HomeMy WebLinkAboutPermit PG11-108 - I-FLYI -FLY
349 TUKWILA PY
PG1 1 -108
City ofkukwila
•
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
Parcel No.: 0223000010
Address: 349 TUKWILA PY TUKW
Project Name: I -FLY
PLUMBING /GAS PIPING PERMIT
Permit Number: PG11 -108
Issue Date: 07/20/2011
Permit Expires On: 01/17/2012
Owner:
Name: BETA HOLDINGS LTD
Address: 18827 BOTHELL WAY NE , BOTHELL WA 98011
Contact Person:
Name: JACOB BROCK
Address: 1221 2 AV N , KENT WA 98032
Email: JBROCK @HOTMAIL.COM
Contractor:
Name: HERMANSON COMPANY LLP
Address: 1221 2ND AV N , KENT, WA 98032
Contractor License No: HERMACLOO5BJ
Phone: 206 -575 -9200
Phone: 206 - 575 -9700
Expiration Date: 08/25/2012
DESCRIPTION OF WORK:
INSTALL GAS PIPING ROOFTOP UNITS
Value of Plumbing /Gas Piping:
Fees Collected:
Electrical Service Provided by:
Permit Center Authorized Signature:
$1,000.00
$120.75
tu,D,
Uniform Plumbing Code Edition: 2009
International Fuel Gas Code Edition: 2009
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.
t
Signature: 1
Print Name:
Date: V
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 -108 Printed: 08 -08 -2011
• •
PERMIT CONDITIONS
Permit No. PG 11 -108
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 -108 Printed: 08 -08 -2011
City olliTukwila •
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
Parcel No.: 0223000010
Address: 301 TUKWILA PY TUKW
Project Name: I -FLY
PLUMBING /GAS PIPING PERMIT
Permit Number: PG11 -108
Issue Date: 07/20/2011
Permit Expires On: 01/16/2012
Owner:
Name: BETA HOLDINGS LTD
Address: 18827 BOTHELL WAY NE , BOTHELL WA 98011
Contact Person:
Name: JACOB BROCK
Address: 1221 2 AV N , KENT WA 98032
Email: JBROCK @HOTMAIL.COM
Contractor:
Name: HERMANSON COMPANY LLP
Address: 1221 2ND AV N , KENT, WA 98032
Contractor License No: HERMACL005BJ
Phone: 206 - 575 -9200
Phone: 206 - 575 -9700
Expiration Date: 08/25/2012
DESCRIPTION OF WORK:
INSTALL GAS PIPING ROOFTOP UNITS
Value of Plumbing /Gas Piping: $1,000.00 Uniform Plumbing Code Edition: 2009
Fees Collected: $120.75 International Fuel Gas Code Edition: 2009
Electrical Service Provided by:
Permit Center Authorized Signature:
LA_)-(18■_
Date: 7-0)-0—'1
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:
‘/M(//( Date: 7- Zo- 1/
301-1-(Jc.,k-
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 -108 Printed: 07 -20 -2011
PERMIT CONDITIONS
Permit No. PG11 -108
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 -108 Printed: 07 -20 -2011
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.TukwllaWA.dov
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 LOCATION
Site Address:
30t fl) W to. p_Wy
King Co Assessor's Tax No.:
Suite Number: Floor:
Tenant Name: New Tenant: ❑ Yes No
Property Owners Name: i ` \...01'' CAS LA-1)
Mailing Address: l ��1 � ' + e-k∎ fr ' e \\ t,i
city
State
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: �D. -r-r, 5 0
Mailing Address: 12((2'1 2.�7/d ,4 c- !V
E -Mail Address:
Day Telephone: 4. toe. ` 575- - 17 e o
itt.n
City
Fax Number:
t..)74
State
ev 3-z
Zip
PLUMBING / GAS PIPING CONTRACTOR INFORMATION
Company Name: I- \-eViVIAKSSON CA)
Mailing Address: Z-Z-1 21,►fl n'1 i-
Contact Person: -Mu-06 3 ro�'4`
l,J a< 9F03Z
E -Mail Address: r'r"'u t•5 0 /1 Gev (1 I
Contractor Registration Number: tit 2MA C,4-00 5 /3r
City State Zip
Day Telephone: `2010 - S7 5 — `i7,90
Fax Number:
Expiration Date:
3/-&-t ( ?r/
ARCHITECT OF RECORD - All plans must be stamped by Architect of Record
Company Name:
Mailing Address:
Zip
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
State
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 price : $ D 0 b Op •
Scope of Work (please provide detailed information): � � S Y �i �v� `� ) "t0k) t
Building Use (per Int'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: •
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
�j
_ l(
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 OR AUTHORIZED AGENT:
Signature:
Print Name: 34...4-0 5 a 1—r-9 Gk
Mailing Address: 12,21
4'
Day Telephone:
City
Date: 7 /Z6/e7 rl
I.✓/9"
State
10032.
Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
H: Applications\Forms- Applications On Line \2010 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
Parcel No.: 0223000010
Address: 301 TUKWILA PY TUKW
Suite No:
Applicant: I -FLY
RECEIPT
Permit Number: PG11 -108
Status: PENDING
Applied Date: 07/20/2011
Issue Date:
Receipt No.: R11 -01521
Payment Amount: $120.75
Initials: WER Payment Date: 07/20/2011 02:10 PM
User ID: 1655 Balance: $0.00
Payee: HERMANSON (PHONE)
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 610290
ACCOUNT ITEM LIST:
Description
120.75
Account Code Current Pmts
GAS - NONRES
PLAN CHECK - NONRES
000.322.103.00.00 96.60
000.345.830 24.15
Total: $120.75
doc: Receipt-06 Printed: 07 -20 -2011
,.
INSPECTION NO. • CITY OF TUKWILA BUILDING DIVISION
630.0 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
' Permit Inspection Request Line (206) 431 -2451
INSPECTION RECORD
Retain a copy with permit
Pit(.. - I '
PERMIT NO.
Projec
' L. '
Type of Inspection:
• ,,J A i.,_ GAS ,P,, P:,
A...14:1 re ..�
Date Called:
Special Instructions:
./... . . .
7
Date Wanted:.
,s--c-ti �n]_
Requester:
Approved per applicable codes. D Corrections required prior to approval.
COMMENTS:
PO-r-60kA.
FL
•
•
Inspe tor:
e4 tv\
Date: Ts,-
• 0 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 F., (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Projec
Typef Inspectio
_
A es 5 7-7r
Date Called:
Special Instructions: •
l
Date Wanted:
—
- _((.-,__It .F.,,.
� Z ( — (( p.m.
Requester:
Phon No
Approved per applicable codes. ' a Corrections required prior to approval.
COMMENTS:
-1"7— fdJP�i� F�Cu9
4t. p371- ‘41,1
r F.
Inspect
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be •
paid at 6300 Southcenter Blvdluite 100. Call to schedule reinspection.
•
City of Tukwila
REVISION
SUBMITTAL
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 submittals must be submitted in person at the Permit Center. Revisions will not be accepted through
the mail, fax, etc.
Date: — -1 ( Plan Check/Permit Number: el. 1 \ O
❑ 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: Z Ly
Project Address: 3 49 -\,) ■ \ 1 V ..)
Contact Person: jaE 5cm- u c,1. Phone Number: 2.06 31 1-7) 71/
Summary of Revision: A P P PL 3 C-o a -h 0D.
E®
ulti%
AUG 0 8 ZUl1
ENTER
Sheet Number(s):
"Cloud" or highlight all areas of revision including date of revision
Received at the City of Tukwila Permit Center by:
Entered in Permits Plus on 8-8- L II
H:\Applications\Fotms- Applications On Line\2010 Applications \7 -2010 - Revision Submittal.doc
Created: 8-13 -2004
Revised: 7 -2010
Contractors or Tradespeople Pfter Friendly Page
•
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 HERMANSON COMPANY LLP UBI No. 602004844
Phone 2065759700 Status Active
Address 1221 2Nd Ave N License No. HERMACLOO5BJ
Suite /Apt. License Type Construction Contractor
City Kent Effective Date 1/11/2000
State WA Expiration Date 8/25/2012
Zip 980322945 Suspend Date
County King Specialty 1 General
Business Type Limited Liability Partnership Specialty 2 Unused
Parent Company
Other Associated Licenses
License
Name
Type
Specialty 1
Specialty
2
Effective
Date
Expiration
Date
Status
HERMAC'016RN
HERMANSON
CORPORATION
Construction
Contractor
General
Unused
1/11/2000
8/21 /2002
Archived
HERMAC'217NT
HERMANSON
CORPORATION
Construction
Contractor
Air
Heat,Ventilation,Evaporat
Metal
Fabrication
8/30/1979
8/21/2000
Archived
Business Owner Information
Name
Role
Effective Date
Expiration Date
NICOLAISEN, KNUT H
Partner /Member
08/05/2010
Bond Amount
BROCK, DANIEL L
Partner /Member
08/05/2010
929381801
FOX, DEAN M
Partner /Member
08/05/2010
HENGEL, STEPHEN A
Partner /Member
08/05/2010
TRAVELERS CAS ft
SURETY CO
DYCKMAN, KENNETH A
Partner /Member
08/05/2010
01/01/2006
ROBINETT, PAUL J
Partner /Member
08/05/2010
7
HERMANSON, RICHARD L
Partner /Member
01/01/1980
08/21/2008
ALMON, KEVIN
Partner /Member
01/01/1980
08/05/2010
MACDONALD, JAMES
Partner /Member
01/01/1980
08/05/2010
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
4
WESTERN SURETY CO
929381801
01/01/2006
Until Cancelled
$12,000.0012/01
/2005
3
TRAVELERS CAS ft
SURETY CO
081S103514123BCM
07/22/2001
Until Cancelled
01/01/2006
$12,000.00
08/21/2001
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
9
American
Zurich Ins Co
GL0370326107
08/21/2010
08/21/2011
$1,000,000.00
08/18/2010
8
ZURICH
AMERICAN INS
CO
GL0370326106
08/21/2008
08/21/2010
$1,000,000.0008
/24/2009
7
AMERICAN
ZURICH INS CO
6L03703261-
04
08/21/2004
08/21/2008
$1,000,000.0008
/20/2007
6
AMERICAN
ZURICH INS CO
GL03703261
03
08/21/2004
08/21/2007
$1,000,000.0008
/18/2006
https://fortress.wa.gov/lni/bbip/Print.aspx
07/20/2011