HomeMy WebLinkAboutPermit PG12-053 - INDUSTRIAL REVOLUTIONINDUSTRIAL REVOLUTION
5835 SEGALE PARK DR C
PG1 2-053
City oAukwila
•
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.: 3523049018
Address: 5835 SEGALE PARK DR C TUKW
Project Name: INDUSTRIAL REVOLUTION
Permit Number: PG 12 -053
Issue Date: 04/10/2012
Permit Expires On: 10/07/2012
Owner:
Name: SEGALE PROPERTIES LLC
Address: PO BOX 88028 , TUKWILA WA 98138
Contact Person:
Name: STEVE NELSON
Address: PO BOX 88028 , TUKWILA WA 98138
Email: SNELSON @SEGALEPROPERTIES.COM
Contractor:
Name: SEGALE PROPERTIES LLC
Address: PO BOX 88028 , TUKVVILA WA 98138
Contractor License No: SEGALPL902CQ
Phone: 206 - 575 -2000
Phone: 206 -575 -2000
Expiration Date: 04/01/2014
DESCRIPTION OF WORK:
INSTALL NEW TOILET, SINK, ADA SHOWER, FLOOR DRAIN AND CLEANOUT IN NEW RESTROOM.
CONNECT NEW 2" WASTE TO EXISTING 4" UNDERGROUND SANITARY WASTE LINE. CONNECT
HOT AND COLD WATER TO EXISTING DOMESTIC WATER SERVICES. CONNECT NEW VENT LINE
TO EXISTING VENT SYSTEM.
Value of Plumbing /Gas Piping:
Fees Collected:
Electrical Service Provided by:
Permit Center Authorized Signature:
$5,850.00
$140.44
Uniform Plumbing Code Edition: 2009
International Fuel Gas Code Edition: 2009
Date: ^l V— (-2,
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 authorized to sign and obtain this plumbing /gas piping permit and agree to the conditions
on the back of this permit.
Print Name:
1/24
ell°N kel,56,U
Date: 0-°(Z.--
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
PG12 -053 Printed: 04 -10 -2012
• •
PERMIT CONDITIONS
Permit No. PG 12 -053
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 -053 Printed: 04 -10 -2012
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: / /www.TukwilaWA.gov
Plumbing/Gas Permit No. P41 ?i —CO
Project No. 11- O d -- 13(/$'
10 -3w-
Date Application Accepted:
Date Application Expires:
(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.: 3523049115
Site Address: 5835 Segale Park Dr. C Suite Number: Floor: 1
Tenant Name:
Industrial Revolution
PROPERTY OWNER
Name: Steve Nelson
Name: Segale Properties LLC
Address: PO Box 88028
Address: PO Box 88028
City: Tukwila State: WA
City: Tukwila State: WA
Zip: 98138
CONTACT PERSON — person receiving all project
communication
Name: Steve Nelson
Address: PO Box 88028
Address: PO Box 88028
Phone: (206) 575 -2000 Fax: (206) 575 -1662
City: Tukwila State: WA
Zip: 98138
Phone: (206) 575 -2000 Fax: (206)
575 -1662
Email: snelson @segaleproperties.com
New Tenant: 21 Yes ❑ .. No
PLUMBING CONTRACTOR INFORMATION
Company Name: Segale Properties LLC
Address: PO Box 88028
City: Tukwila State: WA Zip: 98138
Phone: (206) 575 -2000 Fax: (206) 575 -1662
Contr Reg No.: SEGALPL902CQ Exp Date: 04/01/2012
Tukwila Business License No.: BUS - 101320
Valuation of Project (contractor's bid price): $ 5,850
Scope of Work (please provide detailed information):
Install a new toilet, sink, ADA shower, floor drain and cleanout in new restroom. Connect new 2" waste to existing 4" underground
sanitary waste line. Connect hot and cold water to existing domestic water services. Connect new vent line to existing vent system.
Building Use (per Intl Building Code). BI -B
Occupancy (per Int'1 Building Code):
Utility Purveyor: Water Highline Water District
B
H:\Applications\Forns- Applications On Line \2011 Applications\ Plumbing Permit Application Revised 8- 9- 11.docx
Revised: August 2011
bh
Sewer
City of Tukwila
Page 1 of 2
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
IFixture Type
Qty
Bathtub or combination
bath/shower
Dishwasher, domestic with
independent drain
le
Shower, single head trap
1
Sinks
1
Rain water system — per
drain (inside building)
Grease interceptor for
commercial kitchen (>750
gallon capacity)
1
Each additional medical
gas inlets/outlets greater
than 5
Atmospheric -type vacuum
breakers not included in
lawn sprinkler backflow
protections (1 -5)
Fixture Type
Qty
Bidet
Drinking fountain or water
cooler (per head)
le
Lavatory
Urinal
1
Water heater and/or vent
Repair or alteration of
water piping and/or water
treatment equipment
1
Backflow protective device
other than atmospheric -
type vacuum breakers 2
inch (51 mm) diameter or
smaller
Atmospheric -type vacuum
breakers not included in
lawn sprinkler backflow
protections over 5
Fixture Type
Qty
Clothes washer,
domestic
Food -waste grinder,
commercial
le
Wash fountain
Water closet
1
Industrial waste
treatment interceptor,
including trap and vent,
except for kitchen type
grease interceptors
Repair or alteration of
drainage or vent piping
Backflow protective
device other than
atmospheric -type
vacuum breakers over 2
inch (51 mm) diameter
Gas piping outlets
Fixture Type
Dental unit, cuspidor
Floor drain
le
Receptor, indirect waste
Building sewer and each
trailer park sewer
1
Each grease trap
(connected to not more
than 4 fixtures - <750
gallon capacity
Medical gas piping
system serving 1 -5
inlets/outlets for a specific
gas
Each lawn sprinkler
system on any one meter
including backflow
protection devices
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 O NER OR AUTHO ZED AG NT:
Signature: 12/(5C— 7 IP
Date: 04/02/2012
Print Name: Steven R. Nelson Day Telephone: (206) 575 -2000
Mailing Address: PO Box 88028 Tukwila WA 98138
City State Zip
H:\ApplicationsWorms- Applications On Line \ 2011 Applications\ Plumbing Perrnit Application Revised 5.9.11.docx
Revised: August 2011
bh
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.Qov
RECEIPT
ParcelNo.: 3523049018 Permit Number: PG12 -053
Address: 5835 SEGALE PARK DR C TUKW Status: PENDING
Suite No: Applied Date: 04/03/2012
Applicant: INDUSTRIAL REVOLUTION Issue Date:
Receipt No.: R12 -01232
Payment Amount: $140.44
Initials: BLH Payment Date: 04/03/2012 03:27 PM
User ID: ADMIN Balance: $0.00
Payee: SEGALE PROPERTIES LLC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 2108 140.44
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
PLAN CHECK - NONRES
PLUMBING - NONRES
000.345.830 28.09
000.322.103.00.00 112.35
Total: $140.44
doc: Receiot -06 Printed: 04 -03 -2012
INSPECTION RECORD
Retain a copy with permit
INSPECTION N0. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 R (206) 431 - 3670`\
" Permit Inspection Request Line (206) 431 -2451
612 -053
Project:
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,
Type of Inspection:
N" r J■.j 14
Address:
�-� '' 3 . 5.t G..'i i ii-2 L
Date Called:
Special Instructions:
Date Wanted:.
-- I % — f Z
Ca.m�
PIT).
Requester:
C.--3 0 vYt/
Phone No:
p.06 -35 C. --.,2.0
f 7
Approved per applicable codes. E Corrections required prior to approval.
COMMENTS:
-Pe vim - s r � 1 1& / C I 1
spect f:
Cc a. IC$
Date:
EINSPECTION FEE Ii QUIRED. Prio .4(next 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 t ix (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
•
i7
f
Project:.
_.ZN <LcSii ?./'i_ /4Fdcj?tr,-,axl
Type of Inspection:
. 'dtw,.,�w0ee ‹- ,Ito, h,,,v
Address:
5 J . S . � t . _ 0 4 : , E J,7 0
Date Called:
Special Instructions:
Date Wanted:.
4/-12 - /2-
a.m.
p•m
Requester:
Phone No:
.Za gr -396 -ao'(
Approved per applicable codes.
ECorrections required prior to'approval. P
COMMENTS:
REINSPECTION FEE RE4UIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
ERMITco'.. •
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: PG12 -053 DATE: 04 -03 -12
PROJECT NAME: INDUSTRIAL REVOLUTION
SITE ADDRESS: 5835 SEGALE PARK DR C
X Original Plan Submittal
Response to Correction Letter #
Response to Incomplete Letter #
Revision # After Permit Issued
DEPARTMENTS:
fek 1(1
Complete
Bul ding Division
mss. ��
ITubIlc Wor
Fire Prevention
Structural
Planning Division
n
❑ Permit Coordinator
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
15-]
Incomplete
n
DUE DATE: 04 -05-12
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 I* Structural Review Required ❑ No further Review Required n
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS:
Approved n Approved with Conditions
Notation:
REVIEWER'S INITIALS:
DUE DATE: 05 -03 -12
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 PI, 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 SEGALE PROPERITIES LLC UBI No. 602023533
Phone 2065752000 Status Active
Address Po Box 88028 License No. SEGALPL902CQ
Suite /Apt. License Type Construction Contractor
City Tukwila Effective Date 2/18/2010
State WA Expiration Date 4/1/2014
Zip 981382028 Suspend Date
County King Specialty 1 General
Business Type Limited Liability Company Specialty 2 Unused
Parent Company
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
LAPIALP055MZ
LA PIANTA LIMITED
PARTNERSHIP
Construction
Contractor
General
Unused
7/9/1995
4/1/2001
Archived
SEGALBP151M5SEGALE
BUSINESS
PARK
Construction
Contractor
General
Unused
7/25/1985
7/9/1995
Archived
LAPIAL'008J8
LA PIANTA LLC
Construction
Contractor
General
Unused
4/28/2000
4/1/2010
Inactive
Business Owner Information
Name
Role
Effective Date
Expiration Date
SEGALE, MARIO A
Agent
02/18/2010
Amount
SEGALE, MARIO A
Partner /Member
02/18/2010
12DLS31006
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
SAFECO INS CO OF AM
6115146
02/18/2010
Until Cancelled
$12,000.00
03/28/2002
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
4
Alaska National
Insurance Co
12DLS31006
04/01/2012
04/01/2013
$1,000,000.0003
/30/2012
3
Alaska National
Ins Co
11DLS31006
04/01/2011
04/01/2012
$1,000,000.0003
/29/2011
2
ALASKA
NATIONAL
INSURANCE
COMP
10DLS31006
04/01/2010
04/01/2011
$1,000,000.00
03/31/2010
1
ALASKA
NATIONAL
INSURANCE
COMP
09DLS31006
02/18/2010
04/01/2010
$1,000,000.00
03/31/2009
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
04/10/2012
r
SEPARATE PERMIT
REQUIRED FOR:
D Mechanical
Electrical
Plumbing
Gas Piping
City of Tukwila
BUILDING DIVISION
0
REVIEWED FOR
CODE COMPLIANCE
APPROVED
APR 10 2012
VtAiv
City f kwila
BUILDIN 1VISION
EXISTING 6" UNDERGROUND SANITARY
EXISTING 4" UNDERGROUND
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 include additional plan review fees.
F1
1
FILE COPY
PBrmlt No.. ? ( \1-' '
Plan review approval is subject to errors and omissions.
Approval of construction documents doas not
the violation of any adopted code or ordinance, Rsctopt
of approved Field Copy and ., 1'1 Is acKnowledgal.,
Date z)1
SEE P2 FOR ENLARGED
PLAN THIS AREA.
City Of Tukwila
BUILDING DIVISION
•
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RECEIVED
APR 04 2012
PERMIT CENTER
VG1253
PROPERTIES
INDUSTRIAL * COMMERCIAL * AGRICULTURAL * NATURAL RESOURCES
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PROJECT NUMBER
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DRAWING NUMBER
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TOILET
VENT
EXISTING RESTROOM
EXISTING RESTROOM
NEW ADA SHOWER
NEW 2` WASTE
EXISTING 4" UNDERGROUND
REVIEWED FOR
CODE COMPLIANCE
APPROVED
APR 10 2012
City of Tukwila
BUILDING DIVISION
PC91.1.-- 053
RECEIVED
APR 04 2012
PERMIT CENTER
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