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Permit PG16-0014 - HAPPY TERIYAKI - GREASE TRAP ON SINK
I ow V41 wo tAl bV4 W�4 1 17165 SOUTHCENTER PKWY PG16-0014 City of Tukwila • Department of Community Development • 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206-438-9350 Web site: http://www.TukwilaWA.Rov PLUMBING/GAS PIPING PERMIT Parcel No: 2623049071 Permit Number: PG16-0014 Address: 17165 SOUTHCENTER PKWY Issue Date: 2/17/2016 Permit Expires On: 8/15/2016 Project Name: HAPPY TERIYAKI Owner: 2012 National Electrical Code: Name: KTM GROUP LLC 2012 Address: 2810 EASTLAKE AVE E , SEATTLE, WA, International Mechanical Code Edition: 2012 98102 2014 Contact Person: 2012 WA State Energy Code: Name: LISA KIM Phone: (425) 974-0023 Address: 17165 SOUTHCENTER PKWY, TUKWILA, WA, 98188 Contractor: Name: AFFIDAVIT - LISA KIM Phone: Address: , License No: Expiration Date: Lender: Name: Address: DESCRIPTION OF WORK: INSTALL GREASE TRAP ON THE SINK Valuation of Work: $1,500.00 Fees Collected: $126.76 Water District: TUKWILA Sewer District: TUKWILA SEWER SERVICE Current Codes adopted by the City of Tukwila: International Building Code Edition: 2012 National Electrical Code: 2014 International Residential Code Edition: 2012 WA Cities Electrical Code: 2014 International Mechanical Code Edition: 2012 WAC 296-466: 2014 Uniform Plumbing Code Edition: 2012 WA State Energy Code: 2012 International Fuel Gas Code: 2012 Permit Center Authorized Signature: L&A m-� Date: I hearby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume 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 development permit and agree to the conditions attached to this permit. Signatu Print N Date: This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. PERMIT CONDITIONS: 1: 1) Grease trap shall be installed per manufacturer's specifications. 2) Grease trap installation requires inspection by Public Works Project Inspector, Mr. Dave Stuckle, call 206 433-0179 to schedule inspection. 2: ***PLUMBING/GAS PIPING PERMIT CONDITIONS*** 3: No changes shall be made to applicable plans and specifications unless prior approval is obtained from the Tukwila Building Division. 4: All permits, inspection records and applicable plans shall be maintained at the job and available to the plumbing inspector. 5: All plumbing and gas piping systems shall be installed in compliance with the Uniform Plumbing Code and the Fuel Gas Code. 6: No portion of any plumbing system or gas piping shall be concealed until inspected and approved. 7: 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. 8: 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. 9: 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. 10: 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. 11: 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. 12: 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. 13: 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. 14: The applicant agrees that he or she will hire a licensed plumber to perform the work outlined in this permit. 15: All new plumbing fixtures installed in new construction and all remodeling involving replacement of plumbing fixtures in all residential, hotel, motel, school, industrial, commercial use or other occupancies that use significant quantities of water shall comply with Washington States Water Efficiency ad Conservation Standards in accordance with RCW 19.27.170 and the 2006 Uniform Plumbing Code Section 402 of Washington State Amendments PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 8004 GROUNDWORK 1900 PLUMBING FINAL 8005 ROUGH -IN PLUMBING CITY OF TUKWII Community Development Department Permit Center • 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 littp://www.TukwilaWA.gov SITE LOCATION Site Tenant Name: Plumbing/Gas s..:rmit No. Project No. Date Application Accepted: Date Application Expires: use 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" King Co Assessor's Tax No.: TUIZJ,/-1i O' W/j Suite Number: I g1818p New Tenant: PROPERTY OWNER Name: kT ' 610 Address: 1'GC City:State: Zip: CONTACT PERSON - person receiving all project communication Name: Address: City: f- i t State: Z p: qv S Phone: l� 9 12 X001) Fax: Email: y SS K j M & O\� O • Cpvv� Valuation of Project (contractor's bid price): $ A-0 0 - Scope of Work (please provide detailed information): Building Use (per Int'l Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: l�A L", -t a/t I G - Floor: ❑..... Yes FT. No PLUMBING CONTRACTOR INFORMATION Company Name: G eN a - cl Address:1 7M City: — State: Zip: Phone: Yjoa Fax: Contr Reg No.: Exp Date: Tukwila Business License No.: Sewer: H:\Applications\Forms-Applications On Line\2011 Applications\Plumbing Permit Application Revised 8-9-1 I.docx Revised: August 2011 Page] of 2 bh Indicate type of plumbing fixtures and/ as piping outlets being installed and the quar, below: Fixture Type Qty Bathtub or combination bath/shower Dishwasher, domestic with independent drain Shower, single head trap Sinks Rain water system — per f / 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 f / 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 PERMIT APPLICATION NOTES - Fixture Type Qty Clothes washer, domestic Food -waste grinder, commercial Wash fountain Water closet Industrial waste f / treatment interceptor, including trap and vent, except for kitchen type cease 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 f / 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 OWNER OR AUTHORIZED AGENT: Signature: Print N Mailing Address: H:Wpplications\Forms-Applications On Line\2011 Applications\Plumbing Permit Application Revised 8-9-1 I.docx Revised: August 2011 bh Date: 2-- — a/ , /.6 Day Telephone: -9 7 `fyoZi iAI<C"l0_ t.4 1A C�aI City State Zip Page 2 of 2 DESCRIPTIONS • QUANTITY PAID PermitTRAK $126.76 PG16-0014 Address: 17165 SOUTHCENTER PKWY Apn: 2623049071 $126.76 PLUMBING $121.88 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $32.50 PERMIT FEE R000.322.100.00.00 0.00 $65.00 PLAN CHECK FEE R000.322.103.00.00 0.00 $24.38 TECHNOLOGY FEE $4.88 TECHNOLOGY FEE R000.322.900.04.00 TOTAL' 0.00 $4.88 Date Paid: Tuesday, February 09, 2016 Paid By: HAPPY TERIYAKI Pay Method: CHECK 2292 Printed: Tuesday, February 09, 2016 9:19 AM 1 of 1 RWYS7EMS rc .3 INSPECTION RECORD Z Retain a copy with permit INSPECT N0. PERMIT N0. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 9818 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 �© '.- Pr ct: ( t Type of Ins figction. r yp� pbffiL 1 i� Ad�ess` r �(p W Date Called: Special Instructions: �M Date Wanted,_ a.m. % f� p.m. Requester: Phone No: Inspector Dat —FEN,_ d REINSPECTION FEE REQUIRED. Prior to next inspection, fee must b® paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. l� J� INSPECTION RECORD _ W/yi l ( Retain a co with permit16 INSPECTION NO. Retain PERMIT NO. CITY OF TUKWILA. BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Inspector: r'& I Date: :2 T2--3 —/a6 REINSPECTION FEE REQUIRED. Prior to next inspection. tee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. J G 3:►: WY14 N lea l ( 6e �, o x441 1 >> v� LU C> `D W m QcZ. e�(,� d� ase �����I°' = ° LLI T;;P,-o► iJeA-v TT V zo,x 6,t PG , 0/"/. �, , �, OW calx✓. 2 �� of W ' i = �] Y dC Q C Z O ~ LO MLO IPY r` I` • No changes shalt he,rnade to the scope Qf ®ric "th(atai prier approval of 2 ;ak z la Building Division. WJi Mquire a new faun subaWW Wd tMy in:::ude �-tonal Pian review fes. ISEPAR,ATE PERMIT REQUIRED POR: MIMechanicai G-Vectricaf ❑ Plumbing BIG'as Piping City of Tukwila PODDING DIVISION FILE COPY Permit No. Plan review approval is subject to errors and omissions. VH�D FOR .00MPLIANCE /approval of construction documents does not authorize '` 'APPROVED the violation of any adopted code or ordinance. Receipt FEB 16 2016 of approved field Copy and conditions is acknowledged: By: CRY of Tukwila Date: 7 ,� � It WING DIVISION City of Tukwila BUILDING DIVISION W z W IL BILE VED FOR I FEB 16 2016 ""ir Citi' of Tu .' BUILDING DIVAM S .; Grease Interceptor iitrl � ✓ lip..)l �k �? s 4�<.. ,' da� ASME A112.143 REIVE FEB 4 Q 2016 TUKWILA PUBLIC WORKS Oro ,v • Compact, durable, user-friendly solution • Molded one piece tank eliminates seams and potential leaking • Can withstand continuous discharge at 1040 C (220° F) • Lightweight and strong, Endura® models weigh up to 60% less than directly equivalent metal competitors -,offers ease of installation, transport and storage • `Endura® supports 440 pounds of pedestrian and light duty traffic • Connected using mechanical joint couplings allowing for use of various piping materials Flexibility of installation - can be installed in -floor, on -floor, or semi -recessed RECEIVED CITY OF TUKWILA B 09 2016 ,_ o ,www.endurainterce tor.com p MEA 160-08-E PERMIT -CENTER VC0. t &pq-- 00 ILf (fuser le only 3 In 35 50 GPM cels s Grease Interceptor Contractor shall install a Canplas Endura' Grease Interceptor, Part No. (fill in). A flow control with a rate of gpm will also be installed in accordance to manufacturer's instructions. The unit shall be comprised of engineered thermoplastics to withstand operational temperatures up to 2207 (104°p and incorporate a lid with the capability of supporting 440 lbs. (200 Kgs). The unit will be supported by a 10 year manufacturers extended warranty. The grease interceptor shall be certified to the current version of the PDI-G101standard and where locally applicable to ASME112.14.3 or have UPC listing. Contractor shall provide mechanical connectors to connectthe grease interceptor. TANK DIMENSIONS GPM/lbs 15/30 20/40 25/50 LO 25/50 35/70 50/100 A 14.5" (368mm) 23.6" (600mm) 31.0" (787mm) 23.6"(600mm) 31.0"(787mm) 31.0" (787mm) B 17.5"(444mm) 17.5"(444mm) 23.5" (597mm) 17.5"(444mm) 23.5"(597mm) 23.5" (597mm) C 3.5" (89mm) 3.5" (89mm) 4" (102mm) 4.1"(104mm) 5.0"(127mm) 5.0" (127mm) D 12.8" (325mm) 12.8" (325mm) 7" (178mm) 12.2' 310mm) 12.5"(318mm) 18.5" (469.9 mm) E 16.3" (414mm) 16.3" (414mm) 1 11" (279 m) 16.3"(414mm) 17.5"(444mm) 1 23.5" (596.9 mm) FLOW CONTROL DIMENSIONS AIR INTAKE DIMENSIONS Connection 2"hxh 3"hxh 4"hxh Iron Pipe Size 3.19" (73.9mm) (67.8mm) (Solvent weld) 2.71" 4.01" 5.04" A 3.0" 4.23" 6.13" 2.27" (76.2mm) (107.4mm) (155.7mm) 8 3.84" 5.93" 6.84" 2207(104"C) (97.5mm) (151mm) (173.7mm) Surface load Capacity 440 lbs (200 kgs) 440 lbs (200 kgs) 440 lbs (200 kgs) CAPACITIES 2" spg x h 3"spg x h 4"spg x h 2.91" 2.67" 3.19" (73.9mm) (67.8mm) (81mm) 2.71" 4.01" 5.04" (68.8mm) (101.9mm) (128mm) 2.24" 2.27" 2.72' (56mm) (57.7mm) (69.1mm) FLOW CONTROL AIR INTAKE TEE IB mlnl� t-A-sl IrA>I - 3"VERSIONILWSTRATED US Gallons Per Minute (GPM) 15 20 25 LO 25 35 50 CAPACITY - Pounds 1 30 40 50 50 70 100 Litres Per Second (LPS) 0.94 1.26 1.6 1.6 2.2 3.2 CAPACITY - Kilograms 13.6 18.1 22.68 22.7 31.8 45.4 Average Efficiency % (ASME 112.4.3) 92.0% 95.4% 97.1% 92.5% 98.6% 93.9% Part Number 391SA02C 3920A02 3925A021.0 3925AO2 (2") 3925AO3(3") 3935A03 (31 3935AO4(41 39SOA03 (3'1 39SOA04(4") Grease Capacity lbs (Kg) actual 34.8 (18.4) 76.4 (34.65) 53.4 (24.22) 74 (33.6)' 138.5 (62.8) 122 (55.3) Operating TemperatureCapabilities 1207(104'C) 220"F(104"0 2207(104"C) 220-F (104-0 220"F(104'C) 220"F(104"0 Surface load Capacity 440 lbs (200 kgs) 440 lbs (200 kgs) 440 lbs (200 kgs) 440 lbs (200 kgs) 440 lbs (200 kgs) 440 lbs (200 kgs) Unit Weight (Empty) 15.8 lbs (7.17 kgs) 23 lbs (10.4 kgs) 23.9 lbs (10.85 kgs) 23 lbs (10.4 kgs) 45 lbs (20.4 kgs) 60 lbs (27.2 kgs) Liquid Capacity 12.96 gal (49.061) 21.6 gal (81.8 L) 18.9 gal (71.54L) 21.6 gal (81.8 L) 39.4 gal (149.1 L) 52.0 gal (197 L) Connection size (mechanical) (110 mm available on request) 2" 2" 2" 2"(3925AO2) 3"(392503) 3"(3935AO3) 4"(3935AO4) 3"(3950A03) 4"(3950A04) ' Max capacity calculated based on data at PDI G101 test approval. All other models/data quote figures at ASME 112.14.3 Breakdown. Canplas Industries Ltd. Canplas LLC P.O. Box 1800, 500 Veterans Drive 11402 East 53rd Ave. Barrie, Ontario, Canada L4M 4V3 Suite 200, Denver, CO, U.SA.80239 Tel: (705) 726.3361 Tel: (303) 373-1918 Toll Free: 1-800-461-5300 Toll Free: 1-888-461-5307 Fax: (705)726-2186 Fax: (303) 373-1923 GD -000205 -EN -02.12 PRINTEDINCANADA LJ an OAf axiis Contixmy Canplas Endura Grease Trap 25 GPM Interceptor Model 3925A03 - The Wholesale Ware... Page 1 of 5 i 'he Wholesale Warehouse Customer Service 1-800-240-9883 Mon -Fri 9am-6pm Eastern Time My Account Sign in or Create an account ,j ., Not Sure What You Need? THE ��li�OLEST��j.Advice Is FREE! VISA � o V111111,14 if �J sEl Call Toll Free 1-800-240-9883 ._.__....._.--__._-....._.._.._-._ BUSINESS rIL BBB FEB .91016 QTUKVviL„ Search PUBLIC WORKS Privacy Policy Shipping Payments Returns Warranty About Us Contact Us ' Home / Grease Traps / Categories Canplas Endura Grease Trap 25 GPM Interceptor Model 3925A03 * Deals of the Week * Canplas Canplas anplas Endura Combi Gas Boiler / Water .. Grease Trap Heaters 25 GPM Electric Water Heaters .. Interceptor 8.1 Grease Traps .. Model REd WED FOR 3925A03 HVAC & R Installation 910DIE,COMPLIAN+CE Accessories APPOOVED $299.00 HVAC & R Service Tools .. FEB 16 2016 • SKU: Indoor Air Quality City of TyWlal 3925A03 BUILDING IVISION Shipping: Instant Factory Rebate -- $38.00 (Fixed shipping Offer ` cost) RECEIVED Rinnai wall Furnaces Quantity: CITY OF TUKWILA Ritchie Yellow Jacket FEB 0 9 2016 00 1 J4 PERMIT CENTER http://www.thewholesalewarehouse.neticanplas-endura-grease-trap-25-gpm-interceptor-mo... 2/8/2016 Canplas Endura Grease Trap 25 GPM Interceptor Model 3925A03 - The Wholesale Ware... Page 2 of 5 Tankless Water Heaters v Wishlist Thermostats V Share Water Heaters product reviews2 t �.d Product Description Grease int The Engineered Solution to Canplas Endura Grease Trap 25 GPM Interceptor Mode components, is injection molded in engineered thermoplastic. Tt last! Guaranteed for 10 years, Endura® offers installers and re the market today. Included is a Flow Control Device which limits the unit to it separation to take place inside the interceptor. The FCD also i efficiency. The Model 3925A03 has an ASME Rating of 50 p Please confirm ASME vs PDI wit roduct PDF files Consumer Sales Brochure Installation Instru Full Product Specifications Product Features: • Compact, durable, user-friendly solution • Molded one piece tank eliminates seams and potential leakir • Can withstand continuous discharge at 104° C (220° F) • Lightweight and strong, Endura® models weigh up to 60% le metal competitors - offers ease of installation, transport and • Endura® supports 440 pounds of pedestrian and light duty tr • Connected using mechanical joint couplings allowing for use piping materials • Flexibility of installation - can be installed in -floor, on -floor, or CI P V http://www.thewholesalewarehouse.neticanplas-endura-grease-trap-25-gpm-interceptor-mo... 2/8/2016 Canplas Endura Grease Trap 25 GPM Interceptor Model 3925A03 - The Wholesale Ware... Page 3 of 5 Tank Capacity: • Part Number: 3925A03 • Average Efficiency % (ASME 112.4.3): 92.5% • US Gallons Per Minute (GPM): 25 • Litres Per Second (LPS): 1.6 • Capacity - Kilograms: 22.7 • Operating Temp. Capabilities: 220°F (104°C) • Surface Load Capacity: 440 lbs. (200 kgs.) • Unit Weight (Empty): 23 lbs. (10.4 kgs.) • Liquid Capacity: 21.6 gal. (81.8 L.) • Connection Size (mechanical): 3" • ASME Grease Capacity: 50 • PDI Grease Capacity: *74 (33.6) Please confirm ASME vs PDI with local buildh * Max capacity calculated based on data at PDI G101 test approva quote figures at ASME 112.14.3 Breakdown. Tank Dimensions: • A: 23.6" (600mm) • B: 17.5" (444mm) • C: 4.1" 004mm) • D: 12.2" (310mm) • E: 16.3" (414mm) Air Intake Dimensions: • A: 2.67' (67.8mm) • B: 4.01" (101.9mm) • C: 2.27' (57.7mm) Product Reviews AIR INTAKE TEE Find Similar Products by Category Flo% •E http://www.thewholesalewarehouse.neticanplas-endura-grease-trap-25-gpm-interceptor-mo... 2/8/2016 Canplas Endura Grease Trap 25 GPM Interceptor Model 3925A03 - The Wholesale Ware... Page 4 of 5 Customers also viewed Related Products Canplas Endura Grease Trap 50 GPM Interceptor Model 3950A03 $549.00 Newsletter signup Name Canplas Endura Grease Ti GPM Interceptor Model 3S $429.00 Email 4 Hom AdVlsor itea., am�non n�uccumr Subs http://www.thewholesalewarehouse.neticanplas-endura-grease-trap-25-gpm-interceptor-mo... 2/8/2016 Canplas Endura Grease Trap 25 GPM Interceptor Model 3925A03 - The Wholesale Ware... Page 5 of 5 Y MU Account Customer Care Helpful Links Account Sign In Privacy Policy Register About Us AHRI Lost Password Contact Us Energy Star View Cart Payments Find An Installer Checkout Shipping Sitemap Returns FedEx Warranty UPS Receiving Procedure USPS Connect with us Real People r ideal Savings " o D5C'VER' . � VISA_ ell, Papal NewYorkCi policeFoun cation Ives[ A a Sate G:ty PayPal ACCHmfIED aU51Nf55� BBB BsUty;'At tl } FDNY Foundation USACares Welcome to The Wholesale Warehouse E -Commerce store. We are a National Factory Parts and New Equipment Wholesaler who have been in business since 1964. We are an A+ rated company with the Better Business Bureau who has been offering direct sales online since 2005. We proudly stand behind the manufacturer's that we offer and the products that we have for sale. Our Customer Service Staff is dedicated in meeting your needs and invites you to call, fax or email us with any questions regarding our products. If there are items you are looking for but can't find on our website, please contact our Customer Service Representatives and we will do our best to find what you need. If you are a homeowner or out of state contractor in need of assistance please call 800-240-9883 Monday to Friday 9:OOAM - 6:OOPM Eastern Time. All prices are in USD. © 2016 The Wholesale Warehouse I Sitemap http://www.thewholesalewarehouse.neticanplas-endura-grease-trap-25-gpm-interceptor-mo... 2/8/2016 PERMIT COOK® COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: PG16-0014 DATE: 02/09/16 PROJECT NAME: HAPPY TERIYAKI SITE ADDRESS: 17165 SOUTHCENTER PKWY X Original Plan Submittal Revision # before Permit Issued Response to Correction Letter # Revision # after Permit Issued DEPARTMENTS: AT Building Division Fire Prevention ❑ Planning Division ❑ Public Works a Structural ❑ Permit Coordinator PRELIMINARY REVIEW: DATE: 02/11/16 Not Applicable ❑ Structural Review Required ❑ (no approval/review required) REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: DUE DATE: 03/09/16 Approved ❑ Approved with Conditions 9 Corrections Required ❑ (corrections entered in Reviews) Notation: Denied ❑ (ie: Zoning Issues) REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: 12/18/2013 0 o NIILA,9s2 Permit Center/Building Division CITY OF TUKWII-A 2o6 431-3670 J • [ Department of Community Development Public Works Department 630o Southcenter Boulevard, Tukwila, WA 98188 2o6 433-0179 Telephone: (2o6) 431-367o FAX (206) 431-3665 Planning Division ~".." - E-mail: tukulan@ci.tukwila.wa.us 2o6 isoe 431-3670 AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION STATE OF WASHINGTON) ) ss. COUNTY OF KING ) [please print name] states as follows: PERMIT NO: T v i. I have made application for a permit from the City of Tukwila, Washington. 2. I understand that state law requires that all building construction contractors be registered with the State of Washington. The exceptions to this requirement are stated under Section 18.27.090 of the Revised Code of Washington, a copy of which is printed on the reverse side of this Affidavit. I have read or am familiar with RCW 18.27.090. 3. I understand that prior to issuance of a permit for work which is to be done by any contractor, the City of Tukwila must verify either that the contractor is registered by the State of Washington, or that one of the exemptions stated under RCW 18.27.ogo applies. 4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I hereby attest that after reading the exemptions from the registration requirement of RCW 18.27.090, I consider the work authorized under this permit to be exempt under number 41 and will therefore not be performed by a registered contractor. 5. I understand that the licensing provision of RCW 19.28.161 through 19.28.271 shall not apply to persons making electrical installations on their own property or to regularly employed employees working on the premises of their employer. The proposed electrical work is not for the construction of a new building for rent, sale or lease. I understand that I may be waiving certain rights that I might otherwise have under state law in any decision to engage an unregistered contractor to perform construction work. LAURIE A. WERLE NOTARY PUBLIC STATE OF WASHINGTON COMMISSION EXPIRES MAY 28, 201 S Owner/Owner's ent* Signed and sworn to before me this 1_ daa, of NOTAI,Y PUBLIC in ar d for the State of Washington Residing at 1 , County Name as commissioned: Jzauk7'e fty(-161c, My commission expires: 0 � L'ag // 18.27.ogo Exemptions. The registration provisions of this chapter do not apply to: 1. An authorized representative of the United States government, the state of Washington, or any incorporated city, town, county, township, irrigation district, reclamation district, or other municipal or political corporation or subdivision of this state; 2. Officers of a court when they are acting within the scope of their office; 3. Public utilities operating under the regulations of the utilities and transportation commission in construction, maintenance, or development work incidental to their own business; 4. Any construction, repair, or operation incidental to the discovering or producing of petroleum or gas, or the drilling, testing, abandoning, or other operation of any petroleum or gas well or any surface or underground mine or mineral deposit when performed by an owner or lessee; 5. The sale of any finished products, materials, or articles of merchandise that are not fabricated into and do not become a part of a structure under the common law of fixtures; 6. Any construction, alteration, improvement, or repair of personal property performed by the registered or legal owner, or by a mobile/manufactured home retail dealer or manufacturer licensed under chapter 46.7o RCW who shall warranty service and repairs under chapter 46.7o RCW; 7. Any construction, alteration, improvement, or repair carried on within the limits and boundaries of any site or reservation under the legal jurisdiction of the federal government; 8. Any person who only furnished materials, supplies, or equipment without fabricating them into, or consuming them in the performance of, the work of the contractor; 9. Any work or operation on one undertaking or project by one or more contracts, the aggregate contract price of which for labor and materials and all other items is less than five hundred dollars, such work or operations being considered as of a casual, minor, or inconsequential nature. The exemption prescribed in this subsection does not apply in any instance wherein the work or construction is only a part of a larger or major operation, whether undertaken by the same or a different contractor, or in which a division of the operation is made into contracts of amounts less than five hundred dollars for the purpose of evasion of this chapter or otherwise. The exemption prescribed in this subsection does not apply to a person who advertises or puts out any sign or card or other device which might indicate to the public that he or she is a contractor, or that he or she is qualified to engage in the business of contractor; 1o. Any construction or operation incidental to the construction and repair of irrigation and drainage ditches of regularly constituted irrigation districts or reclamation districts; or to farming, dairying, agriculture, viticulture, horticulture, or stock or poultry raising; or to clearing or other work upon land in rural districts for fire prevention purposes; except when any of the above work is performed by a registered contractor; 11. An owner* who contracts for a project with a registered contractor, except that this exemption shall not deprive the owner of the protections of this chapter against registered and unregistered contractors. The exemption prescribed in this subsection does not apply to a person who performs the activities of a contractor for the purpose of leasing or selling improved property he or she has owned for less than twelve months; 12.* Any person working on his or her own property, whether occupied by him or her or not, and any person working on his or her personal residence, whether owned by him or her or not but this exemption shall not apply to any person who performs the activities of a contractor on his or her own property for the purpose of selling, demolishing, or leasing the property; 13. An owner* who performs maintenance, repair, and alteration work in or upon his or her own properties, or who uses his or her own employees to do such work; 14. A licensed architect or civil or professional engineer acting solely in his or her professional capacity, an electrician certified under the laws of the state of Washington, or a plumber certified under the laws of the state of Washington or licensed by a political subdivision of the state of Washington while operating within the boundaries of such political subdivision. The exemption provided in this subsection is applicable only when the person certified is operating within the scope of his or her certification; 15. Any person who engages in the activities herein regulated as an employee of a registered contractor with wages as his or her sole compensation or as an employee with wages as his or her sole compensation; 16. Contractors on highway projects who have been prequalified as required by RCW 47.28.070, with the department of transportation to perform highway construction, reconstruction, or maintenance work; 17. A mobile/manufactured home dealer or manufacturer who subcontracts the installation, set-up, or repair work to actively registered contractors. This exemption only applies to the installation, set-up, or repair of the mobile/manufactured homes that were manufactured or sold by the mobile/manufactured home dealer or manufacturer; 18. An entity who holds a valid electrical contractor's license°under chapter 19.28 RCW that employs a certified journeyman electrician, a certified residential specialty electrician, or an electrical trainee meeting the requirements of chapter 19.28 RCW to perform plumbing work that is incidentally, directly, and immediately appropriate to the like -in-kind replacement of a household appliance or other small household utilization equipment that requires limited electric power and limited waste and/or water connections. An electrical trainee must be supervised by a certified electrician while performing plumbing work. * Per Washington State Department of labor and Industries lessee has been interpreted to be equivalent to owner for purposes of exemptions.