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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