HomeMy WebLinkAboutPermit PG11-138 - ACTION FURNITUREACTION FURNITURE
730 ANDOVER PK E
PG1 1 -138
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
PLUMBING /GAS PIPING PERMIT
Parcel No.: 2623049095
Address: 730 ANDOVER PK E TUKW
Project Name: ACTION FURNITURE
Permit Number: PG11 -138
Issue Date: 10/03/2011
Permit Expires On: 03/31/2012
Owner:
Name: 790 ANDOVER LLC
Address: PO BOX 287 , MEDINA WA 98039
Contact Person:
Name: VERNON R HUBER
Address: 3702 WEST VALLY HY N #20 , AUBURN WA 98007
Email:
Contractor:
Name: HUBER'S PLUMBING CO
Address: 3702 WEST VALLEY HWY #2 , AUBURN WA 98001
Contractor License No: HUBERP *042M2
Phone: 206 510 -3069
Phone: 253 839 -7876
Expiration Date: 07/17/2012
DESCRIPTION OF WORK:
MOVE LAVS TO ACCOMODATE ADA REQUIREMENTS AND ADD LAUNDRY SINK.
Value of Plumbing /Gas Piping:
Fees Collected:
Electrical Service Provided by:
Permit Center Authorized Signature:
$2,750.00
$154.88
Uniform Plumbing Code Edition: 2009
International Fuel Gas Code Edition: 2009
Date: 10s'3--
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 authorize o sign and obtain this plumbing /gas piping permit and agree to the conditions
on the back of this permit.
Signature: Date: -" 3 2
Print Name:
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 -138 Printed: 10 -03 -2011
• 0
PERMIT CONDITIONS
Permit No. PG 11 -138
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 -138 Printed: 10 -03 -2011
CITY OF TUKWI
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.C1OV
Plumbing/Gas mit No.
Per
P&U -P)(Z
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.: 26 Z 3vy - 9 9Y S -5
Site Address: 73 0 �yJ/IjJB/�%�%Z Suite Number: Floor:
New Tenant: ❑ Yes No
Tenant Name: % / /Oh d /Wen/ 7/1." /'>
Property Owners Name:
Mailing Address:
City
State Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name:
Mailing Address: X7/92 , ,€157 /A1 f !
Day Telephone: 2‘ - 3 0 1
ret/ 2U 6. - ;7,0 1/01 67007
State Zip
City
E -Mail Address: Fax Number:
PLUMBING / GAS PIPING CONTRACTOR INFORMATION
Company Name: /%bi%e /` M.02 ?J) to
Mailing Address: 3
���� City State Zip
Contact Person: /��/� ,'(Z 4/( Day Telephone: 2 4-6 Sy ' 30-‘
E -Mail Address: % nn `' Fax Number:
Contractor Registration Number:X�li Z, D� 0" i o2 /Oi_- Expiration Date:
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:
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
H:\Applications\For s- Applications On Line\2010 Applications \7 -2010 - Numbing-Gas Piping Permit Application.doc
Revised: May 2011
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Page 1 of 2
Valuation of Project (contractor's bid pre $ "etc< U
Scope of Work (please provide detailed information): / /i0!//f 4i/s
../1/ Z 6y
.)6L19,120.7t%'y /r, "16",
Building Use (per Int'l Building Code):
Occupancy (per Int'l 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
1
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�H
Signature:
Print Name: ii
/z..577
Address: 702" �7 J
Date Application Accepted: V 1b l
Date:
Day Telephone: 2' t S -za -30717
f1/ - p 4 0 4iI 'M /elf 77oa/
City State
Zip
Date Application Expires:
Staff Initials:
H:\Applications\Forms- Applications On Line12010 Applications \7 -2010 - Plumbing -Gas Piping Permit Application.doc
Revised: May 2011
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•
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.: 2623049095
Address: 730 ANDOVER PK E TUKW
Suite No:
Applicant: ACTION FURNITURE
RECEIPT
Permit Number: PG11 -138
Status: PENDING
Applied Date: 09/23/2011
Issue Date:
Receipt No.: R11 -02099
Payment Amount: $154.88
Initials: JEM Payment Date: 09/23/2011 04:20 PM
User ID: 1165 Balance: $0.00
Payee: P HUNTER CONTRATORS
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 021651
ACCOUNT ITEM LIST:
Description
154.88
Account Code Current Pmts
PLAN CHECK - NONRES
PLUMBING - NONRES
000.345.830 30.98
000.322.103.00.00 123.90
Total: $154.88
doc: Receipt -06 Printed: 09 -23 -2011
INSPECTION RECORD {f
Retain a copy with permit PG t 13a
INSPECTION 0. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 lc_ (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
Project: ---r:"--
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Type of I spection: p�
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Address; T 0D
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Date Called:
Special Instructions:
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Date Wanted: ��JJ ” .4a.
-4 -- 4rl / C 1�- p.m.
Requester:
Phone
.1. .r ' CI4-_ o�O4
Approved per applicable codes. a Corrections required prior to approval.
COMMENTS:
46 (AfAL:11- PO D •P.J (1 e /we
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(ob. r '4l' �e!. 11 67
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Inspector:
Date:4.-
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
•:INSPE ION. 0 :..- . PERMIT NO.
•TTY OF TUKWILA BUILDING DIVISION
• • 6.3Qb Southeenter Rlvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
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Type of Inspection:
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Address:
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Date Called:
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Special. histruetiont:
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Date Wanted:.
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Requester:
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Phone No:
QAppf:Oved per applicable codes. corrections required prior to approval.
COMMENTS:
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Date: t
ri REINSPECTION FEE REQ IRED. 'ornext inspection. fee must be
paid-at 6300 Southcenter Blvd., Suite 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 (206) 431 -367
• Permit Inspection Request Line (206) 431 -2451
pot - 13e
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Typ�y of Inspection:
I(aj(I.
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Address
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Of.) VET E.
Date Called:
Special Instructions:
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VAN(r ( ei .Sa
Date Wanted:
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((
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p.m.
Requester:
• . • nl • 1--,'i f
1) P A4 A• S5 -
Phone No 0
1 it
o 47,
ElApproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
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Insp Etor:
Date: ` .14— / r
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
9
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
P0(- i3i
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 1.Y,1>tv rJ /.1-Ua
Type of Inspection:
Rau(, JP(Jit a
Address:
7 3 4 A�od u(r E
Date Called:
Special Instructions:
,,1 540 Li 'ei — Cs l A
V
f
Date Wanted:.
i 0" s " f r
t
.,
p.m.
Requester:
Phone No:
?.— S(o -3d6
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Inspector: )e.:7
Date:
t e) -S —II
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspectioh.
FILE COPY
Permit No.176
Pie- e1-appioval is- to-errors-end s-not ins.
IB rau = , does I M nzs
t#,7 ,Lwf ffi*if�;'' or onfmance. Receipt
If, itdt; Rid Copy and .., ;.,.: is wknowledged:
By,
Data: %%
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PLU5 VERTICAL BAR
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CITY OF TU LA
SEP?.i2011
PERMIT CENTE
TTP. 5' DIA. RADIUS
TTP. 5'X5 CLEARANCE
D FOR
MPLIANCE
ROVED
0 3 2011
We—
f Tukwila
G DIVISION
48'CLEARANCE
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EX RR
NOTE:
POST N0 STORAGE ABOVE°
SIGNS ON ALL WALLS
REFLECT REVISIONS 0:�:.,
C , ...� *, RECEIVED
changes shalt be made to the scope
SEP 212011
sum
of work without prior approval of
T'uk wila Building Division.
WTI :., :sions will require a new plan submittal
n*I may include additinnni .�s.. - - -- - - --
TUKWILA
PUBLIC WORKS
FLOOR PLAN RR
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PC'At: I
MOW OMNI
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VIEWED FOR
E COMPLIANCE
APPROVED
OCT 0 3 2011
City of Tukwila
PUILDING DIVISION
CAVALA
SEP 2.3 2011
PERMIT CEO
Pc7u I6%
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
VERNON HUBER
3702 WEST VALLY HY N #20
AUBURN WA 98007
RE: Permit No. PG11 -138
ACTION FURNITURE
730 ANDOVER PK E TUKW
Dear Permit Holder:
In reviewing our current records, the above noted permit has not received a final inspection by the City of
Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform
Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the
provisions of these codes shall expire by limitation and become null and void if the building or work authorized
by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work
authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 04/09/2012.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final
inspection. Each inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is
due to expire. Address your extension request to the Building Official and state your reason(s) for
the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is
determined that your extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 04/09/2012, your permit will
become null and void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
-----bddif R_.‘k
Bill Rambo
Permit Technician
File: Permit File No. PG 11 -138
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
PERMIT COORD COPS
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: PG11 -138
PROJECT NAME: ACTION FURNITURE
DATE: 09/23/11
SITE ADDRESS: 730 ANDOVER PK E
X Original Plan Submittal
Response to Incomplete Letter #
Response to Correction Letter # Revision # after Permit Issued
DEPARTMENTS: L I
�u li ding iD vision
Public We �s
Fire Prevention
Structural
Planning Division
Permit Coordinator n
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete rti,
Incomplete
DUE DATE: 09/27/11
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 Ti
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS:
Approved
Notation:
REVIEWER'S INITIALS:
Approved with Conditions
DUE DATE: 10 /25/11
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 Pf ter 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 HUBER'S PLUMBING CO UBI No. 601725669
Phone 2538397876 Status Active
Address 3702 West Valley Hwy. North #2 License No. HUBERP`042M2
Suite /Apt. License Type Construction Contractor
City Auburn Effective Date 7/22/1996
State WA Expiration Date 7/17/2012
Zip 98001 Suspend Date
County King Specialty 1 Plumbing
Business Type Individual Specialty 2 Unused
Parent Company
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
HUBERP`232L7HUBERS
PLUMBING CO
Construction
Contractor
Plumbing
Unused
6/27/1977
5/27/1997
Archived
Business Owner Information
Name
Role
Effective Date
Expiration Date
HUBER, VERNON R JR
Owner
07/22/1996
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
5
PLATTE RIVER INS CO
41152474
05/06/2010
Until Cancelled
$6,000.0005/26/2010
04/05/2011
4
Coeat American Ins.
2875327
05/06/2009
Until Cancelled
05/08/2010
$6,000.0004/21
/2009
3
FEDERATED MUTUAL
INS CO
9335611
09/13/2007
Until Cancelled
05/06/2009
$6,000.00
09/10/2007
2
AM STATES INS
EX948812
06/25/2002
Until Cancelled
09/13/2007
$6,000.0006/14/2002
05/12/2008
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
14
State Farm Fire
& Cas Co
98VP6080
04/01/2011
04/01 /2012
$1,000,000.00
04/05/2011
13
OHIO CAS INS
CO
BRO(11)
53856312
03/30/2010
03/30/2011
$1,000,000.00
03/19/2010
12
LIBERTY
NORTHWEST
INS CORP
BR0105385631203/30/2009
03/30/2010
$1,000,000.00
04/21/2009
11
FEDERATED
MUTUAL INS CO
9434729
06/14/2008
06/14/2009
04/23/2009
$1,000,000.00
05/12/2008
10
FEDERATED
MUTUAL INS CO
5077100
06/14/2007
06/14/2008
$1,000,000.00
06/29/2007
9
AMERICAN
SAFETY
INDEMNITY
01TSRGL0750
00
07/20/2006
07/20/2007
$1,000,000.0007
/20/2006
8
HARTFORD
CASUALTY INS
CO
52SBALU1219
07/20/2000
07/20/2006
$1,000,000.0006
/20/2005
https://fortress.wa.gov/lniJbbip/Print.aspx
10/03/2011