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Home My WebLink AboutPermit PG13-070 - INTERNATIONAL VACATION SERVICE - GAS PIPING This record contains information which is exempt from public disclosure pursuant to the Washington State Public Records Act, Chapter 42.56 RCW as identified on the Digital Records Exemption Log shown below. PG13-070 International Vacation Service 14240 Interurban Ave S DIGITAL RECORDS (DR) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION Page # Code Exemption Brief Explanatory Description Statute/Rule The Privacy Act of 1974 evinces Congress' intent that social security numbers are a private concern. As Personal Information – such, individuals’ social security numbers are Social Security Numbers 5 U.S.C. sec. redacted to protect those individuals’ privacy pursuant DR1 Generally – 5 U.S.C. sec. 552(a); RCW to 5 U.S.C. sec. 552(a), and are also exempt from disclosure under section 42.56.070(1) of the 552(a); RCW 42.56.070(1) Washington State Public Records Act, which exempts 42.56.070(1) under the PRA records or information exempt or prohibited from disclosure under any other statute. Redactions contain Credit card numbers, debit card numbers, electronic check numbers, credit expiration Personal Information – RCW dates, or bank or other financial account numbers, 10 DR2 Financial Information – 42.56.230(5) which are exempt from disclosure pursuant to RCW RCW 42.56.230(4 5) 42.56.230(5), except when disclosure is expressly required by or governed by other law. INTERNATIONAL VACATION SERVICES 14240 INTERURBAN AV S PG1 3-070 City dliTukwila 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.Tukwila WA .gov PLUMBING/GAS PIPING PERMIT Parcel No.: 3365901881 Address: 14240 INTERURBAN AV S TUKW Project Name: INTERNATIONAL VACATION SERVICES Permit Number: Issue Date: Permit Expires On: PG13-070 05/06/2013 11/02/2013 Owner: Name: BELLTOWN INVESTMENT PARTNER Address: 2505 2ND AVE #520 , SEATTLE WA 98121 Contact Person: Name: Address: Email: Contractor: Name: Address: Contractor JASON JENSEN 3132 NE 133 ST , SEATTLE WA 98125 JASON.JENSEN@PSRMECHANICAL. COM PSR -HVAC & MECHANICAL SERVICES PO BOX 27073 , SEATTLE WA 98165 License No: PSRHVMS924JT Phone: 206 255-3809 Phone: 206-367-2500 Expiration Date: 04/30/2014 DESCRIPTION OF WORK: BRANCH OFF EXISTING GAS PIPING WITH 3/4" PIPE, RUN 13 FEET TO A NEW GAS PACK. INSTALL BALL ISOLATION VALVE PRESSURE REGULATER AND WHIP TO UNIT. 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 $1,100.00 Uniform Plumbing Code Edition: 2009 $96.60 International Fuel Gas Code Edition: 2009 exam' with The granting of this permit does not pre construction or the performance of work. on the back of this permit. Date: U L (1? ed this permit and know the sante to be true and correct. All provisions of law and ordinances whether specified herein or not. 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 Date: 14/,_) Print Name: 5 & h LA/ 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. on4o 11711 o. .,tea• na_na_)nla PERMIT CONDITIONS Permit No. PG 13-070 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 PG 13-070 Printed: 05-06-2013 CITY OF TUKW. Community Developme._ _ Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov 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 Address: i l -k 140 1y, 4 & vs v v b.rr, Avte 5 King Co Assessor's Tax No.: 33 (v `r 101, 5re Suite Number: 3Z Floor: 1 New Tenant: ❑ Yes a. No Tenant Name: Xn.Y1 Voice4.0eh Stvv.GE. 5 PROPERTY OWNER Name: yhe 5ci'n vbtty V' CP 1,h c. Address: Zt ZKdt 4vE..S‘e'F.L 540 City: I k W ; t % State: Zip: of 9161 CONTACT PERSON person receiving ail project communication ", ..--3—e. Name: ---3----N420vl 1",. e. "S ti,,,, Address: 3 l 3 Z lU E. l 3'25 "----4--S t City: SGa1 i%1 L State: w4 Zip: 1 of . Phone: 2.0 6 -2.5 5.^.5 Fax: Z p 6 , 36 g — 6S3 Email: J%Sor.. JcKse.., a' Psv ►i►ec,64,1`cRI .c PLUMBING CONTRACTORINFORMATION,`" f Company Name: (c* A 11 �� ,�t� Address: City: State: Zip: Phone: Fax: Contr Reg No.: Exp Date: Tukwila Business License No.: Valuation of Project (contractor's bid price): $ I 0 , c9 Scope of Work (please provide detailed information): to, 41. c•I' eSth;S'-:a w i -f-LN 3A-i'e. v V lir ; �- t 3 1 t- a of ti'N e•V b s 1 uc PP / u i1. lu e p e e 55 ✓v e N e.l d (c i� , .w• dl .�% 1 N `Fp V r+ : Building Use (per Intl Building Code): Occupancy (per Int'1 Building Code): Utility Purveyor: Water: H: Applications\Farms-Applications On Line \2011 Applications\Plumbing Permit Application Revised 8-9-11. docx Revised. August 2011 bh 4S pLIP .4 1 Th S ti b a f I �,tJtgrrlrs,.� Sewer: Page 1 of 2 Indicate type of plumbing fixtures and/of piping outlets being installed and the quantit low: Fixture Type Qty Bathtub 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 Backtlow 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 STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNS R AUTHO IZED AGENT: Signature: 14,. Print Name: J Kye 5 0'4^44°"% Mailing Address: ' 1'51, NE- *-5 Date: Day Telephone: Z O' " �' "*IS*v.2-1 5 Y -A"..4 4-- 5eA4t. (t_.. City H.\Applications\Forms-Applications On Line\201 I Applications\Plumbing Permit Application Revised 8-9-11 docx Revised' August 2011 bh W0 State 01 (Zy 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 RECEIPT Parcel No.: 3365901881 Permit Number: PG 13-070 Address: 14240 INTERURBAN AV S TUKW Status: PENDING Suite No: Applied Date: 05/06/2013 Applicant: INTERNATIONAL VACATION SERVICES Issue Date: Receipt No.: R13-01533 Payment Amount: $96.60 Initials: JEM Payment Date: 05/06/2013 12:46 PM User ID: 1165 Balance: $0.00 Payee: JASON W JENSEN TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 06448B ACCOUNT ITEM LIST: Description 96.60 Account Code Current Pmts GAS - NONRES 000.322.103.00.00 96.60 Total: $96.60 AC AC 7/14 Q INSPECTION RECORD Retain a copy with permit 3-07C INSPCTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project:.Type rNHerNIA- 61JAL of Inspection: F --INA L-- 6,/)S �_ Address: . 1 142 )10 ±.1Q -t ra ti b A Ni Date Called: Special Instructions: .._ Date Wanted: 1G>�11 il� am: - Requester: Phone No: aoC_,'-io-v7( L Approved per applicable codes. Corrections required prior to approval. CCI MEN: YS: AGI--t'v.J Ins, ctor: Date: C.A4.162.&,./ /1// 00.REINSPECTION FEE REQ I. Prior to .next inspection, fee must be paid at 6300 Southcenter :tvd.. Suite 100. Call to schedule reinspection. 10-01-2013 JASON JENSEN 3132 NE 133 ST SEATTLE WA 98125 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director RE: Permit No. PG13-070 INTERNATIONAL VACATION SERVICES 14240 INTERURBAN AV S TUKW Dear Permit Holder: In reviewing our current records, the above noted permit has not received a fmal inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 11/02/2013. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206-431-2451 to schedule for the next or fmal inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 11/02/2013, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, Bill Rambo Permit Technician File: Permit File No. PG 13-070 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 Contractors or Tradespeople Pter Friendly Page • Page 1 of 2 General/Specialty Contractor A business registered as a construction contractor with L81 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 PSR -HVAC a MECHANICAL SERVICES UBI No. 602811195 Phone 2063672500 Status Active Address Po Box 27073 License No. PSRHVMS924JT Suite/Apt. License Type Construction Contractor City Seattle State WA Zip 98165 County King Business Type Corporation Parent Company Effective Date 4/30/2008 Expiration Date 4/30/2014 Suspend Date Specialty 1 General Specialty 2 Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status PUGETI"261CG PUGET SOUND REFRIGERATIONContractor INC Construction Air Conditioning Commercial/Industrial/Refrig 2/7/1974 2/1/1984 Archived PUGETSR169CB PUGET SOUND REFRIGERATION INC Construction Contractor General Unused 2/2/1984 12/31/2008 Inactive PSR****936JP P 5 R Construction Contractor General Unused 4/17/200712/31 /2008 Re- Licensed Business Owner Information Name Role Effective Date Expiration Date O'MALLEY, JAMES J Member 04/30/2008 Amount HOGERTY, REAGAN P Member 04/30/2008 GL0488649703 O'DONNELL, STEPHEN 0 04/01/2014 04/30/2008 04/12/2012 RIST, STEVEN L 03/25/2013 04/30/2008 04/12/2012 Bond Information No records found for the previous 6 year period Assignment of Savings Information Savings Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 1 4/30/2008 Until Released Bond $12,000.00 4/30/2008 Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 7 Zurich American Ins Co GL0488649703 04/01/2013 04/01/2014 $1,000,000.00 03/25/2013 6 Zurich American Ins Co GL0488649702 04/01/2012 04/01/2013 $1,000,000.00 04/05/2012 5 Zurich American Ins Co GL0488649701 04/01/2011 04/01/2012 $1,000,000.00 04/04/2011 4 ZURICH AMERICAN INS CO GL0488649700 04/01/2010 04/01/2011 $1,000,000.00 04/05/2010 3 HARTFORD CAS INS CO 37UUNN03345 04/01/2009 04/01/2010 $1,000,000.00 03/31/2009 httns //fortress.wa_rov/lni/hhin/Print.asnx 05/06/2013