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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 kGuI New A.P.1 mem 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