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Permit PG09-056 - ZAM ZAM PRODUCE MARKET
ZAM ZAM PRI'DUCE 15006 MILITARY PGO9-056 Parcel No.: 0041000514 Address: Suite No: Tenant: Name: Address: Owner: Name: Address: 15006 MILITARY RD S TUKW ZAM ZAM PRODUCE MARKET 15006 MILITARY RD S , TUKWILA WA KERN GERARD J +CAROL A 2402 80TH AVE NE , MEDINA WA Contact Person: Name: JOHN GUILMET Address: PO BOX 47013 , SEATTLE WA Contractor: Name: B & J PLUMBING INC Address: PO BOX 47013 , SEATTLE WA Contractor License No: BJPLU * *234B6 DESCRIPTION OF WORK: INSTALL NEW HAND WASH SINK WITH EJECTION PUMP DISCHARGE TO MOP SINK INDIRECT AND UNDER SINK ON DEMAND HOT WATER TANK. Value of Plumbing /Gas Piping: Fees Collected: $147.50 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 1 Wash fountain Receptor, indirect waste 0 Sinks 0 Urinals 0 Water Closet 0 doc: UPC -7/07 Cityibf 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 FIXTURE TYPE AND QUANTITY 0 * *continued on next page ** PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: Phone: Phone: 206 293 -6033 Phone: 206 658 -1031 Expiration Date: 07/22/2009 $0.00 Uniform Plumbing Code Edition: PG09 -056 06/08/2009 12/05/2009 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 1 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 0 Gas Piping Gas piping outlets (0 -5) 0 Gas piping outlets (6 +) 0 PG09 -056 Printed: 06 -08 -2009 Permit Center Authorized Signature: J "1 governing this work will be compli Signature Print Na doc: UPC -7/07 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: http: / /www.ci.tukwila.wa.us I hereby certify that I have read andjexakined this permit and know the same to be true and correct. All provisions of law and ordinances , whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performance o work. I am authorized to sign and obtain this plumbing /gas piping permit. /�, /v� Date: 1 / l/ A. 0 1Z G v n-!m E I- Permit Number: PG09 -056 Issue Date: 06/08/2009 Permit Expires On: 12/05/2009 Date: W A ' This permit s all 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. PG09 -056 Printed: 06 -08 -2009 Parcel No.: 0041000514 Address: Suite No: Tenant: 1: ** *PLUMBING AND GAS PIPING * ** 5: No portion of any plumbing system or gas piping shall be concealed until inspected and approved. doc: Cond -10/06 • a 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 15006 MILITARY RD S TUKW ZAM ZAM PRODUCE MARKET PERMIT CONDITIONS * *continued on next page ** Permit Number: Status: Applied Date: Issue Date: PG09 -056 ISSUED 06/08/2009 06/08/2009 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. 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. PG09 -056 Printed: 06 -08 -2009 • 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: 910Ame/U doc: Cond -10/06 PG09 -056 Date ^ 0 °9 K� ordinances governing or local laws regulating Printed: 06 -08 -2009 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us 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 Site Address: jQO(i7 !MlL1 A6'Ni R) </� Tenant Name: Property Owners Name: Mailing Address: City CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: 0`O0 ►� C12 (C/ t4/\ T � 1? J 1' L uivoU!' Day Telephone: 2 0 ';'9 3 7 Mailing Address: p 0 B ©x if-70(3 S9 U= W4- 95 /q,.0 City (� state Z i E -Mail Address: Fax Number: 20 la 6o7 cO 95 PLUMBING / GAS PIPING CONTRACTOR INFORMATION 8j p )144 iik)(‘ p pc 2 1 - )013 Company Name: Mailing Address: Contact Person: E -Mail Address: Contractor Registration Number: /3(1PLOK j 2-3 ti H:'Applications\Forms- Applications On Line \2009 Applications \1-2009 - Plumbing -Gas Piping Permit Application.doc Revised: 1 -2009 bh Plumbing /Gas Permit No. f'[ Project No. For office use only) King Co Assessor's Tax No.: 0041 OOD / v& State Suite Number: Floor: New Tenant: ❑ Yes Zip W// /0` rty State Day Telephone: 21) (� ¶3 /05 Fax Number: 2 / (:2 Expiration Date: ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record Company Name: Mailing Address: Zip Contact Person: E -Mail Address: City Day Telephone: Fax Number: State ENGINEER OF RECORD -- All plans must be wet stamped by Engineer of Record Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: State Zip Page 1 of 2 Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty 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 C Urinals Water Closet Building sewer and each trailer park sewer Rain water system — per drain (inside building) Water heater and /or vent Industrial waste treatment interceptor, including trap and vent, except for kitchen type grease interceptors Each grease trap (connected to not more than 4 fixtures - <750 gallon capacity) Grease interceptor for commercial kitchen ( >750 gallon capacity) Repair or alteration of water piping and /or water treatment equipment Repair or alteration of drainage or vent piping Medical gas piping system serving 1 -5 inlets /outlets for a specific gas Each additional medical gas inlets /outlets greater than 5 Backflow protective device other than atmospheric -type vacuum breakers 2 inch (51 mm) diameter or smaller Backflow protective device other than atmospheric -type vacuum breakers over 2 inch (51 mm) diameter Each lawn sprinkler system on any one meter including backflow protection devices Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections (1 -5) Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections over 5 Gas piping outlets PERMIT APPLICATION NOTES - Valuation of Project (contractor's bid price): $ l S v a O -�-` - Scope of Work (please provide detailed information): /1 (-L. i 6 (/) ; ( n� (7 (�(� S s1� G/ b 1J1 "' _,mil [1 r' N 1 ( q ova S /A)( 0A-) /fir /vvv/ Building Use (per Int'l Building Code): Occupancy (per Int'1 Building Code): Utility Purveyor: Water: Sewer: 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 NER OR AU ORIZE AGEN • Signature: Print Nam Mailing Ad Date Application Expires: 1Z1v, lo�, I Date Application Accepted: ti (2‘ H:\Applications\Forms- Applications On Line \2009 Applications \1 -2009 - Plumbing -Gas Piping Permit Application.doc Revised: 1 -2009 bh Date: C /6/ 09 Day Telephone: City State Staff Initials: Zip Parcel No.: 0041000514 Address: 15006 MILITARY RD S TUKW Suite No: Applicant: ZAM ZAM PRODUCE MARKET Receipt No.: Initials: User ID: Payee: R09 -00892 JEM 1165 TRANSACTION LIST: Type Method Payment Cash Authorization No. ACCOUNT ITEM LIST: Description doc: Receipt -06 B & J PLUMBING 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 Descriptio Amount Account Code RECEIPT 60.00 000.322.103.00.0 Permit Number: Status: Applied Date: Issue Date: Payment Amount: $60.00 Payment Date: 06/15/2009 03:45 PM Balance: $0.00 Current Pmts 60.00 Total: $60.00 PG09 -056 ISSUED 06/08/2009 06/08/2009 ` AYMENT RECEIVED Printed: 06 -15 -2009 Receipt No.: R09 -00846 Payee: B & J PLUMBING, INC. ACCOUNT ITEM LIST: Description PLAN CHECK - NONRES 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 Parcel No.: 0041000514 Permit Number: PG09 -056 Address: 15006 MILITARY RD S TUKW Status: PENDING Suite No: Applied Date: 06/08/2009 Applicant: ZAM ZAM PRODUCE MARKET Issue Date: TRANSACTION LIST: Type Method Descriptio Amount Payment Check 27383 147.50 Authorization No. RECEIPT Account Code Current Pmts 000/345.830 29.50 000.322.103.00.0 118.00 Total: $147.50 O Payment Amount: $147.50 Initials: JEM Payment Date: 06/08/2009 03:12 PM User ID: 1165 Balance: $0.00 doc: Receiot -06 Printed: 06 -08 -2009 Project: 7 Gi'� A Type o 1 � J J_. / 1 � J Address: _ 00 ! ( 1 Date Called: Special Instructions: ' / Date Wanted: 3 a J 7 aim. Requester: Phone No: INSPECTION RECORD Retain a copy with permit INSPECTIONNO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: PlA 6-) OLAR- Inspectof " Date: 43 - J J tl l ri $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. (Receipt No.: ( 01 -6b PERMIT NO. (206)431 -j36 0 Date: Project: .2 g 2— 4m 7 ►dD)e/1 ion Type of . nspect: v > a) /9 11- f -v Address: /So il, ;4,;../ ' Date Called: Special Instructions: Date Wanted: Requester: Phone / No: x ` L'o�' 2? 3 e.;."3 LJ Corrections required prior to approval. Approved per applicable codes. CO MENTS: .., . i 7 1 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION R ' 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 - Inspector X 11 /.r JAI" Date: r��c i a5"C. ❑ $60.00 REINSPECTION EE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 1.00. Call to schedule reinspection. Receipt No.: (Date: COMMENTS: XI SW S -e r 4-v6 1 t/ ®A. ,r1/4/cPo F '( a. C,► tr tIof i 0 e (v fivc = ) i t PC cg a i , Z. Z ►4. 0t ) 4' L.4 ( -I" JS f L i J 11■.) J ,. e e..-/ 1-� t .-6. :� I s e { t S 1 ,10 .0 £- 'ca ./ ? ..u....„... p J ! OW r� A 1 -1( ... .). ..f, • i.. 1 -e i ttC7a� rkr/tN\► �i / ( 4 1 # 4 l# 4 •6 11 p i 4-,.) _:. Ni&b cO 4 av fx ?1 t --, A P.l 0 (\oCrd.Jc t C? A A of-e 1-Prise...) Project: Z�7.. ia. Pt Jr 6- eP Type of Inspecti n: rt“- e LI ,r,t • Address: (5a0(.0 1 • i. NI f,_ 4) i pl..,14.6 Date Called: Special Instructions: Date Wanted: (0,(C0.411 a.m. Requester: Phone No: & 3 ` 6o 3` SO pro -057,0 INSPECTION INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION fr 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 El Approved per applicable codes. Corrections required prior to approval. Re . - pt No.: Date( tom - d .00 REINSPECTION FEE RE UIRED. P for to inspection, fee must be pa'd at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: - COMMENTS: i kAr LA oei. e 4 i,.J; rt.. Al( 01,,e.r rr e,;,'r'11 71,7 4.ki Eil7 c c k . < I 0 AJ i f i4 ?--° IA j P CFAIT.— J n I` 11E._- LA,(L, she. c S I ��( 11A.AJ P _ Ae -� ,e_ _ I �( /hi /-P J:a`'ki y p TD cam-,' , Y t 1 6 A_--_ (., M.c ' 1 td e1P , S t r 0 (r e S`'J 0 c t S 4_ - 10033 1 tf 7 f D e . Project: ,u m �Q � 7� Z 4 `lv Type of Inspection: / r v I -1 A� i1 4" R'l Address: A p� (D CIL) 7 14 (.t mI. 1.6 Date Called: Date Special st cti ...04.11, f Date Wanted: —U G a.m ( p. n Vd /Cl r - _ ( Jr‘ J \ J / p 0-j ` l , , , AO. je- 1- L s u6 Ji-e-r ..-t.:- D ^ lea., R p equester: .' ° ?. 0,-` 2,q 3 - 10033 INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION ► - 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3 7 ❑ Approved per applicable codes. Corrections required prior to approval. Inspeg ■ Date: (( , 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: AL 0� Name Role Effective Date Expiration Date HARRIS, BUCKLEY D Cancel Date 01/01/1980 Bond Amount HARRIS, JANET S 9 01/01/1980 6416602 HARRIS, DOUGLAS PRESIDENT 06/12/2000 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 9 AMERICAN STATES INS CO 6416602 05/26/2006 Until Cancelled $12,000.00 05/09 /2006 8 ACCREDITED SURETY & CAS CO 10034304 05/26/2005 Until Cancelled 05/26/2006 $12,000.00 05/25/2005 7 CUMBERLAND CASUALTY & SUR CO MB009001434 07/01/2002 Until Cancelled 05/26/2005 $12,000.00 07/02/2002 6 CUMBERLAND CAS a SURETY CO MB009001434 07/01/2000 07/01/2002 $6,000.00 06/24/2002 5 AMERICAN BANKERS INS CO LPM351039 07/01/1995 Until Cancelled 07/05/2000 $6,000.00 4 INDIANA LUMBERMENS SBP12103803 01/01/199107/01 /1995 $6,000.00 Untitled Page 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. Business and Licensing Information Name B & J PLUMBING INC UBI No. 600060826 Phone 2066581031 Status ACTIVE Address PO BOX 47013 License No. BJPLU**234B6 Suite /Apt. License Type CONSTRUCTION CONTRACTOR City SEATTLE Effective Date 1/26/1977 State WA Expiration Date 7/22/2009 Zip 98146 Suspend Date County KING Specialty 1 GENERAL Business Type Corporation Specialty 2 UNUSED Parent Company Business Owner Information 1 Bond Information https: // fortress .wa.gov /lni /bbip /Detail.aspx Page 1 of 3 06/08/2009