HomeMy WebLinkAboutPermit PG10-033 - EMERALD CITY SMOOTHIEEMERALD CITY SMOOTHIE
14800 STARFIRE WY
PG1 0-033
Parcel No.: 2323049001
Address:
Suite No:
CitAf Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Inspection Request Line: 206 - 431 -2451
Web site: http: / /wwwci.tukwila.wa.us
PLUMBING /GAS PIPING PERMIT
14800 STARFIRE WY TUKW
Permit Number:
Issue Date:
Permit Expires On:
PG10 -033
04/12/2010
10/09/2010
Tenant:
Name:
Address:
Owner:
Name:
Address:
EMERALD CITY SMOOTHIE
14800 STARFIRE WY , TUKWILA WA
TUKWILA CITY OF
6200 SOUTHCENTER BLVD , TUKWILA WA
Contact Person:
Name: MARK FRANKLIN
Address: PO BOX 7834 , COVINGTON WA
Contractor:
Name: C & H PLUMBING LLC
Address: PO BOX 7834 , KENT WA
Contractor License No: CHPLUHP943CC
Phone:
Phone: 206 - 793 -1301
Phone: 206 - 793 -1301
Expiration Date: 02/03/2012
DESCRIPTION OF WORK:
ADDING 3" FLOOR SINK FOR 3 COMPARTMENT SINK, WASTE LINE FOR HAND SINK, FLOOR
SINK FOR ICE MACHINE
Value of Plumbing /Gas Piping:
Fees Collected:
$1,800.00
$189.00
Uniform Plumbing Code Edition: 2006
International Fuel Gas Code Edition: 2006
FIXTURE TYPE AND QUANTITY
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 0
Wash fountain
Receptor, indirect waste 2
Sinks 1
Urinals 0
Water Closet 0
0
Plumbing (cont.)
Building sewer and each trailer park sewer 0
Rain water system - per drain (inside bldg) 0
Water heater and /or vent 0
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
Medical gas piping (6 +) inlets /outlets
Gas Piping
Gas piping outlets (0 -5)
Gas piping outlets (6 +)
* *continued on next page **
doc: UPC -7/07
PG10 -033 Printed: 04 -12 -2010
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Inspection Request Line: 206 - 431 -2451
Web site: http: / /www.ci.tukwila.wa.us
Permit Number:
Issue Date:
Permit Expires On:
PG 10 -033
04/12/2010
10/09/2010
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complie
1
Date:
ot-thil I/0
ned 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 pres
construction or the performance of work.
Signature:
Print Name:
e to give authority to violate or cancel the provisions of any other state or local laws regulating
I an? authorized to sign and obtain this plumbing /gas piping permit.
Date: '`'` I lZ' 10
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.
doc: UPC -7/07
PG10 -033 Printed: 04 -12 -2010
Parcel No.: 2323049001
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
14800 STARFIRE WY TUKW
EMERALD CITY SMOOTHIE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
PG 10 -033
ISSUED
03/05/2010
04/12/2010
1: ** *PLUMBING AND GAS PIPING * **
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.
13: ** *PUBLIC WORKS DEPARTMENT CONDITIONS * **
14: Contractor shall run a die test to assure that proper connection to the grease waste line, which ties to the existing
grease interceptor.
Applicant shall contact Mr. Dave Stucle, Public Works Project Inspector at 206 433 -0179 or 206 571 -8213 to be present
and witness the die test.
doc: Cond -10/06
PG 10 -033 Printed: 04 -12 -2010
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:
Print Name:
Date: 1 \Z'\
ordinances governing
or local laws regulating
doc: Cond -10/06 PG10 -033
Printed: 04 -12 -2010
CITY OF TUKWI
Community Developme epartment
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**
King Co Assessor's Tax No.: 2c(5 4'c • C) L 26,
Site Address: It-iSb4 rJ`t-c��`c e, Qa.. T• •,� �I� Suite Number: Floor: 1 y}
Tenant Name: - t -aJ ,1, �C.� S w,so-vve- New Tenant: ❑ .... Yes
Property Owners Name. -Qce. • Sp
c,c
Mailing Address: 1
City
State
❑ ..No
Zip
CONTACT PERSON —Who do we contact when your permit is ready to be issued
Name: 'b(V\ c.r v. Per. -,.1C "
Mailing Address: 1.O , 'l o •--1 163 �}
�vir�— C,•Oti� .
E -Mail Address: t'`^A._ - -� a,,.l(�,,,,\ CoWnc�,S -�-
Day Telephone: Zoe= 1A3 •- 13d t
City
Fax Number:
State
zS 3 ( - 3283
Zip
PLUMBING / GAS PIPING CONTRACTOR INFORMATION
Company Name: C-4-JA �� �sM..\D■ v. 1_.4.L
Mailing Address: P:6, +boo -1,(253
Contact Person: "%c1/44-V.- Frc.,r�1LA.:,r�
E -Mail Address: vv• V-- "Cr-c•-v•-V--11.m. cov, s-1-, y.e-F- Fax Number: "2-S3 - (off - '52-$3
Contractor Registration Number: io 02 • 5 y- $pq
COv ZvIq�oV\
UU City
Day Telephone:
c�Jc�.slt..
State
Ceb4 ?
Zip
2A to- --tc3 -l3o
Expiration Date: 2 3 2651 2
ARCHITECT OF RECORD - All plans must be wet stampedyby Architect of Record.
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
City
Day Telephone:
Fax Number:
State
Zip
ENGINEER OF RECORD — All plans must be wet stamped by Engineer of Record
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Q:\Applications\Forms- Applications On Line\3 -2006 - Plumbing -Gas Piping Permit Application.doc
Revised: 4 -2006
bh
City
Day Telephone:
Fax Number:
State
Zip
Page 1 of 2
Valuation of Project (contractor's bid price): $ l S6t15
Scope of Work (please provide detailed information): A z yq '5 _c\ oac= s i „�1� '�, r j - (o�.p,
t�Jcos ` Vine_ - r' h 5�r� Ely �i' -�� ice ∎mac_kc. \
co
•
Building Use (per Intl Building Code):
Occupancy (per Int'l Building Code):
Utility Purveyor: Water:
Sewer:
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
Fixture Type:
Qty
Type:
Qty
Type:
Qty Q h
Fixture Type:
Qh
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
2.
Clothes washer, domestic
Floor drain
;-1
Sinks
1
Dental unit, cuspidor
Shower, single head trap
Urinals
Dishwasher, domestic,
with independent drain
Lavatory
Water Closet
Building sewer or trailer
park sewer
Rain water system — per
drain (inside building)
Water heater and /or
vent
Additional medical gas
inlets /outlets — six or more
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
drainage or vent
piping
t
Medical gas piping system
serving one to five
inlets/outlets for specific gas
PERMIT APPLICATION NOTE
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 AUTHORIZED AGENT:
Signature:
Date: 3 `5 `�
Print Name: YNI\ c.c -`(.._ Day Telephone: 2-01.— \c 3 \3 Cs k
Mailing Address: Z7 CAtk 1/45\\.5'`
city
vcG t,,.- CNC2S
State Zip
Date Application Accepted:
Date Application Expires:
Staff Initials: I<
Q:\Applications\Forms- Applications On Line U-2006 - Plumbing -Gas Piping Permi Application.doc
Revised: 4 -2006
bh
Page 2 of 2
•
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.: 2323049001
Address: 14800 STARFIRE WY TUKW
Suite No:
Applicant: EMERALD CITY SMOOTHIE
RECEIPT
Permit Number: PG10 -033
Status: PENDING
Applied Date: 03/05/2010
Issue Date:
Receipt No.: R10 -00382
Initials:
User ID:
WER
1655
Payment Amount: $189.00
Payment Date: 03/05/2010 10:15 AM
Balance: $0.00
Payee: C & H PLUMBING
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 2578 189.00
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
PLAN CHECK - NONRES
PLUMBING - NONRES
000.345.830 37.80
000.322.103.00.00 151.20
Total: $189.00
PAYMENT
RFCEIVED
doc: Receiot -06 Printed: 03 -05 -2010
INSPIrtTION NO.
CITY OF TUKWILA BUILDING DIVISION k =�
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
INSPECTION RECORD
Retain a copy with permit
pc, I0. 033
PERMIT NO.
Project:
ei A�� L.'� -y S.� ad.'s
Type of I pection
,�� 7)( (A/14_6 .
.F
Address: I ,
4&".00 Sir i P
Date Called:
Special Instructions:
if
Date Wanted:
S- 2S--- r
/te ..
p.m.
Requester:
Phone No: lD' f 13 -3
1 I C)
pproved per applicable codes. Corrections required prior to approval.
COMMENTS:
Date:- -
$6r REINSPECTION FEREQUIREf . Prior to inspection,. fee must be
pal at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
INSPECTION RECORD
Retain a copy with permit
INSPECTION N0. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3670
A,1U -033
Date:
Project:
f:,,(401,) 6,7 -y 14 Mo,14fe
Type of Inspection:
�`AA Pf L., �g .
Address:
4 ') 0 SrAf F rC t..J
Date Called:
Special Instructions:
ate Wanted: , a.rrl,..
D"Z.I -/0 p.m.
Requester:
Phone i , No: a _ (q 3 — 3 l'7 O
Approved per applicable codes. Corrections required prior to approval. co
COMMENTS:
Ca', S 7-, /t! C. 4). ?"7. V A/4/7"--) Ac' 4- - -1--ZJ
6,-.••• •15-1'' . nn / /76 r ri ..° I sf✓;'rt4 Jv-----' eA-40 -.1/49
/�1h- • v ,s l f/a/fib. . v /.4' 7 o ,J d
X771/1/4/ ..;t, y 1-6.474-7 _, / .eS i 44/ x-1.5- s-4)v,- S7s
N.
•
mspec r:
\1h4A
d-- fr /1�
$60.00'REINSPE TION FEE EQUIRED..Prior to inspection, fee must be
paid at 6300 SouttI center B vd., Suite 100. Call to schedule reinspection.
eceipt No.:
Date:
. rtt. rv, e^ x- ss::- R. v�... G.^- s�s+. �i,;< f: 3E.'' 1: r.-' ."si,�^5?fca'L- rn= 'C^nr1_aa;:'`
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
INSPECTION RECORD
Retain a copy with permit
P(,I O 3
PERMIT NO.
Project:
EJt°l ') C.
,,/
SrtCdZty
Type f Inspection:
' / u J d0f( (ij
Address:
I '4gOvyP
r
Date Called:
Special I structions:
Date Wanted: a.m.
S -3 -� 0
Requester:
Phone No:
9/6 (0- 17gr3 -3'?90
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
#
PP9b -,gy p ✓�
ra2bytt/' -- o►/ /,q-
Date:
-t
60.00 REINSPECTION FE REQUIR,D. Prior to inspection,. fee must be
paid at 6300 Southcenter lvd., Suite 100. Call to sch'eduleireinspection.
Receipt No.:
Date:
ty)
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
INSPECTION RECORD
Retain a copy with permit
P(Io -033
PERMIT NO.
Project:
Eni-eroJA C.;14-y 5/11&014,
Type of Inspection:
PIO rieW
Address:
(4360 5{-aLr4trL
Date Called:
s 12 4 i I D
Special Instructions:
Date Wanted:
a.
Requester:
13ert 6 fiver
Phone No:
ElApproved per applicable codes. Corrections required prior to approval.
COMMENTS:
- aSe_ 1711 es kook,I up corned 1y
Inspector:
v5
Date:
517-1-/10
n$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:
E�E�AIUPfJAONRCE
APPROVED
MAR 17 2010
AT OA-
BUILDING G`bIkV�I4i ni
SEPARATE PERMIT
REQUIRED FOR:
Mechanical
Electrical
❑ Plumbing
El Gas Piping
City of Tukwila
BUILDING DIVISION
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.
Nw-
3'.
FILE COPY
Permit No. .1-7(1/() -1)97 ?
Plan review approval Is subject to errors and ongssions.
Approval of construction dxwnerds does not authorize
the violation of any adopted code or ordinance. Receipt
of approved Held Copy and melons Is admowledged:
By . v f -`-�-
Date y \ Z \ ∎ c
City 0f1*wIIa
BUILDING DIVISION
033
wksre
RECEIVED
MAR 05 2010
PERMIT CENTER
5 :
ME2JL4s C., `(
SMooa- t+�E
Alt t ► QE 5s02; s
Ctla Olurm3%#4 b 3 / Z I tel
•
PERM CM COPY o
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: PG10 -033 DATE: 03 -05 -10
PROJECT NAME: EMERALD CITY SMOOTHIE
SITE ADDRESS: 14800 STARFIRE WY
X Original Plan Submittal
Response to Correction Letter #
Response to Incomplete Letter #
Revision # After Permit Issued
DEP RTMENTS:
092 14 I
Bull • ing Division
blic Wor
AvJ(/ Olt 1
ks
Fire Prevention
Structural
Planning Division
n Permit Coordinator
n
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
Comments:
Incomplete
DUE DATE: 03 -09-10
Not Applicable
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
Structural Review Required
❑ No further Review Required
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS:
DUE DATE: 04 -06 -10
Approved n Approved with Conditions 14 Not Approved (attach comments) n
Notation:
REVIEWER'S INITIALS: DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Documents /routing slip.doc
2 -28 -02
Ul King County
Department of Natural Resources and Parks
Wastewater Treatment Division
iG to- 6_'
For King County U
Non - Residential
Sewer Use Certification
• To be completed for all new sewer connections, reconnections or
change of use of existing connections. •
• This form does not apply to repairs or replacements of existing
sewer connections within five years of disconnect.
Please Print or Type
.H SC.Y5 W es(
Property Street Address
\ c'ktSlcba
City State ZIP
6
Owner's Name
Subdivision Name Lot #
Subdiv. # Block #
n
Account #
No. of RCEs
Monthly Rate
Property Tax ID # .cAS -4-k6k0 - CILV2_ a
Party to be Billed (if different from owner)
City or Sewer District
Date of Connection
Building Name Side Sewer Permit #
Please report any demolitions of pre- existing building on this property.
( ) Credit for a demolition may be given under some circumstances.
Demolition of pre- existing building? ❑ Yes ❑ No
( ) Was building on Sanitary Sewer? ❑ Yes ❑ No
Property Contact Phone Number (with Area Code)
Owner's Mailing Address Was Sewer connected before 2/1/90? ❑ Yes ❑ No
Sewer disconnect date:
Type of building demolished?
Request to apply demolition credit to multiple buildings? ❑ Yes ❑ No
(if applicable)
Owners Phone Number (with Area Code)
A. Fixture Units
Fixture Units x Number of Fixtures = Total Fixture Units
Kind of Fixture
Fixture Units
No. of Fixtures
Total
Fixture Units
Public
Private
Public
Private
Bathtub and Shower
4
4
Shower, per head
2
2
Dishwasher
2
2
Drinking fountain (each head)
1
.5
Hose bibb (interior)
2.5
2.5
Clotheswasher or laundry tub
4
2
Sink, bar or lavatory
2
1
I
'Z
Sink, Clinic flushing
8
8
Sink, kitchen
3
2
I
3
Sink, other (service) ?s - LC5.v.r.,4,
3
1.5
1
3
Sink, wash fountain, circle spray
4
3
Urinal, flush valve, 1 GPF
5
2
Urinal, flush valve, >1 GPF
6
2
Urinal, waterless
0
0
Water closet, tank or valve, 1.6 GPF
6
3
Water closet, tank or valve, >1.6 GPF
8
4
Total Fixture Units
Residential Customer Equivalent (RCE)
20 fixture units equal 1.0 RCE
Total No. of Fixture Units
20
RCE
l3. Other Wastewater Flow
(in addition to Fixture Units identified in Section A)
Type of Facility /Process:
Estimated Wastewater Discharge:
Gallons /days
Residential Customer Equivalents (RCE):
187 gallons per day equals 1.0 RCE
Total Discharge (gal /day) _
187
C. Total Residential Customer Equivalents:
(add A & B)
A
B
RCE
RCE
RECEIVED
MAR 05 2010
PERMIT CENTER
Pursuant to King County Code 28.84, all sewer customers who establish a new service which uses metropolitan sewage facilities shall be subject to a capacity charge.
The amount of the charge is established annually by the King County Council at a rate per month per residential customer or residential customer equivalent for a
period of fifteen years. The purpose of the charge is to recover costs of providing sewage treatment capacity for new sewer customers. All future billings can be
prepaid at a discounted amount. All future billings can be prepaid at a discounted amount.
Questions regarding the capacity charge or this form should be referred to King County's Wastewater Treatment Division at 206 - 684 -1740.
I certify that the information given is correct. I understand that the capacity charge levied will be based on this information and any
deviation will require resubmission of corrected data for determination of a revised capacity charge.
Signature of Owner /Representative V \S. . -4"-__ �3 � '"� Date
Print Name of Owner /Representative
1058 (Rev. 9/07) White — Kino County Yellow — Local Sewer Aaencv Pink — Sewer Customer • ®A�.. C�xv
Contractors or Tradespeople liter Friendly 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 C & H Plumbing Llc UBI No. 602544809
Phone 2067931301 Status Active
Address Po Box 7834 License No. CHPLUHP943CC
Suite /Apt. License Type Construction Contractor
City Kent Effective Date 2/3/2006
State Wa Expiration Date 2/3/2012
Zip 98042 Suspend Date
County King Specialty 1 Plumbing
Business Type Limited Liability Company Specialty 2 Unused
Parent Company
Business Owner Information
Name
Role
Effective Date
Expiration Date
Power, Leslie
Agent
02/03/2006
Amount
Franklin, James D
Partner /Member
02/03/2006
CNP2729327
Franklin, Larue
Partner /Member
02/03/2006
Bond Information
Page 1 of 1
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
CBIC
SG5330
02/03/2006
Until Cancelled
$6,000.00
02/03/2006
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information
Insurance
Company Name
Policy Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Amount
Received Date
3
Continental
Western Ins Co
CNP2729327
12/16/2008
12/16/2010
$1,000,000.00
11/10/2009
2
THE OHIO CAS
INS CO
BH053439373
12/16/2006
12/16/2008
$1,000,000.00
11/26/2007
1
co 10 CAS INS
BH053439373
01/24/2006
01/24/2007
$1,000,000.00
02/03/2006
Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period
https: // fortress .wa.gov /lni/bbip /Print.aspx 04/12/2010
EQUIPMENT LIST
••■■••■•••
.4.1111161.111*
1. Ice Machine
2. Display Freezer
3. Freezer Reach-in
4. Syrup Rack
5. Storage Rack
6. Employee Locker
7. Hand Sink
8. Mop Sink
9. Three Compartment Sink
10. Top Reach in Freezer
11. Prep Table
12. Blenders Counter Top
13. POS
14. Display Rack
15. Display Counter
16. Fire Extinguisher
FINISH SCHEDULE
FLOOR
Order
Prep
Dishwash
Office
Storage
WALLS
Order
Prep
Dishwash
Office
Storage
CEILING
Order
Prep
Dishwash
Office
Storage
Sealed & Polished Concrete
Sealed & Polished Concrete
Sealed & Polished Concrete
Sealed & Polished Concrete
Sealed & Polished Concrete
Gypsum Board with Enamel Paint
Gypsum Board W/Enamel Paint or FRP Board
Gypsum Green Board with FRP Board
Gypsum Board with Enamel Paint
Gypsum Board with Enamel Paint
Repaint existing exposed ceiling w/enamel paint
Repaint cloud from old store w/enamel paint
Repaint existing exposed ceiling w/enamel paint
Gypsum board with enamel paint
Repaint existing exposed ceiling w/enamel paint
- ORDER -
tre
Pomfoft No
Of ^PS,. "or pt,Let,"L
OFFICE -
.3
L.
12
PREP
c,-e_
N\c„Le..AN(.-€.—
-1-51004--
_10
4
2
_STORAGE
FLOOR PLAN 1/2"= 1'-0"
E--(634t
Es Uv•-e-
2"
7
kAck—A.- ce.IA
cr\se.ic
Covv‘e
‘N.S CA.4s-k"
.5kr04
4-4
REVIEWED F O
CODE COMPLIANCE
APPROVED
MAR i 7 2010
City of Tukwila
BUILDING DIviginto
"R&10.**-- 033
RECEIVED
MAR 05 2010
PERMIT CENTER