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Permit D06-164 - Jack in the Box - Remodel
JACK IN THE BOX 13050 INTERURBAN AV S D06 -164 City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 DEVELOPMENT PERMIT Parcel No.: 0003000106 Permit Number: D06 -164 Address: 13050 INTERURBAN AV S TUKW Issue Date: 06/29/2006 Suite No: Permit Expires On: 12/26/2006 Tenant: Name: JACK IN THE BOX Address' 13050 INTERURBAN AV 5, TUKWILA WA Owner: Name: JACK IN THE BOX 552624 Address: C/O PROPERTY TAX DEPT 401, PO BOX 4900 Contact Person: Name: ROBERT HITCHCOCK Address: 19606 NE 8 ST, CAMAS WA Contractor: Name: COMMERCIAL STRUCTURES INC. Address: P.O. BOX 68845, SEATTLE, WA Contractor License No: COMMESI184MK Public Works Activities: Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS: N doc: Devperm Phone: Phone: 360 601 -3231 Phone: 206 246 -3939 Expiration Date:06 /03/2007 DESCRIPTION OF WORK: REMODEL/REIMAGE INTERIOR DINING ROOM, RESTROOMS, PAINT EXTERIOR AND UPDATE ADA REQUIREMENTS. PUBLIC WORKS ACTIVITIES INCLUDE INSTALLATION OF 2" WATTS 009M2QT -S RPPA FOR DOMESTIC WATER IN A FREEZE PROTECTION ENCLOSURE, UPGRADE OF EXISTING IRRIG WM WITH AN "ECR -WP" REGISTER AND A CURB RAMP WITH TRUNCATED DOMES REPLACEMENT. Value of Construction: $115,000.00 Fees Collected: $2,859.03 Type of Fire Protection: NONE Uniform Building Code Edition: Type of Construction: VB Occupancy per UBC: 0008 Fire Loop Hydrant: N Number: 0 Size (Inches): 0 Flood Control Zone: N Hauling: N Start lime: End Time: Land Altering: N Volumes: Cut 0 c.y. Fill 0 c.y. Landscape Irrigation: N Moving Oversize Load: N Start lime: End lime: Sanitary Side Sewer: N Sewer Main Extension: N Private: Public: Storm Drainage: N Street Use: N Profit: N Non- Profit: N Water Main Extension: N Private: Public: 006 -164 Printed: 06 -29 -2006 doc: Devperm City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Water Meter: N ** Continued Next Page ** D06 -164 Printed: 06 -29 -2006 Signature: Print Name: doc: Devperm City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Permit Center Authorized Signature: I hereby certify that I have read and ordinances governing this work will be •mpli is permit and know the same to be true and correct. All provisions of law and th, whether specified herein or not. The granting of this permit d• -s not presume to give authority to violate or cancel the provisions of any other state or local laws regulating constructfq►t of h performance of work. I am authorized to sign and obtain this development permit. Date: a l (241 I�! Date: 6/z 9 /0 6 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. 006 -164 Printed: 06 -29 -2006 City *Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: ci.tukwila.wa.us Parcel No.: 0003000106 Address: 13050 INTERURBAN AV S TUKW Suite No: Tenant: JACK IN THE BOX 1: ** *BUILDING DEPARTMENT CONDITIONS * ** PERMIT CONDITIONS Steven M. Mullet, Mayor Steve Lancaster, Director Permit Number: D06 -164 Status: ISSUED Applied Date: 05/08/2006 Issue Date: 06/29/2006 2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the Building Official. 3: All mechanical work shall be Inspected and approved under a separate permit issued by the City of Tukwila Permit Center (206/431- 3670). 4: All permits, Inspection records, and approved plans shall be at the job site and available to the inspectors prior to start of any construction. These documents shall be maintained and made available until final inspection approval is granted. 5: New suspended ceiling grid and light fixture Installations shall meet the non - building structures seismic design requirements of ASCE 7. 6: Partition walls that are tied to the ceiling and all partitions greater than 6 feet in height shall be laterally braced to the building structure. 7: All construction shall be done in conformance with the approved plans and the requirements of the International Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code. 8: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Cityof Tukwila Permit Center. 9: All electrical work shall be inspected and approved under a separate permit issued by the Washington State Department of Labor and Industries (206/248- 6630). 10: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the Building Official from requiring the correction of errors in the construction documents and other data. 11: ** *FIRE DEPARTMENT CONDITIONS * ** 12: The attached set of building plans have been reviewed by the Fire Prevention Bureau and are acceptable with the following concerns: 13: The total number of fire extinguishers required for a Tight hazard occupancy with Class A fire hazards is calculated at one extinguisher for each 3,000 sq. ft. of area. The extinguisher(s) should be of the "all purpose" (2A, 10 B:C) dry chemical type. The travel distance to any extinguisher must be 75' or less. (IFC 906.3) (NFPA 10, 3 -2.1) doe: Conditions 006 -164 Printed: 06 -29 -2006 City o''Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: ct.tukwila.wa.us 14: Maintain fire extinguisher coverage throughout. Steven M Mullet, Mayor Steve Lancaster, Director 15: Portable fire extinguishers shall be provided within a 30 -foot (9144 mm) travel distance of commercial -type cooking equipment. Cooking equipment involving vegetable or animal oils and fats shall be protected by a Class K rated portable extinguisher. (IFC 904.11.5) 16: 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) 17: 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) 18: 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) 19: 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) 20: Door handles, pulls, latches, locks and other operating devices on doors required to be accessible by Chapter 11 of the International Building Code shall not require tight grasping, tight pinching or twisting of the wrist to operate. (IFC 1008.1.8.1) 21: Exit hardware and marking shall meet the requirements of the International Fire Code. (IFC Chapter 10) 22: Means of egress, including the exit discharge, shall be illuminated at all times the building space served by the means of egress is occupied. The means of egress illumination level shall not be less than 1 foot - candle (11 lux) at the floor level. The power supply for the means of egress Illumination shall normally be provided by the premise's electrical supply. In event of a power failure an emergency power system shall provide power for a duration of not less than 90 minutes and shall consist of storage batteries, unit equipment or on -site generator. (IFC 1006.1, 1006.2, 1006.3) 23: Exits and exit access doors shall be marked by an approved exit sign readily visible from any direction of egress travel. Access to exits shall be marked by readily visible exit signs in cases where the exit or the path of egress travel is not immediately visible to the occupants. Exit sign placement shall be such that no point in an exit access corridor Is more than 100 feet (30,480 mm) or the listed viewing distance for the sign, whichever is less, from the nearest visible exit sign. (IFC 1011.1) 24: Every exit sign and directional exit sign shall have plainly legible letters not less than 6 inches (152 mm) high with the principal strokes of the letters not Tess than 0.75 inch (19.1 mm) wide. The word "EXIT" shall have letters having a width not less than 2 inches (51 mm) wide except the letter "I ", and the minimum spacing between letters shall not be less than 0.375 inch (9.5 mm). Signs larger than the minimum established in section 1011.5.1 of the International Fire Code shall have letter widths, strokes and spacing in proportion to their height. The word "EXIT" shall be in high contrast with the background and shall be clearly discernible when the exit sign Illumination means is or is not energized. If an arrow is provided as part of the exit sign, the construction shall be such that the arrow direction cannot be readily changed. (IFC 1011.5.1) doc: Conditions 006 -164 Printed: 06 -29 -2006 City *Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206- 431 -3665 Web site: ci.tukwila.wa.us Steven M. Mullet, Mayor Steve Lancaster, Director 25: Exit signs shall be Illuminated at all times. To ensure continued illumination for a duration of not less than 90 minutes in case of primary power loss, the sign Illumination means shall be connected to an emergency power system provided from storage batteries, unit equipment or on -site generator. (IFC 1006.1, 1006.2, 1006.3) 26: Maintain automatic fire detector coverage per N.F.P.A. 72. Addition /relocation of walls, closets or partitions may require relocating and /or adding automatic fire detectors. 27: Maintain fire alarm system audible /visual notiflcation. Addition /relocation of walls or partitions may require relocation and /or addition of audible /visual notiflcation devices. (City Ordinance #2051) 28: All new fire alarm systems or modifications to existing systems shall have the written approval of The Tukwila Fire Prevention Bureau. No work shall commence until a fire department permit has been obtained. (City Ordinance #2051) (IFC 104.2) 29: All electrical work and equipment shall conform strictly to the standards of the National Electrical Code. (NFPA 70) 30: Contact The Tukwila Fire Prevention Bureau to witness all required inspections and tests. (City Ordinances #2050 and #2051) 31: Any overlooked hazardous condition and /or violation of the adopted Fire or Building Codes does not imply approval of such condition or violation. 32: These plans were reviewed by Inspector 511. If you have any questions, please call Tukwila Fire Prevention Bureau at (206)575 -4407. 33: ** *PUBLIC WORKS DEPARTMENT CONDITIONS * ** 34: The applicant must notify the City Utility Inspector at (206)433 -0179 upon commencement and completion of work at least 24 hours in advance. All Inspection requests for utility work must also be made 24 hours in advance. 35: Contractor shall notify Public Works Utility Inspector at (206)433 - 0179 of commencement and completion of work at least 24 hours in advance. 36: Permit is valid between the weekday hours of 7:00 a.m. and 3:30 p.m. only. 37: Flagging, signing and coning shall be in accordance with MUTCD for Traffic Control. Sweep or otherwise clean streets to the satisfaction of Public Works each night around your work zone (No flushing allowed). Notify City Inspector before 12:00 Noon on Friday preceding any weekend work. 38: Any material spilled onto any street shall be cleaned up immediately. 39: Prior to any work ( replacement of wheel chair ramp) inside the SEATTLE CITY LIGHT R.O.W. applicant shall obtain a temporary construction easement, license to construct or a written permission from Seattle City Light and submit a copy to Public Works. doc: Conditions * *continued on next page ** D06 -164 Printed: 06 -29 -2006 Signature: Print Name: City dr'Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Fax: 206- 431 -3665 Web site: ci.tukwila.wa.us I hereby certify that I have read these conditions and will comply with them as outlined. All provisions 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 regulating construction or the performance of work. I � 1 t°.vtn =er S t>+t doc: Conditions 006 -164 Steven M. Mullet, Mayor Steve Lancaster, Director of law and ordinances other work or local laws Date: 6/a 4/U6 Printed: 06-29-2006 CITY OF TUKWI Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us Site Address: /3�(0�7 0 - ,4 . 5 Tenant Name: Z/fta - 144 - i iabS Property Owners Name: Mailing Address: CONTACT AC PERSON _' Name j?bIw 4 Jeheock. /� y Day Telephone: / 3 , , h0 � - 3 23 / Mailing Address: /�(r'Q A it Sr tom/ I5 Gil 90 of Cit State Q Tip Fax Number: 36o � 1 �7 ` • Contact Person: Lana / ✓e /soot 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** E Mail Address: & `I a 7 k Coma$, net City GENERAL CONTRACTOR INFORMATION � (Codtractor.Informa / tion for Mechanica((pg 4) for Plumbing and Gas Piping (pg 5)) - Company Name: C e'/nerg Since 4✓ems• , Mailing Address: /3 O mot / er , t- g . ,tlanen t G(J/r City State ^ y Day Telephone:* -th �/ E - Mail Address: '7L zn 1 ! V CS/ bat hdon • CO" Fax Number: P'O( 2 t ik , -acl V Contractor Registration Number: COMM 63/ /84 MK ARCRITECT OF RECORD - A11 plans must be wet stamped by Architect of Record .; Company Name: 0. d2`ren Mailing Address: �J // � Contact Person: /t/ I t ` t'eI E -Mail Address: 04,14 • /l /yPYL3 L!!dn . Con►'L • Off av Company Name: Mailing Address: 4 Contact Person: SeVelei t C 0-eider QNppliatioatForms-AppliaYwro On LineV -3006 - Perak Appliation.doc Revised: 43006 M Building Penult No. Mechanical Permit No Plumbing/Gas Permit No. ' °? ( 6 - 1} - Public Works Permit No. Project No n Vela (For o ce usionly) tro State & — urci6 —OU King Co Assessor's Tax No.: n00 C1D — O / /Z — OZ Suite Number: Floor: New Tenant: ❑ .... Yes Z.No Zip Expiration Date: City Zip • Day Telephone: es O• t 3. kg C [ ! f Fax Number. �- 573. 0 / ft ENGINEER OF RECORD — All plans must be wet stamped by Engineer of Record City c�-y d App '' / Day Telephone: 8S O 73. E -Mail Address:/f /{'V�V • /yoils Goa ` ,. conl Fax Number: £Vi- �/ Page 1 of 6 Q:\ApplicatimuWotms- Applications On Line \3.2006 - Permit Application.doc Revised: 4-2006 bb Valuation of Project (contractor's bid price): $ Scope 2f Work (ple provide d tailed ' formation): � llrn� p#t or uo Existin B 'lding Valua Wi Will there be new rack storage? ❑ .. Yes No (If yes, a separate permit and plan submittal will be required) Provide All Building Areas in Square Footage Below. 2' Floor 3 °Floor Floors _ thtu Basement Accessory &monde* Attached Garage Detached Garage Attached Carport Detached Carport Covered Deck Uncovered Deck Existing Interior Remodel Addition to Existing Structure New Type of Construction per ISC V Type of Occupancy per IBC [6 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 for 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 IQ'. .No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑.. Sprinklers ❑ ..Automatic Fire Alarm None ❑ . Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑..Yes o If "yes", attach list of materials and storage locations on a separate 8 -1/2 x 11 paper indicating quantities and Material Safety 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. Page of PITIILIC WORKS PERMIT Tit, .ORMATION - 206- 433 -0179 Scope of Work (please provide detailed information): ❑ ...Total Cut ❑...Total Fill Call before you Dig: 1-800-424-5555 Please refer to Public Works Bulletin #1 for fees and estimate sheet. Water District Tukwila ❑... Water District #125 ...Water Availability Provided we District ..Tukwila ❑... ValVue ❑...Sewer Use Certificate ❑ .. Sewer Availability Provided Submitted with Application (mark boxes which apply): ❑...CivilPlans (Maximum Paper Size — 22"x34") ❑ ...Technical Information Report (Stone Drainage) ❑ ...Bond ❑ .. Insurance ❑ .. Easement(s) Proposed Activities (mark boxes that apply): ❑ ...Right-of-way Use - Nonprofit for less than 72 hours ❑ ...Right-of-way Use - No Disturbance ❑ ...Construction/Bxcavation/Fill - Right-of-way Non Right -of -way cubic yards cubic yards ❑...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 _ It Q :AppliaaoaWam.- Applications On UneV -2006 - Pena Appaation.doc twined: 42006 M ❑ .. Abandon Septic Tank ❑ .. Curb Cut ❑ .. Pavement Cut ❑ .. Looped Fire Line Private Private ❑ .. Highline ❑ .. Renton ❑...Seattle ❑ .. Approved Septic Plans Provided ❑ .. Geotechnical Report ❑ .. Maintenance Agreement(s) ❑ .. Right-of-way Use - Profit for less than 72 hours ❑ .. Right-of-way Use — Potential Disturbance ❑ .. Work in Flood Zone ❑ .. Storm Drainage ❑...Renton ❑ .. Grease Interceptor ❑ .. Channelization ❑ .. Trench Excavation ❑ .. Utility Undergrounding ❑...Deduct Water Meter Size ❑...Traffic impact Analysis ❑...Hold Harmless — (SAO) ❑...Hold Harmless — (ROW) FINANCE INFORMATION Fire Line Size at Property Line ❑...Water ❑...Sewer Monthly Service Billing to: Name: Mailing Address: Number of Public Fire Hydrant(s) ❑...Sewage Treatment Day Telephone: City State Zip Water Meter Refund/Billing: Name: Day Telephone: Mailing Address: City State Zip Page 3 of 6 Unit Type:' . Qty Unit Type: Qty Unit Type: Qty Boiler /Compressor: Qty Fumace<100K BTU Air Handling Unit >10,000 CFM Fire Damper 0 -3 HP /100,000 BTU Furnace>100K BTU Evaporator Cooler Diffuser 3-15 HP /500,000 BTU Floor Furnace Ventilation Fan Connected to Single Duct Thermostat 15 -30 HP /1,000,000 BTU Suspended/Wall/Floor Mounted Heater Ventilation System Wood/Gas Stove 30 -50 HP /1,750,000 BTU Appliance Vent Hood and Duct Water Heater 50+ HP /1,750,000 BTU Repair or Addition to Heat/Refrig/Cooling System Incinerator - Domestic Emergency Generator Air Handling Unit <10,000 CFM Incinerator — Comm/Ind Other Mechanical Equipment MECHANICAL CONTRACTOR INFORMATION Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): Use: Residential: New .... Replacement .... ❑ Commercial: New .... Replacement ....0 Fuel Type: Electric ❑ Gas ....0 Other: Indicate type of mechanical work being installed and the quantity below: Q:Mpplicaionswonns- Applications On LineV -2006 - Permit Application doc Revived: 4 -2006 bh State Zip Page 4 of 6 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 Clothes washer, domestic Floor drain Sinks / Dental unit, cuspidor Shower, single head trap Urinals Dishwasher, domestic, with independent drain Lavatory Water Closet I Building sewer or trailer park sewer Rain water system — per drain (inside building) Water heater and/or vent 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 Additional medical gas inlets/outlets — six or more • PLUMBING AND GAS PIP ` PERMIT INFORMATION -206 -4 -3670 PLUMBING AND GAS PIPING CONTRA R INF RMATION Company Name: C9esinienfal Mailing Address: Contact Person: E -Mail Address: Contractor Registration Number: Valuation of Project (contractor's bid price): S Scope of Work (please provide de led ' fognation): ( . / . M D / QU4 Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: QMpplication tramp- Applicatpne On LiM3 -2006 Permit Application lon Revised: 42006 ea City Day Telephone: Fax Number: Expiration Date: State Zip 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. 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 Signature: Print Name: 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). 0111 ED ENT: L- dr- t 7 / e Date: '" / /�/ , / (, [� / ,�,, Day Telephone:360 /bO / /-- 3 23 I 67 Mailing Address:7 , 7 /1/C ' tJ ( 7$n i S Lf/YI �Q S-7 state ap City Staff Initials: f l4r I Date Application Expires: I Date Application Accepted: Q:UpplicationsWomu- Applications On Line\ -2106 - Permit Application doc Revised: 4 -2006 bb Page 6 of 6 Payee: JACK IN THE BOX INC. ACCOUNT ITEM UST: Description BUILDING - NONRES PW BASE APPLICATION FEE PW PERMIT /INSPECTION FEE PW PLAN REVIEW STATE BUILDING SURCHARGE City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 TRANSACTION LIST: Type Method Description 000/322.100 000/322.100 000/342.400 000/345.830 000/386.904 RECEIPT Parcel No.: 0003000106 Permit Number: D06 -164 Address: 13050 INTERURBAN AV S TUKW Status: APPROVED Suite No: Applied Date: 05/08/2006 Applicant: TACK IN THE BOX Issue Date: Receipt No.: R06 -00947 Payment Amount: 1,990.58 Initials: 3EM Payment Date: 06/29/2006 09:28 AM User ID• 1165 Balance: $0.00 Amount Payment Check 208020 1,990.58 Account Code Current Pmts 1,336.08 250.00 200.00 200.00 4.50 Total: 1,990.58 69:25 03/29 9716 TOTAL 1?90,58 doc: Receipt Printed: 06 -29 -2006 RECEIPT NO: R06 -00631 Initials: JEM Payee: JACK IN THE BOX INC. SET TRANSACTIONS: Set Member Amount D06 -164 868.45 PGO6 -018 24.50 TOTAL: 892.95 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206431 -3670 Fax: 206431 -3665 SET RECEIPT Copy Reprinted on 05 -08 -2006 at 16:07:36 05/08/2006 Payment Date: 05/08/2006 User ID: 1165 Total Payment:892.95 SET ID: S000000481 SET NAME: Tmp set/Initialized Activities TRANSACTION LIST: Type Method Description Amount Payment check 207891 892.95 TOTAL: 892.95 ACCOUNT ITEM LIST: Description Account Code Current Pmts PLAN CHECK - NONRES 000/345.830 892.95 TOTAL: 892.95 5260 05/09 9716 TOTAL 892.95 Steven M. Mullet, Mavor Steve Lancaster, Director Project,..-- t4 s i � l lhf Type of Ins ction � w 'I ilea L ' Ante r 4 Add re s s: • � /40650 ur rnkeS Date Called: /��D�fO� Special Instructions: 64 3O tl r4ccte3 prior „l�echth' • >) use b oo c Date Wanted: JOfl3.3 /O D.m. Requester: V,C,tb Scout---1 a 6,,_ l.u,., Phone D6- 77 8- 5 COMMENTS: L ' Ante r 4 1 in ,. �tw.J 6.4.,..,... a 6,,_ l.u,., { ,6 Li /ylJb Ica—. PAw-e 1 / /q /1 Ott °tn t11494,--fie 7211494,--fie P2-01 f ( PA- r. o,4. [L fis, w f^ D Approved per applicable codes. Inspector: INSPECTION RECORD nL -iL Retain a copy with permit 4 INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3670 6,td Corrections required prior to approval. Date: $58.Oo REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: (Date: Pro' t: - are (C a flit- S O{ Type of Inspgcuon: 1 I 1 M Address: 130'7 0 .1nl- kr , f 4 +t - N/ Date Called: Special Instructions: Date Wanted: / p( Z 7 - a.m. Requester: IC Phone No: ti INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 IAApproved per applicable codes. INSPECTION RECORD Retain a copy with permit PER Corrections required prior to approval. COMMENTS: QrMt (\t3. —. 9 1&4'e (} tn7 Date: � z? - O� j [J REINSPECTION FtE REQUIRE[. Prior to inspection, fee must be id at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. (Receipt No.: (Date: COMMENTS: p A d e 6) /� n,Pi/Ynr O,0.7,.rve�. — 3 t 4 /J ,9 ft A/ -e tY e- u/b.ij Ale re: !du he,te•ins - 476cr." 6r• r /rifNe —/s .r, p l Date ?ante 7 —06 Requester: Phone No: Prpject: z4,40t ,,.j n r 6 0 NI Type of In pection: / n/ A l Address: /3O p 4. e- u/b.ij Date Called: Special Instructions: Date ?ante 7 —06 Requester: Phone No: INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 0 Approved per applicable codes. PE '.I N (206)431 -3670 El Corrections required prior to approval. €twr: (Date: 8.00 REINSPECT FEE R4,UIRED. Prior to inspection, fee must be aid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. 'Receipt No.: 'Date: Projec • A l i t. I (SOS-. Type of Inspection: nn -- � ��}j' � 1 SS1 V i0rl noi Addr s: \fin -5 0 fitdba,., Date Called: Special Instructions: Date Wanted: '?— Z - - 0 (-, a.m. e Requester: Phone No: INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (20 S pproved per applicable codes. COMMENTS: or: CAA, ksc .00 REINSPECTIa1 FEE REQUIR¢D. Prior to inspection, fee must be d at 6300 Southcenter Blvd., Sul a 100. Call to sechedule reinspection. pt No.: Date: 3670 El Corrections required prior to approval. Project: et6 1 ^31Wt1O - A Type of Inspection: r ‘Q., C\(S( Aid F s ( i c - Vc Address: \ 3 U'' U S,— .SLeVt,Jipe -I \ J Date Called: Special Instructions: Date Wanted: - _ C1 -7- - m. Requester: Phone No: ZOf. -7 - s5YZ 3 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PER CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206 451.3670 El Approved per applicable codes. Corrections required prior to approval. COMMENTS: Ins • or: I Rec pt No.: Date: .A,-a ,1.t . .�(' N ..rti L I s y 1 i_ ! .00 REINSPECTIOt ( FEE REQ�IRO). Prior to inspection, fee must be d at 6300 Southcenter Blvd., uite 100. Cali to sechedute reinspection. 'Date: Prosct: c:ine(c- i.v -iLa 9 Type of inspection: C , 1 -iG1'i\1'C Address: %3o o ttake4tt4 M'J Date Called: Special Instructions: Date Wanted: - 7-7._ c -0(.7 P.m. Requester: Phone No: Z INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Approved per applicable codes. pEorrections required prior to approval. COMMENTS: r: . 4%4 o" ( 1 A. Y i 00 REINSPECTION E REQUIRE r to inspection, fee must be at 6300 Southcenter Blvd., Suite 1 0. Call to sechedule reinspection. INSPECTION RECORD Retain a copy with permit 0 0 4 Dade: Date: - -; -ate Project: u'i -43 - P i 7!74/f0 141S(6Ri tfr ka■ Q Q IN ((Ww% l( Type of iNN/Crit4 PN - Fit7�,0 Address: 005 at it j?) L)owkr,Ti c it n$ ..� Date Called: t 240 Special Instructions: Date Wanted: a.m. t ( 1 4 P.m. Reques{gr: a p / M Q4(t Phone No: C I f 1 COMMENTS: 7!74/f0 141S(6Ri tfr ka■ Q Q IN ((Ww% l( /Pi OG IiE6,ll I 1a)( /4rick-rw ,4'4 [Oil Q U IT fit O j4X 1 12 j?) L)owkr,Ti c it n$ ..� ,(4 c. cop or 1'4 t3/tzCJ76t-1 ,4 rrt'}', (VC 7/z w /'6 a r,e-o( n-' A,e0 t lb OM( ‘A ) /) Date: _A 6 INSPECTION RECORD Retain a copy with permit PERMIT NO. INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 EJ Approved per applicable codes. El Corrections required prior to approval. $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: 'Date: Watts product spectfcatfons in }16veustbmgry a ihs d mr (f{c are appioxfmote and`arepro#kied or. eren*ply reserves the right to ch6hge or modt(ypmduct desfgg cdnssntct)pn fspecl f cagoits prmateria1s wlt h qut prlbr ngttceciuk i 3ltIiQuf, incutrteg any obttgadon timake fluckThanges and mgdijtcatlons bn WaHs pttxfuc&s p,`revtpusl v) sufisegrlently-soltt Series OO9QT (y 2" ReJucddpres 0 gant$ R t.#1b a cf mifrp "Otters, • Designed to protect potable water supplies in accordance with national plumbing codes and water authority requirements. Protection from health hazard cross- connections or containment at the service line entrance. • For continuous pressure use; protects against both back siphonage and backpressure backflow. Specifications • Sizes: W - 2 (8-50 mm), NPT female connections, quarter -turn, full port, resilient seated bronze ball valve shutoffs (Model 009CM. • Sizes 14 - I" (8 -25 mm) have tee handle shutoffs, Sizes 1 1/4° - 2" (32 -50 mm) have lever handle shutoffs. • TWO In -line, independent check valves with intermediate relief valve. • Standard ball type test cocks: RECEIVED JUN 2 6 2006 Darnensions/Wgts. TUKWILA PUBLIC WORKS Flow Charts see page 41. r h'G el 2 1141 er § i11!mtN '.ff 0090T 0062098 " 's117;r 1bb& d96; 00907 0062094 Zfrabkntifittitabl 009M20T 0063020 f215A9i 21311' (1 62` 2by 009M20T 0062921 V.01M002216600 009Q -S 0062181 Y,,s, 8. AN S torte ab 4`i$1 .a0 0090T -S 0062095 / 15 `091A3f15 `tiff '031x1 •`aTd'! Q52M2ns mom " 1 i99Mio .bYifo'6" §Sdz Mgt t 009M20T -S 0062952 11/2 40 b1f9N12a - 1688811;714113G - Features • Internal relief valve for reduced installation clearances • Captured springs • Line sized checks reduce potential fouling • Servicing without special tools • Top access, single cover • TWo in -line independent check valves with intermediate relief valve • Standard ball type test cocks For additional Information, request ES -009- For Information on Air Gaps and Vent Elbows see page 40 or request ES- AG/EL. For WattsBOx Enclosures, request ES -WB and ES -WB-T. 009QT t ' Options add Suffix: HC - with fire hose connections (female hose swivel x male NST) - with quarter-turn, full port, resilient seated ball valve shutoffs S - with bronze strainer LP - without shutoffs AQT - elbow fittings for 360° rotation (W - 2 "only) PC - with internal Polymer Coating LH - with locking handle ball valves (open position) SH - with stainless steel ball valve handles add Prefix: C - with clean and check strainer (14' and 1" only) U - union connections (Send for ES- U009AQT for more information) SS - with 316 stainless steel backflow preventer and ball shutoffs 8 14 15 *ift:2'061 1 25 1 +h 40 °'..112 10 250 g4e %r 1 11177 e3% �8u63x 114 3 32 514 11440 - - - t4d: y2-.' t `()yy'r''kxe�`` al!t*3t itaci•M2g4.144 itgarL.a4i uKF?aurax 10 250 4% 117 3 3 4 86 11/4 32 5 1 4 140 - - - - 1 6 3 A 425 514 140 3 76 214 64 914 241 - - 17 34 454 6 150 3 1/2 89 214 64 1114 283 - - P .' A A` .44. a ? 5 `8giaft1Stugaff1 1 250 6 158 1; �� T k +} 4 t8Arroy �6�4 & s 25�"6?5�fb0 10 250 6 150 334 88 114 32 5+ 140 2% 70 2% 57 IVA`SY7 Y av9.MieriJ iftk`r.'d8f' ' ?47F1511"x$s G Z�c'4 1 4 42 6v 4 t 4ka tzt tkaaag6 t g xt bs t a s 17rb . 454 7% _ - 197 314 89 214 64 11% 283 4% 124 4 102 t21 ia48�:81 a>,ntira1/2,«.i ' .nv3i1iisr•8 ntt`�gi mill ian §- Contact your local Watts Agent or call Customer Service (978) 6894066 for other models/order numbers or refer to PL-WRL *B dimension is from the lowest part of the valve (the relief port) to the highest part of the gate/ball calve shutoff. 4.50 2.0 s 4.50 2.0 12.25 5.6 16.32 7.4 5.50 2.5 20.32 9.3 watts regulator • backflow products division DD 16 4 - 7 25 20 15 a :I 10 5 0 1 25 50 75 100 125 150 17 200 225 250 1 96 190 285 300 475 670 895 760 855 950 o io 20 o 38 78 90 40 114 152 60 60 70 190 228 288 80 904 25 20 15 a :I 10 5 0 1 25 50 75 100 125 150 17 200 225 250 1 96 190 285 300 475 670 895 760 855 950 0 19 1 88 20 30 40 50 10 70 80 78 114 152 190 228 286 304 0 20 40 60 80 100 120 140 150 150 200 0 76 152 228 304 380 456 532 008 884 760 1111 pN 138 20 117 17 AP 96 14 78 11 45 8 85 6 .25 50 35 ; 19 • Ftow W 0mm) 009th Its pi 138 20 117 17 AP P 14 76 11 55 8 35 5 0 25 0 55 4h pd 17225 138 20 103 15 AP 69 10 3 pat 207 30 155 24 124 18 AP 89 12 0 41 35 5 0 0 Ire pm 207 30 172 25 138 20 AP 103 15 69 10 84 5 0 0 0 1 h" (8mm) 0094T 1h' (15mm) 009QT 0 38 50 75 19 29 31 48 57 95 11 Ipm FLOW 25 5 75 95 19 285 5 75 15 23 FLOW Y" (20mm) 009M3QT * 1111111111•10 11111111111•11110 MIIIIM111111111 Nom ••uiunu mmoi64 ra som..n........flfl. auunan assmu sans 10 14 0 6 23 38 53 29 1'(25mm)009M2QT * 75 23 8 22 68 84 FLOW FLOW 26 99 .75 29 125 60 ISO •typical maximum system Now rate (75 feet/sec.) 1Ye" (32mm) 009M2QT * 21 1.1 pm 3. pm 10 1 5 15 pm 38 4 5 57 Om 15 fp 48 mp 84 38 42 48 pm 114 129 144 160 175 18 m V4 PI 172 25 138 20 103 15 nr 69 10 34 5 Pa pi 207 30 172 25 138 20 AP 103 15 89 10 34 5 0 0 0 0 v4 a 172 25 198 20 AP 103 15 89 10 35 5 0 0 H4 pd 172 25 138. 20 AP 109 15 to 10 55 5 0 0 watts regulator • back products division 5 75 10 15 ' 22 30 FLOW 134" (40mm) 009M20T * 0 1 20 30 40 50 - 80 70 80 80 100 110 120 pm 0 38 76 1 4 152 190 228 268 304 342 380 418 458 18m 5 7.5 10 15 188 15 23 30 46 mps FLOW NI 2" (50mm) 009M2QT 4— 5 15 21/2" (65mm) 009 5 11 3" (80mm) 000 75 10 23 30 FLOW 75 10 22 30 FLOW * FLOW 15 4.8 16 46 15 46 06 981 mpp Pm 1881 M rap 0 25 50 75 100 125 150 175 200 225 250 275 300 325 pm 0 96 190 285 860 476 570 665 760 455 950 1045 114012351pm 5 75 10 15 23 3.0 41 :I 1 25 50 75 100 125 150 17 200 225 250 1 96 190 285 300 475 670 895 760 855 950 1111 pN 138 20 117 17 AP 96 14 78 11 45 8 85 6 .25 50 35 ; 19 • Ftow W 0mm) 009th Its pi 138 20 117 17 AP P 14 76 11 55 8 35 5 0 25 0 55 4h pd 17225 138 20 103 15 AP 69 10 3 pat 207 30 155 24 124 18 AP 89 12 0 41 35 5 0 0 Ire pm 207 30 172 25 138 20 AP 103 15 69 10 84 5 0 0 0 1 h" (8mm) 0094T 1h' (15mm) 009QT 0 38 50 75 19 29 31 48 57 95 11 Ipm FLOW 25 5 75 95 19 285 5 75 15 23 FLOW Y" (20mm) 009M3QT * 1111111111•10 11111111111•11110 MIIIIM111111111 Nom ••uiunu mmoi64 ra som..n........flfl. auunan assmu sans 10 14 0 6 23 38 53 29 1'(25mm)009M2QT * 75 23 8 22 68 84 FLOW FLOW 26 99 .75 29 125 60 ISO •typical maximum system Now rate (75 feet/sec.) 1Ye" (32mm) 009M2QT * 21 1.1 pm 3. pm 10 1 5 15 pm 38 4 5 57 Om 15 fp 48 mp 84 38 42 48 pm 114 129 144 160 175 18 m V4 PI 172 25 138 20 103 15 nr 69 10 34 5 Pa pi 207 30 172 25 138 20 AP 103 15 89 10 34 5 0 0 0 0 v4 a 172 25 198 20 AP 103 15 89 10 35 5 0 0 H4 pd 172 25 138. 20 AP 109 15 to 10 55 5 0 0 watts regulator • back products division 5 75 10 15 ' 22 30 FLOW 134" (40mm) 009M20T * 0 1 20 30 40 50 - 80 70 80 80 100 110 120 pm 0 38 76 1 4 152 190 228 268 304 342 380 418 458 18m 5 7.5 10 15 188 15 23 30 46 mps FLOW NI 2" (50mm) 009M2QT 4— 5 15 21/2" (65mm) 009 5 11 3" (80mm) 000 75 10 23 30 FLOW 75 10 22 30 FLOW * FLOW 15 4.8 16 46 15 46 06 981 mpp Pm 1881 M rap 0 25 50 75 100 125 150 175 200 225 250 275 300 325 pm 0 96 190 285 860 476 570 665 760 455 950 1045 114012351pm 5 75 10 15 23 3.0 41 :I 0 19 1 88 20 30 40 50 10 70 80 78 114 152 190 228 286 304 1111 pN 138 20 117 17 AP 96 14 78 11 45 8 85 6 .25 50 35 ; 19 • Ftow W 0mm) 009th Its pi 138 20 117 17 AP P 14 76 11 55 8 35 5 0 25 0 55 4h pd 17225 138 20 103 15 AP 69 10 3 pat 207 30 155 24 124 18 AP 89 12 0 41 35 5 0 0 Ire pm 207 30 172 25 138 20 AP 103 15 69 10 84 5 0 0 0 1 h" (8mm) 0094T 1h' (15mm) 009QT 0 38 50 75 19 29 31 48 57 95 11 Ipm FLOW 25 5 75 95 19 285 5 75 15 23 FLOW Y" (20mm) 009M3QT * 1111111111•10 11111111111•11110 MIIIIM111111111 Nom ••uiunu mmoi64 ra som..n........flfl. auunan assmu sans 10 14 0 6 23 38 53 29 1'(25mm)009M2QT * 75 23 8 22 68 84 FLOW FLOW 26 99 .75 29 125 60 ISO •typical maximum system Now rate (75 feet/sec.) 1Ye" (32mm) 009M2QT * 21 1.1 pm 3. pm 10 1 5 15 pm 38 4 5 57 Om 15 fp 48 mp 84 38 42 48 pm 114 129 144 160 175 18 m V4 PI 172 25 138 20 103 15 nr 69 10 34 5 Pa pi 207 30 172 25 138 20 AP 103 15 89 10 34 5 0 0 0 0 v4 a 172 25 198 20 AP 103 15 89 10 35 5 0 0 H4 pd 172 25 138. 20 AP 109 15 to 10 55 5 0 0 watts regulator • back products division 5 75 10 15 ' 22 30 FLOW 134" (40mm) 009M20T * 0 1 20 30 40 50 - 80 70 80 80 100 110 120 pm 0 38 76 1 4 152 190 228 268 304 342 380 418 458 18m 5 7.5 10 15 188 15 23 30 46 mps FLOW NI 2" (50mm) 009M2QT 4— 5 15 21/2" (65mm) 009 5 11 3" (80mm) 000 75 10 23 30 FLOW 75 10 22 30 FLOW * FLOW 15 4.8 16 46 15 46 06 981 mpp Pm 1881 M rap 0 25 50 75 100 125 150 175 200 225 250 275 300 325 pm 0 96 190 285 860 476 570 665 760 455 950 1045 114012351pm 5 75 10 15 23 3.0 41 EZBox DATA UNIT NO. INSIDE LENGTH INSIDE WIDTH INSIDE HEIGHT SHIPPING WEIGHT INSULATED MOUNTING PAD SIZE Ez.75* 20" 6.5° 22" 27# 16 x 32 Ez1 * 27' 14" 26' 35# 25 x 38 pp Ez2* 38.5' 12" 28' 41# 22 x 48 Ez3000 45" 35' 35" 150# 47 x 57 Ez3 70" 26' 45' 185# 38 x 82 Ez3S 83" 26" 45' 325# 38 X 95 Ez4000 53° 44' 44' 275# 56 x 65 Ez5000 61' 52° 50' 375# 73 X 64 fzNBoX," DATA UNIT NO. INSIDE LENGTH (Part of Our "Valve INSIDE WIDTH Guard' Line) INSIDE HEIGHT NON SHIPPING WEIGHT INSULATED MOUNTING PAD SIZE EzN.75* 22" 8,5' 23" 24# 16 x 32 EzN1* 29' 16" 27" 30# 25 x 38 EzN2* 40.5' 14" 29" 35# 22 x 48 EzN3000 48" 38" 36" 115# 47 x 57 EzN3 73" 29" 46" 150# 38 x 82 EzN4000 56" 47" 46" 230# 56 x 65 EzN5000 64" 55" 52" 305# 73 x 64 INSULATED AND UNINSULATED ENCLOSURES Ezflox The EzBOx® has all the design features to meet minimum requirements for backflow preventer protection, such as: • drains sized for full port discharge • testing /maintenance access • vandal protection • optional freeze protection Certified • The affordable enclosure for backflow prevention devices, pumps, meters, valves ... • A fiberglass shell, insulated with urethane foam, provides the security and freeze protection (limited without optional heat) needed on exposed valves. "Just Say No" to the Cage! The Uninsulated Fiberglass EzNBox," offers several advantages over the cage. • The Ez1NBox., is usually less expensive! — Call for pricing) • The EzNBox," looks better! — Cages and valves rust — Even "nice" cages grow weeds inside • The EzNBox. "hides the installation "! — Valves are out of sight (out of mind) Optional Factory or Field Installed Access Panels SIZE TYPE SHIPPING WEIGHT 16" X 16" Hinged/Lockable 10# 20" x 40" Screw Secure 20# Members of: AW WA, ABPA, ASSE, NFSA, AFSA, & USC FOUNDATION JACKSONVILLE, FL (904) 786 -0204 • FAX (904) 783 -6965 (800) 736-0238 http://www.hot-botoom 78601 City of Tukwila REVISION $1: 08.03 APPROVAL: B. SHELTON • dtmerf�, 16z 4ocE • • ° L TYPE. COPPER TYPEi4COPPH; PIPE -we fee-r -042 9.6 - 492 pet 3/4" 4" PARTS UST: C'/ O 2e 1 C /4 S .tpEC t s . 1 -1" COUPLINGS MUELLER 110 X ANGLE STOP - BALL • 1 -1' OR 3/4" CORP STOP - BALL 1- TAILPIECE WITH FEMALE IRON PIPE THREAD NOTES: 1. NO METER BOXES IN SIDEWALKS AND DRIVEWAYS WHERE POSSIBLE. 2. USE CLEAN sir MINUS CRUSHED ROCK TO BACKFILL AROUND CORP STOP AND SERVICE LINE. 3. REFER TO CHAPTER 7 OF THESE STANDARDS. TO SERVICE sezJpo140 MOTTO SCALE T p i 4'9 RPef 4q ,n heir 7 e0 x 2.sf //4 a v gni4 // entem, tin ,7s-: 2 £" INITIAL TEST PASSED DCVA / RPBA DCVA / RPBA ItPBA '' PSIE PVBA /SVBA PSID CHECK VALVE NO./ CHECK VALVE N0.2 OPENED AT 2 AIR INLET OPENED AT - LEAKED CLOSED TIGHT f:,, •Z_ • W PSID - LEAKED CLOSED TIGHT a • 9 ❑ 4' PSID #1 CHECK PSID DID NOT OPEN • AIR GAP OK? /I// rrs FAILED • NEW PARTS AND REPAIRS CLEAN REPLACE ❑ ❑ PART CLEAN REPLACE PART CLEAN REPLACE ❑ ❑ ❑ ❑ ❑ • ❑ • PART CHECK VALVE HELD AT PSID ❑ • LEAKED • • ■ ■ • • • ■ CLEANED REPAIRED ❑ ❑ • ❑ ❑ • TEST AFTER REPAIRS PASSED ❑ FAILED • CLOSED TIGHT CLOSED TIGHT OPENED AT PSID AIR INLET PSID PSID • PSID • PSID #1 CHECK PSID CHIC VALVE Merit( %Iecl'anMi Inc. P.O. Box 2109 • 9630153rd Ave. N.E., Space B1 • Redmond, Washington 98073 -2109 (425) 883 -9224 or (206) 232.6560 • FAX (425) 867 -0962 • WA Lic. # MERITMI163CM • OR Lic. # 0121242 www.m eritm echanical.com BACKFLOW PREVENTION ASSEMBLY TEST REPORT NAME OF PREMISE V � t II 12/6 • ',F Commercia Residential ❑ SERVICE ADDRESS 1 30- 5 0 Wit P- cb'Av✓ e•97't �C u C1TY lJkwt[A ZIP CONTACT PERSON i7A SL 71_ , ,w44CIL PHONE ( ) FAX ( ) LOCATION OF ASSEMBLY /1/ /Jo K ItiikT 77) /Kr t L DOWNSTREAM PROCESS i tn r S c- DCVA ❑ - RPBA PVBA ❑ OTHER NEW INSTALL4EXISTING ❑ REPLACEMENT ❑ OLD SER. # PROPER INSTALL? YES NO ❑ MAKE OF ASSEMBLY LI.4} MODEL CO? rbtt alr SERIAL NO. AO R 7 L • SIZE 2 - iJ AIR GAP INSPECTION: Required minimum air gap separation provided? Yes No ❑ Detector Meter Reading // LINE PRESSURE PSI SERVICE RESTORED? V CONFINED SPACE? V REMARKS: CERT. NO. g - 16 35 DATE 7 zd TESTERS SIGNATURE: TESTERS NAME PRINTPfD: (�r(,Ivwnr T rr r j TESTERS PHONE # (t(2$ ) 3 — 977 t.F REPAIRED BY: FINAL TEST BY CERT. NO. DATE CALIBRATION DATE 17 / !71 / cf. GAUGE # n1011 147 MAKE I, MODEL E DATE Proj Vid /5 Type of Insp i� f � ' t r Addr e s : Date Caned: Special Instructions: . Date Wgpted: j aa �_ a.m. e Requester: _. Phone No: Ng-Approved per applicable codes. 'Receipt No.: INSPECTION RECORD Retain a copy with permit INSPECtION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 'Date: (206)431 -36 COMMENTS: El Corrections required prior to approval. IDate� ( 34i $58.00 REINSPECTION'FEE REQUIRED. Prior to Inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Project: // T�cl in ih-e &Y Type of Inspection: 7/9 L Fre. 17 in Address: Suite #:1305o T. ✓ utbciv, iL Contact Person: Special Instructions: cy, c Phone No.: Needs Shift Inspection: IY /- Sprinklers: /V c Fire Alarm: $i/f _ gran n cy, c Hood & Duct: re5 Monitor: ,5(O Pre -Fire: Permits: Occupancy Type: 2 INSPECTION NUMBER 444 Andover Park East, Tukwila, Wa. 98188 206 - 575 -4407 Approved per applicable codes. COMMENTS: N VAC stSv- r.(,5-. ST 544::j N _ dirt"- cA ic i 5 414 � P�AU in c� kC.' SP VI 7 nn 0 p.yviv /� r0 7 ; GA j z t c n pet-e.„ 4 , / a 4, G ✓e P �f�iiC rif Fw/ ©K. '/� l In ns speector: ( f' (''7U Y v Ja Date: 71n%6 Hrs.:, $80.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be aid at 444 Andover Park East. Call to schedule reinspection. Receipt No.: Date: Word /Inspection Record Form.Doc INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA FIRE DEPARTMENT 12/2/05 PERMIT NUMBERS Corrections required prior to approval. T.F.D. Form F.P. 85 Project: S. in // 1Lhn. gox Vi Type of Inspection: f- i ( e. Tirol / Address• Suite #: i 3 ctp t4,l-1,1 // 4i h /4Qe 5. Contact Person: Special Instructions: Pre -Fire: Permits: Phone No.: Needs Shift Inspection: N/�L Sprinklers: Fire Alarm: Hood & Duct: Monitor: Pre -Fire: Permits: Occupancy Type: 1 INSPECTION NUMBER n Approved per applicable codes. COMMENTS: Word /Inspection Record Form.Doc INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA FIRE DEPARTMENT 12/2/05 PERMIT NUMBERS 444 Andover Park East, Tukwila, Wa. 98188 206 -'!f S -4407 Corrections required prior to approval. S ha71 C lnu)r I . 44'r- < c�) 6-e 1 5'l/ P/ ,// co/ 0t11 Ga /7�'I 7 °Gol / ,eS74 .- NU4c 544 opo y,r�y ch e. . a %o fL, ,na 4 4 4i-- /O,�" _ / ,€H d 1- /r7N SGC G J' / re 2., `- Inspector: �4d R &kipt No.: Date: 77 eS Hrs.: /. r $80.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be t 444 Andover Park East. Call to schedule reinspection. Date: T.F.D. Form F.P. 85 Project Info Project Address 13050 Interurban Ave. 8, Tukwila, Na 98168 Date 4/20/2006 Jack in the Box 8 8481 For Building Department Use COP f� Covered Perking (standard paint) Applicant Name: LOW 'engineers California Inc., Noel Nilahusen Applicant Address: 5560 Ruffin Road, Suite 1, San Diego, Ca 92123 Applicant Phone: 858- 268 -3224 Covered Parking (reflective paint) Project Description ❑ Plans Included requirements. ❑ New Building ❑ Addition J Alteration Refer to WSEC Section 1513 for controls and commissioning Compliance Option 0 Prescriptive Q Lighting Power Allowance 0 Systems Analysis (See Qualification Checklist (over). Indicate Prescriptive & LPA spaces clearly on plans.) Alteration Exceptions (check appropriate box - sec. 1132.3) ❑ No changes are being made to the lighting ❑ Less than 60% of the fixtures new, installed wattage not increased, & space use not changed. Location Description Allowed Watts per 1t2 or per If Area in ft2 (or If for perimeter) Allowed Watts x ft (or x If) Covered Perking (standard paint) Feet Food 0.2 WM ni-V RECEIVED of T Covered Parking (reflective paint) pia. 0.3 w M %Y n 9 2nnR Open Parking 8.1.. 02 W/fl 3 28.0 Outdoor Areas 1740.0 0.2 Wm2 ?t l (jtN I tM (tie( Bldg. (by facade)' Sales 0.25 WRt2 1 Bldg. (by perim) 124.0 7.5 WM / M I NI ;V V Y/ Location (floor /room no.) Occupancy Description Allowed Watts per ft " Area in 19 Allowed x Area Dining a Antral Feet Food 1.50 1160.0 1740.0 pia. Al- Downright (..QDE (:()MI'LIHNCE 4 28.0 112.0 8.1.. A2- Dovnlight p nnn ervf1 3 28.0 From Table 15 -1 (over) - document all exceptions on form LTG -LPA Total Allowed Watts 1740.0 Location (floor /room no.) Number of Fixtures Watts/ Fixture Watts Proposed Dine A- Do wnligh t REVIEWEDtL 21 28.0 588.0 pia. Al- Downright (..QDE (:()MI'LIHNCE 4 28.0 112.0 8.1.. A2- Dovnlight p nnn ervf1 3 28.0 84.0 Din. 131- 2xa 3 62.0 186.0 Sales HI- 2xa JUNE 7 ZOOS 2 62.0 124.0 Dine C- Pendant 8 28.0 224.0 neetrooau a- vanity (Ay Of Tukwila 2 33.0 66.0 Din. H- 2xa (UUI� pI( I )W!t5t0� +► 1 62.0 62.0 1- exit 2 Total Proposed Watts may not exceed Total Allowed Watts for Interior Total Proposed Watts 1446.0 2004 Washington State Nonresidential Energy Code Compliance Form Lighting Summary LTG -SUM 2004 Washington State Nonresidential Energy Code Compliance Forms Revised May 2005 Maximum Allowed Lighting Wattage (Interior) Proposed Lighting Wattage (Interior) Notes: 1. Use manufacturer's listed maximum input wattage. For hard -wi ed ballasts only, the default table In the NREC Technical Reference Manual may also be used 2. Include exit lights unless less than 5 watts per fixture. 3. List all fixtures. For exempt lighting, not exception and leave Watts/Flxture blank. Maximum Allowed Lighti pg Wattage (Exterior) 1. Choose either the facade area or the perimeter method, but not both) Total Allowed Watts Use mtgr listed maximum input wattage. hor fixtures wlm hard - Proposed Lighting Wattage (Exterior) the default table In the NREC Technical Reference Manual may also be used. Tema Project Info Project Address 13050 Interurban Ave. 8, Tukwila, wa 98166 Date 4/20/2006 Jack in the Box a 8481 For Building Department Use Applicant Name: rsn Rogineere California Inc., Noel Wilehuaen Applicant Address: 5560 Ruffin Road, Suite 1, San Diego, Ca 92123 Applicant Phone: ee8 -26e -3224 . 2004 Washington State Nonresidential Energy Code Compliance Form Project Summary PRJ -SUM 2004 Washington State Nonresidential Energy Code Compliance Forma Revised May 2005 October 18, 2006 Jack in the Box Inc 604 Oaksdale Avenue SW, Suite 103 Renton, WA 98055 RE: Refund Jack in the Box — 13050 Interurban Av S -(006 -164) Dear Sir: Enclosed please find a check in the amount of $3000.00 for the installation of wheelchair ramp in public right -of -way for the above referenced project. This work has been installed and the City Public Works Department Inspector has approved the installation. If you should have any questions, please contact our office at (206)431 -3672. Sincerely, tcr Brenda Holt Permit Coordinator encl xc: Permit No. D06 -164 City of Tukwila Q :Documents\ Bond Release\D06 -164 - Refund Lener.DOC bh Steven A'L Mullet, Mayor Department of Community Development Steve Lancaster, Director 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 - 3670 • Fax: 205 -431 -3605 Memo Odrber11,2006 To: Laurie Anderson — From: Brenda Holt itOte Re: D06 -164 City of Tukwila Permit Center Please refund $3,000.00 to Jack in the Box Inc. The demolition and rebuild of the wheelchair ramp in the public right-of-way has been completed and approved by the City's Public Works Department. Please make the check out to: Jack in the Box Inc 604 Oaksdale Avenue SW, Suite 103 Renton, WA 98055 Please send the check to my attention and I will forward it to them. Thank you. Xc: File No. D06 -164 V' Q:1Documenls■Bond Release DO6 -184 • Refund Memo.doc City of Tukwila 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 206 -431 -3670 DEVELOPER'S PROJECT WARRANTY REQUEST FORM Section 1 — to be completed by Developer Name of Development: itce FE [wt fie U Address: I3.O3o - cm - ten-4_4 , 47P e S Release should be sent to: Name: Cie—Lk e EUy / e" /} fiYl . CA I- - IS So ii Address: (00 ` Q a(gc&k /fve Sc-cte (03 City/State /Zip 'quit -on &'4 91655 Description of items to be completed (reference plans/documents where items are described): n n + re 6t rArt ICt1 Cc 1 lr Yn.m p - ' / cc) L9Fd uirt 7 new /fah codes. (Y, - c -to ya ) As the owner, or authorized agent of the owner, I hereby submit cash or cash equivalent in the amount of $ 0O O. 0 0 (150% of value to complete work above) and attach support d cumentation for value of work. I willliave this work carried out and call for a final inspection by this date: o81,1 $ 0 C. or risk having the City use these funds to carry out the work with their own contractor or in -house manpower. If fail to carry out the work, I hereby authorize the City to go onto the property and carry out completion of the above deficiencies. I further agree to complete all work listed above prior to requesting inspection and rele s of these ds. G D Signed: Vtre -4 4 e_ t- Title: $ V per :)'L ll4 - av-f I Section2 — t9 be completed by City staff Signed: Amount: $ 40Oo -0 0 Cash/Check ❑ Cash Assignment ❑ Bond Received By: NA VA City ReceiptNo.: g00-- n1/24) I Section 3 — to be completed by Developer All work identified in Section 1 of this form has now been completed and retumed to department wh authori7ed wary cash /cash equi rtn /I f Developer's Representative: V t Inspector: WC) Create � W. ers hoc* dcvtlopv'. PMT form warmly m Date: 07P - 7/® lo Permit No.: D06- (G Y THIS FUND IS AUTHORIZED TO BE ACCEPTED Department Head: cYtJitrc_. Deposited this Date. 1 2 7 -0 0 ty. hereby est inspection and release of my !tl ffi Date: ) 0 / 11 / 7-0060 To be completed by City staff I have reviewed the above work and found it acceptable and therefore authorize the release of the above h /cash ecuivalent/bond. Section 4 — to be completed by City staff Amount Released: $ 4 /000, . 00 Date: 10 /I1 Authorized By: Check - Check No. We9n0 ❑ Cash Equivalent — Letter attached ❑ Bond — Letter attached Date Released: ID- I50(/ Released by: N'VI,F1QJf City of T1ckwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 0003000106 Permit Number: D06 -164 Address: 13050 INTERURBAN AV S TUKW Status: ISSUED Suite No: Applied Date: 05/08/2006 Applicant: JACK IN THE BOX Issue Date: 06/29/2006 Receipt No.: R06 -01128 Payment Amount: 3,000.00 Initials: LAW Payment Date: 07/27/2006 11:03 AM User ID: 1630 Balance: 90.00 Payee: JACK IN THE BOX INC TRANSACTION LIST: Type Method Description Amount RECEIPT Payment Check 208073 3,000.00 ACCOUNT ITEM LIST: Description Current Pmts BONDS /DEPOSITS Account Code 000/386.908 3,000.00 Total: 3,000.00 07/27 7716 TOTAL 3000 doc: Receipt Printed: 07 -27 -2006 [Joanna Spencer - 13050 Interurban Ave S - Jack In The Box Page 1 From: "Thomas Gravell" <thomas.gravell @Seattle.Gov> To: <jspencer @ci.tukwila.wa.us> Date: 7/27/06 3:21 PM Subject: 13050 Interurban Ave S - Jack In The Box Ms Spencer, I did speak with a contractor yesterday 7/26 at our office (don't recall his name) who was asking permission to do some work to a Jack In The Box handicap ramp that is within the SCL transmission right of way. The Jack In The Box, as well as several other businesses along Interurban, have easements for a portion of their parking lots to be located in the SCL transmission right of way. I gave the contractor a verbal okay to do the necessary work to this handicap ramp. Thanks for your awareness and for pointing the contractor to SCL to give notification of this work. Thomas Gravell Seattle City Light Senior Electrical Service Consultant 206 386 -1672 phone 206 386 -4222 fax thomas.gravell @seattl e. gov TO: Victor DATE: - % TITLE: FROM: dovnn8 Sperrcer COMPANY: C SI TITLE: DQ,odop ; ar DEPARTMENT: DIVISION: ERRORS 1) HANG UP OR LINE FAIL 2) BUSY TRANSMISSION RESULT REPORT (JUL 27 '06 05:06PM) TUKWILA DCD /PW THE FOLLOWING FILE(S) ERASED FILE FILE TYPE OPTION TEL NO. PAGE RESULT 077 MEMORY TX S1- 2062462094 02/02 OK CITY OF TUKWILA - PUBLIC WORKS DEPT. FAX TRANSMITTAL FAX NUMBER: (206) 431 -3665 3) NO ANSWER 4) NO FACSIMILE CONNECTION (AU TO: victor DATE: 7(a110G TITLE: FROM: Jlognn2 Spencer COMPANY: CSI TITLE: be/eto »nta of ' DEPARTMENT: DIVISION: I FAX NO. CALLED. 0 246 6 -2094 ale G Vt110)44A.ecrV D -la* IF THIS COMMUNICATION IS NOT CLEARLY RECEIVED, PLEASE CALL: CITY OF' TUKWILA - PUBLIC WORKS DEPT. FAX TRANSMITTAL FAX NUMBER: (206) 431 -3665 TOTAL NUMBER OF PAGES TRANSMITTED. INCLUDING THIS COVER SHEET: SUBJECT: coCk 11•fhc& 15050 Tnferuukii Ave 5 Duo /64 COMMENTS /MESSAGE: SENT BY (INITIALS): a - Per ©(.ct phovte co4✓evc bw OLi ?[27 €btcic 15 Set. e-144-cut w / J6 -;t4,-1.144.120% r 1 /vw l taa �� eta T o i Ic s d e. SCL £t5,1,.+ Wo . TUKWILA PUBLIC WORKS DEPT. - 6300 Southcenter Blvd., Tukwila WA 98188 - (206) 433 -0179 Suite 100 oo/ta /n June 13, 2006 Robert Hitchcock 19606 NE 8 Street Camas, WA 98607 City of Tukwila Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director RE: CORRECTION LETTER #2 Development Permit Application Number D06 -164 Jack in the Box —13050 Interurban Avenue S Dear Mr. Hitchcock: This letter is to inform you of corrections that must be addressed before your development permit(s) can be approved. All correction requests from each department must be addressed at the same time and reflected on your drawings. I have enclosed comments from the Public Works Department. At this time, the Building, Fire and Planning Departments have no comments. Public Works Department: Joanna Spencer, at 206 -431 -2440, if you have questions regarding the attached memo. Please address the attached comments in an itemized format with applicable revised plans, specifications, and /or other documentation. The City requires that four (4) complete 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. Corrections/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 (206) 431 -3670. Sincerely, Brenda Holt Permit Coordinator Encl biaa/ P:\planning \brenda\D06 -164 — correction Its #I.doc bh 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 -431 -3670 • Fax: 206- 431 -3665 (P:Laurie Admin/Joanna /Comments D06 -164a) PUBLIC WORKS DEPARTMENT COMMENTS www.ci.tukwila.wa.us Development Guidelines and Design and Construction Standards DATE: May 19, 2006 PROJECT: Jack -In- The -Box TI @ 13050 Interurban Ave S REVIEW #: 3 PERMIT NO: D06 -164 PLAN REVIEW: Contact Joanna Spencer at (206) 431 -2440 if you have any questions regarding the following comments. 1) Plans submitted on June 01,2006 were stamped by a professional engineer, however engineers signature is missing on all four sets of plans. 2) Please specify size, make and model number of proposed RPPA on your site plan and submit backflow cut sheet. 3) Curb ramp with truncated domes shall be per City of Tukwila details RS -11 and RS -12, which were both attached to previous Public Works comment letter dated May 19, 2006. 4) It appears that the ramp is inside Seattle City Light Right of Way. Please submit a written permission or license to construct from Seattle City Light for work inside their Right of Way. May 24, 2006 Robert Hitchcock 19606 NE 8 St Camas, WA 98607 RE: CORRECTION LETTER #1 Development Permit Application Number D06 -164 Jack -in- the -Box —13050 Interurban Av S Dear Mr. Hitchcock: This letter is to inform you of corrections that must be addressed before your development permit(s) can be approved. All correction requests from each department must be addressed at the same time and reflected on your drawings. I have enclosed comments from the Public Works Department. At this time the Building, Fire, and Planning Departments have no comments. Public Works Department: Joanna Spencer, at 206 431 -2440, if you have questions regarding the attached memo. Please address the attached comments in an itemized format with applicable revised plans, specifications, and/or other documentation. The City requires that four (4) complete 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. Corrections/revisions must be made in person and will not be accepted throueh the mail or by a messenger service. If you have any questions, please contact me at (206) 433 - 7165. Sincerely J i arshall hnician encl File No. 006 -164 City of Tukwila Department of Community Development Steve Lancaster, Director P:VenniferCorrection Letrers\2006 \D06-164 Correction Ltr el .DOC iem \ Steven M. Mullet, Mayor 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 -431 -3670 • Fax: 206- 431 -3665 PUBLIC WORKS DEPARTMENT COMMENTS www.ci.tukwila.wa.us Development Guidelines and Design and Construction Standards DATE: May 19, 2006 PROJECT: Jack -In -The -Box TI (8313050 Interurban Ave S REVIEW #: 2 PERMIT NO: D06 -164 PLAN REVIEW: Contact Joanna Spencer at (206) 431 -2440 if you have any questions regarding the following comments. 1) Since restaurant dumpsters leak a catch basin with a P -Trap downstream shall be installed in the trash enclosure concrete pad. The CB inlet inside the trash enclosure slab shall be routed through the existing grease interceptor. Concrete pad may need to be repaced to assure proper slope into the new CB. 2) The proposed curb ramp and the existing curb ramp shall have trancated domes detectable warning surface. 3) The City has determined that the Jack -In- The -Box building has deficiencies on the domestic water supply line and irrigation line. a) Domestic Water A Reduced Pressure Principle Assembly (RPPA), previously called a Reduced Pressure Backflow Assembly (RPBA), shall be installed immediately downstream of the permanent water meter. Installation at another location requires the Public Works Director's approval. The RPPA shall be installed in a Hot Box/Hot Rock or equal freeze protection enclosure anchored to a minimum 4" thick concrete pad. Public Works strongly recommends a power supply for the freeze protection enclosure. b) Irrigation Line The existing irrigation water meter shall be upgraded with an ECR -WP register that is compatible to the Invensys automatic reading system. In order to connect the deduct meter to the permanent meter reading system, connect the two boxes using PVC conduit. No radio is required. I have enclosed Development Bulletin C5 that describes the design and installation requirements for cross connection control. A separate letter was mailed to the Jack -in -the -Box Architecture Department in San Diego, building owner, on May 19, 2006. The Public Works Director will withhold issuance of this Tenant Improvement permit until the Permit Center receives plans for items 3a and 3b or a bond for 150% of the design and installation cost of subject device, together with a letter stating the installation by a certain date. (P:Laurie Adminnoanna /Comments 006 -164) ACTIVITY NUMBER: D06 -164 PROJECT NAME: IACK IN THE BOX SITE ADDRESS: 13050 INTERURBAN AV S Original Plan Submittal Response to Incomplete Letter # X Response to Correction Letter # 2 DATE: 6 -26 -06 Revision # After Permit Issued DEPARTMENTS: Building Division ❑ P�I bIiF WorksC 14-06 Complete Documenis/routing slip.doc 2-28-02 "PERMITCppRD CQp PLAN REVIEW /ROUTI G SLIP • Fire Prevention Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Incomplete ❑ Planning Division ❑ Permit Coordinator ❑ DUE DATE: 6-27-06 Not Applicable ❑ Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES/THURS ROUT Please Route Structural Review Required ❑ No further Review Required ❑ REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved ❑ Approved with Conditions Notation: REVIEWER'S INITIALS: DUE DATE: 7 -25-06 Not Approved (attach comments) ❑ DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: ACTIVITY NUMBER: D06 -164 DATE: 06 -01 -06 PROJECT NAME: JACK IN THE BOX SITE ADDRESS: 13050 INTERURBAN AV S Original Plan Submittal Response to Incomplete Letter # X Response to Correction Letter # 1 Revision # After Permit Issued DEPARTMENTS: Building Division ❑ Public Works I!'lflat4 - i _o (0 DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: PLAN REVIEW /ROUTING SLIP Fire Prevention Structural Incomplete ❑ Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES/THURS ROUTING: Please Route d Structural Review Required REVIEWER'S INITIALS: APPROVALS OR CORRECTIONS: Approved ❑ Notation: REVIEWER'S INITIALS: Documents/routing slip.doc 2-28-02 JERMIT COORD COPY No further Review Required DATE: DATE: Planning Division ❑ Permit Coordinator ❑ DUE DATE: 06 -06-06 Not Applicable ❑ DUE DATE: 07 -04 -06 Approved with Conditions Not Approved (attach comments)/ Permit Center Use Only CORRECTION LETTER MAILED: (p- ''/ 22 4(r n Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW Staff Initials: `w/ ACTIVITY NUMBER: D06 -164 DATE: 05 -08 -06 PROJECT NAME: JACK -IN- THE -BOX SITE ADDRESS: 13050 INTERURBAN AV S X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Issued DEPARTMENTS: B I Ing Division (D' Public Works (411/21,14 14 Cto DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: APPROVALS OR CORRECTIONS: Approved ❑ Notation: REVIEWER'S INITIALS: PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP 5!i Om- Fire Prevention YI Structural Incomplete ❑ Not Applicable ❑ Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES/THURS ROUT NG: Please Route Structural Review Required REVIEWER'S INITIALS: 1444 rj-1 Planning Division ❑ Permit Coordinator DUE DATE: 05 -09-06 No further Review Required DATE: • k DUE DATE: 06-06-06 Approved with Conditions Not Ap proved (attach comments) DATE: Permit Center Use Only CORRECTION LETTER MAILED: I,17J -II fi, �� y// Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW pd Staff Initials:/ Documents/routing slip.doc /` U 2-28-02 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.ct,tukwila.wa.us Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: Plan Check/Permit Number: 17010 - 14, ❑ Response to Incomplete Letter # C ] Response to Correction Letter # ❑ Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: Project Address: Contact Person: Steven M. Mullet, Mayor Steve Lancaster, Director Ja,,4. 142000 ^'I-Mk4 uMnr f V 5 AAA Mud �i11 ( dm- Phone Number: Summary of Revision: *Twit- 4i, cavw ti4i wt I4Y 2- Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by: hL'iiJ 4 � ( ] Entered in Permits Plus on f0 -10'17 (0 lapplicationsUUrms- applications on Iinc revision submittal Created: 843 -2004 Revised: DATE: June 12, 2006 PROJECT: Jack #8481 - Tukwila, WA (13050 Interurban Avenue S.) PROJECT NO.: JIBRO601 -8481 RE: TO: ® LYONS WARREN Tukwila Permit Center 6300 Southcenter Blvd. Suite 100 Tukwila, WA 98188 Attn: Brenda Holt WE ARE SENDING YOU VIA: ❑ Hand ❑ Mail ❑ Golden State ® Federal Express ❑ Messenger ❑ Other: THE FOLLOWING: LETTER OF TRANSMITTAL engineers ♦ architects PO 1(4 No. of Copies: 4 Date on Document: 06/12/06 No. of Pages/Sheets: 18 Description Wet Signed Sets of Plans THESE ARE TRANSMITTED FOR YOUR: ® Use ❑ Review ❑ Record ❑ Approval ❑ Distribution to others ❑ Other: REMARKS: 9455 Ridgehaven Court Suite 200 San Diego, CA 92123 -1649 858.573.8999 858.57311998 fax www.yomwanen.00m Enclosed are plan check revisions per comments by Joanna Spencer. If you have any questions, please contact our office. COPY TO: File jlbr0601- 8481d1 Tukwila Permit Center 061206 SIGNED Michael Angeles Project Manager /lo Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: z City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206431 -3665 Web site: http: / /www.cttukwilawa.us Response to Incomplete Letter # Response to Correction Letter # Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: l Jam. uN( t'Jo* /� Project Address: ROW 1. �LCt1�-C 111loa t.1 A i S 22 (O 60 /,� Contact Person: rt. Phone Number: 7 ( 3'1-3 Summ ry of Revision: ,1644c eks es#n Plan Check/Permit Number: art Cu Steven M. Mullet, Mayor Steve Lancaster Director ` o S —16 '1' O TUKWILA JUN 0 1 2006 PERAliT CENTER Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by: Entered in Permits Plus on at!oI jctr \applications\ forms- applications on linetrevision submittal Created: 8 -13 -2004 Revised: License Information License COMMESI184MK Licensee Name COMMERCIAL STRUCTURES INC Licensee Type CONSTRUCTION CONTRACTOR UBI 600427752 Ind. Ins. Account Id 44477000 Business Type CORPORATION Address 1 P 0 BOX 68845 Address 2 City SEATTLE County KING State WA Zip 981680845 Phone 2062463939 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 7/12/1982 Expiration Date 6/3/2007 Suspend Date Separation Date Parent Company Previous License Next License Associated License Business Owner Information Name Role Effective Date Expiration Date MCNEILL, RICK R 01/01/1980 MCNEILL, JERRY M 01/01/1980 Look Up a Contractor, Electric' -- I or Plumber License Detail Page 1 of 4 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 mamtain a surety bond or assignment of account and carry general liability insurance. Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date TRAVELERS CAS & STY CO OF Until https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= COMMESI184MK 06/29/2006 x x x x x x x x x x x x x x x x x x