HomeMy WebLinkAboutPermit PG12-126 - ACADEMY SCHOOLSACADEMY SCHOOLS
14601 INTERURBAN AV S
PG12 -126
Parcel No.:
Address:
City *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
3365901370
14601 INTERURBAN AV S TUKW
Project Name: ACADEMY SCHOOLS
Permit Number:
Issue Date:
Permit Expires On:
PG12 -126
06/20/2012
12/17/2012
Owner:
Name:
Address:
TWO BROTHERS LLC
PO BOX 88921 , SEATTLE WA 98138
Contact Person:
Name: VERN HUBER
Address: 3702 WEST VALLEY HY N, SUITE 200 , AUBURN WA 98001
Email:
Contractor:
Name: HUBER'S PLUMBING CO
Address: 3702 WEST VALLEY HWY #2 , AUBURN WA 98001
Contractor License No: HUBERP *042M2
Phone: 253 - 839 -7876
Phone: 253 839 -7876
Expiration Date: 07/17/2012
DESCRIPTION OF WORK:
ADD PLUMBING FOR SCHOOL RESTROOMS
Value of Plumbing /Gas Piping:
Fees Collected:
Electrical Service Provided by:
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complie
$4,400.00
$189.00
Uniform Plumbing Code Edition: 2009
International Fuel Gas Code Edition: 2009
Date: ail (0(
ed this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
The granting of this permit does not pre
construction or the performance of work.
on the back of this permit.
Signature:
Print Name:
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
,,e7 hi4
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 -126 Printed: 06 -20 -2012
• •
PERMIT CONDITIONS
Permit No. PG12-126
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
PG12-126 Printed: 06 -20 -2012
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://vvww.TukwilaWA.gov
Plumbing/Gas Permit No. jl 101- 1 " /
Project No.
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
Site Address:
Tenant Name:
14601 Interurban ave So.
Academy Schools
Sae /3
King Co Assessor's Tax No.: 33it
Suite Number:
PROPERTY OWNER
Name: ��4 i = ! ,e,ecs
Address: ,,,r67, lad, /3 O -
City: /I,_L' l State: /1 / zip:,/_,
CONTACT PERSON - person receiving all project
communication
Name: vern
Address: 3702 west vally Hwy. N. #200
City: Auburn State: WA Zip: 98001
(253) 839 -7876 Fax: (253) 833 -5148
1
Address:
Tukwila Business License No.: pfii( —(i I2/1 1i
City:
State:
Zip:
Phone: (206)
510 -3069
Fax:
Email:
Floor:
New Tenant: ❑ Yes
PLUMBING CONTRACTOR INFORMATION
Company Name: Huber's Plumbing co.
Address: 3702 west vally Hwy. N. #200
City: Auburn State: WA Zip: 98001
(253) 839 -7876 Fax: (253) 833 -5148
1
oone:
ntr Reg No.: HuberP *02m2 Exp Date: 07/11/2012
Tukwila Business License No.: pfii( —(i I2/1 1i
Valuation of Project (contractor's bid price): $ 4,400
Scope of Work (please provide detailed information):
Add plumbing for restroschoolom
Building Use (per Int'I Building Code). school
Occupancy (per Int'i Building Code):
Utility Purveyor: Water tukwila Sewer tkwila
H: Appli®tions'Porms- Application On Line\2011 Applications\Plumbing Permit Application Revised 8- 9- 11.docx
Revised: August 2011
bh
Page 1 of 2
• •
Indicate type of plumbing fixtures and /or gas piping outlets being installed and the quantity below:
Fixture Type
Qty
Bathtub or combination
bath/shower
Dishwasher, domestic with
independent drain
Shower, single head trap
2
Sinks
2
Rain water system — per
drain (inside building)
1
Grease interceptor for
commercial kitchen ( >750
gallon capacity)
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)
Lavatory
2
Urinal
2
Water heater and /or vent
1
Repair or alteration of
water piping and /or water
treatment equipment
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
Wash fountain
Water closet
2
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
Qty
Dental unit, cuspidor
Floor drain
Receptor, indirect waste
Building sewer and each
trailer park sewer
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
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).
1 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 AU HO I D ENT:
Signature: ...97i116#
Print Name: Vernon Huber Day Telephone: (206) 510 -3069
Date:
05/08/2012
Mailing Address: 3702 Westvally Hwy. North
H:\Applications\Forms- Applications On Line \2011 Applications\Plumbing Permit Application Revised 8- 9- 11.docx
Revised: August 2011
bh
Auburn wa 98001
City State Zip
Page 2 of 2
1 •
1"---
wq City o f T u kwi la
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.ov
RECEIPT
Parcel No.: 3365901370 Permit Number: PG 12 -126
Address: 14601 INTERURBAN AV S TUKW Status: PENDING
Suite No: Applied Date: 06/11/2012
Applicant: ACADEMY SCHOOLS Issue Date:
Receipt No.: R12 -01836
Initials:
User ID:
Payee:
WER
1655
Payment Amount: $189.00
Payment Date: 06/11/2012 01:15 PM
Balance: $0.00
HUBERS PLUMBING CO
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 31836 189.00
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
PLAN CHECK - NONRES
PLUMBING - NONRES
000.345.830 37.80
000.322.103.00.00 151.20
Total: $189.00
doc: Receiot -06 Printed: 06 -11 -2012
3
INSPECTION NO.
INSPECTION RECORD`
Retain a copy with permit
PERMIT NO.'.r
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project:
f�
f-Vt A N rtalkii ° t ocig,
Type of Inspection:
f- 1 N
Address:
1 L.16) 01 .2. -A.H e'lt c
A a%..
Date Called:
Special Instructions:
Date Wante
(0 1CIj
a.m
t:rti.
Requester:
Phone No:
Approved per applicable codes. El Corrections required prior to approval..
COMMENTS:
Pe e 0-1;40 rThA
Inspe'tor:
x
pRINSPECTION FEE REQUIRED. Prior to next Inspection, fee must be
id at 6300 Southcen er Blvd.. Suite 100. Call to:schedule reins ection..;
Date:
- INSPECTION RECORD
Retain a copy with permit
INSPECTION NO..
PERMIT NO.
:CITY OF TUKWILA BUILDING DIVISION
• 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Y. (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project: ';•
e t
S
CS
Type,pf Inspection:
I o Via/ au
s�.
Address:
r
i
Date Called:
Special'Instructions:
Date Wanted:.
/a m
Requester:
Phone No: --
aApproved per applicable codes. E Corrections required prior to approval.
COMMENTS:
f
Uea- (lAJd ko ,
t
�REINSPECTION FEE REQUIRED. Prior to
. paid at 6300 Southcenter Blvd., Suite 100,
Date: 1 n —t Z�
next inspection, fee must be
Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
INSPECTIOJV NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION G
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Pro ject:
4-0,3j f nytsefrioo. -C
Type of Inspection:
Address:
/'S/tvO/ /7 2// Miff /I v
Date Called:
. !"Jd 0---
S :le),./ &.4'
Special Instructions:
t• 0/1// 461c-40
6606-15-6/
Date Wanted:.
t
Requester:
7 �i\ ti� /\ id r..c .'�' ere ,�-v r (.
�s
n
`
Phone No:
(7?e6 -.57
®—
3065
Approved per applicable codes.
Corrections required prior to approval. ' �j
COMMENTS:
t
r
7 �i\ ti� /\ id r..c .'�' ere ,�-v r (.
�s
n
`
c .. 3 .
jThSS
Inspector:
Date:
❑ REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
SEPARATE PERMIT
REQUIRED FOR:
Ei Mechanical
&Electrical
o Plumbing
Ronas Piping
Ciiy of Tukwila
DIVISION
FTLE COPY
Perrot No.
PI-- --view approval is subject to errors and omissions.
of construction documents does not authorize
.2:lition of any adopted code or ordinance. Receipt
n' Lpproved Field Copy and is acknowledged:
By
Date: I/
City Of Tukwila
BUILDING DIVISION
REVISIONS
r!o changes shall be made to the scope
of work without prior approval of
Tukwila Building Division.
_ _
: 7: ; .F.:1/:3;ons will require a new plan submittal
L-.:1:1 relay indude additional plan review fees.
REVIEWED FOR
CODE COMPLIANCE
APPROVED
'JUN 1 9 2012
1;11— VAL
City of-Tukwila
BUILDING DIVISION
AECEIVED
JUN 1 1 2012
1332 PERMIT CENTER
r
WING
2548F
STORAGE
1878F
CLASSROOM
382SF
KITCHEN
212SF
JF
. TOILET
CLASSROOM
382SF
• OFFICE
180 SF
WORK
FFICE
120 8F
muisi-use
ASSEMBLY
CLASSROOM
4348F
N
)DEMOLITION PLAN
11V•t4f
REVIEWED FOR
CODE COMPLIANCE
APPROVED
JUN 1 9 2012
City of Tukwila
BUILDING DIVISION
OFLOOR PLAN
W•140
PGD.-126
RECEIVED
JUN 1 1 2012
PERMIT CENTER
basset4
architect:
Calutable SP.
BMW Ne. 6C
Soon* W. MI
P. 2004404U
P. 200d340451
CONSULTANT PlICIlt
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New
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MALMO
ACADEM
SCHOOL
APE
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: PG12 -126
PROJECT NAME: ACADEMY SCHOOLS
SITE ADDRESS: 14601 INTERURBAN AV S
X Original Plan Submittal
Response to Correction Letter #
DATE: 06 -11 -12
Response to Incomplete Letter #
Revision # After Permit Issued
DEPARTMENTS:
B"ut
Pu
Fire Prevention
Structural
Planning Division
Permit Coordinator
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
ly6
Incomplete
Fl
DUE DATE: 06-12 -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
Structural Review Required
No further Review Required
n
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS:
Approved Approved with Conditions
Notation:
REVIEWER'S INITIALS: DATE:
DUE DATE: 07 -10 -12
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 Tradespeople P ter Friendly Page Page 1 of 2
•
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
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 Amount
Bond Information
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
6
American Contractors
Indem CO
100194911
05/06/2012
Until Cancelled
$6,000.0005/11/2012
03/19/2012
5
PLATTE RIVER INS CO
41152474
05/06/2010
Until Cancelled
05/25/2012
$6,000.0005/26/2010
04/05/2011
4
Great American Ins'
BRO(11)
53856312
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
$6,000.0009/10/2007
04/21/2009
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
15
State Farm Fire
Et Cas Co
98BQK2474
03/30/2012
03/30/2013
$1,000,000.00
03/19/2012
14
State Farm Fire
Et 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
$1,000,000.0003
/19/2010
12
LIBERTY
NORTHWEST
INS CORP
BR01053856312
03/30/2009
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
https://fortress.wa.gov/lni/bbip/Print.aspx
06/20/2012