HomeMy WebLinkAboutPermit PG07-256 - O SUSHI RESTAURANTO SUSHI RESTAURANT
15901 WEST VALLEY HY
EXPIRED 04.05 -OS
PGO7-256
Parcel No.: 0005800030
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Value of Plumbing /Gas Piping:
Fees Collected:
15901 WEST VALLEY HY TUKW
O SUSHI RESTAURANT
15901 WEST VALLEY HWY , TUKWILA WA
PHOENIZ HOTELS & HOSPITLTY
15901 WEST VALLEY HWY , TUKWILA WA
BILL CAUSER
15423 50 PL W , EDMONDS WA
Contractor:
Name: B & L PLUMBING SERVICE
Address: 15423 50 PL W , EDMONDS WA
Contractor License No: BLPLUS *097P2
DESCRIPTION OF WORK:
INSTALL HANDSINK, 3- COMPARTMENT FLOOR SINK
$1,000.00
$138.00
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: 425 745 -4162
Phone: 425 7454162
Expiration Date: 01/11/2009
PG07 -256
09/27/2007
03/25/2008
Uniform Plumbing Code Edition: 2006
International Fuel Gas Code Edition: 2006
Plumbing (cont.)
O 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
1 Medical gas piping (6 +) inlets /outlets 0
5 Gas Piping
0 Gas piping outlets (0 -5) 0
O Gas piping outlets (6 +) 0
PG07 -256 Printed: 09 -27 -2007
Permit Center Authorized Signature:
Signature:
doc: UPC -10/06
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
Print Name:
Permit Number: PG07 -256
Issue Date: 09/27/2007
Permit Expires On: 03/25/2008
Date: ogle/Ala
I hereby certify that I have read and ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complie wi '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 perfQrmanc f work. I am authorized to sign and obtain this plumbing /gas piping permit. j
Date: a �/ 6
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 -256 Printed: 09-27 -2007
Parcel No.: 0005800030
Address:
Suite No:
Tenant:
1: ** *PLUMBING AND GAS PIPING * **
doc: Cond - 10/06
0 SUSHI RESTAURANT
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
15901 WEST VALLEY HY 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 -256
ISSUED
09/27/2007
09/27/2007
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 -256 Printed: 09-27 -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
(..tt,' 144,Ly orliaLsi—L„
Date:
PG07 -256 Printed: 09-27 -2007
Site Address:
Tenant Name:
Property Owners Name:
Mailing Address:
Name:
Mailing Address:
E -Mail Address:
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Contractor Registration Number:
Contact Person:
E -Mail Address:
Contact Person:
E -Mail Address:
CITY OF TUKWII.
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
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Q:\Applications'Porms- Applications On Line\3 -2006 - Plumbing -Gas Piping Permit Applieation.doe
Revised: 4 -2006
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Plumbing /Gas Permit No
Project No,
T-
City
Day Telephone:
Fax Number:
Expiration Date:
(For tee
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 **
King Co Assessor's Tax No.: l9C — C CI
1,) >1 Suite Number:
New Tenant:
Floor:
❑ .... Yes ❑ ..No
Wit
Zip
CONTACT PERSON -Who do we contact when your permit is ready to be issued
Day Telephone:
�dv J
City
Fax Number:
(4), 9
State Zip
PLUMBING /
GAS .PIPING CONTRACTOR INFORMATION
State Zi p
(OA"-
o11111/01
ARCHITECT OF RECORD — All plans must be wet stamped by Architect
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
City
Day Telephone:
Fax Number:
Zip
Page 1 of 2
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
1
(
Receptor, indirect
waste
p
Clothes washer, domestic
Floor drain
Sinks
Dental unit, cuspidor
Shower, single head trap
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
Valuation of Project (contractor's bid price): $ /00 O °C°
Scope of Work (please provide detailed information): j
f l / Do Qese s tv 3 Covi pet tiA.e.1
Building Use (per Int'l Building Code):
Occupancy (per Int'l Building Code):
Utility Purveyor: Water: 1 Utit— Sewer:
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
kA
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 Intemational 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 AUTHO ZED AGENT:
Signature:
Mailing Address: lCr,
Date Application Accepted:
Q:\Applications\Forms- Applications On Line\3 -2006 - Plumbing -Gas Piping Perini Application.doc
Revised: 4 -2006
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City
Date: 9
Print Name: t/ � 1 l I \ Q t w ( t Day Telephone: / 9 f S . 7 1 /C 1
G04 92940. C
State Zip
Date Application Expires:
Staff Initials:
'lJ
Page 2 of 2
1
Payee: CHRIS L CAUSER
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.: 0005800030 Permit Number: PG07 -256
Address: 15901 WEST VALLEY HY TUKW Status: PENDING
Suite No: Applied Date: 09/27/2007
Applicant: 0 SUSHI RESTAURANT Issue Date:
Receipt No.: R07 -02110 Payment Amount: $138.00
Initials: JEM Payment Date: 09/27/2007 11:06 AM
User ID: 1165 Balance: $0.00
TRANSACTION LIST:
Type Method Description Amount
Payment Check 5003 138.00
Account Code Current Pmts
000/322.100 138.00
Total: $138.00
3296 09/27 9710 t ' n , 138.00
doc: Receiot -06 Printed: 09 -27 -2007
p n c y76 _ 65 R,...„54,,,,,,;
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/
Address:
/ 5 a / 11 - 1
169/k4
Date called:
/ve
Special Instructions:
/
Date W ted:
– - 0 - 7
P.m.
Requester:
Phciie No: __
::: 5 P257
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
/'6t' ?
PERMIT ND.
lef
(206)431-3670
11 Approved per applicable codes.
t 3 Corrections required prior to approval.
COMMENTS:
("7 k41 eollzdA/r
-1 q/e - } .41 eel/
spec
dr
Lkuor
•
.00 REINSPECTION EE REQUIRE'. Prior to inspection. fee must be
paid at 6300 Southcenter Blvd.. Su' 100. Call the schedule reinspection.
'Receipt No.:
'Date:
Project:
Type o Ins ection:
Address: ,
15 90/ /e /1,/
Called:
Special Instructions: /Date
Wanted:
/0_
Requester:
Phone No
2-5 --
'/-2
INSPECTION RECORD
v Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION 1`
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -347
Approved per applicable codes.
El Corrections required prior to approval.
COMMENTS:
5 44-
I Date: /0 - g792
Inspector:
0 $58. u REINSPECTION FI�E REQUIRED. Prior to inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection.
(Receipt No.:
'Date:
03 -05 -2008
BILL CAUSER
1542350PLW
EDMONDS WA 98026
RE: Permit No. PG07 -256
15901 WEST VALLEY HY 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 International Codes, Uniform Plumbing/Fuel Gas Code and/or the National Electrical Code, every permit issued by the
Building Division under the provisions of the 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 issuance, 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 International Codes, Uniform Plumbing/Fuel Gas Code and/or the National Electrical 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 writing 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 04 /05/2008 , your permit will become null and
void and any further work on the project will require a new permit application and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
CVL
xc:
er Marshall
it Technician
Permit File No. PG07 -256
Ciiy of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
License Information
License
BLPLUS *097P2
Licensee Name
B & L PLUMBING SERVICE
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
601311502
Ind. Ins. Account Id
Business Type
INDIVIDUAL
Address 1
15423 50TH PL W
Address 2
City
EDMONDS
County
SNOHOMISH
State
WA
Zip
980264414
Phone
4257454162
Status
ACTIVE
Specialty 1
PLUMBING
Specialty 2
UNUSED
Effective Date
10/22/1991
Expiration Date
1/11/2009
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
Business Owner Information
Name
Role
Effective Date
Expiration Date
CAUSER, CHRIS L
OWNER
10/22/1991
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
#5
Bond
Company
Name
COLONIAL
AM CAS &
SURETY
OF MD
Bond
Account
Number
LPM4047070
Effective
Date
10/21/2001
Expiration
Date
Until
Cancelled
Cancel
Date
Impaired
Date
Bond
Amount
$6,000.00
Received
Date
11/26/2001
https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= BLPLUS *097P2 09/27/2007