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Permit PG11-025 - WESTFIELD SOUTHCENTER MALL - ZOOPA EXPRESS
ZOOPA EXPRESS 2600 SOUTHCENTER MAIL FC -14 PG1 1 -025 Parcel No.: Address: City okukwila • 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.ci.tukwila.wa.us PLUMBING /GAS PIPING PERMIT 9202470010 2600 SOUTHCENTER MALL TUKW Project Name: ZOOPA EXPRESS Permit Number: Issue Date: Permit Expires On: PG11 -025 02/03/2011 08/02/2011 Owner: Name: WESTFIELD PROPERTY TAX DEPT Address: PO BOX 130940 , CARLSBAD CA 92013 Contact Person: Name: Address: Email: MATT SONESS 2001 ROSS AV #150 , DALLAS TX 75201 MATTS @FRESHCHOICE. COM Contractor: Name: BADGER BUILDERS LLC Address: PO BOX 2209 , WESPORT WA 98595 Contractor License No: BADGEBL912JL Phone: 214 727 -1853 Phone: 360 268 -1304 Expiration Date: 04/13/2011 DESCRIPTION OF WORK: RECONNECT 3 COMPARTMENT SINK, HAND SINK, EXPRESSO MACHINE/TEA MACHINE AND ADD WATER SPOUT WITH ICE BIN. Value of Plumbing /Gas Piping: $2,000.00 Uniform Plumbing Code Edition: 2009 Fees Collected: $60.90 International Fuel Gas Code Edition: 2009 Permit Center Authorized Signature: I hereby certify that I have read an governing this work will be complie The granting of this permit does no construction or the performance • work. I on the back of this permit. Signature: Print Name: Date: 02-10Si il ed this permit and know the same to be true and correct. All provisions of law and ordinances whether - - cified herein or not. uthority to violate or cancel the provisions of any other state or local laws regulating ized to sign and obtain this plumbing /gas piping permit and agree to the conditions Date: �/ ? `� 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. doc: UPC -4/10 PG11 -025 Printed: 02 -03 -2011 • • PERMIT CONDITIONS Permit No. PG 11 -025 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 11 -025 Printed: 02 -03 -2011 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 httn://www.ci.tukwila.wa.us Plumbing /Gas Permit No Project No. (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 ,,King Co Assessor's Tax No.: 01 ijO .L 1-1 7 t 0 Site Address: ZLC7v '-�� l,�- q,1���L i\A L Suite Number: F.-VA Tenant Name: 2-CDC)(-X:\ .` V `3 New Tenant: ...Yes Property Owners Name: S G .. S Mailing Address: (Sv7 t (5)\-\112A-L- 14- �1�'�)`� &i+C- Ctb C\t-1/4.5%00 Floor: ❑..No City State Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: )!‘4,."-t\-- �C- ' 3 Day Telephone: 2 Lyk} �r 2'1 1 T., 53 Mailing Address: 71-)&, -t J °� ©�[ � k � b -: 4.A� °� U�' -7 1 A City State Zip E -Mail Address: ,'& 3 e- t---c-2--s xryIE -L Fax Number: 2 �'`-'‘c R-1°1 Z(oq'l PLUMBING / GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: Contact Person: E -Mail Address: Contractor Registration Number: City Day Telephone: Fax Number: Expiration Date: State Zip ARCHITECT OF RECORD - All plans must be stamped by Architect of Record Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: ENGINEER OF RECORD — All plans must be stamped by Engineer of Record Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: H:\Applications\Forms- Applications On Line\2010 Applications \7.2010 - Plumbing -Gas Piping Permit Application.doc Revised: 7 -2010 bh Page 1 of 2 Valuation of Project (contractor's bid price): $ *2-105C-2 Scope of Work (please provide detailed infor c ation):''�C�k�� -Ga�� �1S.�C" �Z-�1z __ W �-k z -2 � , ..A :::, Building Use (per Int'l Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: Sewer: Indicate type of plumbing fixtures and /or gas piping outlets being installed and the quantity below: Fixture Type: Qty Fixture Type: ' Qty Fixture Type: Qty ` Fixture Type: Qty Bathtub or combination bath/shower Bidet Clothes washer, domestic Dental unit, cuspidor Dishwasher, domestic, with independent drain Drinking fountain or water cooler (per head) Food -waste grinder, commercial Floor Drain Shower, single head trap Lavatory Wash fountain Receptor, indirect waste Sinks Urinals Water Closet Building sewer and each trailer park sewer Rain water system — per drain (inside building) Water heater and/or vent Industrial waste treatment interceptor, including trap and vent, except for kitchen type grease interceptors Each grease trap (connected to not more than 4 fixtures - <750 gallon capacity) Grease interceptor for commercial kitchen ( >750 gallon capacity) Repair or alteration of water piping and/or water treatment equipment Repair or alteration of drainage or vent piping Medical gas piping system serving 1 -5 inlets /outlets for a specific gas Each additional medical gas inlets /outlets greater than 5 Backflow protective device other than atmospheric -type vacuum breakers 2 inch (51 mm) diameter or smaller Backflow protective device other than atmospheric -type vacuum breakers over 2 inch (51 mm) diameter Each lawn sprinkler system on any one meter including backflow protection devices Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections (1 -5) Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections over 5 Gas piping outlets 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 - ension of time . n additional period not to exceed 180 days. The extension shall be requested in writing and justifiable cause demonstrated ection 103.4. me . tional Plumbing Code (current edition). I HEREBY CERTIFY T PENALTY OF PERJURY BUILDING OWNE Signature: Print Name: Mailing Address: 7 A T I HAVE Y THE LA HO AD AN ► XAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER S OF THE TATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. Date: ZJ 3 `Z \1/4-\ Day Telephone: 1271 t y5 3 ZED AGENT: City State Zip Date Application Accepted: Date Application Expires: Staff Initials: H: \Applications\Forms•Applications On Line\2010 Applications \7 -2010 - Plumbing -Gas Piping Permit Application.doc Revised: 7-20W bh Page 2 of 2 III �J�`N1LA wqs City of Tukwila / \ti Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us RECEIPT • Parcel No.: 9202470010 Permit Number: PG11 -025 Address: 2600 SOUTHCENTER MALL TUKW Status: APPROVED Suite No: Applied Date: 02/03/2011 Applicant: ZOOPA EXPRESS Issue Date: Receipt No.: R11 -00211 Initials: JEM User ID: 1165 Payment Amount: $60.90 Payment Date: 02/03/2011 02:02 PM Balance: $0.00 Payee: MATT SONESS, FRESH CHOICE TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd MC Authorization No. 003333 ACCOUNT ITEM LIST: Description 60.90 Account Code Current Pmts PLUMBING - NONRES 000.322.103.00.00 60.90 Total: $60.90 doc: Receiot -06 Printed: 02 -03 -2011 •xy. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF +TUKWILA BUILDING DIVISION l� 6300 Southcenter.Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: . et, 4 4- FN )13.€� S Type of Inspection: • j, ,, 4 L Address: aillk, ,NASOirweirA/Me,./11flif Date Called: Special Instructions: • .. • Clitii 4 /9 %Alt/ rs?/ Date Wanted: • — 4/—! / � .T '. gym' Requester: Phone No: ,'— 72.7—/a-53 Approved per applicable codes. ❑ Corrections required prior to approval. • COMMENTS: p r. / t / dam /r,,.v / ti 1 R SPECTION FEE REQUIRE Prior ,5next inspection. fee mustbe id at 6300 Southcenter Blvd., uite� 00. Call to schedule reinspection. !`• . • Contractors or Tradespeople Peer 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 BADGER BUILDERS LLC UBI No. 602897920 Phone 3602681304 Status Active Address Po Box 2209 License No. BADGEBL912JL Suite /Apt. License Type Construction Contractor City Westport Effective Date 4/13/2009 State WA Expiration Date 4/13/2011 Zip 98595 Suspend Date County Grays Harbor Specialty 1 General Business Type Limited Liability Company Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date BURNHAM, DANIEL L Partner /Member 04/13/2009 Amount DUEBER, GEORGE B Partner /Member 04 /13/2009 ncic0004611 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 1 American Contractors Indem CO 1000067384 04/03/2009 Until Cancelled $12,000.00 04/13/2009 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 2 Nevada Capital Ins Co ncic0004611 04/03/2010 04/03/2011 $1,000,000.00 04/02/2010 1 Nevada Capital Ins Co NCIC000461 04/03/2009 04/03/2010 $1,000,000.0004 /13/2009 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 https: // fortress .wa.gov /lni/bbip/Print.aspx 02/03/2011