HomeMy WebLinkAboutPermit PG09-110 - TAWAKAL GROCERYTAWAKAL GROCERY
15045 TUKWILA
INTERnATIONAL BL
PGO9-1 10
Parcel No.: 0041000494
Address:
Suite No:
Value of Plumbing /Gas Piping:
Fees Collected:
doc: UPC -7/07
City"if 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
15045 TUKWILA INTERNATIONAL BL TUKW
Tenant:
Name: TAWAKAL GROCERY
Address: 15045 TUKWILA INTERNATIONAL BL , TUKWILA WA
Owner:
Name: HAWLEY ENTERPRISES INC
Address: PO BOX 1002 , ENUMCLAW WA
Contact Person:
Name: FRANK SOURISH
Address: 15405 SE 310 ST , KENT WA
Contractor:
Name: FRANK FIRE PROTECTION
Address: 15405 SE 310 ST , KENT WA
Contractor License No: FRANKFP928CO
DESCRIPTION OF WORK:
GAS PIPING TO RANGE, FRYER, AND GRIDDLE (3 OUTLETS)
$1,400.00
$92.00
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
PLUMBING /GAS PIPING PERMIT
FIXTURE TYPE AND OUANTITY
* *continued on next page **
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 206 229 -5245
Phone: 206 229 -5245
Expiration Date: 02/20/2010
PG09 -110
10/05/2009
04/03/2010
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 0
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) - 3
0 Gas piping outlets (6 +) 0
PG09 -110 Printed: 10 -05 -2009
Permit Center Authorized Signature:
I hereby certify that I have read and e
governing this work will be complied
Signature:
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
ami
ith,
a
Permit Number: PGO9 -110
Issue Date: 10/05/2009
Permit Expires On: 04/03/2010
Date:
ed this permit and know the same to be true and correct. All provisions of law and ordinances
hether 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 of work. I am authorized to sign and obtain this plumbing /gas piping permit.
Date: :7, el
Print Name: L \11
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.
PG09 -110 Printed: 10 -05 -2009
Parcel No.: 0041000494
Address:
Suite No:
Tenant:
15045 TUKWILA INTERNATIONAL BL TUICW
TAWAKAL GROCERY
1: ** *PLUMBING AND GAS PIPING * **
• d
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
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
PG09 -110
ISSUED
09/17/2009
10/05/2009
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: 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.
8: 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.
9: 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.
10: 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 -110 Printed: 10 -05 -2009
I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and ordinances governing
this work will be complied with, whether specified herein or not.
The granting of this permit does not presume to give authority to violate or cancel the provision of any other work or local laws regulating
construction or the performance of work.
Signature:
!i.
.
Print Name: c ' C.c' f '` Sc
doc: Cond -10/06
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
Date: ) IY D 0
PG09 -110 Printed: 10 -05 -2009
Site Address:
Property Owners Name:
Mailing Address:
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Contact Person:
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Contractor Registration Number:
Plumbing /Gas Permit No. ?WI — 4 1 0
Project No.
(For office use only)
PLUMBING / GAS PIPING PERMIT APPLICATION
Applications and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mail or by fax.
* *Please Print **
SITE LOCATION
jci Sac, k- tivi( 3
Tenant Name: '17 wAKAL_ G ery
R1441
King Co Assessor's Tax No.: Oai 10(7 —17 "t1 _ I
Suite Number: Floor:
City
New Tenant: ❑ Yes
State
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: )a✓1
Mailing Address: / SY��
E -Mail Address:
Day Telephone: 9r) 6. 2 2 52 Yj
.key\A wW k -2_
State Zip
City
Fax Number:
PLUMBING / GAS PIPING CONTRACTOR INFORMATION
�rc�rl ?2 - 00
ARCHITECT OF RECORD - All plans . must be wet stamped by Architect of Record.
Company Name:
Mailing Address:
State
E -Mail Address:
a- vIca P o Y2
City State Zip
Day Telephone: 245C_ 22 52 t, -
Fax Number:
Expiration Date: (7Z— Der" 2_04
i
Zip
City
Day Telephone:
Fax Number:
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:
H:\Applications \Forms - Applications On Line \2009 Applications \1.2009 - Plumbing -Gas Piping Permit Application.doc
Revised: 1 -2009
bh
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
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
/J
7
•
0
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information): G S prig` Yt 9 - Z 2 j!" ✓Ov) Grlad {C_
Building Use (per Int'I Building Code):
Occupancy (per Int'I Building Code):
Utility Purveyor: Water: Sewer:
Indicate type of plumbing fixtures and /or gas piping outlets being installed and the quantity below:
PERMIT APPLICATION NOTES
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 OWNER OR AU HORIZED AGENT:
Signature: Cro 4
Print Name: f;01/1-- yU k S ptj /( S
Mailing Address:
Date Application Accepted:
H;1Applications\Forms- Applications On Line12009 Applications ) l -2009 - Plumbing -Gas Piping Permit Applicationdoc
Revised: 1.2009
bh
Date: 9- /7r 09
Day Telephone: 'Dm 6- 22 9 5'
City
State
Date Application Expires:
Staff Initials:
Zip
age 2 of 2
Parcel No.: 0041000494 Permit Number: PG09 -110
Address: 15045 TUKWILA INTERNATIONAL BL TUKW Status: PENDING
Suite No: Applied Date: 09/17/2009
Applicant: TAWAKAL GROCERY Issue Date:
Receipt No.: R09 -01457
Initials: JEM Payment Date: 09/17/2009 12:14 PM
User ID: 1165 Balance: $0.00
Payee: FRANK FIRE PROTECTION LLC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA -
Authorization No. 121143
ACCOUNT ITEM LIST:
Description
GAS - 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
RECEIPT
92.00
Account Code Current Pmts
000.322.103.00.0 92.00
Total: $92.00
0
Payment Amount: $92.00
PAYMENT
RECEIVED
doc: Receipt -06 Printed: 09 -17 -2009
Project:
'VW A \-& A L (-Az 6 0 e 12
Type of Inspection:
1=1 IQ 4
Address:
t6C9 1 -/ S T _ 1 cs
Date Called:
Special Instructions:
Date Wanted: _
a.m
Requester:
Phone No:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. • PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
pproved per applicable code D Corrections required prior to approval.
COMMENTS:
Inspect r:
El:
0.00
id at
Date:
Imo
1 V
EINSPECTION FEE RE IRED. Pridr to inspection, fee must be
300 Southcenter Blvd., S ite 100. Call to schedule reinspection.
Rece pt •.: 'Date:
�:..,= • .�_ -- - — _ — - •.aea - — sip• - _y.
COMMENTS:
Type of Inspection:
..,)E G AS Ts7` v A( , �S A f p Id u P
e
, �
r)( - Tv ,�4s rL- � ie o
6 Ai
i ldp‘/■7
--____ id _,I A" C l C. L I ^ C --��
� � ^
(�f ' -1��. __L'! D a
refik%
7 /Oil-0 ri ( -u `-( f o ii
S r v'1 T-2) I k.- a l E o
.
A/t J j ..S S � ,A`i .
Project: /�
L(mwl �i C"��
Type of Inspection:
ddress: ,�-
/5 VS T/7a // 4L,.
D Called: �0..., , ,i-- -1
541.
Special Instructions:
Date Wanted: C
/� / Z / /
pm
Requester:
Phone No:
(Qa6 - 22 9 - S
44 (
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 -3670
Approved per applicable codes.
Corrections required prior to approval. C
ri $60.00 REINSPECTION FEE REQUIR D. Prior to,. nspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspec
Date: Z ? 1
Receipt No.:
'Date:
r - _ ,�_ .. .s tt_._ ...,.�
J
8
FILE COPY
Permit No. . 1 -l
Plan review approval is subject to errors and omissions.
Approval of construction documents does not authorize
the violation of any adopted code or ordinance. Receipt
of approved Field Copy and =Mons is acknowledged:
By ^ '��;.
Date: 10- c29
City Of lbkwila
BUILDING DIVISION
SEPARATE PERMIT
REQUIRED FOR:
Mechanical
Electrical
Plumbing
❑ Gas Piping
City of Tukwila
• BUILDING DIVISION
range 120000 btu
8' 11/4
SUPPORT •aas
9
1
11/4
fryer 100000 btu grddle 100000 btu
12'
DRIP PIP
REVISIONS
No changes shall be made to the scope
of work without prior approval of
Tukwila Building Division.
NOTE: Revisions will require a new plan submittal
and may include additional plan review fees
60'
11/4
AUTOMATIC GAS VALAE
SUPPORT
1
TAWAKAL GROCERY
15045 {FVlA
TUKWILA WA98168 tW»NM''
11/4
gas met
10'
9
r EVIEWED FORE COMPLIANCE
PPROVE
EP 2 2 2009
t ' �yaf
DING 'VISION
'l
SUPPORT
METAL STRAPS EVR 10 '
aTV�RaanLA
SEP 1 7 2009
PERMIT CENTER
f'6101-ilo
DEPARTMENTS: 4
Bulltling'Division
Public Works
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
Comments:
TUES /THURS ROUTING:
Please Route n Structural Review Required
REVIEWER'S INITIALS:
APPROVALS OR CORRECTIONS:
Documents/routing slip.doc
2 -28 -02
PERMIT COORD COPY 4 1
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: PG09 -110 DATE: 09 -17 -09
PROJECT NAME: TAWAKAL GROCERY
SITE ADDRESS: 15045 TUKWILA INTERNATIONAL BL
X Original Plan Submittal
Response to Correction Letter #
Response to Incomplete Letter #
Revision # After Permit Issued
Fire Prevention
❑ Structural
Incomplete ❑
Planning Division
Permit Coordinator
DUE DATE: 09-22-09
Not Applicable
Permit Center Use Only
INCOMPLETE LETTER MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
LETTER OF COMPLETENESS MAILED:
No further Review Required
DATE:
DUE DATE: 10-20-09
Approved ❑ Approved with Conditions Not Approved (attach comments) ❑
Notation: TT�'
REVIEWER'S INITIALS:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
1
WESTERN
SURETY
CO
70452500
02/01/2008
Until
Cancelled
$6,000.00
02/20/2008
Insurance
Company
Name
Policy
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Amount
Received
Date
ATLANTIC
1
CAS INS
L0650073361
02/12/200802/12
/2010
$1,000,000.0001
/22/2009
CO
Name
Role
Effective Date
Expiration Date
SOURISH, FARHANG A
PARTNER /MEMBER
02/20/2008
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
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent
Company
FRANK FIRE PROTECTION
2062295245
15405 SE 310TH ST
KENT
WA
98042
KING
Limited Liability
Company
UBI No.
Status
License No.
License Type
Effective Date
Expiration
Date
Suspend Date
Specialty 1
Specialty 2
602796546
ACTIVE
FRANKFP928C0
CONSTRUCTION
CONTRACTOR
2/20/2008
2/20/2010
FIRE PROTECT SYSTEM
UNUSED
Business Owner Information
Bond Information
Insurance Information
•
Page 1 of 1
https://fortress.wa.gov/lni/bbip/Detail.aspx
10/05/2009