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HomeMy WebLinkAboutPermit PG11-017 - JUBA CENTER - PHASE 1JUBA CENTER 14227 TUKWILA INTERNATIONAL BL PG11-017 City oil/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 Parcel No.: 1523049011 Permit Number: PG 11 -017 Address: 14227 TUKWILA INTERNATIONAL BL TUKW Issue Date: 02/09/2011 Permit Expires On: 08/08/2011 Project Name: JUBA CENTER Owner: Name: SEG 56TH LLC Address: 845 106TH AVE NE #100 , BELLEVUE WA 98004 Contact Person: Name: CARL MCCRADY Address: 110 E 35 ST , TACOMA WA 98404 Email: CARMACHEATING @HOTMAIL.COM Contractor: Name: CARMAC HEATING Address: 110 E 35 ST , TACOMA WA 98404 Contractor License No: CARMAH *000CG Phone: 253 - 228 -6402 Phone: 253 - 472 -3131 Expiration Date: 11/13/2012 DESCRIPTION OF WORK: RUN NEW 3/4" GAS LINE FOR GAS WATER HEATER Value of Plumbing /Gas Piping: $250.00 Uniform Plumbing Code Edition: 2009 Fees Collected: $120.75 International Fuel Gas Code Edition: 2009 Permit Center Authorized Signature: /U we G(1,1,-6( Date: o,2/0 /// 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 presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performance of work. I am authorized to sign and obtain this plumbing /gas piping permit and agree to the conditions on the back of this permit. Signature: Print Name: &74.22(_ Date: car Z/7 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 11 -017 Printed: 02 -09 -2011 PERMIT CONDITIONS Permit No. PG11 -017 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: 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. 8: 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. 9: 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: UPC -4/10 PG 11 -017 Printed: 02 -09 -2011 CITY OF TUKWI Community Developmen Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Plumbing/Gas "mit No. 1'6 t 1-017 Project No. Rio -ii-t8 (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 j y,;2 rl k--it 46 0n ot 1 _ . King Co Assessor's Tax No.: /-s 3 4/' 90 it Site Address: / y 222- 7 Tv/cu� / ld -L & VI> Suite Number: Floor: Tenant Name: iv 4 Ct .-%-tom Property Owners Name: SCU 5- 60-k - L (- Mailing Address: ` f�c'J 4-f" oPrc Oee-/ Ns 5 )' K ✓ 1 � J µ>'yo City New Tenant: [21' Yes .. No k)r lc- /�e Cr. 90 3 3 State Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: 1 l rZt- C.2Cy''e-1- Day Telephone: 2 S 3 - SivZ- Mailing Address: (/v i 3 5- S f �� �,�. e,v/9. 2.?Ve , • City State Zip E -Mail Address: C a- r Jt4 2 C' �L NFL �l t- C h tm'Q� . ��'I Fax Number: PLUMBING / GAS PIPING CONTRACTOR INFORMATION Company Name: /72 /Z) Mailing Address: //v e 3 S`-t" 5 t % !�-CD.n2C « e/� 9i70 City State Zip Contact Person: 0,1-72( /� 2( J 1, ?2 77 Day Telephone: 253 - Z 2P -<,24'e Z. E -Mail Address: Fax Number: Expiration Date: Contractor Registration Number: C M'4 *.6CX C. C-'"' ARCHITECT OF RECORD - All plans must be stamped by Architect of Record Company Name: 6 Mailing Address: ,P' Contact Person: G c-? , e E -Mail Address: Arc , k s €-J 9 e2 /.3 City State Zip Day Telephone: 2O V 7 c?- - 69 0C3 Fax Number: vP 61 (0 - -(v0 c 9 /D ENGINEER OF RECORD - All plans must be stamped by Engineer of Record Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: 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 pie: $ .2 .-O r ° a Scope of Work (please rovide detailed information): /Z. n h et-J d c- GZP • 3/7/ 11 5 /,fie 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 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 OfipIER OR AGI T: Signature: C Print Name: C/1124- ' ` /j/f L 12 7' Mailing Address: /10 C 35' Date: //fit" 2 Day Telephone: .P 53 • 2l' ._loyo2_ City State Zip Date Application Accepted: Date Application Expires: Staff Initials: H:1Applications\Forms •Applications On Line12010 Applicationsl7 -2010 - Plumbing -Gas Piping Permit Application.doc Revised: 7 -2010 bh up' I 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.: 1523049011 Permit Number: PG11 -01 7 Address: 14227 TUKWILA INTERNATIONAL BL TUKW Status: APPROVED Suite No: Applied Date: 01/26/2011 Applicant: JUBA CENTER Issue Date: Receipt No.: R11 -00245 Initials: User ID: LAW 1632 Payment Amount: $90.75 Payment Date: 02/09/2011 08:48 AM Balance: $0.00 Payee: CARMAC HEATING TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 04572A ACCOUNT ITEM LIST: Description 90.75 Account Code Current Pmts GAS - NONRES 000.322.103.00.00 90.75 Total: $90.75 doc: Receipt -06 Printed: 02 -09 -2011 • �J�.`NILA wq� City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 K J O~ Tukwila, Washington 98188 � / Phone:206- 431 -3670 190a Fax: 206-431-3665 Web site: http: / /www.ci.tukwila.wa.us RECEIPT 1 Parcel No.: 1523049011 Permit Number: PG 11 -017 Address: 14227 TUKWILA INTERNATIONAL BL TUKW Status: PENDING Suite No: Applied Date: 01/26/2011 Applicant: JUBA CENTER Issue Date: Receipt No.: R11 -00145 Payment Amount: $5.85 Initials: WER Payment Date: 01/26/2011 10:52 AM User ID: 1655 Balance: $90.75 Payee: CARMAC HEATING TRANSACTION LIST: Type Method Descriptio Amount Payment Cash Authorization No. ACCOUNT ITEM LIST: Description 5.85 Account Code Current Pmts GAS - NONRES 000.322.103.00.00 5.85 Total: $5.85 doc: Receiot -06 Printed: 01 -26 -2011 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.: 1523049011 Permit Number: PG11 -017 Address: 14227 TUKWILA INTERNATIONAL BL TUKW Status: PENDING Suite No: Applied Date: 01/26/2011 Applicant: JUBA CENTER Issue Date: Receipt No.: R11 -00144 Payment Amount: $24.15 Initials: WER Payment Date: 01/26/2011 10:51 AM User ID: 1655 Balance: $96.60 Payee: CARMAC HEATING TRANSACTION LIST: Type Method Descriptio Amount Payment Cash Authorization No. ACCOUNT ITEM LIST: Description 24.15 Account Code Current Pmts PLAN CHECK - NONRES 000.345.830 24.15 Total: $24.15 doc: Receiot -06 Printed: 01 -26 -2011 • • • , - • • • "1- INSPECTION NO. INSPECTION RECORD Retain a copy withpermit RI, -oil PERMIT No - . CITY OF TUKWILA.BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 • (206) 431-3670 , Permit Inspection Request Line (206) 431-2451 :9:01.4 tet • Type of spection: - • k 1 / i itiehT Il ..- I 11/4 Addrgss:,, /4124 1 11—X Date Called: Special Instructions: Date Wante : i 2, if) itl -= Request r: Phone No: Approved per applicable codes. El Corrections required prior to approval. COMMENTS: sr 064 rqpecto 1 Date: Alta 1. SPECTION FEE REQU pEo. Pri r to next inspection, fee must be at 6300Southcenter BlOd.. Suite 100. Call to schedule reinspection. 11) PEW Welligane PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG11 -017 DATE: 01 -25 -11 PROJECT NAME: JUBA CENTER SITE ADDRESS: 14227 TUKWILA INTERNATIONAL BL X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Issued DEPARTMENTS: V1 tidi'6uilding Division ng Works Fire Prevention Structural Planning Division ❑ Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Incomplete DUE DATE: 01-27-11 Not Applicable Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUESITHURS ROUTING: Please Route Structural Review Required ❑ No further Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: DUE DATE: 02-24-11 Approved ❑ Approved with Conditions [71 Not Approved (attach comments) n Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents /routing slip.doc 2 -28 -02 Contractors or Tradespeople ley ter Friendly Page 1 Page 1 of 1 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 CARMAC HEATING UBI No. 600619115 Phone 2534723131 Status Active Address 110 E 35Th St License No. CARMAH*000CG Suite /Apt. License Type Construction Contractor City Tacoma Effective Date 2/7/2000 State WA Expiration Date 11/13/2012 Zip 98404 Suspend Date https: // fortress .wa.gov /lni/bbip/Print.aspx 02/09/2011