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HomeMy WebLinkAboutPermit PG08-001 - JAMBA JUICEJAMBA JUICE 17100 SOUTHCELNTER PY STE 104 EXPIRED 07 -09 -OS PG08 -001 Parcel No.: 2623049081 Address: Suite No: Cityif 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 PLUMBING /GAS PIPING PERMIT 17100 SOUTHCENTER PY TUKW Permit Number: Issue Date: Permit Expires On: PG08 -001 01/02/2008 06/30/2008 Tenant: Name: Address: Owner: Name: Address: JAMBA JUICE 17100 SOUTHCENTER PY , TUKWILA WA WIG PROPERTIES LLC -SS 4811 134TH PL SE , BELLEVUE WA Contact Person: Name: RALPH MILLESON Address: 234 5TH AVE S , EDMONDS WA Contractor: Name: WILCOX CONSTRUCTION INC Address: 123 4TH AVE N , EDMONDS, WA Contractor License No: WILCOC* 194Q0 Phone: Phone: 425 - 774 -4185 Phone: 425 774 -4185 Expiration Date: 12/10/2009 DESCRIPTION OF WORK: ADD SEWAGE EJECTION TANK, REROUTE WASTE LINES FOR TI. PERMIT ISSUED OVER THE COUNTER PER BOB BENEDICTO AS A REPAIR PERMIT WITH 1 INSPECTION (FINAL). Value of Plumbing /Gas Piping: Fees Collected: $8,000.00 $114.00 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: 2006 International Fuel Gas Code Edition: 2006 FIXTURE TYPE AND OUANTITY Plumbing (cont.) 0 Building sewer and each trailer park sewer 1 0 Rain water system - per drain (inside bldg) 0 0 Water heater and /or vent 0 0 Industrial waste treatment interceptor, including 0 its trap and vent, except for kitchen type 0 grease interceptors 0 0 Repair or alteration of water piping and/or water 0 treatment equipment 0 0 Repair or alteration of drainage or vent piping 1 0 Medical gas piping system serving (1 -5) 0 inlets /outlets for a specific gas 0 0 Medical gas piping (6 +) inlets /outlets 0 0 Gas Piping 0 Gas piping outlets (0 -5) 0 0 Gas piping outlets (6 +) 0 * *continued on next page ** doc: UPC -10/06 PG08 -001 Printed: 01 -02 -2008 City ofTukwila 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 Number: PG08 -001 Issue Date: 01/02/2008 Permit Expires On: 06/30/2008 Permit Center Authorized Signature: JIL Date: I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the p rf rmance of work. I authorized to sign and obtain this plumbing /gas piping permit. Signature: y - Date: Print Name: �•l4 -ctQ M, 1(c c. 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 PG08 -001 Printed: 01 -02 -2008 Parcel No.: 2623049081 Address: Suite No: Tenant: • • 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 17100 SOUTHCENTER PT TUKW JAMBA JUICE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: PG08 -001 ISSUED 01/02/2008 01/02/2008 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 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 PG08 -001 Printed: 01 -02 -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: Print Name: 4-tpEi it- xtl (cc oy‘ Date: doc: Cond -10/06 PGO8 -001 Printed: 01 -02 -2008 CITY OF TUKWIL. Community Development Department Permit Center 6300 Southcenter Blvd,, Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us • Plumbing/Gas Permit No. ? (o 0 e - 0C' Project No. (For office use only) PLUMBING / GAS PIPING PERMIT APPLICATION Applications and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or by fax. **Please Print** SITE LOCATION King Co Assessor's Tax No.: .Z b 2 ©T I O 5 / Site Address: 17 WO O S 0%.41•Ce4/0 `kW hx) t j Suite Number: I �� ✓✓ New Tenant: D.... Yes Al,..No Tenant Name: N- g0h(3q :T 1; t k, Property Owners Name: WI Pr 0 p 4vi4'4,5 LLG - SS Mailing Address: 4 S I .14"4"-% PL. SE Bc.i ICU tits Floor: City I W , State Zip CONTACT PERSON -Who do we contact when your permit is ready to be issued Name: P-A LPN t-A i i t s Mailing Address: E -Mail Address: uy 14115- S c . r sa,.s Day Telephone: Eb nc��• n S „Fee, 0n 6:14 W ,t thx (O, 4rj f t4f ax Number: -7-1 - gigs- 014- 9667-0 State Zip 'e- - 77' -�io27 PLUMBING / GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: Contact Person: 2-3 4 S� Ott- So 14-u, i+ _ f`-k1 1(4 S o 1..1 .1tiC E -Mail Address: Contractor Registration Number: 1Z i I CO („ I't 4 &.6 City Day Telephone: Fax Number: Expiration Date: � 14- 413 "2-0 State Zip c.I -Z-7 9 —tI J 4 - 77'1— y1437 12/ l d /zon 8 ARCHITECT OF RECORD = All plans must be wet stamped by Architect of Record Company Name: Mailing Address: Contact Person: E -Mail Address: City Day Telephone: Fax Number: State Zip ENGINEER OF RECORD — AU plans must be wet stamped by Engineer of Record Company Name: Mailing Address: Contact Person: E -Mail Address: Q:\Applications\Forms- Applications On Line \3-2006 - Plumbing -Gas Piping Permit Application.doc Revised: 4 -2006 bh City Day Telephone: Fax Number: State Zip Page 1 of 2 j Staff Initials: Valuation of Project (contractor's bid price): $ 0060& 60 VV Scope of Work (please provide detailed information): P 14 4.44 c,4-;PI 1 F cc. lZa.a C wrSk C tirL ft, r Building Use (per Int'l Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: Sewer: Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Fixture 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 Se e ��e ✓` ` I 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 I Medical gas piping system serving one to five inlets/outlets for specific gas PERMIT APPLICATION N NOTES 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 OWNETLAUTHORI7 ENT: Signature: 1- Print Name: Mailing Address: Day Telephone: 4,0wino City Date: l /2�19rj3 tAiA- CM02.0 State Zip IDate Application Accepted: Date Application Expires: Q \Applications\Forms- Applications On Line\3.2006 - Plumbing -Gas Piping Permi Application dot Revised 4 -2006 bb Page 2 of 2 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 RECEIPT Parcel No.: 2623049081 Permit Number: PG08 -001 Address: 17100 SOUTHCENTER PY TUKW Status: PENDING Suite No: Applied Date: 01/02/2008 Applicant: JAMBA JUICE Issue Date: Receipt No.: R08 -00006 Payment Amount: $114.00 Initials: WER Payment Date: 01/02/2008 02:53 PM User ID: 1655 Balance: $0.00 Payee: RALPH MILLLESON TRANSACTION LIST: Type Method Description Amount Payment Cash 114:00 ACCOUNT ITEM LIST: Description Account Code Current Pmts PLUMBING - NONRES 000.322.103.00.0 114.00 Total: $114.00 6696 01/02 9710 TOTAL 114.00 doc: Receiot -06 Printed: 01 -02 -2008 INSPECTION NO. INSPECTION RECORD Retain a copy with permit P6os- out PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36 0 Project: • .1 At a& � }A Ju, Cr. Type of Inspection: ■ .t',LJA4 ftu. L ; A q Addrre�ss: c 1/ O a .JJJ i s ! PArg4. ty Date Called: / Special Instructions: vjo. 'r / Date Wanted: / (t -- - a.m. p.m • Requester: , :' 3 5 / 1 -- j.,,,,7--- Phone No: 70(.0 - Y17 -0343 0 Approved per applicable codes. Corrections required prior to approval. COM M ENTS: e _ Jos -x A +I' .. .I '`t/ j' fk W a./ 11 In,. ''t 41(c" DA A 5 i4 si 1 TI ..$ rav,f . vjo. 'r V (. f- l e cr - ei ,g-t J 4 / J A..)1: .5 t , :' 3 5 / 1 -- j.,,,,7--- A- -)c 34 ( ` Inspect ti Date: 0 $58.00 REINSPECTION FEE REQUIRED. Prior o inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. Receipt No.: Date: INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #1 00, Tukwila, WA 98188 (206)431 -3670 Pro' : I 4i0,4 t / (l'ee Type of Ins dtion: .^d>/ A./cv° /C" "2:1) Address: /7/d 6 , tM4' i Ak Called: l r ...- r /k f 1 y ()A r j r .. /%I i eA, �' `'(� Special Instructions: , ,.) L/ ( { Date Wanted: / -- 3 ` CJ- p.m. Requester: ) Phone No: OC 577 4/ proved per applicable codes. Corrections required prior to approval. COMMENTS: "2:1) ifj 7—":71r141,i f7-7—.A"\ b Q. e9-1 �j � l r ...- r /k f 1 y ()A r j r .. /%I i eA, �' `'(� 7-0 , ,.) L/ ( { t ) A C._/'r ) 6,A411 /7i 14iPC IS JAI 4/4, /-; F ' Pik 21 57/ -44,721 Insp Date: f — - t $58.00 REINSPECTION FEE RE UIRED. Prior o inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. Receipt No.: Date: 06 -05 -2008 RALPH MILLESON 234 5TH AVE S EDMONDS WA '98020 City of Tukwila Jim Haggerton, Mayor Department of Community Development RE: Permit No. PG08 -001 17100 SOUTHCENTER PY TUKW Dear Permit Holder: Jack Pace, Director In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the Uniform Plumbing Code and/or International Fuel Gas Code, every permit issued by the Building Division under the provisions of this code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days. Based on the above, you are hereby advised to: Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or fmal inspection. This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if the project should be considered abandoned. If such determination is made, the Plumbing and/or Gas Code does allow the Building Official to approve one extension of time for an additional period not exceeding 180 days. Extension requests must be in writing and provide satisfactory reasons why circumstances beyond the applicants control have prevented action from being taken. In the event you do not call for the above inspection and receive an extension prior to 07/09/2008 , your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, f•A-0../Atk fer Marshall, Permit Technician xc: Permit File No. PG08 -001 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 Look Up a Contractor, Electrician or Plumber License Detail • • 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 WILCOC*194Q0 Licensee Name WILCOX CONSTRUCTION INC Licensee Type CONSTRUCTION CONTRACTOR UBI 319007592 Ind. Ins. Account Id SECRETARY Business Type CORPORATION Address 1 234 5TH AVE SOUTH Address 2 11/21/2005 City EDMONDS County SNOHOMISH State WA Zip 98020 Phone 4257744185 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 11/20/1981 Expiration Date 12/10/2009 Suspend Date Separation Date Parent Company Previous License WILCOAE376NO Next License Associated License Business Owner Information Name Role Effective Date Expiration Date WILCOX, ROBERT EUGENE PRESIDENT 11/20/1981 LESSARD, MATTHEW J SECRETARY 11/21/2005 LESSARD, JAMES MICHAEL VICE PRESIDENT 11/20/1981 11/21/2005 WILCOX, A E 01/01/1980 01/01/1980 WILCOX, LAURA 01/01/1980 01/01/1980 OLDS, HOWARD A SECRETARY 01/01/1980 01/01/1980 Page 1 of 3 https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= WILCOC* 194Q0 01/02/2008