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Home My WebLink AboutPermit PG11-091 - 12624 BUILDING - VACANT SPACEVACANT SPACE 12624 INTERURBAN AV S PG1 1 -091 City okukwila 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.: 0004800003 Address: 12624 INTERURBAN AV S TUKW Project Name: VACANT SPACE Permit Number: PG11 -091 Issue Date: 06/30/2011 Permit Expires On: 12/27/2011 Owner: Name: GATEWAY OLYMPIA INC Address: PO BOX 4900 #207 , SCOTTSDALE AZ 85261 Contact Person: Name: VERNON HUBER Address: 3702 WEST VALLEY HYN, SUITE 200 , AUBURN WA 98001 Email: NOT PROVIDED Contractor: Name: HUBER'S PLUMBING CO Address: 3702 WEST VALLEY HWY #2 , AUBURN WA 98001 Contractor License No: HUBERP *042M2 Phone: 206 - 510 -3069 Phone: 253 839 -7876 Expiration Date: 07/17/2012 DESCRIPTION OF WORK: FINAL INSPECTION FOR CAPPING OF DRAIN LINE (SEE EXPIRED PERMIT PG 10 -105) Value of Plumbing /Gas Piping: Fees Collected: Electrical Service Provided by: Permit Center Authorized Signature: $350.00 Uniform Plumbing Code Edition: 2009 $47.25 International Fuel Gas Code Edition: 2009 Loa Date: CQ 30- t 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: Date: 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 -091 Printed: 06 -30 -2011 PERMIT CONDITIONS Permit No. PG1 1-091 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 -091 Printed: 06 -30 -2011 CITY OF TUKWI Community DeyelopmgArDepartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Plumbing/GasQrmit No. 1k)G 11 - 0 q I 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.: 400 ItdCO 3 . Site Address: /2 02 % gAZ14 Suite Number: Floor: Tenant Name: I /� a,T 7' New Tenant: ❑ Yes V.. No Property Owners Name: Mailing Address: ,Z), p TO7 .26 �G°o% etk City 1z State Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: Day Telephone: .20■,�,/�/2 3 C6' Mailing Address: 370,2 i /Cs7 ,o/�/ /,r/y1 d. 400 4i�,hi e�i 2v,1 - "WO/ City State r� Zip E -Mail Address: Fax Number: 253'-17 3 —6:i9X PLUMBING / GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: .1) (/ o 3 %2 ,/a / /( a� � Contact Person: E -Mail Address: Contractor Registration Number: City Day Telephone: Fax Number: Expiration Date: eodi State Zip 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 Contact Person: Day Telephone: E -Mail Address: Fax Number: State Zip H:\Applications\Porms- 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 po $ 'J (2 / Scope of Work (please provide detailed information ..) „,17/ Building Use (per Int'1 Building Code): gGI /J-7— 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 OWNER / / AGENT: Signature: / Print Name: Mailing Address: ('772 IDate Application Accepted: Date: 0 133y Telephone: 20d' <-/--3061 City ,1 .7savi State Zip Date Application Expires: Staff Initials: H:1ApplicationslForms- Applications On Line\2010 Applications17 -2010 - Plumbing -Gas Piping Permit Application.doc Revised: 7 -2010 bh Page 2 of 2 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.TukwilaWA.gov RECEIPT Parcel No.: 0004800003 Permit Number: PG11 -091 Address: 12624 INTERURBAN AV S TUKW Status: PENDING Suite No: Applied Date: 06/30/2011 Applicant: VACANT SPACE Issue Date: Receipt No.: R11 -01360 Payment Amount: $47.25 Initials: WER Payment Date: 06/30/2011 01:48 PM User 1D: 1655 Balance: $0.00 Payee: HUBER'S PLUMBING TRANSACTION LIST: Type Method Descriptio Amount Payment Check 31382 47.25 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts PLUMBING - NONRES 000.322.103.00.00 47.25 Total: $47.25 doc: Receiot -06 Printed: 06 -30 -2011 itptr. -;- - r- 7"•7'p': {1.77p:,w ,'yn -s -a Srtxr:vtr 9.77.= - .'•rur!'�' -° .xe'n.•. ::�: -.� ;ti• •:- �•.,y: :: ,f INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 p.(206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: U46AA( Cp.4e{� Type o Insp'ecttion: I , /vAL. ViuMO,1b Address: ( , C FuuR O/Q'`s Date Called: nstructions: Special Instructions: Date Wanted: -7 - - ( ( p.m. Requester: Phone `No(0 — 3 9 (- i 5 3 0 Approved per applicable codes. Corrections required prior to approval. COMMENTS: rerp,:y Insp ctor: • • (49 —• r REINSPECTION FEE REQUIRED( Prior to next inspection. fee must be �?.. paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspectiont -`•. • :� 4c • INSPECTION RECORD P6 )1 w Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 N (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: t A -C(' Type of I spA J P( Ji Address: Date Called: Special Instructions: , 1j A- ,y f b'— Date Wanted: tea. ,,, — ^- ( p.m. 1 Requester: , Phot No: —51 a `]o to 7 :. LIApproved per applicable codes. COMMENTS: Corrections required prior to approval. 00 zADik r k_' —) r tl el t) n S f I �J Contractors or Tradespeople Prrer Friendly Page • General /Specialty Contractor A business registered as a construction contractor with LBI 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 HUBER'S PLUMBING CO UBI No. 601725669 Phone 2538397876 Status Active Address 3702 West Valley Hwy. North #2 License No. HUBERP*042M2 Suite /Apt. License Type Construction Contractor City Auburn Effective Date 7/22/1996 State WA Expiration Date 7/17/2012 Zip 98001 Suspend Date County King Specialty 1 Plumbing Business Type Individual Specialty 2 Unused Parent Company Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status HUBERP*232L7 HUBERS PLUMBING CO Construction Contractor Plumbing Unused 6/27/1977 5/27/1997 Archived Business Owner Information Name Role Effective Date Expiration Date HUBER, VERNON R JR Owner 07/22/1996 Bond Amount Bond Information Page 1 of 2 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 5 PLATTE RIVER INS CO 41152474 05/06/2010 Until Cancelled $6,000.0005/26/2010 04 /05/2011 4 Great American Ins' BRO(11) 53856312 05/06/2009 Until Cancelled 05/08/2010 $6,000.0004/21/2009 03/19/2010 3 FEDERATED MUTUAL INS CO 9335611 09/13/2007 Until Cancelled 05/06/2009 $6,000.0009/10/2007 04/21/2009 2 AM STATES INS EX948812 06/25/2002 Until Cancelled 09/13/2007 $6,000.0006/14/2002 /12/2008 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 14 State Farm Fire EtCasCo 98VP6080 04/01/2011 04/01/2012 $1,000,000.00 04 /05/2011 13 OHIO CAS INS CO BRO(11) 53856312 03/30/2010 03/30/2011 $1,000,000.00 03/19/2010 12 LIBERTY NORTHWEST INS CORP BR01053856312 03/30/2009 03/30/2010 $1,000,000.00 04/21/2009 11 FEDERATED MUTUAL INS CO 9434729 06/14/2008 06/14/2009 04/23/2009 $1,000,000.0005 /12/2008 10 FEDERATED MUTUAL INS CO 5077100 06/14/2007 06/14/2008 $1,000,000.00 06/29/2007 9 AMERICAN SAFETY INDEMNITY 01TSRGL0750 00 07/20/2006 07/20/2007 $1,000,000.0007 /20/2006 8 HARTFORD CASUALTY INS CO 52SBALU1219 07/20/2000 07/20/2006 $1,000,000.0006 /20/2005 https: // fortress .wa.gov /lni/bbip/Print.aspx 06/30/2011