HomeMy WebLinkAboutPermit PG11-064 - SAHAL CAFESAHAL CAFE
13919 TUKWIIA
INTERNATIONAL BL
PG1 1 -064
City Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Inspectio n Request Line: 206 - 431 -2451
Web site: http: //www.ci.tukwila.wa.us
PLUMBING /GAS PIPING PERMIT
Parcel No.: 8864000980 Permit Number: PG11 -064
Address: 13919 TUKWILA INTERNATIONAL BL TUKW Issue Date: 05/09/2011
Permit Expires On: 11/05/2011
Project Name: SAHAL CAFE
Owner:
Name: VU THINH TIEN +THU THI
Address: 5113 S 284TH PL , AUBURN WA 98001
Contact Person:
Name: FRANK SOURISH
Address: 15405 SE 310 ST , KENT WA 98042
Email: NOT PROVIDED
Contractor:
Name: FRANK FIRE PROTECTION
Address: 15405 SE 310 ST , KENT WA 98042
Contractor License No: FRANKFP928CO
Phone: 206 - 229 -5245
Phone: 206 229 -5245
Expiration Date: 02/20/2012
DESCRIPTION OF WORK:
GAS PIPING TO FRYER, RANGE AND (2) BROILERS
Value of Plumbing /Gas Piping: $1,200.00 Uniform Plumbing Code Edition: 2009
Fees Collected: $120.75 International Fuel Gas Code Edition: 2009
Electrical Service Provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Date: ///
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.
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 and agree to the conditions
on the back of this permit.
Signature:
Print Name:
Vrvn Ic iCjUiS
Date: 7 ry r I l
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 -064 Printed: 05 -09 -2011
•
PERMIT CONDITIONS
Permit No. PG 11 -064
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 -064 Printed: 05 -09 -2011
CITY OF TUKWilit
Community Develop3iFilt Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Plumbing/Gas Permit No.1? G 1, — (0 LI
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
. King Co Assessor's Tax No.:
Site Address: 36)/ iqc , w`1 L "Y) 4 s-3, Suite Number: Floor:
New Tenant: El Yes ❑..No
Tenant Name:
S ct kco C k
Property Owners Name:
Mailing Address:
City
State
Zip
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name:
Day Telephone: 2 6' 2 2- ' 2 1 5
Mailing Address:
City
Fax Number:
E -Mail Address:
State
Zip
PLUMBING / GAS PIPING CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Frail It Fire O i p', _ /2u
'-(t) s J-
Contact Person: t, c/ p U Y 51,E
E -Mail Address:
Contractor Registration Number:i^i','1 r
City
Day Telephone:
Fax Number: 23 3d 3? »
Expiration Date: E3 Q— ZG
rVA- 9�o yZ
State Zip
ARCHITECT OF RECORD — All plans must be stamped by Architect of Record
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
Contact Person:
E -Mail Address:
State
Zip
ENGINEER OF RECORD — All plans must be stamped by Engineer of Record
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
State
Zip
H:\Applications\Forms- Application On Line\2010 Applications \7 -2010 - Plumbing -Gas Piping Permit Application.doc
Revised: 7 -2010
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Page 1 of 2
oi,c I
Gv
Valuation of Project (contractor's bid pillk $ Zd 6
Scope of Work (please provide detailed information):
•
C6S Q 1f7-v 4
Building Use (per Int'l 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
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
9
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 0 AUTHORIZED AGENT:
Signature:
Print Name: F,9 n K SO V r rl
Mailing Address:
Date: g. /
Day Telephone: 7z 227 L/ 5
a /9
City
State
Zip
Date Application Accepted:
Date Application Expires: LIT - -,-- ` 1
Staff Initials:
H:1Applications\Fotms- Applications On Line12010 Applications17 -2010 - Plumbing -Gas Piping Permit Application.doc
Revised: 7 -2010
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Page 2 of 2
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.: 8864000980 Permit Number: ]PG11 -064
Address: 13919 TUKWILA INTERNATIONAL BL TUKW Status: PENDING
Suite No: Applied Date: 04/25/2011
Applicant: SAHAL CAFE Issue Date:
Receipt No.: R11 -00798
Initials:
User ID:
Payee:
WER
1655
Payment Amount: $120.75
Payment Date: 04/25/2011 03:07 PM
Balance: $0.00
FRANK FIRE PROTECTION LLC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 150647
ACCOUNT ITEM LIST:
Description
120.75
Account Code Current Pmts
GAS - NONRES
PLAN CHECK - NONRES
000.322.103.00.00 96.60
000.345.830 24.15
Total: $120.75
doc: Receiot -06 Printed: 04 -25 -2011
INSPECTION RECORD
Retain a copy with permit
P6si 1—.°64
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project:
Type of spection
Add r39 i 1 -r-1-
Date Called:
Special Instructions:
Date Wanted:
7- 1-v -11
a
Requester:
Phone No
0106-22i. -- 52V _S
pproved per applicable codes. Corrections required prior to approval.
COMMENTS:
-Pp rte,-{ (13 -wtfl /j\4Jq(
I
REINSPECTION FE REQUIRED. Pr to inspection, fee must be
6300 Southcenter Blvd., Suite 100. all the schedule reinspection.
Rec-'p o.:
'Date:
=•' INSPECTION RECORD �+
Retain a copy with permit r(. ( 4
PERMIT NO.
rte_ .�
CITY OF TUKWILA BUILDING DIVISION'
^
6300 Sduthcenter Blvd., #100, Tukwila. WA 98188 (206) 431 - 36709.•
Permit Inspection Request Line (206) 431 -2451
INSPECTION NO.
Proj�
Typ of Inspection: :/7,44
;
Address:
Date Called:
;
Special Instructions:
(4
S
r7
\\Ak\
Date Wanted:
11
__1(
`-. a.r
p or
Requester:
Phone No! r 2
��%
5.
'4.
,Approved per applicable codes.
Corrections required prior to approval %. -
t�:'
COMMENTS:
"AAA," n
E SPECTION FEE REQUIRED. Prior to
pa d at 6300 Southcenter Blvd..rSuite 100.
- -1I-'I
ext inspection. fee tnust:tie
Call to schedule reinspection.
\,•\ •
FILE C =; Ply
Permit No P VIA1/1
Plan review approval is subject to errors and omissions.
Approval of construction documents does not authrrize
the violation of any adopted code or ordinance. Receipt
of approved Field Copy and conditions is acknowledged'
BY
Date:
City Of 1i�kwiia
BUILDING DIVISION
85000 btu 50000btu 50000btu
fryer
range broiler
1-1 gas metar
12ft
mechanical
gas valve
n
1 OJT
Edit
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.
Q�4I( co.ce
1L � v E- 8e (v
1191°1- � � �''
Y/ 9 -) 6,
I REVIEWED FOR
CODE COMPLIANCE
f APPROVED
Nip; r O a
/16-
1 , Cof la
��4
BUILDIN , VIciflpP
T&UOb4
r-r,.,r�- s F
L.rro1AI L. FFEFIMIT
REQUIRED FOR:
Mechanical
Electrical
Plumbing
Gas Piping
City of Tukwila
BUILDING DIVISION
RECEIVED
APR 2 5 2011
PERMIT CE TER
koPE
c: 1
PLAN REVIEW /R
ING SLIP
ACTIVITY NUMBER: PG11 -064 DATE: 04 -25 -11
PROJECT NAME: SAHAL CAFE
SITE ADDRESS: 13919 TUKWILA INTERNATIONAL BL
X Original Plan Submittal
Response to Correction Letter #
Response to Incomplete Letter #
Revision # After Permit Issued
DEPARTMENTS:
B't�ifding C/ io I
Public Works
Fire Prevention
Structural
n
Planning Division
n Permit Coordinator
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
Incomplete
DUE DATE: 04-26-11
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 1p Structural Review Required
REVIEWER'S INITIALS:
No further Review Required
DATE:
n
APPROVALS OR CORRECTIONS:
Approved n Approved with Conditions
DUE DATE: 05-24 -11
Not Approved (attach comments)
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
Contractors or Tradespeople' ter Friendly Page
General /Specialty Contractor
A business registered as a construction contractor with LEI 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
FRANK FIRE PROTECTION LLC
2062295245
15405 Se 310Th St
Kent
WA
98042
King
Business Type Limited Liability Company
Parent 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
2/20/2012
Fire Protect System
Unused
Business Owner Information
Name
Role
Effective Date
Expiration Date
SOURISH, FARHANG A
Partner /Member
02/20/2008
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
1
WESTERN SURETY CO
70452500
02/01/2008
Until Cancelled
$6,000.00
02/20/2008
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
Colantic Cas Ins
L0650073363
02/12/2011
02/12/2012
$1,000,000.00
02/09/2011
2
ATLANTIC CAS
INS CO
L065007336
02/12/2010
02/12/2011
$1,000,000.00
02/18/2010
1
ATLANTIC CAS
INS CO
L0650073361
02/12/2008
02/12/2010
$1,000,000.00
01/22/2009
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 05/09/2011