HomeMy WebLinkAboutPermit PG12-162 - MUCHO BURRITOMUCHO BURRITO
971 S OUThCENTELR MALL
PG12 -162
City ofiTukwila
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: 971 SOUTHCENTER MALL TUKW
Project Name: MUCHO BURRITO
Permit Number: PG12 -162
Issue Date: 09/10/2012
Permit Expires On: 03/09/2013
Owner:
Name: WESTFIELD PROPERTY TAX DEPT
Address: PO BOX 130940 , CARLSBAD CA 92013
Contact Person:
Name: JAK MOROSHAN Phone: 714 697 -4354
Address: 16125 JUANITA - WOODINVILLE WY NE #702 , BOTHELL WA 98011
Email:
Contractor:
Name: MODCO DESIGN LLC Phone: 716 697 -4354
Address: 16125 JUANITA WOODINVILLE WY #702 , BOTHELL, WA 98011
Contractor License No: MODCODL895LT Expiration Date: 06/30/2013
DESCRIPTION OF WORK:
INSTALL NEW GAS LINE FROM METER TO TENANT SPACE AND PROVIDE (3) GAS PIPING
OUTLETS FOR EQUIPMENT.
Value of Plumbing /Gas Piping:
Fees Collected:
Electrical Service Provided by:
Permit Center Authorized Signature:
$3,400.00
$120.75
Uniform Plumbing Code Edition: 2009
International Fuel Gas Code Edition: 2009
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 pres
construction or the performance of work.
on the back of this permit.
Signature:
Print Name:
to give authority to violate or cancel the provisions of any other state or local laws regulating
am authorized to sign and obtain this plumbing /gas piping permit and agree to the conditions
i
yea 6 /I q fP-5 G
Date:
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 -162 Printed: 09 -10 -2012
PERMIT CONDITIONS
Permit No. PG 12 -162
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
PG12 -162 Printed: 09 -10 -2012
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
http: / /www.TukwilaWA.gov
Date Application Accepted:'
Date Application Expires:
(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: 97! Soo ee4C4r
Tenant Name: guttno jU riN) 40
King Co Assessor's Tax No.: .Poi - 11 `�%o 0
Suite Number: .2-SG, Floor: 15
cS \AN A; e ? e.eY r New Tenant: E Yes ❑ ..No
PROPERTY OWNER
Name:
` J �5 4Pc1_D
U(�_1'1
Address:
'C/1�� /J0
City:
1. t\AI� Y/"�
State: /ii/A- Zip: - L vpi(
CONTACT PERSON — person receiving all project
communication
Company Name: Rod Co Des ‘,5 V\
Name: J k ko, 051_ . / ■oJ C
City: go, Tev State: Wi.\ Zip: 01i
Address: (((ZS `,4v"4'l wodot.AV%IlQ t"17
702
City: g Tka State: 0d Zip: ?8o1/
'\
Phone: 7f _/+9,7^ ya.5Fax:
Email:.k ® 1=A- c0 S 4tn .Cpv
PLUMBING CONTRACTOR INFORMATION
Company Name: Rod Co Des ‘,5 V\
Address: I6 t ZS i1/4„..41c1/4 tri In M l l e war k)
City: go, Tev State: Wi.\ Zip: 01i
Phone: 7114 97. y35,1 Fax:
Contr Reg No.: V!� iA0Dc o OL8%LT Exp Date: C f go /1 7
/ 3
Tukwila Business License No.:
Valuation of Project (contractor's bid price): $ yco
Scope of Work (please provide detailed information): r- tki
r~y,^ N.Q Lr L er,a,,n
5ee.c-
0^4K era violo 4 J pv}- ‘c 'V 0944'"
Building Use (per Int'I Building Code):
Occupancy (per Int'I Building Code):
Utility Purveyor: Water:
H: \Applications \Forms- Applications On Line \2011 Applications\Plumbing Permit Application Revised 8 -9 -I I.docx
Revised: August 2011
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Sewer:
Page 1 of 2
Indicate type of plumbing fixtures and /or gas piping outlets being installed and the quantity below:
Fixture Type
Qty
Bathtub or combination
bath/shower
Dishwasher, domestic with
independent drain
Shower, single head trap
Sinks
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)
3
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
3
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
3
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 OR AUTHORIZED AG T:
Signature: Date: koj,S 27,20(L
Print Name: � )V.Ucog �w Day
Telephone: DI'07- y q
Mailing Address:- /(/ZS' va..t'eL t..)mdtr. 11 4')"r NE 7'z
, I••.) 9j
City State Zip
H \Applications \Forms- Applications On Line \2011 Applications\Plumbing Permit Application Revised 8 -9- 11.docx
Revised: August 2011
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Page 2 of 2
r •
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: PG12 -162
Address: 971 SOUTHCENTER MALL TUKW Status: PENDING
Suite No: Applied Date: 08/27/2012
Applicant: MUCHO BURRITO Issue Date:
Receipt No.: R12 -02451
Payment Amount: $120.75
Initials: JEM Payment Date: 08/27/2012 09:00 AM
User 1D: 1165 Balance: $0.00
Payee: JACOB MOROSHAN, HODCO DESIGN LLC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 739318
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: 08 -27 -2012
5
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
(206) 431 -3670
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 431 -2451
Project:
/z1),C /44, /3 v' R2 ro •
Type of Inspection:
• Ff API C_: .-
-6, S
Address:
9 7 1 Sc 3 (-1 A/7 IN i 4/
Date Called:
Special Instructions:
Date Wanted:.
a:m
Requester:
Phone No:
sR Approved per applicable codes.
EJCorrections required prior to approval.
COMMENTS:
P.7.41 1-f (q 044 / ;;1/
n 4 /SPECTION FEE R
d at 6300 Southcent
Oatei
QUIRE . Prior to next inspection, fee niustlie.
r Blvd., Suite 100. Call to schedule -reinspection:
: '.L
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
¢t2-16
Project:
Thi (g iv) GtiRR r
Type of Inspection:
rikot.. -Cii t '.
Address:
cf 1 SroO
- nA A LI__.
Date Called:
Special Instructions:
Date Wanted:.
q -21- )2 ..
a.m:
p`
Requester:
Phone No:
7N-6 7 ~435
DApproved per applicable codes.
COMMENTS:
Corrections required prior to approval.
�L) Al A4 mod , ;',
Date:
.•,.�., ) �11.�• ..�.en.. r, i -2 1- l'?'
R INSPECTION FEE REQUIRED. rior to next inspection, fee roust-be-
Raid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.:
INSPECTION NO.
INSPECTION RECORD.
Retain a copy with permit
P6/27 /62
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 5outhcenter Blvd., #100, Tukwila: WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project:
MZICpfi3 R !N r /T p
Type of Inspection:.
G .!'JET (
/ //
/? >t i .-ti
Address:
c)7 I 0/1Ar.evkf /OA II
Date Called:
Special Instructions:
Date Wanted:.
•c —/ 2 -- /
2..
(a.ni:
P.m-
Requester:
Phone No:
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
r2) l ?duy h _,;,,/ _ 441,244,17e
(REJSPECTION FEE REQUIRED. Vo to next inspection, fee must be
'yid at 6300 SouthcenteriBlvd., Suite 100. Call to schedule reinspection.-
•
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
August 29, 2012
Jak Moroston
16125 Juanita Woodinville Wy NE #702
Bothell, WA 98011
RE: Correction Letter #1
Plumbing/Gas Piping Permit Application Number PG12 -162
Mucho Burrito — 971 Southcenter Mall
Dear Mr. Moroston,
This letter is to inform you of corrections that must be addressed before your development 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 Department. Please contact the
following individual if you have questions regarding the attached memo.
Building Department: Dave Larson at 206 431 -3678
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, I can be reached at (206) 431 -3670.
Sincerely,
i
Jen fifer Marshall
Pe it Technician
encl
File No. PGI2 -162
W:\Permit Center \Correction Letters\2012\PG12 -162 Correction Letter #1.doc
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
•
Tukwila Building Division
Dave Larson, Senior Plan Examiner
Building Division Review Memo
Date: August 29, 2012
Project Name: Mucho Burrito
Permit # PG12 -162
Plan Review: Dave Larson, Senior 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 calculation sheets shall be stamped and signed.
1. The plan for the gas piping is too small in sections downstream from the ansul valve per the
tables in the International Fuel Gas Code. Per phone conversation with Jak Moroshan, analysis
and needed changes will be completed by Abossein Engineering. Please provide a revised plan
complying with The IFGC. All documents prepared by Abossein will need to be stamped.
Should there be questions concerning the above information please contact the Building Division at 206-
431 -3670.
SERMITCOORD C4R1*
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: PG12 -162 DATE: 08/31/12
PROJECT NAME MUCHO BURRITO
SITE ADDRESS: 971 SOUTHCENTER MAIL
Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter # 1
Revision # after Permit Issued
PARTME S: a Vn
B 11 1ng Division
Public Works ❑
Fire Prevention
Structural
Planning Division
❑ Permit Coordinator ❑
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete Incomplete ❑
DUE DATE: 09 /04/12
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
Structural Review Required ❑ No further Review Required ❑
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS:
DUE DATE: 10/02/12
Approved ❑ Approved with Conditions Not Approved (attach comments) ❑
Notation:
REVIEWER'S INITIALS:
DATE:
Permlt Center, Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
0403 mow Mad a.
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: PG12 -162 DATE: 08/27/12
PROJECT NAME: MUCHO BURRITO
SITE ADDRESS: 971 SOUTHCENTER MALL
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter #
Revision # after Permit Issued
DEPART ENTS: O�4A,'Z
ed
B II ing Division
Fire Prevention
Planning Division
Public Works ❑ Structural ❑ Permit Coordinator ❑
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
Incomplete ❑
DUE DATE: 08/28/12
Not Applicable ❑
Comments:
Perm fCenter`Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES/THURS ROUTING:
Please Route IN Structural Review Required ❑ No further Review Required ❑
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS:
DUE DATE: 09/25/12
Approved ❑ Approved with Conditions ❑ Not Approved (attach comments)
Notation:
REVIEWER'S INITIALS:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections:
1,4
Bldg E Fire ❑ Ping ❑ PW ❑
Staff Initials:
CityIf Tukwila
REVISION
SUBMITTAL
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Web site: http: / /www.TukwilaWA.gov
Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through
the mail, fax, etc.
Date: k ✓,U S is 1, 12 Plan ChecWPermit Number:
❑ Response to Incomplete Letter #
�--- Response to Correction Letter # 1
❑ Revision # after Permit is Issued
❑ Revision requested by a City Building Inspector or Plans Examiner
Project Name: V ¢,1,-o a c>r f
Project Address: 3 7/ S., c 1%--% , 981 e'
Contact Person: • r a S Phone Number: % / �l- 617 - `� 3$
PG )-) (0a
Summary of Revision:
as
e A,,
7 5
CITREOLFIVED
AUG 31 2012
PERMIT PERMIT CENTER
Sheet Number(s):
"Cloud" or highlight all areas of revision including date of revision
Received at the City of Tukwila Permit Cep ter by:
Entered in Permits Plus on �1 I
H:\ Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Revision Submittal.doc
Revised: May 2011
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 MODCO DESIGN LLC UBI No. 603098736
Phone 7146974354 Status Active
Address 16125 Juanita Woodinville Way License No. MODCODL895LT
Suite /Apt. #702 License Type Construction Contractor
City Bothell Effective Date 6/30/2011
State WA Expiration Date 6/30/2013
Zip 98011 Suspend Date
County King Specialty 1 General
Business Type Limited Liability Company Specialty 2 Unused
Parent Company
Business Owner Information
Name
Role
Effective Date
Expiration Date
MOROSHAN, JACOB
Partner /Member
06/30/2011
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
AEGIS SECURITY
INSURANCE COMPANY
520574
06/20/2011
Until Cancelled
$12,000.00
06/30/2011
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
Nevada Capital
Ins Co
77 NPP 4
025711
05/02/2012
05/02/2013
$1,000,000.00
05/11/2012
2
Red Shield Ins
CNT 017338
10/11/2011
10/11/2012
05/22/2012
$1,000,000.00
10/21/2011
1
Underwriters at
Lloyds
A1Q924993
06/20/2011
06/20/2012
09/29/2011
$500,000.00
06/30/2011
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 09/10/2012
t•
GAS EQUPMENT
SCHEDULE
seAS METER
ATER COL
ttI
z
• r
t
Lt
1dlA'rts'- 'tt�,�A,t►&
S�4t�C[ OFF *OE
Ecalte
PE."rAL
LF
1/4" UNE
WATTS 1 1/4" BALL SHUT OFF
VALVE
Tiio
tLLci
1 1 /4 "TO 1" REDUCER
AUTOMATIC OFF
MAULS IS1EM
1" UNIVERSAL
CONNECTOR
WATTS 3/4" BALL SHUT OFF
VALVE
LF
CAP
EQUIP TO BE CONN�Ei
a'1
3/4" LINE
EQUIP
1
EQUIP#
. DESCRIPTION
EQUIP MODEL
BTU'S
1 '
DEEP FRYER
(PITCO) - SG14
110.1100
• . 2 a
(2) BURNER GRILL
(STAR) - 802H
60.000
3
CHAR BROIUM
. (STAR) - 8124RCB
_ 80.000
LINE DIAGRAM
SCAM .MOTTO SCALE
I" TO 3/4" REDUCER
WATTS 3/4" BALL SHUT OFF
VALVE
SEPARATE PERMIT
REQUIRED FOR:
11��n�
pic. Electrical
Plumbing
Q as Piping
City of Tukwila
BU L : "1 D +V 31Oi J
EQUIP TO BE CONNECTED
16••-•-
CAP
REVISIONS
No changes shall he made to the cope
of work without prior- approval of •
Tukwila Building Division_
[----
NOTE: Revisions Will require a new plan submittal
and may include additional plan review fees.
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OSSEIN ENGINEERING r i•+ • : 3.'• J • , .. • t1 . • • • .
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