HomeMy WebLinkAboutPermit PG12-173 - AMERICA WEST BANK - HOUSEAMERICA WEST BANK
HOUSE
4601 S 139 ST
PG12-173
City oikukwila
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.: 3229200092
Address: 4601 S 139 ST TUKW
Project Name: AMERICA WEST BANK
PLUMBING /GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On:
PG12 -173
09/24/2012
03/23/2013
Owner:
Name: AMERICA WEST BANK
Address: AWN SPECIAL ASSETS , 110 S FERRALL ST 99202
Contact Person:
Name:
Address:
Email:
Contractor:
Name:
Address:
Contractor
ANTHONY ROMMEL
PO BOX 1121 , MARYSVILLE WA 98270
TONY@AWRSERVIC ES. C OM
AWRINC
PO BOX 1121 , MARYSVILLE WA 98270
License No: AWRINI *962R9
•
Phone: 425 367 -7551
Phone: 425 -367 -7551
Expiration Date: 01/04/2013
DESCRIPTION OF WORK:
COMPLETE WORK UNDER EXPIRED PERMIT PG 11 -129
Value of Plumbing /Gas Piping:
Fees Collected:
Electrical Service Provided by:
Permit Center Authorized Signature:
$2,000.00
$0.00
Uniform Plumbing Code Edition: 2009
International Fuel Gas Code Edition: 2009
r�
Date: 1 -?-1-1 V,
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 doe not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the perfo an of work. I am authorizpgl to sign and obtain this plumbing /gas piping permit and agree to the conditions
on the back of this pe
Signature:
Print Name:
AgAto
Date: 7/ZMZ__
This permit shall becoxtls4nul' 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 -173
Printed: 09 -24 -2012
• •
PERMIT CONDITIONS
Permit No. PG 12 -173
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 -173 Printed: 09 -24 -2012
Site Address:
CITY OF TUKWI
Community Developm epartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: / /www.TukwilaWA.gov
Tenant Name:
Date Application Accepted
Date Application Exptrest�.
I ,
l s (For olce:use
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 **
4fG0 l S /394'1 57-
NI4-
King Co Assessor's Tax No.:
Suite Number:
New Tenant:
r PROPERTY, OWNER , : r. r '....'
'.' :
Name: 4.Ner:«y tOe-5- Q a4
c" %c: i 1: k
Address: //Q s ct('fscl / .5.--)-
Email: I-64y °Q ,4W // se/vceS . Clem
City: ,5-40 /Lowe State: pull_
Zip99 2.0-4
COTAC:111'6 Sic Y pet'son ;recelving all pmJect +'
communication .�'.. __...:
Name:
villite 0--O 4 kkl`e- /
Address: f0 f / 121
City: 4/1011,(Vlr //et State: w4 Zip:C1 z...7c.
Phone: I/ZS 14.7 %SS' Fax: 3coo c..c.Z Z3qZ
Email: I-64y °Q ,4W // se/vceS . Clem
Floor:
❑ Yes ❑.. No
PLUMBING •CONTRACTOR INFORIVIATI6,$'
Company Name: 7MJt l
Address: nD jJ-1 /74
City: ,i/ S vl r/ /e State: ',!,/1 Zip: !j ? 0
'►P' �✓Cl� l V"fT ii
Phone: 6/15....76,7 i.SS I Fax: 3�0 652 239. 2
Contr Reg No.: 119/40 13
Aw3,�11..q60 1LEixp Date: //9/
Tukwila Business License No.:
Valuation of Project (contractor's bid price): $ c v00
TV
Scope of Work (please provide detailed information):
/ScD Pew, ►7-
Building Use (per Int'I Building Code):
Occupancy (per Int'I Building Code):
Utility Purveyor: Water: Sewer:
H:Wpplicationaorms- Applications On Line \2011 Apphcations\Plumbing Permit Application Revised 8- 9.11.docx
Revised: August 2011
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Page 1 of 2
Indicate type of plumbing fixtures and/or as piping outlets being installed and the quantitYbelow:
Fixture Type
Qty
or combination
bath/shower
Dishwasher, domestic with
independent drain
Shower, single head trap
Sinks
Rain water system — per
drain (inside building)
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
Urinal
Water heater and /or vent
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
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
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 TE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNEst R AUTiI RIZED AGENT
Signature:
Print Name: � „Ili, , ,A
Mailing Address: f2//Z%
H \Applications'Forms- Applications On Line \2011 Applications\Plumbing Permit Application Revised 8- 9- 11.docx
Revised: August 2011
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`�� Day Telephone:
fi °-✓' ySvi /k
Citx/
Date: 9/2-9//7
q z S - 36, 7 7g7
44/4 ''Z-7 t�
State Zip
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.gov
Parcel No.: 3229200092
Address: 4601 S 139 ST TUKW
Suite No:
Applicant: AMERICA WEST BANK
RECEIPT
Permit Number: PG12 -173
Status: APPROVED
Applied Date: 09/24/2012
Issue Date:
Receipt No.: R12 -02686
Payment Amount: $189.00
Initials: WER Payment Date: 09/24/2012 12:36 PM
User ID: 1655 Balance: $0.00
Payee: ANTHONY ROMMEL
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 294552
ACCOUNT ITEM LIST:
Description
189.00
Account Code Current Pmts
BUILDING INVESTIGATION
000.322.800 189.00
Total: $189.00
doc: Receiot -06 Printed: 09 -24 -2012
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
(206) 431 -3670
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 431 -2451
Project:
, 9 /yip' R ie 4 G c J F � > 30 due
Type of Inspection:
f----/ n fi l L --- 7 /Zes t
Address:
Date Called:
Special Instructions:
/
/
Date Wanted:
/6 /1 g // 2
m.
Imo.
Requester:
Phone No:
4/2 .`37-36 -2 -25_5
Approved per applicable codes.
ElCorrections required prior to approval.
COMMENTS:
Inspect<
Date! 0 {jam
n REINSPECTION FEE REQUIRED. Prior 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 NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 g.. (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
PCD 12 -r7
Project:
i1A4na(. A •
i
Type of Inspection:
'-;� 1a \ ?I1Amill -&1 S
Address:
UDvt 5 13
S'
Date Called:
_
M tts cc M: k `t`Ja (t-Dt u i Li
.b A L uX s -- 1 1 --4T (, &q
Special Instructio .
h
Date Wanted:.
t U % i (. I{) 2-
Bkr-PO4eATIs
'a.m.,
p.m.
Requester:
/3
( L.--Jt {c rekt " /chits BdoJ
Phone No:
y 2_7'- 3C 7-
7.5-57
c- F; ,v .4_,___
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
i
r.0 k
tear --el
_
M tts cc M: k `t`Ja (t-Dt u i Li
.b A L uX s -- 1 1 --4T (, &q
'4) Lit ii- MA i U ' ^-'1 PAA k k /cf.
* ( l••7,, i` M ' J e_ (i G
Bkr-PO4eATIs
Zus-er i :Doe(
OI .r0 kJJA
/3
( L.--Jt {c rekt " /chits BdoJ
-0
. 1 In1.( t`4 F IW_A &A kAut -- g.7504/ Ti r,
7 ` i
I
c- F; ,v .4_,___
-A_., 4 ro >JE
� Y
Inspector.
Date1
r7 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
SPECTION RECORD
e:tain a copy with permit
INSPECTION NO
CITY OFTUKWILA BUILDING (DIVISION
°6300;Souticenter B104'4100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection. Request Line (206) 431 -2451
Pt ( -1 '73
PERMIT NO.
Addre s:
Type of Inspection: P
Date-Galled: it
Approved per applicable codes.
COMMENTS:,
Drrit
Date Wanted:. ' a.m,
( - (--I 7 __ p.m.
Requester:
Ph -..3 ca 75:5
I
corrections required prior to approval.
!IOU 6t- pU b�
i 2T ``mil < A -eji,
Pr LJJ %s
Date: 11
t.
Inspector
'�. r f
REINSPECTION-FEE REQUIRED. Prior to next inspection, fee must be
paid at-6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Pter Friendly Page
•
General /Specialty Contractor
A business registered as a construction contractor with Ltd 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
AWRINC
4253677551
Po Box 1121
Marysville
WA
98270
Snohomish
Corporation
UBI No. 602450065
Status Active
License No. AWRINI *962R9
License Type Construction Contractor
Effective Date 12/29/2004
Expiration Date 1/4/2013
Suspend Date
Specialty 1 General
Specialty 2 Unused
her Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
AWRCOS'986CN
A W R
CONSTRUCTION
SERVICES
Construction
Contractor
General
Unused
2/15/2002
2/15/2006
Out Of
Business
Business Owner Information
Name
Role
Effective Date
Expiration Date
ROMMEL, ANTHONY
12/29/2004
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
2
CBIC
5E1983
12/31/2005
Until Cancelled
$12,000.00
01/03/2006
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
7
Contractors
Bonding &
Insuranc
C11SE1983
12/15/2010
12/15/2012
$1,000,000.00
11/07/2011
6
WESTERN
HERITAGE INS
CO
SCP0777975
12/15/2009
12/15/2010
$1,000,000.00
11/30/2009
5
WESTERN
HERITAGE INS
CO
SCP0727166
12/15/2008
12/15/2009
$1,000,000.0012
/10/2008
4
UNDERWRITERS
AT LLOYDS
PFK038276
12/15/2007
12/15/2008
$1,000,000.00
12/06/2007
3
UNDERWRITERS
AT LLOYDS
PFK034533
12/15/2006
12/15/2007
$1,000,000.00
12/06/2006
2
UNDERWRITERS
AT LLOYDS
PFK030545
12/15/2005
12/15/2006
$2,000,000.00
01 /03/2006
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
Infractions /Citations Information No records found for the previous 6 year period
https://fortress.wa.gov/lni/bbip/Print.aspx
09/24/2012