The URL can be used to link to this page

Home My WebLink AboutPermit PG06-128 - JACK IN THE BOXJACK IN THE BOX 16400 WEST VALLEY HY PG06 -128 Parcel No.: Address: Suite No: 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 2523049043 16400 WEST VALLEY HY TUKW Permit Number: Issue Date: Permit Expires On: Steve Lancaster, Director PG06 -128 08/22/2006 02/18/2007 Tenant: Name: JACK IN THE BOX Address: 16400 WEST VALLEY HY, Owner: Name: SIERS JANENE M Address: C/O FOODMAKER INC, PO BOX 783 Contact Person: Name: LARRY ROBERTSON Address: PO BOX 1659, EDMONDS WA Contractor: Name: ROMEK 1NC Address: PO BOX 1659, EDMONDS WA Contractor License No: ROMEKI *175NN Phone: Phone: (206)367 -5010 Phone: 206 367 -5010 Expiration Date: 07/18/2007 DESCRIPTION OF WORK: REMODEL/MODIFY RESTROOM PLUMBING FIXTURES. Value of Plumbing /Gas Piping: $0.00 Fees Collected: $88.00 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 0 Urinals 0 Water Closet 2 Plumbina (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 0 0 Medical gas piping system serving one to five 2 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 PG06 -128 Printed: 08-22 -2006 City Of 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: PG06 -128 Issue Date: 08/22/2006 Permit Expires On: 02/18/2007 Permit Center Authorized Signature: Date: 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 constrystion or the performance of work. I am authorized to sign and obtain this plumbing /gas piping permit. Signature: lam &. ct Date: V2D706 Print Name: Ls.wrts V p,(.0 u r ^i"SnG 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 -128 Printed: 08-22-2006 CITY OF TUKWIIA DEFT. CF CC . : :.:U :ITy DEVELOPMENT 6JC3 C.,UTHICCN 1 ER BLVD. TUKWILA, WA 98188 PERMIT CONDITIONS PERMIT CENTER Parcel No.: 2523049043 Permit Number: PGO6 -128 Address: 16400 WEST VALLEY HY TUKW Status: ISSUED Suite No: Applied Date: 08/22/2006 Tenant: JACK IN THE BOX Issue Date: 08/2212006 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: 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 PG06.128 Printed: 08-22 -2006 CITY OF TUKWI A DEFT OF CC:.1 L; TY DEVELOPMENT 63L: c I;.,, N rep CLVD. TLr ;ILA, WA 93183 PERMIT CENTER 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: Lq-vr7 A b e- ro'J Date: 8/2 C doc: Conditions PGO6 -128 Printed: 08 -22 -2006 VII r WC IVO►►RLr' Community Developme epartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us Plumbing/Gsse f'es t 1'!%. &O(0'" H at Project No oto„$icee, onlpJ 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 Site Address: goSOO W, VALLEY Fiw,,r Tenant Name: AC_ K IN 11{f f ox Property Owners Name: Mailing Address: King Co Assessor's Tax No.: 252.3049 0 4300 Suite Number: Floor: New Tenant: ❑ .... Yes ® ..No City State Zip CONTACT PERSON -Who do we contact when your permit is ready to be issued Name: L ARR y Ra 86Rflc N Mailing Address: Day Telephone: 2ca C - 3 G7 • S'd/d City State Zip E-Mail Address: Fax Number: Company Name: KU he\EK i 16/ Ca Mailing Address: e7aX 1 Co S 9 E c Lite( ur l its £ v4 9e-6 �C1 State Zip Contact Person: L AR R,y E -Mail Address: / Contractor Registration Number: fklat4Ek( /7$?VA4' Rcsv t.r4 -scy.i City Day Telephone:2 C. (o - 3 C 7- S"C1 U Fax Number: Expiration Date: 77/ !/d 7 [ARCHITECT OF RECORD -Ad plans mast be wet stamped by Arcldtect of Record Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: State Zip ENGINEER OF RECORD -All plans must be wet stamped by Engineer of Record Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: State Zip Q: Appliatiau\Potn t- Appliatioa On Line V -2006 - Plumbing -Cu Piping Penult Appliation.doc Revised: 42006 bb Page 1 of 2 Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): o4f c-/ /MeS c Rc!STyc1/43 carat t1Lt-i-6L1,4. 7 I" ,x Building Use (per Int'1 Building Code): Occupancy (per Int'I Building Code): Utility Purveyor: Water: Sewer: Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: Fi*ture'TYper QtY'-'Piiture'lypc: Stafflnitials: /,(4..) Qty Fix ture'1'ype:, Qty'; -Fhtture;°i'ype: 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 z Water Closet 2. 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 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. R O UTHORIZED AGEN BUILDING OW Signature: Date: a/a �a r► Print Name: /Mr filed' +Sa4-/ Day Telephone: 241 L- 3 67 -58 /v Mailing Address: en, / ca_ Vv fl- 7P to City State Zip Date Application Accep d: Ot %a /o c, o Date Application Ex Tres: Expires: I o7 Stafflnitials: /,(4..) Q:\ApplicstionsWomu- Appliwtiov On LineV 3006 - Plumbing.Q++ Piping Penni Application.doc Revived: 4-2006 bb Page 2 of 2 City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 RECEIPT Parcel No.: 2523049043 Permit Number: PG06 -128 Address: 16400 WEST VALLEY HY TUKW Status: APPROVED Suite No: Applied Date: 08/22/2006 Applicant: JACK IN THE BOX Issue Date: Receipt No.: R06 -01321 Payment Amount: 88.00 Initials: LAW Payment Date: 08/22/2006 02:47 PM User ID: 1632 Balance: $0.00 Payee: ROMEK INC TRANSACTION UST: Type Method Description Amount Payment Check 14610 88.00 ACCOUNT ITEM LIST: Description Current Pmts Account Code GAS - NONRES 000/322.100 88.00 Total: 88.00 8907 08/22 9710 TOTAL :..00 doe: Receipt Printed: 08 -22 -2006 INSPECTION RECORD INSP2ON NO. PERM Retain a copy with permit %0 INSPEON NO. PERM CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 06)431 -36(70 Prop' ct: p) 4 IL J--✓i) _ r1-rc Bal. Type of Inspection: t -i hi w4-( Address: I Le `/nO to UA { k, i- Date Called: Special Instructions: ate Wanted: G -G -at a.m. Requester: Phone No: I w Approved per applicable codes. DCorrections required prior to approval. COMMENTS: 58.00 REINSPECT' 1 FEE REQUI D. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., ite 100. Call to sechedule reinspection. Receipt No.: Date: INSPECTION NO. INSPECTION RECORD Retain a copy with permit fbd -r2ra CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PER 206)431 -36 Project. /c chili ,", -MO 610‘,/ Type of Inspection: goy y A - / w Address: Date Called: 7.--- vc.�li - d ptaig Special Instructions: Date Wanted: 8 -23 -dC t. Requester: Pl/ . Phone No: pG - 550- 4/98/ pproved per applicable codes. El Corrections required prior to approval. COMMENTS: .Dis»J G1/4/14-5 7.--- vc.�li - d ptaig L% 2r - Pl/ . --- ApfitAt- , 4 nsp:,. 4 • a... ■1 r: Datg� -L3- 58.00 REINSPECTIO FEE RE r 4 MED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.