The URL can be used to link to this page

Home My WebLink AboutPermit PG06-188 - ACT 3 CATERINGACT 3 CATERING 15665 NELSON PL PG06 -188 City trr' Tukwila terh 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: ettukwila.wa.us Parcel No.: 0005800034 Address: 15665 NELSON PL TUKW Suite No: PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: Steve Lancaster, Director PGO6 -188 10/16/2006 04/14/2007 Tenant: Name: ACT 3 CATERING Address: 15665 NELSON PL, TUKWILA WA Owner: Name: CLOSE ROBERT J TRUSTEE Address: E 8262 HWY 106, UNION WA Contact Person: Name: ROBERT UTLEY Address. 517 CENTRAL AV, KENT WA Contractor: Name: GARY FOX PLUMBING Address: 517 N CENTRAL, KENT WA Contractor License No: GARYFP *140BU Phone: Phone: 206 510 -3385 Phone: 253 864 -2024 Expiration Date: 08/14/2007 DESCRIPTION OF WORK: PLUMBING FOR TENANT IMPROVEMENT Value of Plumbing /Gas Piping: $0.00 Fees Collected: $548.00 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) 0 Food -waste grinder, commercial 2 Floor drain 6 Shower, single head trap 0 Lavatory 14 Wash fountain Receptor, indirect waste 0 Sinks Uniform Plumbing Code Edition: 2003 International Fuel Gas Code Edition: 2003 FIXTURE TYPE AND QUANTITY Plumbina (cont.l 0 Building sewer and each trailer park sewer 0 0 Rain water system - per drain (inside bldg) 2 1 Water heater and /or vent 3 0 Industrial waste treatment interceptor, including 2 its trap and vent, except for kitchen type grease interceptors 0 Repair or alteration of water piping and /or water treatment equipment 0 Medical gas piping system serving one to five inlets /outlets for a specific gas 0 Urinals Water Closet 2 9 Gas Piping 1 Gas piping outlets (0 -5) 0 5 Gas piping outlets (6 +) 0 "continued on next page" doc: UPC - Permit PGO6 -188 Printed: 10-16 -2006 City Ole Tukwila Steven M. Mullet, Mayor Department of Community Development 6300 Southeenter 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 -188 Issue Date: 10/16/2006 Permit Expires On: 04/14/2007 Permit Center Authorized Signature: I hereby certify that I have read and ordinances governing this work will b PI 41—Mr� 74 is permit and know the same to be true and correct. All provisions of law and with, whether specified herein or not. Date: %d I L E/J [ 0p 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. 4 i O / Signature: /.%tom / o Date: at� air Print Name: 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 -188 Printed: 10 -16 -2006 CITY OF TUKV:It A DEPT OF CO 1YU ?NTY D::V. i nrrwr 6:. ) SOU -MC :.N I ..', r "D. JKWIIA, WA g PERMIT CONDITIONS PERMIT CENTER Parcel No.: 0005800034 Permit Number: PGO6 -188 Address: 15665 NELSON PL TUKW Status: ISSUED Suite No: Applied Date: 10/16/2006 Tenant: ACT 3 CATERING Issue Date: 10/16/2006 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 backftlled 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 PG06 -188 Printed: 10-16 -2006 CITY OF TUKWILA DEPT. OF CO?"' 'UNITY DI:VaOrMENT 6300 SLUTH•rN i [fl EL'D. TUICXILA,VYA SJi:,3 ,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: Date: / doc: Conditions PG06 -188 Printed: 10 -16 -2006 %aa g va gvnrraara Community Developmei.,✓epartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wasus Plumbing/SrPertnit No. frid, 14/1 Project No. (FOr4 ICi se 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: /We S Nf/Sgu7 /'J Tenant Name: A C-/- 3 CcScriny Property Owners Name: Cs v c k DZ lam' end us Mailing Address: 37 /c / !�j / King Co Assessor's Tax No.: 00052 00 0 3 y Suite Number: Floor:. New Tenant: tgJ .... Yes ❑ ..No City /r//l PIPPerS.7 State Zip CONTACT PERSON -Who do we contact when your permit is ready to be issued Name: ailing Address: / E -Mail Address: ■ Company Name: #d/e c_______ Mailing Address: Contact Person: Day Telephone: City Fax Number: State Lp GAS PIPING _CONTRACTOR INFORMATION' ;-` C TM L._ et i ailx var ry C7 o -/sr, Zip Day Telephone: ,—,$ /O -,3,315 E -Mail Address: Fax Number: o. J - tS o�? D/S Contractor Registration Number: 44R y f -3(- / y0 ee Expiration Date: / —2/ — �d ARCHITECT OF RECORD -All plans must be wet stamped by Architect bf Record Company Name: Mailing Address: Contact Person: E -Mail Address: City Day Telephone: 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 QMppliwtioasWonne- Applications On LinA3 -2006 - Plumbing -Gee Piping Permit Applieulan.doe Revised: 4-2006 bh Page 1 of 2 Valuation of Project (contractor's bid price): $ 39, COQ, Scope of Work (please provide detailed information): 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: fixture Type ; 'f ty ' flit llre Type: i ty Eixft#re Type: `, :. Qty Fixture Type: Qty Bathtub or combination bath/shower Drinking fountain or water cooler (per head) Wash fountain 3 tort O bpd/� 2 Gas piping outlets Bidet Food -waste grinder, commercial � - .l Receptor, indirect waste Clothes washer, domestic / Floor drain 82 Sinks Dental unit, cuspidor --ft Shower, single head trap Urinals / Dishwasher, domestic, with independent drain a. Lavatory /9 Water Closet S Building sewer or trailer park sewer Rain water system – per drain (inside building) Water heater and/or vent 3 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. BUILDING OWN s R AUTHO t ED AGENT: Signature: Print Nam Mailing Address: .577 (er fineL Ai'e/1% Date: /7 `!D ^ ea Day Telephone: o2 ✓ -5 — 2,1/.4,372.> State Zip City Date Application Accepted: I �I I Date Application Expires: t i i. V Staff Initials: i / Q:Upplicatiov,IFonnn- Application. On Linel 2006 • Plumbing-Us Piping Pmmi Application doc Revised: 4-2006 bb Page 2 of 2 CO of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 RECEIPT Parcel No.: 0005800034 Permit Number: PG06 -188 Address: 15665 NELSON PL TUKW Status: PENDING Suite No: Applied Date: 10/16/2006 Applicant: ACT 3 CATERING Issue Date: Receipt No.: R06 -01646 Payment Amount: 548.00 Initials: JEM Payment Date: 10/16/2006 12:24 PM User ID: 1165 Balance: $0.00 Payee: GARY FOX PLUMBING TRANSACTION LIST: Type Method Description Amount Payment Check 8244 548.00 ACCOUNT ITEM LIST: Description Current Pmts Account Code PLUMBING - NONRES 000/322.100 548.00 Total: 548.00 0787 10/16 9710 TOTAL 548.00 doc: Receipt Printed: 10-16 -2006 7 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit PER N 206)431 -3670 Project: Pi' 3 �n /i /."rJs Type of Inspection: / ,,AJ•`1 \ Address: / 5-G6 5 m/F/Sd .v Az Date Called: Special Instructions: Date Wanted: c2 " 2 d - C, a.m. .m. Requester: Phone No: 34o-231 23dR Approved per applicable codes. COMMENTS: ElCorrections required prior to approval. aj ,orr,,,, -/ etn.,/,/.-7f. /A >pA�t Date: 2 -fl -O'> .00 REINSPECTION FEE RtQUIR . Prior to inspection, fee must be d at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Ret'eipt No.: Date: INSPE ION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 206)431.3 ProJJ��}}ct: r )5n' OATF2,� Type of Innk�pection \ /gIht h'i ^i Address: / 5 6 &5 41E1 So■I Pt Date Called: Special Instructions: Date Wanted: ( a. I2 -7- a L itint Requester: Phone No: 340- 25' -23O Approved per applicable codes. Corrections required prior to approval. CO MENTS: I ?e % // — /A/ ,� /7 /H+42Nj (DNy,,I /Fib or, Date: - 7 —o4 8.00 REINSPECT' FEE REQl1IRED. Prior to inspection, fee must be aid at 6300 Southce ter Blvd., Suite 100. Call to sechedule reinspection. Reckipt No.: 'Date: INSPECll81V NO, CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit Projec : - . i - Type of Inspection: �� _ i _ L _ Ad•ress: Acb4 s- �j/��t„ i,,.P% ate Called: Special Instructions: Date Wanted: // ^� // a.m. Requester: Phone No: 2n6 ; StD -33ec- Approved per applicable codes. D Corrections required prior to approval. COMMENTS: I-- (-en, „z ✓! � G- _cc Inspect/ Alf/ Date: 0 $58. INSPECTION EE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100, Call to sechedule reinspection. Receipt No.: (Date: INSpjf2flON NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit 06)431.3$7 Project: -! 3 ('q Jrr , ;;/4, Type of Inspection: N.. Ilo /D>/nYlG{%✓ /C Address: / 5c-65 NFL Sav P L Date Called: Special Instructions: Date Wanted: a.m. /i- /3 - o G n .fIC Requester: Phone No: -Jae 2 ' -zf8 L. Approved per applicable required prior to approval. codes. Corrections CO MENTS: (ell Inspector: ^ �� 1111_ Date: /1 / 3 .`1� $58.0 NSPECTION FE[ REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: INSPECTION INO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)43 670 Project: /r�I 1 t1a , -,rtif Type of I pection: V 60is�,w� ir/[ Address: /.5-'I:6S 4//6o, f P / Date Called: Special Instructions: Date Wanted: 70 ^4' > — 0 C. p.m. Requester: Phone No: _16 0 -235' -- z3d 'f ElApproved per applicable codes. E Corrections required prior to approval. COMMENTS: Co HiUrr / L.' -1YZ. /�e.7745 J / /f� rC-j Zi v C �vGL,li i/Giii h C Date/9-2_5-r-eZ 558.00 REINSPECTIOI(FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: t.I INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION INSPECTION RECORD Retain a copy with permit ?6o6 -asp PERMIT NO. 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)4'1 -F670 Project: /P-I" ? 0.01(ft NS Type of Inspection: C_ ev /lie / 5664 a%° /5c, i Date Called: /4.7.50..PAA.M, Special Instructions: Date Wanted: •; - 2c/-D • / /d Requester: Phone No: ?O-2925° ( ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: p /1 a) l (A.../ / - i2 r.,,,,,,vn f2 No 6 . 6,,,,-5, L,%vi sf, l ( / nff¢�,t S /4.7.50..PAA.M, nspec r �% ► Zti. Date: 1 /u -zy -,/ 0 S .00 REINSPECTION F'EE REQUIRED. or to inspection, fee must be d at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Date: Receipt No.: M,ayM...trx.y_ins.ra + r,..^ -..,�V,r......7sP v;,ys�35�. ft INSPECTION RECORD X Retain a copy with permit G 4C / v INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -367 Project: -7 �1 !'Fl /e' ? /;%/, of Type of Inspection: .-4,A/ AJor /' Address: / .5-6 S Aie1/4 / >W,_ Date Date Special Instructions: Date Wanted: /6, —23— o a.m. a.m. Requester: ` Phone No: 3G a :2,35"- 2.767,, LJApproved per applicable codes. ElCorrections required prior to approval. COMMENTS: R Q� /s 1 //: in tie-ti,/ 0 .00 REINSPECTION FEEAEQUIRED. Prior to inspection, fee must be id at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Date: ,., 1 0 — zn— ` INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION INSPECTION RECORD Retain a copy with permit 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Project: �e f 3 (4%f Type of Inspectiol S "L4te Q Address: ,'5665 vet-SON r'L t Date Called: Special Instructions: Date Wanted: ra:m, / .Z - i2 - O G y:111: Requester: Phone No 3G0 - 235' - 2 306 Approved per applicable codes. Corrections required prior to approval. COMMENTS: F a - iv /Jnfn . /v4./) ✓t tv.Lfi 5�%v -rft /off- /t % %eJ v#t Q / ti d 76.1 5 s71 i �u fib T erl„ OJ Inspector: Date: /l .. /2-6' 0 $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: INSPECTION RECORD Retain a copy with permit 719G "P 'af, INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd„ #100, Tukwila, WA 98188 (206)431.3670 Proiect: L 9i , CA -'3 -e— 5 Type of Inspectiqq: Pre - ('dw/S //1e garl,J 56L�F! !� .IL Date Called: Special Instructions: Date Wanted: - /9 -aG c a.m„ p.m. Requester: Phone No: G Approved per applicable codes. Corrections required prior tb pproval. 4 EJ $5h,'B0'*EINSPECTION F %REQUIRE I . Prior to inspection, fee must be paid at 6300 Southcente Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: L LVVf■ Vy N VVLLN NVLV I, I..iIVV ..•µy1 •1 J. 11.1.1111n.4 LfY•110Y LY40.11 1 a5.# 1 his Washington State Department of Labor and Industries GeneraUSpecialty 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 GARYFP *140BU Licensee Name GARY FOX PLUMBING Licensee Type CONSTRUCTION CONTRACTOR UBI 600525003 Ind. Ins. Account Id #9 Business Type CORPORATION Address 1 517 N CENTRAL Address 2 City KENT County KING State WA Zip 980324512 Phone 2538542024 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 1/31/1986 Expiration Date 8/14 /2007 Suspend Date Separation Date Parent Company Previous License GI.FMEI *I60JB Next License Associated License Business Owner Information Name Role Effective Date Expiration Date FOX, GARY L PRESIDENT 04 /02/1984 Bond Amount Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date #9 CBIC SD9178 07/27/2001 Until Cancelled 512,000.00 08/14/2001 #8 CBIC SB1037 02/02/1998 Until Cancelled 09/28/2001 56,000.00 https: // fortress. wa. gov /lni/bbip /printer.aspx?License= GARYFP* 140BU 10/16/2006