HomeMy WebLinkAboutPermit PG12-022 - ANDREWS SPACEThis 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 12 -022
Andrews Space
3415 South 115th Street
RECORDS DIGITAL D- ) EXEMPTION LOG
THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION
F,age # Code
Exemption � � �� Brief Explsnatoty Description, Statute /Rule
The Privacy Act of 1974 evinces Congress' intent that
Personal Information —
social security numbers are a private concern. As
such, individuals' social security numbers are
Social Security Numbers
redacted to protect those individuals' privacy pursuant
5 U.S.C. sec.
DR1
Generally — 5 U.S.C. sec.
to 5 U.S.C. sec. 552(a), and are also exempt from
552(a); RCW
552(a); RCW
disclosure under section 42.56.070(1) of the
42.56.070(1)
42.56.070(1)
Washington 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
Personal Information —
numbers, electronic check numbers, credit expiration
12
DR2
Financial Information —
dates, or bank or other financial account numbers,
RCW
RCW 42.56.230(4 5)
which are exempt from disclosure pursuant to RCW
42.56.230(5)
42.56.230(5), except when disclosure is expressly
required by or governed by other law.
ANDREWS SPACE
3415 S 116 ST
PG1 2-022
City AT ukwila
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.: 1023049043
Address: 3415 S 116 ST TUKW
Project Name: ANDREWS SPACE
PLUMBING /GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On:
PG 12 -022
02/28/2012
08/26/2012
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Email:
EPROPERTY TAX INC DEPT 207
PO BOX 4900 , SCOTTSDALE AZ 85261
MIKE NELSON
899 W MAIN ST , AUBURN WA 98001
MIKEN @SEATTLEMECHANICAL. COM
Contractor:
Name: IECS INC.
Address: P.O. BOX 19252 , SEATTLE, WA 98109
Contractor License No: IECS * * *044QL
Phone: 253 - 939 -9495
Phone: 206 939 -9495
Expiration Date: 11/20/2012
DESCRIPTION OF WORK:
RUN NEW GAS LINE FROM EXISTING GAS LINE TO NEW ROOF TOP UNIT.
Value of Plumbing /Gas Piping:
Fees Collected:
Electrical Service Provided by:
Permit Center Authorized Signature:
$1,000.00
$120.75
Uniform Plumbing Code Edition: 2009
International Fuel Gas Code Edition: 2009
Date: o4241 Z
I hereby certify that I have read and e ami ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied ith, hether specified herein or not.
The granting of this permit does not pre
construction or the performance of work.
on the back of permit.
e 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
Signature:
Print Name:
„0,kuna 44-4{
Date: al Q r-/a2
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 12 -022
Printed: 02 -28 -2012
PERMIT CONDITIONS
Permit No. PG 12 -022
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
PG12 -022 Printed: 02 -28 -2012
•
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
httn://www.TukwilaWA.qov
•
Plumbing/Gas Permit No. ?G 1.)- 07.-
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: 3415 S116th Tukwila
Tenant Name: Andrews Space
Property Owners Name: CB Richard Ellis
Mailing Address: 12720 GATEWAY DRIVE, SUITE 200 .
King Co Assessor's Tax No.: /tD X230 1-7190 7
Suite Number: 113 Floor:
New Tenant: ❑ Yes ..No
Tukwila
City
wa 98168
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: (253) 939 -9495
Auburn
Wa
98001
City State
Fax Number: (253) 939 -9260
Zip
PLUMBING / GAS PIPING CONTRACTOR INFORMATION
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 Zip
Day Telephone: (253) 939 -9495
Fax Number: (253) 939 -9260
Expiration Date: 11/20/2012
98001
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
E -Mail Address:
Seattle Wa
City State
Day Telephone: (206) 433 -8997
Fax Number: (260) 246 -8369
98116
Zip
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:Wppltcanons\Forms- Applications On Line \2010 Applications \7 -2010 - Plumbing -Gas Piping Permit Apphcation.doc
Revised: 7-2010
bh
Page 1 of 2
Valuation of Project (contractor's bid pr: $ 1000
Scope of Work (please provide detailed information): Run new gas line from Existing gas line to new roof top unit.
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
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.IN
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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER,�0 %�UTHiORIZED AGENT:
Signature:
Print Name: Mike Nelsen
Date: 2 -14 -2012
Day Telephone: 2539399495
Mailing Address: 899 west main Auburn Wa 98001
Zip
City
State
Date Application Accepted:
Date Application Expires:
Staff Initials:
H:\Applications\Fonns- Applicanons On Line 12010 Applications \7 -2010 - Plumbing -Gas Piping Permit Apphcanon.doc
Revised: 7 -2010
bh
Page 2 of 2
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.ci.tukwila.wa.us
SET RECEIPT
Copy Reprinted on 02 -28 -2012 at 09:46:59 02/28/2012
RECEIPT NO: R12 -00829
Initials: WER
User ID: 1655
Payee: IECS, INC.
Payment Date: 02/28/2012
Total Payment: 351.25
SET ID: 0228 SET NAME: ANDREWS SPACE
SET TRANSACTIONS:
Set Member
M12 -025
PG12 -022
TOTAL:
Amount
254.65
96.60
96.60
TRANSACTION LIST:
Type Method Description Amount
Payment Check 50661 351.25
TOTAL: 351.25
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
GAS - NONRES 000.322.103.00.0
MECHANICAL - NONRES 000.322.102.00.0
96.60
254.65
TOTAL: 351.25
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.2ov
Parcel No.: 1023049043
Address: 3415 S 116 ST TUKW
Suite No:
Applicant: ANDREWS SPACE
RECEIPT
Permit Number: PG12 -022
Status: PENDING
Applied Date: 02/15/2012
Issue Date:
Receipt No.: R12 -00655
Initials:
User ID:
Payee:
WER
1655
Payment Amount: $24.15
Payment Date: 02/1S/2012 11:30 AM
Balance: $96.60
IECS INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 50553 24.15
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
PLAN CHECK - NONRES
000.345.830 24.15
Total: $24.15
doc: Receiot -06 Printed: 02 -15 -2012
P6rz. -off
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 -36
Permit Inspection Request Line (206) 431 -2451
Project:
2')'2- mss.., I
Typ .of Inspection: A \ A t
. A-1 &okcS r /,A
Address: _ 7"�
39 15 // 14 Sr
Date Called:
Special Instructions:
Date Wanted: ? , (� 74..r?
J
Requester:
Phone No: �
U(0 - 4s . 6' --4/ 63
proved per applicable codes. ' a Corrections required prior to approval.
COMMENTS:
Pe rwi; -f- (L p ig-kol r,?AA9
Ins
R SPECTION FEE REQUI ED. Prior o next inspection. fee must be
p d'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 -3670
Permit Inspection Request Line (206) 431 -2451
i%a 22.
Project:
A4/1),0f'cv'S
• ' "rea
Type of Inspection:
d at- ";72-...i./ Cn S
Address:
..; y,5- s
// C sT--
Date Called:
Special Instructions:
Date Wanted:.
a? -.2C- /0
a.m-:
Requester:
Phone No:
(Zo6_vsB -y/6.
`Approved per applicable codes.
COMMENTS:
ElCorrections required prior to approval.
✓-'r'� —
r
Inspecto :
Date:
SPECTION FEE REQUIRED. • rior to next i spection. fee must be
id at 6300 Southcenter Blvd., Suite 100. Cal, o schedule reinspection.
PEWIT GOND COPY •
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: PG12 -022
PROJECT NAME: ANDREWS SPACE
SITE ADDRESS: 3415 S 116 ST
X Original Plan Submittal
Response to Correction Letter #
DATE: 02 -15 -12
Response to Incomplete Letter #
Revision # After Permit Issued
DEPARTMENTS:
326ing Division M Fire Prevention
Public Works
Structural
n
Planning Division
Permit Coordinator
1
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
Comments:
Incomplete
DUE DATE: 02 -16 -12
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
REVIEWER'S INITIALS:
nNo further Review Required
DATE:
n
APPROVALS OR CORRECTIONS:
DUE DATE: 03-15-12
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
Contractors or Tradespeople Pinter Friendly Page
1
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 IECS INC UBI No. 601639846
Phone 2069399495 Status Active
Address Po Box 19252 License No. IECS "'044QL
Suite /Apt. License Type Construction Contractor
City Seattle Effective Date 11/13/1996
State WA Expiration Date 11/20/2012
Zip 981091252 Suspend Date
County King Specialty 1 Heating /Vent /Air - Conditioning And Refrig (Hvac /R)
Business Type Corporation Specialty 2 Unused
Parent Company
Other Associated Licenses
License
Name
Type
Specialty 1
Specialty
2
Effective
Date
Expiration
Date
Status
SEATTM1038NRSEATTLE
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
08/01/2010
$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
BKW1153913555
08/01/2010
08/01/2011
$1,000,000.00
07/28/2010
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
$1,000,000.00
06/26/2008
9
FEDERATED
MUTUAL INS CO
5090561
08/01/2006
08/01/2007
$1,000,000.0007
/31/2006
8
OREGON AUTO
INS CO
C031557907
08/01/2005
08/01/2006
$1,000,000.0007
/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
02/28/2012
PROJECT #C-954
REVIEWED FOR
CODE COMPLIANCE
APPROVD
FEB 2 7 2012
P
City of Willa
BUILDING (VISION
.r ne Y D.. NN
a•r■r• N.
Nw
/�
p �
ROOF
TOP
(NIT
TP16 144! C,46 1.11
SPACE FOR:
SUITE 113
OFFICE= 3 ,000 SF. / 100 = 30.0 (2 EXIT TRAVEL DISTANCE)
WAREHOUSE= 2,500 SF. / 500 = 5.00 (1 EXIT)
TOTAL= 5,500 SF. 8.00
REVISION
REVISIONS
No changes shall be made to the scope
Lof work without prior approval of
Tukwila Building Division.
NOTE: Ravisians will require a new plan subrn�ttal
may include additional plan review fees.
Plan review approved Is subject to errors and omit
&,p `r val of construction documents does not authorize
Vic violation of any adopted code or ordinance. Receipt
of approved F COY and • :. pis edged:
541i.R. "I "_i Li �,
REQUIRED FOR:
Mechanical
Eloctric�a!
Plumbing
❑ Piping
City Gas of Tukwila
� �lL ll!G J VISIB
2-13-2012
PERMIT
M -2