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HomeMy WebLinkAboutPermit PG11-056 - MADRONA SPECIALTY FOODSMADERA SPECIALTY FOODS 18300 CASCADE AV PG1 1 -056 City oil/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 PLUMBING /GAS PIPING PERMIT Parcel No.: 7888900175 Address: 18300 CASCADE AV TUKW Project Name: MADRONA SPECIALTY FOODS Permit Number: Issue Date: Permit Expires On: PG11 -056 04/14/2011 10/11/2011 Owner: Name: RIVERPOINT TWO LLC Address: PO BOX 20399 , SEATTLE WA 98102 Contact Person: Name: Address: Email: Contractor: Name: Address: Contractor ADNAN SMAJIC 12219 SE 65 ST , BELLEVUE WA 98006 SMAJIC @MSN.COM PETE THE PLUMBER INC 826 S 200 ST , DES MOINES WA 98198 License No: PETEPPI914O9 Phone: 206 - 419 -8090 Phone: 206 - 715 -5908 Expiration Date: 09/29/2011 DESCRIPTION OF WORK: ROUGGH -IN AND TRIM OUT KITCHEN SINK Value of Plumbing /Gas Piping: Fees Collected: Electrical Service Provided by: Permit Center Authorized Signature: I hereby certify that I have read a governing this work will be compl $800.00 $120.75 Uniform Plumbing Code Edition: 2009 International Fuel Gas Code Edition: 2009 Date: 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 construction or the performance of work. on the back of this permit. Signature: Print Name: ''0 "44) e to give authority to violate or cancel the provisions of any other state or local laws regulating am authorized to sign and obtain this plumbing /gas piping permit and agree to the conditions Date: 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 -4/10 PG 11 -056 Printed: 04 -14 -2011 PERMIT CONDITIONS Permit No. PG11 -056 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. doc: UPC -4/10 PG 11 -056 Printed: 04 -14 -2011 CITY OF TUKWIO Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us PlumbinWGas ermit No. ..YC) lA ` 0 Sc 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 Site Address: /S347° C4S -4 #1A-Q-/E. S Suite Number: Tenant Name: M-4- i,J. L 1Tt fO m5 Property Owners Name: C 1 K E -F. Cart i Mailing Address: Id 3o p Cad q .kk.F__ . 5 . - 1-Uu< 0) IL4- King Co Assessor's Tax No.: 7 &Es- O— 0 (77 S Floor: New Tenant: Yes 0.. No City State Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: 4,1,1-1 49 ST--10kb Mailing Address: 12 2 11 5E G 5 E -Mail Address: S it A'Z (c t150 . co n Day Telephone: City Fax Number: 20� State Zip PLUMBING / GAS PIPING CONTRACTOR INFORMATION Company Name: YL - _ \-L- C` kv�� e Mailing Address: o'Z J 2, 020 C ��- Contact Person: E -Mail Address: 414 ,s City Day Telephone: ,204. 7 15---51'14) Fax Numbeir^__ , Expiration Date: New ..Va / f r r►2 ( 7', Ae4 Contractor Registration Number: Pe_ tor ► q L z-t o ¶ 1i121,- VOP/5- State Zip ARCHITECT OF RECORD — All plans must be stamped by Architect of Record Company Name: Mailing Address: Contact Person: E -Mail Address: LAiv&r H U iFtL -1? A-SSocl 13 0 L vk. E__ 950 t e_12 City Day Telephone: Fax Number: State Zip 24% ENGINEER OF RECORD — All plans must be stamped by Engineer of Record Company Name: Mailing Address: City Day Telephone: E -Mail Address: Fax Number: Contact Person: State Zip H:\Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Plumbing -Gas Piping Permit Application.doc Revised: 7 -2010 bh Page 1 of 2 Valuation of Project (contractor's bid pi, $ �D nD — • nn Scope of Work (please provide detailed information): 2oa ; K 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: Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Fixture Type: ii 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 1 ` 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 - 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 Signature: HCLIZED AGENT: Print Name: S./10 ( C Mailing Address: I/2._ l `l .5E_ H:\Applications\Forms- Applications On Line \2010 Applicationsl7 -2010 - Plumbing -Gas Piping Permit Application.doc Revised: 7 -2010 bh Date: Day Telephone: 2-G6 5 �Cf Ge©fir O L L ► •70 City State Zip 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.: 7888900175 Address: 18300 CASCADE AV TUKW Suite No: Applicant: MADRONA SPECIALTY FOODS RECEIPT Permit Number: PG11 -056 Status: PENDING Applied Date: 04/11/2011 Issue Date: Receipt No.: R11 -00686 Initials: User ID: Payee: WER 1655 Payment Amount: $120.75 Payment Date: 04/11/2011 10:25 AM Balance: $0.00 ADNAN SMAJIC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 05006G ACCOUNT ITEM LIST: Description 120.75 Account Code Current Pmts PLAN CHECK - NONRES PLUMBING - NONRES 000.345.830 24.15 000.322.103.00.00 96.60 Total: $120.75 doc: Receipt -06 Printed: 04 -11 -2011 INSPECTION RECORD go, Retain a copy with permit -5.0 INSPECTION NO. PERMIT NO. . CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: A M /tale) AM— 670 4...3 Type Inspection: ; Ai Ai_ Pt J .A"- a • ^6 Address: I 36 3 ostuckefie Date Called: Special Instructions: / Date Wanted4 I 1 p.m. Requester: Phone No: S640-415 --3.6/#0 Approved per applicable codes. Corrections required prior to approval. COMMENTS: Date:.ei y Inspect ri REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcener Blvd., Suite 100. Call to schedule reinspection. '..► . INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 p- (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: /71/41. i? ON4 gP 4?L1 Type of Inspection: g Address: may,�, Date Called: �.... �/ Special Instructions: Date Wanted: a.m. Requester: Phone No: Q6 C-2/5 -,..s--5ao E1Approved per applicable codes. COMMENTS: Corrections required prior to approval. ( IDatg� Q /� SPECTION FEE REQ IRED. Prior to, ext inspection. fee must be id at 6300 Southcenter lvd.. Suite 10 . Call to schedule- reinspection. • • PLAN REVIEW /R I UTING SLIP ACTIVITY NUMBER: PG11 -056 DATE: 04 -11 -11 PROJECT NAME: MADRONA SPECIALTY FOODS SITE ADDRESS: 18300 CASCADE AV X Original Plan Submittal Response to Correction Letter # Response to Incomplete Letter # Revision # After Permit Issued DEPARTMENTS: 1*—t Building Division J�u�lic Wor s Fire Prevention Structural Planning Division Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Incomplete ❑ DUE DATE: 04-12 -11 Not Applicable Comments: 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 [4, Structural Review Required ❑ No further Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved ❑ Approved with Conditions Notation: REVIEWER'S INITIALS: DUE DATE: 05-10-11 Not Approved (attach comments) ri DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents/routing slip.doc 2 -28 -02 lig King County Department of Natural Resources and Parks Wastewater Treatment Division 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 (j ►yy? ( O 4 G�{SCJI �/. J Property Street Address City State ZIP Owner's Name Subdivision Name Lot # Subdiv. # Block # Building Name (if applicable) Owner's Phone Number (with Area Code) Property Contact Phone Number (with Area Code) Owner's Mailing Address For King County Use Only Account # No. of RCEs Monthly Rate Property Tax ID # Party to be Billed (if different from owner) City or Sewer District Date of Connection 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 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 A. Fixture Units Fixture Units x Number of Fixtures = Total Fixture Units Kind of Fixture Fixture Jnits 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 Sink, Clinic flushing 8 8 Sink, kitchen 3 2 6 3 Sink, other (service) 3 1.5 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 3 B. 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 Is- RCE RCE 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 d a f• determiWation of a revised capacity charge Signature of Owner /Representative Print Name of Owner /Representative hi) t0 }-ti ST`►.4�' ( Q Date 7l // Contractors or Tradespeople Pr ter Friendly Page Page 1 of 1 General /Specialty Contractor A business registered as a construction contractor with LEtI 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 PETE THE PLUMBER INC UBI No. 602956500 Phone 2067155908 Status Active Address 826 S 200Th St License No. PETEPPI91409 Suite /Apt. License Type Construction Contractor City Des Moines Effective Date 9/29/2009 State WA Expiration Date 9/29/2011 Zip 98198 Suspend Date County King Specialty 1 Plumbing Business Type Corporation Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date VOWELS, PETE DUANE Chief Executive Officer 09/29/2009 Bond Amount Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 American Contractors Indem CO 100098816 09/29/2009 Until Cancelled $6,000.00 09/29/2009 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 2 WESTERN HERITAGE INS CO SCP0823165 09/29/2010 09/29/2011 $1,000,000.0009 /27/2010 1 WESTERN HERITAGE INS CO SCP0765879 09/29/2009 09/29/2010 $1,000,000.0009 /29/2009 Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 04/14/2011