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HomeMy WebLinkAboutPermit PG07-277 - BAKER BOULEVARD RETAILBAKER BL RETAIL 406 BAKER BL PG07 -277 Parcel No.: 0223100037 Address: Suite No: Tenant: Name: Address: Owner: Name: Address: doc: UPC - 10/06 406 BAKER BL TUKW Value of Plumbing /Gas Piping: Fees Collected: City-if Tukwila Contact Person: Name: JOHN KILDARC Address: 813 ACADEMY ST , SUMNER WA Contractor: Name: PLUMBING EXPRESS INC Address: 813 ACADEMY ST , SUMNER WA Contractor License No: PLUMBEI98600 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 BAKER BL RETAIL 406 BAKER BL , TUKWILA. WA VILLAGE PARTNERS SOUTHCENTE 1420 5TH AVE #2200 , SEATTLE WA DESCRIPTION OF WORK: ADD THREE (3) ADA RESTROOMS. DOUBLE CHECK VALVE ASSEMBLY ON DOMESTIC WATER LINE INSIDE BUILDING. $10,000.00 $148.00 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 PLUMBING /GAS PIPING PERMIT FIXTURE TYPE AND OUANTITY * *continued on next page ** Permit Number: Issue Date: Permit Expires On: Phone: Phone: 253 - 255 -1828 Phone: 253 826 -4621 Expiration Date: 09/20/2008 PGO7 -277 10/16/2007 04/13/2008 Uniform Plumbing Code Edition: 2006 International Fuel Gas Code Edition: 2006 Plumbing (cont.) 0 Building sewer and each trailer park sewer 0 0 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 0 grease interceptors 0 0 Repair or alteration of water piping and/or water 0 treatment equipment 1 0 Repair or alteration of drainage or vent piping 0 3 Medical gas piping system serving (1 -5) 0 inlets /outlets for a specific gas 0 0 Medical gas piping (6 +) inlets /outlets 0 0 Gas Piping 0 Gas piping outlets (0 -5) 0 3 Gas piping outlets (6 +) 0 PG07 -277 Printed: 10 -16 -2007 Permit Center Authorized Signature: 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 construction or the perfo ce of work. I Signatur 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: PGO7 -277 Issue Date: 10/16/2007 Permit Expires On: 04/13/2008 Date: /0 ve authority to violate or cancel the provisions of any other state or local laws regulating orized to sign and obtain this plumbing /gas piping permit. Date: /6-6 -07 Print Nam v 1'1, v\ f. C L C 1 fa Y 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 -277 Printed: 10 -16 -2007 Parcel No.: 0223100037 Address: 406 BAKER BL TUKW Suite No: Tenant: BAKER BL RETAIL 1: ** *PLUMBING AND GAS PIPING * ** 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 PERMIT CONDITIONS * *continued on next page ** Permit Number: Status: Applied Date: Issue Date: PG07 -277 ISSUED 10/16/2007 10/16/2007 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: 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 -277 Printed: 10 -16 -2007 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 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 147(71 Vti 1 Date: /0 r i' —V PG07 -277 Printed: 10 -16 -2007 Site Address: - Tenant Name: Property Owners Name: E -Mail Address: CITY OF TUKWILI -'' Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us 1-/ 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 (c k4f et .0 King Co Assessor's Tax No.: Suite Number: New Tenant: Floor: 9( Yes D ..No 0/' Pgeh Mailing Address: Name: f t L. tnn i h[ a (A ; C Mailing Address: �/ ' `� C cL t.w. S i y City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Day Telephone: (7.6 OZ s 5 /6 �-14.-i -c r 1.t) t4 ?,930 City State Zip Fax Number: A,S'3 91 / 33 0 PLUMBING / GAS PIPING CONTRACTOR INFORMATION Name: $ ,4.j Mailing Address: - � / City State Zip Contact Person: `1 c� L.., f �C I (5cA/�,_ Day Telephone: 5 S 3 /d25 E -Mail Address: Fax Number: pRs3 s j/ /33 () Contractor Registration Number: Expiration Date: ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record Company Name: Mailing Address: Contact Person: E -Mail 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: Contact Person: E -Mail Address: Q:\Apphcationn\Ponns- Applications On Line U-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 . ;Fixtare 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 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 g 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): $ /i 1c 9 0 () Scope of Work (please provide detailed information): � " / � j J Gtr g `C trite GS,C' 0 6cLe, i Ll Building Use (per Int'l 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 0 Signature: Print Nam Mailing Address: Date Applic Expires: J Date Application Acceeted: AGENT: Q1Applications\Forms- Applications On Linen -2006 - Plumbing -Gas Piping Permi Application.doc Revised: 4 -2006 bh oo Date: /d `6 61 Day Telephone: <,(' S 73 p 2,5 S )8 2.4 w, r ,S) i4 1A M- 9 d J ' City State Staff Zip Page 2 of 2 i Parcel No.: 2623049117 Permit Number: PG08 -277 Address: 17250 SOUTHCENTER PY TUICW Status: PENDING Suite No: Applied Date: 11/05/2008 Applicant: ALFRED ANGELO BRIDAL Issue Date: Receipt No.: R08 -03692 Initials: JEM Payment Date: 11/05/2008 03:49 PM User ID: 1165 Balance: $0.00 Payee: BUSH PLUMBING AND MECHANICAL, INC. TRANSACTION LIST: Type Method Descriptio Amount Payment Check 3719 202.00 ACCOUNT ITEM LIST: Description doc: Receiot -06 PLAN CHECK - NONRES 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 Account Code Current Pmts 000/345.830 38.00 000.322.103.00.0 164.00 Total: $202.00 Payment Amount: $202.00 Printed: 11-05 -2008 r ' Parcel No.: 0223100037 Address: 406 BAKER BL TUKW Suite No: Applicant: BAKER BL RETAIL Receipt No.: R07 -02258 Initials: BLH Payment Date: 10/16/2007 12 :15 PM User ID: ADMIN Balance: $0.00 Payee: PLUMBING EXPRESS INC 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 TRANSACTION LIST: Type Method Description Amount Payment Cash 148.00 Account Code Current Pmts 000/322.100 148.00 Total: $148.00 Permit Number: PG07 -277 Status: PENDING Applied Date: 10/16/2007 Issue Date: Payment Amount: 5148.00 doc: Receiot -06 Printed: 10-16 -2007 COMMENTS: Type of Ins p ection: T / �9 / ' Ili, ` /(7 AptG` -- Date Called: 4 LA) A -i e l ur ( T J" 1 4 L- peer P - 1 )(JP-4 f s A!P n % ,_J (_ r /- -et7,-- 1 Project: i4 � r of Type of Ins p ection: T / �9 / Address: // 22 Date Called: Special Instructions: Date Wanted: 4 r /7— [ gym. p.m. Requester: Phone No: .� Q ra / - 2 9' /-2d2 - 7 4=H INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION V 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Approved per applicable codes. ❑ Corrections required prior to approval. ' n (U J� ) !Date: -19 -6 LJ $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 'Receipt No.: (Date: 1 77 COMMENTS: e 1 SPa ; 3 (o17 . 1�_T _D II J -- M,A - (?1 10 - -Fil iS ( 4 f - T 1 ( -R A'T TP I L-" e 3f GJ ` -0 t 1(-)i / cA /1- r r, 1v A ` .r _ `no S - l AAnA `s '?)) i 1Z((,), �, - JF f . Special Instructions: Date Wanted: (, -- r , I Pro t: Type of Inspection: Address: 4 4,4 -4-0 1g1.- Date Called: Special Instructions: Date Wanted: (, -- /6 O.) f C i.ina P.m. Requester: Phone No: # j Approved per applicable codes. IInspectfI Po177771 INSPECTION RECORD Retain a copy with permit PERMIT NO. INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION I 6300 Southcente Blvd.. #100, Tukwila, WA 98188 (206)431 -3670 orrections required prior to approval. 'Date: / Oe El $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 'Receipt No.: 'Date: COMMENTS: .+T ^-I : 0..pr.Jck*- - S W.1V Lie (_ t) - (J . p Ace5 - 12_AGn` - ScARCS I(() P f, ' ,/ - r-. c A 1, ) a L dl.. 5 - Tn� e n_ rA Ace ( 6 1 ( ( a-.- -a A Sit I d !) JA r , . " ( I^) l r_T P (DJ tel /- - LA) pel rc 40 h - 4 op ,...0 A 1DJc4 o 61,JJ — sL " J ( A-s 11-J-e ee A Al ,A .v +re ar" • .. e.e 1A-. e ,C fG S' OA ,(\ Mer X. tieAr ' S r d L,i C1 loaf "u m "e :A 6 3" A r 0- r,)3F (vr J JS sea t ,re.-- Projec Type IngeCtio Add es : Date Called: - Special Instructions: Date Wanted: —110 p.m. Requester: Phone No: 253 -Z5Sy /87 1 F>6 7i7 INSPECTION NO. PERMIT NO. -CITY OF TUKWILA BUILDING DIVISION le. 630 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 INSPECTION RECORD Retain a copy with permit Approved per applicable codes. IhSfllJ A + j El Corrections required prior to approval. 1Date: _ 10 Dec $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. (Receipt No.: !Date: Project: Type of Inspection: "/' l ' " _ 44 4 Address: Lib0 8AtGoi i3 C_ Date Calle . Special Instructions: Date Want d: 11 t%' / C--) Requeste Phone No: ,..(X . " ? i 2 Q 2 — 7 Approved per applicable codes. [] Corrections required prior to approval. COMMENTS: Receipt No.: 'Date: INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 sector: .�•. Dat�/ /6/ 14,11,1,7 $ + + REINSPECTION FEE QUIRED. Pr' r to inspection, fee ust be pa at 6300 Southcenter Blvd., Suite 100 ll the schedule reinspection. X 60 7 C77 PERMIT NO. ■'\ q t r ire.' I v.*. v.*. • ktf INCOMPLETE TR # .�_� 'col- z.'17 i 3 00 L, Sec -7 5 3 L.t-J /.d ec, 3 - 4 - t,rc O A 5 /o, RECEIVED JUL 08 PERMIT CENTEF INCOMPLETE !.TR# t p& oi 277 3 Au ,A 3 r C- RECEIVED JUL 2IEB PERMIT CENTER 1 star April 25, 2008 John Kildarc 813 Academy Street Sumner, WA 98390 Dear Mr. Kildarc, City of Tukwila Department of Community Development Jack Pace, Director RE: Letter of Incomplete Application # 1 to Revision #1 Plumbing/Gas Piping Permit Application PG07 -277 Baker Blvd Retail — 406 Baker Blvd This letter is to inform you that your permit revision received at the City of Tukwila Permit Center on April 21, 2008 is determined to be incomplete. Before your application can continue the plan review process the following items from the following department needs to be addressed: Building Department: Allen Johannessen at 206 433 -7163 if you have any questions concerning the attached comments. Please address the comment above in an itemized format with applicable revised plans, specifications, and/or other documentation. The City requires that two (2) sets of revised plans, specifications and/or other documentation be resubmitted with the appropriate revision block. In order to better expedite your resubmittal a `Revision Submittal Sheet' must accompany every resubmittal. I have enclosed one for your convenience. Revisions must be made in person and will not be accepted through the mail or by a messeni"er service. If you have any questions, please contact me at the Permit Center at (206) 431 -3670. Sincerely, Brenda Holt Permit Coordinator Enclosures File: PG07 -277 dow- P:\Permit Center\lncomplete Letters\2007\PG07 -277 Inc Ltr #1 to Rev # 1.DOC wer Jim Haggerton, Mayor 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 Determination of Completeness Memo Date: April 24, 2008 Project Name: Baker Retail Permit #: PG07 -277 Plan Review: Allen Johannessen, Plans Examiner Tukwila Building Division Allen Johannessen, Plan Examiner The Building Division has deemed the subject permit application incomplete. To assist the applicant in expediting the Department plan review process, please forward the following comments. (GENERAL NOTE) PLAN SUBMITTALS: (Min. size 11x17 to maximum size of 24x36; all sheets shall be the same size). Of applicable) Structural Drawings and structural calculations sheets shall be original signed wet stamped, not copied.) 1. Please provide a professional isometric drawing for the plumbing risers. Identify the size of each pipe including riser pipes. Provide the overall length of the plumbing runs. Identify with different line types to differentiate vent pipe and drain pipe. 2. Provide calculations to show the main 4" drain pipe is sufficient to handle the fixtures loads including the potential for future fixture loads for other tenant spaces (not shown). Should there be questions concerning the above requirements, contact the Building Division at 206 - 431 -3670. No further comments at this time. Documents/routing slip.doc 2 -28 -02 ACTIVITY NUMBER: PG07 -277 DATE: 07 -08 -08 PROJECT NAME: BAKER BLVD RETAIL SITE ADDRESS: 406 BAKER BL Original Plan Submittal X Response to Incomplete Letter # 'I Response to Correction Letter # Revision # After Permit Issued DEPARTMENTS. Buildin•, Divr ion Public Works Complete �ERMIT COORD COPY PLAN REVIEW /ROUTING SLIP Fire Prevention DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 07 -10 -08 APPROVALS OR CORRECTIONS: Structural Incomplete ❑ Permit Coordinator Planning Division Not Applicable Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES/THURS ROUTING: Please Route ❑ Structural Review Required ❑ No further Review Required REVIEWER'S INITIALS: DATE: DUE DATE: 08 -07 -08 Approved ❑ Approved with Conditions ❑ Not Approved (attach comments) ❑ Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: ACTIVITY NUMBER: PG07 - 277 DATE: 04 -21 -08 PROJECT NAME: BAKER BL RETAIL SITE ADDRESS: 406 BAKER BL Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # X Revision # 1 After Permit Issued DEPARTMENTS: Bui ig is on Public Works Comments: REVIEWER'S INITIALS: APPROVALS OR CORRECTIONS: Documents/routing slip.doc 2 -28-02 is] PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP Fire Prevention Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete ❑ Incomplete IA ❑ Planning Division C ❑ Permit Coordinator n DUE DATE: 04-24-08 Not Applicable C Permit Center Use Only ' / 6 INCOMPLETE LETTER MAILED: 4.4 "O LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg Fire ❑ Ping ❑ PW ❑ Staff Initials: 6;),,, TUES/THURS ROUTING: Please Route ❑ Structural Review Required ❑ No further Review Required DATE: DUE DATE: 0522 -08 Approved n Approved with Conditions ❑ Not Approved (attach comments) ❑ Notation: REVIEWER'S INITIALS: DATE: C Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS ISSUED DATE STAFF INITIALS I D�{ f Summary of Revision: Received by: REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS ISSUED DATE STAFF INITIALS I D�{ f Summary of Revision: Received by: REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS ISSUED DATE STAFF INITIALS I D�{ f Summary of Revision: Received by: REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS ISSUED DATE STAFF INITIALS I D�{ f Summary of Revision: Received by: REVISION NO. DATE RECEIVED ISSUED DATE STAFF INITIALS ISSUED DATE STAFF INITIALS I D�{ f Summary of Revision: Received by: Summ of Revision: v N N , y4C Summary l � N pA' I� A�VIs PC� c� �1c %AAA tftikt Received by: REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS Summary of Revision: Received by: PROJECT NAME: pT/a'l 1, SITE ADDRESS: O J 14_ REVISION LOG PERMIT NO: L Q &V I" 21 ORIGINAL ISSIPP.. DATE: 10 (please print) (please. print) (please print) (please print) (please print) Date: 7 8 -o 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 REVISION SUBMITTAL Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Plan Check/Permit Number: PG07-277 ® Response to Incomplete Letter # 1 ❑ Response to Correction Letter # • Revision # 1 after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: BAKER BLVD RETAIL Project Address: 406 Baker Blvd Contact Person: John Kildarc Summary of Revision: ZL & ) \applications\forms- applications on Iine\revision submittal Created: 8 -13 -2004 Revised: Phone Number: Th d t'.1 y ".c'n, ems' iif-CEIVED Calf OF TUKWILA JUL + 0 8 zu08 PERMIT CENTER Sheet Number(s): "Cloud" or highlight all areas of revision including date o Received at the City of Tukwila Permit Center by: Entered in Permits Plus on 9-06 Project Name: Created: 8 -13 -2004 Revised: 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: hap: / /www.ci.tukwila.wa.us Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: I7/ - O Plan Check/Permit Number: ?(917 ❑ Response to Incomplete Letter # ❑ Response to Correction Letter # ❑ Revision # after Permit is Issued Revision requested by a City Building Inspector or Plans Examiner Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by: k Entered in Permits Plus on V{ I 7b \applications\focros- applications on linelrevision submittal Steven M. Mullet, Mayor Steve Lancaster, Director en OF TUKWILt APR 212008 PERMIT CENTER Project Address: 4 )/0 4 13 0 ,1 .e r I L0 Contact Person: ea / T r Phone Number: (20 Co 39 / 2 0 7.._7 Summary of Revision: ! LA. w. b .1(4 ; s r r r" r,� s Kind of Fixture Fixture Units No. of Fixtures Total Fixture Units Public Private Public Private Bathtub and Shower 4 4 Shower, per head 2 2 Dishwasher 2 2 Drinking fountain (each head) 1 .5 2, Hose bibb (interior) 2.5 2.5 Clotheswasher or laundry tub 4 2 Sink, bar or lavatory 2 1 y B Sink, Clinic flushing 8 8 Sink, kitchen 3 2 Sink, other (service) 3 1.5 Sink, wash fountain, circle spray 4 3 Urinal, flush valve, 1 GPF 5 2 Urinal, flush valve, >1 GPF 6 2 Urinal, waterless 0 0 Water closet, tank or valve, 1.6 GPF 6 3 a I a Water closet, tank or valve, >1.6 GPF 8 4 La King County Department of Natural Resources and Parks Wastewater Treatment Division Non - Residential Sewer Use Certification • To be completed for all new sewer connections, reconnections or change of use of existing connections. • This form does not apply to repairs or replacements of existing sewer connections within five years of disconnect. Please Print or Type 1�] 25U Soukticeti4r Psa(bozui 5 urts,134 Property street Address - iku3tla. wa g$t SS City State ZIP WICK QQoPeute - S LLG -SS Owners Name Subdivision Name Lot # Subdiv. # Block # Building Name (If applicable) ( 14Q5) (� - 2tDLt4 Owners Phone Number (with Area Code) Property Contact Phone Number (with Area Code) Owner's Mailing Address 4 ‘ �1 4 Ple�c� \eAry ti vJ Pr °t SMOlo A. Fixture Units Fixture Units x Number of Fixtures = Total Fixture Units Residential Customer Equivalent (RCE) 20 fixture units equal 1.0 RCE Total No. of Fixture Units _ 20 Total Fxture Units I 221 t © I RCE al 3CM- q i o el OS t - Ca Property Tax ID # Party to be Billed (if different from owner) At'i` LeP 4 (b)2Atvci I�Ut Vttn - pA ve. City or Sewer District /t k"W Date of Connection A B /4 RCE 1058 (Rev. 9/07) White - Kina County Yellow - Local Sewer Aaencv Pink - Sewer Customer Estimated Wastewater Discharge: Gallons /days Residential Customer Equivalents (RCE): 187 gallons per day equals 1.0 RCE Total Discharge (gal /day) _ 187 C. Total Residential Customer Equivalents: (add A &B) Q b I LO 4 Side Sewer Permit # Please report any demolitions of pre - existing building on this property. Credit for a demolition may be given under some circumstances. Demolition of pre - existing building? XYes ❑ No Was building on Sanitary Sewer? *es ❑ No Was Sewer connected before 2/1/90? ❑ Yes ❑ No Sewer disconnect date: Type of building demolished? eftWaVarrki Request to apply demolition credit to multiple buildings? ❑ Yes ❑ No B. Other Wastewater Flow (in addition to Fixture Units identified in Section A) Type of Facility /Process: 13 1 A RCE (PG - Pursuant to King County Code 28.84, all sewer customers who establish a new service which uses metropolitan sewage facilities shall be subject to a capacity charge. The amount of the charge is established annually by the King County Council at a rate per month per residential customer or residential customer equivalent for a period of fifteen years. The purpose of the charge is to recover costs of providing sewage treatment capacity for new sewer customers. All future billings can be prepaid at a discounted amount. All future billings can be prepaid at a discounted amount. Questions regarding the capacity charge or this form should be referred to King County's Wastewater Treatment Division at 206 - 684 -1740. I certify that the information given is correct. I understand that the capacity charge levied will be based on this information and any deviation will require resubmission of corrected data for determination of a revised capacity charge. Signature of Owner /Representative A . X . t . C fig) L L B Date i \ I D \O Print Name of Owner /Representative £!L J L)D 111 # 041: 7 2.7?)(., License Information License PLUMBEI98600 Licensee Name PLUMBING EXPRESS INC Licensee Type CONSTRUCTION CONTRACTOR UBI 602226682 Ind. Ins. Account Id VICE PRESIDENT Business Type CORPORATION Address 1 813 ACADEMY ST Address 2 City SUMNER County PIERCE State WA Zip 98390 Phone 2538264621 Status ACTIVE Specialty 1 PLUMBING Specialty 2 UNUSED Effective Date 9/20/2002 Expiration Date 9/20/2008 Suspend Date Separation Date Parent Company Previous License PLUMBE*077PR Next License Associated License Business Owner Information Name Role Effective Date Expiration Date KILDARE, JOHN T PRESIDENT 09/20/2002 Bond Amount KILDARE, KRISTI VICE PRESIDENT 09/20/2002 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date GREAT AMER INS CO Until Look Up a Contractor, Electri'ian 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= PLUMBEI98600 10/16/2007