HomeMy WebLinkAboutPermit M04-061 - GALLIANO'S CUCINA•
GALLIANO'S CUCINA
14201 INTERURBAN
AVENUE SOUTH
M04-061
Parcel No.: 3365901470
Address: 14201 INTERURBAN AV S TUKW
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Contractor:
Name: PAUL LOISEAU CO
Address: PO BOX 553, MOUNTLAKE TERRACE, WA
Contractor License No: PAULLC *045N9
Value of Construction: $500.00
Type of Fire Protection: SPRINKLERS
Permit Center Authorized Signature:
Print Name:
doc: Mech
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
GALLIANO'S CUCINA
14201 INTERURBAN AV S, TUKWILA WA
THE SOUTHLAND CORP
C/O TAX DEPT LOC 27482, PO BOX 711
MARGARET C. LOISEAU
Address: P.O. BOX 553, MOUNTLAKE TERRACE WA
MECHANICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
DESCRIPTION OF WORK:
INSTALLING PIPING FOR CUSTOMER SUPPLIED WALK -IN COOLER AND INSTALLATION OF 2
ROOF TOP CONDENSORS.
M04 -061
04/30/2004
10/27/2004
Phone:
Phone: 206 380 -3728 (CELL)
Phone: 425 776 -0396
Expiration Date:09 /16/2004
Fees Collected: $63.63
Uniform Mechnical Code Edition: 1997
Date:
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 construction or the perfor ante of wor I am authorized to sign and obtain this mechanical permit.
Signatu . 4AL...4. /.. i I /- -4 . 4 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.
M04 -061 Printed: 04 -30 -2004
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
PERMIT CONDITIONS
Parcel No.: 3365901470 Permit Number: M04-061
Address: 14201 INTERURBAN AV S TUKW Status: ISSUED
Suite No: Applied Date: 04/20/2004
Tenant: GALLIANO'S CUCINA Issue Date: 04/30/2004
1: ** *BUILDING DEPARTMENT CONDITIONS * **
2: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division.
3: Plumbing permits shall be obtained through the Seattle -King County Department of Public Health. Plumbing will be
inspected by that agency, including all gas piping (296- 4722).
4: Electrical permits shall be obtained through the Washington State Division of Labor and Industries and all electrical
work will be inspected by that agency (206- 835 - 1111).
5: All permits, inspection records, and approved plans shall be available at the job site prior to the start of any
construction. These documents are to be maintained and available until final inspection approval is granted.
6: Readily accessible access to roof mounted equipment is required.
7: Any exposed insulations backing material shall have a Flame Spread Rating of 25 or less, and material shall bear
identification showing the fire performance rating thereof.
8: All construction to be done in conformance with approved plans and requirements of the Uniform Building Code (1997
Edition) as amended, Uniform Mechanical Code (1997 Edition), and Washington State Energy Code (1997 Edition).
9: Validity of Permit. The issuance of a permit or approval of plans, specifications, and computations 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 ordinance of the jurisdiction. No permit presuming to give authority to violate or cancel the provisions of this
code shall be valid.
10: Manufacturers installation instructions required on site for the building inspectors review.
11: ** *FIRE DEPARTMENT CONDITIONS * **
12: The attached set of plans have been reviewed by The Fire Prevention Bureau and are acceptable with the following
concerns:
13: ** *FIRE ALARM SYSTEMS * ** - City Ordinance #1646 - NFPA 72
14: H.V.A.C. units rated at greater than 2,000 cfm require auto - shutdown devices. These devices shall be separately zoned
in the alarm panel and local U.L. central station supervision is required. (City Ordinance #1900)
15: H.V.A.C. systems supplying air in excess of 2,000 cubic feet per minute to enclosed spaces within buildings shall be
equipped with an automatic shutoff. Automatic shutoff shall be accomplished by interrupting the power source of the
air - moving equipment upon detection of smoke in the main supply -air duct served by such equipment. Smoke detectors
shall be labeled by an approved agency for air -duct installation and shall be installed in accordance with the
manufacturer's installation instructions. (UMC 608)
doc: Conditions
M04 -061
Printed: 04 -30 -2004
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
16: Duct smoke detectors shall be capable for being reset from the alarm panel. (City Ordinance #1900)
17: Duct detectors shall send a supervisory signal only upon activation.
18: Remote indicator lights are required on all above ceiling smoke detectors. (City Ordinance #1900)
19: The installation of wiring and equipment shall be in accordance with N.F.P.A. 70, Article 760, Fire Protective
Signaling Systems. (NFPA 72- 1- 5.5.4) '
20: All new fire alarm systems or modifications to existing systems shall have the written approval of the Tukwila Fire
Prevention Bureau. No work shall commence until a fire department permit has been obtained. (City Ordinance #1900) (UFC
1001.3)
21: Call the Tukwila Fire Department at 575 -4407 for approval of any system shut down. Have job site address, name and
Tukwila Fire Department Job Number available to confirm shut down approval. (City Ordinance #1900)
22: Contact the Tukwila Fire Prevention Bureau to witness all required inspections and tests. (UFC 10.503) (City Ordinance
#1900 and #1901)
23: These plans were reviewed by Inspector 510. If you have any questions, please call Tukwila Fire Prevention Bureau at
(206)575 -4407.
I hereby certify that I have read these conditions and will comply with them as outlined. 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 provision of any other work or local laws
regulating construction or the performance of work.
Signature.
Print Name:
doc: Conditions
AW A, , 4" /.
M04.061
Date: q -
Printed: 04 -30 -2004
..SITE LOCATION..
King Co Assessor's Tax No.: : /LJ `7
Site Address: I OD l x(1 1 r o b rtr) ichr Suite Number: Floor:
Tenant Name: C-rj 7
Property Owners Name:
Mailing Address:
Name: 1 ! Ian Q _ c3 c ` I iopo ,p
Mailing Address: I (,.PL -L 35 m'
City
- -Fax �P
E -Mail Address:
GENERAL CONTRAC
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Contact Person:
E -Mail Address:
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
\applications \permit application (3-2003)
3/2003
CITY OF TUKWILn
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
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 **
■ s y:.lie1es ' Mil v. �
X
INFORMATION
ARCIiITECT OF RECORD All plans be.wet stamped • by A •Record: •
Page I
Building Permit No.
Mechanical Permit No.
Public Works Permit No.
Project No
(For office use only)
City
New Tenant:
State
Day Telephone: (o ( P r 8 3 `
ta( Zip
7 �
City State Zip
Day Telephone:
Fax Number:
Contractor Registration Number: Expiration Date:
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
State
.. Yes EJ ..No
Le c
Zip
Zip
ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record
State
Zip
City
Day Telephone:
Fax Number:
[ilii:LJ..iti La iiYt44.411 d.4`+Jw
.wL4`Gti,:a +i::.FJ;n.SiJ FJ= ,:.�:E:ls.4:7� {7S.A+ri
BUILDING PERMIT :INFORMATION 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 ❑ .. No If "yes ", see Handout No. for requirements.
Provide All Building Areas in Square Footage Below
1st Floor
2 "0: Floor
3t° Floor
:Floors • ° ,.' thru
. Base
Accessory Structure*
'Attached 'Garage ..
Detached. Garage
Attached Carport
Detached Carport
Covered Deck
Uncovered Deck
Existing
Interior
Remodel
Addition to
Existing
Structure
New
Type of . .
Construction
per UBC
Type of
Occupancy per
UBC
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:
0.. 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 i I paper indicating quantities and Material Safety Data Sheets.
\applications \permit application (3.2003)
3/2003
Page 2
PUBLIC WORKS PERMITII RMATION 206 -433- 01
Scope of Work (please provide detailed information):
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) 0... 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
❑ ...Total Fill
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
cubic yards
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 _
\applications \permit application (3.2003)
3/2003
11
Call before you Dig: 1- 800 - 424 -5555
❑ .. Abandon Septic Tank
❑ .. Curb Cut
❑ .. Pavement Cut
❑ .. Looped Fire Line
11
WO#
WO#
WO#
Private
Private
FINANCE INFORMATION
Fire Line Size at Property Line
❑ ...Water ❑ ...Sewer
Monthly Service Billing to:
Name:
Mailing Address:
Water Meter Refund/Billing:
Name:
Mailing Address:
Number of Public Fire Hydrant(s)
❑ ...Sewage Treatment
Day Telephone:
City
State
Zip
Day Telephone:
City
State
Zip
Page 3
❑ .. Highline
❑ .. Right -of -way Use - Profit for less than 72 hours
❑ .. Right -of -way Use — Potential Disturbance
❑ .. Work in Flood Zone
❑ .. Storm Drainage
❑ ...Renton
❑ .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
❑ ...Deduct Water Meter Size "
Unit Type:: :.
Qty
Unit Type:
Qty
Unit Type:
Qty
Boiler /Compressor:
Qty
Furnace <100K BTU
Air Handling Unit
>= 10,000 CFM
Other Mechanical
Equipment
0 -3 HP /100,000 BTU
Furnace>I00K BTU
Evaporator Cooler
3 -15 LIP /500,000 BTU
Floor Furnace
Ventilation Fan
15 -30 HP /1,000,000 BTU
Suspended/Wall/Floor
Mounted Heater
Ventilation System
30 -50 HP /1,750,000 BTU
Appliance Vent
Hood
50+ HP /1,750,000 BTU
Heat/Refrig /Cooling
System
4
Incinerator - Domestic
Air Handling Unit
<= 10,000 CFM
Incinerator - Comm /Ind
Signature:
Print Name:
Mailing Address:
\applications \permit application (3.2003)
3/2003
or
MECHANICAL PERMIT INFOkivIATION — 206 - 431 -3670
MECHANICAL CONTRACTOR INFORMATION
Company Name: � l � j��j L
Mailing Address
Contact Person C k— _C:Z- -*CA-Q
Scope of Work (please provide detailed information):
BUILDING 0 ER k • ' AUTHORIZED t ENT:,
C c)
E -Mail Address: Fax Number: L -Ics. p '-050 W,
Contractor Registration Number: Expiration 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): $ r) °
Use: Residential: New ....ID Replacement .... 0
Commercial: New. ' Replacement .... ❑
Fuel Type: Electric ID Gas ....0 Other:
Indicate type of mechanical work being installed and the quantity below:
PERMIT: APPLICATION :NOTES = Applicable to all permits ;inthis 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 TI lIS 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.
l l __(\i . ' c Jt • • Day Telephone:
al Jam _ '~` _ /mi 41 1K
Page 4
City � on State Zip
Day Te Li (p 1 L
City
Date: 4 —(90
c - 7
(A
State
Zip
Date Application Accepted:
y 2C -e
Date Application Expires:
/ ' , z&-a V
Staff Initials: I
SAS
.O.•
•
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
RECEIPT
Parcel No.: 3365901470 Permit Number: M04 -061
Address: 14201 INTERURBAN AV S TUKW Status: APPROVED
Suite No: Applied Date: 04/20/2004
Applicant: GALLIANO'S CUCINA Issue Date:
Receipt No.: R04 -00513 Payment Amount: 63.63
Initials: SKS Payment Date: 04/30/2004 02:45 PM
User ID: 1165 Balance: $0.00
Payee: PAUL LOISEAU CO
TRANSACTION LIST:
Type Method Description Amount
Payment Check 3438
ACCOUNT ITEM LIST:
Description
dm; Receipt
MECHANICAL - NONRES
PLAN CHECK - NONRES
63.63
Account Code Current Pmts
000/322.100 50.90
000/345.830 12.73
Total: 63.63
0.53 05/03 9716 TOTAL. 63.63
Printed: 04 -30 -2004
Co 19 I 0 i S Proiect:
Type of Inspection:
Address:
///7.0 i T
Date Called:
il-,./ s .' .451.;-0/0y
Date Wanted:
.5/2. ier
a.m.
p.m.
Special Instructions:
Requester:
Phone No: (
INSP ON NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
206)431-3670
CO ENTS:
a o o
Date:
— 6 C "
$47.00 REINSPECTIOI FEE REQUIRED. Prior /a inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
eceipt No.: 'Date:
Ins tor:
Approved per applicable codes. Corrections required prior to approval.
Pr ct:
Type of Insp on: 'n
—
) O �)i l t
Address:
Date Called:
Special Instruct ns:
f J /M(
1 ` V"`
Cc
Date Wanted:
f q
Requester:
Phone No:
Q. --., 7 380 `3 - 123
Z
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
c e '/z - / fi ,
Approved per applicable codes. tt�_lI Corrections required prior to approval.
COMMENTS:
D /
h -
Gf
00 REINSPECTION FEE REQUIgED. Prior to inspection, fee must be
d at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
IDate:
t
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PER T NO.
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Type of Inspection:
AddrLse A 1--- il ' ° S'
`
Date Calle ?ct , L. —
Spe i•" I r c io•'. -Af.
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%ate Wanted: WV —ty
a.m.
p.m.
Requester: 3 — — p 1
Phone No: jV \pu:. -
INSPECTION RECORD
Retain a copy with permit
INSPECTIO
CITY OF TUKWILA BUILDING DIVISION
m6 --4%
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (20 • )4 1 -3670
COMMENTS:
❑ Approved per applicable codes.
Corrections required prior to approval.
Inspector:
Date:
47.00 REINSP ION FEE REQUIR . Prior to in .ecti ee mus be
aid at 6300 Sout center Blvd., Suite 11 0. Ca I to schedule reinspection.
pt No.:
.• 4," ti; Ntr". ,
J
City of Tukwila
Fire Department Thomas R Keefe, Fire Chief
.Project Name 674' /Co
Address / J2 A/7 ,
.../A2.etain_current_inspection schedule
// 7Needs shift inspection
Approved without correction notice
Approved with correction notice issued
Sprinklers:
Fire Alarm: 4'
Hood & Duct: AY
Halon: A/
Monitor: A. i fiCfrit'irl
Pre-Fire: 1\
Permits:
Authorized Signate
FINALAPP.FRM
TUKWILA FIRE DEPARTMENT
FINAL APPROVAL FORM
Steven M. Mullet, Mayor
Permit No.
/2/03 /
Ddte
Suite #
Rev. 2/19/98 T.F.D. Form F.P. 85
Headquarters Station: 444 Andover Park East • Tukwila, Washington 98188 • Phone: 206-575-4404 • Fax: 206-575-4439
APPROVALS OR CORRECTIONS:
Documents /routing slip,doc
2 -28.02
PERMIT COORD COP',
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: M04 -061 DATE: 04 -21 -04
PROJECT NAME: GALLIANO'S CUCINA
SITE ADDRESS: 14201 INTERURBAN AVENUE SOUTH
X Original Plan Submittal
Response to Incomplete Letter #
Response to Correction Letter # Revision # afterEbefore permit is issued
DEPkRTMENTS: �ZZ
�( Uivisi (' 4 x UDC - �
Building n 0 Fire Prevention ' P re e 2 0_�
Public Works ❑ Structural ❑
DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 04 -22 -04
Complete Ed
Comments:
Incomplete
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES /THURS R9UTING:
Please Route Structural Review Required ❑ No further Review Required ❑
REVIEWER'S INITIALS: DATE:
DUE DATE: 05 -20 -04
Approved ❑ Approved with Conditions I Not Approved (attach comments) ❑
Notation:
REVIEWER'S INITIALS:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
PERMIT COORD COPY
Planning Division
Permit Coordinator
0
Not Applicable 0
DATE:
`:DEPARTMENT OF LABOR AND INDUSTRIES
CERTIFIED 'AS PROVIDED BY LAW AS
ADMINISTR HVAC /RFRG
F(i25- 052- 000_(8i971
F625 -052 -009 (8/97)
- __
.00.q
-EFFECTIVE - DATE'
LO SEAU, . PAUL A
PO BOX 553
•MOUNTLAKE TERRAC WA 98043
Detach And Display CcrtifiLaa.
DEPARTMENT OF LABOR AND INDUSTRIES
REGISTERED AS PROVIDED BY LAW AS
CONST:CONT SPECIALTY
CCA p45N9 '; 09/1'6/2004
EFFECTIVE DATE `08/29/1996"
PAUL - LOISEAU CO
PO BOX 553
MOUNTLAKE TERRAC WA 98043
beach And Display Certificate
• �+:.�.rrvw+�.w.ww� �w:�:Yw:+.rwtt t..'..+: .:..:.+
Detach And Display Certificate
■
NOTICE: IF THE DOCUMENT IN THIS FRAME IS LESS CLEAR - MAN
THIS NOTICE IT IS DUE TO THE QUALITY OF THE DOCUMENT.
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