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Home My WebLink AboutPermit PG12-105 - NORDSTROM - ESPRESSO BARNORDSTROM ESPRESSO BAR 100 SOUTHCENTER MALI. PG12 -105 City oikukwila 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.: 9202470010 Address: 100 SOUTHCENTER MALL TUKW Project Name: NORDSTROM ESPRESSO BAR F?EL SECT Tb SPEerzoN Permit Number: PG12 -105 Issue Date: 05/23/2012 Permit Expires On: 11/19/2012 Owner: Name: WESTFIELD PROPERTY TAX DEPT Address: PO BOX 130940 , CARLSBAD CA 92013 Contact Person: Name: DUNCAN OSBORN Address: 1501 4 AV , STE 900 , SEATTLE WA 98101 Email: DUNCAN.F.OSBORN @NORDSTROM.COM Contractor: Name: WEZEE'S PLUMBING Address: 1526 NW 59 ST , SEATTLE WA 98107 Contractor License No: WEEZEPI925C 1 Phone: 206 303 -5553 Phone: 206 829 -9222 Expiration Date: 02/21/2014 DESCRIPTION OF WORK: ADD RINSE SINK, DIPPER WELL, AND ICE CREAM FREEZER TO BACK COUNTER. Value of Plumbing /Gas Piping: $5,000.00 Uniform Plumbing Code Edition: 2009 Fees Collected: $96.60 International Fuel Gas Code Edition: 2009 Electrical Service Provided by: Permit Center Authorized Signature: / I hereby certify that I have read and governing this work will be complie Date: pc-1 23I 2 xa ed this permit and know the same to be true and correct. All provisions of law and ordinances 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: Date: Print Name: J)tIju4) ` t &V A/✓ 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 PG12 -105 Printed: 05 -23 -2012 PERMIT CONDITIONS Permit No. PG 12 -105 1;., * *,` P1;UMB N ING AD 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 PG12 -105 Printed: 05 -23 -2012 CITY OF TUKWI Community Developm epartment Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov 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 Address: /00 ..C/I)77-/C- & t) L-L. Tenant Name: f p/ S? jt4 e:steep--55v /� 2 PROPERTY OWNER i '` Name: 'Du m ivv 0 5A OgN Name: N 0AD ST-40 M INCA . City: 5e� .. State: Zip: , Address: / /7 6 A vE. Email: uvIcc6of. Os • am 0 wordssfro m , L City:, . State: ✓ Zip:e7$10I CONTACT; PERSON person receiV Ong all;prolect` i • ' ,r. ;comir'iunication ..,..1`1.' Name: 'Du m ivv 0 5A OgN Address: l5-0 I / isn A,- 7 D `J City: 5e� .. State: Zip: Phone: 3I ___?0.3 _cs_ ax: 2.09 -303 533_7 Email: uvIcc6of. Os • am 0 wordssfro m , L King Co Assessor's Tax No.: Suite Number: Floor: )"/?-51T - New New Tenant: ❑ Yes K. No 6N-DV-11 - 001, o 1PLUIVIBIN6 CONTRACTOR'INFORMATION . rf Company Name: ii, j a S P #autkv %G,, Address:, �2 (a N VJ orn 57—: :: City: . State: tot.a ZipIgit 7 Phone:2 Fax: o b Z2g -%7d -1 S'n 92-13 Contr Reg NNE: 7 IscciExp Date: '2. //if J ` Tukwila Business License No.: ti /� ',_ Valuation of Project (contractor's bid price): $ ;-■ 0 VD. Scope of Work (please provide detailed information): 6 K I A E Sib*/ bliPi0 . 1/10 _ /JA;t lc c cf *-i 7-° 6/41k. Cevi17 Building Use (per Int'1 Building Code): Occupancy (per Int'l Building Code): (A' 3� Utility Purveyor: Water: 17-'7 'D,C 72"4(1v(e_4 H:Wpplications\Forms- Applications On Line \2011 Applications'Plumbing Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh Sewer: G/7-).7 OIC 71144c,74-- Page 1 of 2 Indicate type of plumbing fixtures and/orgas piping outlets being installed and the quantitelow: Fixture Type Qty Bathtub or combination bath/shower Dishwasher, domestic with independent drain Shower, single head trap Sinks I Rain water system — per drain (inside building) Grease interceptor for commercial kitchen ( >750 gallon capacity) Each additional medical gas inlets /outlets greater than 5 Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections (1 -5) Fixture Type Qty Bidet Drinking fountain or water cooler (per head) Lavatory Urinal Water heater and /or vent Repair or alteration of water piping and/or water treatment equipment Backflow protective device other than atmospheric - type vacuum breakers 2 inch (51 mm) diameter or smaller Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections over 5 Fixture Type Qty Clothes washer, domestic Food -waste grinder, commercial Wash fountain Water closet Industrial waste treatment interceptor, including trap and vent, except for kitchen type grease interceptors Repair or alteration of drainage or vent piping Backflow protective device other than atmospheric -type vacuum breakers over 2 inch (51 mm) diameter Gas piping outlets Fixture Type Qty Dental unit, cuspidor Floor drain Receptor, indirect waste Building sewer and each trailer park sewer Each grease trap (connected to not more than 4 fixtures - <750 gallon capacity Medical gas piping system serving 1 -5 inlets /outlets for a specific gas Each lawn sprinkler system on any one meter including backflow protection devices 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 to ' • U - ORI i, ■ - ENT: Signature: Date: 4/232 Print Name: b 4f 1I � C;57/LC' C /11 Day Telephone: 206 . D3 -- f Mailing Address: /9e) e) / ' .-, J f,27 11; 7.) H' \Applications\Forms- Applications On Line\2011 Applications\Plumbing Permit Application Revised 8-9-11 docx Revised. August 2011 bh (731/6)7 City State Zip 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.aov RECEIPT Parcel No.: 9202470010 Permit Number: PG 12 -105 Address: 100 SOUTHCENTER MALL TUKW Status: APPROVED Suite No: Applied Date: 05/23/2012 Applicant: NORDSTROM ESPRESSO BAR Issue Date: Receipt No.: R12 -01658 Initials: User ID: JEM 1165 Payment Amount: $96.60 Payment Date: 05/23/2012 10:20 AM Balance: $0.00 Payee: DUNCAN OSBORN, NORDSTROM INC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA 96.60 Authorization No. 023497 ACCOUNT ITEM LIST: Description Account Code Current Pmts PLUMBING - NONRES 000.322.103.00.00 96.60 Total: $96.60 doc: Receipt -06 Printed: 05 -23 -2012 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 5 Project: /J 2 / ?O 57 OA0-1 CC-SIO/''s5 0 Type of Inspection: /0/l/,'''3 Address: /pU /> /-4// Date Called: Special Instructions: () 4/ &-C / Date Wanted:. -i $ - ✓ 7 _ (Cr _n, P.m. Requester: Phone No: a o6 - ?cc -,95- 29 NApproved per applicable codes. El Corrections required prior to approval. COMMENTS: /mot /ri�tJ 7/ l . I Date: RE SPECTION FEE REQUIRED. Prior to/next inspection, fee must be pf d at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople Peer 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 WEZEE'S PLUMBING INC UBI No. 602803731 Phone 2068299222 Status Active Address 1526 Nw 59Th St License No. WEEZEPI925C1 Suite /Apt. License Type Construction Contractor City Seattle Effective Date 2/21/2008 State WA Expiration Date 2/21/2014 Zip 981073024 Suspend Date County King Specialty 1 Plumbing Business Type Corporation Specialty 2 Unused Parent Company d Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status SLCONLC940L7 S & L CONSTRUCTION INC Construction Contractor General Unused 6/27/2006 3/4/2013 Active SLCONC *968RF S & L CONSTRUCTION Construction Contractor Carpentry/Framing Painting /Wallcovering 12/6/2004 12/6/2006 Expired Business Owner Information Name Role Effective Date Expiration Date HANSEN, LOUISE MARIA President 02/21/2008 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 AMERICAN STATES INS CO 6555639 02/20/2008 Until Cancelled $6,000.00 02/21/2008 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 Farmers ins Exchange 604870078 12/13/2011 12/13/2012 $1,000,000.0012 /14/2011 2 Farmers Ins Exchange 604870078 12/13/2010 12/13/2011 $1,000,000.00 02/28/2011 1 0010 CAS INS BL053722539 02/20/2008 02/20/2011 $1,000,000.00 02/16/2010 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 05/23/2012