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Permit PG13-052 - BLACK BEAR YOGURT - LANDLORD - ALTERATION
BLACK BEAR YOGURT 17250 SOUTHCENTER PY sun1E 148 PG1 3-052 City ofI'ukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206-431-2451 Web site: http://www.TukwilaWA.gov PLUMBING/GAS PIPING PERMIT Parcel No.: 7888920020 Address: 17250 SOUTHCENTER PY TUKW Project Name: BLACK BEAR YOGURT - LANDLORD Permit Number: PG13-052 Issue Date: 04/22/2013 Permit Expires On: 10/19/2013 Owner: Name: WIG PROPERTIES LLC -SS Address: 4811 134TH PL SE , BELLEVUE WA 98006 Contact Person: Name: GREG EDWARDSON Phone: 253 686-6277 Address: 12621 230 ST E , GRAHAM WA 98338 Email: Contractor: Name: REYNOLDS CUSTOM PLUMBING LLC Address: 12621 230 ST E , GRAHAM WA 98338 Contractor License No: REYNOCP972B 1 Phone: 360-893-5315 Expiration Date: 02/03/2015 DESCRIPTION OF WORK: INSTALL PLUMBING SYSTEM FOR (2) RESTROOMS Value of Plumbing/Gas Piping: $6,000.00 Uniform Plumbing Code Edition: 2009 Fees Collected: $171.94 International Fuel Gas Code Edition: 2009 Electrical Service Provided by: Permit Center Authorized Signature: Date: 4 j 13 I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performance of work. I am authorized to sign and obtain t i . plumbing/gas piping permit and agree to the conditions on the back of this permit. Signature. Print Name: Date: 2 Z /5 y— 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. inn," nc," Drin}e,{. Ad27727A1'i • • PERMIT CONDITIONS Permit No. PG 13-052 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 PG13-052 Printed: 04-22-2013 CITY OF TUKWA Community Developmt Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.2ov 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.LOCATIO; King Co Assessor's Tax No.: is 1? Site Address: 1 72 SD 113Rf6-06kuite Number:5 `"' t �t $ Floor: 1 Tenant Name: E L_.A ( . c��' 2 Po G U 21 &non) t OiED New Tenant: `A Yes ❑.. No PROPERTY OWN Name l iliac. YZl l Address: City: State: Zip: COM CT I QN ort � �� sect ., 5 »vv 3� H.C� �,fM A..$• � a'£`4,°s � ,sc, Ey,F T 2 3i' coET}jE}tE111C&tion Name: (2.- L L—b 1/a 2-17 S Address: Contr Reg No.. cyaocP of? Zsixp Date: 02 (,,xltic:3- VLY Tukwila Business License No.: City: State: Zip: Phone53 tr.,sb 7?ax: (( Email: -PLUMB NO CONTRACTOR INFORMATION, Company Nam Tt LUrI D 4 Eke, ->a c_p S C- v S i cs r•. Address: i. 2.6, Z 1 Z364'41 S 1 City: (2 -in 1-4 p )r -e-\ Stater 0 Zip:(, g ...- Phone:Fax: Zs3 L{oS Z`�) 360 ��3 S31S Contr Reg No.. cyaocP of? Zsixp Date: 02 (,,xltic:3- VLY Tukwila Business License No.: Valuation of Project (contractor's bid price): $ /p ) 'f:1)(=>(- Scope f:1)(=>Scope of Work (please provide detailed information): l S i is L L PL. U t..,19, ( of G S Y A512- Z r2, Building Use (per lnt'l Building Code): Occupancy (per Int'I Building Code): Utility Purveyor: Water: H:\Applications\Forms-Applications On Line \2011 Applications\Plumbing Permit Application Revised 8-9-11. docx Revised. August 2011 bh Sewer: Page 1 of 2 Indicate type of plumbing fixtures and/or piping outlets being installed and the quantit'""ow: Fixture Type Qty Bathtub or combination bath/shower Dishwasher, domestic with independent drain Shower, single head trap Sinks Urinal Rain water system — per drain (inside building) Water heater and/or vent Grease interceptor for commercial kitchen (>750 gallon capacity) Repair or alteration of water piping and/or water treatment equipment 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 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 Fixture Type Qty Bidet Drinking fountain or water cooler (per head) Lavatory Water closet Urinal Industrial waste treatment interceptor, including trap and vent, except for kitchen type grease interceptors Water heater and/or vent Repair or alteration of drainage or vent piping Repair or alteration of water piping and/or water treatment equipment Backflow protective device other than atmospheric -type vacuum breakers over 2 inch (51 mm) diameter Backflow protective device other than atmospheric - type vacuum breakers 2 inch (51 mm) diameter or smaller Gas piping outlets 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 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 AGENT: Signature:- ` lx -_ `i) Print Name: VD1 l— L 1 A, c Mailing Address: i 2. (07_ S 23 01" Date: 4 ` [2- - /3 Day Telephone: 09 2Z I 00 983 33 H \Applications\Forms-Applications On Line\2011 Applications\Plumbing Permit Application Revised 8-9-11. docx Revised. August 2011 bh 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.Tukwila WA.gov RECEIPT ParcelNo.: 7888920020 Permit Number: PG13-052 Address: 17250 SOUTHCENTER PY TVKW Status: PENDING Suite No: Applied Date: 04/12/2013 Applicant: BLACK BEAR YOGURT Issue Date: Receipt No.: R13-01312 Initials: WER User ID: 1655 Payment Amount: $171.94 Payment Date: 04/12/2013 02:10 PM Balance: $0.00 Payee: REYNOLDS CUSTOM PLUMBING LLC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 3302 171.94 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts PLAN CHECK - NONRES PLUMBING - NONRES 000.345.830 34.39 000.322.103.00.00 137.55 Total: $171.94 Drin}v.1. !1d_1929MQ INSPECTION RECORD_ Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION. 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3.67 Permit Inspection Request Line (206) 431-2451 P (3- ©s2. Project: Type of Inspection: Address: %,2C) SoC�•t Date Called: Special Instructions: - Date Wanted:. a.m. Requester: . Phone Na ®.Approved per applicable codes. Corrections required -prior to approval. COMMENTS: Ct4zr ffit4vms, eiea 4-----Ptv II "spec;or:f r --Tr Date: �., 1 iv✓eJ �-.c_� _.-�- 1 n REINSPECTION FEE REQUIRED. Prior to next inspection; fee rnList be paid at 6300 Southcente(Blvd.. Suite 100. Call to schedule reinspection., INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 r (206) 431-3670 Permit Inspection Request Line (206) 431-2451 PC/3-62' Project: /?L/2/( ,3F/J' W Gzi2r Type of Inspection: c kocob✓v , (Aid le /4.,. Address:Date / 72 5-0 .54,0u/fide/ Called: N e r61/7 2--Aj Special Instructions: Date Womannted:. din. Requester: - Phone No: , Approved per applicable codes. El Corrections requ• ired prior to approval. Ls.) , COMMENTS: A )(A7e — )i ratttor, kpc, 1/\/ - 1-1,;4%dV' r,, 4 pe 1 4 AA.tL-. rb>A4QA _ /C-0 ate/ / REINSPECTION FEE REQUIRED. Prior to/ ext inspection. fee must be aid at 6300 Southcenter Bl d., Suite 100. Call to schedule reinspection. PENT GO$ 3Jye PLAN REVIEW/ROUTING SLIP ACTIVITY NUMBER: PG13-052 DATE: 04-12-13 PROJECT NAME: BLACK BEAR YOGURT - LANDLORD SITE ADDRESS: 17250 SOUTHCENTER PY, SUITE 148 X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Issued DEPARTMENTS: Building Division Mg Public Works u Fire Prevention n Planning Division Structural ❑ Permit Coordinator NI DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Incomplete ❑ DUE DATE: 04-16-13 Not Applicable n Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg 0 Fire 0 Ping 0 PW 0 Staff Initials: TUES/THURS ROUTING: Please Route Structural Review Required ❑ No further Review Required REVIEWER'S INITIALS: DATE: C APPROVALS OR CORRECTIONS: Approved ❑ Approved with Conditions Notation: DUE DATE: 05-14-13 Not Approved (attach comments) n REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg 0 Fire 0 Ping 0 PW 0 Staff Initials: Documents/routing slip.doc 2-28-02 Contractors or Tradespeople Prr ter 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 REYNOLDS CUSTOM PLUMBING LLC UBI No. 602263754 Phone 3608935315 Status Active Address 12621 230Th St E License No. REYNOCP972B1 Suite/Apt. License Type Construction Contractor City Graham Effective Date 1/21/2003 State WA Expiration Date 2/4/2015 Zip 98338 Suspend Date County Pierce Specialty 1 General Business Type Limited Liability Company Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date REYNOLDS, WILLIAM D Partner/Member 01/21/2003 Bond Information Page 1 of 1 Bond 2 Bond Company Name GREAT AMER INS CO OF NY Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 7902865510468 02/10/2004 Until Cancelled $12,000.00 02/17/2004 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 7 Country Mutual Ins Co 9006488 10/16/2008 10/16/2013 $1,000,000.00 10/15/2012 6 TRUCK INS EXCHANGE 035091270 09/25/2008 09/25/2009 $1,000,000.00 09/22/2008 5 FARMERS INS GROUP 035091270 09/25/2007 09/25/2008 $2,000,000.00 09/25/2007 4 HARTFORD CASUALTY INS CO 52SBMPR4340 08/18/2005 08/18/2007 $300,000.00 07/17/2006 Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period Infractions/Citations Information Infraction / Citation Date RCW Code Type Status Violation Amount PESPR00347 11/24/2008 18.106.020(5)(b) RCW PLUMBER INFRACTION Satisfied $250.00 httnc•//fnrtrt cc won anv/1ni/hhin/Print acnx 04/22/2013 DOOR SCHEDULE BSCHI DOOR NO. MARK MARK SIZE/THK O O 0 -J H cD s W N Q cc CL CD DETAIL -J V) FF = FACTORY FINISH S4V = STAIN $VARNISH 5.6: SEMI -GLOSS ANOD= FACTORY ANODIZED ALUMINUM REMARKS A (EXISTING) 31-05'1'-O" A ALUM ANOD TEMP ALUM ANOD EXIST EXISTING DOOR, SEE REMARK *I BELOW 5 (EXISTING) 3' -0"x1' -O" 5 PAINT H.M. PAINT EXIST EXISTING DOOR G 3'-0"x11-0" G S.W. PAINT H.M. PAINT A SEE REMARK #2 BELOW D } 5'-0"x7'-0" SJN. PANT H.M. PAINT A SEE REMARK #2 BELOW DOOR TYPES INSUL. SAFETY GLASS STOREFRONT DOOR ' EXTERIOR HOLLOW METAL DOOR REMARKS: I. PROVIDE DECAL SIGN WITH IN BLACK LETTERS READING: THIS DOOR TO REMAIN UNLOCKED DURING BUSINESS HOURS. LOCATE ON INSIDE OF TRANSOM. 2. PROVIDE AND INSTALL 6" SQUARE INTERNATIONAL SYMBOL OF ACCESS SIGN ON WALL ADJACENT TO DOOR STRIKE. DOOR HARDWARE O INTERIOR SOLID WOOD DOOR N SEPARATE PERMIT REQUIRED FOR: ErChichanical ilectrical C,j PWmbing Iii%as Piping City. of Tukwila BUILDING DIVISION MIME Mee Ciao ace Mee teem EWE. eee Mee Wee fatata Mee ewe woe Mee facie eee Mee cue Mee eee •Mee cee eee Mee imam face eee .Mee eee Mee Mee. meg ewe. •Mee Mtge ece cee e"ee. IEEE - Mee •Mee Mee Mee `Mee. Mee Mee Mee Mee Mee Mee Mee Mee Mee Mee Mee .. Mee Mee Mee .eeeee Mee •Mee -Mee Mee -Mee ece wee fatafil •Mee Mee Mee Mee. • Mee gee ._ _ Mee eee Mee Mee wee Mee ace Mee �eee -.wee Mee p Mee • emits Mee Mee Mee Mee area ' .:Mee 'Mee .ewe o eeae u Mee•- _ eee:.0 ;Mee mew Mee 1 Mee 3: Mee EWE MeeM• . Mee: 1) :Mee ao' ace O1 Mee Mee ewe `wee — vele • wee :Mee eeee Mee fafE8ee •N Mee Meese : — .eee LU • ANEW _z eee Mee mem • ace Mee •.Mee ewe mem ace eee Mee BUTT HINGES LEVER LOGKSET CLOSER DOOR STOP (WALL MOUNTED IF APPLICABLE) F W .. N 2 III COZ LU 2 v 0 a w G z O 1 v Fign . 8 Fla g taf4t 03 Z 14 A. 0 111 Z 04 y J m FLOOR/BASE WALL/WSCT CEILING SEALED CONCRETE A. TAPED, SMOOTH READY FOR FAINT OPEN ABOVE SUITE 148 (AREA: 2,067 S.F.) REVISIONS No changes shall be made to the scope of work without prior approval of Tul.wiia Building Division. NOTE: T Rcvisicnn win roqu?,e a n^,"1 pian submittal c_71:11=," i ude additional pian review f c -,. SHEETVINYL 2 5 6" VINYL BASE TAPED, TEXTURED 4 PAINTED W/ .SEMI GLOSS PAINT 46" HIGH PLASTIC LAMINATE WAINSCOT 2 TAPED, SMOOTH 4 READY FOR PAINT WALL TYPES SEE FINISH SCHEDULE FOR ALL FINISHES 20 GAUGE 6" MTL. STUDS @ 16" O.G. T 688888',`688i 20 GAUGE 3 S/8' MTL. 5 @ 16" O.G. Mg NM= 3" SOUND BATT INSUL. 5/5" TYPE 'X' G.A.B. ON BOTH SIDES EXTEND TO ROOF FRAMING 5" SOUND BATT INSUL. 5/6" TYPE 'X' G.W.B. ON BOTH SIDES EXTEND TO ROOF FRAMING la' -lo 1/4" GENERAL NOTES 5'-71/4" Fa COPY It No. VGi 052 Plan review approval is subjectto e and ..ons. kri".. S:t 4f, construction documents does not authctz$: fig; ::J� ot any adopted tmde or # „1 «4 R pt al approved Field Cop ,: •�, : c r !"° / .`' 2 1 ve5 JC -AL ccs,arr:�-`' ;x;53 --4'055- I °D .4-i --13 Mee eaee Mee Mee. Meeideate. Mace; eine Mee Mee ..,: Mee . . '..Mee:. Mee egoism Mee -...,.Mee eine.. eine eine Mee Mee Mee Mee '. REV Mee. eeee acme. Mee caeca ems: Mee Mee Mee Mite eeee Mee Mee Mee Mee faitfee Mee Mee Mee Mee 42424 Mee gee PROJECT NUMBER:: A13-142 2111113 gI ©FREIHEIT & HO ARCHITECTS, INC.; P.S. DESCRIPTION