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Home My WebLink AboutPermit PG06-047 - MARYAN'S COFFEE SHOPMARYAN'S COFFEE SHOP 14432 MILITARY RD S PG06 -047 City (it Tukwila Parcel No.: 0040000022 Address: 14432 MILITARY RD 5 TUKW Suite No: Tenant: Name: MARYAN'S COFFEE SHOP Address 14432 MILITARY RD S, TUKWILA WA Owner: Name: HILL & ASSOCIATES LTD Address: 1221A NE 175TH ST, SHORELINE WA Contact Person: Name: LARRY GRIFFIN Address PO BOX 22196, SEATTLE WA Contractor: Name: GRIFFIN CONSTRUCTION Address PO BOX 22196, SEATTLE WA Contractor License No: GRIFFC *975KN Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Fax: 206- 431 -3665 Web site: cttukwila.wa.us PLUMBING /GAS PIPING PERMIT DESCRIPTION OF WORK: INSTALL (2) 3-COMPARTMENT SINKS, (2) HAND SINKS, AND (1) PREP SINK. Value of Plumbing /Gas Piping: $0.00 Fees Collected: $138.00 Plumbing Bathtub or combination bath /shower sewer 0 Bidet 0 Clothes washer, domestic 0 Dental unit, cuspidor 0 Dishwasher, domestic, with independent drain Drinking fountain or water cooler (per head) 0 Food -waste grinder, commercial 0 Floor drain 0 Shower, single head trap Lavatory 0 Wash fountain 0 Receptor, indirect waste 2 Sinks 4 Urinals 0 Water Closet 0 doe: UPC - Permit Uniform Plumbing Code Edition: 2003 International Fuel Gas Code Edition: 2003 FIXTURE TYPE AND QUANTITY Permit Number: Issue Date: Permit Expires On: Phone: Phone: 206 909 7552 Phone: 206 772 -2881 Expiration Date:05 /15/2007 Steven M. Mullet, Mayor Steve Lancaster, Director PG06 -047 06/07/2006 12/04/2006 Plumbing (cont.) 0 Building sewer and each trailer park 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 Repair or alteration of water piping and /or water treatment equipment 0 0 Medical gas piping system serving one to five inlets /outlets for a specific gas 0 Gas Piping Gas piping outlets (0 -5) 0 Gas piping outlets (6 +) 0 PG06 -047 Printed: 06 -07 -2006 City or Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 - 431 -3665 Web site: ci.tukwila.wa.us * *continued on next page ** Steven M. Mullet, Mayor Steve Lancaster, Director doc: UPC - Permit PG06 -047 Printed: 06 -07 -2006 A[A� C 7 J/W(X Date: at I hereby certify that I have read an. :mi e this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will b- omp ied with, whether specified herein or not. Permit Center Authorized Signature: The granting of is per t does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating co j7' ctio ,the performance of work. I am authorized to sign and obtain this plumbing /gas .ipin permit. Signa City or Tukwila Print Name: � 61 /rte ,c //7 doc: UPC - Permit Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Fax: 206 - 431 -3665 Web site: ct.tukwila.wa.us Ns- Date: Steven M. Mullet, Mayor Steve Lancaster, Director Permit Number: PG06 -047 Issue Date: 06/07/2006 Permit Expires On: 12/04/2006 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. PGO6 -047 Printed: 06 -07 -2006 1: ** *PLUMBING AND GAS PIPING * ** City arTukwila Parcel No.: 0040000022 Address: 14432 MILITARY RD S TUKW Suite No: Tenant: MARYAN'S COFFEE SHOP Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 - 431 -3665 Web site: cttukwila.wa.us PERMIT CONDITIONS Permit Number: PG06 -047 Status: ISSUED Applied Date: 06/07/2006 Issue Date: 06/07/2006 2: No changes shall be made to applicable plans and specifications unless prior approval is obtained from the Tukwila Building Division. 3: All plumbing and gas piping systems shall be installed in compliance with the Uniform Plumbing Code and the Fuel Gas Code. 4: All permits, inspection records and applicable plans shall be maintained at the job and available to the plumbing inspector. 5: No portion of any plumbing system or gas piping shall be concealed until inspected and approved. Steven M. Mullet, Mayor Steve Lancaster, Director 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: 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: Conditions * *continued on next page ** PG06 -047 Printed: 06 -07 -2006 City oTukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Fax: 206 - 431 -3665 Web site: ci.tukwila.wa.us Nei I hereby certify that I have read these conditions and will comply with them as outlined. All provisions 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 regulating construction or the performance of work. Signature ,% Date: Print Name: doc: Conditions PG06 -047 Steven M. Mullet, Mayor Steve Lancaster, Director of law and ordinances other work or local laws Printed: 06 -07 -2006 Site Address: I 4"i 2A (I I 2 V Tenant Name: M KA1zyAN Property Owners Name: ? JZ (I 0421 Mailing Address: ' to Name: I 4-212 CJ2l'RZ ( Mailing Address: Contact Person: E -Mail Address: Contact Person: E -Mail Address: Contact Person: E -Mail Address: CITY OF TUKWILA Community Devefopmen+partment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us E-Mail Address: & el rF ( 40(__, Lo li-- Company Name: C 7 r (F I N Mailing Address: { r 0 , 0A. 2 Z IGt QMppliatiom\Ponne- Appliadoo On LIneh- 2006 - Plumbing -Gas Piping Pennit Application. Revised: 42006 bb 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.: 0O1—I OW — O1722- Suite Number: 10 2.— — Floor: I Si New Tenant: K.... Yes o ..No 'CONTAG`F hen your permit is ready to be issued l City State Day Telephone: jf 9O l 75 City State / Fax Number:? 7 7 7 Z 25 Wz c?)-�EI City State Day Telephone: Expiration Number: D � � Contactor Registration Number: Ex iration Date: �� 0 7 Con must be'we Company Name: Mailing Address: city Day Telephone: Fax Number: State State Zip Zip Zip Company Name: Mailing Address: Zip City Day Telephone: Fax Number: Page 1 of 2 i=ture ge: Qty , Fixture Type: Qty Fixture Type: ISM Fixture ype: 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 2f LY 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 eater 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): $ 2-* Scope W (please provide detai ed information): r{L��f r4-t ( 2 2' (Cat p S? • Pug-f 5-e-Ac 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: 'PE It II'I' APPLICATIONNOTE Value of Construction — In all cases, a value of construction amount should be entered by the applic mt. 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 L3 ER lit MJTHORIZED AGENT: Signature Print Name: 1-1 C'R(I'?9 7 Mailing Address:76 X 7 Z (C{ /p Q Appliations \Fomu- Applications On linel -2006 - Plumbing-Gas Piping Perini Application dot Revived: 4-2006 bh Date Application Expires: I Date Application Accepted: Date: �e�� ay Telephone: 76 qJ 757 sr 1 � w'q-- g 87 2 Cit State Zip Staff Initials: Page 2 of 2 Payee: GRIFFIN CONSTRUCTION ACCOUNT ITEM LIST: Description City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 PLUMBING - NONRES RECEIPT Parcel No.: 0040000022 Permit Number: PG06 -047 Address 14432 MILITARY RD 5 TUKW Status: PENDING Suite No: Applied Date: 06/07/2006 Applicant: MARYAN'S COFFEE SHOP Issue Date: Receipt No.: R06 -00815 Payment Amount: 138.00 Initials: 3EM Payment Date: 06/07/2006 11:50 AM User ID: 1165 Balance: $0.00 TRANSACTIONIIST: Type Method Description Amount Payment Cash 138.00 Account Code Current Pmts 000/322.100 138.00 Total: 138.00 6173 06/07 ??16 TOTAL 138.00 doc: Receipt Printed: 06 -07 -2006 Project: MA (AI AN C Or -rg4 SuoPP Type of Ins tion: ` N1t.. — ?I-1iw.SiNi Address: + .1 Li 17 rn:a.Srn ¢"`7 rack Date Called: Special Instructions: P I°Ase Opt I I Date Wanted: f e-Wri- P 7Th t Requester: Phone No: c0( CIOS-)c57, INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Approved per applicable codes. INSPECTION RECORD Retain a copy with permit t�tav6 -tfl� (206)431 -367 Corrections required prior to approval. COMMENTS: -4 /t t l or: \ M1 8.00 REINSPECTION F id at 6300 Southcenter, Date: 7 - I t REQUIREV. Prior to inspection, fee must be lvd., Suite 100. Call to sechedule reinspection. Re - ipt No.: (Date: Project: P74 el/ Anvt n„ ;'o Type of Inspection: Rotry4 - ?/» »t. Address: /t/ 932_ En' Z'/ - <l Date Called: Special Instructions: Z _L. 5 /4// f Tf- Date Wanted: e -28 - oG �� 621 t: p.m. Requester: Phone No: ...2 GS 41 6 5 268S INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 J 664 - 0 4 7 PER 206)431 -357 COMMENTS: Ins or: R eipt No.: Date, Z , C� v 8.00 REINSPECTIO FEE REQUIRED.,M or to inspection, fee must be aid at 6300 Southc ter Blvd., Suite 100. Call to sechedule reinspection. Date: Approved per applicable codes. El Corrections required prior to approval. Project: a frig i2 HANs Oo1W( cle Type of Inspection; V A 'h v AM/61A/ Address: /Y`%.? 2 innit4P% A?dS Date Called: Special Instructions: - /O. „ , e -a 7 '� Date Wanted: ra.pst - 1 7 -OG (, p.m. Requester: �� ci Phone No: 0106 — V45 — 268 5 INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd. #100, Tukwila, WA 98188 (206)431 -367 EI Approved per applicable codes. k orrections required prior to approval. COMMENTS: , it h%4 / , �e, ,tee -c // � 1' r 7 tam, lig r /04.0' I ere z, 1 l 5a z Z Inspector: $58.00 REINSPECTION E REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: 'Date: j Protect: I t-Ies ha !f 1 AflIAN g e0}-,I4 Dr.:. itutis4e, 0e Type of Inspection: ` Address: iyq32 MU:riAl' / sad S Date Called: Special Instructions: Date Wanted: (9 —ZL -oC a.r p.m. Requester: Phone No: 1oG K(, -Z,4 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit (206)431 -367 COMMENTS: / tic � C47 //c 00 ,4—Ad — / '-g-i r� S CA i d4•Ze..._ c -.cflr .00— c-t /x.410- A 4-? Al ,* - u /40 4-6._ 0 Approved per applicable codes. Corrections required prior to approval. $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date #1 AMERICAN STATES INS CO 6222099 05/15/2003 Until Cancelled $12,000.00 05/15/2003 Business Owner Information Name Role Effective Date Expiration Date GRIFFIN, LARRY OWNER 05/15/2003 Look Up a Contractor, Electrician or Plumber License Detail 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. License Information License Licensee Name Licensee Type UBI Ind. Ins. Account Id Business Type Address 1 Address 2 City County State Zip Phone Status Specialty 1 Specialty 2 Effective Date Expiration Date Suspend Date Separation Date Parent Company Previous License Next License Associated License GRIFFC *975KN GRIFFIN CONSTRUCTION CONSTRUCTION CONTRACTOR 601796086 INDIVIDUAL PO BOX 22196 SEATTLE KING WA 98122 2067722881 ACTIVE GENERAL UNUSED 5/15/2003 5/15/2007 GRIFFM*105N4 Page 1 of 2 https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= GRIFFC *975KN 06/07/2006