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HomeMy WebLinkAboutPermit PG11-132 - INSPHERE INSURANCEINSPHERE INSiJRANCE 14900 INTERURBAN AV S PG1 1 -132 City olikukwila 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.Qov PLUMBING /GAS PIPING PERMIT Parcel No.: 0003200009 Address: 14900 INTERURBAN AV S TUKW Project Name: INSPHERE INSURANCE Permit Number: PG11 -132 Issue Date: 10/17 /2011 Permit Expires On: 04/14/2012 Owner: Name: SCHNEIDER LYLE D Address: C/0 JSH PROPERTIES INC , 14900 INTERURBAN AVE S #130 98168 Contact Person: Name: DEREK HENRY Address: PO BOX 68133 , SEATTLE WA 98168 Email: DEREK @PINKYSPLUMBING.BIZ Contractor: Name: PINKY'S PLUMBING LLC Address: PO BOX 68133 , SEATTLE WA 98168 Contractor License No: PINKYPL905LS Phone: 206 -707 -1497 Phone: 206 - 707 -1497 Expiration Date: 06/10/2012 DESCRIPTION OF WORK: INSTALLING KITCHEN SINK, ROUGH -IN PLUMBING AND VENT PIPE. Value of Plumbing /Gas Piping: Fees Collected: Electrical Service Provided by: $30,000.00 $120.75 Permit Center Authorized Signature: Uniform Plumbing Code Edition: International Fuel Gas Code Edition: 2009 2009 Date: I hereby certify that I have read and examined this permit . r(:' know the same to be true and correct. All provisions of law and ordi ances governing this work will be complied with, whether speci ' - d 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: (IJ Date: O Print Name: 14 - (1 PRY'VJ 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 -132 Printed: 10 -17 -2011 • • PERMIT CONDITIONS Permit No. PG11 -132 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 -132 Printed: 10 -17 -2011 CITY OF TUKWO Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Plumbing/Gas!rmit No. 1)611-'13), 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: Tenant Name: 1410C) teru„(19 i1 4vc_ S rel5pher-C— King Co Assessor's Tax No.: Suite Number: I Lis" Floor: New Tenant: ,14. Yes Property Owners Name: Mailing Address: City State Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: ()E f J& Mailing Address: FC) BCY ( (o t 3 E -Mail Address: l) ccem, T I ✓� �1 y (� 1�/ Day Telephone: 4:2106. - 76)7 Sea'//J btie 9Ff6tr City State Zip 'P 12-Fax Number: PLUMBING / GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: Contact Person: E -Mail Address: (� Contractor Registration Number: Pt 1 Ic, PL 9o5L5� pi kh)'3 90 Ducic Poky S p iu✓/1irh 0 b i z_ Seartic City Day Telephone: 9o(. – 7d7 /99'7- Fax Number: Expiration Date: State Zip 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: State Zip ENGINEER OF RECORD – All plans must be stamped by Engineer of Record Company Name: Mailing Address: Contact Person: E -Mail Address: H:\Applications\Porms- Applications On Line\2010 Applications \7 -2010 - Plumbing -Gas Piping Permit Application.doc Revised: May 2011 bh city Day Telephone: Fax Number: State Zip Page 1 of 2 Valuation of Project (contractor's bid pr1 $.. i3DJ DDo • Scope of Work (please provide detailed information): ' 1 SSA Pp, S 114, C ' `F'' -" .bi/^ htn/` J i/eri4--Ff Building Use (per Int'l Building Code): Occupancy (per Int'1 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 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 OR AUTHOWZED AGENT: Signature: Print Name: Mailing Address: Date: 11(.0 I I a Telephone: °�V (.Telephone: wl City State Date Application Accepted: g— (49— Date Application Expires: -'— Staff Initials: (W H:1Applications\Forms- Applications On Line12010 Applications17 -2010 - Plumbing -Gas Piping Permit Application,doc Revised: May 2011 bh Page 2 of 2 • �J��I+LA w4� City of Tukwila +`�yy Department of Community Development G1 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 s\ ,r 2 Phone: 206-431-3670 \ Fax: 206-431-3665 190E Web site: http: / /www.TukwilaWA.gov RECEIPT Parcel No.: 0003200009 Permit Number: PG11 -132 Address: 14900 INTERURBAN AV S TUKW Status: PENDING Suite No: Applied Date: 09/06/2011 Applicant: INSHERE Issue Date: Receipt No.: R11 -01940 Payment Amount: $120.75 Initials: WER Payment Date: 09/06/2011 10:11 AM User ID: 1655 Balance: $0.00 Payee: PINKY'S PLUMBING TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd MC Authorization No. 346229 ACCOUNT ITEM LIST: Description 120.75 Account Code Current Pmts PLAN CHECK - NONRES PLUMBING - NONRES 000.345.830 24.15 000.322.103.00.00 96.60 Total: $120.75 doc: Receipt -06 Printed: 09 -06 -2011 INSPECTION NO. INSPECTION RECORD Retain a copy with permit /76// - /32_ PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 R (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: —1-A/-5 z-5 (../,‘,?6 Type of Inspection: f'ti4G Addr ss: /4/960 -21-A/7-‘424i 4h1 Date Called: ,^, Special Instructions: Date Wanted: i/ / a.m� p.m. Requester: Phone No: a -7a7 /y5c ExiApproved per applicable codes. D Corrections required prior to approval. COMMENTS: IDat // 45/ /. ❑ I INSPECTION FEE REQUIRED. Pr' r to next inspection. fee must be paid at 6300 Southcenter Blvd.. Sui a 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit P6// -/32' 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: ...N.5 Ar44946-_2- A.CS» /P • Type of Inspection: en/6A/--r A/ Address: / 4/94, s,,, r¢2l /4 $1✓ Date Called: Special Instructions: Date : Wante `Q 7.2 f� // i p.m. Requester: Phone No: MApproved per applicable codes. Corrections required prior to approval. COMMENTS: © /?v,,v 4 , .,1p14,,AA- cior Date: /D REI ' ECTION FEE REQU ' ED. Pp or to next inspection. fee must be pa', at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. • • INSPECTION NO. . • • • CITY OF TUKWILA BUILDING DIVISION 630Q.Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection. Request Line (206) 431 -2451 INSPECTION RECORD Retain a copy with permit PERMIT NO. Project TAii ress: pc of Inspection: � n�� (<,.,u G(fi f 3 Date Called: Special -instructions: • -rT,.._.,.‘,„(c Approved .per applicable codes. Date Wanted: . / 2 •- (8 - ( p.m. Requester: Corrections required prior to approval. . COMMENTS: �. • _ 71 t VA (---A d 4 oAe .5)� 0r7— F / 4 o • c_ -- . e & g &11-‘1 ► i -S r-b r 6 ''i. S — . ""t (J e (• -7% J of r 6.43!1 /l ec .3 1 `11 -\Jeccr SI jT .n-. S - r ' A 4c - I r z-0 1 . - 1 A liispec Date: REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. REVIEWED CODE COMPLIANCE APPROVED OCT 1 4 2011 diAz City of BUILDING ila IVISION IA100 INTERUQRN IJE s b 115— WAST E 75 Co* \N\ Cr ?P\C E 1 REVISIONS No changes shall be made to the scope of work without prior approval of Tukwila Building Division. NOTE: Revisions will require a new plan submittal and may in !ude additional plan review fees. i°\n"/\ SEPARATE PERMIT REQUIRED FOR: t4 Mechanical D Electrical tg Plumbing Gas Piping City of Tukwila BUILDING DIVISION Pe-Tr-71i: KELEC moo, , 1ai review apploval is subjed to effors and &pproval of construction on finis does not autirdze ; d of any adopted code or onfmance. Receipt • oi lo - l - CIty &weft ING DIVISION LEGEND I Ix). PK44\61 1-4.11 fig cer -frap PP' , e r - - - t ftA3 sANAT„ Liu x 3 LI /a) tDRAIN .�� ASS VF NT 5 `i4m-lp k ASS VENT -b \FFR t 7 4 TAP 1k trge w; }/\ eble....1iI4;f Teict1 Deue..• - . L. • Iv. i s 103., g 1614 San 1 i ,t [era i v \. • )14" / 1 . '' or- r 10 a) " Vet I Rea - RECEIVED SEP292011 CORRECTION i_TR #. Z . PERMIT CENTER C7U-V5iL 4 1 N T ERU W\N ASE s 1�5 WATEf� CEILING SPAcE 1h�+r�ne� d ∎ ( REVIEWED FOR CODE COMPLIANCE APPROVED OCT 14 2011- City of Tukwila BUILDING DIVISION CORRECTION 1) G 1 3 2. RECEIVED SEP 15 2011 PERMIT CENTER LEGEND 1___ " od \k = aloe_ a ( CEILING- 3 Ya ., (1d Wafer str)L.i- Off' I u qu X * \N11-1 and fu* b' 1-c+- Wes, '' 4 u«t . 5 . (o _ 116\1414- gsyabel, , l Mir l-eo- C- E.x( YlsiOri Tali* L-i re ,cam; (cc() CORRECTION 1) G 1 3 2. RECEIVED SEP 15 2011 PERMIT CENTER 'Ls+ f loo {r Add one- (J) Sir,,,, d14in Mid 1,4xL -r ( i v 1 it) S r Ns PHLRL • • • • • III • • REVIEWED FOR CODE COMPLIANCE APPROVED OCT 14 2011 City of Tukwila BUILDING ENVISION • $ I cb+ solal ;v _ 1.0 Vera — , -j n Cop I/f OOT Ivy � pP'c� 142 RECEIVED SEP 0 6 2011 PERMIT CENTER • Citj' of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director September 28, 2011 Derek Henry PO Box 68133 Seattle, WA 98168 RE: Correction Letter #2 Plumbing /Gas Piping Permit Application Number PG11 -132 Insphere Insurance —14900 Interurban Av S Dear Mr. Henry, This letter is to inform you of corrections that must be addressed before your mechanical permit can be approved. All correction requests from each department must be addressed at the same time and reflected on your drawings. I have enclosed comments from the Building Department. The Public Works Department has no comments at this time. Building Department: Dave Larson at 206 431 -3678 if you have questions regarding the attached memo. Please address the attached comments in an itemized format with applicable revised plans, specifications, and /or other documentation. The City requires that two (2) sets of revised plans, specifications and /or other documentation be resubmitted with the appropriate revision block. In order to better expedite your resubmittal, a `Revision Submittal Sheet' must accompany every resubmittal. I have enclosed one for your convenience. Corrections /revisions must be made in person and will not be accepted throw's the mail or by a messenger service. If you have any questions, please contact me at (206) 431 -3670. Sincerely ""R____;AB R6p,L Bill Rambo Permit Technician encl File: PG11 -132 W:\Permit Center \Correction Letters \2011\PG11 -132 Correction Letter #2.doc 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 Tukwila Building Division Dave Larson, Senior Plan Examiner Building Division Review Memo #2 Date: September 26, 2011 Project Name: Insphere Insurance Permit #: PG11 -132 Plan Review: Dave Larson, Senior Plans Examiner The Building Division conducted a plan review on the subject permit application. Please address the following comments in an itemized format with revised plans, specifications and/or other applicable documentation. 1. The maximum vertical and horizontal length of a 1 '/2 inch vent is 60 ft. per table 7 -5 of the UPC. You will need to run a minimum 2 inch vent. Please change on plans. 2. A condensate pump is not an approved receptacle for a temperature and pressure relief valve. A floor sink with a trap primer would work. Please revise plans to show an appropriate termination. You may wish to call me to discuss other proposed methods of T and P termination. (GENERAL NOTE) PLAN SUBMITTALS: (Min. size 11x17 to maximum size of 24x36; all sheets shall be the same size). (If applicable) Structural Drawings and structural calculations sheets shall be original signed wet stamped, not copied.) Should there be questions concerning the above requirements, contact the Building Division at 206 -431- 3670. No further comments at this time. r City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director September 12, 2011 Derek Henry PO Box 68133 Seattle, WA 98168 RE: Correction Letter #1 Plumbing /Gas Piping Permit Application Number PG11 -132 Insphere Insurance —14900 Interurban Av S Dear Mr. Henry, This letter is to inform you of corrections that must be addressed before your mechanical permit can be approved. All correction requests from each department must be addressed at the same time and reflected on your drawings. I have enclosed comments from the Building Department. The Public Works Department has no comments at this time. Building Department: Dave Larson at 206 431 -3678 if you have questions regarding the attached memo. Please address the attached comments in an itemized format with applicable revised plans, specifications, and /or other documentation. The City requires that two (2) sets of revised plans, specifications and /or other documentation be resubmitted with the appropriate revision block. In order to better expedite your resubmittal, a `Revision Submittal Sheet' must accompany every resubmittal. I have enclosed one for your convenience. Corrections /revisions must be made in person and will not be accepted through the mail or by a messenger service. If you have any questions, please contact me at (206) 431 -3670. Sincerely, Bill Rambo Permit Technician encl File: PG11 -132 W:\Pennit Center \Correction Letters\2011\PG11 -132 Correction Letter #1.doc 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 Tukwila- tuilding Division Dave Larson, Senior Plan Examiner Building Division Review Memo Date: September 12, 2011 Project Name: Insphere Insurance Permit #: PG11 -132 Plan Review: Dave Larson, Senior Plans Examiner The Building Division conducted a plan review on the subject permit application. Please address the following comments in an itemized format with revised plans, specifications and /or other applicable documentation. 1. The plans do not show any provision for hot water. Please provide type, size and installation details for the proposed hot water source. 2. Please provide lengths of water and drainage pipe sections. 3. Add a cleanout at new sink. 4. The water line appears to connect to the drain. Please provide plans that show separate systems. Maybe it would be better to show each system on a separate isometric drawing. (GENERAL NOTE) PLAN SUBMITTALS: (Min. size 11x17 to maximum size of 24x36; all sheets shall be the same size). (If applicable) Structural Drawings and structural calculations sheets shall be original signed wet stamped, not copied.) Should there be questions concerning the above requirements, contact the Building Division at 206- 431 -3670. No further comments at this time. • Page 1 OPERMIT COORD COP* PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG11 -132 DATE: 09/29/11 PROJECT NAME: INSPHERE SITE ADDRESS: 14900 INTERURBAN AV S, STE 145 Original Plan Submittal Response to Incomplete Letter # X Response to Correction Letter # 2 Revision # after Permit Issued DEPARTMENTS: pL P(L Building Division Public Works Fire Prevention Structural Planning Division Permit Coordinator n DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete '$ Incomplete DUE DATE: 10/04/11 Not Applicable Comments: 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 n REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: DUE DATE: 11 /01 /11 Approved Approved with Conditions Not Approved (attach comments) Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents /routing slip.doc 2 -28 -02 oft- t PLAN RE (VIEW /ROUTING SLIP ACTIVITY NUMBER: PG11 -132 DATE: 09 -15 -11 PROJECT NAME: INSPHERE INSURANCE SITE ADDRESS: 14900 INTERURBAN AV S Original Plan Submittal Response to Incomplete Letter # X Response to Correction Letter # 1 Revision # After Permit Issued DEPAR,THE�N�j�TS• bL ONev‘k- 6 14rt uilding Division Public Works Fire Prevention Structural Planning Division ❑ Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 09-20-11 Complete Incomplete Not Applicable ❑ Comments: 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 T Structural Review Required n No further Review Required ❑ REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved ❑ Approved with Conditions ❑ Notation: REVIEWER'S INITIALS: DUE DATE: 10-18-11 Not Approved (attach comments) DATE: Permit Center Use Only (� (�" � CORRECTION LETTER MAILED: I�U ,1 Departments issued corrections: Bldg Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents/routing slip.doc 2 -28 -02 • • PLAN ' EVIEW /ROUTING SLIP ACTIVITY NUMBER: PG11 -132 DATE: 09 -06 -11 PROJECT NAME: INSPHERE INSURANCE SITE ADDRESS: 14900 INTERURBAN AV S X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Issued DEPAR MEN S: 4.1)41 uilding Ivlslon L �AN q t1 ublic WMks Fire Prevention Structural Planning Division ❑ Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Incomplete DUE DATE: 09-08-11 Not Applicable Comments: 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 ❑ No further Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved n Approved with Conditions Notation: DUE DATE: 10 -06-11 Not Approved (attach comments) IST" REVIEWER'S INITIALS: DATE: Permit Center Use Only It— 132— CORRECTION LETTER MAILED: Departments issued corrections: Bldg Fire ❑ Ping ❑ PW ❑ Staff Initials: lie Documents/routing slip.doc 2 -28 -02 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: - v20( I Plan Check/Permit Number: -i'(7.- 1) t /.7?- Response to Incomplete Letter # aResponse to Correction Letter # ❑ Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: PeirbOVe, L S�he,1 Project Address: 11-NOcD V) ter- {jay -, mit 5 Contact Person: le Phone Number: 0206, ` 104 /4L 7 Summary of Revision: CO CC-CA-CD 5 ( i ' � ado 3.Ccil /— (air-ed,b✓n J-e er figligteiveD cv rU' WILA - '°ERMiT CENTER 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 H:NpplicatiomTotms- Applications On Line\2010 Applicatiens7 -2010 - Revision Submittal.d e Created: 8- 134004 Revised: 7 -2010 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: 00-/s---0/0(/ Plan Check/Permit Number: ❑ Response to Incomplete Letter # Response to Correction Letter # 1 ❑ Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: r`i S ?t} vv St c 2,4,/v�� \ Project Address: Contact Person: cI on 4vc Phone Number: r: - 10 — Pl9 7` Summary of Revision: S. pn 00tfor aid 5'7e._ - (A Jo Ilet.) pfavi et a le11 )5 C1 dra,t,,)(n hear rail rum fair 7-‘271-e• . and prov /a - 1 P % i j r » C*i T/��e C-- Q ea4de -i S27k r-rC1j�j „ Si Z ,„t 76 P/d" RECEIVED MTV TWO/VILA SEP -15 2011 PERMIT CENTER Sheet Number(s): "Cloud" or highlight all areas of revision including date of Received at the City of Tukwila Permit Center by: Entered in Permits Plus on H:Mpplieations\Fomts- Applications On Line 2010 ApplicationA7 -2010 - Revision Submittal.doc Created: 8-13 -2004 Revised: 7 -2010 R/1_ T6 4-- 3 King County Department of Natural Resources and Parks Wastewater Treatment Division Non- Residential Sewer Use Certification • To be completed for all new sewer connections, reconnections or change of use of existing connections. • This form does not apply to repairs or replacements of existing sewer connections within five years of disconnect. Please Print or Type I,nt'e.ruc eumn 4c d • Prope Street Address I IA t,J,A Ct$ I$ Se City State ZIP Owner's Name Subdivision Name Lot # Subdiv. # Block # Building Name (if applicable) c ) Owner's Phone Number (with Area Code) c ) dr (c14 ads Property Contact Phone Number (with Area Code) f Owner's Mailing Address For King County UsOnly Account # No. of RCEs Monthly Rate Property Tax ID # Party to be Billed (if different from owner) City or Sewer District Date of Connection Side Sewer Permit # Please report any demolitions of pre - existing building on this property. Credit for a demolition may be given under some circumstances. Demolition of pre- existing building? ❑ Yes 0 No Was building on Sanitary Sewer? Yes ❑ No Was Sewer connected before 2/1/90? 0 Yes ❑ No Sewer disconnect date: Type of building demolished? Request to apply demolition credit to multiple buildings? 0 Yes ❑ No A. Fixture Units Fixture Units x Number of Fixtures = Total Fixture Units Kind of Fixture Fixture Units No. of Fixtures Total Fixture Units Public Private Public Private Bathtub and Shower 4 4 Shower, per head 2 2 Dishwasher 2 2 Drinking fountain (each head) 1 .5 Hose bibb (interior) 2.5 2.5 Ctotheswasher or laundry tub 4 2 Sink, bar or lavatory 2 1 Sink, Clinic flushing 8 8 Sink, kitchen 3 2 al 3 0 Sink, other (service) 3 1.5 Sink, wash fountain, circle spray 4 3 Urinal, flush valve, 1 GPF 5 2 Urinal, flush valve, >1 GPF 6 2 Urinal, waterless 0 0 Water closet, tank or valve, 1.6 GPF 6 3 Water closet, tank or valve, >1.6 GPF 8 4 Total Fixture Units Residential Customer Equivalent (RCE) 20 fixture units equal 1.0 RCE Total No. of Fixture Units (SRCE 20 V e b B. Other Wastewater Flow (in addition to Fixture Units identified in Section A) Type of Facility /Process: Estimated Wastewater Discharge: Gallons /days Residential Customer Equivalents (RCE): 187 gallons per day equals 1.0 RCE Total Discharge (gal /day) _ 187 C. Total Residential Customer Equivalents: (add A & B) A B RCE RCE RECEIVED SEP 0 6 2011 iPERM TC 1 Pursuant to King County Code 28.84, all sewer customers who establish a new service which uses metropolitan sewage facilities shall be subject to a capacity charge. The amount of the charge is established annually by the King County Council at a rate per month per residential customer or residential customer equivalent for a period of fifteen years. The purpose of the charge is to recover costs of providing sewage treatment capacity for new sewer customers. All future billings can be prepaid at a discounted amount. All future billings can be prepaid at a discounted amount. Questions regarding the capacity charge or this form should be referred to King County's Wastewater Treatment Division at 206 - 684 -1740. I certify that the information given is correct. I understand that the capacity charge levied will be based on this information and any deviation will require resubmission of correct data for determination of a revised capacity charge. Signature Owner/Representative of Owner /Re resentative t't) Date o / p (u ` do 1% Print Name of Owner / Representative 1/6.A1 10e k- (- tela'-j 1058 (Rev. 9/07) White - Kina County Yellow - Lo I Sewer Aoencv Pink - Sewer Customer . ®�n. Contractors or Tradespeople Per Friendly Page 1 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 PINKY'S PLUMBING LLC UBI No. 603018755 Phone 2067071497 Status Active Address Po Box 68133 License No. PINKYPL905LS Suite /Apt. License Type Construction Contractor City Seattle Effective Date 6/10/2010 State WA Expiration Date 6/10/2012 Zip 98168 Suspend Date County King Specialty 1 Plumbing Business Type Limited Liability Company Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date HENRY, WILLIAM DEREK Partner /Member 06/10/2010 Amount HENRY, MEGAN MAHON Partner /Member 06/10/2010 4610145983 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 CBIC SI6365 05/26/2010 Until Cancelled $6,000.00 06/10/2010 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 2 Covtgatorslns 4610145983 06/27/2011 06/27/2012 $1,000,000.00 08/22/2011 1 CBIC C11516365 05/26/2010 05/26/2012 08/17/2011 $300,000.00 04/21/2011 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 10/17/2011