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HomeMy WebLinkAboutPermit PG11-074 - EMSER TILEEMSER TILE 18401 CASCADE AV PG1 1 -074 City olliTukwila • 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.TukwilaWA.gov PLUMBING /GAS PIPING PERMIT Parcel No.: 7888900040 Address: 18401 CASCADE AV TUKW Project Name: EMSER TILE Permit Number: Issue Date: Permit Expires On: PG11 -074 06/16/2011 12/13/2011 Owner: Name: EPROPERTY TAX INC DEPT 207 Address: PO BOX 4900 , SCOTTSDALE AZ 85261 Contact Person: Name: MIKE ERICKSON Address: 19219 68 AV S, SUITE M -109 , KENT WA 98032 Email: SERVICE @HAYESHEATING.COM Contractor: Name: A HAYES HEATING & COOLING LLC Address: 276 SW 43 ST , RENTON WA 98057 Contractor License No: HAYESHC939JR Phone: 206 370 -0229 Phone: 253 893 -0051 Expiration Date: 04/19/2013 DESCRIPTION OF WORK: ADD (1) LINE TO EXISTING GAS PIPING FOR NEW GAS PACK Value of Plumbing /Gas Piping: Fees Collected: Electrical Service Provided by: Permit Center Authorized Signature: $6,821.00 Uniform Plumbing Code Edition: 2009 $120.75 International Fuel Gas Code Edition: 2009 Date: ailiu[tt I hereby certify that I have read an ex. ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be compli d with, whether specified herein or not. The granting of this permit does not p construction or the performance of wor on the back of this permit. to give authority to violate or cancel the provisions of any other state or local laws regulating authorized to sign and obtain this plumbing /gas piping permit and agree to the conditions Signature: 2 7' Z Date4 �k /7 Print Name: ,11/4 T '(c (e.75 c `+ 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 -074 Printed: 06 -16 -2011 • PERMIT CONDITIONS Permit No. PG11 -074 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 -074 Printed: 06 -16 -2011 CITY OF TUKWILA,.. Community Developmen epartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us 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: 1 Cis c c„/< 5 King Co Assessor's Tax No.: 1 Tenant Name: L.: X75(✓ - 77/e_ Suite Number: New Tenant: Floor: .... Yes ] ..No Property Owners Name: Mailing Address: / /o/ Ccr$c -c Je. c1vr 5 'l,fl�wt/ Cr City State iYlf3F' Zip CONTACT PERSON -Who do we contact when your pe mit ady to be issued. Name: /yI r l� L i C I,Ksc Mailing Address: / 92/ 6 y cr ✓r S /17 —/U c, E -Mail Address: 5z v-vrr /1GYt- 4 * '. 4'9 { «• t, Day Telephone: .0 We/ 37C? City State Zip Fax Number: 4/2.5 41/ v3/ G / GAS PIPING CONTRACTOR INFORMATION Company Name: 4 I'ci/r5 liry /l:-r} l Mailing Address: /,y/ 5' ki coy,- '11- Contact Person: /'X/' /4_ "v-r c iri:5 c., E -Mail Address: v v ter 61 /ici f' > /i rei /+K) , CCiPte. Contractor Registration Number: Nei ye-5 4c >3 c/ State Day Telephone:,.24, 6 X76) 0,7,2 7 Fax Number: '/2 2S/ Yc 3/ Expiration Date: `d/ y/ Z2'/ 3 Zip TECT OF RECO must be wet "st d Archi Company Name: Mailing Address: Contact Person: E -Mail Address: City State Zip Day Telephone: Fax Number: ENGINEER OF RECORD I plans mu be wet st ped by Ettginee Company Name: Mailing Address: Contact Person: E -Mail Address: Q:\Applications'Forms- Applications On Linel3 -2006 - Plumbing -Gas Piping Permit Application.doc Revised: 4 -2006 bh city Day Telephone: Fax Number: State Zip Page 1 of 2 Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): c✓ vl c 6c-, p it 1L_ et-> ,,�� y> Building Use (per Int'I Building Code): Occupancy (per Int'I 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 Repair or alteration of drainage or vent piping Medical gas piping system serving one to five inlets/outlets for specific gas 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 OR AUTHORIZED AGENT: Signature:`-i 2 Print Name: pll t /Q Er-' c /4$ c Mailing Address: /9:2-1 r7 P. ct vr,> Date: / y Day Telephone: 6 37c) City State Zip Date Application Accepted: zzl Date Application Expires: Staff Initials: Q:\Applications\Forms- Applications On Line\3 -2006 - Plumbing -Gas Piping Permi Application. doc Revised: 4 -2006 bh ge 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.TukwilaWA.gov Parcel No.: Address: 18401 CASCADE AV TUKW Suite No: Applicant: EMSER TILE RECEIPT Permit Number: PG11 -074 Status: PENDING Applied Date: 05/23/2011 Issue Date: Receipt No.: R11 -01039 Initials: User ID: Payee: JEM 1165 Payment .Amount: $120.75 Payment Date: 05/23/2011 11:39 AM Balance: $0.00 HAYES HEATING AND COOLING, LLC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 7690 120.75 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts GAS - NONRES PLAN CHECK - NONRES 000.322.103.00.00 96.60 000.345.830 24.15 Total: $120.75 doc: Receiot -06 Printed: 05 -23 -2011 INSPECTION. RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 de, (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 PG t- 074 Project: /� f .iQ �i L Type of Inspection: - d¢z/ 6A15 Address: m t ! A ( ` _ Date leo Special Instructions: /Ph Date Wanted: _ a..m.. —t( 'Requester: I o ?-0 CO 39 t{J --(9 lam( Approved per applicable codes. Corrections required prior to approval. CO MMENTS: ref' :`►" l .rs VT( Inspec r: 04\._ Date: ( .II $ 1 r Ti REINSPECTION FEE REQUIRED. Pri r to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. -7,c: F7 0 Niv f\( SEPARATE PERMIT REQUIRED FOR: l3 Llechanical ErElectrical C'1'r'Iumbing 0 Gas Piping City of Tukwila BOLDING DIVISION REVISIONS No changes shalt be made to the scope of work without prior approval of Tukwila Building Division. f r T": rSvis er!s will require a new p'an submittal 1 i plan ':,wt�.�• . � LS wsS C�y ���iiG pi .�. FKLE COPY Permit No. Wit 1l• CAIN PI?- r view approval is subject to errors and Missions. f ...: ai & construction documents does not authorize of any adopted code or ordinance. Receipt f}' improved Fieid Copy and conditions is acknowledged: By' %1 'Z Date: / ( City Of Tukwila BUILDING DIVISION 1442- civ `-41e1P-15■65-L CORRECTION LTR #� t t--0714 REVIEWED FOR CODE COMPLIANCE APPROVED JUN 15 201.1 City of Tukwila BUILDING DIVISION phcr New GK [ aox ,rtefT 3 ti RECEIVED JUN PERMTCENTE07 2011 R City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director 2aa..Y June 3, 2011 Mike Erickson A Hayes Heating & Cooling 19219 68 Av S, Suite M -109 Kent,WA 98032 RE: Correction Letter #1 Plumbing /Gas Piping Permit Application Number PG11 -074 Emser Tile —18401 Cascade Av S Dear Mr. Erickson, This letter is to inform you of corrections that must be addressed before your mechanical permit can be approved. All correction requests from each department must be addressed at the same time and reflected on your drawings. I have enclosed comments from the Building Department. The Fire Department has no corrections at this time. Building Department: Dave Larson at 206 431 -3678 if you have questions regarding the attached memo. Please address the attached comments in an itemized format with applicable revised plans, specifications, and /or other documentation. The City requires that two (2) sets of revised plans, specifications and /or other documentation be resubmitted with the appropriate revision block. In order to better expedite your resubmittal, a `Revision Submittal Sheet' must accompany every resubmittal. I have enclosed one for your convenience. Corrections /revisions must be made in person and will not be accepted through the mail or by a messenger service. If you have any questions, please contact me at (206) 431 -3670. Sincerely, Bill Rambo Permit Technician encl File: PG11 -074 W:\Permit Center\Correction Letters\2011\PG11 -074 Correction Letter #1.doc 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 Tukwila Building Division Dave Larson, Senior Plan Examiner Building Division Review Memo Date: June 2, 2011 Project Name: Emser Tile Permit #: PG11 -074 Plan Review: Dave Larson, Senior Plans Examiner The Building Division conducted a plan review on the subject permit application. Please address the following comments in an itemized format with revised plans, specifications and/or other applicable documentation. (GENERAL NOTE) PLAN SUBMITTALS: (Min. size 11x17 to maximum size of 24x36; all sheets shall be the same size). (If applicable) Structural Drawings and structural calculations sheets shall be original signed wet stamped, not copied.) 1. The existing gas piping appears to be medium pressure gas and regulators have not been shown on the plan. Please show existing and/or new regulators and their locations and note if they are located inside or outside of the building. Label them as existing or new. Should there be questions concerning the above requirements, contact the Building Division at 206 -431- 3670. No further comments at this time. • PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG11 -074 PROJECT NAME: EMSER TILE SITE ADDRESS: 18401 CASCADE AV Original Plan Submittal X Response to Correction Letter # 1 DATE: 06 -07 -11 Response to Incomplete Letter # Revision # After Permit Issued DEPAR MENTS: VLw c. , .L. 1 I uilding Division 1_] Public Works 111 Fire Prevention Structural n Planning Division ❑ Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Incomplete n DUE DATE: 06 -09 -11 Not Applicable Comments: 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 tg Structural Review Required n No further Review Required n REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved n Approved with Conditions DUE DATE: 07-07-11 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 41) PERMIT COORD COPY el PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG11 -074 DATE: 05/23/11 PROJECT NAME: EMSER TILE SITE ADDRESS: 18401 CASCADE AV S X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # after Permit Issued DEPA MEINTS: G14` BuildH , Building Division Public Works Fire Prevention Structural Planning Division Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete IX Comments: Incomplete DUE DATE: 05/24/11 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 Structural Review Required REVIEWER'S INITIALS: No further Review Required DATE: APPROVALS OR CORRECTIONS: Approved Notation: REVIEWER'S INITIALS: Approved with Conditions DUE DATE: 06/21/11 Not Approved (attach comments) IX DATE: Permit Center Use Only ,_, CORRECTION LETTER MAILED: rr lR' 3 t 1 Departments issued corrections: Bldg Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents /routing slip.doc 2 -28 -02 City mf Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Web site: http: / /www.ci.tukwila.wa.us REVISION SUBMITTAL Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: 7 7 i r Z7 / / Plan Check/Permit Number: ❑ Response to Incomplete Letter # a- Response to Correction Letter # ❑ Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: L;.--44,5e- Project Address: /5110l cce -><Z. c, 4. CI 4/ 1)6 3-7/4 Contact Person:/4' ,k 'ri c/'sc -1 Phone Number:24Z 376) o 22- Summary of Revision: rr / 2-414.— � v eSSGr S 7ci -, cL /41 e (9 �i3 17 ,) ti s CITYOFTUKWtt,A JUN 0 7 2011 PERMTCJ JTER Sheet Number(s): "Cloud" or highlight all areas of revision including date of rev to Received at the City of Tukwila Permit Center by: la— Entered in Permits Plus on H: Applications\Fonns- Applications On Line \2010 Applications \7 -2010 - Revision Submittal.doe Created: 8-13 -2004 Revised: 7 -2010 Contractors or Tradespeople *ter 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 A HAYES HEATING & COOLING LLC UBI No. 602694369 Phone 2062444328 Status Active Address 19219 68Th Ave 5 #M -109 License No. HAYESHC939JR Suite /Apt. License Type Construction Contractor City Kent Effective Date 4/19/2007 State WA Expiration Date 4/19/2013 Zip 98032 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 HAYES, LINDA S Partner /Member 04 /19/2007 Amount 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 1 TRAVELERS CASUALTY INSURANCE C 103490975 04/11/2007 Until Cancelled $12,000.00 04/19/2007 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 3 TRUCK INS EXCHANGE 602017843 09/27/2008 09/27/2011 $1,000,000.00 10/01/2010 2 TRUCK INS EXCHANGE 602017843 09/27/2007 09/27/2008 $1,000,000.00 10/04/2007 1 TRUCK INS EXCHANGE 60201 78 43 09/27/2006 09/27/2007 $1,000,000.00 04 /19/2007 Summons /Complaint Information Cause County Complaint Judgment Status Payment Paid By 09 -2- 29625 -1SEA CHRISTINA HAMILTON InterPlead: No KING Date: 08/12/2009 Amount: $0.00 Bond(s): 103490975 Date: Amount: $0.00 Open Date: Amount: Warrant Information No unsatisfied warrants on file within prior 6 year period https: // fortress .wa.gov /lni/bbip/Print.aspx 06/16/2011