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HomeMy WebLinkAboutPermit PG07-263 - JAMBA JUICEJAMBA JUICE 17100SCPYSTE 104 PGO 7-263 Parcel No.: 2623049081 Address: Suite No: Tenant: Name: Address: Owner: Name: Address: Value of Plumbing /Gas Piping: Fees Collected: Urinals Water Closet doc: UPC -10/06 Citf 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 JAMBA JUICE 17100 SOUTHCENTER PY, STE 104 , TUKWILA WA 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: D15 MECHANICAL Address: 2020 S 320 ST #C -90 , FEDERAL WAY WA Contractor License No: D 15MEM *930BT DESCRIPTION OF WORK: INSTALL GAS LINES TO (2) HVAC ROOFTOP UNITS FROM EXISTING 2" GAS LINE IN TENANT SPACE $500.00 $110.00 Plumbing Bathtub or combination bath/shower 0 Bidet 0 Clothes washer, domestic 0 Dental unit, cuspidor 0 Dishwasher, domestic, with independent drain Drinldng fountain or water cooler (per head) Food -waste grinder, commercial Floor drain Shower, single head trap Lavatory Wash fountain Receptor, indirect waste Sinks PLUMBING /GAS PIPING PERMIT FIXTURE TYPE AND QUANTITY * *continued on next page ** Permit Number: Issue Date: Permit Expires On: Phone: Phone: 360 888 -5433 Phone: 360 888 -5433 Expiration Date: 01/30/2009 PG07 -263 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 Industrial waste treatment interceptor, including 0 its trap and vent, except for kitchen type 0 grease interceptors 0 O Repair or alteration of water piping and/or water 0 treatment equipment 0 O 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 O Gas Piping 0 Gas piping outlets (0 -5) 2 O Gas piping outlets (6 +) 0 PG07 -263 Printed: 10 -10 -2007 Permit Center Authorized Signature: Signature: Print Name: 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 I hereby certify that I have read and a ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied 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 B,c rmance ojwork. mar authorized to sign and obtain this plumbing /gas piping permit. Date: / ' —0 7 A (fri sx cAl Permit Number: PG07 -263 Issue Date: 10/10/2007 Permit Expires On: 04/07/2008 Date: 1o[10 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 -263 Printed: 10 -10 -2007 Parcel No.: 2623049081 Address: Suite No: Tenant: doc: Cond -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 17100 SOUTHCENTER PY TUKW JAMBA JUICE 1: ** *PLUMBING AND GAS PIPING * ** PERMIT CONDITIONS 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. * *continued on next page ** Permit Number: Status: Applied Date: Issue Date: PG07 -263 ISSUED 10/04/2007 10/10/2007 PG07 -263 Printed: 10 -10 -2007 doc: Cond -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 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: 4:F.✓/ Print Name: d,fe / kikt SSA Date: � /C0 — Q 7 PG07 -263 Printed: 10 -10 -2007 Name: CITY OF TUKWILL ; Community Developmen Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Plumbing/Gas Permit No Project No; 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 ** SITE LOCATION King Co Assessor's Tax No.: ! `I V'S 1 Site Address: / 7/o6 50tx7'ACe f // W)' - Suite Number: /653‘ Floor: Tenant Name: S'A N( l3/4 •J7A1 C E New Tenant: Ai.... Yes ❑ ..No Property Owners Name: 1, J i G /' o9.0en/t%c L I- C --�S .5 Mailing Address: 7 g/ ( SE i39 7k "L - /Je/ tt V City w4- State goo Zip CONTACT PERSON —Who do we contact when your permit is ready to be issued B R T 4 o K S Sc-e Day Telephone: K EW 5 SI 3 3 Mailing Address: .2 C LCD S, 3 sue} j z. Sf #&0 �c G(e ✓J Wa W� c1 SOD City / State Zip Fax Number: E -Mail Address: PLUMBING / GAS PIPING CONTRACTOR INFORMATI Company Name: Mailing Address: E -Mail Address: Contact Person: D/5 A4EC14.4NSC/i-L AC)ao _Sr 3aqc) i t 7 4d 5$cr. Contact Person: E -Mail Address: Contractor Registration Number: 27/S / C **""/"M 13 T *c Fede✓a l cv wf4 ?'Boo? City State Zip Day Telephone: 3 60 R g Fs' 54'33 Fax Number: Expiration Date: 01 / ARCHITECT OF. RECORD —All plans must be wet stamped by Architect of Record Company Name: Mailing Address: State Zip City Day Telephone: Fax Number: ENGINEER OF RECORD All plans must be wet stamped by Engineer of Re cur Company Name: Mailing Address: Contact Person: E -Mail Address: Q:\Applications\Fonns- Applications On Line'3 -2006 - Plumbing -Gas Piping Permit Application.doc Revised: 4-2006 bh City Day Telephone: Fax Number: State Zip Page 1 of 2 Fixture Type: ' _ Qty Fixture Type; ' Qty ` Fixture Type: ' Qty Fixture Types Bathtub or combination bath/shower Drinking fountain or water cooler (per head) Wash fountain Gas piping outlets 4. 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): $ 5or_) Scope of Work (please provide detailed information): _TN S fa'l ( Gc. L t "N -5 -o 2 E4 /i vfF C too -' To,D i ) )V-,S F i c r y Q ? 1 2 Building Use (per Intl 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 OWN Signature: OWNER ' 1 A T I RI T: Q:\Applications\Fonns- Applications On Line\3 -2006 - Plumbing -Gas Piping Permit Application.doc Revised: 4 - 2006 bh £ c S L,'Nt iA.) Th 5p C e Date: /o-/ Print Name: /, 1 E T , 4/l k �5S 41,-. Day Telephone: 3 6b e b 0 ��33 Mailing Address: 0 5, 9,x0 j`` S jA C 9U �eGf - e.-a�l (vaev eArri- 5 ecio3 City State Zip Date Application Accepted: 1011Ako- Date Application Expires: ti_ Staff Initials: i age 2 of 2 RECEIPT NO: R07 -02206 Initials: JEM User ID: 1165 Payee: BRENT ADKISSON SET ID: 1010 SET NAME: D15 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 M07 -212 215.58 PG07 -262 88.00 PG07 -263 88.00 PG07 -264 88.00 TOTAL: 479.58 TRANSACTION LIST: Type Method Description ACCOUNT ITEM LIST: Description GAS - NONRES MECHANICAL - NONRES 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 ID: S000000872 SET NAME: Tmp set/Initialized Activities 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 M07 -212 54.00 PG07 -262 22.00 PG07 -263 22.00 PG07 -264 22.00 TOTAL: 120.00 TRANSACTION LIST: Type Method Description Payment Cash 120.00 TOTAL: 120.00 ACCOUNT ITEM LIST: Description MECHANICAL - NONRES PLAN CHECK - NONRES SET RECEIPT Payment Date: 10/04/2007 Total Payment: 120.00 Amount Account Code Current Pmts 000/322.100 6.08 000/345.830 113.92 TOTAL: 120.00 Po Type of Inspection: ���p Address 1 t ?o sd\CONNIk4e,te Date Called: Special Instructions: Date 1 3 Uri l Requester: Ph o— © V- C.0 � Lr R COMMENTS: 0 REINSPECTION FEE REQUIRED. Prilr to inspection, fee must be d at 6300 Southcenter Blvd., Suite 100. CCaall the schedule reinspection. J Rec ipt No.: 'Date: INSPECTION RECORD Retain a copy with permit INSPECTI NO. PERMIT NO. CITY O TUKWILA BUILDING DIVISION lc- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3 Approved per applicable codes. El Corrections required prior to approval. Project: ll �47 cJ7! / C-e TypeQf Inspection: (/)6r),9/7- ; J 6P / -2/ S2 /4n lt✓ Date Called: � Special Instructions: ' Date Wanted / !i / /(n CRC:. P.m. Requester: Phone No: G — S-93 36O —/, P, CITY OF TUKWILA BUILDING DIVISION 0 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 COMMENTS: ns INSPECTION NO. Approved per applicable codes. Ei Corrections required prior to approval. ctor: INSPECTION RECORD Retain a copy with permit P r- Date 'Receipt No.: 'Date: 763 PERMIT NO. .00 REINSPECTION E REQUI - ` ' . Prior to inspection. fee must be paid at 6300 Southcenter.=lvd.. Su e 100. Call the schedule reinspection. New 1" Gee Line to HVAC Roof Top Unit RTU 104-1 5 Ton York New 1" Gas Line to HVAC Roof Top Unit RTU 104 -2 5 Ton York 111111• a ram s=111111.1111■■ �- TOM REVISIONS No changes shall be made to the c pe 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 2 ea. New 1" Gas lines from Existing 2" Pipe to HVAC Units ( {�J COQ PLIPNCE AFTPROV OCI 0 9 ,20 Permit Na Pim review approval Is subject to errors and omit. Approval of construction documents do= not authorize' the violation cf cry t J ccdo cr ordinance. Rece(l* Of approved Fif.d Cz9i r - a c� f 1 - ��j cc.Mo% aledg e& BY Date: /6- City of Tukwila BUILDING DIVISION 1 Single Gas Line Hanging Detail 2" Square Washer w /nut Bar Joist 3/8" All Thread Loop Pipe Hanger :at!: RECEIVED CITY OF TUIMIII.A OCT 0 4 2007 PEHMI T CENTER JAMBA JUICE Southcenter Square 17100 Southcenter Pkwy Tukwila, WA 98188 Suite #104 D15 MECHANICAL 2020 S. 320th St #C -90 Federal Way, WA 98003 HVAC PLANS GP - 1.0 \PERMIT COORD COPY ` PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG07 -263 DATE: 10 -04 -07 PROJECT NAME: JAMBA JUICE SITE ADDRESS: 17100 SOUTHCENTER PY, STE 104 X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Issued DEPARTMENTS: Bui i) ng"Dlvision Public Works Comments: APPROVALS OR CORRECTIONS: Documents/routing slip.doc 2 -28-02 Fire Prevention Structural TUES/THURS ROUT NG: Please Route Structural Review Required REVIEWER'S INITIALS: ❑ Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 10-09-07 Complete 11 Incomplete ❑ Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: ❑ No further Review Required DATE: DUE DATE: 11-06-07 Approved ❑ Approved with Conditions Not Approved (attach comments) n Notation: REVIEWER'S INITIALS: DATE: Planning Division n Not Applicable n 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 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 /1ni/bbip /printer.aspx ?License =D15MEM *930BT 10/10/2007