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HomeMy WebLinkAboutPermit PG11-096 - LUMBER LIQUIDATORSThis record contains information which is exempt from public disclosure pursuant to the Washington State Public Records Act, Chapter 42.56 RCW as identified on the Digital Records Exemption Log shown below. PG 11 -096 Lumber Liquidators 120 Andover Park East RECORDS DIGITAL D- ) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION Page # tode Exemption = 8rlef Explanatory DeSclriptiop �t�tutel ule The Privacy Act of 1974 evinces Congress' intent that social security numbers are a private concern. As such, individuals' social security Personal Information — numbers are redacted to protect those Social Security Numbers individuals' privacy pursuant to 5 U.S.C. sec. 5 U.S.C. sec. DR1 Generally — 5 U.S.C. sec. 552(a), and are also exempt from disclosure 552(a); RCW 552(a); RCW under section 42.56.070(1) of the Washington 42.56.070(1) 42.56.070(1) State Public Records Act, which exempts under the PRA records or information exempt or prohibited from disclosure under any other statute. Redactions contain Credit card numbers, debit card numbers, electronic check numbers, credit Personal Information — expiration dates, or bank or other financial RCW 10 DR2 Financial Information — account numbers, which are exempt from 42.56.230(5) RCW 42.56.230(4 5) disclosure pursuant to RCW 42.56.230(5), except when disclosure is expressly required by or governed by other law. LUMBER LIQUIDATORS 120 ANDOVER PK E PG1 1 -096 City otI'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: htto: / /www.TukwilaWA.gov PLUMBING /GAS PIPING PERMIT Parcel No.: 0223000062 Address: 120 ANDOVER PK E TUKW Project Name: LUMBER LIQUIDATORS Permit Number: PG11 -096 Issue Date: 07/08/2011 Permit Expires On: 01/04/2012 Owner: Name: HOME ELECTRIC COMPANY Address: 3414 NE 55TH , SEATTLE WA 98105 Contact Person: Name: MATTHEW NELSON Address: 17461 147 ST SE #16 , MONROE WA 982720 Email: bigrooter @hotmail.com Contractor: Name: BIG ROOTER/NELSON PLM /MECH INC Address: 17461 147 ST SE #16 , MONROE WA 98272 Contractor License No: BIGRORM940NQ Phone: 206 883 -4777 Phone: 360 794 -3524 Expiration Date: 07/25/2012 DESCRIPTION OF WORK: MOVE LAV 3 FEET TO THE LEFT Value of Plumbing /Gas Piping: Fees Collected: Electrical Service Provided by: $300.00 Uniform Plumbing Code Edition: 2009 $96.60 International Fuel Gas Code Edition: 2009 Permit Center Authorized Signature: Date: O1, [DE li I hereby certify that I have read and exa 'ned this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complies wit whether specified herein or not. The granting of this perm construction or the p - rfo on the back of this p not pres e to give authority to violate or cancel the provisions of any other state or local laws regulating of work. I am authorized to sign and obtain this plumbing /gas piping permit and agree to the conditions Signature: Date: Print Name: 4i—‘koL,J NCI 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 -096 Printed: 07 -08 -2011 • • PERMIT CONDITIONS Permit No. PG 11 -096 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 PG11 -096 Printed: 07 -08 -2011 CITY OF TUKWIA Community Develop :Mt Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Plumbing/Ga ermit No. H,Liflc0 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: 2t) JT (9 Fly- E Tenant Name: 1/v w& r I U�l'toik 5 Property Owners Name: U Mailing Address: King Co Assessor's Tax No.: tr% Z/2. 3 000.k.), 2- Suite Number: 1 Do Floor: New Tenant:. Yes ❑ .. No City State Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: %GQ L) N e�5 0 Day Telephone: mob • 977 ? Mailing Address: \ 1 (0 I ( S� -- -i On toe (,)A- C(s272 City State Zip E -Mail Address: V 9 C I k f @ 14.1511A-k`71 ( ' C O' ' Fax Number: PLUMBING / GAS PIPING CONTRACTOR INFORMATION Company Name: 8 \ `CC *r / , 6Soh - Mailing Address: 0( �� S `7 " iii (Q ' n) {(A� City (q_` State Zip Day Telephone: 2do' Sq 3 .4+7/ Fax Number: 2, �`, , -719- ks� 3 Expiration Date: Contact Person: �,y r1r-� `•',)^^�� j E -Mail Address: 5(`'�C€M j. e Contractor Registration Number: Vi ao r © y- /U c_ /N- Q6277- ARCHITECT OF RECORD — All plans must be stamped by Architect of Record Company Name: Mailing Address: oN ,uG- 5■\ 22 00 24- a- 2 c City /41" /.L. Ter c e_ State Zip Contact Person: Day Telephone: if L . 6, 7 0 -7 0 6 E -Mail Address: Fax Number: ENGINEER OF RECORD - All plans must be stamped by Engineer of Record Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: H:\Applications\Porms- Applications On Line\2010 Applications \7 -2010 - Plumbing -Gas Piping Permit Application. doe Revised: 7 -2010 bh Page 1 of 2 Valuation of Project (contractor's bid pre $ • n r c, Scope of Work (please provide detailed information): %o \'r�t�v) 5 N t`— j Building Use (per lnt'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: 04 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 I 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. S • : t 103.4.3 International Plumbing Code (current edition). I HEREBY CERTIFY THA ' HAVE ' AD AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PE URY B THE LAW OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWN :j' 0 ' UTHORIZE 1 ENT: Signature: ` Fes Date: , Print Name: /-3 0V._ Mailing Address: 171-611 ILO Date Application Accepted: 01 { O Day Telephone: f)---c' (o • 4c3U; 477 /1^)'(1 -$ WA- - -'? City State Zip Date Application Expires: Staff Initials: H:\Applications\Potms- Applications On Line\2010 Applications \7 -2010 - Plumbing -Gas Piping Permit Application.doc Revised: 7 -2010 bh Pagr 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.Qov RECEIPT Parcel No.: 0223000062 Permit Number: PG11 -096 Address: 120 ANDOVER PK E TUKW Status: APPROVED Suite No: Applied Date: 07/08/2011 Applicant: LUMBER LIQUIDATORS Issue Date: Receipt No.: R11 -01409 Initials: JEM User ID: 1165 Payment Amount: $96.60 Payment Date: 07/08/2011 04:43 PM Balance: $0.00 Payee: MATTHEW NELSON, BIG ROOTER NELSON PLUMBING TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 054219 ACCOUNT ITEM LIST: Description 96.60 Account Code Current Pmts PLUMBING - NONRES 000.322.103.00.00 96.60 Total: $96.60 doc: Receipt -06 Printed: 07 -08 -2011 . INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. rctk -o(fiy, CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 , Project: (.._,..k...64...r I,: 4,i . dkAl.:5 Type of Inspection: FL) dt, v i S . 14 i‘i 1 ilj Address Date Called: Special Instructions: / / Date � Wanted . ,a. e''l If p.m. Requester: P gone No: Approved per applicable codes. • E Corrections required prior to approval. COMMENTS: 06 AT t it-- ? cA (' nspec or: Date: 15->'- r REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. ;yam.. 7,. �'�7' .x 2� 4 .�� j °Y• I`. • INSPECTION RECORD Retain a copy with permit INSPECTI I N NO. ?& i r -- °96 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: ( .4..lit-rV / ( I ,V Ii ( r_ " Type ,of Inspection: ` 11) d..6 (4- - T _ate Address: 1 ? AJ' Jc1 Date Called: • --, Special Instructions: . 1 Date Wanted: � – f — if ra.m P.m. Requester: inspection. fee'must be .11, -Y a_ __L_J..1� ..�. •..� -ri.e: REINSPECTION FEE REQUIRE . Prior to next ___:_I _a fnnn n___aL__�a__ nL.J r.. :s_ of a A_11 Thone No: . Approved per applicable codes. Lj Corrections required prior to approval: • COMMENTS: . • 4 A.,4) ✓4 LA-c,/ 6 d-r-s- AQ- G • • • • . 1 4 Inspec or: 4 Date: -7 { Ll inspection. fee'must be .11, -Y a_ __L_J..1� ..�. •..� -ri.e: REINSPECTION FEE REQUIRE . Prior to next ___:_I _a fnnn n___aL__�a__ nL.J r.. :s_ of a A_11 • • • A ti Contractors or Tradespeoplenter Friendly Page ill 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 Phone Address Suite /Apt. City State Zip County Business Type Parent Company BIG ROOTER /NELSON PLM /MECH INC 3607943524 17461 147Th St. Se #16 Monroe WA 98272 Snohomish Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602636612 Active BIGRORM940NQ Construction Contractor 8/18/2006 7/25/2012 Plumbing Unused Business Owner Information Name Role Effective Date Expiration Date NELSON, MATTHEW President 08/18/2006 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 1 HARTFORD FIRE INS CO 52BSBED8926 08/18/2006 Until Cancelled 07/14/2008 $12,000.00 08/18/2006 Assignment of Savings Information Savings Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 1 7/21/2008 Until Released Bond $6,000.00 7/25/2008 Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 4 FEDERATED MUTUAL INS CO 9820461 10/01/2008 10/01/2011 10 2 20245 55EA BOARD OF TRUSTEES OF THE NORTHWEST PLUMBING & PIPE KING $2,000,000.00 08/18/2010 3 AMERICAN STATES INS CO 01CG6880094 12/01/2007 12/01/2008 $1,000,000.00 11/05/2007 2 AMERICAN STATES INS CO 01CG6880093 12/01/2006 12/01/2007 $1,000,000.00 12/04/2006 1 AMERICAN STATES INS CO 01CG6880092 12/01/2005 12/01/2006 $1,000,000.00 08/18/2006 Summons /Complaint Information Cause County Complaint Judgment Status Payment Paid By 10 -2- 20245 -5SEA BOARD OF TRUSTEES OF THE NORTHWEST PLUMBING ft PIPE InterPlead: No KING Date: 06/22/2010 Amount: $0.00 Bond (s): 52BSBED8926 Date: Amount: $0.00 Open Date: Amount: 10 2 20245 55EA BOARD OF TRUSTEES OF THE NORTHWEST PLUMBING & PIPE KING Date: 06/22/2010 Amount: $0.00 Date: Amount: $0.00 Open Date: Amount: https://fortress.wa.gov/lni/bbip/Print.aspx 07/08/2011