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Permit PG11-113 - BASIL VIETNAMESE RESTAURANT
BASIL VIETNAMESE RESTAURANT 17308 SOUTHCENTER PY PG11-113 City oilTukwila 1 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.Tukwila WA.gov PLUMBING /GAS PIPING PERMIT Parcel No.: 2623049079 Address: 17308 SOUTHCENTER PY TUKW Project Name: BASIL VIETNAMESE RESTAURANT Permit Number: Issue Date: Permit Expires On: PG11 -113 08/31/2011 03/11/2012 Owner: Name: Address: Contact Person: Name: Address: Email: KIR TUKWILA 050 LLC /KIMCO PROPERTY TAX DEPARTMEMT , 3333 NEW HYDE PK RD STE 100 11042 QUAN NGUYEN Phone: 206 - 834 -5443 5110 S GARDEN LOOP RD , SEATTLE WA 98118 Contractor: Name: OWNER AFFIDAVIT - QUAN NGUYEN Address: , Contractor License No: Phone: Expiration Date: DESCRIPTION OF WORK: INSTALL (1) PREP SINK, (1) 3 COMPARMENT SINK, (1) HAND SINK, (2) FLOOR SINKS, (1) DISHWASHER, MOVE (1) SINK AND INSTALL 2" GAS LINE FOR (5) OUTLETS Value of Plumbing /Gas Piping: Fees Collected: Electrical Service Provided by: Permit Center Authorized Signature: $5,000.00 $360.94 Uniform Plumbing Code Edition: 2009 International Fuel Gas Code Edition: 2009 Li�+ ti(/` Date: --d4I 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 perfo ce 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: Date: 0 1 /20/ ii Print Name: N C e /v C90117-/ 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 -113 Printed: 09 -29 -2011 or • PERMIT CONDITIONS Permit No. PG 11 -113 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. 13: * * * * * * * * * * * * * * * ** *PUBLIC WORKS * * * * * * * * * * * * * * * * ** Dishwasher drainage line shall not be connected to the grease interceptor. 14: The three (3) compartment sink and the prep sink shall both be connected to the grease interceptor. A DIE TEST witnessed by by the Public Works Project Inspector is required to assure that these sinks are tied to the outside grease interceptor. The contractor shall call Public Works at (206) 433 -0179 minimum 24 hours in advance to schedule the required DIE TEST with Mr Dave Stickle, Public Works Project Inspector. doc: UPC -4/10 PG 11 -113 Printed: 09 -29 -2011 City ofTukwila 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 PLUMBING /GAS PIPING PERMIT Parcel No.: 2623049079 Address: 17308 SOUTHCENTER PY TUKW Project Name: BASIL VIETNAMESE RESTAURANT Permit Number: Issue Date: Permit Expires On: PG11 -113 08/31/2011 02/27/2012 Owner: Name: Address: Contact Person: Name: Address: Email: KIR TUKWILA 050 LLC /KIMCO PROPERTY TAX DEPARTMEMT , 3333 NEW HYDE PK RD STE 100 11042 JAMES GUTIERREZ 5360 S WALLACE ST , SEATTLE WA 98178 NOT PROVIDED Contractor: Name: NO BULL PLUMBING Address: 5360 S WALLACE ST , SEATTLE WA 98178 Contractor License No: NOBULP *983DG Phone: 206 - 941 -2234 Phone: 206 - 721 -0757 Expiration Date: 08/05/2012 DESCRIPTION OF WORK: INSTALL (1) PREP SINK, (1) 3 COMPARMENT SINK, (1) HAND SINK, (2) FLOOR SINKS, (1) DISHWASHER, MOVE (1) SINK AND INSTALL 2" GAS LINE FOR (5) OUTLETS 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 complie $5,000.00 Uniform Plumbing Code Edition: 2009 $360.94 International Fuel Gas Code Edition: 2009 xa wit Date: 0$1,9,11(1 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 presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the p • : • rmance of work. I am authorized to sign and obtain this plumbing /gas piping permit and agree to the conditions on the back of this • - Signature: Print Name: a U `1 t) C () Date: 0 �� g/ /ii 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 -113 Printed: 08 -31 -2011 f • PERMIT CONDITIONS Permit No. PG 11 -113 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 m 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. 13: * * * * * * * * * * * * * * * ** *PUBLIC WORKS * * * * * * * * * * * * * * * * ** Dishwasher drainage line shall not be connected to the grease interceptor. 14: The three (3) compartment sink and the prep sink shall both be connected to the grease interceptor. A DIE TEST witnessed by by the Public Works Project Inspector is required to assure that these sinks are tied to the outside grease interceptor. The contractor shall call Public Works at (206) 433 -0179 minimum 24 hours in advance to schedule the required DIE TEST with Mr Dave Stuckle, Public Works Project Inspector. doc: UPC -4/10 PG 11 -113 Printed: 08 -31 -2011 CITY OF TUKWai Community Develop ent Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Plumbin Gas Permit No. l 3 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: ivi3oolY r King Co Assessor's Tax No.: 2-�.Q 292C14 " 1011 Suite Number: Floor: Tenant Name: New Tenant: ❑ Yes .. No 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: Mailing Address: E -Mail Address: City State Zip Fax Number: PLUMBING / GAS PIPING CONTRACTOR INFORMATION Company Name: N© &) f iquitAtowti Mailing Address: 8360 0/70 .11 Contact Person' we5 CG`2d (l'L'(,, E -Mail Address: �t,�[} /� Contractor Registration Number: I `1 011' -- 9 g3 0 City p State " / Zip Day Telephone: 2(5b r ! .2-2 Fax Number: Expiration Date: J /-2—,—' 7-- 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: Contact Person: E -Mail Address: H:\Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Plumbing -Gas Piping Permit Application.doc Revised: May 2011 bh City Day Telephone: Fax Number: State Zip Page 1 of 2 Valuation of Project (contractor's bid pri• $ 90o .0 0 • Scope of Work (please provide detailed n evtio 3 cMp 9. t( Gin o q o/, 1 p. vrloa `' t s. t'A- p u -r - . Tk9 - •c z can. 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 �i Vkl Shower, single head trap Lavatory Wash fountain Receptor, indirect waste 2. 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 66G Repair or alteration of drainage or vent piping (1A6U� r CoOlIC 1 1 Medical gas piping system serving 1 -5 inlets/outlets for a specific gas Each additional medical gas inlets/outlets greater than 5 it 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 5 P r ' N �p .*h 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. BUILDIN U NER OR Signature: Print Name: �l d i I Y � G v 4 -eve Q/2 Mailing Address: 3 3 1 9 Loo-t) G Date: ! D ^11 Day Telephoner b ` 109" CTR C/61 State City Date Application Accepted: — p �_ k I Date Application Expires: Staff Initials: H1Applications\Forms- Applications On Line \2010 Applications17.2010 - Plumbing -Gas Piping Permit Application.doc Revised, May 20t1 bh Zip vbe_ I 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.TukwilaWA.gov RECEIPT Parcel No.: 2623049079 Permit Number: PG 11 -113 Address: 17308 SOUTHCENTER PY TUKW Status: PENDING Suite No: Applied Date: 07/28/2011 Applicant: BASIL VIETNAMESE RESTAURANT Issue Date: Receipt No.: R11 -01609 Payment Amount: $27.81 Initials: WER Payment Date: 07/28/2011 02:56 PM User ID: 1655 Balance: $260.94 Payee: JAMES GUTIERREZ TRANSACTION LIST: Type Method Descriptio Amount Payment Cash Authorization No. ACCOUNT ITEM LIST: Description 27.81 Account Code Current Pmts PLUMBING - NONRES 000.322.103.00.00 27.81 Total: $27.81 doc: Receiot -06 Printed: 07 -28 -2011 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.: 2623049079 Permit Number: PG11 -113 Address: 17308 SOUTHCENTER PY TUB:W Status: PENDING Suite No: Applied Date: 07/28/2011 Applicant: BASIL VIETNAMESE RESTAURANT Issue Date: Receipt No.: R11 -01608 Initials: User ID: Payee: WER 1655 Payment Amount: $72.19 Payment Date: 07/28/2011 02:56 PM Balance: $288.75 JAMES GUTIERREZ TRANSACTION LIST: Type Method Descriptio Amount Payment Cash Authorization No. ACCOUNT ITEM LIST: Description 72.19 Account Code Current Pmts PLAN CHECK - NONRES 000.345.830 72.19 Total: $72.19 doc: Receiot -06 Printed: 07 -28 -2011 • • 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.Qov RECEIPT Parcel No.: 2623049079 Permit Number: PG11 -113 Address: 17308 SOUTHCENTER PY TUKW Status: APPROVED Suite No: Applied Date: 07/28/2011 Applicant: BASIL VIETNAMESE RESTAURANT Issue Date: Receipt No.: R11 -01914 Initials: User ID: JEM 1165 Payment Amount: $260.94 Payment Date: 08/31/2011 12:45 PM Balance: $0.00 Payee: BUU DIEN CORP, BASIC VIETNMSE CUISINE TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 361487 ACCOUNT ITEM LIST: Description 260.94 Account Code Current Pmts GAS - NONRES PLUMBING - NONRES 000.322.103.00.00 96.60 000.322.103.00.00 164.34 Total: $260.94 doc: Receiot -06 Printed: 08 -31 -2011 • INSPECTION RECORD Retain a copy with permit 'INSPECTION*NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION .6300 Southcenter. BIvd., #100, Tukwila. WA 98188 e. (206) 431 -3670 Permit Inspection' Request Line (206) 431 -2451 CAA P ect: , 'v .L. V4trafriPJe Type of Inspection: Cot aJ.D VVV! Addre s;., ' A 7 5 OS SC . iv-Cc-4-4st Date Called: Special•Instructions: • Date Wanted: -aim (1- '-/ —i {f p.m. Requester: 7noto- /4 .... 2,23` Approved per applicable codes. ' 1 Corrections required prior to approval. COMMENTS: vick St.o P r-A. J � i d 4.9piJJt i v kr—r—A i(' ! d JI f �' ,Q! d J yet . 1 lnspec or: IDate:q REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. ;.;:INSPECTION RECORD "s. Retain a copy with permit • Paid at 6300;Sohtlicenter Blvd:, Suite 100. Call to schedule reinspection. 2- INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 I. (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project ' // 0 Qf,� /e d�..,l� Type spection: � 9e 05-- D 1,41,1 , `- Ad ress: Date Called: Special Instruction S: ----- / Date Wa %ted:. / D'/ �, a.m. P.m. Requester: Phone No: , • pproved per applicable codes. E Corrections required prior to approval. COMMENTS: IDate:/40.../4/1/ ri REINSPECT'S FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. r INSPECTION RECORD f Retain a copy with permit INSPECTION NO: PERMIT NO. :: `CITY OF TUKWILA BUILDING DIVISION _ •- .6300.Southcenter Blvd., #100, Tukwila. WA 98188 is (206) 431 -3670 • . 'Rermit•Inspection. Request Line (206) 431 -2451 PG <<- X13 P-roj � / Type of Ispectiort: 4d'ress• Date Called: Special.Instructions: • _ r Date Wanted:. a.m. im -14-1! •m: Requester: Phone No' .5 1,50 --if) C ( v J 'COMMENTS: - Corrections required prior to approval. 5 t - • • ,ILL e -5 Linet Jle • Y F• (lnspe 1Date:) O - ` t . 177 J REINSPEpTION FEE REQUIRE 4. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd . Suite 100. Call to schedule reinspection. ;`• INSPECTION .NO: PERMIT NO. !• CITY OF TUKWILA BUILDING DIVISION • .6300 Southcenter Blvd., #100, Tukwila. WA 98188 0_ ▪ (206) 431 -3670 Permit Inspection Request Lief (206) 431 -2451 INSPECTION RECORD Retain a copy with permit R1(-t13 ect: if CP'-:is ,W-/, e 1/2- - e .1' 69 .f 0 4 "t` 4041e-4n Typ f Inspecti n: Address: f • • Date Called: Specia Instruct ons • •• • Date Wanted:. Requester: Phone No: 1- • L. Approved.per applicable codes. Corrections required prior to approval. • COMMENTS: if CP'-:is ,W-/, e 1/2- - e .1' 69 .f 0 4 "t` 4041e-4n / ' ,A4 ii$ 411 /1u t u,4, f r -C■1-- IA e ' 4 _Hy/ 6- l>c v «.3 ;C( _�.ee b r0 ,-) ( 2.P -1 -Ply ,C7f e , 1 '1bt '•`1) ` • • . - - /(4r, r : r (e----% 4 e lul TfT .L P! r lJre f I REINSPECTION FE REQUIRED Prior to next inspection. fee must be • paid at 6300 Southcenter Blvd. Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD P��t ` �3 Retain a copy with permit PERMIT NO. CITY OF' TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 j%t ti 1 V) (TA A' t .e. s. e TYpe(pf In ye4tign: p r J --f i) i0-- NLk_i . '-t-1). ). c. .b ,cr t --^ Address: 3 0 Es- Sc._ pdp-e44.7 Date Called: (5.Aq) 2, . Kdx 4deAc 4j... Special Instructions: 1_ *"—' f f(kV-Ivk i� k rficia A-4I Date Wanted:. % 47 -(k-ti p.m. Requester: `l) P 3 4 4 3 Approved per applicable codes. Corrections required prior to approval. COMMENTS: r: t ( AM CO kik, pk e� P -S i \J . --f i) i0-- NLk_i . '-t-1). ). c. .b ,cr t --^ std A W -- (5.Aq) 2, . Kdx 4deAc 4j... `t t ) S t e s Jr—v-4 ;, w - c�4 -.4 � - -A-U e ti-c;6 %. f I^-3 A4`e1. ,1,1 A 3 10 i,1 - /0-fr-4-qi■ `l) a �. ' / c�„, : -e if o 5t rAir- � Ti(,Np.4 u•. ...0 6_)&RritYltri",60-- isvir..oef-ft tu i IIns ector: REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be lid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. rate 11 r • INSPECTION RECORD 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 c1/40-113 Pfpitcr. ,.. - „ — — \/ t`ro.litkvlue*- Type of Inspection: P6,11- t k13 • F.-IN/AL Address: rtIon, s,dwf aoP 014 r2 Date Called: PL1 SpecialinttructiOns: • . • _ . . _. • .' Date Wanted:. iC) 1 161 i 1 1 I CaDn p.m. Requester: Phone No: . Approved per applicable codes. Corrections required prior to approval. COMMENTS:.. . sN.,) v._ w..i S:)- t.0-....”1164-e Vitt L., : .%1X- to...AArf4+ A P4 e° C120...C11/4-I S .I.: _.(11AVAcf■64 00,4-Ace, - kbtb /d0 PL./ o 1)_, 4.4ftes1114,5,\ c3i-kAkar al-k k 0 1^45t3S. 4 e•sr-f opts.Ag. i0A.A.8 & w-A..) -0.) Pi4mIzit.tile-w its. Pismo-i 00.g.i Date: AL^ A-4 1 -Ix... ... A......49..4 Lig . 7 1 0 -'.1 ff. ( 1 SECTION FEE RELI‘OIRED. Prior ti/next inspection. fee must be ..... at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. E 9. • • k•. ' f h • • INSPECTION RECORD Retain a copy with permit INSPECTiION NO. PERMIT NO. CITY OF`:TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 P61( 1(3 Pr iect: , Type :In eAon: p (v . AAs , `. GkiS: 1 4 a xtese Address: • 'i -7 3( S pArickhly Date Called: A/ Special Instructions: 5 °£ .-0(IF 0S a- • • . Date Wanted : i 1 -1 — 1f a.m. Requester: Pho C r .k3'I_S'1 1_3 Approved per applicable codes. D Corrections required prior to approval. COMMENTS: 1 Date: "l/ 0 .R NS ECTION FEE REQUIRED. Priorlto next inspection. fee must be • id e 6300 Southcenter Blvd.. Suite 00. Call to schedule reinspection. iti 9 INSPECTION NO. INSPECTION RECORD Retain a copy with permit -t..441,7y 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: teti' li Type, of Inspection: ?I. Writ k I • ..k.J Address: , gyp. Called: Special Instructions: Date Wanted:. n --5 4 t l • p.m. Requester: Phone No: tEtApproved per applicable codes. Corrections required prior to approval. COMMENTS: Y o wA: t ie oic IT= 4J - i PECTION FEE REQ,IRED. Prior/to next inspection, fee must be at 6300 Southcenter Blvd., Suite 00. Call to schedule reinspection. 1 REVISIONS No changes shall be made to the scope of work without prior approval of Tukwila Building Division. NM: Revisions will require a new plan submittal 1 and may include additional plan review fees. e V4t4 US( P V' 0 le k wt 0 eti S 044 COD 411 a FILE COPY Permit No. V611— t'� ph. „view approval is subject to errors and omissions. A =;irt. v l at constructto documents does not authorize 1' .:,t bt'r: of env �ted code or ordinance. Receipt L.; proved Field �,��� 4.-0-7-01 • is acknowledged: 0 0-tee 7rotfo LIB V eAt �Y'.. "VV By D a t e : O f / / I t City Of 1Ukwita BUILDING DIVISION SEPARATE PERMIT REQUIRED FOR: echanical Electrical ❑ Plumbing ❑ Gas Piping r; Z/ of Tukwila Bi. l.,s; .3G DIVISION oo\t 5Wr Pre, Par tel 1/44'14 1446 trt ever. REVIEWED FOR CODE COMPLIANCE APPROVED AUG 29 2011 City of Tukwila BUILDING DIVISION CORRECTION ?GL%113 RECEIVED AUG 187011 TUKWIL A PUBLIC WORKS RECEIVED AUG 17 2011 PERMIT CENTER 6A5 40V iet91— ge-tve. otr'e. Pow*Cir 196/1-113 REVIEWED FOR I-COD � COMPLIANCE APPROVED AUG 2 9 2011 City of Tukwila BUILDING DIVISION RECEIVE AUG 17 2071 PERMIT CENTEF, Alma i Nift,A h AitAAi Pivvf-JaiP/1/4.--5 yowl. rZe-64-- , 1 -4e77 .�+ •■• •• .M=0 -ry ch .t4' ((%5I' l \q' t r0,41/set$20._ fo gre4 fl REVIEWED FOR CODE COMPLIANCE APPROVED AUG 292011 City of Tukwila BUILDING DIVISION -1014w 1 RECEIVE - AUG AUG 17 2011 PERMITCENTEFt n • D1/.2_qh, TO Ye, cArt/ Tult,(JA. , /l-Q- id-LD aa„8, (Ka/..N_ (r)..nbq -10A- re-LA/n-41 ) gv> u rri'-1- ?/e/t-rn-;(1"- ok/L, q\-tArei ° d ciAk 0 kiljr. e■., 14\oviL C200 73/f —443 RECEIVED CIN OF TUKWILA SEP292011 9ERMIT CENTER City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director August 16, 2011 James Gutierrez 5360 S Wallace St Seattle, WA 98178 RE: Correction Letter #1 Plumbing/Gas Piping Permit Application Number PG11 -113 Basil Vietnamese Restaurant —17308 Southcenter Py Dear Mr. Gutierrez, This letter is to inform you of corrections that must be addressed before your plumbing/gas piping permit can be approved. All correction requests from each department must be addressed at the same time and reflected on your drawings. I have enclosed comments from the Building and Public Works Departments. Building Department: Allen Johannessen at 206 433 -7163 if you have any questions regarding the attached memo. Public Works Department: Joanna Spencer at 206 431 -2440 if you have any questions regarding the attached memo. Please address the attached comments in an itemized format with applicable revised plans, specifications, and/or other documentation. The City requires that two (2) sets of revised plans, specifications and /or other documentation be resubmitted with the appropriate revision block. In order to better expedite your resubmittal, a `Revision Submittal Sheet' must accompany every resubmittal. I have enclosed one for your convenience. Corrections /revisions must be made in person and will not be accepted through the mail or by a messenger service. If you have any questions, please contact me at (206) 431 -3670. Sincerely Bill Rambo Permit Technician encl File: PG11 -113 W:\Pennit Center\Correction Letters\2011\PGI1 -113 Correction Letter #1.doc 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 Tukwila Building Division Allen Johannessen, Plan Examiner Building Division Review Memo Date: August 15 2011 Project Name: Basil Vietnamese Restaurant Permit #: PG11 -113 Plan Review: Allen Johannessen, Plans Examiner The Building Division conducted a plan review on the subject permit application. Please address the following comments in an itemized format with revised plans, specifications and/or other applicable documentation. (GENERAL NOTE) PLAN SUBMITTALS: (Min. size 11x17 to maximum size of 24x36; all sheets shall be the same size). (If applicable) Structural Drawings and structural calculations sheets shall be original signed wet stamped, not copied.) 1. Provide clear professionally drawn plumbing plan with an isometric and plan design of the plumbing and gas installation. Show and identify all fixtures clearly. Show where the grease separator shall be installed. Provide manufacturers installation manual and specifications for the grease separator. Show point of connections for all plumbing. Specify all that is existing and new. Should there be questions concerning the above requirements, contact the Building Division at 206- 431 -3670. No further comments at this time. st is PUBLIC WORKS DEPARTMENT COMMENTS DATE: August 4, 2011 PROJECT: Basil Vietnamese Restaurant 17308 Southcenter Pkwy PERMIT NO: PG 10 -113 PLAN REVIEWER: Contact Joanna Spencer (206) 431 -2440 if you have any questions regarding the following comments. 1) Please submit a more legible plumbing plan. Drawing you have submitted is very hard to read. Please note that the dishwasher is not allowed to go through the outside grease interceptor. If you have any questions regarding connecting the dishwasher contact Mr. Mike Cusick, P.E., Public Works Senior Sewer Engineer at (206)431 -2441 to discuss this issue. W:Other /Joanna /PG11 -113 • P `.��'i , ^ �tF 'cam .: •� G.�S� i,t.:iT.'M Y � PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG11 -113 DATE: 08 -17 -11 PROJECT NAME: BASIL VIETNAMESE RESTAURANT SITE ADDRESS: 17308 SOUTHCENTER PY Original Plan Submittal X Response to Correction Letter # 1 Response to Incomplete Letter # Revision # After Permit Issued DEPARTMENTS: ull g " Division �PiC Pub lc Works Fire Prevention Structural n Planning Division Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: Incomplete DUE DATE: 08-18-11 Not Applicable Permit Cehtervse.Only • INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUESITHURS ROUTING: Please Route 1p Structural Review Required ❑ No further Review Required ❑ REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved ❑ Approved with Conditions Notation: REVIEWER'S INITIALS: DUE DATE: 09 -15 -11 Not Approved (attach comments) DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents /routing slip_doc 2 -28 -02 i • PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG11 -113 DATE: 07 -28 -11 PROJECT NAME: BASIL VIETNAMESE RESTAURANT SITE ADDRESS: 17308 SOUTHCENTER PY X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Issued IC�YI S:g-q t11 nr ivisign Li Fire Prevention Structural Planning Division ❑ Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Incomplete ❑ DUE DATE: 08-02-11 Not Applicable n 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 1 Structural Review Required n No further Review Required ❑ REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: DUE DATE: 08-30 -11 Approved n Approved with Conditions n Not Approved (attach comments) Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only Q CORRECTION LETTER MAILED: (r'1A0*-- q Departments issued corrections: Bldg Fire ❑ Ping ❑ PWN— Staff Initials: VU`S Documents/routing slip.doc 2 -28 -02 City of Tukwila REVISION SUBMITTAL Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Web site: http: //www.ci.tukwila.wa.us Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax etc. Date: Plan Check/Permit Number: 11)‘' 11- 83 ❑ Response to Incomplete Letter # [Response to Correction Letter # ❑ Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: j lei 5j L._. q, 8 4- P U v0- Project Address: / ? 0 8 &, t Ir P, iq1w Contact Person: 11 f,C,- (f 2v i.4 tiv1k Summary of Revision: Ph re Number: 2D by 3 " 1 G 50 npu) dretwItip RECEIVED env OF TUB AUG ;i 7 2011 PERMIT CENTEP Sheet Number(s): "Cloud" or highlight all areas of revision including revis• n (-----4, Received at the City of Tukwila Permit Center by: l- Entered in Permits Plus on O ( t H: Applications\Forms- Applications On Line \2010 Applications \7 -2010 - Revision Submittal.doc Created: 8-13-2004 Revised: 7 -2010 Lc' King County Department of Natural Resources and Parks Wastewater Treatment Division TIO1 \\3 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 n 30C, 54,i-tk CV4ifk Y X1J Property Street Address City State ZIP Owner's Name Subdivision Name P WYJ tA Subdiv. # Date of Connection Building Name C't v� ' _ d t Side Sewer Permit # (if applicable) Lot # Block # 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 Please report any demolitions of pre - existing building on this property. ( ) Credit for a demolition may be given under some circumstances. Owner's Phone Number (with Area Code) Demolition of pre- existing building? ❑ Yes ❑ No Property Contact Phone Number (with Area Code) Was building on Sanitary Sewer? ❑ Yes ❑ No Owner's Mailing Address Was Sewer connected before 2/1/90? ❑ Yes ❑ No Sewer disconnect date: Type of building demolished? Request to apply demolition credit to multiple buildings? 0 Yes ❑ No A. Fixture Units Fixture Units x Number of Fixtures = Total Fixture Units Kind of Fixture Fixture Units No. of Fixtures Total Fixture Units Public Private Public Private Bathtub and Shower 4 4 Shower, per head 2 2 Dishwasher 2 2 1 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 I Sink, Clinic flushing 8 8 Sink, kitchen 3 2 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 l 0 Residential Customer Equivalent (RCE) 20 fixture units equal 1.0 RCE Total No. of Fixture Units _ 20 S RCE 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 V RCE RCE • L '28 2011 R 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 c,, rected data •r • - termination of a revised capacity charge. Signature of Owner /Representative Print Name of Owner /Representative Inca 10 a. 011171 Date ce...e, r„e......e. CITY OF TUKWILA Department of Community Development 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431-367o FAX (206) 431 -3665 E -mail: tukplanivci.tukwila.wa.us Permit Center /Building Division 206 431 -367o Public Works Department 206 433 -0179 Planning Division 206 431 -367o AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION PERMIT NO: 1) V 4 I 113 STATE OF WASHINGTON) ) ss. COUNTY OF KING JVC'v -L7 Cc? 1‘) [please print name] , states as follows: 1. T have made application for a permit from the City of Tukwila, Washington. 2. I understand that state law requires that all building construction contractors be registered with the State of Washington. The exceptions to this requirement are stated under Section 18.27.090 of the Revised Code of Washington, a copy of which is printed on the reverse side of this Affidavit. I have read or am familiar with RCW 18.27.090. 3. I understand that prior to issuance of a permit for work which is to be done by any contractor, the City of Tukwila must verify either that the contractor is registered by the State of Washington, or that one of the exemptions stated under RCW 18.27.090 applies. 4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I hereby attest that after reading the exemptions from the registration requirement of RCW 18.27.090, I consider the work authorized under this permit to be exempt under number / , and will therefore not be performed by a registered contractor. 5. I understand that the licensing provision of RCW 19.28.161 through 19.28.271 shall not apply to persons making electrical installations on their own property or to regularly employed employees working on the premises of their employer. The proposed electrical work is not for the construction of a new building for rent, sale or lease. I understand that I may be waiving certain rights that I might oth e have under state law in any decision to engage an unregistered contractor to perform construction w Owner /Owner's Agent* Signed and sworn to before me this y of Sgp* /r , 20// ARY PUBLIC in and for the State of Washington Residing at Name as commissioned: My commission expires: , County �4 e/27--/e C5 9 iy 18.27.090 Exemptions. The reion provisions of this chapter do not applS 1. An authorized representative of the United States government, the state of Washington, or any incorporated city, town, county, township, irrigation district, reclamation district, or other municipal or political corporation or subdivision of this state; 2. Officers of a court when they are acting within the scope of their office; 3. Public utilities operating under the regulations of the utilities and transportation commission in construction, maintenance, or development work incidental to their own business; 4. Any construction, repair, or operation incidental to the discovering or producing of petroleum or gas, or the drilling, testing, abandoning, or other operation of any petroleum or gas well or any surface or underground mine or mineral deposit when performed by an owner or lessee; 5. The sale of any finished products, materials, or articles of merchandise that are not fabricated into and do not become a part of a structure under the common law of fixtures; 6. Any construction, alteration, improvement, or repair of personal property performed by the registered or legal owner, or by a mobile /manufactured home retail dealer or manufacturer licensed under chapter 46.70 RCW who shall warranty service and repairs under chapter 46.70 RCW; 7. Any construction, alteration, improvement, or repair carried on within the limits and boundaries of any site or reservation under the legal jurisdiction of the federal government; 8. Any person who only furnished materials, supplies, or equipment without fabricating them into, or consuming them in the performance of, the work of the contractor; 9. Any work or operation on one undertaking or project by one or more contracts, the aggregate contract price of which for labor and materials and all other items is less than five hundred dollars, such work or operations being considered as of a casual, minor, or inconsequential nature. The exemption prescribed in this subsection does not apply in any instance wherein the work or construction is only a part of a larger or major operation, whether undertaken by the same or a different contractor, or in which a division of the operation is made into contracts of amounts less than five hundred dollars for the purpose of evasion of this chapter or otherwise. The exemption prescribed in this subsection does not apply to a person who advertises or puts out any sign or card or other device which might indicate to the public that he or she is a contractor, or that he or she is qualified to engage in the business of contractor, 10. Any construction or operation incidental to the construction and repair of irrigation and drainage ditches of regularly constituted irrigation districts or reclamation districts; or to farming, dairying, agriculture, viticulture, horticulture, or stock or poultry raising; or to Bearing or other work upon land in rural districts for fire prevention purposes; except when any of the above work is performed by a registered contractor; 11. An owner" who contracts for a project with a registered contractor, except that this exemption shall not deprive the owner of the protections of this chapter against registered and unregistered contractors. The exemption prescribed in this subsection does not apply to a person who performs the activities of a contractor for the purpose of leasing or selling improved property he or she has owned for less than twelve months; 12.* Any person working on his or her own property, whether occupied by him or her or not, and any person working on his or her personal residence, whether owned by him or her or not but this exemption shall not apply to any person who performs the activities of a contractor on his or her own property for the purpose of selling, demolishing, or leasing the property; 13. An owner* who performs maintenance, repair, and alteration work in or upon his or her own properties, or who uses his or her own employees to do such work; 14. A licensed architect or civil or professional engineer acting solely in his or her professional capacity, an electrician certified under the laws of the state of Washington, or a plumber certified under the laws of the state of Washington or licensed by a political subdivision of the state of Washington while operating within the boundaries of such political subdivision. The exemption provided in this subsection is applicable only when the person certified is operating within the scope of his or her certification; 15. Any person who engages in the activities herein regulated as an employee of a registered contractor with wages as his or her sole compensation or as an employee with wages as his or her sole compensation; 16. Contractors on highway projects who have been prequalified as required by RCW 47.28.070, with the department of transportation to perform highway construction, reconstruction, or maintenance work; 17. A mobile /manufactured home dealer or manufacturer who subcontracts the installation, set -up, or repair work to actively registered contractors. This exemption only applies to the installation, set -up, or repair of the mobile /manufactured homes that were manufactured or sold by the mobile /manufactured home dealer or manufacturer; 18. An entity who holds a validelectrical contractor's license under chapteS`4c�;28;RC•,*iat employs a certified journeyman elects;cc n;+aecertified,residential specialty electrician, or art electiticalfrainee`meeting the requirements ofchajiter 19.28 RCW.to perform plumbing work that is inciiientally, directly, andimtpediately appropriate to the.like- in- kind.replaceineirt of a household appliance or other small householci,utilization equipment that requires limited elggtriapovrer and limited waste and /or water connection! Arraectrical trainee must be supervised by a certified elidtkicfan while performing plumbing work. • Per Washington State Department of Labor and Industries, lessee has been interpreted to be equivalent to owner for the purpose of these exemptions. Contractors or Tradespeople liter 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 NO BULL PLUMBING UBI No. 602115785 Phone 2067210757 Status Active Address 5360 S Wallace St License No. NOBULP'983DG Suite /Apt. License Type Construction Contractor City Seattle Effective Date 3/7/2002 State WA Expiration Date 8/5/2012 Zip 98178 Suspend Date County King Specialty 1 Plumbing Business Type Individual Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date GUTIERREZ, JAMES Owner 03/07/2002 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 7 STATE FARM FIRE & CAS CO 98BFP7817 09/01/2010 Until Cancelled $6,000.0009/20/2010 /2011 6 American Contractors Indem CO 100090067 07/15/2009 Until Cancelled 09/10/2010 $6,000.0008/07/2009 05/05 /2010 5 PLATTE RIVER INS CO 41133037 07/15/2008 Until Cancelled 08/08/2009 $6,000.0008/05/2008 04/22 /2010 4 AMERICAN CONTRACTORS INDEM CO 100023227 05/10/2007 Until Cancelled 07/02/2008 $6,000.00 05/30/2007 3 PLATTE RIVER INS CO 41066062 05/10/2006 Until Cancelled 05/15/2007 $6,000.00 05/15/2006 2 ACCREDITED SURETY &CAS CO 10035757 03/15/2005 Until Cancelled 03/15/2006 56,000.0003/25/2005 12/14/2005 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 State Farm Fire & Cas Co 98BJG6117 04/21/2011 04/21/2012 $500,000.0003/14 /2011 8 STATE FARM FIRE & CAS CO 98BHW9562 04/21/2010 04/21/2011 $500,000.00 05/05 /2010 7 STATE FARM FIRE &CAS CO 984972344 04/21 /2010 04/21/2011 5500,000.00 04/22 /2010 6 OOHIO CAS INS BH053790409 03/09/2009 03/09/2010 $1,000,000.00 05/26/2009 5 TRUCK INS EXCHANGE 035095641 03/29/2007 03/19/2009 $1,000,000.00 05/28/2008 4 TRUCK INS EXCHANGE 03595641 10/25/2004 10/25/2006 $500,000.00 12/14/2005 3 ASSURANCE CO OF AMERICA SCP41438244 10/25/2003 10/25/2005 $300,000.00 10/04/2004 Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 08/31/2011