HomeMy WebLinkAboutPermit PG07-262 - PANDA EXPRESSZ9Z-L OOd
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Parcel No.: 2623049081
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
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
17100 SOUTHCENTER PY TUKW
WIG PROPERTIES LLC -SS
4811 134TH PL SE , BELLEVUE WA
Contact Person:
Name: BRENT ADKISSON
Address: 2020 S 320 ST #C -90 , FEDERAL WAY WA
Contractor:
Name: DIS MECHANICAL
Address: 2020 S 320 ST #C -90 , FEDERAL WAY WA
Contractor License No: D 15MEM *930BT
PLUMBING /GAS PIPING PERMIT
PANDA EXPRESS
17100 SOUTHCENTER PY, STE 100 , TUKWILA WA
Permit Number:
Issue Date:
Permit Expires On:
DESCRIPTION OF WORK:
INSTALL GAS LINES TO (3) HVAC ROOFTIP UNITS FROM EXISTING 2" GAS LINE IN TENANT
SPACE
Value of Plumbing /Gas Piping:
Fees Collected:
$750.00
$110.00
Plumbing
Bathtub or combination bath/shower 0
Bidet 0
Clothes washer, domestic 0
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
FIXTURE TYPE AND OUANTITY
* *continued on next page **
Phone:
Phone: 360 888 -5433
Phone: 360 888 -5433
Expiration Date: 01/30/2009
PGO7 -262
10/10/2007
04/07/2008
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
O Industrial waste treatment interceptor, including
0 its trap and vent, except for kitchen type
0 grease interceptors 0
0 Repair or alteration of water piping and/or water
O 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
O Medical gas piping (6 +) inlets /outlets 0
0 Gas Piping
0 Gas piping outlets (0 -5) 3
0 Gas piping outlets (6 +) 0
PG07 -262 Printed: 10 -10 -2007
Permit Center Authorized Signature:
The granting of this
construction or
Signature:
doc: UPC-10 /06
City &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 Number: PG07 -262
Issue Date: 10/10/2007
Permit Expires On: 04/07/2008
Date:
I hereby certify that I have read and e ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied th whether specified herein or not.
't does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
rformance of ork. Jam authorized to sign and obtain this plumbing /gas piping permit.
Date: /G /D -0 7
Print Name: (RrA 7 I/�/ CX
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 -262 Printed: 10 -10 -2007
Parcel No.: 2623049081
Address:
Suite No:
Tenant:
PANDA EXPRESS
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:
PG07 -262
ISSUED
10/04/2007
10/10/2007
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: 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.
8: 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.
9: 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.
10: 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 -262 Printed: 10 -10 -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
Date: / / 0 7
PG07 -262 Printed: 10 -10 -2007
Site Address:
Tenant Name:
Property Owners Name: /,. i G- /4 € S
Mailing Address: L i t 0/ / 5 E / 3 7 7i f/ •
CONTACT PERSON Who do we contact when your permit is ready to be issued
S12 r//7- Day Telephone: ?6 (i $Z
Mailing Address: 2 C S, 3- `` Sf # c" - - *) rec/e..-J way c,mt 5 goo 3
City / State Zip
Name:
E -Mail Address:
PLUMBING / GAS PIPING CONTRACTOR INFORMATION
5 G► vi'Ca)
% Sf PgC -90 Federa / w,/ GiJi 2,003
) , / City S tate Zip
Contact Person: � /`C �.c/ T /� Pi <Z // Day Telephone: -360 S Y j . 3
Company Name:
Mailing Address:
E -Mail Address:
Contractor Registration Number: 2) /S /? E/ k S30 /e T
ARCHITECT .OF RECORD - All plans roust be wet stamped by Architect of Record
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Contact Person:
E -Mail Address:
CITY OF TUKWILJ,
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**
1 7 /00 Sou rt■cet,. Fef >°kf4JV
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Q:1Applications\Ponns- Applications On Line\3 -2006 - Plumbing -Gas Piping Permit Application.doc
Revised: 42006
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Plumbing /Gas Permit
Project No,
King Co Assessor's Tax No.: 94/2- -1,0S1
Suite Number: /00 Floor:
New Tenant: ... Yes 0 ..No
41c- / 55
i ei( /e Uli► e
City
Fax Number:
Fax Number:
wA
State
WOO
Zip
Expiration Date: O / / 3c' /2o
-0 7'
City
Day Telephone:
Fax Number:
State
Zip
ENGINEER OF RECORD - All plans must be wet stamped by Engineer, of Recor
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
State
Zip
Page 1 of 2
Fixture Type: _ :.
Qty `
Fixture Type: "
Qty '
"Fixture Type: " "
"Qty
Fix ture ":Type:
Qty
Bathtub or combination
bath/shower
Drinking fountain or water
cooler (per head)
Wash fountain
Gas piping outlets
3
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
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
.T A-644.1 65 1 _ ; e _ - tU 3 E4 04- C ,oa-r 7`ae Gvh i
Frovv _ e_ x 5 ,\'‘-j G 5 L, ',u . ,',v 1 Sp &ce.
Building Use (per Intl 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:
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 OWN ; OR AUTHORI D AGE
Signature:
Q: \Applications\Forms- Applications On Line\3 -2006 - Plumbing -Gas Piping Permi Application.doc
Revised: 4 -2006
bh
7 so
i
Date: / —/
Print Name: , 4 1r✓ T AA k i`SSa-v\ Day Telephone: 36 6 8 '
Mailing Address: 2C3 /■-O S , 3 2 r) S 1 C cJc" 4 7e003 City State
Date Application Accepted:
oktilD9-
Date Application Expires: fr
ot{ N ei
Staff Initials:
Page 2 of 2
RECEIPT NO: R07 -02206
Initials:
User ID:
JEM
1165
Payee: BRENT ADKISSON
SET TRANSACTIONS:
Set Member Amount
ACCOUNT ITEM LIST:
Description
GAS - NONRES
MECHANICAL - 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.VIwww.cLtukwila.wa.us
SET 1D: 1010 SET NAME: D15
M07 -212 215.58
PG07 -262 88.00
PG07 -263 88.00
PG07 -264 88.00
TOTAL: 479.58
TRANSACTION LIST:
Type Method Description
SET RECEIPT
Payment Date: 10/10/2007
Total Payment: 479.58
Amount
Payment Cash 479.58
TOTAL: 479.58
Account Code Current Pmts
000/322.100 264.00
000/322.100 215.58
TOTAL: 479.58
RECEIPT NO: R07 -02172
Initials: JEM
User ID: 1165
Payee: BRENT ADKISSON
SET TRANSACTIONS:
Set Member Amount
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 ID: S000000872 SET NAME: Tmp set/Initialized Activities
M07 -212 54.00
PG07 -262 22.00
PG07 -263 22.00
PG07 -264 22.00
TOTAL: 120.00
TRANSACTION LIST:
Type Method Description Amount
Payment Cash 120.00
TOTAL: 120.00
ACCOUNT ITEM LIST:
Description
MECHANICAL - NONRES
PLAN CHECK - NONRES
SET RECEIPT
Account Code Current Pmts
000/322.100 6.08
000/345.830 113.92
TOTAL: 120.00
Payment Date: 10/04/2007
Total Payment: 120.00
COMMENTS:
k erc_sJ
Type of Insp ction:
� A 64S P: P, Al
Address:
i71 o v 56
- r it. tea
Date Called:
I
y t,A)e A( .-e im
(), ,f, A- s.j
`, i P i.--A 1 AS 5_9 AJ irk pcf <"
Date Wanted:
'L
� - �
�
p.m.
Ur
b
(,-,
Phone No:
Proje •
> off-
k erc_sJ
Type of Insp ction:
� A 64S P: P, Al
Address:
i71 o v 56
- r it. tea
Date Called:
I
Special Instructions:
/l ''''111-t
'
Date Wanted:
'L
� - �
�
p.m.
Requester:
Phone No:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION I-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36
JJ-
v
pproved per applicable codes. EJ Corrections required prior to approval.
Inspector;
4_1
Date:
0 $58.00 REINSPECTION FEE R'QUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection.
'Receipt No.:
'Date:
Project
//1 (4 (
/2f7
Typg,of Inspection: /
l���/ -i.v C_
Address: e �
/ 7/v U -- >" /7'1
t
'
/
Date Called:
Special Instructions:
Date Want d:
/ / /2A - 7
4.m.
Requester:
Phone No: _
.Co_ gam; - 5`i3
3
INSPECTION RECORD
Retain a copy with permit
9JC
_ - i- 7267
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3
COMMENTS:
nsp ctor:
X 58 REINSPEtTION FE REQUIRED. Pr to inspection, fee must be
id at 6300 Southcenter lvd.. Suite 100, Call the schedule reinspection.
b eceipt No.: 'Date:
Date:
/// -
Approved per applicable codes. El Corrections required prior to approval.
New 1" Gas Line to
J4VAC Roof Top Unit
e
RTU 100 -1
7.5 Ton York
^ Gas
Roof
ne to
pU .t
R U 100 -2
5 on York
1.5" Gas
New 1" Gas Line to
HVAC Roof Top Unit
1ti
il .x s e_
wx ° e. r
- -
IMPII MOM
REVISIONS
No changes shall be made to the scope
of work without prior approval of
Tukwila Building Division.
NOTE: Revisions will require a new plan submittal
and may include additional plan review fees. •
SCOPE OF WORK
Install 3 ea. New 1" Gas lines from Existing 2" Pipe to HVAC Units
FILE COPY
Permit Na
1 tel6ew approval Is subject to errors and omissions.
Appel of construction cocurncnth c:= not authorize
the violation of any t...___ J c z.3 c; c: c;nortic": , Receipt
Cf approved Field Cc` r - 1 cc':noo vledged:
\BY
/6 /G -0 7
City of Tukwila
BUILDING DIVISION "
OCT 0 9 200l
t
Of Tukwila
Single Gas Line Hanging Detail
2" Square Washer w /nut
Bar Joist
3/8" All Thread
Loop Pipe Hanger
RECEIVED
CITY OF TUKWItA
OCT 0 4 2007
PEHMI r CENTER
- 1 71 &rk2102.
PANDA
EXPRESS
Southcenter Square
17100 Southcenter Pkwy
Tu WA 98188
Suite #100
D15 MECHANICAL
2020 S. 320th St #C -90
Federal Way, WA 98003
HVAC PLANS
GP - 1.0
ACTIVITY NUMBER: PG07 -262 DATE: 10 -04 -07
PROJECT NAME: PANDA EXPRESS
SITE ADDRESS: 17100 SOUTHCENTER PY, STE 100
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter # Revision # After Permit Issued
DEPARTMENTS: a /� 41
Bu I s i i g Division IN
Public Works
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
Comments:
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES/THURS ROU ING:
Please Route Structural Review Required
REVIEWER'S INITIALS:
APPROVALS OR CORRECTIONS:
Documents/routing slip.doc
2 -28-02
PERMIT COORD COPY``
PLAN REVIEW /ROUTING SLIP
Fire Prevention
Structural
Incomplete n
ri
DATE:
DATE:
Planning Division
❑ Permit Coordinator
DUE DATE: 10-09-07
Not Applicable ❑
❑ No further Review Required
C
n
DUE DATE: 11-06-07
Approved ❑ Approved with Conditions Not Approved (attach comments) n
Notation:
REVIEWER'S INITIALS:
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, Electric; all 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
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 10/10/2007