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Permit PG07-021 - GOURMET INNOVATIONS
Iti0'LO`Jd 1O �IHIfXI S AM IVNIOIIV1AT JJSVrLEI 9F80T SNOILLVAONNI J21NIIf100 Parcel No.: 0323049164 Address: Suite No: Tenant: Name: Address: Owner: Name: Address: City of Tukwila 10836 EAST MARGINAL WY S TUKW GOURMET INNOVATIONS 10836 EAST MARGINAL WY S , TUKWILA WA E MARGINAL WAY PROPS LLC 3006 NORTHUP WAY STE 101 , BELLEVUE WA Contact Person: Name: MIKE SCHUEFFLER Address: 11021 128 ST NE , BIRKLAND WA Contractor: Name: METRO AIR INC Address: 11021 128 PL NE , KIRKLAND, WA Contractor License No: METROAI995RC DESCRIPTION OF WORK: INSTALL NEW 1 -1/4" GAS LINE FROM NEW METER SET TO EXISTING GAS LINE IN BUILDING. Value of Plumbing /Gas Piping: Fees Collected: Plumbing Bathtub or combination bath/shower 0 Bidet 0 Clothes washer, domestic 0 Dental unit, cuspidor 0 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 0 Sinks 0 Urinals 0 Water Closet 0 doc: UPC -10/06 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 $1,800.00 $88.00 PLUMBING /GAS PIPING PERMIT FIXTURE TYPE AND OIIANTITY 0 Gas Piping Gas piping outlets (0-5) Gas piping outlets (6 +) * *continued on next page ** Permit Number: Issue Date: Permit Expires On: Phone: Phone: 425 - 922 -9198 Phone: 425 889 -8224 Expiration Date: 12/03/2007 PGO7 -021 01/22/2007 07/21/2007 Uniform Plumbing Code Edition: 2003 International Fuel Gas Code Edition: 2003 Steven M Mullet, Mayor Steve Lancaster, Director Plumbing (cont.) Building sewer and each trailer park sewer 0 Rain water system - per drain (inside bldg) 0 Water heater and/or vent 0 Industrial waste treatment interceptor, including 0 its trap and vent, except for kitchen type 0 grease interceptors 0 0 Repair or alteration of water piping and/or water 0 treatment equipment 0 0 Medical gas piping system serving one to five 0 inlets /outlets for a specific gas 0 1 0 PG07 -021 Printed: 01 -22 -2007 Permit Center Authorized Signature: doc: UPC -10/06 City of Tukwila 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 Permit Number: PG07 -021 Issue Date: 01/22/2007 Permit Expires On: 07/21/2007 Steven M Mullet, Mayor Steve Lancaster, Director Date: (-ZZ -7J 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 performance of work. I am authorized to sign and obtain this plumbing /gas piping permit. Signatur Date Print Name? '` • F --A.AS rz 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. PG07 -021 Printed: 01 -22 -2007 Parcel No.: 0323049164 Address: Suite No: Tenant: doc: Cond -10/06 City of Tukwila 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 10836 EAST MARGINAL WY S TUICW GOURMET INNOVATIONS 1: ** *PLUMBING AND GAS PIPING * ** PERMIT CONDITIONS 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. 6: 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. * *continued on next page ** Permit Number: Status: Applied Date: Issue Date: PG07 -021 ISSUED 01/22/2007 01/22/2007 PG07 -021 Printed: 01 -22 -2007 doc: Cond -10/06 City of Tukwila 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 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. Signatur Da te` - ' —( Y) Print Name N \--¢.. \\ S Jc... PG07 - 021 Printed: 01 -22 -2007 CITY OF TUKWILA Community Developmelepartment Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Name:M N, p c\-‘ r Mailing Address: \ \V \ \Z }�► �� E -Mail Address: i R_o a Q), 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** Company Name: C`'1\_\ r n ESN c' L. Mailing Address: \ \0'\ 1'VZ s Contact Person kst SJ.ik \ss r E -Mail Address: t\Q e n ,. A' c ©\!„ ,, i Contractor Registration Numberi ' k . > V ' e 1:Y1 c5 1\� Contact Person: E -Mail Address: Contact Person: E -Mail Address: Q:\ Applications\ Donna- Applications On Line\3 -2006 -Permit Application.doc Revised: 9-2006 bh City Day Telephone: Fax Number: C1323D4- - -q�(� ` King Co Assessor's Tax No.: Site Address: \ Vt p 3 V ��Qic; �, \pC 4, U c,\ \ v S Suite Number: Floor: Tenant Name: V p c' c-,�, ZN N 0 v r ‘) to \ New Tenant: ❑ .... Yes ❑ ..No Property Owners Name: k c ... X ' .. Cr N Mailing Address: � N 0 c"\ Nn,Q W (' .1 'x-30 \ C klQ--) lnr {N, Ta Gty State Zip CONTACT PERSON who do we contact when your permit is ready to be issue Day Telephone: c " c '1A �. 1 AcA CVA W Cl bvn City State Zip Fax Number: 'b��ar, GENERAL CONTRACTOR INFORMATION (Contractor Information for Mechanical (pg 4) for Pluinbing'and Gas "Piping (pg 5)) 1Q, rAc.6.> oT` City State Zip Day Telephon-S C — °1 1 9 S Fax Number: - S - O,A a - 30[' ` , Expiration Date: ' 01 ARCHITECT OF RECORD —All plans must be wet stamped by Architect of Recor Company Name: Mailing Address: State Zip City Day Telephone: Fax Number: ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record Company Name: Mailing Address: State Zip Page 1 of 6 Valuation of Project (contractor's bid p : $ \� �� Existingtfliilding Valuation: $ Scope of Work (please provide detailed information): c Sv S� \ , c 0S 0t t' N $ c` t e X 1 '5\ A t N cyo s N \c) Nye Will there be new rack storage? ❑.... Yes ❑.. No If yes, a separate permit and plan submittal will be required. oxide All Building teas guars Footage 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 of 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? ❑ Yes ❑ No If `yes', attach list of materials and storage locations on a separate 8-1/2" x 11 " paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM ❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. Q:Npplications\Forms- Applications On Line\3 -2006 - Permit Applieation.doe Revised: 9 -2006 bh caw ma-t, Page 2 of 6 Fixture Type: Qty Fixture Type: Qty Fixture Type: '. Qty Fixture Type: Bathtub or combination bath/shower Drinking fountain or water cooler (per head) Wash fountain Gas piping outlets Bidet Food -waste grinder, commercial Receptor, indirect waste Clothes washer, domestic Floor drain Sinks Dental unit, cuspidor Shower, single head trap Urinals Dishwasher, domestic, with independent drain Lavatory Water Closet Building sewer or trailer park sewer Rain water system — per drain (inside building) Water heater and/or vent Additional medical gas inlets/outlets — six or more Industrial waste pretreatment interceptor, including its trap and vent, except for kitchen type grease interceptors Repair or alteration of water piping and/or water treating equipment Repair or alteration of drainage or vent piping Medical gas piping system serving one to five inlets/outlets for specific gas PLUMBING AND. GAS PIPING PERMIT INFORMATION - 206 - 431--36 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: c i`v e- Ss-N) Mailing Address: \' 21 , N� Contact Person: '\', ,CA E -Mail Address: tM3),..N C . A t^ @ QQ.P \ Z.0 Contractor Registration Number: R� o (1 ^1 ° \'NS (2 \< ck , U( 0 11133 City State Zip Day Telephone: °N rj� ° 1ltii% Fax Number: Expiration Date: \'-% % ) Valuation of Plumbing work (contractor's bid price): $' 11Z)4 Valuation of Gas Piping work (contractor's bid price): $ Scope of Work (please provide detailed information): \ "� s S Ip : N r o Cr+ Nk_ w cc1R k c s SQ U Building Use (per Intl 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: QAApplications\Forms•Application, On Line'3 -2006 - Permit Application.doc Revised: 9 -2006 bh Page 5 of 6 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. Building and Mechanical Permit The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition). Plumbing Permit The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 Uniform 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: Signatur PrintName:c•�3- �..���X{ Mailing Address: \ \'Q\ 1 c)1 ' Ol. Date Application Expires: I Date Application Accepted: J =2 -o Q:Wpplications\Forms- Applications On Line13 -2006 - Permit Application.doc Revised: 9 -2006 bh Date - �1 V ' Day Telephone S -C IDQ , 1 AL \ �N� City State Zip Staff itials: Page 6 of 6 Payee: METRO AIR INC TRANSACTION LIST: Type Method Description ACCOUNT ITEM LIST: Description GAS - NONRES 4`r City of Tukwila 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.: 0323049164 Permit Number: PG07 -021 Address: 10836 EAST MARGINAL WY S TUICW Status: APPROVED Suite No: Applied Date: 01/22/2007 Applicant: GOURMET INNOVATIONS Issue Date: Receipt No.: R07 -00090 Payment Amount: $88.00 Initials: ALE Payment Date: 01/22/2007 01:14 PM User ID: ADMIN Balance: $0.00 Amount Payment Check 2811 88.00 Account Code Current Pmts 000/322.100 88.00 Total: $88.00 3979 1!22' z f1c TOTAL 88.00 doc: Receiot -06 Printed: 01 -22 -2007 Projje _ (7rn /Y/1'�F .Li1+i1/U ✓A><✓NS Type of Inspection: /Z0q'! -; Geis �- Address: 1°63‘ f"95 /r241/4/4 Date Called: Special Instructions: Date Wanted: --L 3 d7 p.m. Requester: Phone No: 4/25--5z2 - 9/9 INSPECTION RECORD Retain a copy with permit INSPECT' • N NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Approved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: — � /+ ' p-�,e.*/ 7' 1 S 4 1, , 1 $58. 0 �tf1NSPECTION F�C'E REQUIRED. Prior to inspection, fee must be paid a 300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: 06 -04 -2007 MIKE SCHUEFFLER 11021 128 ST NE KIRKLAND WA 98033 RE: Permit No. PG07 -021 10836 EAST MARGINAL WY 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 Uniform Plumbing Code and/or International Fuel Gas 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 are 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; or if the project should be considered abandoned. If such determination is made, the Plumbing and/or Gas Code does allow the Building Official to approve one extension of time for an additional period not exceeding 180 days. Extension requests must be in wrttine 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 07/22/2007 , 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. Sincerely, r er Marshall, Permit Technician xc: Permit File No. PG07 -021 City of Tukwila Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director 6.300 .Snnthrenter Rnnlpvard..Snita *inn • Tukwila Wa OR1RR • Phnno• 2f#S_d ?1_ ?IS7n • Fa le- 2fR_421 -Vii# License Information License METROAI995RC Licensee Name METRO AIR INC Licensee Type CONSTRUCTION CONTRACTOR UBI 602156865 Ind. Ins. Account Id VICE PRESIDENT Business Type CORPORATION Address 1 11021 128TH PL NE Address 2 City KIRKLAND County KING State WA Zip 98033 Phone 4258898224 Status ACTIVE Specialty 1 AIR HEAT,VENTILATION,EVAPORAT Specialty 2 AIR CONDITIONING Effective Date 12/3/2001 Expiration Date 12/3/2007 Suspend Date Separation Date Parent Company Previous License Next License Associated License Business Owner Information Name Role Effective Date Expiration Date SCHEFFLER, MICHAEL A PRESIDENT 12/03/2001 HANLON, ASH T VICE PRESIDENT 12/03/2001 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 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= METROAI995RC 01/22/2007