HomeMy WebLinkAboutPermit PG11-106 - SOUTHCENTER PLAZASOUTHCENTER PLAZA
14900 INTERURBAN AV S
PG1 1 -106
City oilkukwila
•
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.: 0003200009
Address: 14900 INTERURBAN AV S TUKW
Project Name: SOUTHCENTER PLAZA
Permit Number: PG11 -106
Issue Date: 08/09/2011
Permit Expires On: 02/05/2012
Owner:
Name: SCHNEIDER LYLE D
Address: C/O JSH PROPERTIES INC , 14900 INTERURBAN AVE S # 130 98168
Contact Person:
Name: BRADY FORTENBERRY
Address: 2217 E GEORGE ST , TACOMA WA 98404
Email: bradyservices @comcast.net
Contractor:
Name: BRADY MAINT & HANDYMAN SRVCS
Address: 2217 E GEORGE ST , TACOMA WA 98404
Contractor License No: BRADYMH943L3
Phone: 206 240 -6748
Phone: 206 240 -6748
Expiration Date: 06/24/2012
DESCRIPTION OF WORK:
ADD SEWER FOR FUTURE TENANTS AND GRAY WATER ONLY FOR SINKS TO BE INSTALLED IN
BREAKROOMS (SINKS TO BE INSTALLED UNDER SEPARATE FUTURE PERMIT)
Value of Plumbing /Gas Piping:
Fees Collected:
Electrical Service Provided by:
$10,000.00
$76.13
Permit Center Authorized Signature:
Uniform Plumbing Code Edition: 2009
International Fuel Gas Code Edition: 2009
Date: e'' - I ` 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:
[ L---672-N e dt.c.\
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
PG 11 -106 Printed: 08 -09 -2011
• •
PERMIT CONDITIONS
Permit No. PG11 -106
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.
13: ** *PUBLIC WORKS DEPARTMENT CONDITIONS * **
14: Contractor shall notify Public Works Project Inspector at (206)433 -0179 of commencement and completion of any work out
side the building at least 24 hours in advance.
15: Public Works inspection of sanitary sewer connection and any sewer work outside the building is required.
doc: UPC -4/10
PG 11 -106 Printed: 08 -09 -2011
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
httn://www.TukwilaWA.qov
Plumbing /Gas Permit No.
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 Address: ` 4 g o o .LA)1-e 2(4\l/vAN I .
Tenant Name:
Property Owners Name: L. SCIN. .5.e 1, Cj t 12
King Co Assessor's Tax No.: 397 7060O 6,01
Suite Number: L 43 Floor: (Sf-
New Tenant: ❑ Yes ❑ ..No
Mailing Address: t t q,() U P t r (44.3 kwt is 144 Cr Q [ (o g
City State Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: "A AA, C---o tit G tJ 6 to-rt1 Day Telephone: ...IOC, " 2.90 — is '}'-( '
Mailing Address: 2& A t C.. t o 4,to St -17,4 GllvvtA 04. , N 4 d y
City State Zip
Fax Number: d. o to - 24 Z.- ti. 7-'1 1
E -Mail Address: 304m Seri s : 8 G i CV.Sk * u 61-
PLUMBING / GAS PIPING CONTRACTOR INFORMATION
Company Name: i3 Atka- VIA la: IJarot (4... St LJ
Mailing Address: a. Zl L Ge O VL1C 5+
Contact Person: 1,61kAi ny fr 1. v r�l� Grs b y.%rti x.1+1
E -Mail Address: CiR.o, ,i4. y� € & top). co Jet
Contractor Registration Number: t3AA.D `1 1*-H 43 L3
t to c,A.,wt o.
City
State Zip
Day Telephone: 206- 3 S() — i S 0
Fax Number: 475-113z- 91 T 9
Expiration Date: ('—' -'-t — 1 -
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:
State
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
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 price : $ / b OO
Scope of Work (please provide detailed information): CN< Ada
r, 241 tAlutcte,va, ors 1 t ova_ S ; 1 <_)
•
544,,Je For R` -t_eNA4
7 N 13 P \L Q_ o ids
Building Use (per Int'I Building Code):
Occupancy (per Int'l Building Code):
Utility Purveyor: Water:
UA\Gc., `N Of, INc5CP(liti60
f\A Mvv
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
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 TI-IE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR AUTHORIZED AGENT:
Signature:
Print Name: LA) el (f.; v"L} Op)Let/�✓ty'
Mailing Address: Cs S-2 tUb,)C 12
I Date Application Accepted:
Date: / — 1 — ( I
Day Telephone: Z C) '3 g O - )5&O
Cpu76cm-ko,� UiPr-, 98 Oki Z
ci / State Zip
Date Application Expires:
Staff Initials:
H:1Applications \Forms - Applications On Line12010 Applications17 -2010 - Plumbing -Gas Piping Permit Application.doc
Revised. 7 -2010
bh
Page 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
RECEIPT
Parcel No.: 0003200009 Permit Number: PG11 -106
Address: 14900 INTERURBAN AV S TUKW Status: APPROVED
Suite No: Applied Date: 07/19/2011
Applicant: SOUTHCENTER PLAZA Issue Date:
Receipt No.: R11 -01713
Payment Amount: $1.13
Initials: WER Payment Date: 08/09/2011 09:58 AM
User ID: 1655 Balance: $0.00
Payee: BRADY FORTENBERRY
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Cash
Authorization No.
ACCOUNT ITEM LIST:
Description
1.13
Account Code Current Pmts
PLUMBING - NONRES
000.322.103.00.00 1.13
Total: $1.13
doc: Receiot -06 Printed: 08 -09 -2011
•
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.: 0003200009 Permit Number: PG11 -106
Address: 14900 INTERURBAN AV S TUKW Status: PENDING
Suite No: Applied Date: 07/19/2011
Applicant: SCHNEIDER BUIDLING Issue Date:
Receipt No.: R11 -01503
Initials:
User ID:
JEM
1165
Payment Amount: $75.00
Payment Date: 07/19/2011 10:50 AM
Balance: $1.13
Payee: BRADY MAINTENANCE SERIVCES
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Cash
Authorization No.
ACCOUNT ITEM LIST:
Description
75.00
Account Code Current Pmts
PLAN CHECK - NONRES
PLUMBING - NONRES
000.345.830 15.23
000.322.103.00.00 59.77
Total: $75.00
doc: Receipt -06 Printed: 07 -19 -2011
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
fiL-1
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
Project:
S0,t1A/if_TI_N6r
L ytE •
Type of Inspection:
/ ;A/s4 /
Address:
/ 1I50U 2.3J
iT('6
Date Called:
Special Instructions: ;?
Date Want d:
/ 4 /2
4
I
/ t
C!a1"IYi ,
P.m.
Requester:
Phone No:
E4Approved per applicable codes. (Corrections required prior to approval.
COMMENTS:
?..'/",7- 7;1' L B Pzf /i
El SPECTION FEE REQUI D. Prior o next inspection. fee must be
pa'yd at 6300 Southcenter Blv... Suite 00. Call to schedule reinspectioh.
13 3 . t
, INSPECTION RECORD ,
Retain a copy with permit
INSPECTION NO. PERMIT NO.
P�%k -� C.
CITY OF TUKWILA BUILDING DIVISION F-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project:
Type of Inspection:
Address:
i 1-19 cDc Tra;FR1cRBAkI
Date Called:
Special Instructions:
5N,11-x- (
— 1.3w cap uiit-
Date Wanted: <IIIs
"8 - LZ - t p.m.
Requester:
AL(wifr
Phone No: [� /�
9,00- 380 —I5 COQ
Npproved per applicable codes. D Corrections required prior to approval.
COMMENTS:
nspect• r Date:
4..,,�.., 1 _-slit 0 - 7-2- t I
q 00 REINSPECTION FE REQUIRED. rior to inspection, fee must be
t1 at 6300 Southcenter d., Suite 1 0. Call to schedule reinspection.
Rece pt No.:
Date:
.r rr
• •
Retain a copy wittf permit' • f lay
INSPECTION NO. PERMIT NO..' .
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206) 431 -3610 •
Permit Inspection Request Line (206) 431 -2451
Pro ct:
p
Type Inspec on:
Address:
NV
.(1_,_
Date Called: -
- S 1 U
Special Instructions:
.
Date Wanted:
diS II
p.m.
Reque ter° . ..
.
Phone No:
G— "VC, -1Saa
•
Approved per applicable codes. • Corrections required prior to approval. • •
COMMENTS:
fc t
(Inspector: • , ,
'Date: -
REINSPECT10N FEE REQUIRED. Prior to next inspection. fee•must be
paid at 6115010utlicenterElvsk. Suite 100. Call to schedule reinspection• •
1
•
SEPARATE PERMIT
REQUIRED FOR:
Me hanxal
Electrical
Plumbing
9. Gas P
City of Tukwila
BUILDING DIVISION
pig
FILE COPY
Penult Na 1r-rif -IOC/
Plan review approval Is Ito errors and omissions.
Approval of construction documents does not arc se°
the violation of any adopted code or ordlnance. Receipt
of approved Field Copy and condtions is acknowledged:
By
City Of Tukwila
BUILDING DIVISION
4
REVIEWED FOR
CODE COMPLIANCE
APPROVED
JUL 2 8 2011
nov,,
City of wile
BUILDING ISION
fi
AnCIL
REVISIONS
No changes shut be made to the some
of work without prior apprrovat of
Tukwila Building Di
NOTE: Rev.sions witl require a new ;tan submittal
and may include additional plan review fees.
i
Woi
1\4 9 D0 ) 0-‘A a LN N e-
cerla-0 7C,t RECEIVED
RECEIVED CITY OFTUKIMLA
JUL 212011 JUL 1 y ?n"
TUKWILA PERMIT CENTEF
] PUBLIC W itc%
PG 1 ( 1 D(o
IV �_
REVIEWED FOR
CODE COMPLIANCE
APPROVED
JUL 2 8 2011
_ City of Tukwila
• BUILDING DIVISION
r
C OrTKNflU1
JUL 19 2011
PERMIT CENTER
PERMIT COORD COM.
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: PG11 -106 DATE: 07/19/11
PROJECT NAME: SOUTHCENTER PLAZA
SITE ADDRESS: 14900 INTERURBAN AV S
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter #
Revision # after Permit Issued
DEPARTMENTS:
OW 01'
Bui Ing Division
PCibii or (s��
ll
Fire Prevention
Structural
Planning Division
Permit Coordinator
n
n
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete El
Comments:
Incomplete
DUE DATE: 07/21/11
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 n No further Review Required
REVIEWER'S INITIALS:
DATE:
APPROVALS OR CORRECTIONS:
Approved n Approved with Conditions
Notation:
REVIEWER'S INITIALS:
DUE DATE: 08 /18 /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 Peter 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 BRADY MAINT & HANDYMAN SRVCS UBI No. 601607822
Phone 2062406748 Status Active
Address 2217 E George St License No. BRADYMH943L3
Suite /Apt. License Type Construction Contractor
City Tacoma Effective Date 6/23/2006
State WA Expiration Date 6/24/2012
Zip 98404 Suspend Date
County Pierce Specialty 1 General
Business Type Individual Specialty 2 Unused
Parent Company
Business Owner Information
Name
Role
Effective Date
Expiration Date
FORTENBERRY, MICHAEL B
Owner
06/23/2006
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
OLD REPUBLIC INS CO
YLI261380
06/23/2006
Until Cancelled
$12,000.00
06/23/2006
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
4
Liberty
Northwest Ins
Corp
BKS53514602
06/23/2011
06/23/2012
$1,000,000.00
04 /29/2011
3
LIBERTY
NORTHWEST
INS CORP
BH053514602
06/23/2010
06/23/2011
$1,000,000.0005
/17/2010
2
OHIO CAS
BH053514602
06/23/2008
06/23/2010
$1,000,000.0006
/03/2009
1
OOHIO CABINS
BI-1052490248
06/23/2006
06/23/2008
$1,000,000.00
05/21/2007
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 08/09/2011