HomeMy WebLinkAboutPermit PG09-082 - MCDONALD'SMCDONALDS
RESTAURANT
16501 SOUTHCENTER PY
PGO9-082
Parcel No.: 5379200282
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Cityrf Tukwila
16501 SOUTHCENTER PY TUKW
MCDONALDS RESTAURANT
16501 SOUTHCENTER PY , TUKWILA WA
MCDONALD'S CORP 046 -0069
PO BOX 182571 , COLUMBUS OH
Contact Person:
Name: NAID KHAN
Address: 1345 GULF RD , POINT ROBERTS WA
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
Contractor:
Name: WASHINGTON ENERGY SERVICES CO
Address: 2800 THORNDYKE AVE W , SEATTLE, WA
Contractor License No: WASHIES9710B
DESCRIPTION OF WORK:
REPLACE COMMERCIAL GAS WATER HEATER MODEL #G91 -200
Value of Plumbing /Gas Piping:
Fees Collected:
doc: UPC -7/07
$8,000.00
$45.00
Plumbing
Bathtub or combination bath/shower
Bidet
Clothes washer, domestic
Dental unit, cuspidor
Dishwasher, domestic, with independent drain
Drinking fountain or water cooler (per head)
Food -waste grinder, commercial
Floor drain
Shower, single head trap
Lavatory
Wash fountain
Receptor, indirect waste
Sinks
Urinals
Water Closet
FIXTURE TYPE AND QUANTITY
* *continued on next page **
PLUMBING /GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 360 - 949 -2787
Phone: 206 282 -4200
Expiration Date: 09/02/2009
PG09 -082
07/16/2009
01/12/2010
Uniform Plumbing Code Edition: 2006
International Fuel Gas Code Edition: 2006
Plumbing (cont.)
0 Building sewer and each trailer park sewer 0
0 Rain water system - per drain (inside bldg) 0
0 Water heater and /or vent 1
0 Industrial waste treatment interceptor, including
0 its trap and vent, except for kitchen type
0 grease interceptors 0
0 Repair or alteration of water piping and/or water
0 treatment equipment 0
0 Repair or alteration of drainage or vent piping 0
0 Medical gas piping system serving (1 -5)
0 inlets /outlets for a specific gas 0
0 Medical gas piping (6 +) inlets /outlets 0
0 Gas Piping
0 Gas piping outlets (0 -5) 0
0 Gas piping outlets (6 +) 0
PG09 -082 Printed: 07 -16 -2009
Permit Center Authorized Signature:
The granting of this pe
constructi the pe
Signature:
Print Name: )A-6
doc: UPC -7/07
t does
orm ce
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
((,w 12fi
PG09 -082
•
Permit Number:
Issue Date:
Permit Expires On:
PG09 -082
07/16/2009
01/12/2010
Date: L W '01
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.
t presume to give authority to violate or cancel the provisions of any other state or local laws regulating
ork. I am . ut • rized to sign and obtain this plumbing /gas piping permit. (f)
Date Date: I (f
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.
Printed: 07 -16 -2009
Parcel No.: 5379200282
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
16501 SOUTHCENTER PY TUKW
MCDONALDS RESTAURANT
1: ** *PLUMBING AND GAS PIPING * **
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
PG09 -082
ISSUED
07/16/2009
07/16/2009
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.
5: No portion of any plumbing system or gas piping shall be concealed until inspected and approved.
6: All plumbing and gas piping systems shall be tested and approved as required by the Plumbing Code and Fuel Gas Code.
Tests shall be conducted in the presence of the Plumbing Inspector. It shall be the duty of the holder of the permit to
make sure that the work will stand the test prescribed before giving notification that the work is ready for inspection.
7: No water, soil, or waste pipe shall be installed or permitted outside of a building or in an exterior wall unless,
adequate provision is made to protect such pipe from freezing. All hot and cold water pipes installed outside the
conditioned space shall be insulated to minimum R -3.
8: Plastic and copper piping running through framing members to within one (1) inch of the exposed framing shall be
protected by steel nail plates not less than 18 guage.
9: Piping through concrete or masonry walls shall not be subject to any load from building construction. No plumbing
piping shall be directly embedded in concrete or masonry.
10: All pipes penetrating floor /ceiling assemblies and fire - resistance rated walls or partitions shall be protected in
accordance with the requirements of the building code.
11: Piping in the ground shall be laid on a firm bed for its entire length. Trenches shall be backfilled in thin layers to
twelve inches above the top of the piping with clean earth, which shall not contain stones, boulders, cinderfill,
frozen earth, or construction debris.
12: The issuance of a permit or approval of plans and specifications shall not be construed to be a permit for, or an
approval of, any violation of any of the provisions of the Plumbing Code or Fuel Gas Code or any other ordinance of the
jurisdiction.
doc: Cond -10/06
* *continued on next page **
PG09 -082 Printed: 07 -16 -2009
Signature:
•
City of Tukwila
Print Name: k0 ` vl 'Pam
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 perfo - - ork.
doc: Cond -10106 PG09 -082
•
Date: (L" V
ordinances governing
or local laws regulating
Printed: 07 -16 -2009
E-Mail Address:
Company Name: W CS
Contact Person:
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://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**
King Co Assessor's Tax No.:33 2.0 cridE7_,
Site Address: 1 25( '3Out\A Qf 'Aker Pc k_ WCW) Suite Number:
Tenant Name: M C..h OCNCAki ( - New Tenant:
Property Owners Name: 'P C. t\k---, v\c,3,, ct Co-
Mailing Address: 1 LOSCA) S cA-At\r‘
City
CONTACT PERSON Who do we contact when your permlt is read to be isued •
Name: 1.)e),■ CI \k.c..30/1
Mailing Address: la ( V
Mailing Address: 2-goo 1Th-kcsy-y-ou (Qc. A-ve
Contact Person: Cet..V1 d iC
E-Mail Address:
Contractor Registration Number: V\I AS 11/4
HAApplicationsTorms-Applications On Line \ 2009 Applications \ 1-2009 - Plumbing-Gas Piping Permit Application.doc
Revised: 1-2009
bh
Floor:
Yes 1=1..No
l‘N \Pc or
State
Zip
Day lephone: 9 -
Qce
\0001
City State Zip
Fax Number:
S e cc\
\1\1\A C l%‘ C I C t
Zip
Day Telephone: Zap (.-1(sLo3
Fax Number:
Expiration Date: 90 0 9
City State
AR
CT OF RECORD — All plans must be wet kamPed by Atehit09fite (. • • • • •
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E-Mail Address: Fax Number:
State
Zip
•,..ENGINEER OF: ._All plari0iiiisi lie Wet f
••••' - : "
Company Name:
Mailing Address:
City
Day Telephone:
E-Mail Address: Fax Number:
State
Zip
Page 1 of 2
Fixture Ty ka ..
P .• - -
A
`Qh'
� .
,:Fi�tur�;'r3'Re..; � .
...
.
. Qty -••:'
.� , -TYP ..
••F�xtt3re e..,.,
�:: �.
Qty
}fixture T 3'P e :
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
Urinals
Water Closet
Building sewer and each
trailer park sewer
Rain water system — per
drain (inside building)
Water heater and /or vent
L
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
Valuation of Project (contractor's bid price): $ U° C)
Scope of Work (please provide detailed information): T O C-e_ c ry f - c . ) GL ( C \C S r
\-ec - &- mock € (- - cfo
Building Use (per Int'1 Building Code): +MYC`Wilt
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 .1 WNER OR UTHO ZED A t. ENT:
Signature: k ��11 iR�.i`•. • • is
Date Application Accepted:
H: V.pplications\Fomo -Appli cations On Line 1.2009 ApplicationsU -2009 - Plumbing -Gus Piping Permit Application doe
Revised: 1 -2009
bh
Date:
Print Name: 6 \ l� C XA G'\''S 1C 1 1 Day Telephone: ,:\)2(5 ,:\)2(5 L l� " ?;15
Mailing Address: 13 ��)u
Zip
City State
Date Application Expires:
Staff Initials:
Page 2 of 2
1
Receipt No.: R09 -01112
Initials: WER
User ID: 1655
Payee: NORTHWEST PERMIT INC
ACCOUNT ITEM LIST:
Description
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
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 00000000 45.00
Authorization No.
RECEIPT
Parcel No.: 5379200282 Permit Number: PG09 -082
Address: 16501 SOUTHCENTER PY TUKW Status: PENDING
Suite No: Applied Date: 07/16/2009
Applicant: MCDONALDS RESTAURANT Issue Date:
Account Code Current Pmts
000.322.103.00.0 45.00
Total: $45.00
Payment Amount: $45.00
Payment Date: 07/16/2009 12:19 PM
Balance: 50.00
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 07 -16 -2009
COMMENTS:
Type oftiection: e pr,.., \
L-* 1S h.-) f J
Date Called:
Special Instructions: / ate
// 1 u C � 6�(S'
f e
ASP< - t`7
Wanted:
- a.rri�
1 - -ICS p.m _
Requester:
Phone (9 - -LS 4
() JJ A :l (-- P'
f, r J`-(
; i iik ,<9. Il4)f /Lt, 1 !e-40316,-
'
61 AV vo L-r\' g
bk -4U e
: y o: A S -e x. AA , . ,.pi
S,' A
t n
Prt: A a /j
MOD hit /1 L .S
Type oftiection: e pr,.., \
Addre
i to 5 c.) I SC._ ,Ark_i-tiPti
Date Called:
Special Instructions: / ate
// 1 u C � 6�(S'
f e
ASP< - t`7
Wanted:
- a.rri�
1 - -ICS p.m _
Requester:
Phone (9 - -LS 4
INSPECTION RECORD
Retain a copy with permit
INSPECTION O.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
P601 -0a
PERMIT NO.
(206)431 -36
Approved per applicable codes. Corrections required prior to approval.
(A �-
$60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Insp�or:
Date: � - iEr
1 (c7
Receipt No.:
Date:
-__ _ . _i,A.a.Lt+eiaeKr
COMMENTS:
Type-of n/
,Ft A. A & #(L
.
,
LO L 4 a_ ii\is
A :el -
1
Special Instructions:
/
Date Wanted:
/2 Si- ol
Of ,(es1. LI , \s
Requester:
\lei
pe
..7 ,2_ : .)
■ J l 2 ---_-. 9 0
t o
Ppjectt:1 l n �--
PIA 04 S Ke_slf,.'(6,1
Type-of n/
,Ft A. A & #(L
.
Address:
IL) si
S A,r 4-.1
, O
Date Called:
—
Special Instructions:
/
Date Wanted:
/2 Si- ol
.rn.
p.m
Requester:
.
Phone No
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
MIT NO.
(206)431 -3670
❑ Approved per applicable codes. Corrections required prior to approval.
60.00 REINSPECTIO
paid at 6300 Southcent
Receipt No.:
Date: --_9'
/ —
EE REQUI Prior to inspection, fee must be
Blvd., Su P �
te 100. Call to schedule reinspection.
Date:
NAIDA KHAN
1345 GULF RD
POINT ROBERTS WA 98281
Dear Permit Holder:
Sincerely,
-or-
Bill Rambo
Permit Technician
File: Permit File No. PG09 -082
Department of Community Development
RE: Permit No. PG09 -082
16501 SOUTHCENTER PY TUKW
Jim Haggerton, Mayor
Jack Pace, Director
In reviewing our current records, the above noted permit has not received a final inspection by the City of
Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform
Plumbing Code and /or the National Electric Code, every permit issued by the Building Division under the
provisions of these codes shall expire by limitation and become null and void if the building or work authorized
by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work
authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 06/06/2010.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final
inspection. Each inspection creates a new 180 day period.
2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is
due to expire. Address your extension request to the Building Official and state your reason(s) for
the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is
determined that your extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and /or receive an extension prior to 06/06/2010, your permit will
become null and void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
NAID KHAN
1345 GULF RD
POINT ROBERTS WA 98281
Dear Permit Holder:
Department of Community Development
RE: Permit No. PG09 -082
16501 SOUTHCENTER PY TUKW
In reviewing our current records, the above noted permit has not received a final inspection by the City of
Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform
Plumbing Code and /or the National Electric Code, every permit issued by the Building Division under the
provisions of these codes shall expire by limitation and become null and void if the building or work authorized
by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work
authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 01/12/2010.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206 -431 -2451 to schedule for the next or final
inspection. Each inspection creates a new 180 day period.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is
due to expire. Address your extension request to the Building Official and state your reason(s) for
the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is
determined that your extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and /or receive an extension prior to 01/12/2010, your permit will
become null and void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
Bill Rambo
Permit Technician
File: Permit File No. PG09 -082
Jim Haggerton, Mayor
Jack Pace, Director
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
Insurance
Company
Name
policy Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Amount
Received
Date
7
Ironshore
Specialty Ins
Co
00G4H0905001
05/01/200905/01
/2010
09/02/2003
$1,000,000.0004
/29/2009
6
UNITED
SPECIALTY INS
AGL0810381
05/01/2008
05/01/2009
$1,000,000.00
04/30/2008
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
1
DEVELOPERS
SURETY Et
INDEM CO
571389C
08/29/2003
Until
Cancelled
09/02/2003
$12,000.00
09/02/2003
Name
Role
Effective Date
Expiration Date
OLSON, CRAIG
PRESIDENT
09/02/2003
HEAGLE, RANDY
SECRETARY
09/02/2003
CHRISTIANSON, STEVE
TREASURER
09/02/2003
OLSON, VERN
VICE PRESIDENT
09/02/2003
Untitled Page
Business Owner Information
Bond Information
Insurance Information
•
0
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
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent
Company
WASHINGTON ENERGY
SERVICES CO
2062824700
2800 THORNDYKE AVE W
SEATTLE
WA
98199
KING
Corporation
UBI No.
Status
License No.
License Type
Effective
Date
Expiration
Date
Suspend Date
Specialty 1
Specialty 2
602320560
ACTIVE
WASHIES9710B
CONSTRUCTION
CONTRACTOR
9/2/2003
9/2/2009
GENERAL
UNUSED
https://fortress.wa.gov/lni/bbip/Detail.aspx
Page 1 of 2
07/16/2009