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Home My WebLink AboutPermit M05-140 - JACK IN THE BOXJACK IN THE BOX 13050 INTERURBAN AV S EXPIRED 04-04-06 M05 -140 City Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: ci.tukwila.wa.us Parcel No.: 0003000106 Address: 13050 INTERURBAN AV S TUKW Suite No: Tenant: Name: JACK IN THE BOX Address: 13050 INTERURBAN AV S, TUKWILA WA Owner: Name: TAX ASSESSMENT ASSOC INC Address: 1777 NE LOOP 410 #1250, SAN ANTONIO TX Contact Person: Name: LINDA THORNQUIST Address: PO BOX 2034, KIRKLAND WA Contractor: Name: WASHINGTON ENERGY SERVICES CO Address: 2800 THORNDYKE AVE W, SEATTLE, WA Contractor License No: WASHIES9710B DESCRIPTION OF WORK: REPLACING GAS WATER HEATER Value of Mechanical: $1,200.00 Type of Fire Protection: Furnace: <100K BTU 0 >100K BTU 0 Floor Furnace 0 Suspended /Wall /Floor Mounted Heater 0 Appliance Vent 0 Repair or Addition to Heat/Refrig /Cooling System.... 0 Air Handling Unit <10,000 CFM 0 >10,000 CFM 0 Evaporator Cooler 0 Ventilation Fan connected to single duct 0 Ventilation System 0 Hood and Duct 0 Incinerator: Domestic 0 Commercial /Industrial 0 doc: IMC- Permit MECHANICAL PERMIT Fees Collected: $180.79 International Mechanical Code Edition: 2003 EQUIPMENT TYPE AND QUANTITY * *continued on next page ** M05 -140 Permit Number: Issue Date: Permit Expires On: Phone: Phone: 425 725 -8457 Phone: 206 282 -4200 Expiration Date:09 /02/2007 Steven M. Mullet, Mayor Steve Lancaster, Director M05 -140 10/06/2005 04/04/2006 Boiler Compressor: 0 -3 HP /100,000 BTU 0 3 -15 HP /500,000 BTU 0 15 -30 HP /1,000,000 BTU.. 0 30 -50 HP /1,750,000 BTU.. 0 50+ HP /1,750,000 BTU 0 Fire Damper 0 Diffuser 0 Thermostat 0 Wood /Gas Stove 0 Water Heater 1 Emergency Generator 0 Other Mechanical Equipment Printed: 10 -06 -2005 Permit Center Authorized Signature: (-4 6htet doc: IMC- Permit City Tukwila Department of Commtunity Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: ci.tukwila.wa.us Df / M05 -140 Steven M. Mullet, Mayor Steve Lancaster, Director Permit Number: M05 -140 Issue Date: 10/06/2005 Permit Expires On: 04/04/2006 Date: /D I hereby 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 constr ction or the ormance of work. I am authorized to sign and obtain this mechanical permit. Signature: (A/id-4 Date: t6 C Print Name: ( . 1 04 cv7& c )f J 1 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. Printed: 10 -06 -2005 City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 PERMIT CONDITIONS Parcel No.: 0003000106 Permit Number: M05 -140 Address: 13050 INTERURBAN AV S TUKW Status: ISSUED Suite No: Applied Date: 09/22/2005 Tenant: JACK IN THE BOX Issue Date: 10/06/2005 1: ** *BUILDING DEPARTMENT CONDITIONS * ** 2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the Building Official. 3: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to start of any construction. These documents shall be maintained and made available until final inspection approval is granted. 4: All construction shall be done in conformance with the approved plans and the requirements of the International Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code. 5: Manufacturers installation instructions shall be available on the job site at the time of inspection. 6: Water heaters shall be anchored or strapped to resist horizontal displacement due to earthquake motion. Strapping shall be at points within the upper one -third and lower one -third of the water heater's vertical dimension. A minimum distance of 4- inches shall be maintained above the controls with the strapping. 7: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Department of Public Health - Seattle and King County (206/296- 4932). 8: All electrical work shall be inspected and approved under a separate permit issued by the Washington State Department of Labor and Industries (206/248- 6630). 9: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the Building Official from requiring the correction of errors in the construction documents and other data. doc: Conditions * *continued on next page ** M05 -140 Printed: 10 -06 -2005 I t . 1- a z 1-. W 2 o 0 02 0 H . ww I-- —.. u. ♦ ii U N O z i a Ea Signature: Print Name: doc: Conditions City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 I hereby certify that I have read these conditions and will comply with them as outlined. All provisions 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 provision of any regulating construction or the performance of work. L l v 19/1 1 Hcvii zol rf M05 -140 C Date: of law and ordinances other work or local laws ( Printed: 10 -06 -2005 CITY OF TUKWILA ('") Community Developmenttoepartment Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 Building Permtl r o. Mechanical Permit No. Public Works Permit No. Project No. (For office use only) N� -140 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 ** 2 King Co Assessor's Tax No.: 3 0 // Z. Site Address: / "J C5U - l'- �-vrhe � t 011 J Suite Number: Floor: Tenant Name: J $?CkC- j h (144.4_ 3)( New Tenant: El .... Yes ❑ ..No Property Owners Name: 6C'/1'7 /f Y .-fiKC, Mailing Address: 1 St' ..--t ieit .41fr? J' 174.bj114_ ce...)4 q c-- State Zip CONTACT PERSON l / Telephone: City E -Mail Address: Fax Number: Name: Mailing Address: Company Name: l t)4JIt Qfrie4-7, V (C / Contractor Registration Number: WAZI t-/l-& - 7700 Expiration Date: Company Name: Mailing Address: \permita plus \icc chanyes\permit application (7.2004) oPaxQ413y /t- Page I City ENGINEER OF RECORD: - All plans must be wet stamped by Engineer of Record State State Zip GENERAL CONTRACTOR INFORMATION - (Mechanical. Contractor information on back page) Mailing Address: City State ' Zip Contact Person: � €C2 6)-//25-4- Day Telephone: ca-e>6 Z9 - 7' / /tom E -Mail Address: Fax Number: old * *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance ** ARCHITECT OF RECORD -. All plans must be wet stamped by Architect of Record Zip City Contact Person: Day Telephone: E -Mail Address: Fax Number: Company Name: / Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: BUILDING PERMIT INFORM4ON - 206- 431 -3670 Valuation of Project (contractor's bid price): $ Existing Building Valuation: $ Scope of Work (please provide detailed information): Will there be new rack storage? ❑ ..Yes 0.. No If "yes ", see Handout No. for requirements. Provide All Building Areas in Square Footage Below PLANNING DIVISION: Single - family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area for accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ ....Yes ❑ ..No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑..Sprinklers ❑ ..Automatic Fire Alarm ❑..None ❑ . Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? 0 .. Yes ❑ ..No If"yes", attach list of materials and storage locations on a separate 8 -1/2 x 11 paper indicating quantities and Material Safety Data Sheets. \permits pluslicc changes\permit application (7.2004) Page 2 Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC . Type of Occupancy per IBC I" Floor r Floor 3 Floor Floors thru Basement Accessory Structure* Attached Garage Detached Garage Attached Carport Detached Carport Covered Deck Uncovered Deck BUILDING PERMIT INFORM4ON - 206- 431 -3670 Valuation of Project (contractor's bid price): $ Existing Building Valuation: $ Scope of Work (please provide detailed information): Will there be new rack storage? ❑ ..Yes 0.. No If "yes ", see Handout No. for requirements. Provide All Building Areas in Square Footage Below PLANNING DIVISION: Single - family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area for accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ ....Yes ❑ ..No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑..Sprinklers ❑ ..Automatic Fire Alarm ❑..None ❑ . Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? 0 .. Yes ❑ ..No If"yes", attach list of materials and storage locations on a separate 8 -1/2 x 11 paper indicating quantities and Material Safety Data Sheets. \permits pluslicc changes\permit application (7.2004) Page 2 PUBLIC WORKS PERMIT INF ATION — 206 - 433 -0179 Scope of Work (please provide detailed information): Please refer to Public Works Bulletin #1 for fees and estimate sheet. Water District ❑ ...Tukwila 0... Water District # 125 ❑ ...Water Availability Provided Sewer District ❑...Tukwila ❑ ... ValVue ❑ .. Renton ❑ ...Seattle ❑ ...Sewer Use Certificate 0... Sewer Availability Provided ❑ .. Approved Septic Plans Provided ❑ ...Septic System - For onsite septic system, provide 2 copies of a current septic design approval by King County Health Department. Submitted with Application (mark boxes which apply): ❑ ...Civil Plans (Maximum Paper Size — 22" x 34 ") ❑...Technical Information Report (Storm Drainage) ❑ .. Geotechnical Report ❑...Traffic Impact Analysis ❑ ...Bond ❑ .. Insurance ❑ .. Easement(s) ❑ .. Maintenance Agreement(s) ❑ ...Hold Harmless Proposed Activities (mark boxes that apply): ❑ ...Right -of -way Use - Nonprofit for less than 72 hours ❑ ...Right -of -way Use - No Disturbance ❑ ...Construction/Excavation/Fill - Right -of -way Non Right -of -way ❑ ...Total Cut cubic yards ❑ ...Total Fill cubic yards ❑ ...Sanitary Side Sewer ❑ ...Cap or Remove Utilities ❑...Frontage Improvements ❑ ...Traffic Control ❑ ...Backflow Prevention - Fire Protection Irrigation Domestic Water ❑ ...Permanent Water Meter Size... ❑ ...Temporary Water Meter Size .. ❑ ...Water Only Meter Size ❑ ...Sewer Main Extension Public _ ❑ ...Water Main Extension Public _ %permits pludicc changes tpermit application (7-2004) Call before you Dig: 1- 800 - 424 -5555 ❑ .. Abandon Septic Tank ❑ .. Curb Cut ❑ .. Pavement Cut ❑ .. Looped Fire Line If WO# WO# WO# Private Private ❑ .. Highline ❑ .. Work in Flood Zone ❑ .. Storm Drainage ❑ ...Renton ❑ .. Right -of -way Use - Profit for less than 72 hours ❑ .. Right -of -way Use — Potential Disturbance Page 3 ❑ .. Grease Interceptor ❑ .. Channelization ❑ .. Trench Excavation ❑ .. Utility Undergrounding ❑ ...Deduct Water Meter Size FINANCE INFORMATION Fire Line Size at Property Line Number of Public Fire Hydrant(s) ❑...Water ❑...Sewer 0 ...Sewage Treatment Monthly Service Billing to: Name: Mailing Address: Water Meter Refund /Billing: Name: Mailing Address: Day Telephone: City State Zip Day Telephone: City State Zip Unit Type: Qty Unit Type: Qty Unit Type: Qty Boiler /Compressor: Qty Furnace <100K BTU Air Handling Unit >10,000 CFM . Fire Damper 0 -3 HP /100,000 BTU Furnace >100K BTU Evaporator Cooler Diffuser 3 -15 HP /500,000 BTU Floor Furnace Ventilation Fan Connected to Single Duct Thermostat 15 -30 HP /1,000,000 BTU Suspended/Wall /Floor Mounted Heater Ventilation System Wood /Gas Stove 30 -50 I•IP /1,750,000 BTU Appliance Vent Hood and Duct Water Heater / 50+ HP /1,750,000 BTU Repair or Addition to Heat/Refrig/Cooling System Incinerator - Domestic Emergency Generator Air Handling Unit <10,000 CFM Incinerator - Comm/Ind Other Mechanical Equipment MECHANICAL PERMIT INFO ,v1ATION — 206 -431 -3670 MECHANICAL CONTRA TOR FORMATION tN Tr Company Name: v'1/ /L Mailing Address: 1,1:.%" 4 4/ � tJ E -Mail Address: J City ^ �, � State Zip Contact Person: ��C�i %l ICe l//�f�L � 7 Day Telephone GC , � t..-Vie.- � � / �y Fax Number: � Contractor Registration Number: �'c f /6 Date: * *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance ** Valuation of Project (contractor's bid price): 5 Scope of Work (please provide detailed information): Use: Residential: New ....0 Replacement ❑ Commercial: New .... ❑ Replacement Fuel Type: Electric ❑ Gas ....X Other: Indicate type of mechanical work being installed and the quantity below: PERMIT APPLICATION NOTES - Applicable to all permits in this application 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 extend the time for action by the applicant for a period not exceeding 180 days upon written request by the applicant as defined in Section 107.4 of the Uniform Building Code (current edition). No application shall be extended more than once. 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 •- STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING 0 ER OR A T • ' Z r iV I �j _ Signature: ` GYnISEC.� Date: / 72 - / s Day Telephone: c> c 7 .�7 City State Zip Print Name: G // DM 7 Mailing Address: ?e' 3(-/ e‘pc__ Date Application Accepted: %permits pluslicc chanl{es\permit application (7.2004) 0 � Date Application Expires: Page 4 Staff Initials: doc: Receipt City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 0003000106 Permit Number: M05-140 Address: 13050 INTERURBAN AV S TUKW Status: PENDING Suite No: Applied Date: 09/22/2005 Applicant: JACK IN THE BOX Issue Date: Receipt No.: R05 -01402 Payment Amount: 180.79 Initials: 3EM Payment Date: 09/22/2005 10:03 AM User ID: 1165 Balance: $0.00 Payee: WASHINGTON ENERGY SERVICES COMPANY TRANSACTION LIST: Type Method Description Amount Payment, Check 5091 ACCOUNT ITEM LIST: Description MECHANICAL - NONRES PLAN CHECK - NONRES RECEIPT 180.79 Account Code Current Pmts 000/322.100 150.63 000/345.830 30.16 Total: 180.79 7 09/22 9716 TOTAL 308.13 Printed: 09 -22 -2005 File: M05 -0140 03 -03 -2006 LINDA THORNQUIST PO BOX 2034 KIRKLAND WA 98083 RE: Permit No. M05 -140 13050 INTERURBAN AV S TUKW Dear Permit Holder: In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code and/or the International Mechanical Code, every permit issued by the Building Division under the provisions of this code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit, or if the building or work authorized by. such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days. Based on the above, you ate hereby advised to: Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection. This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; if the project should be considered abandoned. If such determination is made, the Building Code does allow the Building Official to approve a one or more extension of time for additiona perios not exceeding 90 days each. Extension requests must be in writing and provide satisfactory reasons why circumstances beyond the applicants control have prevented action from being taken. In the event you do not call for the above inspection and receive an extension prior to 04/04/2006, 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. S incerely, ifer'M'arshall, Permit Technician .A414 xc: Permit File No. M05 -140 Ciiy of Tukwila Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206- 431 -3665 ACTIVITY NUMBER: M05 -140 PROJECT NAME: JACK IN THE BOX SITE ADDRESS: 13050 INTERURBAN AV S X Original Plan Submittal Response to Correction Letter # DATE: 09 -22 -05 Response to Incomplete Letter # Revision # After Permit Issued DEPARTMENTS: qr- 21 Build(nl Division Public Works Complete Comments: Documenlshouting slip.doc 2.28 -02 :HERMIT COORD COPY PLAN REVIEW /ROUTING SLIP q Fire revention Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Incomplete n Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES/THURS ROU ING: Please Route Structural Review Required REVIEWER'S INITIALS: APPROVALS OR CORRECTIONS: Approved ❑ Approved with Conditions Notation: REVIEWER'S INITIALS: n n n Permit Coordinator n Planning Division DUE DATE: 09 -27-05 Not Applicable n No further Review Required DATE: DUE DATE: 10-25-05 Not Approved (attach comments) E DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: License Information License WASHIES97LOB Licensee Name WASHINGTON ENERGY SERVICES CO Licensee Type CONSTRUCTION CONTRACTOR UB1 602320560 Ind. Ins. Account Id SECRETARY Business Type CORPORATION Address 1 2800 THORNDYKE AVE W Address 2 City SEATTLE County KING State WA Zip 98199 Phone 2062824700 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 9/2/2003 Expiration Date 9/2/2007 Suspend Date Separation Date Parent Company Previous License Next License Associated License Business Owner Information Name Role Effective Date Expiration Date OLSON, CRAIG PRESIDENT 09/02/2003 HEAGLE, RANDY SECRETARY 09/02/2003 CHRISTIANSON, STEVE TREASURER 09/02/2003 OLSON, VERN VICE PRESIDENT 09/02/2003 Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 2 Washington State Department of Labor and Industries 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. Bond Information I Bond I Bond I - https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= WASHIES971 OB 10/06/2005 File: M05 -0140 35mm Drawing #1 r 4 C.4 to 0 Res r ,1 ems D pit 1 ve.:1 tz.0 rofive A De " a 2. - Aeileva w Aft e d., ti . 7;e/4r •Re.7.k' . ' 8L 5 rA)iiroctiezdii.aadt, "41 p-.7 �c 4.4 )4; h',� 9 N FILE COPY Permit Non AtOctik Pian review approval is subject to errors and omission& ApanNai of construction documents does not authorize the violation of any adopted code or ordinance. Roxipt of approved Field Copy and conditions is admowladail: a 1/tAct Date: I C)14 REVIEWED FOR CODE COMPLIANCE wrimoessorn SEP 2.7 2005 CiFiiikwila O'1( 1\1 FIEVISIONS No eft tinges hail be rimea of work without prt 7: 7.: 0; 7c2.:!!TrzEi.a Daracnag NOTE: Rev will require a no:; and my additioral City of bade BUILDING DIMON RECEIVED CITY OF TUKWILA SEP 2 2 2005 PERMIT CENTER • ■•••• • •••••21...,•yes,......1.• • Pt os Ho 1111111111111111.411111111111111112111111111111111131111111111111111 4 111111111111111151111111111111111 Inch 1/16 " _ . ° i149 4.1 • " •■'• '1 4.• An" 9I t7n. , 8 11111111111111111111111111111111 11111111111111111111111111111111111111111111111111 '1 IP 1111 r I 1" 1111 11111 111 1111 11111 1111 11111111mi 1111 1111 1111