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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