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Home My WebLink AboutPermit PG11-081 - ULYSSES RESTAURANTULYSSES RESTAURANT 16360 42 AV S PG1 1 -081 City ofiI'ukwila 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.TukwilaWA.gov Parcel No.: 5379800688 Address: 16360 42 AV S TUKW Project Name: ULYSSES RESTAURANT PLUMBING /GAS PIPING PERMIT Permit Number: PG11 -081 Issue Date: 06/15/2011 Permit Expires On: 12/12/2011 Owner: Name: KOLLIAS ULYSSES & SOPHIA Address: 16360 42ND AVE S , TUKWILA WA 98188 Contact Person: Name: NAIDA KHAN Address: 13454 GULF RD , POINT ROBERTS WA 98281 Email: NAIDA@NWPERMIT.COM Contractor: Name: WASHINGTON ENERGY SERVICES CO Address: 2800 THORNDYKE AVE W , SEATTLE, WA 98199 Contractor License No: WASHIES9710B Phone: 360 - 945 -2787 Phone: 206 282 -4200 Expiration Date: 09/02/2011 DESCRIPTION OF WORK: REPLACE GAS WATER HEATER Value of Plumbing /Gas Piping: Fees Collected: Electrical Service Provided by: Permit Center Authorized Signature: $5,500.00 Uniform Plumbing Code Edition: 2009 $47.25 International Fuel Gas Code Edition: 2009 Date: (0 1) 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: -17 ccao Date: This permit shall become null and d if the work is rlaf 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 PG11 -081 Printed: 06 -15 -2011 • • PERMIT CONDITIONS Permit No. PG11-081 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 m 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 PG11-081 Printed: 06 -15 -2011 CITY OF TUKWI Community Developm Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Plumbing/Ga•rmit No. T'G 1 1- 0 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 - i King Co Acepecnr'c Tax No.: 5� 9 f> V �P O Site Address: / /0 060 0 cr Suite Number: Floor: New Tenant: ❑ Yes ❑ .. No Tenant Name: Property Owners Name: Mailing Address: "� se_ s Red Jr o. J&-)- te.l ( qm, City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: Mailing Address: Da Telephone: 3 (o 0 - 5 - • _f ^ City State Zip E -Mail Address: Y141 Q c l ) YYl t ` 1 " brilTh Fax Number: 3‘00 - c(� — 2D Cj 1 PLUMBING / GAS PIPING CONTRACTOR INFORMATION Company Name: W S � Q Mailing Address: Contact Person: U'\ C� A l ( Ct) E -Mail Address: Contractor Registration Number: 1J.) ? -- I 0 City State Zip / G Day Telephone: ()Co o - 3 % ! 1 / Fax Number: q Expiration Date: / ARCHITECT OF RECORD - All plans must be stamped by Architect of Record Company Name: Mailing Address: City Contact Person: Day Telephone: Fax Number: State Zip E -Mail Address: 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:Wpplications\Fonns- Applications On Line \2010 Applications \7 -2010 - Plumbing -Gas Piping Pennit Application.doc Revised: 7 -2010 bh Page 1 of 2 IDate Application Accepted: Valuation of Project (contractor's bid p•: $ � 50° Scope of Work (please provide detailed information): • UL) Gam` r Building Use (per Int'I Building Code): l 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 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 0 Signature: Print Name: Mailing Address: R AUTHORIZED AGENT: Date: Da Telephone: 40D - City State Zip Date Application Expires: Staff Initials: F1:1ApplicationssForms- Applications On Line12010 Applications.7.20I0 - Plumbing -Gas Piping Permit Application.doc Revised: 7 -2010 bh Page 2 of 2 1 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.TukwilaWA.gov Parcel No.: 5379800688 Address: 16360 42 AV S TUKW Suite No: Applicant: ULYSSES RESTAURANT RECEIPT Permit Number: PG11 -081 Status: PENDING Applied Date: 06/15/2011 Issue Date: Receipt No.: R11 -01209 Initials: WER User ID: 1655 Payment Amount: $47.25 Payment Date: 06/15/2011 02:36 PM Balance: $0.00 Payee: WASHINGTON ENERGY SERVICES TRANSACTION LIST: Type Method Descriptio Amount Payment Check 7434 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: Receiot -06 Printed: 06 -15 -2011 { --!. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION r- 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: ()LASSES %�� s avr 7" Type of Inspection: f "J A-L. Pt ., Address: (Co 3(o 0 -- 42 . Date Called: Special Instructions: Date Wanted: _ w G '� Q � � ,�•aa..m: Requester: iii �— Phone No: ZI - 0 -3 109 I I ' .Approved per applicable codes. aCorrections required prior to approval :. COMMENTS: 1 c?Aiuf IA - `,NJ - AP- .. /s✓-c. ., ._. ?//k‘ ; 4 (14-714", 1 e 4e/r;ith4 ) .c.: 1 - ..i k v ..1 .,x 1 • • Rap PECTION FEE REQUIRE Prior topext inspection. fee: rust be " p d at 6300 Southcenter Blvd.. S ite 100. Call to schedule reinspection. ' . • INSPECTION RECORD Retain a copy with permit INSPECY ON NO. Pat iM :g PERMIT NO. CITY OF TUKWILA BUILDING DIVISION FL 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: np __Type IL ySJ lCe1 Jls of Inspection: )) �� , ,�/ Ad _ {�1,� !� A dress A. Date Called: Special Instructions: 1 4 P 6 11/4•1 11/4•1 Date Wanted: 1 a.m.. e.2._".417 Requester: "r Phone No: /2, (--- tor? —,1I • ['Approved per applicable codes. Corrections required prior to approval; . COMMENTS: ? ("A(1;14/ �_...�. • 2) • -,, ,. -4 . c�I4fried*. ,o�tl -qu das! s .7� A.,A.„ J -.a • .Z REI SPECTION FEE QUIRED. Prior to next inspection, fee must be: :. • paid at 6300 Southce ter Blvd.. Suite 100. Call to schedule Contractors or Tradespeople Pf ter Friendly Page • General /Specialty Contractor A business registered as a construction contractor with Lai 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 WASHINGTON ENERGY SERVICES CO UBI No. 602320560 Phone 2062824700 Status Active Address 2800 Thorndyke Ave W License No. WASHIES9710B Suite /Apt. License Type Construction Contractor City Seattle Effective Date 9/2/2003 State WA Expiration Date 9/2/2011 Zip 98199 Suspend Date County King Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date OLSON, CRAIG President 09/02/2003 Amount HEAGLE, RANDY Secretary 09/02/2003 VGL1021215 CHRISTIANSON, STEVE Treasurer 09/02/2003 OLSON, VERN Vice President 09/02/2003 IRONSHORE SPECIALTY INS CO Bond Information Page 1 of 2 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 DEVELOPERS SURETY a INDEM CO 571389C 08/29/2003 Until Cancelled $12,000.00 09/02/2003 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 9 COMPANION SPECIALTY INSURANCE VGL1021215 05/01 /2011 05/01 /2012 $1,000,000.0004 /29/2011 8 IRONSHORE SPECIALTY INS CO 000259901 05/01/2010 05/01/2011 $1,000,000.0004 /30/2010 7 Ironshore Specialty Ins Co 00G4H0905001 05/01/2009 05/01/2010 $1,000,000.0004 /29/2009 6 UNITED SPECIALTY INS AGL0810381 05/01/2008 05/01/2009 $1,000,000.0004 /30/2008 5 UNDERWRITERS AT LLOYDS CJ0749013 05/01/2007 05/01/2008 $1,000,000.0004 /27/2007 4 UNDERWRITERS AT LLOYDS CJ0677036 05/01/2006 05/01/2007 $1,000,000.0004 /28/2006 3 UNDERWRITERS AT LLOYDS CJ0583038 05/01/2005 05/01/2006 $1,000,000.0004 /27/2005 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 Infractions /Citations Information https://fortress.wa.gov/lni/bbip/Print.aspx 06/15/2011