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Home My WebLink AboutPermit PG06-140 - QDOBAQDOBA 150 ANDOVER PK W PG06 -140 CITY O; TIE °I A DEPT. OF CC:.::.:J:: il' C 6300 S. U Fk TUKWILA, WA £s7(.,3 PLUMBING /GAS PIPING PERMIT Parcel No.: 0223100010 Address: 150 ANDOVER PK W TUKW Suite No: Permit Number: Issue Date: Permit Expires On: PERMIT CENTER PGO6 -140 09/05/2006 03/04/2007 Tenant: Name: QDOBA Address: 150 ANDOVER PK W, TUKWILA WA Owner: Name: GIBSON PROPERTIES LLC Address: 401 ANDOVER PARK E, TUKWILA WA Contact Person: Name: GARY VOGLER Address: PO BOX 174, PACIFIC WQA Contractor: Name: G V PLUMBING & CONSTRUCTION Address: 141 VALENTINE CT, PACIFIC Contractor License No: GVPLUC•021 R3 Phone: Phone: 206 423 -3359 Phone: (206)233 -2621 Expiration Date: 01 /22/2008 DESCRIPTION OF WORK: GAS PIPING TO MUAL (ROOF -TOP), HWT, FRYER, RANGE, GRILLE, ADN RICE COOKER. GAS ALREADY RAN TO RTU1 - RTU2 (ROOFTOP) Value of Plumbing /Gas Piping: $0.00 Fees Collected: $95.00 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 0 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 0 0 Medical gas piping system serving one to five 0 inlets /outlets for a specific gas 0 0 Gas Piping Gas piping outlets (0 -5) 5 Gas piping outlets (6 +) 1 **continued on next page ** doc: UPC - Permit PGO6 -140 Printed: 09-05 -2006 DEPT. C C::. ...... .. IT 6300 SI.111I -k . ■ . 0. TUKWILA, WA 9UIbJ `PERMIT CENTER Permit Number: PGO6 -140 Issue Date: 09/05/2006 Permit Expires On: 03/04/2007 Permit Center Authorized Signature: I hereby certify that I have read and ordinances governing this work will b in t kM4W Date: 91 V JV Utz s permit and know the same to be true and correct. All provisions of law and mpfed:4vith, 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 erformance of ork. I am authorized to sign and obtain this plumbing/gas % ( aas piping permit. ` Signature: Date: / / 6 Print Name: 4t1 L Vcs c-erC 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 -140 Printed: 09 -05 -2006 City &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 Parcel No.: 0223100010 Address: 150 ANDOVER PK W TUKW Suite No: Tenant: QDOBA PERMIT CONDITIONS Steve Lancaster, Director Permit Number PG06 -140 Status: ISSUED Applied Date: 09/05/2006 Issue Date: 09/0512006 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 -140 Printed: 09-05-2006 City &'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 I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and ordinances goveming 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: 2-PL) '4t2 y L. Vr 'cd Date: 9/0S-/ / ° doe: Conditions PG06 -140 Printed: 09-05-2006 a..1s r an rvnrvrats Community Developmer:department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA ,98188 thttp: /lwww.ci.tukwila.wa.us Piumbing/G 2ermit: Project No. (For tc uezdriTy', 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 Prints* [SITE LOCATION King Co Assessor's Tax No.: b2.--2-7X 0 —001 O Site Address: rot AJD o' ea. PARK weer Suite Number: Floor: Tenant Name: p a R 4 New Tenant: Yes El -No Property Owners Name: Mailing Address: Zip City State CONTACT PERSON -Who do we contact when your permit is ready to he issued Name: 64 Pt 66 Let. Mailing Address: 4) b Sty. 1 ')4 Day Telephone: 2.bC:0423-3S. P4 ca fit- W Stale 92640 City tip Fax Number. E-Mail Address: PLUMBING I GAS PIPING CONTRACTOR INFORMATION Company Name: \I PL 3g. d- C N,S'i Mailing Address: /P C\ P ` f l 4 1�R l :iF L W r Q3 1» Contact Person: 6 A R%t L V 06 lt2 Day Telephone: 2.SR " r 3s -- 1344 E -Mail Address: 9 V P i u w. b g »9 0Q h ter t1 a; L •tn� Fax Number: 1 '%t' S91 y Contractor Registration Number: C V P Luc.. * Cal e3 Expiration Date: T7i- ia - 0 $ `ARCHITECT OF RECORD -All plans must be wet stamped by Architect tifRecord Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: State Zip ENGINEER OF RECORD - Alt 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 QMpplicntio..flo me- Applicuimn On Line V -2006 - Plumbing-Gas Piping Permit Appliution.doc Revived: 4-2006 - bb Page 1 of 2 610 Valuation of' Project (contractor's bid price): $ 5 boo Scope of Work (please provide detailed information): a /30%, ek),.,44, To : m c, A 1 (Rios -PIP) J4v.17 Ffb-i ei2 aC.€ , Pt AD c_clowcz a'43 4LALetar,41 R-4A eta RT R-r u (poorni-00) Building Use (per Int'I 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: Fkiture,TYPe:— Date Application Expires: 1 OI/VC41)+— Fixture Type: - Fixture : , Qty Fixture Type: - Bathtub or combination bath/shower Drinking fountain or water cooler (per head) Wash fountain Gas piping outlets . 47 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 Value of Construction – In all cases, a value of construction amount should be entered bythe 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 R OR AUTHORIZED AGENT: Signature: ) M.91, Print Name: a fely VO6t-Ef. Mailing Address: CI) (c,)( )r)1 Date: qi 5 it6 Day Telephone: '2.53-9&S-1311 PA ciseadin City State Zip I Date Application Accepted: rit I cci 0 Date Application Expires: 1 OI/VC41)+— Staff Initials: Ac i r Q: Applicetionfforme-Applications On Linea-2006 - Plumbing-Gas Piping Perm' Application doc Revised: 4-2006 bh Page 2 of 2 City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 RECEIPT Parcel No.: 0223100010 Permit Number: PG06 -140 Address' 150 ANDOVER PK W TUKW Status: PENDING Suite No: Applied Date: 09/05/2006 Applicant: QDOBA Issue Date: Receipt No.: R06 -01389 Payment Amount: 95.00 Initials: JEM Payment Date: 09/05/2006 03:32 PM User ID: 1165 Balance: $0.00 Payee: G. V. PLUMBING AND CONSTRUCTION TRANSACTION LIST: Type Method Description Amount Payment Check 2606 95.00 ACCOUNT ITEM LIST: Description Current Pmts Account Code GAS - NONRES 000/322.100 95.00 Total: 95.00 9318 09/05 9716 TOTAL 95.00 doc: Receipt Printed: 09 -05 -2006 INSPECFI NO. INSPECTION RECORD Retain a copy with permit 'l ',.CITY OF TUKWILA BUILDING DIVISION 63Q0 Southcenter Blvd., #100, Tukwila, WA 98188 216) 36 Prole?-t- {j s -A ((��_ffJJ V Type of Ine ctio : l I r°t V Address: 15 G 4tJtb&JP2 pic Cr Date Called: 1 Special Instructions: Date Want '" ,Z. a _4 C0 a.m. p.m. Requester: Phone No: 'Approved per applicable codes. El Corrections required prior to approval. COMMENTS: Y��r"•-\ ° CIW.,i1€fe[ntu 11 ` (Date: 2 R-0 RE1NSFECTION FEE EQUIRED.or to inspection, fee st be at 6300 Southcenter Bl ., Suite 1 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 PERM 06)43 -36 Pro ' ct: OD 6.4 Type of Inspec ion: r. \ 4 oty9n -/Al GAS A dress: SO 4Ai0/NF4PKet. Date Called: Special Instructions: li rS", 7ha/CI Date Wanted: 9 _zG -o L ra.mi v.v. Requester: Phone No ia0G- 9i9 -72Y6. (pproved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: D 7-2 L —OC 8.00 REINSPEC,AON FEE REQUIRED. or to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 00. Call to sechedule reinspection. 'Receipt No.: Date: INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 6oG -'y0 206)4 Project: 47D084 Type of Inspection: Rmryh -.N 645 Address: / 5C, An/Jan4=t D'G Ltd Date Called: _ Special Instructions: Date Wanted: a.ni. - 7-Z� OG Requester: Phone No: .2oC - S'o5 -7ZVC. Approved per applicable codes. COMMENTS: A/iCorrections required prior to approval. �.. 4/0 //»s/ft fie nspect 8.00 REINSPECTI N FEE QUIRED.J paid at 6300 Southcenter Blvd., Suite 1 Receipt No.: 'Dat Z —vZ or to inspection, fee must be Call to sechedule reinspection. 'Date: J INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3 INSPECTION RECORD Retain a copy with permit PERM Project: 1l Type of Inspection: Afiti 4 Cry Address: Aro API?) Dated- Special Instructions: Date Wanted: a.m. 973a Requester: Phone No: Approved per applicable codes. 'Corrections required prior to approval. COMMENTS: CR,s ho 71- x,14 t lest{- t% ri $58.00 EINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: (Date: tae.. •t % ",` `. uvvR VtI u vvaa La NYLVa, LLVVLa1. " u1 VL 3 £LL1a1VVL 1 # 11O LYLa11 1 able 1 Vl L Washington State Department of Labor and Industries General/Spectalty 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 OVPLUC•02IR3 Licensee Name G V PLUMBING & CONSTRUCTION Licensee Type CONSTRUCTION CONTRACTOR UBI 600142739 Ind. Ins. Account Id Business Type INDIVIDUAL Address 1 P O BOX 174 Address 2 City PACIFIC County KING State WA Zip 98047 Phone 2537351344 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 12/23/1998 Expiration Date 1/22/2008 Suspend Date Separation Date Parent Company Previous License Next License Associated License Business Owner Information Name Role Effective Date Expiration Date VOGLER, GARY L OWNER 12/23/1998 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 112 DEVELOPERS SURETY & INDEM CO 856610C 12/14/2001 Until Cancelled 512,000.00 12/14/2001 GRANITE https: // fortress .wa.gov /Ini/bbip /printer.aspx ?License= GVPLUC *021 R3 09/05/2006