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Home My WebLink AboutPermit PG11-087 - WESTFIELD SOUTHCENTER MALL - SHANG HAI HEALTH SPASHANG HAI HEALTH SPA 1387 SOUTHCENTER MALL PG1 1 -087 Parcel No.: Address: City oikukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 2061131 -3670 Inspection Request Line: 206 - 431 -2451 Web site: http: / /www.TukwilaWA.gov PLUMBING /GAS PIPING PERMIT 9202470010 1387 SOUTHCENTER MALL TUKW Project Name: SHANG HAI HEALTH SPA Permit Number: Issue Date: Permit Expires On: PG 11 -087 06/27/2011 12/24/2011 Owner: Name: WESTFIELD PROPERTY TAX DEPT Address: PO BOX 130940 , CARLSBAD CA 92013 Contact Person: Name: Address: Email: CLIFF DOMINICK PO BOX 1702 , BOTHELL WA 98041 ckplbg @yahoo.com Contractor: Name: C & K PLUMBING Address: PO BOX 1702 , BOTHELL WA 98041 Contractor License No: CKPLU ** 148JW Phone: 425 508 -7604 Phone: Expiration Date: 12/12/2011 DESCRIPTION OF WORK: RELOCATING HOT WATER TANK AND ADDING LANDRY TUB Value of Plumbing /Gas Piping: Fees Collected: Electrical Service Provided by: Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be compile $1,500.00 $110.25 Uniform Plumbing Code Edition: 2009 International Fuel Gas Code Edition: 2009 Date: ad2i (11 ed 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 pre construction or the performance of work. on the back of this permi Signature: e to give authority to violate or cancel the provisions of any other state or local laws regulating I am authorized to sign and obtain this plumbing /gas piping permit and agree to the conditions Date: " ! 7/2 L%/ Print Name: e7/ F F L / ✓1 / 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 PG11 -087 Printed: 06 -27 -2011 PERMIT CONDITIONS Permit No. PG11 -087 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 -087 Printed: 06 -27 -2011 CITY OF TUKWI Community Developmea epartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Plumbing/GasOmit No. l V --0151 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.: 0 `v 2-yi 1, ti Site Address: VAC JV yv`S Fv\ �e t V `IC,Wn �lA411 Suite Number: Floor: Tenant Name: `- Ulf Ifs 1 1'I,Z M, II\ ` G\ New Tenant: ❑ Yes ❑.. No Property Owners Name: J j Prh' Mailing Address: City State Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: Day Telephone: Mailing Address: City E -Mail Address: Fax Number: State Zip PLUMBING / GAS PIPING CONTRACTOR INFORMATION Company Name: f'L C� s-p Mailing Address: Q .0 �C C ? 0 7 Contact Person: ('l I FF - E -Mail Address: G K ?L ct 1 On #-✓) Contractor Registration Number: C 4 Pt L4 tic 6€2 K;111.0 /A)401 Sl9Li I City State Zip Day Telephone: 'jZS 5:08" 760y Fax Number: g 3 (?&) Expiration Date: 12- 11 ARCHITECT OF RECORD - All plans must be stamped by Architect of Record Company Name: Mailing Address: City Contact Person: Day Telephone: Fax Number: 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:\ pplications\Forms- Applications On Line\2010 Applications \7 -2010 - Plumbing -Gas Piping Permit Application.doc Revised: 7 -2010 bh Page 1 of 2 CFA Valuation of Project (contractor's bid AO): $ /5?-7CJ % • Scope of Work (please provide detailed inf rmation): i ` CM- y1.G w j ¢ -� , /n5 1--at 1✓(� t� 2_,)/ J 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 / "'_ i 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 WA GTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR AUTHORIZED AGENT: Signature: Print Name: Mailing Address: e/1 F F 7Lfr1lC1C c OS. /70 7 Date: /2-7 /// Day Telephone: 360-7 9 9 -DV a City State Zip Date Application Accepted: hf „ Date Application Expires: H:1Applications\Forms- Applications On Line\2010 Applications17.2010 - Plumbing -Gas Piping Permit Application.doc Revised: 7 -2010 bh Staff Initials: age 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 RECEIPT Parcel No.: 9202470010 Permit Number: PG 11 -087 Address: 1387 SOUTHCENTER MALL TUKW Status: APPROVED Suite No: Applied Date: 06/27/2011 Applicant: SHANG HAI HEALTH SPA Issue Date: Receipt No.: R11 -01314 Initials: User ID: JEM 1165 Payment Amount: $110.25 Payment Date: 06/27/2011 10:24 AM Balance: $0.00 Payee: ANDY'S CONSTRUCTION TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1094 110.25 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts PLUMBING - NONRES 000.322.103.00.00 110.25 Total: $110.25 doc: Receiot -06 Printed: 06 -27 -2011 P6(! -o'7 INSPECTION RECOR[5:.` Retain a copy with permit 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 ProjstiA I i t /, _ TYp f Inspection: Address: „Li Date Called: Special Instructions: / ate Wanted: / �f V /clrlif Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: frL (A ) e-jik'^S M '( r �r�Y Inspect Date 14 tt. J I n REINSPECTION FEE REQUIRED. PF o to next inspection. fee must be paid at 6300 Southcenter 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 lc.. (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 P6iE -0�7 Pr 'ect• . A/6 . Type binspectio -d �� Pty Addies1 r? A e e , ft-{ /i Date Called: � Special Instructions: J Date Wanted:_ ,. Z // r 3 - l t a.m. `m Requester: Phone No:. r 22-i ... 1 I I q EIApproved per applicable codes. Corrections required prior to approval. 4. COMMENTS: I (-A-LAir-,, Af0014 6AZ--- -F- L..t #Se` XAS -er -P.2 _}A. IT (Y(- � J =L -q -173)UE. !s eAfei ___/.: I4 fAS 1 - 1.- t ( ref J tiJ-C.A 44, r`) p ef■C" * 0 k-X A Insp toeE r: Dater (1 ❑ REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. G. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDLNG DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 �- Project. Type.Df Inspection: G • Corrections required prior to approval? :' Ad' ress: f� e / / V 1 J c. /"t 4lr _ Date Called: ___.. Special Instructions: Date Wanted: -7 — 1 -- fl - aarr p.m. Requester: Phone No: 11-5 -SO:"" -�} ot. Approved per applicable codes. • Corrections required prior to approval? :' COMMENTS: - . - 1 • • • �■ 11.1 ...,....g:=ca ! REINSPECTION FEE REQUIRE . Prior to next inspection, fee must paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reins ection.._�!' Date' ' • - INSPECTION RECORD Retain a copy with permit P6 (I-tor? INSPECTION NO. PERMIT CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 p.r. • (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Proje t: TYT of Inspection: 0 36 3_ .. ddress: 13.V? __cc )4,41-0 Date Called: ...„---..„ Special Instructions: 0 5 0 75 t- -6( i,',$ ide,e-frise LA)A-re-rfr-:: (AI./ A41,1 Date Wanted: i ..., p.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to apprOval: • COMMENTS: • :.-• ...... , - • ' . • . .. ; . • 1 . i . • ....:. . Inspector u.A.....ikli Date • 1 A _, - ,..1 inspedtiolv, fee must be ;;:, ' REINSPECTION FEE REQUIRED. Prior to next Contractors or Tradespeople Prr 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 & K PLUMBING UBI No. 600617148 Phone 4253351735 Status Active Address Po Box 1702 License No. CKPLU* 148JW Suite /Apt. License Type Construction Contractor City Bothell Effective Date 4/16/1986 State WA Expiration Date 12/12/2011 Zip 98041 Suspend Date County King Specialty 1 Plumbing Business Type Individual Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date DOMINICK, CLIFF Owner 04/16/1986 Amount DOMINICK, CATHY Owner 04/16/1986 98BJF4147 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 4 STATE FARM FIRE & CAS CO 98CT64472 11/17/2001 Until Cancelled $6,000.00 12/12/2001 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 25 STATE FARM FIRE & CAS CO 98BJF4147 11/17/2010 11/17/2011 $1,000,000.00 10/21/2010 24 STATE FARM FIRE & CAS CO 98BGS6913 11/17/2009 11/17/2010 $1,000,000.00 12/11/2009 22 STATE FARM FIRE & CAS CO 98BCN8760 11/17/2008 11/17/2009 $1,000,000.00 10/10/2008 21 STATE FARM FIRE a CAS CO 98G413343 11/17/2007 11/17/2008 $1,000,000.00 12/06/2007 20 STATE FARM FIRE & CAS CO 98GY36719 11/17/2006 11/17/2007 $1,000,000.00 12/01/2006 19 STATE FARM FIRE & CAS CO 98GM60052 11/17/2005 11/17/2006 $1,000,000.00 12/12/2005 18 STATE FARM FIRE & CAS CO 98GB06826 11/17/2004 11/17/2005 $1,000,000.00 11/16/2004 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 06/27/2011