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Home My WebLink AboutPermit PG11-098 - GROUP HEALTH OPTICSGROUP HEALTH OPTICS 12401 EAST MARGINAL WY S PG1 1 -098 CD City olkukwila 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.: 7340600480 Address: 12400 EAST MARGINAL WY S TUKW Project Name: GROUP HEALTH OPTICS /KPS Permit Number: PG 11 -098 Issue Date: 07/12/2011 Permit Expires On: 01/08/2012 Owner: Name: ANNE ARUNDEL APARTMENTS LLC Address: 10 W MARKET -1200 MARKET TOWE , INDIANAPOLIS IN 46204 Contact Person: Name: KEVIN ALMON Address: 13106 SE 240 ST #101 , KENT WA 98031 Email: kevin.almon @vitalmechanical.com Contractor: Name: VITAL MECHANICAL SERVICE INC Address: 14630 SE 213 ST , KENT WA 98042 Contractor License No: VITALMS964MM Phone: 253 630 -6933 Phone: Expiration Date: 08/08/2012 DESCRIPTION OF WORK: DEMOLITION OF PLUMBING 07 -14-11 REVISION #1 TO CORRECT ADDRESS Value of Plumbing /Gas Piping: $7,486.00 Uniform Plumbing Code Edition: 2009 Fees Collected: $60.90 International Fuel Gas Code Edition: 2009 Electrical Service Provided by: Permit Center Authorized Signature: Date: 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: -'� / This permit shall becom: 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. Date: doc: UPC -4/10 PG 11 -098 Printed: 07 -14 -2011 • • PERMIT CONDITIONS Permit No. PG11 -098 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 -098 Printed: 07 -14 -2011 City olikukwila 1 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.: 7345600490 Address: 12401 EAST MARGINAL WY S TUKW Project Name: GROUP HEALTH OPTICS /KPS Permit Number: Issue Date: Permit Expires On: PG11 -098 07/12/2011 01/08/2012 Owner: Name: GROUP HEALTH COOPERATIVE Address: JIM DOUMA PROPERTY MGMT , 521 WALL ST 98121 Contact Person: Name: Address: Email: Contractor: Name: KEVIN ALMON 13106 SE 240 ST #101 , KENT WA 98031 kevin.almon@vitalmechanical.com VITAL MECHANICAL SERVICE INC Address: 14630 SE 213 ST , KENT WA 98042 Contractor License No: VITALMS964MM Phone: 253 630 -6933 Phone: Expiration Date: 08/08/2012 DESCRIPTION OF WORK: DEMOLITION OF PLUMBING Value of Plumbing /Gas Piping: Fees Collected: Electrical Service Provided by: Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complie $7,486.00 $60.90 Uniform Plumbing Code Edition: 2009 International Fuel Gas Code Edition: 2009 Date: ed this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. The granting of this permit does not pr construction or the performance of work. on the back of this permit. Signature: e to give authority to violate or cancel the provisions of any other state or local laws regulating I am authorized to sign and obtain this plumbing /gas piping permit and agree to the conditions t'eA°11/d Print Name: V ecc S (CG- )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. Date: / f,z_f 1 1 doc: UPC -4/10 PG 11 -098 Printed: 07 -12 -2011 • • PERMIT CONDITIONS Permit No. PG 11 -098 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 -098 Printed: 07 -12 -2011 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 httro://www.TukwilaWA.uov Plumbing/Gas Permit No. 'F'41-cfl 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.: 7340E Cf{e30 Site Address: 1244 ElST 1/411`1 5 Suite Number. Tenant Name: G Qwn Property Owners Name: c g \P t4Ac-t4{ — p,1=LL1A Mailing Address: 17_50 EAFcr t% u t 1t LA t414 9a' 1c°t, City Statc Zip C'cx_TN-A�1S Floor: New Tenant: ❑ .....Yes E No CONTACT PERSON -Who do we contact when your permit is ready to be issued Name: tJ kL.M01•1 - \/ Ct \L M tz N- 1-yt11 CAL Mailing Address: E -Mail Address: r3I Co SE. 74c1 .'75r oI Day Telephone: City 2` 3 -Co 90 -c,433 1,,IA 5303 ( State Zip ax Number: 253 -Cab- Co 939- PLUMBING / GAS PIPING CONTRACTOR INFORMATION Company Name: V I r1,,1_ tvlen ∎LA L Mailing Address: ("NOG O I k ter- t4'A %Q 1 City State Zip Contact Person: Ie -,e■I NA ,{ wto J Day Telephone: 2'7"x - (ADO - E -Mail Address: Kt 'Jttr1, &M .1 e v TALI-ter-0%4 CAL CC.V.A Fax Number: 253- C-R0- C93 4- Contractor Registration Number: Expiration Date: ARCHITECT OF RECORD - All plans must be stamped by Architect of Record Company Name: _JE j1_ `EPA C(- 311.1 Is.21.40s Tf-CT Mailing Address: 911 kJ cS i tt?_la - 311 City Contact Person: -.l l t Z■`{ Day Telephone: 20c- 623 - 3C,.,cr 3 E -Mail Address: it.=,ArLALi&i2/_gn:1,.1 I cl t.� Fax Number: WA State 9cS 104 - Zip ENGINEER OF RECORD -All plans must be stamped by Engineer of Record Company Name: Mailing Address: 2-o2(Dl C --- 0.kCL t/i .t.. :E-1" .O f( t2a LYNIAstAci.N3 0,1t 9 -j03(.. //�� City State Zip Contact Person: L +�5 12 ■C.t \r Day Telephone: Lbc- %45— 2# E -Mail Address: G(K\ 0.-tC.a AT - P.1C_eC -t C f . COtAA Fax Number: 42S - 677 - 2-0M- rtg,OtIP1 EiJC . 11:1 Applcatioits\Foims- Application: On Line12010 Appliatian5\7 ?010- Plumbing -Gas Piping Pcmul Appliaioadoc Revisal 7-2010 bh Page 1 oft Valuation of Project (contractor's bid price): $ i —1 co Scope of Work (please provide detailed information): 1■1■CJ.-_rc■ti›S! ?L1/4J1.■-k6\t Building Use (per Int'l Building Code): ,4FFtlt -> Occupancy (per Int'l Building Code): Utility Purveyor: Water: MoT ti,t,ota r. Sewer: Nei- 14-- -‘ :-1 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 is Bathtub or combination bath/shower D Bidet 0 Clothes washer, domestic Dental unit, cuspidor Dishwasher, domestic, with independent drain p Drinking fountain or water cooler (per head) 0 Food -waste grinder, commercial D Floor Drain O Shower, single head trap D Lavatory b Wash fountain Receptor, indirect waste 0 Sinks Urinals 0 Water Closet b Building sewer and each trailer park sewer 0 Rain water system — per drain (inside building) v Water heater and/or vent Industrial waste treatment interceptor, including trap and vent, except for kitchen type grease interceptors D Each grease trap (connected to not more than 4 fixtures - <750 gallon capacity) Grease interceptor for commercial kitchen ( >750 gallon capacity) 0 Repair or alteration of water piping and/or water treatment equipment Repair or alteration of drainage or vent piping D Medical gas piping system serving 1 -5 inlets/outlets for a specific gas 0 Each additional medical gas inlets/outlets greater than 5 0 Backflow protective device other than atmospheric -type vacuum breakers 2 inch (51 mm) diameter or smaller d Backflow protective device other than atmospheric -type vacuum breakers over 2 inch (51 mm) diameter D Each lawn sprinkler system on any one meter including backflow protection devices O Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections (1 -5) 6 Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections over 5 U Gas piping outlets O 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 1 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR AUTHORIZED AGENT: Signature: K2t.4 -A1,yt "4, Print Name: I'(e v' ((/l A I kvio y) Mailing Address: 17 /ij SE 2-4f1, S-}t 54-e ( 0 Date Application Accepted: Date: 3• I i Day Telephone: --4,E 3 - -(Q iO9 v3 Date Application Expires: H:1AppliestionsWonns- Applications On Line1010 Applic dans7 -2010 - Plumbing -Gas Piping Permit Appli=iondoc Raised: 7 -2010 blt Ken-4- IAA 6PRO I City State Zip Staff Initials: Page 2 of 2 a • SET RECEIPT Copy Reprinted on 07 -12 -2011 at 14:49:50 07/12/2011 RECEIPT NO: R11 -01437 Initials: JEM Payment Date: 07/12/2011 User ID: 1165 Total Payment: 648.71 Payee: JESSICA BEATY, VITAL MECHANICAL SET ID: S000001529 SET NAME: Temporary Set SET TRANSACTIONS: Set Member M11 -096 PG11 -098 TOTAL: Amount 587.81 60.90 60.90 TRANSACTION LIST: Type Method Description Amount Payment Credit C VISA 648.71 TOTAL: 648.71 ACCOUNT ITEM LIST: Description Account Code Current Pmts MECHANICAL - NONRES PLAN CHECK - NONRES PLUMBING - NONRES 000.322.102.00.0 000.345.830 000.322.103.00.0 470.25 117.56 60.90 TOTAL: 648.71 — INSPECTION NO. INSPECTION RECORD Retain a copy with permit P61( -01 PERMIT NO. ei CITY OF' TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 •V., (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: (_,1.4.3 c.•? rr..6 Type-Inspectior4_ p Address / 2,4 0 0 6. /44-1 6-10'4,0----- Date Date Called: Special Instructions: Date Wanted ......i 5._1( c aup p.m. Requester: Phon Approved per applicable codes. El Corrections required prior to approval. • . COMMENTS: pipvc--- (,011a4' Date,. •• REINSPECTION FEE REQUIRED Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. uite 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 12, (206) 431-3670 ' Permit Inspection Request Line (206) 431-2451 A;( P61( -041? Project: nr2) a OA CM\ c tion: Ty. - of nspect( A dress: ip I/A a I E. 14A16:4ot._ bate Called: Special Instructions: 'L-53-ig‘Vilik)t? Date Wanted:.7- 7._. eit S‘,V--krAtc-co,firif P.m. Requester: • Phone No: C A-Li EjApproved per applicable codes. Corrections required prior to approval. COMMENTS: 7 eik, ef,..sf, ,. a 7._. eit S‘,V--krAtc-co,firif C A-Li --741‹ ()sr H ep) 1----?) 6 J ' k 1 A 6 0,0:,p Af ( illekr 1- A ( e 5(1 (fiiii 1 Datei 14, (1 ri REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be 'I paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. 0 City of 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: // Plan Check/Permit Number: ❑ Response to Incomplete Letter # ❑ Response to Correction Letter # ❑ Revision # after Permit is Issued Revision requested by a City Building Inspector or Plans Examiner Project Name: Project Address:_ / o o , t ? s T' A ! 2 A ? d , G % t 4 , L I t } 7 - Contact Person: ' fa.hio xd //P hone Number: 2,$ 6933 - Summary of Revision: ('11j �, . c CITY OF TUKWILA I Jug. 1.4 2011 Sheet Number(s): "Cloud" or highlight all areas of revision including date o revisio Received at the City of Tukwila Permit Center by: Entered in Permits Plus on ‘, k''( I H: Applicationu \Forms - Applications On Line \2010 Applications V7-2010 - Revision Submittal.doc Created: 8-13 -2004 Revised: 7 -2010 Contractors or Tradespeople Poriendly Page SO General /Specialty Contractor A business registered as a construction contractor with Lftl 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 VITAL MECHANICAL SERVICE, INC. UBI No. 602410867 Phone 2536306933 Status Active Address 13106 Se 240Th St Ste 101 License No. VITALMS964MM Suite /Apt. License Type Construction Contractor City Kent Effective Date 7/21/2004 State WA Expiration Date 8/8/2012 Zip 98031 Suspend Date County King Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date ALMON, KEVIN LEWIS President 07/14/2004 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 CBIC SG8008 05/28/2010 Until Cancelled $12,000.0005/28 /2010 2 CBIC SG8008 07/20/2006 05/28/2010 $6,000.0007/11/2006 06/01/2007 1 DEVELOPERS SURETY & INDEM CO 543265C 07/20/2004 Until Cancelled 08/10/2006 $6,000.00 07/21/2004 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 4 WEST AMERICAN INS CO BKW53465203 06/06/2008 06/06/2012 $1,000,000.0005 /26/2011 3 COHIO CAS INS BKW53465203 06/06/2006 06/06/2008 $1,000,000.00 06/01/2007 2 LANDMARK AMERICAN INS CO LHA128236 06/06/2005 06/06/2006 $1,000,000.0006 /29/2005 1 AMERICAN STATES INS CO 01CG607629 07/16/2004 07/16/2005 $1,000,000.0007 /21/2004 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 07/12/2011