HomeMy WebLinkAboutPermit PG11-045 - HILLCREST APARTMENTSHILLCREST
APARTMENTS
14903 INTERURBAN AV S
PG1 1 -045
City oiI'ukwila
•
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.: 3597000024
Address: 14903 INTERURBAN AV S TUKW
Project Name: HILLCREST APARTMENTS
Permit Number: PG11 -045
Issue Date: 03/15/2011
Permit Expires On: 09/11/2011
Owner:
Name: HILLCREST TUKWILA LLC
Address: 950 N 72ND ST #100 , SEATTLE WA 98103
Contact Person:
Name: BUD KLOSTERMAN
Address: 8706 S 222 ST , KENT WA 98031
Email: BUD @STATEMECH.NET
Contractor:
Name: STATE MECHANICAL COMPANY
Address: 600 INDUSTRY DR 8 , TUKVVILA WA 98188
Contractor License No: STATEMC 141 C7
Phone: 206 -575 -7527
Phone:
Expiration Date: 09/01/2011
DESCRIPTION OF WORK:
CHANGE OUT 6 WATER CLOSETS, 5 LAVATORIES, 5 SINKS AND 5 BATHTUBS. REPLACE
EXISTING SANITARY DRAIN LINE AS NECESSARY LIKE FOR LIKE. NO NEW FIXTURES.
Value of Plumbing /Gas Piping: $16,500.00 Uniform Plumbing Code Edition: 2009
Fees Collected: $60.90 International Fuel Gas Code Edition: 2009
Electrical Service Provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Date: -'LS.'" I
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:
Date3—l6 — l/
Print Name: 'D L - 03-1V2In fl j/
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 -045 Printed: 03 -15 -2011
PERMIT CONDITIONS
Permit No. PG11 -045
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.
doc: UPC -4/10
PG 11 -045 Printed: 03 -15 -2011
CITY OF TUKWILL
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: //www.ci.tukwila.wa. us
Building Permit No.
Mechanical Permit No.
Plumbing/Gas Permit No.
0 ?&1 i oyS'
Public Works Permit No.
Project No.
(For office use only) _
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.: J 5 q 70 % 1:44-
Site Address: ~T D 3 J- NT E Qu-t2 N Pfv6 S Suite Number: Floor:
Tenant Name: 14 1 LA-CO-65r A T (h EAJ Ts New Tenant: ❑ Yes [ .No
Li,- C,
Property Owners Name: (t-1- C REST To v-w (L
Mailing Address:
City
State
Zip
CONTACT PERSON - who d� we contact when your permit is ready to be issued
Name: SUP L D S T 60 -MA.P1
Mailing Address: ) 10 (Q s '22 - � Nb
1
E -Mail Address: Ova ( si-c1/4.4ernack ` 't
Day Telephone: 20( 5/5
cwA
c o 5/
City State
Fax Number: 2D ' - 575
Zip
752c1
GENERAL CONTRACTOR•INFORMATION -
• (Contractor Information for Mechanical (pg 4) for Plumbing'and Gas Piping (pg 5))
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Contractor Registration Number:
City
Day Telephone:
Fax Number:
Expiration Date:
State
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:
Q:1ApplicationsWorms- Applications On line\3- 2006 - Permit Applcation.doc
Revised: 9-2006
bh
City
Day Telephone:
Fax Number:
Page 1 of 6
State
Zip
PLUMBING AND GAS PIPING PERMIT INFORMATION - 206 - 431 -3670
PLUMBING AND GAS PIPING CONTRACTOR INFORMATION
Company Name: TATS mEC-HRN1 Cil-L
a
Mailing Address: 70 I / n 2:2.2_"1"
Contact Person: {j Ub 14- - G3T64 -(nA A
E -Mail Address: JD lid " 5 e rNQ , V A'
Contractor Registration Number: ST /JTE /11C / 1 / C
sk-T-
I -r- (,(Y - °i O3J
City State Zip
Day Telephone: 2-O — S75.- 75a p%
Fax Number: 2a (o ' 575 ` 75Z 1
Expiration Date: Q,( 1
Valuation of Plumbing work (contractor's bid price): $ ( (a, 560
Valuation of Gas Piping work (contractor's bid price): $
Scope of Work (please provide detailed information):
(lT
Cam' 1,001-1-64_
4-t/ict TO1216- S, 5 s t nl I� S 5 &T
�k(sTI..Ic- ■ 5AN I re) ( 0 Z/ /GE
L1Kg-
Building Use (per Int'l 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
•'
Drinking fountain or water
cooler (per head)
Wash fountain
Gas piping outlets
Bidet
Food -waste grinder,
commercial
Receptor, indirect
waste
Clothes washer, domestic
Floor drain
Sinks
Dental unit, cuspidor
Shower, single head trap
Urinals
`
Dishwasher, domestic,
with independent drain
Lavatory
Water Closet
Building sewer or trailer
park sewer
Rain water system — per
drain (inside building)
Water heater and/or
vent
Additional medical gas
inlets/outlets — six or more
Industrial waste
pretreatment interceptor,
including its trap and vent,
except for kitchen type
grease interceptors
Repair or alteration of water
piping and/or water treating
equipment
1
Repair or alteration
of drainage or vent
piping
1
Medical gas piping system
serving one to five
inlets/outlets for specific gas
Q: Applientiom\Fom,s- Applications On iinel3 -2006 - Permit Applianion.doc
Revised: 9 -2006
bh
Page 5 of 6
PERMIT APPLICATION NOTES — Applicable to all permits in this application
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.
Building and Mechanical Permit
The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be
requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition).
Plumbing Permit
The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested
in writing and justifiable cause demonstrated. Section 103.4.3 Uniform 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 0 OR A 1 O' D AGENT:
Signature:'
Print Name: ,'DL7D
Mailing Address: 87(' C S 2 Z
Date:
Day Telephone: '7_6 (p 67 '---752
t-o3
City State Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
QA Applications On Linel4 -2006 - Permit Application.doc
Revised 9 -2006
bh
Page 6 of 6
o •
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.: 3597000024 Permit Number: PG11 -045
Address: 14903 INTERURBAN AV S TUKW Status: PENDING
Suite No: Applied Date: 03/15/2011
Applicant: HILLCREST APARTMENTS Issue Date:
Receipt No.: R11 -00496
Initials: WER
User ID: 1655
Payment Amount: $60.90
Payment Date: 03/15/2011 01:30 PM
Balance: $0.00
Payee: STATE MECHANICAL CO
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 28806 60.90
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
PLUMBING - NONRES
000.322.103.00.00 60.90
Total: $60.90
doc: Receiot -06 Printed: 03 -15 -2011
•
INSTION
NO.
•INSPECTION RECORD •
Retain a copy with permit
p6//-- ozt5
PERMIT NO
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project:
g/L 4_ e.e. gisr-04 d 7--
Type of Inspection: .-
(---..- "2-4/ 4 1.....
••
.
Address:
/I/9 3 2AITF/27/1..da
Date Called:
4J
Special Instructions:
Date Wanted:
7-
6
- //
cia2,
Requester:
•
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
ns
CtO
Alit A I
REI SPECTION FEE RED, IRED. Prior to
p d at 6300 SouthcenterBlvd.. Suite 100.
ext inspectidn. fee must pe-
Call to schedule reinspection'.
•
. INSPECTION RECORD
Retain a copy with permit P‘1( —S4
INSPE eN NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION Sr—
(206) 431 -3670
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 431 -2451
7t((jes7r'T.-
Type I spection: "Pi NJ, Pt .tea,
AddreSS�, Q� TA
J J
Date Called:
Special Instructions:
Date Wanted _Z q.....'/
m
Requester:
Php a Nqc _ / s.g.. `!'7L l
Approved per applicable codes.
151Corrections required prior to approval.
COMMENTS:
00 O f- //100 ,p d/ 7
,io f/ w 42704
,g) 1 /4 Z I in.i cf 7/ /
V4 / ✓t 74, 4- z -'"
9 Tow ?/, ir/-"/
,.1
tit
�� INSPECTION FEE R QUIRED. Prior to next inspection. fee must be
`'paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. . '
•
INSPECTION RECORIO • .f+'
_
Retain a copy with permit Pi-o�.
INSPECTION NO. • PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION 4
(206) 431 -3670
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 431 -2451
Project:
f/.% /rre's-,
4 PAQ r mFNj
Type of Inspection:
5 A) try 9 12 - -.A.
- /0"
Address:
/414.03 —..Z—A
"/) /, Ail iti
Date Called:
Special Instructions:
Date Wanted:
Requester:
Phone No:
a 06- 575.-"
z 7.
QApproved per applicable codes.
COMMENTS:
•
•
•
Corrections required prior to approval.
..
:..
d at 6300 Southcenter BL d.. Suit 100. Call to schedule reinspection. `•
•
•
1 . 1 1 •
I`IiS'ECTiON RECORD-
Retain Retain a copy with permit
INSPrcTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION A •
_136//-04" -5
• r 1
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project: - _
Type of Inspection: r
.4. enzAtrit
Address:
/ 'q,.1 9 z.J-i,/.,,,, Ara. I
Date Called:
Special Instructions:
.
-- -
Date Wanted: . a.m.
..Y4444/
Request e
Phone No:
1r, r4 -'l1 - 9.3a5
Approved per applicable codes.• ti 1 Corrections required prior to approval. •
CONMAENTS:
At-mAndee/
z
•
••,. °
• !
' - .,.. * . . %
INSPECTION RECORD.
2,'" Retain a copy with permit
INSPECTION NO.
/D! / /_ow.5
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project:
/1/l,ZL7.?e5;` /9 /'7:3 .
Type of Inspection:
r, i ?duo) -6002 k
Address:
/5vc7 43 -,rivrAhikaneu
Date Called:
Special Instructions:
Date Wanted:rrn
Requester:
Phone No:
,.46- 7'g-
DApproved per applicable codes.
QCorrections required prior to approval.
COMMENTS: p A.
;4,%v 01 A Jd 9L — tmew,I1004, -41 !Me,
or:
Grw.ra�
Date:
•
INSPECTION FEE 1(EQUIRED rior to next inspection. fee must be
aid at 6300 Southcenter Blvd.. Suite 1 Or. Call to schedule reinspection.
i • •
•
•• • - +` _• ^ -•�„�
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA.98188 . (206) 431 -3670 .
Permit Inspection Request Line (206) 431 -2451
Project:
,'-s-- 9P74:
Type of Inspection:
r)4(- cia us71?i, i/d 4j
Address:
/490,,3 -_.r. A/ -1-,Q. '/ia/5Mu
Date Called:
M./0
Special Instructions:
-
Date Wanted:
3- 3ei -r/
a.m.
l
Requester:
Phone No:
.246- 7/29- C367
Approved per applicable codes. Corrections required prior to approval.
CO MENTS:
7
Inspec r:
Date
EINSPECTION FEE REQUIRED. Pr Or to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
__!
Contractors or Tradespeople Peer 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 STATE MECHANICAL COMPANY UBI No. 600611697
Phone 2065757527 Status Active
Address 600 Industry Dr 8 License No. STATEMC141C7
Suite /Apt. License Type Construction Contractor
City Tukwila Effective Date 2/27/1986
State WA Expiration Date 9/1/2011
Zip 98188 Suspend Date
County King Specialty 1 Plumbing
Business Type Corporation Specialty 2 Unused
Parent Company
Other Associated Licenses
License
Name
Type
Specialty 1
Specialty 2
Effective
Date
Expiration
Date
Status
DESIGM'110NQDESIGN
MECHANICAL
Construction
Contractor
Boiler /Steam
Fit /Proc Piping
Plumbing
8/18/1989
8/17/1993
Archived
RXHCO "121NARXH
COMPANY
Construction
Contractor
Plumbing
g
oiler /Steam
Fit /Proc Piping
8/1/1988
7/27/1999
Archived
GERRICI163B3
GERRIK
COMPANY INC
Construction
Contractor
General
Unused
1/23/1984
1/9/1991
Archived
Business Owner Information
Name
Role
Effective Date
Expiration Date
PLATZ, GREG D
Cancel Date
01/01/1980
Amount
DEWITT, RALPH E
21
01/01/1980
GL1650262
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 CO
200686359
07/27/2001
Until Cancelled
$6,000.00
08/14/2001
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
21
COLONY INS CO
GL1650262
06/02/2010
06/02/2011
$1,000,000.0009
/16/2010
20
COLONY INS CO
GL1650261
06/02/2008
06/02/2011
$1,000,000.0005
/06/2010
19
FIRST MERCURY
INS CO
FMFL001801
06/02/2006
06/02/2008
$1,000,000.0005
/09/2007
18
NORTH
AMERICAN
CAPACITY
PNG100046600
06/02/2006
06/02/2007
$1,000,000.0005
/25/2006
17
CO LEXINGTON INS
1143373 A
06/02/2004
06/02/2006
$1,000,000.0005
/19/2005
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
03/15/2011