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