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Home My WebLink AboutPermit PG11-090 - WESTFIELD SOUTHCENTER MALL - FUTURE TENANTFUTURE TENANT 728 SOUThCENTER MALL PG1 1 -090 City ofbTukwila 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.: 9202470010 Address: 728 SOUTHCENTER MALL TUKW Project Name: FUTURE TENANT Permit Number: PG11 -090 Issue Date: 07/14/2011 Permit Expires On: 01/10/2012 Owner: Name: WESTFIELD PROPERTY TAX DEPT Address: PO BOX 130940 , CARLSBAD CA 92013 Contact Person: Name: BILL SCHMIDTKE Address: PO BOX 3387 , LACEY WA 98509 Email: BILL @CAPITALHEATINGANDCOOLING.COM Contractor: Name: CAPITAL HEATING & COOLING Address: PO BOX 3387 , LACEY WA 98509 Contractor License No: CAPITHC948N3 Phone: 360 - 491 -7450 Phone: 360 - 491 -7450 Expiration Date: 09/06/2012 DESCRIPTION OF WORK: PROVIDE NEW 2" GAS LINE FROM EXISTING 1.5 " GAS LINE FROM METER ROOM. CAP GAS LINE AT FUTURE TENANT SPACE FOR FUTURE CONNECTION. Value of Plumbing /Gas Piping: Fees Collected: Electrical Service Provided by: Permit Center Authorized Signature: $2,000.00 Uniform Plumbing Code Edition: 2009 $120.75 International Fuel Gas Code Edition: 2009 Date: 6-7////// 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 o this permit. Signature: Print Name: Date: Cl ( /Lf (dj/ 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 PG11 -090 Printed: 07 -14 -2011 • • PERMIT CONDITIONS Permit No. PG11 -090 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: 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. 9: 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. 10: 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. 11: 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 -090 Printed: 07 -14 -2011 CITY OF TUKWILA Community Developme Department Permit Center 6300 Southcentgr Blvd, Suite :100 Tukwila, WA 98188 ' http://www:ci.tukwila.wa.t.is ��- • . Plumbing/Gas limit No. TG 1 1 (l 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 King Co Assessor's Tax No.: `( 1.641T7 O° l 0 Site Address: 7 Z$ SoL4 .4 GE cit.. Tenant Name: Property Owners Name: Jf i he-d -Net Pi,' C0,4E4- Mailing Address: 28vo ,S'ot�i �G6J?19C, -rt , Suite Number: ( $ o Floor: New Tenant: ❑ Yes 111410 City State Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: Mailing Address: E -Mail Address: gl P.O, 6'x 3311 Day Telephone: W26.-44. ( --/ iSo ity State m— C.4 t.t.( -Er -r1N e-rJD 6,0ec..1. -1 cot, Fax Number: 36° /S S - i9 /� Zip PLUMBING / GAS PIPING CONTRACTOR INFORMATION Company Name: Cfte fl (46/616 A-a CoojN Mailing Address: e. D _ € °k 33 V"? Contact Person: talkg city t Day Telephone: E -Mail Address: Jl(.0 a CAA 1(161,117A)C (.0 b c.,,'4. Co/fax Number: Contractor Registration Number: c041(7 '7Y8,✓3 Expiration Date: WA- 18SDr State Zip 16,0 - / -718**0 7&0--`15- 7916 ? -3( -16 r2— ARCHITECT OF RECORD - All plans must be 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 stamped by Engineer of Record Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: State Zip 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 41110): $ 000 Scope of Work (please provide detailed information): /Ayt- 47-4,te rbve N4v Building Use (per Int'l Building Code): Occupancy (per Int'1 Building Code): Utility Purveyor: Water: • Z`` 6 ®r ce,ve fit,"„ Jet-IL-7,4 /.ft/ d4 fz ?Ait6 rENITTa -Ge ht?criGe" 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 Urinal,s 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 INNER OR AU RIZED AGENT: Signature: Print Name: Mailing Address: tqd, 7P) Day Telephone: Date: 04/107243/ / Aar- 1/,2yre5 City �✓� S�so7 State Zip Date Application Accepted: Date Application Expires: 0=30- t Staff Initials: H: Applications\Forms- Applications On Line12010 Applications17 -2010 - Plumbing -Gas Piping Permit Application.doc Revised: 7 -2010 bh Page 2 of 2 0 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 RECEIPT Parcel No.: 9202470010 Permit Number: PG 11 -090 Address: 728 SOUTHCENTER MALL TUKW Status: APPROVED Suite No: Applied Date: 06/30/2011 Applicant: FUTURE TENANT Issue Date: Receipt No.: R11 -01471 Initials: LAW User ID: 1632 Payment Amount: $96.60 Payment Date: 07/14/2011 02:32 PM Balance: $0.00 Payee: CAPITAL SHEET METAL INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 2821 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: 07 -14 -2011 SET RECEIPT RECEIPT NO: R11 -01352 Initials: WER Payment Date: 06/30/2011 User ID: 1655 Total Payment: 75.56 Payee: CAPITAL SHEET METAL SET ID: 063011 SET NAME: FUTURE TENANT SET TRANSACTIONS: Set Member Amount M11 -088 51.41 P011 -090 24.15 TOTAL: 51.41 TRANSACTION LIST: Type Method Description Amount Payment Check 2744 75.56 TOTAL: 75.56 ACCOUNT ITEM LIST: Description Account Code Current Pmts PLAN CHECK - NONRES 000.345.830 TOTAL: 75.56 75.56 4 •vr•�r'i� T° .�'�.'Q';T`:!r.�R r�q: +.off g rr77 qr�•*r. a-•-, s+r. �: -- i1'i rrra�i (V INSPECTION RECORD I 4.( Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 'eye T FroT�tJ. ` f eRJ Ypegf In cti : � t..-_ -- Add's: -)---7, 3 —__T(J � F2 c-kc d P Date Called: % c Special Instructions: + k Date Wanted: -7 _ / -5- ..r c .a.m.., p.in: Requester: P eCo: 4 1... I 2.4 .51 pproved per applicable codes. Corrections required prior to approval. COMMENTS: Pe f,y►.'t 1.t9-3,e I6-f -( -)---7, 3 —__T(J � F2 c-kc d P % c ti i k i 1 ecto Dat ; 44441 '1 AJ / /.f l l — / ❑ I SPECTION FEE REQUIRED. P,rfor to next inspection. fee must be d at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 1R_. (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 p6t( --C7 Project-. T Te �� j ` ' 1 rC iv TYp� 9f Inae6 on: JV V r �.. J itf Ad ....5 i Date Called: Special Instructions: Date ----r—am. p� Requester: Pho5e No: o —41( —7 45 )51,,, Approved per applicable codes. 0 Corrections required prior to approval. Inspect Date: D REINSPfION FEE REQUIRE p. Prior to next inspection. fee must be • paid at 00 Southcenter Blvd.. Suite 100. Call to schedule reinspection. o • Q� -- PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG11 -090 DATE: 06 -30 -11 PROJECT NAME: FUTURE TENANT SITE ADDRESS: 728 SOUTHCENTER MALL X Original Plan Submittal Response to Correction Letter # Response to Incomplete Letter # Revision # After Permit Issued DEPARTMENTS: 'vision O ullding ivision Public Works 11 Fire Prevention Structural Planning Division Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete 1(1 Incomplete DUE DATE: 07- 0511 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 Structural Review Required ❑ No further Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved ❑ Approved with Conditions Notation: REVIEWER'S INITIALS: DUE DATE: 08-02-11 Not Approved (attach comments) 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 Pry'„ 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 CAPITAL HEATING Et COOLING UBI No. 342008959 Phone Status Active Address Po Box 3387 License No. CAPITHC948N3 Suite /Apt. License Type Construction Contractor City Lacey Effective Date 9/6/2006 State WA Expiration Date 9/6/2012 Zip 985093387 Suspend Date County Thurston Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company CAPITAL SHEET METAL WORKS INC Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status CAPITSM322R3 CAPITAL SHEET MTL WRKS INC Construction Contractor Heating /Vent /Air- Conditioning And Refrig (Hvac /R) Unused 12/23/1968 1/24/2012 Active Business Owner Information Name Role Effective Date Expiration Date SCHMIDTKE, WILLIAM EDWARD President 08/23/2006 Amount SCHMIDTKE, ERIN ALTA KANANI Secretary 08/23/2006 BKW53785480 SCHMIDTKE, CHARLES MATTHEW Treasurer 08/23/2006 SCHMIDTKE, DEAN WILLIAM Vice President 08/23/2006 NORTH PACIFIC INS CO 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 RLI INS CO SRS1027160 08/31/2006 Until Cancelled $12,000.00 09/06/2006 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 WEST AMERICAN INS CO BKW53785480 01/16/2010 01/16/2012 $1,000,000.0001 /14/2011 2 NORTH PACIFIC INS CO C15131641 01/16/2009 01/16/2010 $1,000,000.0001 /07/2009 1 NORTH PACIFIC INS CO C14131641 01/16/2006 01/16/2009 $1,000,000.00 01 /17/2008 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/Printaspx 07/14/2011