HomeMy WebLinkAboutPermit PG11-061 - OUTBACK STEAKHOUSEOUTBACK
STEAKHOUSE
16510 SOUTHCENTER PY
PG1 1 -061
City 6kukwila
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:/lwww.ci.tukwila.wa.us
PILUMBING /GAS PIPING PERMIT
Parcel No.: 2623049127
Address: 16510 SOUTHCENTER PY TUKW
Project Name: OUTBACK STEAKHOUSE
Permit Number: PG11 -061
Issue Date: 04/14/2011
Permit Expires On: 10/11/2011
Owner:
Name: SOUTHCENTER MOTEL HOTEL LTD
Address: C/O POER MARVIN F & COMPANY , 500 108TH AVE NE #780
Contact Person:
Name: JULIE CASKEY
Address: 12601 132 AV NE , KIRKLAND WA 98034
Email: JULIEC @FASTWATERHEATER.COM
Contractor:
Name: FAST WATER HEATER COMPANY
Address: 12601 132ND AVE NE , KIRIQLAND WA 98034
Contractor License No: FASTWWH948BC
Phone: 425 636 -7084
Phone: (425)814 -3124
Expiration Date: 01/04/2012
DESCRIPTION OF WORK:
REPLACE GAS WATER HEATER
Value of Plumbing /Gas Piping: $8,399.00 Uniform Plumbing Code Edition: 2009
Fees Collected: $47.25 International Fuel Gas Code Edition: 2009
Electrical Service Provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Date:
tv
I hereby certify that I have read and -xami ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complie with, whether specified herein or not.
The granting of this permit does not pre j e to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the performanc f wor,1. I am authorized to sign and obtain this plumbing /gas piping permit and agree to the conditions
on the back of this permit.
Signature:
Print Name:
Date:
/(-7/--/7
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 -061 Printed: 04 -14 -2011
1 •
PERMIT CONDITIONS
Permit No. PG 11 -061
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 -061 Printed: 04 -14 -2011
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.cLtukwila.wa.us
Plumbing /Gas Permit No.
PGAVG(Al
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 LOCAT
Site Address: 16510 SOUTHCENTER PKWY
Tenant Name: OUTBACK STEAKHOUSE
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes
Property Owners Name:
OUTBACK STEAKHOUSE
Mailing Address: 16510 SOUTHCENTER PKWY
SEATAC
City
WA
State
..No
98188
Zip
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name: JULIE CASKEY
Mailing Address: 12601 132 AVE NE
E -Mail Address: JULIEC @FASTWATERHEATER.COM
Day Telephone:
KIRKLAND
City
(425) 636 -7084
WA
State
Fax Number: (425) 636 -7085
98034
Zip
PLUMBING / GAS PIPING CONTRACTOR INFORMATION
Company Name:
Mailing Address:
FAST WATER HEATER
12601 132 AVE NE
Contact Person: JULIE CASKEY
E -Mail Address: JULIEC @FASTWATERHEATER.COM
Contractor Registration Number: FASTWWH948BC
KIRKLAND
City
WA
State
Day Telephone: (425) 636 -7084
Fax Number: (425) 636 -7085
Expiration Date: 01/04/2012
98034
Zip
ARCHITECT OF RECORD — All plans must be stamped by Architect of Record
Company Name:
Mailing Address:
State
Contact Person:
E -Mail Address:
City
Day Telephone:
Fax Number:
Zip
ENGINEER OF RECORD —All plans must be stamped by Engineer of Record
Company Name:
Mailing Address:
Zip
Contact Person:
E -Mail Address:
City
Day Telephone:
Fax Number:
State
H:\Applications \Forms - Applications On Line\2010 Applications \7 -2010 - Plumbing -Gas Piping Permit Applicalion.doc
Revised: 7 -2010
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Valuation of Project (contractor's bid price): $ 8399
Scope of Work (please provide detailed information):
REMOVE AND REPLACE GAS WATER HEATER IN COMMERICAL LOCATION
Building Use (per Int'l 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:
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
1
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.NOTES1-
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: X1A,lPk
Print Name: JULIE CASKEY Day Telephone: 425 - 636 -7084
Date:
4/8/11
Mailing Address: 12601 132 AVE NE KIRKLAND WA 98034
Zip
1 Date Application Accepted: 04 I `!4I I,'
City
State
Date Application Expires:
Staff Initial
H :'Applications \Fortes- Applications On Line\2010 Applications \7 -2010- Plumbing -Gas Piping Permit Application.doc
Revised: 7-2010
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Page 2 of 2
0 0
C 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
Parcel No.: 2623049127 Permit Number: PG11 -061
Address: 16510 SOUTHCENTER PY TUKW Status: PENDING
Suite No: Applied Date: 04/14/2011
Applicant: OUTBACK STEAKHOUSE Issue Date:
Receipt No.: R11 -00716
Payment Amount: $47.25
Initials: JEM Payment Date: 04/14/2011 10:35 AM
User ID: 1165 Balance: $0.00
Payee: FWH ACQUISITION COMPANY LLC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 10922 47.25
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
PLUMBING - NONRES
000.322.103.00.00 47.25
Total: $47.25
doc: Receipt -06 Printed: 04 -14 -2011
•
• ,..
INSPECTION NO.
CITY•OF`.TUKWILA BUILDING DIVISION
• 6300 Southcenter BIVd., #100, Tukwila. WA 98188 (206) 431 -3670
.Permit Inspectioh €tequest Line (206) 431 -2451
• INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
Project: • • r• •
..atr,:aIO.1Z
Type o( Inspection:
4-•ftA) A4 f(d
Address: r •
•I (0 t o S(- :P�
Date Called:
Speciai•Instructions:
. „33 {.p 3 -o!
• :. ��t'E�- 1Q 141v%
Date Wanted a.m.
Requester:
Phone 1iO�' S 3' —1/ Q�
•
•
•
Approved 00, applicable codes.
COMMENT&
ElCorrections required prior to approval.
- Pro 0014A irk //Ivey
D/J
R t SPECTION FEE R • UIRED. Prior o next inspection. fee must be
d at 6306 SOuthcenter Blvd.. Suite 100. Call to schedule reinspection.
S
rt
i
•
Form HLW -6 Manufacturer's Data Report for Water Heaters or Storage Tanks
As Required by the Provisions of the ASME Code Rules
1 Manufactured and certified by: Rheem Manufacturing Co., Water Heater Division, 2600 Gunter Park Dr., East, Montgomery, AL 36109
(name and address of manufacturer)
2. Manufactured for: Not Known
(name and address of purchaser)
3. Location of installation: Built for Stock
(name and address)
4. Identification: 122296 - 122319 NA AS38422 122296 - 122319 2009
(mfr's serial no.) (CRN) (drawing no.) (National Board no.) (year built)
5 The chemical and physical properties of all parts meet the requirements of material specifications of the ASME BOILER AND PRESSURE
VESSEL CODE. The design, construction, and workmanship conform to Part HLW, Section IV 2007 2008 None
(year) /addenda (date)] (Code Case no.)
6. Shell: 1 SA414 GR. D .125" Glass 24 1/8 " ID 4' - 5 3/4"
(no.) (mat'I spec., gr.) ]thickness (in.)] (lining) ]diameter (in.)]
7. Joints: Welded 85%
[long (seamless, welded)] left. (compared to seamless)] [girth (seamless, welded)] (no. of shell courses)
8. Heads:
Single Lap Fillet Weld
[length (ft. & in., overall))
One
Location
Material Spec.,
Gr., Thickness
Crown
Radius
Knuckle
Radius
Elliptical Ratio
Hemispherical
Radius
Flat
Diameter
Side Pressure
(Concave, Convex)
Top
SA4I4 Gr. D .232"
N/A
1/4"
N/A
N/A
24 1/8"
Flat Head
Bottom
SA285 Gr. C .3125"
N/A
1/2"
N/A
N/A
23 5/8"
Flat Head
9. Tubesheet: N/A Tubes: 24
(mat'I spec., gr.)
2 1/2" 3' - 9 1/16" SA178 - Gr. A
0.065" Welded
(no.) [size (in.)] [length (ft. & in., overall)] (mat'I spec., gr.) ]thickness (in.)J (rolled or welded)
10. Nozzles, Inspection, and Safety Valve Openings:
Purpose -
(Inlet, Outlet, Drain, etc.)
No.
Diameter
or Size
Type
How Attached
Material
Nominal
Thickness
Reinforcement
Material
Location
Handhole up to 3" x 4"
1
3" x 4"
N/A
WELDED
SA29 -1010
3/16"
N/A
Shell
Inlet
2
1 1/2" NPT
N/A
WELDED
SA29 - 1010
3/8"
N/A
Shell
Outlet
2
1 1/2" NPT
N/A
WELDED
SA29 -1010
3/8"
N/A
Shell
Safety Relief VeIve
1
1" NPT
N/A
WELDED
SA29 -1010
3/8"
N/A
Shell
Drain
1
3/4" NPT
N/A
WELDED
SA29 - 1010
1/4"
N/A
Shell
Anode
4
3/4" NPT
N/A
WELDED
SA29 -1010
1/4"
N/A
Top Head
Thermostat
2
3/4 "NPT
N/A
WELDED
SA29 -1010
1/4"
N/A
Shell
Inlet
1
1 1/2" NPT
N/A
WELDED
SA29 -1010
3/8"
N/A
Top Head
Outlet
1
1 1/2" NPT
N/A
WELDED
SA29 -1010
3/8"
N/A
Top Head
11. MAWP: 160 Max. input: 399,900 Btu /hr. Max. temp.: 210°
Hydrostsatic test:
160
(psi) (Btu /hr or kW) ( °F)
12. Manufacturer's Partial Data Reports properly identifed and signed by Commissioned Inspectors have been furnished for the following
items of this report: N/A
(psi)
(name of part, item no., Manufacturer's Name, identification stamps)
13. Remarks: Model 6400 -65
• •
FORM HLW -6 (Back)
CERTIFICATE OF SHOP COMPLIANCE
We certify that the statements made in this data report are correct and that all details of design, material, construction, and workmanship of this
water heater or storage tank conform to Section IV of the ASME BOILER AND PRESSURE VESSEL CODE.
"HLW" Certificate of Authorization no. 24,475 expiration date November 27, 2010
Date
Name Rheem Mfg. Co., 2600 Gunter Park Dr., East, Montg., AL. 36109 Signed
(manufacturer that constructed and certified water heater or storage tank)
(by representative)
CERTIFICATE OF SHOP INSPECTION
Constructed by RHEEM MANUFACTURING CO. at 2600 GUNTER PARK DR., EAST, MONTG., AL 36109 I, the undersigned,
holding a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors and /or the state or province ofAlabama
and employed by HSB CT of Hartford, Ct. 06102 - 5024 have inspected part referred to as data item 6, 7, 8, 9, & 10
and have examined Manufacturers' Partial Data Reports for items None and state that, to the best of my knowledge and
belief, the manufacturer has constructed this water heater or storage tank in accordance with Section IV of the ASME BOILER AND PRESSUUR1
VESSEL CODE.
By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the water heater.or
storage tank described in this Manufac rer's Data Report. F. ' hermore, neither the Inspector nor his employer shall beliable in any manner for
any persona inj or property date or/ loss of any k' arising from or connected with this inspection.
ut orize.
Date
nspector
Commissions
1
at
nc
. en
•
orsements state, province, an no.
09 -01 -2011
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
JULIE CASKEY
12601 132 AV NE
KIRKLAND WA 98034
RE: Permit No. PG11 -061
16510 SOUTHCENTER PY TUKW
Dear Permit Holder:
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 10/11/2011.
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, , provided the inspection shows progress.
-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 10/11/2011, 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,
?o.it4)L
Bill Rambo
Permit Technician
File: Permit File No. PG11 -061
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
Contractors or Tradespeople Per Friendly Page
•
Page 1 of 2
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 FAST WATER HEATER COMPANY UBI No. 602564544
Phone 4258143124 Status Active
Address 12601 132Nd Ave Ne License No. FASTWWH948BC
Suite /Apt. License Type Construction Contractor
City Kirkland Effective Date 1/3/2006
State WA Expiration Date 1/4/2012
Zip 98034 Suspend Date
County King Specialty 1 General
Business Type Limited Liability Company Specialty 2 Unused
Parent Company FWH ACQUISITION COMPANY LLC
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
FASTWHC110MC
FAST WATER
HEATER CO
Construction
Contractor
General
Unused
7/3/1989
6/19/1995
Archived
FASTWHC052DF
FAST WATER
HEATER COMPANY
Construction
Contractor
General
Unused
3/6/1995
2/16/2007
Expired
Business Owner Information
Name
Role
Effective Date
Expiration Date
JORDAN, JEFF
Partner /Member
01/03/2006
Bond
Amount
HANLEYBROWN, JASON
Partner /Member
01/03/2006
549792C
Bond Information
Bond
Bond Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
1
DEVELOPERS
SURETY & INDEM
CO
549792C
01/01/2005
Until
Cancelled
$12,000.00
01/03/2006
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
7
PHOENIX
CO0658M42A
02/17/201002/17
/2012
$1,000,000.0001
/05/2010
INS CO
https://fortress.wa.gov/lni/bbip/Print. aspx
04/14/2011