HomeMy WebLinkAboutPermit PG07-231 - MCDONALD'SMCDONALD'S
16501 SOUTHCENTER PY
PG07 -231
Parcel No.: 5379200282
Address:
Suite No:
DESCRIPTION OF WORK:
Value of Plumbing /Gas Piping:
Fees Collected:
doc: UPC -10/06
Cityf 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
16501 SOUTHCENTER PY TUKW
Tenant:
Name: MCDONALD'S
Address: 16501 SOUTHCENTER PY , TUKWILA WA
Owner:
Name: MCDONALD'S CORP 046 -0069
Address: PO BOX 182571 , COLUMBUS OH
Contact Person:
Name: KEITH LINDSAY
Address: 8823 CANYON RD E , PUYALLUP WA
Contractor:
Name: FAWCETT PLUMBING INC
Address: 8823 CANYON RD E , PUYALLUP WA
Contractor License No: FAWCEPIO23LW
$2,500.00
$118.00
Plumb' g
Bathtub or combination bath/shower 0
Bidet 0
Clothes washer, domestic 0
Dental unit, cuspidor 0
Dishwasher, domestic, with independent drain 0
Drinking fountain or water cooler (per head) 0
Food -waste grinder, commercial 0
Floor drain 0
Shower, single head trap 0
Lavatory 0
Wash fountain 0
Receptor, indirect waste 2
Sinks 1
Urinals 0
Water Closet 0
PLUMBING /GAS PIPING PERMIT
FIXTURE TYPE AND OUANTITY
* *continued on next page **
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 253- 606 -0858
Phone: 253 -531 -6000
Expiration Date: 05/27/2009
PG07 -231
09/04/2007
03/02/2008
Uniform Plumbing Code Edition: 2006
International Fuel Gas Code Edition: 2006
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
its trap and vent, except for kitchen type
grease interceptors 0
Repair or alteration of water piping and/or water
treatment equipment 0
Repair or alteration of drainage or vent piping 1
Medical gas piping system serving (1 -5)
inlets /outlets for a specific gas 0
Medical gas piping (6 +) inlets /outlets 0
Gas Pi,�ing
Gas piping outlets (0 -5) 0
Gas piping outlets (6 +) 0
PG07 -231 Printed: 09 -04 -2007
City o 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 Center Authorized Signature: C� Re&NADate: " V 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 permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
constructioy( f the pe ormance of ork. I am authorized to sign and obtain this plumbing /gas piping permit.
Signature:` .1 I ll/I/ Date: �
Print Name: Oh t rl \ 726. CL rid 69
doc: UPC -10/06
Permit Number: PG07 -231
Issue Date: 09/04/2007
Permit Expires On: 03/02/2008
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 - 231 Printed: 09 -04 -2007
Parcel No.: 5379200282
Address:
Suite No:
Tenant:
1: ** *PLUMBING AND GAS PIPING * **
doc: Cond -10/06
MCDONALD'S
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
16501 SOUTHCENTER PY TUKW
PERMIT CONDITIONS
* *continued on next page **
Permit Number:
Status:
Applied Date:
Issue Date:
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.
PGO7 -231
ISSUED
09/04/2007
09/04/2007
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.
PG07 -231 Printed: 09-04 -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: Chtlim a CAArty
Print Name: c I rl th /} 6 L( /Z (,y
doc: Cond -10/06
Date: ?' -7 9
PG07 -231 Printed: 09 -04 -2007
very'
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.atukwila.wa.us
Building Permit No. 6 0
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 **
` le SO ( King Co Assessor's Tax No.: 537 9'a OOo saa
Site Address:44 Li- /ireA(tvA , loll L/ to
/� `, IA u Suite Number: — 9 New Tenant:
Tenant Name: Mr&v iaQd3 ' Osltl '
Property Owners Name: !} ir'Oraia kTI.S ( -
Mailing Address: ?a 13 ) 1 15 /1 Le. A )E
/6
// Land
at
State
Floor:
❑ Yes [/.No
95033
Zip
CONTACT PERSON — who do we contact whcn your permit is ready to be issued
Name: KP(f h L ,neIC6 _
Mailing Address: �'S$'C23 (:A n 1 1 G.
E-Mail Address: KP:Ith Gef(l (krojtati nth; ,c13/71
Contact Person:
E-Mail Address:
Contractor Registration Number:
Contact Person:
E-Mail Address:
Contact Person:
E-Mail Address:
Q: ApplicatiauWonns- Appliaiions On Linel7 -2006 - Permit Applieation.doc
Revised: 9-2006
bh
Day Telephone: 053- (104 - 095f
kin 5W37 /
State Zip
Fax Number: 0 531 - ( ow
GENERAL CONTRACTOR INFORMATION —
(Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5))
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
Expiration Date:
State
1 ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record
Company Name:
Mailing Address:
Zip
City
Day Telephone:
Fax Number:
State
I ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record
Company Name:
Mailing Address:
Zip
State
Zip
City
Day Telephone:
Fax Number:
Page 1 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
Bidet
Food -waste grinder,
commercial
Receptor, indirect
waste
2
Clothes washer, domestic
Floor drain
Sinks
R
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 -3670
PLUMBING AND GAS PIPING CONTRACTOR INFORMATION
Company Name: Till', tr /�
, Ott t 6r l hr.
o
Mailing Address: g 1 J any 'O E t' /� �.( dp F AR Gif/ ef37(
/11511-1x SState Zip
Contact Person: (I 1' lrt c+ g Day Telephone: 053- 6OG - OkSk
E -Mail Address: ►pe rt hQ - l < t-t G xi?tt phi nt I& n3 , ((yY) Fax Number: 0953 53/ - (p 00/
Contractor Registration Number: T I L)e.E P I 003 LG.) Expiration Date: ,r') cg 7 -c9009
Valuation of Plumbing work (contractor's bid price): $ 650o- o0
Valuation of Gas Piping work (contractor's bid price): $ 0
Scope of Work (please e rovide detailed information): flew
UUm hid Ste,
Q:MpplieationsWOmu- Applieatiom On Line 3 -2006 - Permit Apptieation.doc
Revised: 9 -2006
bh
teuP.rdf Cou/kctec .
Building Use (per Int'1 Building Code):
Occupancy (per Int'1 Building Code):
Utility Purveyor: Water: Sewer:
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
Page5of6
BUILDIN
Signatur
PERMIT APPLICATION NOTES Applicable to alI 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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
R O
AUTHOR IZ AG NT:
Print Name: ail I riS"1- 1 YICe (1 ridSCR t
Mailing Address: S'St2 3 C r/h e
Date Application Accepted: Date Application Expires: Staff Initials:
QMpplicatiau\Fomu -Appli cations On [met3-2006 - Permit Application.doe
Revised: 9 -2006
bh
a
r
Day Telephone: 95 3- 53/-6, Off)
Ip G,,fl 743 7 1
City state Zip
Date: Q 0/00
Page 6 of 6
Receipt No.: R07 -01872
Payee: FAWCETT PLUMBING
TRANSACTION LIST:
Type Method Description
ACCOUNT ITEM LIST:
Description
PLUMBING - 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
RECEIPT
Parcel No.: 5379200282 Permit Number: PG07 -231
Address: 16501 SOUTUCENTER PY TUKW Status: PENDING
Suite No: Applied Date: 09/04/2007
Applicant: MCDONALD'S Issue Date:
Initials: WER Payment Date: 09/04/2007 11:58 AM
User ID: 1655 Balance: 50.00
Amount
Payment Check 21846 118.00
Account Code Current Pmts
000/322.100 118.00
Total: $118.00
Payment Amount: 5118.00
2354 09/04 9710 TOTAL 118.00
doc: Receiot -06 Printed: 09-04 -2007
Project:
AIL- I.,
Type o Ins • ection:
Addr?s:
Date Called:
Special Instructions:
,,-----'`
/
Date Wanted:
APP"
- •
• equester:
Phone N5
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
COMMENTS:
Inspector
ved per applicable codes.
IT NO.
206 431-
ections required prior to approval.
Date:
7
El $58.00 REINS ON FEE REQUIRED. Prior to inspection. fee must be
paid at 630. outhcenter Blvd.. Suite 100. Call the schedule reinspection.
'Receipt No.: 'Date:
COMMENTS:
Type of Inspection:
; /i
-
NO /E . Po J∎`f .Cf
G., ri S t ( 4vdlo d/s.1
0:/? / i/j . i'o
f / N "
t Z_ f2dY - / Ad
` - f
Special Instructions:
Date Wanted:
-=7 — G - v
44 .) , ,-gl, -/ <I , .t. ,
S /
Phone No:
Project:
/7( i ) c , v) /)5
Type of Inspection:
; /i
.
%v
Address:
/L_7 ,i)(M/ift, -i
Date Called:
Special Instructions:
Date Wanted:
-=7 — G - v
(a:my
`rsm.
Requester:
Phone No:
1
INSPECTION NO. PE NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (706)43 -360
INSPECTION RECORD
Retain a copy with permit
Approved per applicable codes. ❑ Corrections required prior to approval.
�ctl�
1 Receit No..
7 !
IDat7_
'Date:
Gee
$58 REINSPECTION FEE REQUIRED Prior to inspection, fee must be
pa' at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection.
Project:
Type Inspection:
Ad ress:
1G-) 5 G 1 i 1 // �VtFn
/
Date Called:
_i
Special Instructions:
_
Dae Wanted:
a.m.
Requester:
Phone N o:
2 7 3 --1,v C-
Jr---6
SPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Inspect
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
x .00 REINSPECTION fEE RE
id at 6300 Southcenter Blvd..
INSPECTION RECORD
Retain a copy with permit
1'
M/
IRED. Pri
s ite 100.
Date:
eipt No.: 'Date:
PG J
PERMIT NO.
(206)431 -3670
to inspection, fee must be
It the schedule reinspection.
License Information
License
FAWCEPIO23LW
Licensee Name
FAWCETT PLUMBING INC
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
601878428
Ind. Ins. Account Id
#4
Business Type
CORPORATION
Address 1
8823 CANYON ROAD E
Address 2
01/01/1980
City
PUYALLUP
County
PIERCE
State
WA
Zip
98371
Phone
2535316000
Status
ACTIVE
Specialty 1
GENERAL
Specialty 2
UNUSED
Effective Date
6/16/1998
Expiration Date
5/27/2009
Suspend Date
Separation Date
Parent Company
Previous License
FAWCEP *026BJ
Next License
Associated License
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
#4
CBIC
SE9747
05/27/2003
Until
Cancelled
01/01/1980
01/01/1980
$12,000.00
05/02/2003
Business Owner Information
Name
Role
Effective Date
Expiration Date
LINDSAY, KEITH
PRESIDENT
01/01/2006
FAWCETT, PATRICIA A
PRESIDENT
01/01/1980
01/01/2006
FAWCETT, RONALD D
01/01/1980
01/01/1980
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.
https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= FAWCEPIO23LW 09/04/2007