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Home My WebLink AboutPermit PG07-034 - FAMOUS DAVE'S RESTAURANTFAMOUS DAVE'S RESTAURANT 17770 SOUTHCENTER PY PGO7-034 Parcel No.: Address: Suite No: Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: 3523049005 17770 SOUTHCENTER PY TUKW FAMOUS DAVE'S RESTAURANT 17770 SOUTHCENTER PY , TUKVVILA WA MBK NORTHWEST 7690 SW MOHAWK ST , TUSALATIN OR CHRISTINE JOHNSON 2623 W VALLEY HY N , AUBURN WA Contractor: Name: AUBURN MECHANICAL INC Address: PO BOX 249 , AUBURN, WA Contractor License No: AUBURMI163BA DESCRIPTION OF WORK: PLUMBING AND GAS PIPING FOR TENANT IMPROVEMENT: INSTALL (2) DISHWASHERS, (9) FLOOR DRAINS, (8) LAVATORIES, (4) SINKS, (2) URINALS, (4) WATER CLOSETS, (1) WATER HEATER, (10) FLOOR SINKS, AND (11) GAS PIPING OUTLETS. Value of Plumbing /Gas Piping: Fees Collected: $33,200.00 $608.00 Plumbing 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 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 PLUMBING /GAS PIPING PERMIT FIXTURE TYPE AND OUANTITY * *continued on next page ** Permit Number: Issue Date: Permit Expires On: Phone: Phone: 253 838 -9780 Phone: (253)838 -9780 Expiration Date: 09/12/2008 PG07 -034 02/01/2007 07/31/2007 Uniform Plumbing Code Edition: 2003 International Fuel Gas Code Edition: 2003 Steven M Mullet, Mayor Steve Lancaster, Director Plumbing (cont, 0 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 2 its trap and vent, except for kitchen type 0 grease interceptors 0 0 Repair or alteration of water piping and/or water 9 treatment equipment 0 0 Repair or alteration of drainage or vent piping 0 8 Medical gas piping system serving (1 -5) 0 inlets /outlets for a specific gas 0 0 Medical gas piping (6 +) inlets /outlets 0 14 Gas Piping 2 Gas piping outlets (0 -5) 5 4 Gas piping outlets (6 +) 6 0 0 PG07 -034 Printed: 02 -01 -2007 Permit Center Authorized Signature. I hereby certify that I have read and governing this work will be compile The granting of this pe S t do construction or Signature: Print Name: 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 th, IL Permit Number: PG07 -034 Issue Date: 02/01/2007 Permit Expires On: 07/31/2007 Steven M Mullet, Mayor Steve Lancaster, Director Date: 07.1 Di I CR- permit and know the same to be true and correct. All provisions of law and ordinances ther specified herein or not. ve authority to violate or cancel the provisions of any other state or local laws regulating no presume ork. .■ authorized to sign and obtain this plumbing /gas piping permit. Date: — / — e7 7 This permit shall become null and void if the work is not commend 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 - 034 Printed: 02 -01 -2007 Parcel No.: 3523049005 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 17770 SOUTECENTER PY TUICW FAMOUS DAVE'S RESTAURANT 1: ** *PLUMBING AND GAS PIPING * ** PERMIT CONDITIONS * *continued on next page ** Permit Number: Status: Applied Date: Issue Date: PG07 -034 ISSUED 02/01/2007 02/01/2007 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. 8: 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. PG07 -034 Printed: 02 -01 -2007 Signatur Print Name: doc: Cond -10/06 Ad( 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 perf v' - ce of Fork. Date: PG07 -034 Printed: 02 -01 -2007 .. a CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: / /www. ci. tukwila. wa. us SITE LOCATION King Co Assessor's Tax No.:. Site Address: 111 0 5b O hC.'cXlt`rX Pay � � Suite Number: Floor: Tenant Name: - FA ni O G c.PeA V Property Owners Name: 4112 ` T o w Mailing Address: I 11 SO o* c t nt ' Par IC- A) LW: City CONTACT PERSON - who do we contact when your permit is ready to be issued Name: (1r 15tl Y�t Johnson Day Telephone: 253 — 2'g -T X° Mailing Address: 2 ✓ W r A 1)(91 11 j� w y AL t r n wA ?Sod try State Zip E -Mail Address: aim 1I yi t../ &Ubur n Alta/ail KA I ' Cum Fax Number: 7-6 - - GENERAL CONTRACTOR INFORMATION — (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) Company Name: A VUbLtiY h t I1 ,, / Q Mailing Address: 2C23 c W VA t.,)) ` -Hwy 'v TI n City nn Contact Person: �: hr i,b11111:/ J Day Telephone: E -Mail Address: / ' Q �7 2 �p Fax Number: 1 Contractor Registration Number: \U50121I1 I V✓S/ t Expiration Date: '1)12/0& ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: Q. \Applications\Forms- Applications On Line\3 -2006 - Permit Application.doc Revised. 9.2006 bh Building Permit No. Mechanical Permit No. Plumbing/Gas Permit No. Public Works Permit No. Project No. (For office use only) 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 ** New Tenant: ❑ Yes ❑..No State um C ig0.01 State Zip State State G2(c38 Zip Zip Zip Page 1 of 6 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 if Ventilation System Wood/Gas Stove 30 -50 HP /1,750,000 BTU Appliance Vent Hood and Duct Emergency Generator 50+ HP /1,750,000 BTU Repair or Addition to Heat/Refrig/Cooling System Incinerator - Domestic Other Mechanical Equipment I A . r l m c"M - l iv) diy l c 1t Air Handling Unit <10,000 CFM Incinerator — Comm/Ind 5 E. 11)1) / _ l � MECHANICAL PERMIT INFORMATION - 206- 431 -3670 MECHANICAL CONTRACTOR INFORMATION AV∎U x n Company Name: Mailing Address: 3 ox 2' Contact Person: UV 1 5 - 1 r1 J hri5a V) AAto r n liv(i 18011 City State , ) Zip Day Telephone: 253 - i05? - �a o E -Mail Address: Fax Number: Contractor Registration Number: R JBU 12 MI I (.36 f) Expiration Date: '1/ 12 Valuation of Mechanical work (contractor's bid price): $ ste mettUri,PV 0 Scope of Work (please provide detailed information): I 5-7 ca I X U tf 115 + 4' ,bL+DIA) Use: Residential: New .... ❑ Replacement .... ❑ Commercial: New .... ❑ Replacement .... ❑ Fuel Type: Electric ❑ Gas .... Other: Indicate type of mechanical work being installed and the quantity below: Q. Applications\Forms- Applications On Line\3 -2006 - Permit Application.doc Revised: 9 -2006 bh Page 4 of 6 Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Bathtub or combination bath/shower Drinking fountain or water cooler (per head) Wash fountain Gas piping outlets I' Bidet Food -waste grinder, commercial Receptor, indirect waste f C T fob/ �S in k. 10 Clothes washer, domestic Floor drain 9 Sinks Dental unit, cuspidor Shower, single head trap Urinals Dishwasher, domestic, with independent drain 7. _ Lavatory Water Closet Building sewer or trailer park sewer Rain water system – per drain (inside building) Water heater and/or vent I 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 -3670 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: - A wb UAY Y1 ni t c-hn ic.a- ] qq � q Mailing Address: 2(023 ) Valley +� kJ y 1U k7t A Y Il (foil I City State Zip Contact Person: C.'1 r ISti n ` D l i n' n Day Telephone: 255 83S ' ° I N 117 E -Mail Address: Fax Number: ` I Contractor Registration Number: 74Uf UR MZ I(JP3A Expiration Date: 9 I !Z / o Y Valuation of Plumbing work (contractor's bid price): $ Valuation of Gas Piping work (contractor's bid price): $ Scope of Work (please provide detailed information): 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: Q: Wpplicanons\Forms- Appbcanons On Line\3 -2006 - Permit Applicanon.doc Revised 9 - 2006 bh Page 5 of 6 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. 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR AUTHORIZ L. G T: Signature: �PVl .,,,,..�.. Print Name: C rit-f ink " On Mailing Address: 1-02— AN/ - 19 N Date Application Accepted: oy(or I 01- Q: \Applications\Forms- Applications On Line U-2006 - Permit Application.doc Revised. 9 -2006 bh Date Application Expires: Date: 1218/DO Day Telephone: 253 "Og ` 1 7x7 City State Zip alot Staff Initials: I/ Page 6 of 6 Doc: RECSETS -08 RECEIPT NO: R07 -00145 Initials: JEM User ID: 1165 Payee: AUBURN MECHANICAL SET TRANSACTIONS: Set Member Amount ACCOUNT ITEM LIST: Description GAS - NONRES MECHANICAL - NONRES PLAN CHECK - NONRES PLUMBING - NONRES eak City at 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 M07 -017 235.00 PG07 -034 608.00 TOTAL: 843.00 SET RECEIPT Payment Date: 02/01/2007 Total Payment: 843.00 SET ID: S000000675 SET NAME: Tmp set /Initialized Activities TRANSACTION LIST: Type Method Description Amount Payment Check 0008421 843.00 TOTAL: 843.00 Account Code Current Pmts 000/322.100 130.00 000/322.100 194.00 000/345.830 41.00 000/322.100 478.00 TOTAL: 843.00 Project: '. - >ou� /•" A% k i.-n Type of Inspection: / 7 .. /H �r /�� lam' Address: /7770 ...6 &� Date Called: 7. 'a 67.. /� ' d-x Special Instructions: Date Wa ted: ice Requester: Phone 0V6 — (O /2 1 INSPECTIOF(NO. INSPECTION RECORD IP6 Retain a copy with permit old PET NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 - CO . MENTS: ?� �J -74 p-i)4, l l.. 5 Approved per applicable codes. El Corrections required prior to approval. J Date: 7 / 02 0 $58.00 REINSPECTION EE REQUIRED. Prior to inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. (Receipt No.: 'Date: 1 COMMENTS: ' i ( 7 e XI iy / mac //4 /& - c/ • -Lidki 7 rvr�1 Iit 6, 4 r( > N ov 1 6 1, K`' { We - d ir /)-r .,,'re /-etr-7 .�/ /---; ;v7 / d /beAe, -r ei c,--,-•7,l T INSPECTION RECORD I Retain a copy with permit ? 7 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 INSPECTION NO. Pro'e 7 /$ 2)7-)U. Address: - 7 6 - CDC / / li✓ Special Instructions: Type of Inspection: r Da ee.Calied: Date Wanted / Requester: Phone No: El Approved per applicable codes. Inspect•, : / .00 REINSPECTION FEE QUIRE D. Prior to inspection. fee must be aid at 6300 Southcenter Biv ., Suite 100. Call the schedule reinspection. 1Date: R ceipt No.: rrections required prior to approval. 1Date- Project: T Type of Inspection: /1ch? I ii ` "J Address: D / /,‘Pn 4-, P Date Called: Special Instructions: D Date Wanted: - - i ce:- -��t• -:mac` �`''._' F‘e97 03 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 1Z 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206) 431 -36 %\ Approved per applicable codes. Corrections required prior to approval. COMMENTS: 6 6H.s . /2. une, — Kam,/ or: Date: - 7-77 .00 REINSPECTION FE EQUJRf =D. Prior to inspection, fee must be aid at 6300 Southcenter Bl d., Suite 100. Call the schedule reinspection. eipt No.: 'Date: Project: t , / ,Z)40-5 Type of Inspection: fe "7,/ 6/6 Address: , 7 7 rif i' Date Called: ej Special Instructions: Date Warod: G7 — / 7- 0 "..) 171.1 Requester: Phone No: INSPECTION RECORD Retain a copy with permit ' INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PERMIT NO. (206)431-36Z0 12:1Approved per applicable codes. OCorrections required prior to approval. COMMENTS: 2/ A,c(e spec r: 'Date: - .00 REINSPECTIOW FEE REQUIRED. Prior to inspection. fee must be aid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. 'Receipt No.: 'Date: Project: Fay e, / S �4�cs /1 I Type gf Inspectio , - Ga' , ' 6. Address: / 77 76 S())174('P/4-r Date Called: Special Instructions: Date Wanted: 7- /2 U '7 ( a.m,, p.m. Requester: Phone No: INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #1 00, Tukwila, WA 98188 H ;I (206)431 -3670 pproved per applicable codes. Corrections required prior to approval. COMMENTS: 4 -4 7 l 4 '.049.1 � i � / r z( .err ( >/2 I 'Inspector; 73_ 'Date: 7/2„. $58.00 REINSPECTION FEE REQUIRED. Prior to inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. 'Receipt No.: 'Date: Projects" T ype of Insp 'on Ad/ 7 7 77/, ss• Date Calle : Sp l Instruction's: /Coate Wante 4 2/1 -- a.m. p.m. Requester: Phone No: INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 /Kt-- PERMIT (20 )4 Z pproved per applicable codes. Corrections required prior to approval. COMMENTS: Date :��/�� $58.00 INSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. O. 1 -3670 Receipt No.: Date: 't > e!eG• =iii ¢.._ k; . ' �aMt.-a _..1 Project: n c/".- 0 r Day') e of I� ection/ fin/ V A drd ess: /7770 Sail..mi--. Date Called: Special Instructions: Date Wanted: r �i�7 c:tr„ p.m. Reque er: s Phone No: gli/- 3 G? -215/S _ INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION REORD Retain a copy with permit P6D7 -day p roved per applicable codes. Ei Corrections required prior to approval. COMMENTS: Date: X_Ir LI $58.00 REECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: 'Date: 1 CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Project: Address: INSPELT NO. Special Instructions: A) El Approved per applicable codes. COMMENTS: p 4 Inspector: I INSPECTION RECORD Retain a copy with permit Type Date Called: Requester: Phone No: Inspection: Date: 3 Date Wanted :_ / a.m. ' ! El Corrections required prior to approval. y d ,�7)5" / /441 ,S his y .�? -�h s El $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. (Receipt No.: IDate: 1 INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206) Project: Type of Inspection: of) / CJ/IJ - 57 re>// / l- (4p- /� Address: Date Called: 7 770 5 Mie,r4/7/i/ Special Instructions: Date Wanted: Requester: Phone No: o2 - C 77 G p.m. Approved per applicable codes. fJ Corrections required prior to approval. n $58.00 REINSPECTION S EE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. i INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Approved per applicable codes. INSPECTION RECORD Retain a copy with permit PER (206)43 1 -3 El Corrections required prior to approval. Inspector: COMMENTS: 1111 1111 , 0111,1111111M1111111111111111111111. r Aff gil /t /, $58. fir E EE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Address: /7 ? 7d Seist/ e -,.Iti Type of Ins ectio : � �� y , Date Called: Date Wanted: (72 – J— 47 a Special Instructions: Requester: Phone No: PE N COMMENTS: Inc pector. IRIP:i111 •Aw mA1111111111 MIN APN _11111 AllarAerAMIA. 10 )431 -3:71 Approved per applicable codes. INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Project: ` El Corrections required prior to approval. Date: EJ $58.0. R INSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. RPrs int AIr. 09 -17 -2008 KIR TUKWILA 050/KIMCO PROPERTY TAX DEPT 3333 NEW HYDE PARK, SUITE 100 NEW HYDE PARK NY 11042 RE: Permit No. PG07 -034 ` FAMOUS DAVE'S RESTAURANT 17770 SOUTHCENTER PY TUKW Dear Property Owner: In reviewing our current records, the above referenced property is due to have an updated test of the backflow prevention assemblies installed therein. The test(s) is intended to determine if the backflow prevention assembly is operating in accordance with the manufacturer's listed standards. See attached list for the assemblies which need updated test. Where the test indicates that an assembly must be replaced, the work must be done by a licensed plumbing contractor in accordance with the requirements of a plumbing permit. A subsequent successful test of the new assembly will be required for fmal inspection approval of the installation. In accordance with the Tukwila Municipal Code and Uniform Plumbing Code Section 603.3.3, the premises owner is required to have the backflow prevention assembly tested by a Washington State Department of Health certifed backflow assembly tester. A test report(s) is required to be submitted to the City within 30 days of this notice. If all backflow assemblies pass the required test, the next test will be one (1) year from the date of the successful test report. You will be notified when to schedule the next test. Thank you for your cooperation in this matter. Sincerely, Brenda Holt, Permit Coordinator xc: Permit File No. PG07 -034 PGO7 -034 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director Page 1 of 2 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 Assembly #1 Type of Assembly: RPBA Manufacturer: Model: Size: Serial No.: Date Inspection Due: 08/30/2008 Assembly #4 Type of Assembly: Manufacturer: Model: Size: Serial No.: Date Inspection Due: Assembly #7 Type of Assembly: Manufacturer: Model: Size: Serial No.: Date Inspection Due: WATTS 009QT 0.5 A32575 0 0 BACKFLOW ASSEMBLIES THAT REQUIRE TESTING: Assembly #2 Type of Assembly: RPBA Manufacturer: WATTS Model: 00972QT Size: 2 Serial No.: A04760 Date Inspection Due: 08/30/2008 Assembly #5 Type of Assembly: Manufacturer: Model: Size: Serial No.: Date Inspection Due: Assembly #8 Type of Assembly: Manufacturer: Model: Size: Serial No.: Date Inspection Due: 0 0 Assembly #3 Tylp of Assembly: RPBA Manufacturer: WATTS Model: 00973QT Size: 0.75 Serial No.: A08236 Date Inspection Due: 08/30/2008 Assembly #6 Type of Assembly: Manufacturer: Model: Size: Serial No.: Date Inspection Due: Assembly #9 Type of Assembly: Manufacturer: Model: Size: Serial No.: Date Inspection Due: 0 PGO7 -034 Page 2 of 2 License Information License AUBURMI163BA Licensee Name AUBURN MECHANICAL INC Licensee Type CONSTRUCTION CONTRACTOR UBI 600074968 Ind. Ins. Account Id 20423000 Business Type CORPORATION Address 1 PO BOX 249 Address 2 City AUBURN County KING State WA Zip 98071 Phone 2538389780 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 1/1/1984 Expiration Date 9/12/2008 Suspend Date Separation Date Parent Company Previous License AUBURMI 184LA Next License Associated License Business Owner Information Name Role Effective Date Expiration Date THODAY, DAVID V 01/01/1980 THODAY, STACY A 01/01/1980 Look Up a Contractor, Electrici 911 or Plumber License Detail Page 1 of 3 Same 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 #3 Bond Company Name FIDELITY & DEPOSIT CO OF MD Bond Account Number LPM8047218 Effective Date 09/01/2001 Expiration Date Until Cancelled Cancel Date Impaired Date Bond Amount $12,000.00 Received Date 09/12/2001 https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= AUBURMI163BA 02/01/2007