HomeMy WebLinkAboutPermit PG13-135 - 12628 INTERURBAN BUILDING - VACANT SUITE ALTERATIONVACANT SUITE
12628 INTERURBAN AVE S
PG1 3-135
City okukwila 111
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
Parcel No.: 0004800003
Address: 12628 INTERURBAN AV S TUKW
Project Name: VACANT SUITE
Permit Number: PG13-135
Issue Date: 09/27/2013
Permit Expires On: 03/26/2014
Owner:
Name: GATEWAY OLYMPIA INC
Address: PO BOX 4900 #207 , SCOTTSDALE AZ 85261
Contact Person:
Name: THERESA KAUFMAN Phone: 206 788-4408
Address: 20415 72 AV S, STE 210 , KENT WA 98032
Email:
Contractor:
Name: WESTERN MECH CONTRACTORS INC Phone: (253)946-9544
Address: 1911 SW CAMPUS DR #321 , FEDERAL WAY WA 98023
Contractor License No: WESTEMC919QL Expiration Date: 01/15/2014
DESCRIPTION OF WORK:
REPAIR APPROXIMATELY 240 FEET OF WASTE LINE FROM EAST SIDE OF SPACE TO EXISTING
EXTERIOR WASTE LINE OUTSIDE ON THE WEST END OF THE BUILDING.
Value of Plumbing/Gas Piping:
Fees Collected:
Electrical Service Provided by:
$48,500.00
$46.50
Permit Center Authorized Signature:
Uniform Plumbing Code Edition:
International Fuel Gas Code Edition: 2009
2009
Date:
I hereby certify that I have read and rami ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied th, hether specified herein or not.
The granting of this permit does not pres me 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:
Date: 1- Z1- (3
12 Print Name: S'�� �•
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 13-135
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
PG13-135 Printed: 09-27-2013
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Plumbing/Gas Permit No.
Project No.
Date Application Expires:
()&1,92-K
Date Application Accepted:091 3
(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:
12720 Gateway Dr 50.
Tenant Name:
Vel (4-,)-r
King Co Assessor's Tax No.: 21 UI OO-- u010
Suite Number: 200 Floor: 1
New Tenant: 0 Yes m..No
PROPERTY OWNER
Name: Theresa Kaufman
Address: 20415 72nd Ave S Ste 210
Name: CB Richard Ellis
Phone: (206) 788-4408 Fax:
Email:
Address: PO Box 7549
City: Hicksville
State: NY
Zip: 11802
CONTACT PERSON — person receiving all project
communication
Name: Theresa Kaufman
Address: 20415 72nd Ave S Ste 210
City: Kent State: WA Zip: 98032
Phone: (206) 788-4408 Fax:
Email:
PLUMBING CONTRACTOR INFORMATION
Company Name: Western Mechanical Contractors
Address: 1911 SW Campus Dr #321
City: Federal Way State: WA Zip: 98023
Phone: (253) 946-9544 Fax: (253) 946-9550
Contr Reg No.: WESTEMC919QL Exp Date: 01/15/2014
Tukwila Business License No.: BUS -0992443
Valuation of Project (contractor's bid price): $ 48,500
Scope of Work (please provide detailed information):
Repair approximately 240' of waste line from east side of vacant space to existing exterior waste line outside on the west
end of the building.
Building Use (per Int'I Building Code):
Occupancy (per Int'I Building Code):
Utility Purveyor: Water: King County Water District 125
H:\Applications\Forts-Applications On Lme\2u11 Applications\Plumbing Permit Application Revised 8.9.11.docx
Revised: August 2011
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Sewer:
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
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
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 Intemational 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 OWN OR TH ZED GENT:
Signature: /-�^— f•/
Date: 09/26/2013
Print Name: Kevin R Ristine Day Telephone: (253) 946-9544
Mailing Address: 1911 SW Campus Dr #321 Federal Way WA 98023
City State Zip
H:\Applications\Forms-Applications On Line\201 I Applications\Plumbing Permit Application Revised 8-9-11.docx
Revised: August 2011
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Page 2 of 2
• •
rw City of Tukwila
qh 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
Parcel No.: 2716000070
Address: 12720 GATEWAY DR TUKW
Suite No:
Applicant: VACANT SUITE
RECEIPT
Permit Number: PG13-135
Status: APPROVED
Applied Date: 09/27/2013
Issue Date:
Receipt No.: R13-02751
Initials:
User ID:
JEM
1165
Payment Amount: $46.50
Payment Date: 09/27/2013 10:52 AM
Balance: $0.00
Payee: KEVIN R RISTINE
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 001753
ACCOUNT ITEM LIST:
Description
46.50
Account Code Current Pmts
PLUMBING - NONRES
000.322.103.00.00 46.50
Total: $46.50
Printed: 09-27-2013
INSPECTION NO.
INSPECTION RECORD
Retain a: copy with permit
pc, tz-133
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 '(206) 431-36
Permit Inspection Request Line (206) 431-2451
Project
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Type of In ction:
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Address: �
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D to Called:
j
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Special Instructions:
•
Date Wanted:_
O I
Requester:
Phone No:
'®Approved per applicable codes. DCorrections required prior to approval.
COMMENTS:
6) r 171✓d (Ja✓Y - 40,0 %✓PsG
. pe.r
Date:
f- 36 -/V
SPECTION FEE REQUIRED. Prior to next inspection, fee must be
aid 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 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
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Project
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Type of Inspection: / _
Cuero�.1 �1sol,ice\"
Address:_
2 (' 2, ' . 3.-n)T r .SAV
Date Called:
Special Instructions:
Date Wanted:
I CO —r% --'13
.m.
p.m.
Requester:
Phone No:
A9 Co -1®3
_. (
'/o
JApproved per applicable codes.
Corrections required4prior to approval.
COMMENTS: VIA
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(/qe ,t1T5,0A7e A/Are/01 S.a ✓I2( 1 y4 r
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.---f \
Inspe,
ff��
ri INSPECTION FEE R�QUIRED. 94'ior to next inspection, fee must be
aid at 6300 Southcen r Blvd., Suite 100. Call to schedule reinspection.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
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:
ti /10 At.rr S PkCE
Type of Inspection:
(rcr, ('.J_., u304z.../
6
Address:
l L Cs z- t� *..)-)P1
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Date Called:
Special Instructions:
Date. Wanted:
IC — S - 1
ern.
Requester: -
Phone No:
.2-0G—y03-0') /
ElApproved per applicable codes.
Corrections required prior to approval.
COMMENTS: pt
b' 7131_0/10., vo-,,,,i_v‹. 0,5v30027-1.1:Nt..)c.
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Inspecto :�
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n R NrECTION FEE REQ i !RED. Prior to n
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xt inspection. fee must be
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Contractors or Tradespeople Pier Friendly Page
General/Specialty Contractor
A business registered as a construction contractor with Lal 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
WESTERN MECH CONTRACTORS INC
2539469544
1911 Sw Campus Dr #321
Federal Way
WA
98023
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602783210
Active
WESTEMC919QL
Construction Contractor
11/13/2009
1/15/2014
General
Unused
Other Associated Licenses
License
Name
Type
Specialty 1
Specialty
2
Effective
Date
Expiration
Date
Status
WESTEMS921BG
WESTERN
MECHANICAL
SYSTEMS INC
Construction
Contractor
General
Unused
1/7/2008
1/7/2014
Active
KDMECI'008CJ
K Et D
MECHANICAL
INC
Construction
Contractor
Heating/Vent/Air-
Conditioning And
Refrig (Hvac/R)
Unused
2/11/2000
2/21/2014
Active
PATRIGI927BN
PATRIOT
GROUP INC,
THE
Construction
Contractor
General
Unused
1/15/2008
1/15/2010
Inactive
Business Owner Information
Name
Role
Effective Date
12/02/2011
Expiration Date
WELLS, MATTHEW P
President
Impaired Date
KACSO, TRACI
Secretary
11/13/2009
12/02/2011
KACSO, OTTO
President
11/13/2009
12/01/2011
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
1
CBIC
SI3406
11/13/2009
Until Cancelled
$12,000.00
07/29/2009
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
5
Charter Oak
Fire Ins Co
DTC05B037058C0F13
03/18/2013
03/18/2014
$1,000,000.00
03/15/2013
4
Charter Oak
Fire Ins Co
DTC056037058C0F12
03/18/2012
03/18/2013
$1,000,000.00
03/16/2012
3
United National
Ins Co
CBL0745634
03/18/2011
03/18/2012
$1,000,000.00
03/18/2011
2
TOEADFASTINS
GPL488883500
03/18/2010
03/18/2011
$1,000,000.00
03/16/2010
1
Seneca
Insurance
Company Inc
SGL3100320
11/13/2009
03/18/2010
$1,000,000.00
07/29/2009
Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period
https://fortress.wa.gov/lni/bbin/Print.aspx
09/27/2013
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