HomeMy WebLinkAboutPermit PG07-216 - STARBUCKSSTARBUCKS
17100 SOUTHCENTER PY
SUITE 108
PGO7-216
Parcel No.: 2623049081
Address:
Suite No:
City f 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
17100 SOUTHCENTER PY TUKW
Tenant:
Name: STARBUCKS
Address: 17100 SOUTHCENTER PY, STE 108 , TUKWILA WA
Owner:
Name: WIG PROPERTIES LLC -SS
Address: 4811 134TH PL SE , BELLEVUE WA
Contact Person:
Name: BRENT ADKISSON
Address: 2020 S 320 ST #C -90 , FEDERAL WAY WA
Contractor:
Name: D15 MECHANICAL
Address: 2020 S 320 ST #C -90 , FEDERAL WAY WA
Contractor License No: D 15MEM *930BT
DESCRIPTION OF WORK:
INSTALL GAS LINE TO (2) HVAC UNITS
Value of Plumbing /Gas Piping:
Fees Collected:
doc: UPC-10 /06
$500.00
$110.00
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
FIXTURE TYPE AND OUANTITY
* *continued on next page **
PLUMBING /GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 360 888 -5433
Phone: 360 888 -5433
Expiration Date: 01/30/2009
PG07 -216
08/31/2007
02/27/2008
Uniform Plumbing Code Edition: 2006
International Fuel Gas Code Edition: 2006
Plumbing (cont.)
0 Building sewer and each trailer park sewer 0
O Rain water system - per drain (inside bldg) 0
0 Water heater and/or vent 0
0 Industrial waste treatment interceptor, including
0 its trap and vent, except for kitchen type
O grease interceptors 0
0 Repair or alteration of water piping and/or water
0 treatment equipment 0
0 Repair or alteration of drainage or vent piping 0
0 Medical gas piping system serving (1 -5)
0 inlets /outlets for a specific gas 0
0 Medical gas piping (6 +) inlets /outlets 0
O Gas Piping
0 Gas piping outlets (0 -5) 2
0 Gas piping outlets (6 +) 0
PG07 -216 Printed: 08 -31 -2007
Permit Center Authorized Signature:
City o`t'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
(JR
Permit Number: PG07 -216
Issue Date: 08/31/2007
Permit Expires On: 02/27/2008
Date:
8 - 3 1-6 7
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 pe . -o s■
construction or the p '
Signature: /Ai If
Print Name:
doc: UPC -10/06
oes not pre
c- of w
lx /7" AWE +sf
e to give authority to violate or cancel the provisions of any other state or local laws regulating
ign and obtain this plumbing /gas piping permit.
Date:
/ -0 7
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 -216 Printed: 08 -31 -2007
Parcel No.: 2623049081
Address:
Suite No:
Tenant:
STARBUCKS
1: ** *PLUMBING AND GAS PIPING * **
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
17100 SOUTHCENTER PY TUKW
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
PGO7 -216
ISSUED
08/22/2007
08/31/2007
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.
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: 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.
8: 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.
9: 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.
doc: Cond - 10/06
* *continued on next page **
PG07 -216 Printed: 08-31 -2007
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.
Signature:
Print Name:
doc: Cond -10/06
df,?r,-r /le(M-sfavt
Date:
7/ -a7
PG07 -216 Printed: 08 -31 -2007
SITE LOCATION
Site Address:
Tenant Name:
CITY OF TUKWIL,
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
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**
/WOO s;01,CQ✓ ,i(iY
Property Owners Name: (n./ ■ (- 4o'ei }i eS
Mailing Address: g// SE l3q T'` / 7.
CONTACT PERSON -Who do we contact when your permit is ready to be issued
Name: & EA/ T AA kt'55 cn-.
Mailing Address:
E -Mail Address:
PLUMBING. / GAS :PIPING CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
P15 Ill eCLI w►-. I'C')
Contact Person:
E -Mail Address:
Contractor Registration Number: V)5 /Y.e t'V1 - 9. i /
Q: Appliationsworms- Applications On Line\3 -2006 - Plumbing -Gas Piping Permit Application.doc
Revised: 4-2006
bh
Plumbing/Gas Permit No.
Project No,
King Co Assessor's Tax No.: 11/ — quit
Suite Number: /03 Floor:
New Tenant: 4.... Yes 0 ..No
L.1- c --$3
Cit
City
Fax Number:
Expiration Date:
State
Day Telephone: tb 88 .5
State
Zip
Zo2c0 S. 7,2o 7" 57 C -fo
City State Zip
i�iecAT 4a ki'55c Day Telephone: WHO 88 55
Fax Number:
/ - 3o - a 00 1
ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
State
Zip
ENGINEER OF RECORD - All plans must be wet, stamped by Engineer of Record
City
Day Telephone:
Fax Number:
State
Zip
Page 1 of 2
Fixture Type:
Qty .
- Fixture Type. .' -- ,
. Qty j
Fixture Type
: .Qty .-
Fixture Type:
Qty
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
Iry
Valuation of Project (contractor's bid price): $ 50
Scope of Work (please provide detailed information):
fi4.f 5 L Ale_ 1-0 g E4 19cm-c t w, ts'
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:
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 OWNS , AUT I
Signature:
Print Name:
Mailing Address:
Date Application Accepted:
RI
ED
ENT:
1 9) r
32e r
otly 104-
Q:\Applications\Forms- Applications On Line U-2006 - Plumbing -Gas Piping Permit Application.doc
Revised: 4 -2006
bh
Date: g - — 7
Day Telephone: 3366 S g" 5 P
City State Zip
Date Application Expires:
Staff Initials:
P age 2 of 2
i
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.: 2623049081 Permit Number: PG07 -216
Address: 17100 SOUTHCENTER PY TUICW Status: APPROVED
Suite No: Applied Date: 08/22/2007
Applicant: STARBUCKS Issue Date:
Receipt No.: R07 -01851
Initials: WER
User ID: 1165
Payee: BRENT ADKISSON
TRANSACTION LIST:
Type Method Description
ACCOUNT ITEM LIST:
Description
doc: Receiot -06
GAS - NONRES
Payment Amount: $88.00
Payment Date: 08/31/2007 03:03 PM
Balance: $0.00
Amount
Payment Cash 88.00
Account Code Current Pmts
000/322.100 88.00
Total: $88.00
Printed: 08 -31 -2007
T..... Donets' ALA
RECEIPT NO: R07 -01761
Payee: BRENT ADKISSON
SET TRANSACTIONS:
Set Member Amount
ACCOUNT ITEM LIST:
Description
MECHANICAL - NONRES
PLAN CHECK - NONRES
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
SET RECEIPT
Initials: JEM Payment Date: 08/22/2007
User ID: 1165 Total Payment: 115.00
SET ID: S000000831 SET NAME: D15
M07 -182 71.00
PG07 -216 22.00
PG07 -217 22.00
TOTAL: 115.00
TRANSACTION LIST:
Type Method Description Amount
Payment Cash 115.00
TOTAL: 115.00
Account Code Current Pmts
000/322.100 .03
000/345.830 114.97
TOTAL: 115.00
"Y3
OF/22 •?.: 1 0 TOTAL TAL 1 ._
Pr _S i/ 4 / � a(� �s
Tyge ofInspection: ,
Address:
/ � e (, A
l / oo S ��
to Called:
�
Special Instructions:
to Wanted :
a . ,
Requester:
Phone No
3bo °
- S`/3 3
7/
P607-2/
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
COMMENTS:
-Per-n4 i I <ir,� f l /F f r //AI
0 REINSPECTION FE�REQUIRED. Prior to inspection, fee must be
id at 6300 Southcenter vd., Suite 100. Call the schedule reinspection.
Receipt No.: 'Date:
Approved per applicable codes. Ei Corrections required prior to approval.
Pro
` k (r gin. -t.0 ��
Ty of Inspec n: i
�4 U\ - ) ..r
\.„...,
C�+-
Add
ate Called:
Special Instructions:
Date Wanted:
O —Q1
(., a
p.m.
Requester:
Phone No:
paid at 6300 Southcenter Blvd.. Suit
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 -3¢7
vi .Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
aspect • r:
I D S - 1 0 -
.00 REINSPECTION FEE REQ 'RED. Prio to inspection, fee must be
Call the sch reinsaection
100
'Receipt No.:
'Date:
REVISIONS
No changes shall made t the al�pe
of work without prior app
Tukwila Building Division.
NOTE: Revisions will require a new plan submittal
and may include additional plan review fees.
2" Square Washer w /nut
Bar Joist
3/8" All Thread
Loop Pipe Hanger
r�
■51it
a "( 5
L►N
f o : ComN ec fibA
Single Gas Line Hanging Detail
FILE COPY
Permit No.
Plan review approval Is subject to errors and omission%
Approval of constuction doajments does not autl
the violaticn cf cny accepted code or ordinance. Receipt
of apprc cd C:: :i C � c-d .. .
� • ons Is adarot viedged:
BY
Date:
BUILDING "N" FLOOR PLAN @ STARBUCKS
Of Tukwila
D NG DIVISION
Beam Clamp
Bar Joist
3/8" All Thread
9 7 /-6
City of Tukwila
BUILDING DIVISION
SEPARATE PERMIT
REQUIRED FOR:
lift hank:al
• teElectrical
DIPlumbing
❑ Gas Piping
City of Tukwila
B UILDING DIVISION
Loop Pipe Hanger CITRECEIVED /ILA
AUG 2 2 2007
PERMIT CENTER
174- 2.1(0
� PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: PG07 - 216 DATE: 08 -22 -07
PROJECT NAME: STARBUCKS
SITE ADDRESS: 17100 SOUTHCENTER PY, STE 108
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter #
Revision # After Permit Issued
DEPARTMENTS:
1)41.0
Bui 1. ing l 'vision
Public Works
Fire Prevention
Structural
DETERMINATION OF COMPLETENESS: (rues., Thurs.)
Complete
Comments:
REVIEWER'S INITIALS:
APPROVALS OR CORRECTIONS:
Approved ❑
Notation:
REVIEWER'S INITIALS:
Documents/routing slip.doc
2 -28-02
Incomplete n
Planning Division
❑ Permit Coordinator
DUE DATE: 08-23-07
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES/THURS ROUTING:
Please Route y Structural Review Required ❑ No further Review Required
DATE:
DUE DATE: 09-20-07
Approved with Conditions il Not Approved (attach comments) n
DATE:
Not Applicable n
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
License Information
License
D15MEM *930BT
Licensee Name
D15 MECHANICAL
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
601841514
Ind. Ins. Account Id
Business Type
INDIVIDUAL
Address 1
2020 S 320TH ST #C -90
Address 2
City
FEDERAL WAY
County
KING
State
WA
Zip
98003
Phone
3608885433
Status
ACTIVE
Specialty 1
AIR HEAT,VENTILATION,EVAPORAT
Specialty 2
SHEET METAL
Effective Date
1/30/2007
Expiration Date
1/30/2009
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
Business Owner Information
Name
Role
Effective Date
Expiration Date
ADKISSON, BRENT
OWNER
01/30/2007
Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 2
t
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
No Matching Information
Savings Information
Savings
Bank
Name
Bank
Branch
Location
Assignment
of Savings
Number
Effective
Date
Release
Date
Assignment
Type
Impaired
Date
Amount
Received
Date
https: // fortress .wa.gov /lni/bbip /printer.aspx ?License =D 15MEM* 930BT 08/31/2007