HomeMy WebLinkAboutPermit PG08-178 - O SUSHI RESTAURANT0 SUSHI RESTAURANT
15901 WEST VALLEY HY
PGO8-1 78
Parcel No.: 0005800030
Address:
Suite No:
CityV 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
15901 WEST VALLEY HY TUKW
Tenant:
Name: 0 SUSHI RESTAURANT
Address: 15901 WEST VALLEY HY , TUKVVILA WA
Owner:
Name: ROYALTY HOSPITALITY WA LLC
Address: 15901 WEST VALLEY HWY , TUKVVILA WA
Contact Person:
Name: BILL CAUSER
Address: 15423 50 PL W , EDMOND WA
Contractor:
Name: B & L PLUMBING SERVICE
Address: 15423 50 PL W , EDMONDS WA
Contractor License No: BLPLUS *097P2
DESCRIPTION OF WORK:
REISSUE OF EXPIRED PERMIT PG07 -256, INSTALL (3) HAND SINKS, (2) INDIRECT WASTE
RECEPTORS AND 3 KITCHEN SINKS
Value of Plumbing /Gas Piping:
Fees Collected:
doc: UPC -10/06
$1,000.00
$200.00
Plumbing
Bathtub or combination bath/shower 0
Bidet 0
Clothes washer, domestic 0
Dental unit, cuspidor 0
Dishwasher, domestic, with independent drain 0
Drinking fountain or water cooler (per head) 0
Food -waste grinder, commercial 0
Floor drain 0
Shower, single head trap 0
Lavatory 0
Wash fountain 0
Receptor, indirect waste 2
Sinks 6
Urinals 0
Water Closet 0
* *continued on next page **
FIXTURE TYPE AND QUANTITY
PLUMBING /GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone:
Phone: 425 745 -4162
Expiration Date: 01/11/2009
PG08 -178
06/16/2008
12/13/2008
Uniform Plumbing Code Edition: 2006
International Fuel Gas Code Edition: 2006
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
Repair or alteration of drainage or vent piping 0
Medical gas piping system serving (1 -5)
inlets /outlets for a specific gas 1
Medical gas piping (6 +) inlets /outlets 1
Gas Piping
Gas piping outlets (0 -5) 0
Gas piping outlets (6 +) 0
PG08 -178 Printed: 06-16 -2008
Permit Center Authorized Signature:
Print Name:
doc: UPC -10/06
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
Li
Permit Number: PGO8 -178
Issue Date: 06/16/2008
Permit Expires On: 12/13/2008
Date: (H(,9
(D �o
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 • erformance of w k. I authorized to sign and obtain this plumbing /gas piping permit. / �i
Signature: * y l - l Date: 6 76 lad
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.
PG08 -178 Printed: 06-16 -2008
Parcel No.: 0005800030
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
15901 WEST VALLEY HY TUKW
0 SUSHI RESTAURANT
1: ** *PLUMBING AND GAS PIPING * **
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
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.
PG08 -178
ISSUED
06/16/2008
06/16/2008
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.
doc: Cond -10/06
* *continued on next page **
PG08 -178 Printed: 06 -16 -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 or cancel the provision of any other work
construction or the performance of work.
Signature:
&
Print Name: C-(+o o 6
doc: Cond -10/06 PG08 -178
Date: / 7
ordinances governing
or local laws regulating
Printed: 06-16 -2008
SITE LOCATION
c- King Co Assessor's Tax No.: 000 - 3Q3 0
Site Address: / 5 / (2 / W v ()/ / e y High /?/ 7 y Suite Number:
Tenant Name: 0 S 14Ch / Je1/40 U/7 t New Tenant: ❑ .... Yes
Property Owners Name: Pr2 i7 t /7 / X /9 0 //J
Mailing Address: /S 0 / 14 • VG / ley L/ vv'>/ Tlt ,c//j/� /C/
/
City
CONTACT PERSON.= Who do we contact when.your permit is ready to be issued
Name:
Mailing Address: /S ,°/ W -
E -Mail Address:
Company Name: g E- L P/(//Y/ 6 /129
Mailing Address: /3 / / W
Contact Person:
E -Mail Address:
Contractor Registration Number: 5 L f /(,/.S Y
Contact Person:
E -Mail Address:
CITY OF TUKWIL4
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Rill CO UrEr
Plumbing/Gas Permit No. TG[' g- j 7 S
Project No,
(kJ,. 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**
Q: Applications\Forms- Applications On Line U-2006 - Plumbing -Gas Piping Permit Application.doc
Revised: 4 -2006
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Day Telephone:
c/ /27 b/7 c/
City
Fax Number:
6/l2/
City
Day Telephone:
Fax Number:
Expiration Date:
City
Day Telephone:
Fax Number:
Floor:
&ft 96/8B
State Zip
vy /9- 960
State Zip
..No
1/'/9 9 i - 7)2_60
State Zip
Company Name:
Mailing Address:
cit
Day Telephone:
Fax Number:
State
State
Zip
Company Name:
Mailing Address:
Zip
Contact Person:
E -Mail Address:
Page 1 of 2
Fixture Type:
Qty
Fixture Type:.
. Qty .
Fixture Type:
Q
xt ife' 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
6
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
1
Medical gas piping system
serving one to five
inlets /outlets for specific gas
Valuation of Project (contractor's bid price): $ /0 0 Q °2--
Scope of Work (please provide detailed information): //7,5 ,/ /l h (/r/ S / /7 ,C (3)
2 /12 (J /rieGf I/O s / c 3 e-1 tc% e, , s i/2 ■-•_S
Building Use (per Int'l Building Code):
Occupancy (per Int'1 Building Code):
Utility Purveyor: Water:
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
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 0 ER OR AU / T � H � IZEDD GENT:
Signature:
Day Telephone: 2C13 - 3g/ -2 2 8 "7---
Mailing Address: 7702 57 St (-f 14✓ (/f7 /vpr ,i ' flO c e vl 991( z
City State Zip
Print Name:
Date Application Expires:
Date Application Accepted:
G//D D V Le
Q:■Applications\Forms- Applications On Line13 -2006 - Plumbing -Gas Piping Permi Application.doc
Revised: 4 -2006
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Sewer:
Date: 6 / /Ca/
Staff Initials:
Page 2 of 2
Receipt No.: R08 - 02127
Initials: WER
User ID: 1655
Payee: 0 SUSHI GRILL
ACCOUNT ITEM LIST:
Description
dnr.: Rwcaint -flR
PLUMBING - NONRES
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
Payment Check 5081 112.00
TRANSACTION LIST:
Type Method Descriptio Amount
RECEIPT
Parcel No.: 0005800030 Permit Number: PG08 -1 78
Address: 15901 WEST VALLEY HY TUKW Status: PENDING
Suite No: Applied Date: 06/16/2008
Applicant: 0 SUSHI RESTAURANT Issue Date:
Account Code Current Pmts
000.322.103.00.0 112.00
Total: $112.00
Payment Amount: $112.00
Payment Date: 06/16/2008 11:08 AM
Balance: $0.00
3672 06 /16 9711 TOTAL 11200
Printed flR -18- 2(1118
COMMENTS:
n u A r 01
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C.o o (-Y r f4 -a r„J e if
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S. n1 ,.
0 kelp ems "0674
Special Instructions:
ro.) f
;
l o c._ t°
" a�rr ,
d i' p.m.
Requester:
Phone No:
.4 ---A A /\ cam 1 ' '
P P_
P'
¢ 1 "._ ALA : ✓'- A ll
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Project: D u
Type of Inspection: t
Addre D I ! `
lV
��
Date Called:
���
Special Instructions:
Date Wanted:
6
- (
" a�rr ,
d i' 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
P6N-- 17
PERMIT NO.
(206)431 -3670
Approved per applicable codes. Corrections required prior to approval.
inspec r:
Date: I , (9 - de
El $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
(Receipt No.:
'Date:
reti
License Information
License
BLPLUS *097P2
Licensee Name
B & L PLUMBING SERVICE
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
601311502
Ind. Ins. Account Id
Business Type
INDIVIDUAL
Address 1
15423 50TH PL W
Address 2
City
EDMONDS
County
SNOHOMISH
State
WA
Zip
980264414
Phone
4257454162
Status
ACTIVE
Specialty 1
PLUMBING
Specialty 2
UNUSED
Effective Date
10/22/1991
Expiration Date
1/11/2009
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
Business Owner Information
Name
Role
Effective Date
Expiration Date
CAUSER, CHRIS L
OWNER
10/22/1991
Look Up a Contractor, Electrician or Plumber License Detail
III
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.
•
Bond Information
Bond
#5
Bond
Company
Name
COLONIAL
AM CAS &
SURETY
OF MD
Bond
Account
Number
LPM4047070
Effective
Date
10/21/2001
Expiration
Date
Until
Cancelled
Cancel
Date
Impaired
Date
Bond
Amount
$6,000.00
Received
Date
11/26/2001
Page 1 of 2
https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= BLPLUS *097P2 06/16/2008