HomeMy WebLinkAboutPermit PG11-111 - VALUE VILLAGE / SAVERSSAVERS/VALUE VILLAGE
16700 SOUTHCENTER PY
PG11-111
Parcel No.:
Address:
City oftukwila
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
2623049128
16700 SOUTHCENTER PY TUKW
Project Name: SAVERS/VALUE VILLAGE
Permit Number:
Issue Date:
Permit Expires On:
PG11 -111
07/2S/2011
01/21/2012
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Email:
Contractor:
Name:
Address:
PARKWAY SQUARE
C/0 ROSEN PROPERTIES , PO BOX 5003 98009
TRAVIS ZEA
PO BOX 1352 , RIDGEFIELD WA 98642
atlasplumbingllc@yahoo.com
Phone: 360 430 -5765
ATLAS PLUMBING CONTRACTORS Phone: 360 887 -8054
PO BOX 1352 , RIDGEFIELD WA 98642
Contractor License No: ATLASPC952J9
Expiration Date: 04/29/2013
DESCRIPTION OF WORK:
INSTALL BREAK ROOM SINK, FAUCET, .AND INSTANT HOT WATER. REPLACE (3) LAVS AND
FAUCETS.
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
$5,400.00
$178.50
■N\�usue
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 p
construction or the performance of work.
on the back of this permit.
e to give authority to violate or cancel the provisions of any other state or local laws regulating
am authorized to sign and obtain this plumbing /gas piping permit and agree to the conditions
Date: 7- Z s`l/
Print Name: / 2(Rp , &,1 7 9/14
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 -111 Printed: 07 -25 -2011
• •
PERMIT CONDITIONS
Permit No. PG11-111
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
PG11-111 Printed: 07 -25 -2011
CITY OF TUK
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
httc://Www.ci.tukwila.wa.us
Plumbing/Gas Permit No. 12
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.:
Site Address: 16700 South Center Parkway, Tukwila, WA 98188 Suite Number:
New Tenant:
Tenant Name: Value Village #1173
Property Owners Name: TVI, Inc.
Mailing Address: 11400 S.E. 6th Street, Suite 200
Bellevue
City
Floor:
❑ Yes
WA 98004
State Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: Travis Zea
Mailing Address: P.O. Box 1352
E -Mail Address: atlasplumbingllc @yahoo.com
Day Telephone:
Ridgefield
(360) 430 -5765
WA
98642
City State
Fax Number: (360) 887 -8504
Zip
PLUMBING / GAS PIPING CONTRACTOR INFORMATION
Company Name: Atlas Plumbing Contractors
Mailing Address: P.O. Box 1352
Contact Person: Travis Zea
E -Mail Address: atlasplumbingllc @yahoo.com
Contractor Registration Number: ATLASPC952J9
Ridgefield
City
Day Telephone:
Fax Number:
WA
State
(360) 430 -5765
(360) 887-8504
98642
Zip
Expiration Date: 04/29/2013
ARCHITECT OF RECORD — All plans must be stamped by Architect of Record
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
City
Day Telephone:
Fax Number:
Zip
ENGINEER OF RECORD — All plans must be stamped by Engineer of Record
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
City
Day Telephone:
Fax Number:
State
Zip
n:\ApplicationsWorms- Applications On Line\2010 Applications17 -2010 - Plumbing -Gas Piping Permit Application.doc
Revised: 7 -2010
bh
Page 1 of 2
Valuation of Project (contractor's bid pr. $ 5,40.00 q1 L100 •
Scope of Work (please provide detailed information): Install break room sink, faucet and insta hot. Replace 3 lavatories
and faucets.
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
batWshower
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
1
Urinals
Water Closet
Building sewer and each
trailer park sewer
Rain water system — per
drain (inside building)
Water heater and/or vent
1 ai interceptor,
Industrial waste treatment
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
1 ai
Repair or alteration of
drainage or vent piping
1 .iii
Medical gas piping
system serving 1 -5
inlets/outlets for a
specific gas
Each additional medical
gas inlets/outlets givater
than 5
Backflow protective
device other than
atmospheric -type vacuum
breakers 2 inch (51 mm)
diameter or smaller
Backflow protective device
othei 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 UTHOBIZED AGENT:
Signature:
Date: r7 Z '
Print Name: Travis Zea Day Telephone: 360430 -5765
Mailing Address: P.O. Box 1352 Ridgefield WA 98642
Date Application Accepted:
City
State
Zip
0'11 z
Date Application Expires:
Staff Initials:
H:\ApplicationsWorms- Applications On Line\2010 Applications \7 -2010 - Plumbing -Gas Piping Permit Application.doc
Revised: 7 -2010
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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.: 2623049128 Permit Number: PG11 -111
Address: 16700 SOUTHCENTER PY TUKW Status: PENDING
Suite No: Applied Date: 07/25/2011
Applicant: SAVERS/VALUE VILLAGE Issue Date:
Receipt No.: R11 -01564
Initials:
User ID:
Payee:
JEM
1165
Payment Amount: $178.50
Payment Date: 07/25/2011 12:22 PM
Balance: $0.00
ATLAS PLUMBING CONTRACTORS
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 3055 178.50
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
PLUMBING - NONRES
000.322.103.00.00 178.50
Total: $178.50
doc: Receiot -06 Printed: 07 -25 -2011
�# 3
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OP TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila: WA 98188 1. (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project: LI-C%� V '' 4U g_
TYPrfJl pectlpn: p
, Al
•.,
Addres :
Ito -led 5C
Date Called:
Special Instructions:
Date Wanted: M � z
Requester:
Phone n� � ,e j
06'
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
r
Inspect l r:
n
'Date: 1
ri REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspectioh.: .
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451 P-
Pr .1 es `i t/tc.
Type In i c
q p (J „.„. �i
Addfgss ® 6 s6 p & ►`!� W ,�
Da a Called:
Special Instructions:
ate Wanted:
, . , f %a.m.
Requester:
it, ta\ ticT
Phone NF�l
(4 + (3 3 7
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
it, ta\ ticT
SU P
.
ie
en
i
'4
.
7
I
•
LI REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
• INSPECTION RECORD
Retain a copy with permit
INSPECTIO NO.
P6(( -.tt(.
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 i_ (206) 431 -3670
,Permit Inspection Request Line (206) 431 -2451
Probe :
-JtIS J u
Type of Inspection:
A( P(u IS
Address:
Date Called:
Special Instructions:
0 S / 11 Li _a( A
J
Date Wanted: —a.m.
-7 2-6— (r p.m.
Requester:
Phone No:
3Coo�L904, -4?q0
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
.a .J S '{A
i &Sv L 6 !Sp ePS.61 1
0
7-7J'
IA A ee/z7 e.3- @._
4$ (
7
, % C.,3 TIr o 0 b`^ f
. ,.
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LA, re
^ S 1A.Jr 4r s‘tevk
.i_/\J-01--#
t. ` UA ...Cjii. Al
g 0 FIN ti.
¢/A-He
"---Th h
I A
Instiector:
Date:
n REINSPECTION FEE REQUIRED. Prior to next inspection: fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Peter 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 ATLAS PLUMBING CONTRACTORS UBI No. 602491085/
Phone 3608878054 Status Active
Address P 0 Box 1352 License No. ATLASPC952J9
Suite /Apt. License Type Construction Contractor
City Ridgefield Effective Date 4/29/2005
State WA Expiration Date 4/29/2013
Zip 98642 Suspend Date
County Clark Specialty 1 Plumbing
Business Type Limited Liability Company Specialty 2 Unused
Parent Company
Business Owner Information
Name
Role
Effective Date
Expiration Date
HOMOLA, KAARLE LEVON
Partner /Member
04 /29/2005
Bond Amount
HOMOLA, SARAH MAE
Partner /Member
04/29/2005
741580C
ZEA, TRAVIS E
Partner /Member
04/20/2011
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
2
DEVELOPERS SURETY
& INDEM CO
741580C
04/28/2006
Until Cancelled
$6,000.0004/24/2006
/27/2011
1
DEVELOPERS SURETY
a INDEM CO
546481C
04/28/2005
Until Cancelled
06/17/2006
$6,000.0004/29/2005
04/19/2010
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
6
Ohio Security
Ins Co
BKS53482740
04/28/2011
04/28/2012
$1,000,000.0004
/27/2011
5
OHIO CAS INS
BR053482740
04/28/2008
04/28/2011
$1,000,000.00
04/19/2010
4
0010 CAS INS
BH053415114
09/05/2007
09/05/2008
$1,000,000.00
09 /13/2007
3
OHIO CASUALTY
BR053482740
03/28/2007
04/28 /2008
$1,000,000.0003
/28/2007
2
OHIO CAS INS
ALL0753482740
04 /28/2006
04/28/2007
$1,000,000.00
04 /24/2006
1
FIRST
SPECIALTY INS
CORP
FGL22900412460004
/28/2005
04/28/2006
$1,000,000.0004
/29/2005
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
07/25/2011