HomeMy WebLinkAboutPermit PG08-113 - NEWPORT BAY RESTAURANTNEWPORT BAY REST.
17920 SOUTHCENTER PY
PG08-1 13
Parcel No.:
Address:
Suite No:
Citylif 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
3523049123
17920 SOUTHCENTER PY TUKW
Permit Number:
Issue Date:
Permit Expires On:
PG08 -113
04/10/2008
10/07/2008
Tenant:
Name:
Address:
Owner:
Name:
Address:
NEWPORT BAY RESTAURANT
17920 SOUTHCENTER PY , TUKWILA WA
MADISON INVESTMENTS LLC
P O BOX 1922 , BOZEMAN MT
Contact Person:
Name: MARK COLCORD
Address: 1818 N NORTLAKEWAY , SEATTLE WA
Contractor:
Name: STAN THE HOTWATER MAN
Address: PO BOX 33157 , PORTLAND OR
Contractor License No: STANTHM024QR
Phone:
Phone: 503 - 329 -2127
Phone: 503 - 760 -2992
Expiration Date: 05/15/2009
DESCRIPTION OF WORK:
REPLACE (1) EXISTING WATER HEATER WITH (2) NEW HIGH EFFICIENCY MODELS
Value of Plumbing /Gas Piping:
Fees Collected:
$9,000.00
$92.00
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 0
0 Rain water system - per drain (inside bldg) 0
0 Water heater and/or vent 1
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 0
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 -113 Printed: 04 -10 -2008
City olhukwila
•
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: PGO8 -113
Issue Date: 04/10/2008
Permit Expires On: 10/07/2008
Permit Center Authorized Signature:
Date: 4-ti) U
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 pe angel of work. I am a thorized to sign and obtain this plumbing /gas piping permit.
Signature:
Print Name:
(f
reig_k
S3 ►' egr
Date:
1-1-10-o9
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 -113 Printed: 04 -10 -2008
Parcel No.: 3523049123
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
17920 SOUTHCENTER PY TUKW
NEWPORT BAY RESTAURANT
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
PG08 -113
ISSUED
04/10/2008
04/10/2008
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 -113 Printed: 04 -10 -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
this work will be complied with, whether specified herein or not.
The granting of this permit does not presume to give authority to violate o: cancel the provision of any other work
construction or the performance of work.
Signature: / CO' Date: 24-10Cft
MVOL\ .u- P S' ► per -
Print Name:
ordinances governing
or local laws regulating
doc: Cond -10/06 PG08 -113
Printed: 04 -10 -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. G 98- 113
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
C7 -� /� j, `/ King Co Assessor's Tax No.: � 3D 41 — q (,Z Site Site Address: 1 '"1 -i $ • 02"4(. P 1 L wI • Suite Number: Floor:
Tenant Name: NR,(,() -j- GA 1 I(2.- 51AUraN f -- New Tenant: El .... Yes J ..No
Property Owners Name: 2QS-1 -t,tr (p,".,4 V A . \ t rin A
Mailing Address: 1cl1 c6 0 , No P—\ \ok rivAi'1
City
t,-1 lq,.
State
Zip
CONTACT PERSON -Who do we contact when:your permit tis: ready to; be issued
Name: NO( 0_010-or / Day TelepTone: � 7A - Z 111
Mailing Address: (C(1 A). Na t�,/6. aJ4 ' S GAO 1 k_ (V + . c 103
City State Zip
E -Mail Address: Fax Number:
PLUMBING / GAS PIPING .CONTRACTOR,INFORMATION
Company Name: ST414 74-Q 4-F a .) -M AVM)
, M)
Mailing Address: P. v. 6 0)( 3 3i 5 7 Po ‘23^_ off. 617 Zci Z
City State Zip
Contact Person: ./1101(4- \ SP 102-r' Day Telephone: S.03- 3H1- Sb0U
E -Mail Address: SAA) 40 ST?) tI 4i i /YEA) . 3D M Fax Number: S 5- 7b / - 0 15-q
Contractor Registration Number:
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Expiration Date:
City
Day Telephone:
Fax Number:
State
Zip
ENGINEEICOP, RECORD: -= AIL laps inust•be wet stamped L y.) ngmeersof Record:
p k ,
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Q:\Applications\Forms- Applications On Line U-2006 - Plumbing -Gas Piping Permit Application.doc
Revised: 4 -2006
bh
City
Day Telephone:
Fax Number:
State
Zip
Page 1 of 2
Valuation of Project (contractor's bid price): $ q/000 00
Scope of Work (please provide detailed information): o�(i fu�j$ )i,.i bU4)r( )
.(S s Axbu AO, 111 e i e r,d1,2-f I - P •
,
A CA\ 8. %- tt I q q( 600 7• b. /� � s 1
Building Use (per Int'1 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:
Qty
Fixture Type:
Qty
Fixture Type: yp
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
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
APo y, _1. AP *IGAT.ION N9TES
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 OWNER OR AUTHORIZED AGENT:
Signature:
Print Name:
Date:
Day Telephone:
Mailing Address:
City
State
Zip
IDate Application Accepted:
Date Application Expires: Staff Initials:
Q: \Applications\Forms- Applications On Line\3 -2006 - Plumbing -Gas Piping Permi Application.doc
Revised: 4-2006
bh
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.: 3523049123 Permit Number: PG08 -113
Address: 17920 SOUTHCENTER PY TUKW Status: PENDING
Suite No: Applied Date: 04/10/2008
Applicant: NEWPORT BAY RESTAURANT Issue Date:
Receipt No.: R08 -01135
Initials: WER
UserID: 1655
Payment Amount: $92.00
Payment Date: 04/10/2008 02:56 PM
Balance: $0.00
Payee: STAN THE HOTWATER MAN
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Cash 92.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
PLUMBING - NONRES
000.322.103.00.0 92.00
Total: $92.00
t(2 O' '1`•; 71 :OTA_. ?2.00
doc: Receiot -06 Printed: 04 -10 -2008
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
P (oor- t(3
4
PERMIT NO.
(206)431 -3670
✓ S
�e � Per ( GA
Type of Inspect e:
1-:"..,' ,, ri A. .6) .
Address:
l ?o s.c, fSpeck,.
Date Called:
_____
Instructions:
%
/
Date Wanted:
- `a.m
Ck p.m.
Requester:
Phone No:
S()1 —
341 - SS 1r
Approved per applicable codes. Ei Corrections required prior to approval. I."7
COMMENTS:
(-).f W. l/ kit i9le
Insp'ctor:
Date: 4
ri $58.00 REINSPECTION FEE EQUIRED. Prior to inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection.
Receipt No.:
Date:
G�Id w
Look Up a Contractor, Electri n 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
STANTHM024QR
Licensee Name
STAN THE HOTWATER MAN
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
601880734
Ind. Ins. Account Id
Business Type
CORPORATION
Address 1
PO BOX 33157
Address 2
City
PORTLAND
County
OUT OF STATE
State
OR
Zip
97292
Phone
5037602992
Status
ACTIVE
Specialty 1
APPLIANCES /EQUIPMENT
Specialty 2
UNUSED
Effective Date
11/19/1998
Expiration Date
5/15/2009
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
Business Owner Information
Name
Role
Effective Date
Expiration Date
SPICER, MICHAEL W
01/01/1980
RITMILLER, RANDY
01/01/1980
•
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
#3
PLATTE
RIVER
INS CO
41118216
09/15/2007
Until
Cancelled
$6,000.00
09/10/2007
Page 1 of 2
https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= STANTHM024QR 04/10/2008