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Permit D08-385 - JAVI'S MEXI MART - WALL DEMOLITION AND SUBFLOOR
JAM'S MEXI- MARKET 14820 TUKWILA INTERNATIONAL BL 08 -385 Owner: Name: STEINBERG DOUG Address: 26519 CAMBRIDGE DR , KENT WA 98032 Phone: Cit* 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 Parcel No.: 0041000143 Permit Number: D08 -385 Address: 14820 TUKWILA INTERNATIONAL BL TUKW Issue Date: 08/29/2008 Suite No: Permit Expires On: 02/25/2009 Tenant: Name: JAVI'S MEXI - MARKET Address: 14820 TUKWILA INTERNATIONAL BL , TUKWILA WA Contact Person: Name: CAMILO GUTIERREZ Address: 14820 TUKWILA INTERNATIONAL BL , TUKWILA WA 98168 Phone: 206 852 -9048 Contractor: Name: OWNER AFFIDAVIT - DOUGLAS STEINBERG Address: Phone: Contractor License No: doc: IBC -10/06 Value of Construction: Type of Fire Protection: Type of Construction: DESCRIPTION OF WORK: DEMOLITION OF EXISTING WALL AND INSTALLATION OF SUBFLOOR $1,200.00 DEVELOPMENT PERMIT * *continued on next page ** Expiration Date: Fees Collected: $99.05 International Building Code Edition: 2006 Occupancy per IBC: 0019 D08 -385 Printed: 08 -29 -2008 Public Works Activities: Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS: N City Tukwila 0 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 Fire Loop Hydrant: N Number: 0 Size (Inches): 0 Flood Control Zone: Hauling: N Start Time: End Time: Land Altering: Volumes: Cut 0 c.y. Fill 0 c.y. Landscape Irrigation: Moving Oversize Load: Start Time: End Time: Sanitary Side Sewer: Sewer Main Extension: Private: Public: Storm Drainage: Street Use: Profit: N Non - Profit: N Water Main Extension: Private: Public: Water Meter: N Permit Center Authorized Signature I hereby certify that I have read and governing this work will be complie Print Name: Cn ri/ t O doc: IBC -10/06 C J�-• e-ore y Permit Number: D08 - 385 Issue Date: 08/29/2008 Permit Expires On: 02/25/2009 Date: 11>ti [Vt Y ed this permit and know the same to be true and correct. All provisions of law and ordinances , 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 wo /4 en . : • orized to sign and obtain this development permit. Signature: i . . 1 Date: O 2-'i — g 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. D08 -385 Printed: 08 -29 -2008 1: ** *FIRE DEPARTMENT CONDITIONS * ** 3: Maintain fire extinguisher coverage throughout. 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 PERMIT CONDITIONS Parcel No.: 0041000143 Permit Number: D08 -385 Address: 14820 TUKWILA INTERNATIONAL BL TUKW Status: ISSUED Suite No: Applied Date: 07/25/2008 Tenant: JAW'S MEXI - MARKET Issue Date: 08/29/2008 2: The attached set of building plans have been reviewed by the Fire Prevention Bureau and are acceptable with the following concerns: 4: Portable fire extinguishers, not housed in cabinets, shall be installed on the hangers or brackets supplied. Hangers or brackets shall be securely anchored to the mounting surface in accordance with the manufacturer's installation instructions. Portable fire extinguishers having a gross weight not exceeding 40 pounds (18 kg) shall be installed so that its top is not more than 5 feet (1524 mm) above the floor. Hand -held portable fire extinguishers having a gross weight exceeding 40 pounds (18 kg) shall be installed so that its top is not more than 3.5 feet (1067 mm) above the floor. The clearance between the floor and the bottom of the installed hand -held extinguishers shall not be less than 4 inches (102 mm). (IFC 906.7 and IFC 906.9) 5: Fire extinguishers shall not be obstructed or obscured from view. In rooms or areas in which visual obstruction cannot be completely avoided, means shall be provided to indicate the locations of the extinguishers. (IFC 906.6) 6: Extinguishers shall be located in conspicuous locations where they will be readily accessible and immediately available for use. These locations shall be along normal paths of travel, unless the fire code official determines that the hazard posed indicates the need for placement away from normal paths of travel. (IFC 906.5) 7: Egress doors shall be readily openable from the egress side without the use of a key or special knowledge or effort. (IFC 1008.1.8.3 subsection 2.2) 8: The path of egress travel along a means of egress shall not be interrupted by any building element other than a means of egress component as specified in this chapter. Obstructions shall not be placed in the required width of a means of egress except projections permitted by this chapter. The required capacity of the means of egress system shall not be diminished along the path of egress travel (IFC 1003.6) 9: Dead bolts are not allowed on auxiliary exit doors unless the dead bolt is automatically retracted when the door handle is engaged from inside the tenant space. (IFC Chapter 10) 10: Exit hardware and marking shall meet the requirements of the International Fire Code. (IFC Chapter 10) 11: Aisles leading to required exits shall be provided from all portions of the building and the required width of the aisles shall be unobstructed. (IFC 1013.4) 12: All electrical work and equipment shall conform strictly to the standards of the National Electrical Code. (NFPA 70) 13: Required fire resistive construction, including occupancy separations, area separation walls, exterior walls due to location on property, fire resistive requirements based on type of construction, draft stop partitions and roof coverings shall be maintained as specified in the Building Code and Fire Code and shall be properly repaired, restored or replaced when damaged, altered, breached, penetrated, removed or improperly installed. (IFC 703.1) 14: Accumulation of combustible waste material is prohibited during the demolition phase of this project. Remove and doc: Cond -10/06 D08 -385 Printed: 08 -29 -2008 • 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 properly dispose of all waste material prior to the close of the working day and as often throughout the day as needed. 15: Maintain coverage and operability of portable fire extinguishers, sprinkler systems and fire alarm systems during demolition and construction. 16: This review limited to speculative tenant space only - special fire permits may be necessary depending on detailed description of intended use. 17: Any overlooked hazardous condition and/or violation of the adopted Fire or Building Codes does not imply approval of such condition or violation. 18: These plans were reviewed by Inspector 0700. If you have any questions, please call Tukwila Fire Prevention Bureau at (206)575 -4407. 19: ** *PUBLIC WORKS DEPARTMENT CONDFFIONS * ** 20: Applicant shall obtain a City of Tukwila Plumbing Permit for any plumbing modifications inside the building. Applicant shall install a GREASE TRAP inside the building per August 20, 2008 Valley View Sewer District letter. doc: Cond -10/06 * *continued on next page ** D08 -385 Printed: 08-29 -2008 • 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: . -�� /� � , /� Date: 2�- 0 g doc: Cond -10/06 D08 -385 Printed: 08 -29 -2008 SITE LOCATION 1 ' King Co Assessor's Tax No.: D� (00 —011-13 Site Address: Hi>j (3 t 1'n0:fic/n� C-10 C% S 11�'( G•. Suite Number: Floor: Tenant Name: Property Owners Name: Mailing Address: Contact Person: E -Mail Address: Contractor Registration Number: Contact Person: E -Mail Address: Contact Person: E -Mail Address: CITY OF TUKWIL Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.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** 1. \ SSe: - i !l>U1 �. Q:\Applications\Porms- Applications On Line \3 -2006 - Permit Application.doc Revised: 9 -2006 bh Building No. Mechanical Permit No. Plumbing /Gas Permit No. Public Works Permit No Project No (For office use only) City New Tenant: .... Yes X.No State Zip perm CONTACT PERSON = who do we contact when you is ready to be issued Name: : \5k 6 ( 5 0 ; Mailing Address: IL- Ka() f o ksv, 6 ..\ E -Mail Address: Cjj.,'p r�`t � € �(�� (,� . Ci),.,.% GENERAL CONTRACTOR INFORMATION — (Contractor Information for Mechanical (pg 4) for Plumbing and Gas. Piping (pg 5) Company Name: Se- Mailing Address: City Day Telephone: Fax Number: Expiration Date: Day Telephone:,] — x� a OLI 14 (Act- 1(oV City State Zip Fax Number: XUb c i c ‘6 State ARCHITECT OF RECCIRD'- All plans Company Name: Mailing Address: City Day Telephone: Fax Number: State E NGINEER OF ,RECO All plans' roped by Engineer Company Name: Mailing Address: Zip City Day Telephone: Fax Number: State Zip Zip Page 1 of 6 BUILDING PERMIT INFORMION - 206- 431 -3670 Valuation of Project (contractor's bid price): $ I0 Scope of Work (please provide detailed information): """ ,, k Will there be new rack storage? ❑.... Yes Provide All Building Areas in Square Footage Below t Floor 2 Floor 3 Floor Floors thru Basement Accessory Structure Attached Garage Detached Garage Attached Carpoi Detached C Deck Uncovered ec ki Interior Remodel Addition to Existing Structure Type of Construction per IBC Type of Occupancy per IBC 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: Will there be a change in use? ❑ Yes ❑ No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑ Sprinklers ❑ Automatic Fire Alarm ru None Will there be storage or use of flammable, combustible or hazardous materiels in the building? ❑ Yes No If `yes', attach list of materials and storage locations on a separate 8 -1/2 "x 11" paper including quantities and Material Safe Data Sheets. SEPTIC SYSTEM ❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. Q:'Applications\Forms- Applications On Line \3 -2006 - Permit Application.doc Revised: 9 -2006 bh Existing Building Valuation: $ G ct l lf3 (14- Q---- ❑ .. No If yes, a separate permit and plan submittal will be required. Compact: Handicap: ❑ Other (specify) Page 2 of 6 ' Fixture Type: Qty Fixture Type: Qty- Fixture Tye: ' , Type: Qty . F.ixture 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 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 PLUMBING AND GAS �PIPIN ERMIT INFORMATION L.206-43 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: Valuation of Plumbing work (contractor's bid price): $ Valuation of Gas Piping work (contractor's bid price): $ Scope of Work (please provide detailed information): Building Use (per Intl Building Code): Occupancy (per Intl Building Code): Utility Purveyor: Water: Q:Wpplications\Forms- Applications On Line'3 -2006 - Permit Application.doc Revised: 9 -2006 bh Sewer: 0 ; City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: Page 5of6 BUILDING OWNER OR AUTHOR Signature: Print Na Mailing Address: I Date Application Accepted: 01 2C cA Q:\Applications\Forms- Applications On Line \3 -2006 - Permit Application.doc Revised: 9 -2006 bh NT: City PERMIT APPLICATION ON T �, — Applicable to all permits in this al, 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 105.3.2 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. Date: Day Telephone: eQ ate Page 6 of 6 Date Application Expires: Staff Initials: Receipt No.: R08 - 02752 Payee: JAW'S MEXI - MARKET, LLC ACCOUNT ITEM LIST: Description dnr.: RPnpint -OR BUILDING - NONRES PLAN CHECK - NONRES STATE BUILDING SURCHARGE S 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 TRANSACTION LIST: Type Method Descriptio Amount RECEIPT Parcel No.: 0041000143 Permit Number: D08 -385 Address: 14820 TUKWILA INTERNATIONAL BL TUKW Status: PENDING Suite No: Applied Date: 07/25/2008 Applicant: JAW'S MEXI MARKET Issue Date: Initials: JEM Payment Date: 07/25/2008 01:37 PM User ID: 1165 Balance: $0.00 Payment Check 1721 99.05 Account Code Current Pmts 000/322.100 000/345.830 000/386.904 Payment Amount: $99.05 57.30 37.25 4.50 Total: $99.05 0 5315 07/25 9710 TOTAL 99.05 PrintMri: n7 -2F. -Inns Pygje : 1 f I , k ,I e of Inspection: 3 r Address: ---- Date Called: Special Instructions: Date Wanted: /,.a' (--i .. /�a.,tn.. p.m. Requester: Phone No: INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Approved per applicable codes. Ej Corrections required prior to approval. COMMENTS: (Inspe I Date: l -( 7 �y LI $60.00 REINSPECTION FEE EQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: 'Date: COMMENTS: X I MK) 4 /I f/tl6 ,¢P P'4h tPe ?L/ f-fi' /06/.5; 7 /r/ Address : - ihoi) -64* . 2) � - 1 L 77, E Special Instructions: A/07?: ei(ir;P9) /rr,.!,_/ nl6(4 V/ Date antgd / v 1 -i v r 7d ,c;.c. Phone Phone No a-44 -652. go4' Project: 7,'/ C ! X I MK) 4 Type of Inspection: er-7 F t ?447'ti r_ Address : 6 Date Called: � - 1 L 77, E Special Instructions: Date antgd / v Requester: Phone Phone No a-44 -652. go4' INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION V- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Approved per applicable codes. Corrections required prior to approval. /a6 El $60. REINSPECTION I:EE EQUIRED. Prior to inspection, fee must be pai t 6300 Southcenter vd., Suite 100. Call to schedule reinspection. Receipt No.: Date: 4 d .�. a.... Project: Tacv:''S e x'(- ad k tA- Type of Inspection: - `, +mss . '. Fire Alarm: Address: /(/ 9 Suite #: --r Contact Person: . Special Instructions: Pre -Fire: Phone No.: =-c 4.- Sa_l'n4. 1 Needs Shift Inspection: Sprinklers: Fire Alarm: `1' Ho od & D uct: Monitor: Pre -Fire: Permits: Occupancy Type: • set: «3•erafr�� r,�i INSPECTION NUMBER - Approved per applicable codes. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA FIRE DEPARTMENT PERMIT NUMBERS 444 Andover Park East, Tukwila, Wa. 98188 206- 575 -4407 I I Corrections required prior to approval. COMMENTS: Inspector: J y Date:. 1 /p 'Hrs.: Word /Inspection Record Form.Doc 1/13/06 T.F.D. Form F.P. 113 40 n $80.00 REINSPECTION FEE REQUIRED. You will receive an invoice from the City of Tukwila Finance Department. Call to schedule a reinspection. 4 r. -Ay') -7 0 By APPROVED 1MAY 06 20GC SEATT N Co eattri AS 'A*1 8 12 ltS1140 VNO":CAAAi MADE W1THOUTHEALTH DE PAR TMENT 4PPAOVAL: ..rittr1.1 f)c — AtEK Nego 7-:-A4 e+A I LW.- - 71.1(coolk %) 1p(e,ar PILE COPY Permit No. r;. .10-tleyq. •••• ••• ...N.... • _fro+ ..... cool-4R - A PRE-OPENIN6 INSPECTION BY , THE KING COUNTY HEALTH RECEWED DEPARTMEIff r 1 EQUIRED PRIM • s CrO OPERATIC APPLICANT PLAN WA' 01 2008 - 14 - - - r4 I meal- aiir t- 54.011.4 i'ke•rf- is pal AvALAB • -.7 .:-cr440- LDER SQUARE • 4- • .1 RECEIVED CITY OF TUKVVILA JUL 2 5 2008 PERMIT CENTER CJ ©Pev\ G t., 0 S CA" 1. "P Mee; ea 4- SavJ Coin! -e/ A PRE-OPENiNG INSPECTION BY t THE KING COUNN HEALTH DEPARTMENT ! N'EOUIRED PRIOI- TO E .ags GAN I8 ? - • 1-1 :1 AVAI grrr . Ale-6 3LE N f 3 OR ° })o7ic % Ic +he sr(' beFwea• e*.4. evsipI 1. is less }sr. 1% :ACl�st� tleast•j+►St".tt sp(4 fr gq #.4t re 5"' RECEIV MAY 1 0 2006 ALDER SQUARE SUBJECT ORDINANCE MAY 0 6 2008 DeEA�- I NG CO Health O < ' BY DIANE AGASID in SRtl S1 40 1 I d - # PI�ASe: sec i4 J 4 Std.e. fe+raeec p s —' V batyC G/ D REVVASHIN ISHINASHING SINK CO, ,� MPARTMENTS: BE LARGE ' -,` :ENOUGI TO ACCOMMODATE IMMERSION THE LARGEST, EQUIPMENT AND UTENSILS DRAINBOARDS, UTENSIL RACKS OR , -TABLES-LARGE ENOUGH TO- M1. ACCOMMODATE ALL SOILED AND CLEANED ITEMS SHALL BE PROVIDED FOR ' ` - NECESSARY UTENSIL HOLDING ...BEFORE CLEANING AND AFTER SANITIZING. ° r • • RESTROOM 8 KITCHEN HAND WASH SINKS SHALL BE s:= EQUIPPED TO PROVIDE WATER AT A TEMPERATURE '. OF AT LEAST 100DEGREES FAHRENHEIT THROUGH A MIXING VALVE OR COMBINATION FAUCET. SELF . - CLOSING OR METERING FAUCETS SHALL PROVIDE A FLOW OF WATER FOR AT LEAST 15 SECONDS. BE ADVISED THAT THE NEW WASHINGTON: STATE FOOD CODE REQUIRES - COMMERCIAL REFRIGERATION TO HOLD "FOOD AT41 DEGREES FAHRENHEIT ORS'-. • ;BELOW III (DOWN FROM 45 DEGREES) PLUMBING SYSTEMS SHALL BE DESIGNED CONSTRUCTED AND_ INSTALLED l' z ACCORDING TO LAW (APPLICABLE LOCAL, STATE, AND FEDERAL STATUES, - REGULATIONS AND ORDINANCES) LOCKERS OR OTHER SUITABLE . FACILITIES SHALL BE PROVIDED THE ORDERLY STORAGE OF EMPLOYEES'.CLOTHING AND •OTHE POSSESSIONS '!It is strongly recommended that hot water for' the restroor►i hand wash sinks be plumbed . from Jhe water heater .instead of using an instant warm type water heater unit under each sink ; ?✓ , • HOT WATER GENERATION AND :, DISTRIBUTION'SYSTE,MS .SHALL'B SUFFICIENT TO' MEET THE PEAK WATER. DEMANDS THROUGHOUT -THE, :FOOD ESTABLISHMENT.= FOOD SERVICE OPERATION AREA FLOORS' •FLOOR COVERINGS, WALLS; WALL COVERINGS, AND CEILINGS SHALL BE DESIGNED, CONSTRUCTED AND - INSTALLED -' "SO THEY ARE SMOOTH; DURABLE AND EASILY CLEANABLE Food equipment that is certfied for sanitation by an American` National Standards`InstituEe (ANSI): accredited certification: program — will comply with 'the food-Code equipment & material,, - - construction and design requiter Tents : ._ : - - -- It Food Establishment Inspection Report Form C Public Health Seattle & King County of ® ®® ®11151 EWE. C�f3 f�i�4`C.s } "dc r�i1 COPHIC fif)0 Ai-11 CIIMEIME General Health Record I hem Number PIE` Date Time in Zi'111 Office Time Activity Time Travel Time n1 ice Points 1280 Scheduled l aa^ ei S t V• 1c . yvt Vroletions cited In this area must be corrected Oh the time freit ( f t e ( 11.04.1 n� a s e A 1 Ut (-0 \ e r )- rGC`V.. (?) Cis te e, tS C At , v�S €S l> r , t, %) u ; r°r<( / se- voirA 61 )L CI ct csS y. { rw Person irt Charge (Printed Name) L. Regulatory Authority (Printed Name) Comments Based on an inspection IMie the above Hems are violations, which must be corrected in the time specified by the health officer, A food establishment permit may be suspended without warning, notice or hung if the requirements of the food code andlor directives of the health °Bicerare not met or if violation are not corrected in the time stated in WI <' report. The perm t will be suspended if an inuninent hazard exists or there are 90 or more red crlticalpoktltt or if throe are 120 or more toad toast. The health officer wit provide an opportunity;for an apperden the validity of it suspension or the findings of an Inspection report if a written 'r guest _loth* with the heath officer within ten (10) days of the sum or inspectipn. a of en does not stay the effectiveness of e suspension, The completed public � that mutt be made available to a who requests lt under the txm+ an of the Public Disclosure Act (42.17290 RCW). 1290 Return 1260 Fld PI Rvw 1300 Complaint 1330 Illness I inj. 1340 Permit Inv. 1360 Field Educ. 1270 Pre -Operat 1060 HACCP Results 01 O Satisfact 02 0 Unsatisfact. 03 ❑Complete 04 0 Incomplete Action 04 ❑ Suspend 07 0 Approved 10 0 Disapprv'd 26 0 Fol/up Rq'd Mans Fat 71100 Early 08 71200 Early 09 71300May 2008 71400 Feb 2009 71500Documnts Menu Label 72000 Applies 72100 EarlyAdopi 72200 Five Items 7230 0 Advisory 7240 0Menu Bd 72500 Pt of Ofder 7260 0 Equivalent 72700 Accuracy Red Crhicai Points tJ /.. &us Points Internal Cooking Temperatures 140 °F: > Plant foods for hot holding 145 °F for 15 seconds: > Unpasteurized eggs > Fish, except as listed below n Meat, except as listed below > Pork, except as listed below > Commercially raised game animals, rabbits 155 °F for 15 seconds: Ground or comminuted meats or fish > Injected meats Ratites (ostrich, rhea, and emu) 165 °F for 15 seconds: Poultry i- Stuffed fish, meat, pork, pasta, ratites, or poultry > Stuffing containing fish, meat, or poultry > Wild game animals Reheat to 165 °F for hot holding Holding Temperatures 41°F or less; 140 °F or greater Options for Cooling Potentially Hazardous Foods (PHF): 1. Cool food in thicknesses no greater than 2 inches, uncov- ered, refrigerated at 41°F, and protected from contamination or 2. Cool from 140 °F to 41°F within 6 hours, making sure the food cools to 70 °F within the first 2 hours, Suggested methods to meet time and temperature criteria: Shallow pans > Rapid cooling equipment > Stir cooling food frequently > Ice bath > Pans (such as stainless steel) that maximize heat transfer Trans Fat and Menu Labeling 7110 Early Adopter 08 — Frying, sauteing, grilling oils and spreads are trans fat free 7120 Early Adopter 09 — No food products contain artificial trans fat 7130 Using frying oils or spreads containing artificial trans fat after May 2008 7140 Distributing, holding, using any food item containing artificial trans fat, except original, sealed package after Feb. 2009 7150 Original labels, manufacturer's documentation where there are no labels 7200 Menu Labeling Required 7210 Menu Labeling complete before August 1, 2008 7220 Total calories, sodium, saturated fat, trans fat and carbohy- drates on menu for standard menu items 7230 Advisory on menu or at point of order (menu board) 7240 Calories on menu board 7250 Sodium, saturated fat, trans fat, and carbohydrates at point of order. 7260 Equalivent information not as approved 7270 Nutrition information source; analysis information; accuracy References Chapter 246 -215 WAC 2001 FDA Food Code Chapter 246 -217 WAC CKC BOH Title 5 Chapter 69.06 Revised Code of Washington Food Safety Training Requirement All food workers must have a valid Washington Food Worker Card (FWC) and copies must be available upon request. New employees without valid food, worker cards must be given food safety training before beginning food handling duties. The training must be documented and kept onsite. Food workers must have a FWC within 14 calendar days of hire. Initial FWCs are valid for 2 years and renewal cards are valid for 3 years. To qualify for a renewal, the FWC must be renewed up to 60 days before the card expires. Food worker card information: 206- 296 -4791. Restriction & Notification of ill Food Workers Healthy food workers are important factors in foodborne illness prevention. Food workers must inform the Person in Charge (PIC) if they have: > Symptoms of a gastrointestinal infection (such as diarrhea, vomiting or jaundice) > A diagnosed illness from Salmonella, Shigella, Shiga toxin - producing E. colt, hepatitis A, or any other illness that can be transmitted from a food worker through food > Infected, uncovered wounds > Discharges from the eyes, nose, or mouth (persistent sneezing, coughing or runny nose) The PIC must restrict food workers with these conditions from working with exposed food and clean equipment. Notification The Person in Charge must notify the Regulatory Authority if a food worker has jaundice or a diagnosed illness that can be transmitted through food. Handwashing & Preventing Bare Hand Contact Handwashing must take at least 20 seconds and include a 10 -15 second scrub, thorough rinse, and complete dry. Bare hand contact with ready -to -eat foods is prohibited. Single -use gloves, tongs, utensils, or other approved methods must be used when handling ready -to -eat foods (RTE). Imminent Health Hazards A food establishment must immediately stop operations and notify the Regulatory Authority if an imminent health hazard may exist due to: Fire Flood > Loss of electricity > Lack of hot water or loss of water service > Sewage backup > Misuse of toxic or poisonous materials > Onset of an apparent foodborne illness outbreak > Any circumstance that may endanger public health Alder Square 1404 Central Ave. S. Suite 101 Kent, WA 98032 206- 296 -4708 District Offices Downtown Northshore 401 Fifth Ave., Suite 1100 10808 N.E. 145th St. Seattle, WA 98104 Bothell, WA 98011 206 -296 -4632 206- 296 -9791 www.kingcounty.govlhealth/ PH -0078 Back (Rev 11:07- SRI ETTER1.E. riROYME ;ER? DIS 4 Q August 20, 2008 City of Tukwila Joanna Spencer 6300 South center Boulevard Tukwila, WA 98188 -2544 Re: Jibis Mexi Mart Camilo Gutierrez 14820 International BLVD S Dear Joanna, This letter is to inform you that the Valley View Sewer District does approve of the installation of the grease trap, part # 3920A02, at the above mentioned property, We will also be monitoring the grease control discharge program, per our attached agreement. Please feel free to contact me if additional information is required. Best regards, Je f Sannes Side Sewer Inspector Valley View Sewer District 206 -396 -0158 PERMANENT FILE COPY RECEIVE AUG 1 8 2008 TUKWILA PUBLIC WORKS OS - 385 MICHAEL J. WEST P.O. Box 69550 JOE T COLELLO DANA DICK SEATTLE WA 98168 RICK FORSCHLER GENERAL MANAGER 3460 SOUTH 148TH STREET SUITE 100 COMMISSIONERS 206/242 -3236 FAX 206/242 -1527 • 4. July 29, 2008 Camilo Gutierrez 14820 Tukwila International B1 Tukwila, WA 98168 Dear Mr. Gutierrez, • city of Tukwila Department of Community Development Jack Pace, Director RE: Letter of Incomplete Application # 1 Development Permit Application D08 -385 Javi's Mexi- Market — 14820 Tukwila International BI • This letter is to inform you that your permit application received at the City of Tukwila Permit Center on July 25, 2008 is determined to be incomplete. Before your application can continue the plan review process the following items from the following department need to be addressed: Public Works Department: Joanna Spencer at 206 431 -2440 if you have any questions concerning the attached comments. Please address the comment above in an itemized format with applicable revised plans, specifications, and /or other documentation. The City requires that four (4) sets of revised plans, specifications and /or other documentation be resubmitted with the appropriate revision block. In order to better expedite your resubmittal a `Revision Submittal Sheet' must accompany every resubmittal. I have enclosed one for your convenience. Revisions must be made in person and will not be accepted through the mail or by a messenger service. If you have any questions, please contact me at the Permit Center at (206) 431 -3670. Sincerely, 4 LikeL Brenda Holt Permit Coordinator Enclosures File: D08 -385 P: \Permit Center\Incomplete Letters\2008\D08 -385 Incomplete Ltr # 1.DOC jem Jim Haggerton, Mayor 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 -431 -3665 DATE: July 28, 2008 PERMIT NO: D08 -385 P: joanna/comments 1 D08 -385 • • PUBLIC WORKS DEPARTMENT COMMENTS PROJECT: Javi's Mexi- Market 14820 Tukwila International Blvd PLAN REVIEWER: Contact Joanna Spencer (206) 431 -2440 if you have any questions regarding the following comments. 1) Your site plan shows three buildings. Please mark the building where Javi's Mexi - Market will move in. 2) Applicant shall execute the attached King County Non - Residential Sewer Use Certification form due to increase in the amount of plumbing fixtures. Please list only new fixtures and not the ones being replaced in kind. 3) Please contact Mr. Dana Dick, Valley View Sewer District at (206) 242 -3236 and obtain approval in writing for grease trap or grease bio- enzyme system. Documents/routing slip.doc 2 -28-02 ACTIVITY NUMBER: D08 -385 DATE: 08 -14 -08 PROJECT NAME: JAVI'S MEXI- MARKET SITE ADDRESS: 14820 TUKWILA INTERNATIONAL BL Original Plan Submittal Response to Correction Letter # X Response to Incomplete Letter # 1 Revision # After Permit Issued DEPARTMENTS ding Division Pu is Works ! Structural S poArt/ t -21415 DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: PERMIT COORD COPY al PLAN REVIEW /ROUTING SLIP TUES/THURS RO TING: Please Route REVIEWER'S INITIALS: Fire Prevention Incomplete Structural Review Required APPROVALS OR CORRECTIONS: Approved ❑ Approved with Conditions Notation: REVIEWER'S INITIALS: iv/ n DATE: DATE: t / Permit Coordinator DUE DATE: 08-1 9-08 Not Applicable ❑ No further Review Required l • ivision DUE DATE: 09-1 6-08 Not Approved (attach comments) u 1./ n Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Building Division M Public Works • � t5 (7J,4,tk4 1 -� b ■ • PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D08 -385 DATE: 07 -25 -08 PROJECT NAME: JAVI'S MEXI- MARKET SITE ADDRESS: 14820 TUKWILA INTERNATIONAL BL X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # after Permit Issued DEPARTMENTS: Oigo Al" Fire revention Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: TUES/THURS ROUTING: Please Route REVIEWER'S INITIALS: Incomplete APPROVALS OR CORRECTIONS: Approved Ti Approved with Conditions Notation: REVIEWER'S INITIALS: Documents/routing slip.doc 2 -28 -02 1r6 Planning Division Permit Coordinator z Ti DUE DATE: 07 -24-08 Not Applicable n Permit Center Use Only INCOMPLETE LETTER MAILED: 1-24 -ot Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW [S Staff Initials: (W LETTER OF COMPLETENESS MAILED: Structural Review Required No further Review Required DATE: DUE DATE: 08-2 1 -08 Not Approved (attach comments) n DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax 206- 431 -3�Si� Web site: NOT : Iwww.ci.tukwila.wa.us i 'REVISION SUBMIVIA .. Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: D — "l ' Og Plan Check/Permit Number: D08-385 ® Response to Incomplete Letter # 1 ❑ Response to Correction Letter # ❑ Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: JAVI' S MEXI - MARKET Project Address: 14820 Tukwila International B1 Contact Person: Camilo Gutierrez Phone Number: . 2K -o/oil f Summary of Revision: i rd r\cv a� Y\ecj S'+ - P tan it-0J Cr RECEIVED AUG 14 2008 PERMIT CENTER Sheet Number(s): "Cloud" or highlight all areas of revision including date of re •si Received at the City of Tukwila Permit Center by: Entered in Permits Plus on S — I � I � \applications\forms- applications on line\revision submittal Created: 8 -13 -2004 Revised: Kind of Fixture Fixture Units No. of Fixtures Total Fixture Units Public Private Public Private Bathtub and Shower 4 4 Shower, per head 2 2 Dishwasher 2 2 Drinking fountain (each head) 1 .5 Hose bibb (interior) 2.5 2.5 Clotheswasher or laundry tub 4 2 Sink, bar or lavatory 2 1 Sink, Clinic flushing 8 8 Sink, kitchen 3 2 f '3 Sink, other (service) 3 1.5 a If Sink, wash fountain, circle spray 4 3 Urinal, flush valve, 1 GPF 5 2 Urinal, flush valve, >1 GPF 6 2 Urinal, waterless 0 0 Water closet, tank or valve, 1.6 GPF 6 3 Water closet, tank or valve, >1.6 GPF 8 4 Non - Residential Sewer Use Certification • To be completed for all new sewer connections, reconnections or change of use of existing connections. • This form does not apply to repairs or replacements of existing sewer connections within five years of disconnect. Please Print or Type 214 4.7 operty rera Address Cit L."1'14 Subdivision Name Lot # 8'd• / c o l Property Phone Number with Area Code) Owner's Mailing Address 265/` 14e1 Or, Total Fixture Units Residential Customer Equivalent (RCE) 20 fixture units equal 1.0 RCE Total No. of Fixture Units = 20 45 4 ?cli" State ZIP �a t j�.S � �A d Owner's Name Subdiv. # Block # Building Name ,, 1/i. 6119 (if ap a )"� Owner's ?hone Number (wiirZ6od )e 2 - 0 / City or Sewer District ✓ a / �' �lC�✓ Date of Connection A. Fixture Units Fixture Units x Number of Fixtures = Total Fixture Units RCE B. Other Wastewater Flow (in addition to Fixture Units identified in Section A) Type of Facility /Process: A B 0 RCE Pursuant to King County Code 28.84, all sewer customers who establish a new service which uses metropolitan sewage facilities shall be subject to a capacity charge. The amount of the charge is established annually by the King County Council at a rate per month per residential customer or residential customer equivalent for a period of fifteen years. The purpose of the charge is to recover costs of providing sewage treatment capacity for new sewer customers. The charge is collected semi- annually. All future billings can be prepaid at a discounted amount. Questions regarding the capacity charge or this form should be referred to King County's Wastewater Treatment Division at 206 - 684 -1740. I certify that the information given is correct. I understand that the capacity charge levied will be based on this information and any deviation will require resubmission of corrected data for determinati." • : revised capacity charge. Signature of Owner /Represents ive Date j�� e P - Print Name of Owner /Representative $ 1058 (Rev 11/051 white - Ki County Yellow - Local Sewer Agency Pink - Sewer ustomer King County Department of Natural Resources and Parks For King County Use Only Account # Monthly Rate 6 Month Rate Property Tax ID # Party to be Billed (if different from owner) Side Sewer Permit # Demolition of pre- existing building? ❑ Yes ❑ No Type of building demolished Sewer disconnect date Estimated Wastewater Discharge: INCOMPLETE Gallons /days TR# Residential Customer Equivalents (RCE): 187 gallons per day equals 1.0 RCE Total Discharge (gal /day) _ 187 C. Total Residential Customer Equivalents: (add A & B) RCE OS -36s RECEIVED AUG 1420 PERMIT CENTER I CITY OF TUKWILA Department of Community Development 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431 -3670 FAX (206) 431 -3665 E - mail: tukplanOci.tukwila.wa.us STATE OF WASHINGTON) ) ss. COUNTY OF KING ) , states as follows: Owner /Own AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION Permit Center /Building Division 206 431 -3670 Public Works Department 206 433 -0179 Planning Division 206 431 -3670 PERMIT NO: ) 09 3 E3 s O C c Cis °' [please print] 1. I have made application for a permit from the City of Tukwila, Washington. 2. I understand that state law 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 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 18.27.090 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 permit to be exempt under No. , and will therefore not be performed by a registered contractor. 5. I understand that the licensing provision of RCW 19.28.161 through 19.28.271 shall not apply to persons making electrical installations on their own property or to regularly employed employees working on the premises of their employer. The proposed electrical work is not for the construction of a new building for rent, sale or lease. 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. Signed and sworn to before me this day of ✓'fV5 t- S , 20 dg NOTARY PUBLIC in an or th &State of Washington Residing at 1 1A K w / G t KI vti , County Name as commissioned: Sit Sa r1 6 ra My commission expires: (5L/ — F- 02OD 9 18.27.090 Exemptions. The registration provisions of this chapter do not apply to: 1. An authorized representative of the United States government, the state of Washington, or any incorporated city, town, county, township, irrigation district, reclamation district, or other municipal or political corporation or subdivision of this state; 2. Officers of a court when they are acting within the scope of their office; 3. Public utilities operating under the regulations of the utilities and transportation commission in construction, maintenance, or development work incidental to their own business; 4. Any construction, repair, or operation incidental to the discovering or producing of petroleum or gas, or the drilling, testing, abandoning, or other operation of any petroleum or gas well or any surface or underground mine or mineral deposit when performed by an owner or lessee; 5. The sale of any finished products, materials, or articles of merchandise that are not fabricated into and do not become a part of a structure under the common law of fixtures; 6. Any construction, alteration, improvement, or repair of personal property performed by the registered or legal owner, or by a mobile /manufactured home retail dealer or manufacturer licensed under chapter 46.70 RCW who shall warranty service and repairs under chapter 46.70 RCW; 7. Any construction, alteration, improvement, or repair carried on within the limits and boundaries of any site or reservation under the legal jurisdiction of the federal government; 8. Any person who only furnished materials, supplies, or equipment without fabricating them into, or consuming them in the performance of, the work of the contractor, 9. Any work or operation on one undertaking or project by one or more contracts, the aggregate contract price of which for labor and materials and all other items is less than five hundred dollars, such work or operations being considered as of a casual, minor, or inconsequential nature. The exemption prescribed in this subsection does not apply in any instance wherein the work or construction is only a part of a larger or major operation, whether undertaken by the same or a different contractor, or in which a division of the operation is made into contracts of amounts less than five hundred dollars for the purpose of evasion of this chapter or otherwise. The exemption prescribed in this subsection does not apply to a person who advertises or puts out any sign or card or other device which might indicate to the public that he or she is a contractor, or that he or she is qualified to engage in the business of contractor; io. Any construction or operation incidental to the construction and repair of irrigation and drainage ditches of regularly constituted irrigation districts or reclamation districts; or to farming, dairying, agriculture, viticulture, horticulture, or stock or poultry raising; or to clearing or other work upon land in rural districts for fire prevention purposes; except when any of the above work is performed by a registered contractor; ii. An owner who contracts for a project with a registered contractor, except that this exemption shall not deprive the owner of the protections of this chapter against registered and unregistered contractors. The exemption prescribed in this subsection does not apply to a person who performs the activities of a contractor for the purpose of leasing or selling improved property he or she has owned for less than twelve months; 12. Any person working on his or her own property, whether occupied by him or her or not, and any person working on his or her personal residence, whether owned by him or her or not but this exemption shall not apply to any person who performs the activities of a contractor on his or her own property for the purpose of selling, demolishing, or leasing the property; 13. An owner who performs maintenance, repair, and alteration work in or upon his or her own properties, or who uses his or her own employees to do such work; 14. A licensed architect or civil or professional engineer acting solely in his or her professional capacity, an electrician certified under the laws of the state of Washington, or a plumber certified under the laws of the state of Washington pr licensed by a political subdivision of the state of Washington while operating within the boundaries of such political subdivision. The exemption provided in this subsection is applicable only when the person certified is operating within the scope of his or her certification; 15. Any person who engages in the activities herein regulated as an employee of a registered contractor with wages as his or her sole compensation or as an employee with wages as his or her sole compensation; 16. Contractors on highway projects who have been prequalified as required by RCW 47.28.070, with the department of transportation to perform highway construction, reconstruction, or maintenance work; 17. A mobile /manufactured home dealer or manufacturer who subcontracts the installation, set -up, or repair work to actively registered contractors. This exemption only applies to the installation, set -up, or repair of the mobile /m red homes that were manufactured or s + i o I manufactured home dealer or , P+ 18. An enti h olds a valid ele ' contractor's license and ter i . `4� t e ploys a certified jou e w +, a i d residential specialty ele , or an electri •� ee meeting the requirements to 19.22 erform plumbing wor iffiittcci t ectly, and immediately app + r a Ro h'� n -kind replacement of a ho a+ Old' ppli"ance or other small household utilization equipment that requires limited electric power and limited waste and /or water connections. An electrical trainee must be supervised by a certified electrician while performing plumbing work. REViEWE6 FOR : CODE COMPLIANCE APPROVED AUG 2 200 Of Tukwila ILDIN DIV.15I0 FILE COPY Permit No, ,;- EPA1iATE.R 1 REQUIRED FOR: ,Mechanical Nir Electrical V lumbing (Gas Piping City ifTUkWHar° BUILDING DIVISION • of Tukwila BULD C C!V S!QN i Plar review approval Is subject to errors and omissions. Approval of construction documents does not authorize the violation of any adopted code or ordinance. Receipt of approved Fii Id Copy and is acknowledged: REVISIONS No changes shall be made to the scope of work without prior approva pf Tukwiia'Buiidina Divisk Y. NOTE: Revisions will require a new plan submittal ' and may include additional plan review fees. RECEIVED CITY OF TUKWILA JUL 2 5 2008 PERMIT CENTER (. � a+3 1-40 , 11) 5 I 14 65 :wo ASLe 5 I M i5Aw 140p?,T p4 p'C g 6'3AKi 2 14Pr'( GASe, 1.4,thf �IG �� Nc 3c 11 X_l'(2 C3 i splhl. :w1 306o $1G 5c3-r 11J- 1$ V,D `Lo', 1- .1a11a .av �4 51A & \VGLI: 1_o R.oVIO . W 5TK.t C vI.f.. p61-Asti; A" ` A 7P ?OTz EVI1WED FOR CODE COMPLIANCE APPROVED AUG 2 7 Z.008 City �f �udcvuil� �� ILDIN' D VISIO RECEIVED AUG 14 2008 PERMIT CENTEF RECEIVED CITY OF TUKWILA JUL 2 5 2008 PERMIT CENTER f ; of T1otI 51 h h c ATi ON 5 01.1 AMP PRoutD ' R AS + 1 A4' { 0 1 Ezt • • 0 C- z 0 MAIN LEVEL AND LOWER LEVEL FLOOR PLANS . . FIRE PROTECTION DRAWING TUKW1LLA, WA CI ;: Q 1.. ' ° z . ° 7 tiPit t *� � � �` -o 77 25' - • SCALE: 8° =r -o° • DESIGNED BY: DRAWN BY: APPROVED: • 1V -8 8, -O„ •, 0 j- rrt z r r - r O O z 80' -Q" 35' -O" L 20 -QI 0 REVISION 0 INFORMATION SHOWN ON THIS DRAWING IS RESERVED FOR THE USE OF PSF MECHANICAL. INC. IN COORDINATING THEIR WORK WITH PLANNERS OR OTHER CONTRACTORS INVOLVED IN DESIGN AND /OR CONSTRUCTION OF THE TITLED PROJECT. ITS USE FOR OTHER THAN THE STATED PURPOSE OR THE THE DETRIMENT OF PSF MECHANICAL. INC. IS PROHIBITED. DESCRIPTION DATE