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HomeMy WebLinkAboutPermit PG06-069 - FOUNTAIN ESPRESSOFOUNTAIN ESPRESSO 14628 MILITARY RD S EXPIRED 04 -02 -07 PG06 -069 City or Tukwila Steven M. Mullet, Mayor 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 PLUMBING /GAS PIPING PERMIT Parcel No.: 0040000825 Address: 14628 MILITARY RD S TUKW Suite No: Permit Number: Issue Date: Permit Expires On: Steve Lancaster, Director PGO6 -069 07/13/2006 01/09/2007 Tenant: Name: FOUNTAIN ESPRESSO Address: 14628 MILITARY RD S, TUKWILA WA Owner: Name: GRANT EARL & DARLENE E Address: 13783 34TH S, SEATTLE WA Contact Person: Name: RAHEL YIRGA Address- 11032 1 AV SW #5, SEATTLE WA Contractor: Name: Address: Contractor License No: Phone: Phone: Phone: Expiration Date: DESCRIPTION OF WORK: PLUMBING FOR NEW ESPRESSO STAND (1 STANDING SHOWER, 1 LAV, 2 SINKS, AND A WATER HEATER). Value of Plumbing /Gas Piping: $0.00 Fees Collected: $145.00 Uniform Plumbing Code Edition: 2003 International Fuel Gas Code Edition: 2003 FIXTURE TYPE AND QUANTITY 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 0 Sinks 1 Urinals 0 Water Closet 1 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 1 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 0 0 Medical gas piping system serving one to five 1 inlets /outlets for a specific gas 0 0 Gas Piping Gas piping outlets (0 -5) 0 Gas piping outlets (6 +) 0 "continued on next page** doc: UPC - Permit PGO6 -069 Printed: 07-13-2006 City by Tukwila Steven M Mullet, Mayor 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 Steve Lancaster, Director Permit Number: PGO6 -069 Issue Date: 07/13/2006 Permit Expires On: 01/09/2007 Permit Center Authorized Signature: u u Date: I'/ ?'dco 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 give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performance of work. I am authorized to sign and obtain this plumbing /gas piping permit. Signature: Print Name: NP"el //j-pa PaW Date: o( 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. doc: UPC - Permit PG06 -069 Printed: 07 -13 -2006 PERMIT CONDITIONS Parcel No.: 0040000825 Permit Number: PGO6 -069 Address- 14628 MILITARY RD S TUKW Status: ISSUED Suite No: Applied Date: 06/16/2006 Tenant: FOUNTAIN ESPRESSO Issue Date: 07/13/2006 1: ** *PLUMBING AND GAS PIPING * ** 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. * *continued on next page ** doc: Conditions PGO6 -069 Printed: 07 -13 -2006 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: Date: 7 - /3r- UC doc: Conditions PG06 -069 Printed: 07 -13 -2006 %.,1 5 %.05 I %a ft IV Community Developmeni1/4/artment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us - Pt 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 Address: 14 6 a TY) t' eta Y 2p c Tenant Name: King Co Assessor's Tax No.: Property Owners Name: 7Ot1,9 / Y rill- a Mailing Address: 1/ 03 +Owe c tni tt Dap -CIZI_S" Suite Number: Floor: New Tenant: 0...• Yes 0 „No cONTACT: OWN contact WhinOur. prmrt s be issu Name: Rounpl fity-a Mailing Address: I/ 01 2 (s 'f Ve E-Mail Address: Company Name: Owner Day Telephone: e'cA1-44 City Fax Number: State 11-/Q-6* Mailing Address: Zip Contact Person: E-Mail Address: City Day Telephone: Fax Number: Contractor Registration Number: Expiration Date: State ARCHITECT OF RECORD — Alt plans must be wet staniped by Arehltect of Record Company Name: Mailing Address: Contact Person: E-Mail Address: City Day Telephone: Fax Number: State Zip ENGINEER etnc910,.;,2"0"pbeitininit be'Welstigni bYtrigineeref Record Company Name: Mailing Address: City Contact Person: Day Telephone: E-Mail Address: Fax Number: State Zip Q: ApplictionsWonns-Applications On Line - Plumbing-Gas Piping Permit Application. doe Revisal: 4-2006 bb Page 1 of 2 Valuation of Project (contractor's bid price): $ 1 S 0 0 Scope of Work (please provide detailed information): / v G tn/ $ 'p r C' S .Co S 4- a nor 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: Fixture Type: (ity 'Fixture Type= Qt} ,JPixture;Tyle: 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 ,.7 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 J 1 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 PLICATLQI+I NO 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 OWNER OR AUTHORIZED AGENT: Signature: Elie ',Q a L, e / Print Name: Mailing Address: Date: C--/6,--.0 6 Day Telephone: /i F1 City State Zip Date Application Accepted: / i ce Date Application Expires: 1�1 Staff Initials: /" Q Upplintiovi, onra- Applic+fions On Line- 2006 - PWmbina -Gu Pipnil Pemi APPliution doe Revised: -2006 bh Page 2 of 2 City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 RECEIPT Parcel No.: 0040000825 Permit Number: PG06 -069 Address: 14628 MILITARY RD S TUKW Status: APPROVED Suite No: Applied Date: 06/16/2006 Applicant: FOUNTAIN ESPRESSO Issue Date: Receipt No.: R06 -01026 Payment Amount: 145.00 Initials: BLH Payment Date: 07/13/2006 12:52 PM User ID: ADMIN Balance: $0.00 Payee: RAHEL YIRGA TRANSACTION LIST: Type Method Description Amount Payment Cash 145.00 ACCOUNT ITEM LIST: Description Current Pmts Account Code PLAN CHECK - NONRES PLUMBING - NONRES 000/345.830 000/322.100 27.00 118.00 Total: 145.00 7354 07/17 9716 TnTA;_, 391.41: doc: Receipt Printed: 07 -13 -2006 INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36 ?0 Project: i SuVIA -0iV1 E' w Type of Inspection: 900 •i phi V UWL Address: W(v2l AA( I+-avv Date Called: 10i0 �f- Cl Special Instructions: i Date Wanted: 11d m Requester: I 12-ktWt Phone No: 2c(, 'emu 4l Approved per applicable codes. ElCorrections required prior to approval. COMMENTS: ✓ ccivk Tn r -Fi k L4 r k 1 Z 7°x"1 'r ..e. QS t t14(e1 ---- cum_ e _ 1 -Fo 8 c (41 ' 7L- 43) -- 3‘78 Inspector: 1Z___ , A jiL Date:./O 11 I / $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: INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit r -qn1 (206)431 -3670 Project: ate. ;.. ---- f_ e Type of Inspection: A re sr -- AddressL14 / Date Called: Speci I Instructions: 4f f tvt r f / —0/ Date Wanted: y / �,.,�// —! —eiF. a.m„ P.m. Requester: Phone N oG 79 Li/ le Approved per applicable codes. 0 Corrections required prior to approval. tQMMENTS: nspect Date/e-02, ri $58.. REINSPEC ON FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION INSPECTION RECORD Retain a copy with permit 6300 Southcenter Blvd., #100, Tukwila, WA 98188 itApproved per applicable codes. Corrections required prior to approval. COMMENTS: 7 /,o/r /U Ctt Inspector: to— Dater *Wed T<` 1 0 $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to seihedule reinspection. (Receipt No.: Date: INSPECTION RECORD Retain a copy with permit /%o' -d /`1 CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Prole t: Type of Inspection: Address: /y o\S in ji /A7 ter/ Date ailed: !J Special Instructions: - - Date Wanted: Want d: (�me— /0-06 Requester: PCs o Nz.),SD -yi3G Approved per applicable codes. Corrections required prior to approval. COMMENTS: W# � redo / 2 /` Z'i �j9 ! C its Z Care ro Vd t !/r lie (9'— n u / )a L[/C /c4 3 j ui f (mss /, rl - I kir( Aide )771-)% 14" ❑ $58...0 REINSPEC r FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #1 00, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit 069 206)431 -3 Pro' t: Frn/w /4'AJ FspRtsco Type of Inspection: (,Q c7',iC( eavic Address: . / yG 2.8 n9/1/744/ R� Date Called: Special Instructions: Date Wanted: 7 — /9--10 6, Cm,. p.m. Requester: ' P ne No: vs )moo — < "/ r% Approved per applicable codes. Corrections required prior to approval. COMMENTS: ', --V m-pgP Ate 0 In e or: Date: .,.._ r �� `] -r 5 —v4. 58.00 REINSPE N FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: 03 -01 -2007 RAHEL YIRGA 11032 1 AV SW #5 SEATTLE WA 98146 City of l u/aW ila Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director RE: Permit No. PG06 -069 14628 MILITARY RD S 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 Uniform Plumbing Code and/or International Fuel Gas Code, every permit issued by the Building Division under the provisions of this 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, 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 Plumbing and/or Gas 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 wrltinr 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 /02/2007 , your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, xc: Permit File No. PG06 -069 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206-431-3670 • Fax: 206-431-3665 PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG06 -069 DATE: 06 -16 -06 PROJECT NAME: FOUNTAIN ESPRESSO SITE ADDRESS: 14628 MILITARY RD S X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Issued DEPARTMENTS: Bu I.'i: Division Public Works ❑ Fire Prevention Structural Planning Division Permit Coordinator DETERMINATIQN OF COMPLETENESS: (Tues., Thurs.) Complete Comments: Incomplete ❑ DUE DATE: 06-22-06 Not Applicable Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES/THURS ROUT G: Please Route Structural Review Required REVIEWER'S INITIALS: n No further Review Required DATE: APPROVALS OR CORRECTIONS: Approved E Approved with Conditions Notation: REVIEWER'S INITIALS: DUE DATE: 07-20-06 Not Approved (attach comments) C DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents/routing slip.doc 2 -28 -02 likasilaadladhadhadhad I Notary Pubic Stale caladIngton MEE D JOHNSON My Appointment Eapkes Apr 1 1.2009 irewrinniwaremilli CITY OF TUKWIL4 Sr Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 Permit Center /Building Division: 206 -431 -3670 Public Works Department: 206-433-0179 Planning Division: 206 -431 -3670 AFFIDAVIT > IN LIEU OF CONTRACTOR REGISTRATION PERMIT NO.: DOS -oo8 1- T% 06 -06? STATE OF WASHINGTON) ) ss. COUNTY OF KING ). (please print) 1. I have made application for a building permit from the City of Tukwila, Washington: states as follows: 2. I understand that state taw requires that all building construction contractors be registered with the State of Washington. The exceptions to this requirement are stated under Section 18.27.090 of the Revised Code of Washington, a copy of which is printed on the reverse side of this Affidavit. I have read or am familiar with RCW 18:27.090. .. 3. I understand that prior to issuance of a building permit for work which is to be done by any contractor, the City of Tukwila must verify either that the contractor is registered by the State of Washington, or that one of the exemptions stated under RCW 1827.090 applies. 4. In :order to provide verification to the City of Tukwila of my compliance with this requirement. I hereby attest that after reading the exemptions from the registration requirement of RCW 18.27.090. I consider the work authorized under this building permit to be exempt under No. 1 , and will therefore not be performed by-a registered contractor. I understand that I may be waiving certain rights that I might otherwise have under state law in any decision to engage an unregistered contractor to perform construction work. \applications\8.2004 affidavit in lieu of contractor registration, Rott-t b y 1 Rxliot- APPLICANT Signed and sworn to before me this day of NOTARY PUBLIC and for the State of Washington, 20 D Residing at t t ,s - \ Name as commissioned: .1 s19 f 5A/ll■■EA My commission expires: (. N t) 11 c v, County.