HomeMy WebLinkAboutPermit PG13-011 - WASWD - ALTERATIONWASWD
12720 GATEWAY DR
EXPIRED
07-29-13
PG13-01 1
Parcel No.:
Address:
City oCI'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
PLUMBING/GAS PIPING PERMIT
2716000070
12720 GATEWAY DR TUKW
Project Name: WASWD
Permit Number:
Issue Date:
Permit Expires On:
PG13-011
01/29/2013
07/28/2013
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Email:
EPROPERTY TAX INC DEPT #207
PO BOX 4900 , SCOTTSDALE AZ 85261
DAVID KEHLE
1916 BONAIR DR SW , SEATTLE WA 98116
NOT PROVIDED
Contractor:
Name: HUBER'S PLUMBING CO
Address: 3702 WEST VALLEY HWY #2 , AUBURN WA 98001
Contractor License No: HUBERP*042M2
Phone: 206-433-8997
Phone: 253 839-7876
Expiration Date: 07/17/2014
DESCRIPTION OF WORK:
SUITE 204
ROUGH -IN KITCHEN SINK TIEING INTO EXISTING DRAIN RIGHT BELOW FLOOR.
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
$2,500.00 Uniform Plumbing Code Edition: 2009
$120.75 International Fuel Gas Code Edition: 2009
xa
wit
j1LL
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Date: I I `1 l
ned 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 e 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.
Signature://L ,
1/4
Print Name: U %n%
Date: //4 7//5
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.
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PERMIT CONDITIONS
Permit No. PG 13-011
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
PG13-011 Printed: 01-29-2013
CITY OF TUKWI,Ot
Community Developme. Jepartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http:,www.Tul:wilaWA.gov
Date Application Accepted:""`,."",
Date Application Expires _(
(For offlce 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.: 7/ b � OC, 'f U
Site Address: / 7;2 0‘11 /. /a D 't
Tenant Name: L/i/47 . n/10
Suite Number:
PROPERTY OWNER
Name
,„C 0,06 Z/ / ����,./(,
Address/J
pd t�- ®y9® sf
Cityscoji i//ei State: /fZ Zip: g 2 2
CONTACT PERSON — person receiving all project
communication
j /'
Name: .' C ��C /`�L- i .
Address/9/ Z04r7 /.r? �iP.S'1A/
City: 5,-47 State: W/57 Zips,., //?
Phone: n6 g3.3, r , -,.,a x:
Email:
New Tenant:
Floor:
Yes ❑.. No
PLUMBING :CO CTOR INFORMATION
Company Name/1 ,./?J ,-'��1/, (i,
Address:3%G % S
,,
,,e, /2,. ` A �� /�
State: .,//,f Ziip.% k0(7 /
City:, ///,/,1
Phone:‘,206-_�w —S
Fax:
Contr Reg NoAZZ/e.t,/O
2, Exp Date: 7 ,
//'
Tukwila Business License No.:
!o„ I
--- 4\1)241
Valuation of Project (contractor's bid price): $
Scope of ork (please, pro ide detailed information): C'J47Z % /4 A� ,7C "C/'I
Building Use (per Int'l Building Code): 0//`/
Occupancy (per Int'I Building Code):
-G
Utility Purveyor: Water:
H.\Applications\Forms-Applications On Line \2011 Applications\Plumbing Permit Application Revised 8-9-1 l.docx
Revised. August 2011
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Sewer:
Page 1 of 2
Indicate type of plumbing fixtures and/o
Fixture Type
Qty
Bathtub or combination
bath/shower
Dishwasher, domestic with
independent drain
Shower, single head trap
Sinks
j
J
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)
piping outlets being installed and the quantitlow:
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
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.
7
BUILDING OWNER OR UTHO AGENT:
Signature:
Print Name:
Mailing Address:
-52(22_ s/g//y1,-;
H:\Applications\Forms-Applications On Line \2011 Applications\Plumbing Permit Application Revised 8-9-11. docx
Revised: August 2011
bh
Date:
ay Telephone: 2 0 ti ._1577. / 3C11(
City
State Zip
Page 2 of 2
r
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.: 2716000070
Address: 12720 GATEWAY DR TUKW
Suite No:
Applicant: WASWD
RECEIPT
Permit Number: PG 13-011
Status: PENDING
Applied Date: 01/22/2013
Issue Date:
Receipt No.: R13-00515
Payment Amount: $120.75
Initials: WER Payment Date: 01/22/2013 02:58 PM
User ID: 1655 Balance: $0.00
Payee: VERNON HUBER
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 921773
ACCOUNT ITEM LIST:
Description
120.75
Account Code Current Pmts
PLAN CHECK - NONRES
PLUMBING - NONRES
000.345.830 24.15
000.322.103.00.00 96.60
Total: $120.75
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Printari•
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PC, 17so)
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila: WA 98188 le. (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project:
kk) A S WE)
Type of Inspection:
Q bl t c, )-1 -.a-A) -- P''livot tS
Address:
Ia_7U tpA ie.. i4Ail b E'
Date Called:
Special Instructions:
„_
Date Wanted:.
I •- �0- I-.
a2,./.1)
P.m -
Requester::
Phone No:
?•C-)Co,3 "-16-'53.a
`®Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Ins (Sector•
rt Ate,
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
REVISIONS
'o chances shall bo made to the scope
of wor% without prior approval of
Tukyv:la Building Division.
require a nev Wan submittal
rr ay i:^.-;,'u0e add tianat plan rev:sw f= z ;.
REVIEWED FOR
CODE COMPLIANCE
APPROVED
City •f
BUIL # NG
'ala
D ISION
SEPARATE FL 1::iT
REQUIRED FOR:
Mocnanical
gBectrica
Plumbing
a„Gas Piping
City of Tukwila
BUILDING DIVISION
FILE COPY
Permit
Plan resew appoval is stied to ernxs and omissions.
Approval of construction does not author-te
v anon of anyadoptedcode or ordnance. Rec$`--.I
of approved Field Copy and =dans is admC I ed
BY
, /
RECEIVED
CITY OF TUKWILA
JAN 2 2 2013
REVIEWED FOR —
CODE COMPLIANCE
APPROVED
JAN 2 8 2013
City of Tukwila
BUILDING DIVISION
RECEIVED
CITY OF TUKWILA
JAN 2 2 2013
PERMIT CENTER
• �\
'% •
PLA VI
R�EYTING SLIP
ACTIVITY NUMBER: PG13-011
DATE: 01-22-13
PROJECT NAME: WASWD'
SITE ADDRESS: 12720 GATEWAY DR
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter #
Revision # After Permit Issued
DEPARTMENTS: 01.1c.
Euilding ivision1111
Public va
Fire Prevention n Planning Division ❑
❑ Permit Coordinator S
Structural
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
Incomplete
DUE DATE: 01-24-13
Not Applicable
Comments:
Permit Center Use Onl •
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg 0 Fire 0 Ping 0 PW 0 Staff Initials:
TUES/THURS ROUTING:
Please Route
Structural Review Required
No further Review Required
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS:
DUE DATE: 02-21-13
Approved ❑ Approved with Conditions ❑ Not Approved (attach comments) n
Notation:
REVIEWER'S INITIALS: DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections:
Bldg 0 Fire 0 Ping 0 PW 0 Staff Initials:
Documents/routing slip.doc
2-28-02
Contractors or Tradespeople Pr ter 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
Phone
Address
Suite/Apt.
City
State
Zip
County
Business Type
Parent Company
HUBER'S PLUMBING CO
2538397876
3702 West Valley Hwy. North #2
Auburn
WA
98001
King
Individual
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601725669
Active
HUBERP'042M2
Construction Contractor
7/22/1996
7/17/2014
Plumbing
Unused
ther Associated Licenses
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 Information
Page 1 of 2
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
$6,000.00
05/11/2012
5
PLATTE RIVER INS CO
41152474
05/06/2010
Until Cancelled
05/25/2012
$6,000.0005/26/2010
4
Coreat American Ins.
2875327
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
$6,000.00
09/10/2007
2
AMERICAN STATES INSEx
948812
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
& Cas Co
98BQK2474
03/30/2012
03/30/2013
$1,000,000.00
03/19/2012
14
State Farm Fire
& Cas Co
98VP6080
04/01/2011
04/01/2012
$1,000,000.0004/05/2011
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
$1,000,000.0004/21/2009
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
9
01TSRGL0750
00
07/20/2006
07/20/2007
$1,000,000.0007/20/2006
httns://fortress.wa. s?ov/lni/bbip/Print. aspx
01/29/2013