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Home My WebLink AboutPermit PG11-161 - CLEAR SIGN COMBUSTIONThis record contains information which is exempt from public disclosure pursuant to the Washington State Public Records Act, Chapter 42.56 RCW as identified on the Digital Records Exemption Log shown below. PG 11 -161 Clear Sign Combustion 12870 Interurban Avenue South RECORDS DIGITAL D- ) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION Page # tode Exemption = 8rlef Explanatory DeSclriptiop �t�tutel ule The Privacy Act of 1974 evinces Congress' intent that social security numbers are a private concern. As such, individuals' social security Personal Information — numbers are redacted to protect those Social Security Numbers individuals' privacy pursuant to 5 U.S.C. sec. 5 U.S.C. sec. DR1 Generally — 5 U.S.C. sec. 552(a), and are also exempt from disclosure 552(a); RCW 552(a); RCW under section 42.56.070(1) of the Washington 42.56.070(1) 42.56.070(1) State Public Records Act, which exempts under the PRA records or information exempt or prohibited from disclosure under any other statute. Redactions contain Credit card numbers, debit card numbers, electronic check numbers, credit Personal Information — expiration dates, or bank or other financial RCW 13 DR2 Financial Information — account numbers, which are exempt from 42.56.230(5) RCW 42.56.230(4 5) disclosure pursuant to RCW 42.56.230(5), except when disclosure is expressly required by or governed by other law. CLEAR SIGN COMBUSTION 12870 INTERURBAN AV S PG1 1 -161 CiC, Tukwila 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.: 2716000010 Address: 12870 INTERURBAN AV S TUKW Project Name: CLEAR SIGN COMBUSTION Permit Number: Issue Date: Permit Expires On: PG11 -161 11/16/2011 05/14/2012 Owner: Name: Address: Contact Person: Name: Address: Email: Contractor: Name: Address: Contractor EPROPERTY TAX INC DEPT #207 PO BOX 4900 , SCOTTSDALE AZ 85261 MIKE NELSEN 899 WEST MAIN , AUBURN WA 98001 MIKEN @SEATTLEMEC HANICAL. C OM IECS INC. P.O. BOX 19252 , SEATTLE, WA 98109 License No: IECS * * *044QL Phone: 253 - 939 -9495 Phone: 206 939 -9495 Expiration Date: 11/20/2012 DESCRIPTION OF WORK: EXTEND EXISTING UNUSED 1 1/4" GAS LINE TO NEW TESTING FURNACE. Value of Plumbing /Gas Piping: Fees Collected: Electrical Service Provided by: Permit Center Authorized Signature: $1,000.00 $120.75 I hereby certify that I have read and e governing this work will be complied Uniform Plumbing Code Edition: 2009 International Fuel Gas Code Edition: 2009 Date: (6e1(1 e(I d this permit and know the same to be true and correct. All provisions of law and ordinances hether specified herein or not. The granting of this permit does not pres construction or the performance of work. on the back of this permit. Signature: Print Name: to give authority to violate or cancel the provisions of any other state or local laws regulating I am authorized to sign and obtain this plumbing /gas piping permit and agree to the conditions ,/i Date: / f - 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. doe: UPC -4/10 PG11 -161 Printed: 11 -16 -2011 • as PERMIT CONDITIONS Permit No. PG 11 -161 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: 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. 8: 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. 9: 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 -161 Printed: 11 -16 -2011 CITY OF TUKWI. _ Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://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 LOCATION Site Address: 12870 Interurban ave s Tenant Name: Clear Sign Combustion Property Owners Name: CB Richard Ellis Mailing Address: 12720 GATEWAY DRIVE, SUITE 200 . King Co Assessor's Tax No.: 2716001009 Suite Number: Floor: New Tenant: Yes ❑ ..No Tukwila wa 98168 98168 City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: Mike Nelsen Mailing Address: 899 west main E -Mail Address: miken @seattlemechanical.com Day Telephone: Auburn (253) 939 -9495 Wa City State 98001 Zip Fax Number: (253) 939 -9260 PLUMBING / GAS PIPING CONTRACTOR INFORMATION eitiVit tk— 121:f Company Name: IECS INC. Mailing Address: 899 West Main Contact Person: Mike Nelsen E -Mail Address: miken @seattlemechanical.com Contractor Registration Number: IESCI * * *044QL Auburn wa City State Day Telephone: (253) 939 -9495 Fax Number: (253) 939 -9260 98001 Zip Expiration Date: 11/20/2012 ARCHITECT OF RECORD — All plans must be stamped by Architect of Record Company Name: David Kehle Mailing Address: 1916 Bonair dr. sw Contact Person: David Kehle Seattle Wa 98116 City State Zip Day Telephone: (206) 433 -8997 E -Mail Address: Fax Number: (260) 246 -8369 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\Fonns- 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 pric'' mk $ 1000 Scope of Work (please provide detailed information): Extend existing unused 1 -1/4 gas fine to new testing furnace Building Use (per Int'I Building Code): Occupancy (per lnt'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 1.0 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 0 : AU ORIZED AGENT: Signature: Print Name: Mike Nelsen Date: 10 -21 -2011 Day Telephone: 2539399495 Mailing Address: 899 west main Auburn Wa 98001 City State Zip Date Application Accepted: I 1 Date Application Expires: Li 1 Staff Initials: vke H:\ Applications \Forms - Applications On Line\2010 Applications \7 -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 -43 1 -3670 Fax: 206-431-3665 Web site: http: / /www.TukwilaWA.gov RECEIPT Parcel No.: 2716000010 Permit Number: PG11 -161 Address: 12870 INTERURBAN AV S TUKW Status: PENDING Suite No: Applied Date: 10/21/2011 Applicant: CLEAR SIGN COMBUSTION Issue Date: Receipt No.: R11 -02325 Payment Amount: $120.75 Initials: WER Payment Date: 10/21/2011 02:36 PM User ID: 1655 Balance: $0.00 Payee: IECS TRANSACTION LIST: Type Method Descriptio Amount Payment Check 49841 120.75 Authorization No. ACCOUNT ITEM LIST: Description 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: 10 -21 -2011 420 INSPECTION RECORD P6 k Retain a copy with permit INSPECTION NO. PERMIT NO. • CITY OF TUKWILA BUILDING DIVISION . 6300 Southcenter Blvd., #100, Tukwila. WA 98188 - (206) 43:1-3670. Permit Inspection Request Line (206) 431-2451 Project: , 5-: Type of Inwection: Address: . / 1, W-7 0 -1"--AlljrAlv Date Called: . Special Instructions: • / Date Wanted:_./ „ - , •-F-a77n, Requester: Phone No: . . • • Approved per applicable codes. Corrections required prior to approval. COMMENTS: eiKiCr t ilere Insptor: • . . • REINSPECTION FEE REQUIRED..fSrior to next inspedijoits.fee mtiet paid at 6300 Southcenter Blvd.. Suite 100. Call to scOduli:reinspeCtion.. • : %.• • INSPECTION RECORD ls' Retain a copy permit ermit - INSPECTION NO. " J PERMIT NO. CITY.OF TUKWILA BUILDING DIVISION - 6300Southcenter Blvd., #100, Tukwila. WA 98188 . (206) 431 -3670 1 Permit Inspection Request Line (206) 431 -2451 N Project: ' -- .;W.. A- - S ' b Al Type of Inspection: Address:. 1 70) ...fl7-''.: ,Y fr Date Called: /Lo (164- 647/' Special In- ructiOns •: Date Wanted:. V— 2 5,- _ /Z Ca. 1 p.m. Requester: Phone No: .7/46- aw11 -s52 5 Approved per applicable codes. Corrections required prior to approval. tOMMENTS:‘ "TICSre V 414 1 • 0 REINSPECTION FEE REQUIRE . nor to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. • - • INSPECTION RECORD Retain a copy with permit - • INSPECTION •10. PERMIT NO. . •CITY OF' TUKWILA BUILDING DIVISION ;6300 Southcenter Blvd., #100, Tukwila. WA 98188 ' ermit :Inspection Request Line (206) 431 -2451 x(206) 431 -3670 Project: / Type of I tpectior. :' �. Address: _LUC, 0 . `? r-11Ji D to Called: GC' JG tom`_ Special Instructions: ' . Date Wanted:. — -- r / ,azine ,_ P.m- Requester: proved 'per applicable codes. Corrections required prior to approval. COMMENTS: N.) 6 ( • Inspec r: Date > A .,,,( .0 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 SOuthcenter Blvd.. Suite 100. Call to schedule reinspection. 04 -02 -2012 MIKE NELSEN 899 WEST MAIN AUBURN WA 98001 City f Tukwila Jim Haggerton, Mayor Department of Community Development RE: Permit No. PG11 -161 CLEAR SIGN COMBUSTION 12870 INTERURBAN AV S TUKW Dear Permit Holder: Jack Pace, Director In reviewing our current records, the above noted permit has not received a fmal 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 05/14/2012. 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 fmal 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 05/14/2012, 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, 014ida? er Marshall t Technician File: Permit File No. PG11 -161 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206 -431 -3670 • Fax 206 -431 -3665 PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG11 -161 DATE: 10 -21 -11 PROJECT NAME: CLEAR SIGN COMBUSTION SITE ADDRESS: 12870 INTERURBAN AV S X Original Plan Submittal Response to Correction Letter # Response to Incomplete Letter # Revision # After Permit Issued DEPARTMENTS: ulV.� o lo! ding Ivlsin Public Works ❑ Fire Prevention Structural n Planning Division Permit Coordinator 1 DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 10 -25-11 Complete Incomplete ❑ Comments: 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 ❑ No further Review Required 11 �°'1 REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved ❑ Approved with Conditions Notation: REVIEWER'S INITIALS: DATE: DUE DATE: 11 -22 -11 Not Approved (attach comments) n 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 Tradespeopleter Friendly Page • General /Specialty Contractor A business registered as a construction contractor with Lai 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 Phone Address Suite /Apt. City State Zip County Business Type Parent Company IECS INC 2069399495 Po Box 19252 Seattle WA 981091252 King Corporation UBI No. 601639846 Status Active License No. IECS * * *044QL License Type Construction Contractor Effective Date 11/13/1996 Expiration Date 11/20/2012 Suspend Date Specialty 1 Specialty 2 Unused Heating /Vent /Air - Conditioning And Refrig (Hvac /R) Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status SEATTMI038NR SEATTLE MECHANICAL INC Construction Contractor Metal Fabrication Unused 8/19/1997 11/4/2001 Archived Business Owner Information Name Role Effective Date Expiration Date HUMPHREY, GEORGE 01/01/1980 Bond Information No records found for the previous 6 year period Assignment of Savings Information Page 1 of 1 Savings Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 2 10/10/1996 3/4/2009 Bond $4,000.00 Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 13 Twin City Fire Ins Co 52 UUN PE8855 08/01/2011 08/01/2012 $1,000,000.0007 /29/2011 12 WEST AMERICAN INS CO BKW115391355508/01/2010 08/01/2011 $1,000,000.0007 /28/2010 11 LIBERTY NORTHWEST INS CORP BKW1053913555 08/01/2009 08/01/2010 $1,000,000.00 07/21/2009 10 FEDERAL MUTUAL INS CO 9821065 08/01/2007 08/01/2009 $1,000,000.0006 /26/2008 9 FEDERATED MUTUAL INS CO 5090561 08/01/2006 08/01/2007 $1,000,000.00 07/31/2006 8 OREGON AUTO INS CO C031557907 08/01/2005 08/01/2006 $1,000,000.00 07/29/2005 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 11/16/2011