gas Piping: $0.00 Uniform Plumbing Code Edition: 2009 Fees Collected: $47.25 International Fuel Gas Code Edition: 2009 Permit Center Authorized Signature: Date: d. /a' ! �� 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 r resume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performanc o rk. I am authorized to sign and obtain this plumbing /gas piping permit. Signature: � Date: � a Print Name: /P%I % "/X 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 -4/10 PG 10 -105 Printed: 08 -12 -2010 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 Parcel No.: 0004800003 Address: Suite No: Tenant: VACANT 12624 INTERURBAN AV S TUKW PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: PG10 -105 ISSUED 08/12/2010 08/12/2010 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 -105 Printed: 08 -12 -2010 1 9L4 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.tukwi la. 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: Print Name: a /- A‘it`. ordinances governing or local laws regulating doc: Cond -10106 PG10 -105 Printed: 08 -12 -2010 CITY OF TUKWI Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Plumbing/Gas ermit No. PGIo -(os 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.: cot2 92a CX7 0-6. Suite Number: x_.) Floor: New Tenant: ❑ Yes Site Address: /26 2 7 7i,e/2.6f4/ //A-Sic) Tenant Name: 07:44 Property Owners Name: Gi.Ltel Mailing Address: /27.20 / 7/7 ;4'ild///4 City No /Of 9 State Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: %:/2, -Z' /vas �/27L Day Telephone: 7 d6 -s-7e) �U 9 Mailing Address: City State Zip Fax Number: �. c -- 3— .c E -Mail Address: / 4 ' AV? ® &7C St4/4C-7— / 7 PLUMBING / GAS PIPING CONTRACTOR INFORMATION Company Name: /0;X:ti2 S' ,; 7�:,' Mailing Address: 3 70e,7 10,5'7 I/a1!i� /14-7/g '5Qo z=f IG,',t!O c� City Contact Person: - Jam% Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: State 9 -00 / Zip ARCHITECT OF RECORD — All plans must be 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 stamped by Engineer of Record Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: State Zip H:\Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Plumbing -Gas Piping Permit Application.doc Revised: 7 -2010 bh Page 1 of 2 Valuation of Project (contractor's bid pS: $ • Scope of Work (please provide detailed information): ��' 24t 11! J1/h fr Building Use (per Int'l Building Code): ,H4CX ACMS fr 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 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 O HO '• GENT: Signature: Print Name: Mailing Address: 3 2 9 //-. U6) Day Telephone: City Date: �� 7' J� 107 9�0o l State Zip Date Application Accepted: Date Application Expires: Staff Initials: H:\Applications\Forms- Applications On Lme\2010 Applications \7 -2010 - Plumbing -Gas Piping Permit Application.doc Revised: 7 -2010 bh Page 2 of 2 • J��iL wq City of Tukwila „,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 RECEIPT • ParcelNo.: 0004800003 Permit Number: PG10 -105 Address: 12624 INTERURBAN AV S TUKW Status: APPROVED Suite No: Applied Date: 08/12/2010 Applicant: VACANT Issue Date: Receipt No.: R10 -01565 Initials: 1632 User ID: 1632 Payment Amount: $47.25 Payment Date: 08/12/2010 12:30 PM Balance: $0.00 Payee: HUBER'S PLUMBING CO TRANSACTION LIST: Type Method Descriptio Amount Payment Check 30850 47.25 Authorization No. ACCOUNT ITEM LIST: Description PAYMENT' RF('F!\1FP Account Code Current Pmts PLUMBING - NONRES 000.322.103.00.00 47.25 Total: $47.25 doc: Receipt -06 Printed: 08 -12 -2010 INSPECTION NO. INSPECTION RECORD Retain a copy with permit G/-\ P(,r0 -1oj PERMIT NO. CITY OF TUKWILA BUILDING DIVISION P- 6300 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project ✓ Typ, of Inspec, do n ' Address: 11,j.02 - [J'JrJA Date Calle : Special Instructions: Date Wanted J/ - , /v �.a)? Requester: Phone No: _ ?,,p (,a -.5.// 0 —30 01 Approved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: • Inspector Date: ri $60.00 REINSPECTION FEE REQU IR D. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: ity ®o f r, ^' ti Jim Haggerton, Mayor De (/) artmentr of Community Development Jack Pace, Director VERN HUBER 3702 WEST VALLEY HWY N #200 AUBURN WA 98001 RE: Permit No. PG10 -105 12624 INTERURBAN AV S TUKW Dear Permit Holder: In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and /or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 02/13/2011. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206 -431 -2451 to schedule for the next or final inspection. Each inspection creates a new 180 day period, , provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and /or receive an extension prior to 02/13/2011, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, Bill Rambo Permit Technician File: Permit File No. PG10 -105 6300 Southcenter Boulevard, Suite #100 0 Tukwila, Washington 98188 o Phone: 206 - 431 -3670 a Fax: 206 - 431 -3665 Contractors or Tradespeople Pier Friendly Page • General /Specialty Contractor A business registered as a construction contractor with L &I 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 HUBER'S PLUMBING CO UBI No. 601725669 Phone 2538397876 Status Active Address 3702 West Valley Hwy. North #2 License No. HUBERP *042M2 Suite /Apt. License Type Construction Contractor City Auburn Effective Date 7/22/1996 State WA Expiration Date 7/17/2012 Zip 98001 Suspend Date County King Specialty 1 Plumbing Business Type Individual Specialty 2 Unused Parent Company Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status HUBERP *232L7 HUBERS PLUMBING CO Construction Contractor Plumbing Unused 6/27/1977 5/27/1997 Archived Business Owner Information Name Role Effective Date Expiration Date HUBER, VERNON R JR Owner 07/22/1996 Bond Information Page 1 of 2 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 5 PLATTE RIVER INS CO 41152474 05/06/2010 Until Cancelled $6,000.0005/26/2010 /19/2010 4 Great American Ins' Co. 2875327 05/06/2009 Until Cancelled 05/08/2010 $6,000.00 04/21/2009 3 FEDERATED MUTUAL INS CO 9335611 09/13/2007 Until Cancelled 05/06/2009 $6,000.0009/10/2007 04/21/2009 2 AM STATES INS EX948812 06/25/2002 Until Cancelled 09/13/2007 $6,000.0006/14/2002 Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 13 OHIO CAS INS CO BRO(11) 53856312 03/30/2010 03/30/2011 $1,000,000.0003 /19/2010 LIBERTY 12 NORTHWEST BR01053856312 03/30/2009 03/30/2010 $1,000,000.00 04/21/2009 INS CORP 11 FEDERATED MUTUAL INS CO 9434729 06/14/2008 06/14/2009 04/23/2009 $1,000,000.00 05/12/2008 10 FEDERATED MUTUAL INS CO 5077100 06/14/2007 06/14/2008 $1,000,000.00 06/29/2007 9 AMERICAN SAFETY 01TSRGL0750 07/20/2006 07/20/2007 $1,000,000.00 07/20/2006 INDEMNITY 00 HARTFORD 8 CASUALTY INS 52SBALU1219 07/20/2000 07/20/2006 $1,000,000.00 06/20/2005 CO Summons /Complaint Information https://fortress.wa.gov/lni/bbip/Print.aspx 08/12/2010