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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 n I 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. .r....• I lln A/1r1 or_� g_nh 4 Prinfarh M _90_9M Z 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 bh 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: $120.75 ,r..,.. o,..,..:..� nc Printari• INSPECTION NO. INSPECTION RECORD Retain a copy with permit PC, 17so) PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila: WA 98188 le. (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: kk) A S WE) Type of Inspection: Q bl t c, )-1 -.a-A) -- P''livot tS Address: Ia_7U tpA ie.. i4Ail b E' Date Called: Special Instructions: „_ Date Wanted:. I •- �0- I-. a2,./.1) P.m - Requester:: Phone No: ?•C-)Co,3 "-16-'53.a `®Approved per applicable codes. Corrections required prior to approval. COMMENTS: Ins (Sector• rt Ate, n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. REVISIONS 'o chances shall bo made to the scope of wor% without prior approval of Tukyv:la Building Division. require a nev Wan submittal rr ay i:^.-;,'u0e add tianat plan rev:sw f= z ;. REVIEWED FOR CODE COMPLIANCE APPROVED City •f BUIL # NG 'ala D ISION SEPARATE FL 1::iT REQUIRED FOR: Mocnanical gBectrica Plumbing a„Gas Piping City of Tukwila BUILDING DIVISION FILE COPY Permit Plan resew appoval is stied to ernxs and omissions. Approval of construction does not author-te v anon of anyadoptedcode or ordnance. Rec$`--.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