HomeMy WebLinkAboutPermit PG11-037 - NEW IMAGE CREATIVENEW IMAGE
CREATIVE
1210 ANDOVER PK E
EXPIRED
09 -1x-11
PG1 1 -037
City afkukwila
•
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.citulcwila.wa.us
PLUMBING /GAS PIPING PERMIT
Parcel No.: 3523049075
Address: 1210 ANDOVER PK E TUKW
Project Name: NEW IMAGE CREATIVE
Permit Number:
Issue Date:
Permit Expires On:
PG11 -037
03/18/2011
09/14/2011
Owner:
Name: GRAY CAT COLLECTIVE LLC
Address: 5430 45TH AVE W , SEATTLE WA 98199
Contact Person:
Name:
Address:
Email:
Contractor:
Name:
Address:
SCOTT WERNER
950 ANDOVER PK E , TUKWILA WA 98188
N/A
PACIFIC CONTRS & HVAC LLC
11101 SE 208 ST #824 , KENT WA 98031
Contractor License No: PACIFCH910RW
Phone: 253 670 -3250
Phone: 206 954 -4822
Expiration Date: 12/16/2011
DESCRIPTION OF WORK:
ADD GAS PIPE TO FEED THREE (3) VEN'PLESS SPACE HEATERS
Value of Plumbing /Gas Piping:
Fees Collected:
Electrical Service Provided by:
$600.00 Uniform Plumbing Code Edition: 2009
$120.75 International Fuel Gas Code Edition: 2009
PUGET SOUND ENERGY
Permit Center Authorized Signature: JV `U�JL
I hereby certify that I have read an
governing this work will be compli
Date:
0311btt,
ned 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 t
construction
on the back
Signature:
s not p
e performanc - of
f this permit. 4
e to give authority to violate or cancel the provisions of any other state or local laws regulating
ed eign and obtain this plumbing /gas piping permit and agree to the conditions
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 -4/10
PG 11 -037 Printed: 03 -18 -2011
• •
PERMIT CONDITIONS
Permit No. PG11 -037
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
PG11 -037 Printed: 03 -18 -2011
CITY OF TUKWI
Community Develop'',
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Plumbing/Gil/Permit No. p — 0191
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: /2-10 ANdove, PARK E.
Tenant Name: Akio - Dr1146£ `QlRTI vC
Property Owners Name: GET*
Mailing Address: 5A,nr AS Abele
King Co Assessor's Tax No.:,���
Suite Number: Floor: t
New Tenant: ❑ Yes O.. No
City
State
Zip
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name:
SCO-r7 (A kP,v ('R
Mailing Address: ( p„).dov - Pk L
E -Mail Address:
Day Telephone: .2 5 3 6 -9-O 3.2 .cO
City State Zip
Fax Number: ,..20C •-i-
PLUMBING / GAS PIPING CONTRACTOR INFORMATION
Company Name: Pgc tr- r Co 7mc -rcn c L / C
Mailing Address: 4 $7) i1timo (icez (k
Contact Person:
E -Mail Address: �y� � '
Contractor Registration Number: ()� k l V V0104-3
.) }
S (^r STT
City c� State Zip ,�, v
Day Telephone: �C 3 C4() 32.
Fax Number: i 16
Expiration Date:
ARCHITECT OF RECORD — All plans must be stamped by Architect of Record
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
State
Zip
ENGINEER OF RECORD — All plans must be stamped by Engineer of Record
Company Name:
Mailing Address:
City
Day Telephone:
E -Mail Address: Fax Number:
Contact Person:
State
Zip
H:\Applications\Forms- Applications On Line\2010 Application., \7 -2010 - Plumbing -Gas Piping Permit Application.doc
Revised: 7 -2010
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Page 1 of 2
Valuation of Project (contractor's bid pr. $ u30
Scope of Work (please provide detailed information): Odd Colts 0t pL in) R-60
vf>.►7L£SS SPpec /7?
3
Building Use (per Int'1 Building Code):
Occupancy (per Int'1 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 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 0 ' _ ' URY BY THE LAWS OF THE ATE OF WASHINGTON, AND 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDI
Signature:
Print Name:
Mailing Address:
41, hi
Date: 72 (/(
Day Telephon 7( ) 3 r/ ? 6,-7&
IDate Application Accepted: n102_111
City
Date Application Expires:
H:1Applications\Forms- Applications On Line12010 Applications17 -2010 - Plumbing -Gas Piping Permit Application.doc
Revised: 7.2010
bh
01102-1 I I
State Zip
Staff Initials: I
C-i
Page 2 of 2
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�J�`N� wq� City of Tukwila
C 2908
•
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.: 3523049075
Address: 1210 ANDOVER PK E TUKW
Suite No:
Applicant: NEW IMAGE CREATIVE
RECEIPT
Permit Number: PG11 -037
Status: APPROVED
Applied Date: 03/02/2011
Issue Date:
Receipt No.: R11 -00540
Initials:
User ID:
JEM
1655
Payment Amount: $96.60
Payment Date: 03/18/2011 03:56 PM
Balance: $0.00
Payee: PACIFIC EXPIDITERS LLC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 2032 96.60
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
GAS - NONRES
000.322.103.00.00 96.60
Total: $96.60
doc: Receiot -06 Printed: 03 -18 -2011
r - w City of Tukwila
�Z 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.: 3523049075
Address: 1210 ANDOVER PK E TUICW
Suite No:
Applicant: NEW IMAGE CREATIVE
RECEIPT
•
Permit Number: PG11 -037
Status: PENDING
Applied Date: 03/02/2011
Issue Date:
Receipt No.: R11 -00395
Initials:
User ID:
JEM
1165
Payment Amount: $24.15
Payment Date: 03/02/2011 04:13 PM
Balance: $96.60
Payee: DAVID WILLIAMS BANKS
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 161333
ACCOUNT ITEM LIST:
Description
24.15
Account Code Current Pmts
PLAN CHECK - NONRES
000.345.830 24.15
Total: $24.15
doc: Receipt -06 Printed: 03 -02 -2011
•
City of Tukwila
•
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
October 11, 2011
Greg Rust
1210 Andover Pk E
Tukwila, WA 98188
RE: Request for Extension
Permit Number PG11 -037
New Image Creative —1210 Andover Pk E
Dear Mr. Rust,
This letter is in response to your written request for an extension to Permit Numbers PG11 -037.
The Building Official has reviewed your letter and considered your request.
Due to the fact that this permit expired prior to the request for extension and will not be
extended. The expiration date remains as September 14, 2011. As stated in the expiration notice
letter sent August 1, 2011, in order for additional work or inspections to be conducted for this
project, a new permit will need to be applied for with the appropriate application, plans, and fees.
If you should have any questions, please contact our office at (206) 431 -3670.
Sincerely,
fer Marshall
it Technician
File: Permit No. PG11 -037
W:\Permit Center\Extension Letters\Denials\Permits\2011\PG1 1-037 Permit Extension Denial.doc
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
ALASNIN COPPER & BRASS {COMPAN
P.O. BOX 3546
Seattle, Washington
98124 -3546
www.alaskanc pper.com
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TEL: 206 -623 -5800
I I4 800 -552 -7661
FAX: 206 - 382 -7335
acbsea @alask er.com
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OCT '06 2011
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Full Service Distributor of Corrosion Resistant Metals Since 1913
08 -01 -2011
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
SCOTT WERNER
950 ANDOVER PK E
TUKWILA WA 98188
RE: Permit No. PG11 -037
1210 ANDOVER PK E 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 09/14/2011.
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 09/14/2011, 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. PG11 -037
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
• PERMIT COORD IOPYIN
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: PG11 -037 DATE: 03/02/11
PROJECT NAME: NEW IMAGE CREATIVE
SITE ADDRESS: 1210 ANDOVER PK E
X Original Plan Submittal
Response to Correction Letter #
Response to Incomplete Letter #
Revision # after Permit Issued
DEPARTMENTS:
B II Ing r ivisiiSn
Public Works
Fire Prevention
Structural
Planning Division
❑ Permit Coordinator
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete O.
Comments:
Incomplete
DUE DATE: 03/03/11
Not Applicable ❑
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES/THURS ROUTING:
Please Route n Structural Review Required n No further Review Required
REVIEWER'S INITIALS:
DATE:
APPROVALS OR CORRECTIONS:
DUE DATE: 04/07/11
Approved ❑ Approved with Conditions siz Not Approved (attach comments) ❑
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 Peer Friendly Page
•
General /Specialty Contractor
A business registered as a construction contractor with LEI 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 PACIFIC CONTRS & HVAC LLC UBI No. 602953966
Phone 2069544822 Status Active
Address 11101 Se 208Th St # 824 License No. PACIFCH910RW
Suite /Apt. License Type Construction Contractor
City Kent Effective Date 12/16/2009
State WA Expiration Date 12/16/2011
Zip 98031 Suspend Date
County King Specialty 1 General
Business Type Limited Liability Company Specialty 2 Unused
Parent Company
Business Owner Information
Name
Role
Effective Date
Expiration Date
WERNER, RONALD SCOTT
Partner /Member
12/16/2009
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
2
American Contractors
Indem CO
100147836
12/08/2010
Until Cancelled
$12,000.00
12/08/2010
1
PLATTE RIVER INS CO
41189605
12/10/2009
Until Cancelled
01/01/2011
$12,000.0012/16 /2009
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
1
DEVELOPERS
SURETY &
INDEM CO
BIS00001778
12/16/2009
12/16/2011
$300,000.00
12/09/2010
Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period
Warrant Information No unsatisfied warrants on file within prior 6 year period
https: // fortress .wa.gov /lni/bbip/Print.aspx 03/18/2011