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Home My WebLink AboutPermit PG06-212 - WESTFIELD SOUTHCENTER MALL - ORANGE JULIUSORANGE JULIUS 808 SOUTHCENTER MALL PG06 -212 Parcel No.: 2623049004 Address: Suite No: 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: http: / /www.ci.tukwila.wa.us PLUMBING /GAS PIPING PERMIT 808 SOUTHCENTER MALL TUKW Permit Number: Issue Date: Permit Expires On: Steve Lancaster, Director • PG06 -212 12/13/2006 * 06/11/2007 Tenant: Name: Address: Owner: Name: Address: ORANGE JULIUS 808 SOUTHCENTER MALL , TUKWILA WA WESTFIELD CORPORATION LLC 11601 WILSHIRE BL , LOS ANGELES CA Contact Person: Name: WILL HARRIS Address: 2151E BEAVER LK DR SE , SANIMAMISH WA Contractor: Name: EVERLAST PLUMBING LLC Address: 402 RAILROAD AV 5 , KENT WA Contractor License No: EVERLPL955PJ Phone: Phone: 425391 -2321 Phone: 253 631 -1998 Expiration Date: 10/11/2007 • DESCRIPTION OF WORK: TENANT IMPROVEMENT: RELOCATE =STING ORANGE JULIUS FROM FOOD COURT TO NEW LOCATION • Value of Plumbing /Gas Piping: $30,000.00 Fees Collected: $296.00 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) Food -waste grinder, commercial Floor drain Shower, single head trap Lavatory Wash fountain Receptor, indirect waste Sinks Urinals Water Closet Uniform Plumbing Code Edition: 2003 International Fuel Gas Code Edition: 2003 FIXTURE TYPE AND OUANTITT 0 0 1 1 0 Plumbing (cont.) Building sewer and each trailer park sewer 0 Rain water system - per drain (inside bldg) 0 Water heater and/or vent 0 Industrial waste treatment interceptor, including 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 Gas Piping Gas piping outlets (0-5) Gas piping outlets (6 +) * *continued on next page ** 1 0 doc: UPC -10/06 PGO6 -212 Printed: 12 -13 -2006 • City of Tukwila • Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206-431-3665 Web site: http: / /www.ci.tukwila.wa.us Permit Number: PGO6 -212 Issue Date: 12/13/2006 Permit Expires On: 06/11/2007 Permit Center Authorized Signature: 1 hereby certify that I have read and governing this work will be compile Date: permit and know the same to be true and correct. All provisions of law and ordinances er specified herein or not. The granting of this permit does not presupte to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the yd7fonnance Qf wo ;k /1 am authorized to sign and obtain this plumbing /gas piping permit. Signature: Print Name: 1/- d , Al// Date: P7/ //!Ca/ • 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-10 /06 PGO6 -212 Printed: 12 -13 -2006 Parcel No.: 2623049004 Address: Suite No: Tenant: • City of Tukwila Department of Community Development 6300 Southeenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.cttukwila.wa.us PERMIT CONDITIONS 808 SOUTRCENTER MALL TUKW ORANGE JULIUS Permit Number: Status: Applied Date: Issue Date: PG06 -212 ISSUED 11/08/2006 12/13/2006 • 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. • 8: 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: Cond -10/06 PG06.212 Printed: 12 -13 -2006 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila.wa.us • • 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: • • • • doe: Cond -10 /06 PGO6 -212 Printed: 12 -13 -2006 a t r Jr- ■ vn vrtin Community Developmerdepartment Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.atukwila.wa.us 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.: 644 Fite- Site Address: & Z7 ? G3VQf}{-Ct:t -tffL fi/f A Let- Suite Number: 5-8 0 Floor: Tenant Name: OF-AM C C 1-1Li 0 S New Tenant: t.. Yes D..No Property Owners Name: Rj f1l 4tJ M A re* F (Tt wAKT) R[t oc,t7 /O y Mailing Address: f DY/C�`f - -4- 4/1,_ A'U j� �- re-tomato r "-a �(eo; -, / City - Stte 1-p CONTALT PERSON = w4o po we ebataef whea yogr per4tif !>< Oody 4 Name: 11/11-1- 0.4E-P4 5 Day Telephone: if z.c i 39 / - Z 3zl Mailing Address: Z(5I E - 65Ac$rz LA DR- '5t- 5A0114 9A14 151-1 f075 / City State Zip E -Mail Address: ki kgal5 e cauct,tsr - i S'r Fax Number: 4z-5-37 1 GFtNERAL CONTRACTOR INFORMATION , (Coafractnr information for Mectbai icat (pg e)' for i'Iumbing and Gan Piping tog sir, Company Name: tv)•o - Mailing Address: Zip Contact Person: E-Mail Address: City Day Telephone: Fax Number: Contractor Registration Number: Expiration Date: State ARCHITECT OF RECORD All 'Alia must be wet stamped by Architect bt' Record Company Name: Mailing Address: Contact Person: E-Mail Address: 4 }1-2 /.ywr L - Hitre-le, 5 2/5 / tr 6FAVA -!t— LA ft Alfa- 14 Ana / s Se 5� :nt� �lh�sf� �.4- If�774 zip City / State! Day Telephone: 425--- 3 9 /- Z 3 Z/ &4& JiAtz�tS e CCGufa� ��T Fax Number: - ZS — Ti- 275'4? ENGINEER .OF I F. CORD Atl plans must be wet stamped by Engineer of Record Company Name: Mailing Address: P9z-irsrNGrKf+�(�1�� at S ,k•C r Ctge EHGcriA20/ C1J 0012-- Contact Person: M2Gi...4 � Z / (c City State Zip Day Telephone: e3 - 173 - 9 173 E -Mail Address: Q (l t t4 Fax Number: 3d-5 - 77'7- 0333 Q: AppliotiwuWams- Applications On LineV -3006 - ?emit Applicatioadoc Revised: 9.2006 bb Page 1 of 6 tln "09 Valuation of Project (contractor's bid price): S 150, 000 (cst) Existing Building Valuation: $ N A Scope of Work (please provide detailed information): — ret—(k -r( 1 i/l f a4o{. (✓( t „ec- lat Lc�C,c -�c tx(srI} -c�, 02A.4 6t Ju1-toS Ezowl ran C°1-421— j�-is < 1-ooc.4nwf4 F Cou ( ,,i. kmas C(tl -Iu-(G / rZc -v5c- EY(N7-/M6 t4c/rpeu15e.(r P4:- e t-f Will there be new rack storage? ❑.... Yes EL No If yes, a separate permit and plan submittal will be required. PLANNING DIVISION: Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) _ *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ Yes ❑ No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: tgr. Sprinklers Cif- Automatic Fire Alarm ❑ None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes No 1f "yes', attach list of materials and storage locations on a separate 8 -1/2" z 11" paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM N % ❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. QMppliutiomtFormrApplicetione On Line 3 -2006 •Permit Appliution.doc aeviud: 9-2006 bb Page 2 of 6 '. ntQn _. .. h f F; rms lox 2ir ffe, SSC, I' -- tpIoorw ern k iAttacbc4 pofl Covered Deck ;r _ ,3 � r t PLANNING DIVISION: Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) _ *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ Yes ❑ No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: tgr. Sprinklers Cif- Automatic Fire Alarm ❑ None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes No 1f "yes', attach list of materials and storage locations on a separate 8 -1/2" z 11" paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM N % ❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. QMppliutiomtFormrApplicetione On Line 3 -2006 •Permit Appliution.doc aeviud: 9-2006 bb Page 2 of 6 Scope of Work (please provide detailed imation): fkaPvi 11- 1-4 s-.f 11- 1 «12#1.le:MktE ttt t OC Arr.— F—SL r (K (� rcco ccx -r tv Elk) C R &V GC J UL (c)S RZCJAM Lo Cif flc,q 0-4 11/44,4 Call before you Dig: 1- 800424-5555 Please refer to Public Works Bulletin #1 for ices and estimate sheet. Water District e,,.Tukwila ❑...Water District #I25 ❑ ...Water Availability Provided Sewer District ...Tukwila ❑...ValVue ❑..Renton ❑...Seattle ❑ ...Sewer Use Certificate 0... Sewer Availability Provided Septic System: H % ❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. Submitted with Application (mark boxes which apply): ❑...Civil Plans (Maximum Paper Size —22" x 34 ") ❑ ...Technical Information Report (Storm Drainage) ❑ .. Geotechnical Report ❑ ...Bond ❑ .. Insurance ❑ .. Easement(s) ❑ .. Maintenance Agreement(s) ❑ .. Highline ❑...Renton Proposed Activities (mark boxes that apply): ❑...Right -of -way Use - Nonprofit for less than 72 hours ❑ ...Right-of-way Use - No Disturbance ❑ ...Construction/Excavation/Fill - Right-of-way Non Right-of-way ❑...Traffic Impact Analysis 0... Hold Harmless — (SAO) ❑...Hold Harmless — (ROW) ❑ .. Right-of-way Use - Profit for less than 72 hours ❑ .. Right -of-way Use — Potential Disturbance ❑ ...Total Cut cubic yards ❑ .. Work in Flood Zone ❑ ...Total Fill cubic yards ❑ .. Storm Drainage ❑...Sanitary Side Sewer ❑ ...Cap or Remove Utilities ❑...Frontage Improvements ❑ ...Traffic Control ❑ ...Backflow Prevention - Fire Protection Irrigation Domestic Water ❑...Permanent Water Meter Size... ❑...Temporary Water Meter Size.. ❑...Water Only Meter Size ❑...Sewer Main Extension Public ❑ ...Water Main Extension Public _ ❑ .. Abandon Septic Tank ❑.. Curb Cut ❑ .. Pavement Cut ❑ .. Looped Fire Line ❑ .. Grease Interceptor ❑ .. Channelization ❑ .. Trench Excavation ❑ .. Utility Undergrounding •• WO# WO# " WO # ❑...Deduct Water Meter Size _ Private Private FINANCE INFORMATION Fire Line Size at Property Line ❑...Water ❑...Sewer Monthly Service Billing to: Name: Number of Public Fire Hydrant(s) ❑...Sewage Treatment Day Telephone: Mailing Address: City State Zip Water Meter Refund/Billing: Name: Mailing Address: Day Telephone: City State Zip QMppliWiauWams-Applications Oo LineU -2006 - Pvmit Application doe Revised: 9-2006 bb Page 3 of 6 MECHANICAL CONTRACTOR INFORMATION Company Name: T 9 Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: Valuation of Mechanical work (contractor's bid price): S 4 'wi (ie-7r) Scope of Work (please provide detailed information): (�( r/lit- T° V it C.. uu (T j 124 (,oC STr p-(c l� LQ1 [� 4 ysrt Lv... (f(a di( rf(t sari }(r, Cv)- fLRrre- k' -c' d)...( fiat Use: Residential: New .... 0 Replacement .... Commercial: New ....0 Replacement ...12b.„, Fuel Type: Electric 121- Gas... Other: Indicate type of mechanical work being installed and the quantity below: U n i t Type: _ Qty ; 'Unit Type:.,= > Qty f: 'Unit Type: - 'Qty BoiletiCompreSSor: Furnace<100K BTU Air Handling Unit >10,000 CFM Fire Damper 0 -3 HP /100,000 BTU Fumace>100K BTU Evaporator Cooler Diffuser 3 -15 HP /500,000 BTU Floor Furnace Ventilation Fan Connected to Single Duct Thermostat 15 -30 HP/I,000,000 BTU Suspended/Wall/Floor Mounted Heater Ventilation System - Wood/Gas Stove 30 -50 HP /1,750,000 BTU Appliance Vent Hood and Duct Emergency Generator 50+ HP/I,750,000 BTU Repair or Addition to Heat/Refrig/Cooling System Incinerator - Domestic Other Mechanical Equipment Air Handling Unit • <10,000 CFM Incinerator - Comm/Ind Q:1ApptiationaWotmt- Applicadom On lineU -2006 -Permit Application dot Revised: 9-2006 bh Page of _ 7,777777 -7.77 f1:77 7 7 7:7 'at-7 7-7 7777:7,77 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Mune: fl b. 0 Mailing Address: City State Zip Day Telephone. Fax Number: Contact Person: E-Mail Address: Contractor Registration Number: Expiration Date: Valuation of Plumbing work (contractor's bid price): $ 4 ;67, 000 (e9r) Valuation of Gas Piping work (contractor's bid price): $ -5, &6f9 (l 5 Scope of Work (please provide detailed information): it /4 tio-fr- tv/ Mf.4-rr L-0 CAC/7- Sit 1-4 6 us reviAA-- Foot° foc4t-r -tz, 1.0 -(7 ort fj 4tc Building Use (per bit'! Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: Tri I- A- Sewer: --rt/p __if (-.4- Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: Fixture Type: Fixture Type: Qty Fixture Type: -I Qty Fixture Type: - - *, 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 f Floor drain 5 Sinks CO Dental unit, cuspidor Shower, single head trap Urinals Dishwasher, domestic, with independent drain i 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 QMppliestio.nflonns-Applications Ott LineV-2006 • Pernik Application.doc Revised. 9-2006 • bh Page 5 of 6 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. Building and Mechanical Permit The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be requested in writing and justifiable cause demonstrated. Section 1053.2 International Building Code (current edition). Plumbing Permit The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 Uniform 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 OW.' %RO' Signature: "NT: Date: /Sie /a-C Print Name: L'% L la At"' L• ff Q2 R is Day Telephone: 425- 3?/ —7321 Mailing Address: 715 I t - 13M an...- .2- L lC - Dig sr Sf , f r. try 4)J- ?MI r City State al, Date Application Accepted: 1 l l pi [at Date Application Expires: _ ` vl 104_ Staff Initiats:t „ QMpplk.donsronw- Applicntions On Line33006 -Permit Application doe Reviled: 9-2006 bh Page6of6 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206-431 -3665 Web site: http:/lwww.citukwila.wa.us SET RECEIPT RECEIPT NO: 1206 -01953 Initials: JEM User ID: 1165 Payee: RETAIL CONTRACATORS, LLC Payment Date: 12/13/2006 Total Payment: 2,105.34 SET ID: 1204 SET NAME: ORANGE JULRUS SET TRANSACTIONS: Set Member Amount D06 -420 1,583.48 M06 -248 313.86 PG06 -212 ° 208.00 TOTAL: 2,105.34 TRANSACTION LIST: type Method Description Amount Payment Check 14136 ACCOUNT ITEM LIST: Description TOTAL: 2,105.34 2,105.34 Account Code Current Pmts BUILDING - NONRES MECHANICAL - NONRES PLUMBING - NONRES STATE BUILDING SURCHARGE 000/322.100 1,578.98 000/322.100 313.86 000/322.100 208.00 000/386.904 4.50 TOTAL: 2,105.34 TOTAL 2105.34 Doc: RECSETS -08 INSPECT . N NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit (206)431.3Q70 Projisct: z Or./ 4., C7 .e..1 i 7 / /, It s Type of Inspection:. ✓ /� ,./.9 Address: / SOU Sd> %rn.c, /// /J19 Date Called: /7 Special Instructions: Date Wanted: a -/G-o7 a.m. Um- Requester: Phone No: yz ...5---.71/4/ -/ 7 ' Approved per applicable codes. Corrections required prior to approval. COMMENTS: P l' ✓M ezn.rg /f le // NT / c245 — Pitts,h•.� nspecto D e: - /4,--07 ]00 REINSPECTION EE REQUIR . Prior to inspection, fee must be d at 6300 Southcent Blvd., Suit 100. Call to sechedule reinspection. Receipt No.: Date: S.^... x.r theatutt.',::- iYlet::tdriu _-s-ft r.tioaset L/ INSPECTION RECORD ' Retain a copy with permit INSPECT! )N NO PERMIT CITY OF TUKWILA BUILDING DIVISION` 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (2 r 6)431.367 P&696- 2/ Project: / - �fl7 NK /vp/ / /,/5 Type of Inspection: / /V A9 / Address: S0A, — Cfil%r' e,J /e/ /4 /A/ Date Called: / / Special Instructions: Date Wanted: -,2 -/ s -O ' ifc/ (,,e , »�,� %n,c4 �4 -l_ -tr oa/ 4 Requester: Phone No: 5'2 5 "JVG -/ 75- 3 Approved per applicable codes. Corrections required prior to approval. COMMENTS: 4 ,�- Ali Car 3�,y or' P GZ,.(/U / t 6 & /0 -�/DV„ S,� 4c Z - �6e; -2-, /;, . s4 - % A7 ifc/ (,,e , »�,� %n,c4 �4 -l_ -tr oa/ 4 eezde9i- ), 4 4of S4% "'Inn ...4-,.• Al S 717 rifineranivi Inspector /'/r L i .LLiLtir Date: J 1 ❑ $58.00 REINSPECTION fEE REQUIRED. Prior to inspection, fee must (e paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: 1� 3 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit Project: 0 / 2 4 / 1 1 E 'J ?./?, Type of Inspection: \ /Zn,2% - iv Gas Address: r3 0 d SOV/b (1 /.r/k ✓rnr Date Called: ,t 1/ Special Instructions: Date Wanted: 02 - /y -G7 m. PIT> Requester: Phone No: 4/75— .3Vc -i25 3 'Approved per applicable codes. Corrections required prior to approval. COMMENTS: Dat ri $58.00 REINSPECTION F E 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 PERMIT (106)431 -36 Project: /L, .r, eo ,3l /tit Type of Inspection: g5eV s ,9,/,Il >-, /G Addre �y�J / Date Called: Special Instructions: Date Wanted: 113 F/� t i ^-07 P.m. Requester: Phone No: 2-S3-690--/G39 Approved per applicable codes. 0Corrections required prior to approval. COMMENTS: Insp rate: j / y aitim 0 REINSPE�O FEE REQUIRED. Prior to' inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule retnspection. Receipt No.: IDate: Sava. n9':4 '. • „, 4- +'v.1. -.11 .4'd.ett*' Zee- Retain a copy with permit INSPECTION RECORD INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (2 t 6 431 -367 PER Project: Project: q,JoF 11/11/5 Type of Inspection: ,6a,.t./c' C Add ss:.- r4 Se>, Jti fig,t/71r,--,44,r- Date Called: f, Special Instructions: Date Wanted: 6'/7-07 M' Pitt. ' equester: Phone No: 1/25- .34/16 -ea0G 4pproved per applicable codes. Corrections required prior to approval. COMMENTS: ham.,,./— 11' Date: / —/7—d% 0 REINSPECTIO FEE EQUIRED.yfior to inspection, fee must be at 6300 Southcenter Blvd., Suite Call to sechedule reinspection. Date: 1 4-- INSPECTION NO. _INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION PERM 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36(70 Project: Type of spection: N Address: 50 e 56,14, ,-4)1,2,- Date Called: Special Instructions: Date Wanted: /— / %' 07 4....- tr Requester: Phone No 4'2 34u -6ga ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: /-?e5 sun, re; %/,fi y -�--- spec E8.00 REINSPECTIOtJ FEE REQUIRED aid at 6300 Southcenter Blvd., Suit 100. Date: /'-/7 `0, r to inspection, fee must be Call to sechedule reinspection. Receipt No.: Date: 09 -17 -2008 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director WESTFIELD CORPORATION LLC 11601 WILSHIRE BL LOS ANGELES CA 90025 RE: Permit No. PG06 -212 ORANGE JULIUS 808 SOUTHCENTER MALL TUKW Dear Property Owner: In reviewing our current records, the above referenced property is due to have an updated test of the backflow prevention assemblies installed therein. The test(s) is intended to determine if the backflow prevention assembly is operating in accordance with the manufacturer's listed standards. See attached list for the assemblies which need updated test. Where the test indicates that an assembly must be replaced, the work must be done by a licensed plumbing contractor in accordance with the requirements of a plumbing permit. A subsequent successful test of the new assembly will be required for final inspection approval of the installation. In accordance with the Tukwila Municipal Code and Unifonn Plumbing Code Section 603.3.3, the premises owner is required to have the backflow prevention assembly tested by a Washington State Department of Health certifed backflow assembly tester. A test report(s) is required to be submitted to the City within 30 days of this notice. If all backflow assemblies pass the required test, the next test will be one (1) year from the date of the successful test report. You will be notified when to schedule the next test. Thank you for your cooperation in this matter. Sincerely, Brenda Holt, Permit Coordinator xc: Permit File No. PG06 -212 PGO6 -212 Page 1 of 2 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206-431-3670 • Fax: 206- 431 -3665 BACKFLOW ASSEMBLIES THAT REQUIRE TESTING: Assembly #1 Type of Assembly: RPVA Manufacturer: Watts Model: 009QT Size: 0.5 Serial No.: A32576 Date Inspection Due: 02/15/2008 Assembly #4 Type of Assembly: Manufacturer: Model: Size: Serial No.: Date Inspection Due: Assembly #7 Type of Assembly: Manufacturer: Model: Size: Serial No.: Date Inspection Due: PGae -212 0 0 Assembly #2 Type of Assembly: Manufacturer: Model: Size: Serial No.: Date Inspection Due: Assembly #5 Type of Assembly: Manufacturer: Model: Size: Serial No.: Date Inspection Due: Assembly #8 Type of Assembly: Manufacturer: Model: Size: Serial No.: Date Inspection Due: 0 0 0 Assembly #3 Tylp of Assembly: Manufacturer: Model: Size: Serial No.: Date Inspection Due: Assembly #6 Type of Assembly: Manufacturer: Model: Size: Serial No.: Date Inspection Due: Assembly #9 Type of Assembly: Manufacturer: Model: Size: Serial No.: Date Inspection Due: 0 0 Page 2 of 2 IWO 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 EVERLPL955PJ Licensee Name EVERLAST PLUMBING LLC Licensee Type CONSTRUCTION CONTRACTOR UBI 602397546 Ind. Ins. Account Id #1 Business Type LIMITED LIABILITY COMPANY Address 1 402 RAILROAD AVE S Address 2 City KENT County KING State WA Zip 98032 Phone 2536311998 Status ACTIVE Specialty 1 PLUMBING Specialty 2 SANITATION SYSTEM SIDE SEWER Effective Date 10/11/2005 Expiration Date 10/11/2007 Suspend Date Separation Date Parent Company Previous License EVERLP•011PG Next License Associated License Business Owner Information Name Role Effective Date Expiration Date EMIG, KARL PARTNER/MEMBER 10/11/2005 Bond Amount 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 6380572 10/07/2005 Until Cancelled 56,000.00 10/11/2005 1 • • • • https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= EVERLPL955PJ 12/13/2006