HomeMy WebLinkAboutPermit PG13-092 - HASHI CIRFE - ALTERATIONHASHI CIRFE
14818 TUKWILA
INTERNATIONAL BL
PG1 3-092
Parcel No.:
Address:
City ofOukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 2061431-3670
Inspection Request Line: 206-431-2451
Web site: http://www.TukwilaWA.gov
PLUMBING/GAS PIPING PERMIT
0041000143
14818 TUKWILA INTERNATIONAL BL TUKW
Project Name: HASHI CIRFE
Permit Number:
Issue Date:
Permit Expires On:
PG13-092
09/18/2013
03/17/2014
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Email:
STEINBERG DOUG
26415 MILITARY RD S , KENT WA 98032
CLIFTON BROWN
PO BOX 111616 , TACOMA WA 98411
C LIFTONRAYBRO WN@ GMAIL. C OM
Contractor:
Name: SEATTLE TAC OLY PLBG STOP INC
Address: PO BOX 111616 , TACOMA WA 98411
Contractor License No: SEATTT0917MU
Phone: 253-330-3468
Phone: 877-380-7904
Expiration Date: 08/04/2015
DESCRIPTION OF WORK:
INSTALLATION OF INTERIOR GREASE TRAP AND ALL PIPING TO GREASE TRAP.
INSTALLATION OF HAND SINK AND RINSE SINK WITH INDIRECT DRAIN. PROJECT IN VALLEY
VIEW SEWER DISTRICT.
Value of Plumbing/Gas Piping:
Fees Collected:
Electrical Service Provided by:
Permit Center Authorized Signature:
$1,300.00
$159.13
Uniform Plumbing Code Edition: 2009
International Fuel Gas Code Edition: 2009
Date: L's- ` Us 1 3
I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied with, whether specified herein or not.
The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the performance of work. I am authorized to sign and obtain this plumbing/gas piping permit and agree to the conditions
on the back of this permit.
Signature:
Date: / b$EP ze / 3
Print Name: Alen k AJ
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.
D.i..1e.d• ACI_a_OMZ
PERMIT CONDITIONS
Permit No. PG 13-092
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******************
14: Grease trap shall be installed per manufacturer's specifications.
doc: UPC -4/10
PG13-092 Printed: 09-18-2013
CITY OF TUKWIii
Community Developmelerepartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Plumbin
• Project No [
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**
King Co Assessor's Tax No.:
Suite Number: Floor: 1
New Tenant: ❑ Yes o
Site Address: WSi
Tenant Name: 14 45 1-4- I OZ
PROPERTY OWNER
Name:
CLTFTc ni 6 VJ tJ
Address:
P.D,a-►11616
Name:
Phone: Fax:
ZS -3 . .2)4 6S
Email:
GL I FToo a A`/ Pseew,J (JLi M4 %L. C e1 M
Address:
Phone: Fax:
Ir.7-200-141 W-1
City:
State:
Zip:
CONTACT,PERSON = person receiving ail project
communication
Name:
CLTFTc ni 6 VJ tJ
Address:
P.D,a-►11616
City: 1 k(Ol" A- State:w J ZlpS y t (
`�
Phone: Fax:
ZS -3 . .2)4 6S
Email:
GL I FToo a A`/ Pseew,J (JLi M4 %L. C e1 M
PLUMBING CONTRACTOR INFORMATION
Company Name: s10p 1 NC
Address: Pic) &3)' l 1 k,1 b
City: State:
kCmM A w
Zip:
Tb 1 1 1
Phone: Fax:
Ir.7-200-141 W-1
Contr Reg No.: Exp Date:
Tukwila Business License No.:
S-EATM 1"1MU
Valuation of Project (contractor's bid price): $ J369d
Scope of Work (please provide detailed information): / .ST.gL_LA7/O^/ U 1.JTivL' bQ_ Gi2.E45F
RAP A^1) 42 P/PIAl( cid,-sr Tl.', /N,ST41,1-107/OAJ c>- the N) s'I,rk /0
es tills'._ SI N Id_._ . �J f 1 ..� ✓) 1 R rGT 402 4 , •tJ ..
Building Use (per Int'l Building Code):
Occupancy (per Intl Building Code):
Utility Purveyor: Water: Sewer:
H:Wpplications\Forms-Applications On Line \201 I Appltcanons\Plumbmg Permit Application Revised 8-9-I l.docu
Revised: August 2011
bh
Page 1 of 2
Indicate type of plumbing fixtures and/lis piping outlets being installed and the quantelow:
Fixture Type •
.Qty :
Bathtub or combination
bath/shower
Dishwasher, domestic with
independent drain
Shower, single head trap
Sinks
2...
Rain water system — per
drain (inside building)
1
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
1
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
Eixture Type
Qty' _.
Clothes washer,
domestic
Food -waste grinder,
commercial
Wash fountain
Water closet
Industrial waste
treatment interceptor,
including tiap and vent,
except for kitchen type
grease interceptors
1
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
P
•
• 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
1
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 OW
Signature: /
Print Name: el-- p7Z ti t L✓/`)
ORIZED AGENT:
Mailing Address: 0 ,6O>, /11 6)6
H:\Applications\Forms-Applications On Line'2011 Applications\Plumbing Permit Application Revised 8-9-1 I.docx
Revised: August 2011
bh
Date: 11-IcjU / J'f✓Ze) i3
Day Telephone: Z.'S 336 3L16�
1 ork,Q- . w A- 8" / 11
City "-" State Zip
Page 2 of 2
•
wq� City of Tukwila
�> \2 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.: 0041000143 Permit Number: PG13-092
Address: 14818 TUKWILA INTERNATIONAL BL TUKW Status: APPROVED
Suite No: Applied Date: 06/24/2013
Applicant: HASHI CIRFE Issue Date:
Receipt No.: R13-02661
Initials:
User ID:
WER
1655
Payment Amount: $127.30
Payment Date: 09/18/2013 11:14 AM
Balance: $0.00
Payee: MONICA POFF
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 021261
ACCOUNT ITEM LIST:
Description
127.30
Account Code Current Pmts
PLUMBING - NONRES
000.322.103.00.00 127.30
Total: $127.30
Printed• 09-1R-2013
• •
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.: 0041000143 Permit Number: PG13-092
Address: 14818 TUKWILA INTERNATIONAL BL TUKW Status: PENDING
Suite No: Applied Date: 06/24/2013
Applicant: HASHI CIRFE Issue Date:
Receipt No.: R13-01948
Payment Amount: $31.83
Initials: WER Payment Date: 06/24/2013 11:54 AM
User ID: 1655 Balance: $127.30
Payee: MONICA POSS (PHONE)
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 024926
ACCOUNT ITEM LIST:
Description
31.83
Account Code Current Pmts
PLAN CHECK - NONRES
000.345.830 31.83
Total: $31.83
DrinIcrl• f1RAd_9l11Z
PG(3 - cam
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206)431-2451
Proje
r
li- AS A7
Type o� Inspection:
Adlress:
Date Called:
Special Instructions:
,-�
Date Wanted: na.m.
Requester:
-3360-alb
pprovedtper applicable codes. Corrections required prior to approval.
COMMENT,:
cto
/t
A
REIN • ECTION FEE REQ
paid fat 6300 Southcenter
IRED. Prior t
lvd.. Suite 101
Date:
�a - [7 -
next inspection, fee must be
. Call to schedule reinspection.
y'<
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.'
P6(3 -cog2
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367
Permit Inspection Request Line (206) 431-2451
Project:,
jt �T :
C_ Jfe
Type of Inspection:
� k ..1=-
P ot) ( N �J�
Address:
Date Called:
Special Instructions:
V
Date Wanted: a.m.
(0 --/ 0 --- 3 0•5.
Requester:
Phone No: '
53 —33 8 -34 (8
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
ptstJ cA Rar
Inspector:
n REINSPECTION FEE REQUIRED. Mor to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Date:
—( O 13
P6 t3 -052_
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. .PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION C.,*
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367
Permit Inspection Request Line (206) 431-2451
Project:,
. --
r J ---e
Type of Inspection:
itl...;0 _
g3u6,44 :r -,\J I t 1.-) 'r
Address:
Date Called:
145? /3
(LE
Special Instructions:
Date Wanted:-
( 6
3
p.m.
Requester:
r s4
Approved per applicable codes.
COMMENTS:
Corrections required prior to approval. _
N)r-•g0J644-
774- LiA`r, LJer _c.--21._ 1f1.
\kAr
fu R..4(3r
ns ector:
Date,.
REINSPECTION FEE REA !RED. prior to next inspection. fee must be
paid at 4c300'Southcentdr 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 (206) 431-367
Permit Inspection Request Line (206) 431-2451
Project: St
�j.-i ', (/\
(, f
P
Typ f f Inspection:
] 1
..J
Address:Date
i i.5".?
r _
/
Called:
coo v
)c't
Special Instructions:
•
Date Wanted:
7 -
a.m.
2-I -! 3 p1
Requester:
Phone No:
//,, 3
rpt. �� �� �
r-� .�
. �' � e 1
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
riAt
DV-- t , c'.- t) t -Ti" --,
-r Nt_ u) Jam - UPS-",
p:\to-e
w ran �; -7-G _ ttAJ s�-r— P i I ist4o
Sc:, j - .L Al_ki-, (h 1411,\`.-6-) LAM' ti's)
In pectora
t
Dat /,
t
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Dormont
W i 1Pr!Pi .
in*erren*ors
FILE COPY
Permit No. -
nnrC •r hTIL N f�(`s h. 3 »eyt �? S-14-4; PO:
fp.rtft_d fInnr ritor,n, orf
epoxy_ coated flee) ffrePSe interes✓`o
i
r solid
7 .t
gLsGrii-ed solid sive; cover, fttiR
i1/4.V�t i,.V! It.1 YVllr;t 1yi11 V•��• 7� ST/V�'r'5'..
l li VV14 y411ay
assembly, ?jeep e,e& trop with rierf-Tor'f,
no hub connn tions f tondor6s f, an
t
e,c;t!moi cobi tl4F f tt .'t :CJ0R1i�4 lgt1T4lt
Secured
Non -slip
Cover
Neoprene
Gasket
locking
Device —
DxE
A
1
Static
Water
Level
Baked Epoxy,
Coated Body
3/8"(10)
Air Space
I
One-piece
'epi— Removable
Baffle
1 Clean-out
Plug
Note: *Optional Threaded Inlet And Outlet
(includes Threaded Flow Control)
1
Air Relief
By-pass
No -hub
(Mi)
Inlet &
Outlet (*)
Integral
Deep Seal
Trap
Fixed
Sediment
Baffle
eo)soo1:2oco
REGISTERED
Interceptor
Catalog
Number
Flow
Rate
GPM
Grease
Ca city
lbs
A
Inlet & .
Outlet
B
C
D
E
F
Base to
Center
Top to
Center
Length
Width
Height
WD -4
4
8
2"(51)
7-3/4"(197)
3-1/4"(83)
16"(406)
10"(254)
11"(279)
WD -7
7
14
2"(51)
8-1/2"(216)
3-1/2"(89)
18"(457)
13"(330)
12"(305)
WD -10
10
20
2"(51)
8-1/2"(216)
3-1/2"(89)
21-3/4"(552)
14"(356)
12"(305)
WD -15
15
30
2"(51)
10-1/2"(267)
3-1/2"(89)
22"(559)
15"(381)
14"(356)
WD -20
20
40
3"(76)
11-1/2"(292)
3-1/2"(89)
24"(610)
15-3/4"(400)
151381)
--WD-25
25
50
3"(76)
12"(305)
4-1/2"(114)
26"(660)
16-1/2"(419)
16-1/2"(419)
WD -35
35
70
3"(76)
14"(356)
5"(127)
30"(762)
18"(457)
19"(483)
WD -50
50
100
4"(102)
16"(406)
5-1/2"(140)
32"(813)
22"(559)
21-1/2"(546)
RE\
CODE
A
SE
MEWED FOR
COMPLIANCE
PPROVED
P 17 2013
City of Tukwila
BUILDING DIVISION
RECEIVED
CITY OF TUKWit.A
JUN 242013
PERMIT CENTER
PERMI
FOR:
Mechanical
electrical
0 Plumbing
sari Piping
of Tukwila
' DIVISION
REVISIONS
o cslf:Tiges shall
he made t
t; "' ': without prior appr
Building Divisi
J rrii! require a new
additional itional plan r
FELE COP
Permit Ro.% 1'!- • g Z�
GREASE INTERCEPTOR CALCULATIONS
Sink 1
Compartment/Bowl 1
Compartment/Bowl 2
Compartment/Bowl 3
Sub Total - Sink 1
Sink 2
Compartment/Bowl 1
Compartment/Bawl 2
Compartment/Bowl 3
Sub Total - Sink 2
Sink 3
Compartment/Bowl 1
Compartment/Bowl 2
Compartment/Bowl 3
Sub Total - Sink 3
Maximum Discharge
Drainage Load A
(Max Discharge x 0.78)
2.
Note:
the scopa,ow,,
vat of malnt
n Form
Length
(Inches)
Width
(Indies)
Depth
(Inches)
14
112
to
Io
10
0
to
110
10
0
10
10
10
0
0
14
(0
0
Cubic Capadty Volume
(Inches) (US gallons)
1400
1400
1400
4200
1400
0
0
1400
1680
0
0
1680
18.182 Gallons
6.061
Gallons
7.273 Gallons
31.516 Gallons
23.637 Gallons
elect a '1' or '2' minute drain period.
Jyhere possible It Is recommended to design based an a 1 minute drain period. Drain Period Is however a convenience factor
Ig a more compact (lower capacity Interceptor to be used In the calculated application. The trade off Is greater frequency of
nonce of that more compact solution.
11a assumes a 1 minute drain period - Par 2 minute enter '2'
fan submititiattral Drainage Load
view fees. 3a.1Sizing a Dishwasher - Gravity Discharge.
.fute. Dishwashers can be connected to a GI only Hallowed by local code. Eachdishwasher will require a seperate GI.
10 GPM
I1
Minute
23.637
Gallons/Minute (GPM)
Plpn rnusew approval is subject to
t ,-; -' :': of construction documen
of any adopted code o
roved Field Copy and
By
Racks Per Hr (Per Manufacturers Spec)
Gallons per Rack (Per Manufacturers Spec)
Total Gallons Per Hr
Convert to GPM x Separation Factor (10min)
0
0
0
313. Sizing a Dishwasher - Pumped Discharge.
Manufacturers specified Peak/Max Discharge
3c. Add any Additional Appliances/Drains.
Note: For floordralns/slnks take the volume of water produced by the number of hose bibs (I.e. 1.5-2.0 GPM per 3/4 Inch faucet)
GPM
Gallons/Minute (GPM)
GPM
0
rs and
n '
M (r�(,7 Floor 9 1 they Appliance
eAtt er Appliance
does fotfaik',gh e0ro.r Appliance
arcing Tetal)Attgltta Discharge (Dishwasher plus AddttlonalAppllances/Dralns)
o P'Efi' ra Grease Interceptor
rainage Load 23.637 GPM
Grease I erceptor Capacity Required 25 GPM
If the above cell displays "Flow Rating Exceeded" consider using a 2 minute drain period. If still showing "Flow Rating
•wooded" contact your national Canplas Customer Service location for assistance. These are listed below for your convenience.
r1.1....n111...ann w...l.a.. P.-nl.....A.... _--sn,r.n, .r. M..P . e..011.. 'e' .1...ae. rIOTnna M .n1.1.4 vewb...
0
0
0
0
GPM
GPM
GPM
GPM
REVIEWED FOR
CODE COMPLIANCE
APPROVED
SEP 17 2013
City of Tukwila
BUILDING DIVISION
'141613 2013
TC Kvv ► �tCS
PUBLIC WO
RECEIVI D
CITY OF TUK, WILA
AUG 0 8 2013
PERMIT CENTER
CORRECTION
LTR# 2-
City Of Tukwila
BUILDING DIVISION
P(�13- 01 2
1,0
PLEASE NOTE GT
VENTS ARE NOT
CONNECTED TO
ANY OTHER
FIXTURES
wc0
"
i
i
i
i
r'""";1
rti
2" I
i
TRIPLE SINK P TRAP IS
CENTERED
Ill
2"
MN MD
MED
ISOMETRIC DWV PLAN VIEW
KITHCHEN AND PREP AREA
1 1/2"INDIR
INDI
7'8"LENG
ED VENT IS NOT CONNECTED TO
ANY OTHER FIXTURE BEFORE IT
IS ABOVE FLOOD RIM OF HAND
SINK
3"
2"
REVIEWED FOR
CODE COMPLIANCE
APPROVED
SEP 17 2013
City of Tukwila
BUILDING DIVISION
RECEIVED
CITY OF TUKWILA
AUG 0 8 203
PERMIT CENTER
14818 INTERNATIONAL BLVD
TUKWILA, WA PG 1 OF 4
-J
LU
Y N
W -o
V 11.
o
WO
CC >-
0
PERMIT CENTER
14818 INTERNATIONAL BLVD
Cr
I'
0
N
0.
d
TUKWILA, WA.
ISOMETRIC WATER PLAN VIEW
KITCHEN AND PREP AREA
REVIEWED FOR
CODE COMPLIANCE
APPROVED
SEP 17 2013
City of Tukwila
BUILDING DIVISION
RECEIVED
CITY OF TUKWILA
AUG 0 8 20i3
PERMIT CENTER
14818 INTERNATIONAL BLVD
TUKWILA, WA. PG 3 OF 4
VI GGIQG II ILLI toGIJIAJI II IJIi/n4LIVI I V. vSv4I US 5W on ULI uv41%01 w
SINKS
VENT
(AIR INTAK�
1
OPTIONAL
P -TRAP
CLEANOUT
DRLATE IAICE, r VENT
P ✓
1_,""1";_
INLET OUTLET
FLOW CONTROL
FLOW
ZURN LIGHT
COMMERCIAL
INTERCEPTOR
VENT
Lc=
ire
INSTALLATION
1. Zum Light Commercial Grease Interceptors
should be installed as close as possible to the
fixture being served. Always install where there
is easy access for cover removal and leaning.
2. A flow control must be installed as dose as
possible to the underside of the fixture. The
flow control must be installed with the vent or
(air intake) on the downstream side of the orifice
plate. The vent connection is positioned to the
top of the flow control fitting and piped upward
higher than source of water, or to building vent
system
3. It is recommended that a deanout tee be
installed before the flow control to access the
flow control orifice and dear debris.
4. The deanout plug should be installed over the
outlet of the interceptor.
5. The interceptor is to be installed using no -hub
couplings.
6. Outlet piping should be connected to the
sanitary drain, and pipe size should be equal
to or larger than the inlet piping. Outlet pipe
should also be vented so the interceptor is not
siphoned.
7. Solid waste should not go into an interceptor.
Food grinder waste and other solids should
be captured in the sink or by a solids interceptor
before reaching the grease interceptor.
Form # JS2 Date: 3/13/09 C.N. No. 99791 Rev. F
F03
ile 1 of 2
RECEIVED ZURN LIGHT COMMERCIAL PLUMBING PRODUCTS • 2640 South Work Street • Fal
Phone: 1-800/906.6060 • Fax: 71616663126 • World Wide Web: www.um.c
CITY OF TUKWILA
AUG 0 8 2013
PERMIT CENTER
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14818 INTERNATIONAL BLVD
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TUKWILA, WA.
(APPROVED- -2
SUBJECT TO OR DMIANCE
t:SEP 0 5 2013-
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Sit ).2d1 -
A :PREOPERATIONAL INSPECTION BY
T. I.; COUNTY HEALTH
- IS REQUIRED PRIOR
TO APPLICANT PLAN
SET IS REQUIRED TO BE AVAILABLE
ON SITE DURING THAT INSPECTION.
(E)
(E).
NO CHANGES SHALL BE
MADE WITHOUT HEALTH
DEPARTMENT APPROVAL
ite )-0
psv tfr• Eg-e-
Ae4.3-iNS Arre8J.°4 iv*-- S0111.
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FLOOR PLAN VIEW
SCALE: 1/8" = 11-0"
August 20, 2013
Clifton Brown
PO Box 111616
Tacoma WA 98411
111)
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
RE: Correction Letter #1
Plumbing/Gas Piping Permit Application Number PG13-092
Hashi Cafe —14818 Tukwila International BI
Dear Mr. Brown,
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 Public Works Department. At this time the Building Department
does not have any concerns.
Public Works Department: Joanna Spencer at 206 431-2440 if you have 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 plan pages, 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,
Jenni
er Marshall
t Technician
encl
File: PG13-092
W:\Permit Center\Correction Letters\2013\PGJ3-092 Correction Letter #3.docx
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
•
PUBLIC WORKS DEPARTMENT COMMENTS
DATE: August 19, 2013
PROJECT: Hashi Cirfe
14818 Tukwila International Blvd
PERMIT NO: PG13-092
PLAN REVIEWER: Contact Joanna Spencer (206) 431-2440 if you have any questions
regarding the following comments.
1) Since sanitary sewer service for the subject building is provided by the Valley View Sewer
District, 3460 S 148th Street, Suite 100, Tukwila, WA 98168, please contact Mr. Dana Dick,
phone number (206)242-3236 to submit plans for District review and approval. This
comment was in July 2, 2013 and August 5, 2013 Public Works comment letters, however
it was not addressed in any of your responses. On August 15, 2013 Public Works has
contacted Valley View Sewer District and per Mr. Dana Dick plans were not yet submitted
for District review.
August 5, 2013
Clifton Brown
PO Box 111616
Tacoma WA 98411
r
City of Tukwila
I
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
RE: Correction Letter #2
Plumbing/Gas Piping Permit Application Number PG13-092
Hashi Cafe —14818 Tukwila International BI
Dear Mr. Brown,
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: Dave Larson at 206 431-3678 if you have questions regarding the attached
memo.
Public Works Department: Joanna Spencer at 206 431-2440 if you have 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 plan pages, 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.
encl
File: PG13-092
W:V'ermit Centet\Correction Letters\2013\PG13-092 Correction Letter#2.docx
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 #2
Date: August 1, 2013
Project Name: Hashi Cirfe
Permit # PG13-092
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. Please submit all plans on the same size
paper. Revised plans need to be the same size as originally submitted).
(If applicable) Structural Drawings and structural calculation sheets shall be stamped and signed.
1. The revised DW&V isometric shows the p -trap for the triple sink at the end of the three sinks. Per UPC
1001.2, the p -trap needs to be centrally located.
2. The original submittal did not show what appears to be a mop sink. The new DWV isometric shows an
additional p -trap near the triple sink but it is not labeled anywhere that I could find. If it is a mop sink,
existing or not, it will need to be routed through the grease interceptor. Add the mop sink to the grease
interceptor sizing calculation.
3. The floor drain and floor sink are shown without venting. Please add vents to these fixtures and note that
each vent must run independently of each other to the vent system and cannot be tied together until each
vent is 6 inches above the flood rim of the fixture.
4. The inlet piping into the grease interceptor will need to be increased to 3 inch due to the total fixture count.
This size will need to maintained back to the cleanout and the cleanout plug can be 21 inch minimum per
table 7-6 UPC.
5. The new DWV isometric is not showing the vents from the inlet side and outlet side of the grease
interceptor. Please add these.
6. Please add the length of the indirect waste pipe from the rinse sink to the floor sink.
Should there be questions concerning the above information please contact the Building Division at 206-431-3670.
i •
PUBLIC WORKS DEPARTMENT COMMENTS
DATE: August 6, 2013
PROJECT: Hashi Cirfe
14818 Tukwila International Blvd
PERMIT NO: PG13-092
PLAN REVIEWER: Contact Joanna Spencer (206) 431-2440 if you have any questions regarding the
following comments.
1) Since sanitary sewer service for the subject building is provided by the Valley View Sewer District,
3460 S 148th Street, Suite 100, Tukwila, WA 98168, please contact Mr. Dana Dick, phone number
(206)242-3236 to submit plans for District review and approval.
July 8, 2013
Clifton Brown
PO Box 111616
Tacoma WA 98411
•
City of Tukwila
•
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
RE: Correction Letter #1
Plumbing/Gas Piping Permit Application Number PG13-092
Hashi Cafe —14818 Tukwila International BI
Dear Mr. Brown,
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: Dave Larson at 206 431-3678 if you have questions regarding the attached
memo.
Public Works Department: Joanna Spencer at 206 431-2440 if you have 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 plan pages, 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,
cPJieni\ljiftr
Mar hall
er 't Technjian
enc
File: PG13-092
W:\Permit CenteACorrection Letters\2013\PG13-092 Correction Letter #1.docx
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
S
Tukwila Building Division
Dave Larson, Senior Plan Examiner
Building Division Review Memo
Date: July 1, 2013
Project Name: Hashi Cirfe
Permit # PG13-092
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. Please submit all plans on the same size
paper. Revised plans need to be the same size as originally submitted).
(If applicable) Structural Drawings and structural calculation sheets shall be stamped and signed.
1. Please provide sizing calculations for the grease interceptor per the Uniform Plumbing Code. Note
that these calculations need to be based on a one minute drain period.
2. The rinse sink is not shown in the isometric plan. I assume that it will be connected to the floor sink
with and indirect waste if used for food prep. The rinse sink and floor sink will need to be routed to
the grease interceptor also. Add the rinse sink to the isometric plan and reconfigure the plan as
necessary to show connection to the grease interceptor and show the indirect waste if that is what is
intended. Also note that a floor drain adjacent to the triple sink is required in addition to the floor
sink. The triple sink needs to be connected on the sewer side of the floor drain p -trap with no other
fixtures connected between the floor drain and triple sink sewer connection.
3. Typically grease interceptors are vented on both the inlet and the outlet with a flow control on the
inlet side. Please provide the manufacturers installation instructions and specifications for the
specific model proposed.
4. You will need to obtain approval from King County Health Department and provide us with a copy
of approved plans stamped by them when you pick up our approved plans.
5. Please provide a floor plan to scale of the entire tenant space and a description of what this area
will be used for, deli, coffee shop, restaurant, etc.
6. Please provide a isometric line drawing of the water piping including connections to the existing
system and the hot water tank if new.
Should there be questions concerning the above information please contact the Building Division at 206-431-3670.
PUBLIC WORKS DEPARTMENT COMMENTS
DATE: July 2, 2013
PROJECT: Hashi Cirfe
14818 Tukwila International Blvd
PERMIT NO: PG13-092
PLAN REVIEWER: Contact Joanna Spencer (206) 431-2440 if you have any questions regarding the
following comments.
1) Since sanitary sewer service for the subject building is provided by the Valley View Sewer District,
3460 S 148th Street, Suite 100, Tukwila, WA 98168, please contact Mr. Dana Dick, phone number
(206)242-3236 to submit plans for District review and approval.
•PERMIT COORD COPY
PLAN REVIEW/ROUTING SLIP
ACTIVITY NUMBER: PG13-092 DATE: 09-09-13
PROJECT NAME: HASH! CIRFE
SITE ADDRESS: 14818 TUKWILA INTERNATIONAL BL
Original Plan Submittal Response to Incomplete Letter #
X Response to Correction Letter # 3
Revision # After Permit Issued
DEPARTMENTS:
Building ivision n
P bis rks'J
cit -t3
Fire Prevention
Structural
n
Planning Division
Permit Coordinator
a
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
Incomplete
n
DUE DATE: 09-10-13
Not Applicable
n
Comments:
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW 0 Staff Initials:
TUES/THURS ROUTING:
Please Route
Structural Review Required
❑ No further Review Required
REVIEWER'S INITIALS:
DATE:
APPROVALS OR CORRECTIONS:
Approved
Notation:
Approved with Conditions
DUE DATE: 10-08-13
Not Approved (attach comments) n
REVIEWER'S INITIALS: DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg 0 Fire ❑ Ping ❑ PW ❑ Staff Initials:
Documents/routing slip.doc
2-28-02
S PERMI PERMIT COO RD COPY.
PLAN REVIEW/ROUTING SLIP
ACTIVITY NUMBER: PG13-092
PROJECT NAME: HASHI CIRFE
DATE: 08/08/13
SITE ADDRESS: 14818 TUKWILA INTERNATIONAL BL
Original Plan Submittal Response to Incomplete Letter #
X Response to Correction Letter # 2
Revision # after Permit Issued
DEPARTMENTS:
-Ac.
Building Division
-SSC jt,e/1‘'le(1 0'b ' t''t7
Public Works
Fire Prevention
Structural
❑
Planning Division
❑
❑ Permit Coordinator ❑
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
Incomplete n
DUE DATE: 08/13/13
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: 09/10/13
Approved ❑ Approved with Conditions n Not Approved (attach comments)
Notation:
REVIEWER'S INITIALS: DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire 0 Ping 0 PW" Staff Initials:
PERMIT COORD COPY
PLAN REVIEW/ROUTING SLIP
ACTIVITY NUMBER: PG13-092
DATE: 07-29-13
PROJECT NAME: HASHI CIRFE
SITE ADDRESS: 14818 TUKWILA INTERNATIONAL BL
Original Plan Submittal
X Response to Correction Letter # 1
Response to Incomplete Letter #
Revision # After Permit Issued
DEPAR MENT
B Ilding
+OW
Public Works
Fire Prevention
Structural
n
Planning Division
Permit Coordinator
n
1
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
Comments:
Incomplete
DUE DATE: 07-30-13
Not Applicable
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
nNo further Review Required
n
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS:
Approved n Approved with Conditions
Notation:
DUE DATE: 08-27-13
Not Approved (attach comments) [N"
REVIEWER'S INITIALS: DATE:
Permit Center Use Only
CORRECTION LETTER MAILED: Oi
Departments issued corrections: Bldg Fire 0 Ping 0 PW Staff Initials:
Documents/routing slip.doc
2-28-02
?ERMIT COORD COPY •
PLAN REVIEW/ROUTING SLIP
ACTIVITY NUMBER: PG13-092DATE: 06-24-13
PROJECT NAME: HASH! CIRFE
SITE ADDRESS: 14818 TUKWILA INTERNATIONAL BL
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter #
Revision # After Permit Issued
DEPA T E TS:
Puircli
g0 i I �'� Ilion
GtokIn 1.02`1?
public Works
Fire Prevention
Structural
Planning Division
Permit Coordinator
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
ix]
Incomplete
n
DUE DATE: 06-27-13
Not Applicable
Comments:
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg 0 Fire 0 Ping ❑ PW 0 Staff Initials:
TUES/THURS ROUTING:
Please Route 'J Structural Review Required ❑ No further Review Required ❑
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS:
DUE DATE: 07-25-13
Approved n Approved with Conditions ❑ Not Approved (attach comments)
Notation:
REVIEWER'S INITIALS: DATE:
Permit Center Use Only
CORRECTION LETTER MAILED: 0114 1t7
Departments issued corrections: Bldg[ Fire 0 Ping 0 PWAt� Staff Initials:
Documents/routing slip.doc
2-28-02
City of Tukwila
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: Plan Check/Permit Number: PG13-092
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: Hashi Cirfe
Project Address: 14818 INTERNATIONAL BLVD TUKWILA, WA
Contact Person: CLIFTON BROWN
Phone Number: (425) 387-2544
Summary of Revision:
1. SUBMITTED PLAN TO STEVE FISCHER AT SEWER DEPARTMENT
2. INCLUDED PLANS APPROVED BY HEALTH DEPARTMENT
nottAtiviall
OM OF TUKWILA
SEP, 1 0 2011'
'ERMI T CENTER
Sheet Number(s):
"Cloud" or highlight all areas of revision including date',�„of revis n
Received at the City of Tukwila Permit Center by:
l'— Entered in Permits Plus on
H:\Appheanons\Forms-Applications On Ime\2010 Apphcatums\7-2010 - Revision Subnuttal:doc
Revised May 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.ci.tukwila.wa.us
REVISION SUBMITTAL
Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through
the mail, fax, etc.
Date: Q S P1UGt 7.0 t3 Plan Check/Permit Number: PG13-092
❑ Response to Incomplete Letter #
® Response to Correction Letter # Z
O Revision # after Permit is Issued
® Revision requested by a City Building Inspector or Plans Examiner
Project Name:
HASHI CIRFE
memo
CIT/ OF
AUG 0 8 2013
Ram -Town,
Project Address: 14818 INTERNATIONAL BLVD TUKWILA, WA.
Contact Person: CLIFTON BROWN Phone Number: (425) 387-2544
Summary of Revision:
1. CENTERED TRIPLE SINK P -TRAP IN ISOMETRIC PLAN
2. LABELED AND CONNECTED MOPSINK TO GREASE TRAP AND VENT SEPARATELY
3. ADDED SEPARATE VENT LINES FOR FLOOR DRAIN AND FLOOR SINK
4. INCREASED INLET LINE TO GREASE TRAP AND CLEAN OUT TO 3"
5. NOTED GREASE TRAP INLET AND OUTLET VENT LINES IN ISOMETRIC PLAN
6. NOTED LENGTH OF INDIRECT LINE IN ISOMETRIC PLAN
7. INCREASED SIZE OF GREASE TRAP TO 25 GPM MODEL# GT2700-25
8. SUBMITTED PLANS TO VALLEY VIEW SEWER DISTRICT
9. SUBMITTED PLANS TO KING COUNTY HEALTH DEPARTMENT
Sheet Number(s):
"Cloud" or highlight all areas of revision including date of revision
Received at the City of Tukwila Permit Center by':
0 6/n R,Jl 3
p- Entered in Permits Plus on
141
\ applications \fonns-applications on line\revisign submittal
Created: 8-13-2004 I
Revised: 1-2009
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.TukwilaWA.gov
Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through
the mail, fax, eta
Date: 0'/c-99/( 3 Plan CheddPermit Number. PG13-092
Response to Incomplete Letter #
Response to Correction Letter #
Revision II after Permit is Issued -
✓ Revision requested by a City Building Inspector or Plans Examiner
Project Name: Hashi Cirfe
Project Address: 14818 International BLVD Tukwila, Wa.
Contact Person: Clifton Brown
Phone Number. (425) 387-2544
Summary of Revision:
I. Attached grease trap sizing calculations.
2. Added rinse sink to isometric and reconfigured drawing to show connections. Added floor drain.
3Attached manufacturers installation instructions.
4 Attached floor plan for entire tenant space.
5 Attached isometric drawing of water lines from existing line to add on work. Water heater is not new.
G• PLEOSL noca7E 1-P T -rte£ iota &E.fn,t, pg.et=art. tp t.S
400 -GN Lj LL 7-i & 3Ca"P TiNC.I y1U2r.
CITY OF TUKWH.A
IJUL 29.20a
PERMIT CENTER
Sheet Number(s): 5
"Cloud" or highlight all areas of revision including date of revision
Received at the City of Tukwila Permit Center by: 4.6v
Entered in Permits Plus on _ .
H:Wppticatiws\Fo®sApplicatims On Lim \2010 ApplimtimmV-2010 - Revision SnnmittaL& C
Revise& May 2011
Contractors or Tradespeople Prr Friendly Page
General/Specialty Contractor
A business registered as a construction contractor with L&I to perform construction work within the scope of
its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of
account and carry general liability insurance..
Business and Licensing Information
Name SEATTLE TAC OLY PLBG STOP INC UBI No. 602937755
Phone 8773807904 Status Active
Address P.O. Box 111616 License No. SEATTT0917MU
Suite/Apt. License Type Construction Contractor
City Tacoma Effective Date 7/31/2009
State WA Expiration Date 8/4/2015
Zip 98411 Suspend Date
County Pierce Specialty 1 Plumbing
Business Type Corporation Specialty 2 Unused
Parent Company
Business Owner Information
Name
Role
Effective Date
Expiration Date
POFF, STEPHEN CHARLES
President
08/04/2011
Bond Amount
POFF, MONICA JANE
Vice President
01/15/2013
100227330
HEAD, JAMES RAY
Agent
08/04/2011
01/10/2013
HEAD, JAMES RAY
President
07/31/2009
01/10/2013
HEAD, CHANCY LEE
Secretary
07/31/2009
08/04/2011
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
3
American Contractors
Indem CO
100227330
07/27/2013
Until Cancelled
$6,000.00
07/29/2013
2
American Contractors
Indem CO
100200880
07/27/2012
07/27/2013
09/12/2013
$6,000.0008/03/2012
07/31/2012
1
American Contractors
Indem CO
100092713
07/28/2009
Until Cancelled
09/14/2012
$6,000.0007/31/2009
08/04/2011
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
5
James River Ins
Co
00058729-0
and 00058
07/27/2013
07/27/2014
$2,000,000.00
07/29/2013
4
Farmers Ins
Exchange
604753840
07/27/2012
07/27/2013
$4,000,000.00
07/31/2012
3
Farmers Ins
Exchange
604753840
07/27/2011
07/27/2012
$2,000,000.00
08/04/2011
2
FARMERS INS
EXCHANGE
604753840
07/27/2010
07/27/2011
$1,000,000.00
09/27/2010
1
TRUCK INS
EXCHANGE
604753840
07/27/2009
07/27/2010
$1,000,000.00
07/31/2009
Summons/Complaint Information
Cause
County
Complaint
Judgment
Status
Payment
Paid By
10-2-06749-9
FERGUSON ENTERPRISES INC
InterPlead: No
PIERCE
Date: 02/25/2010
Amount: $3,843.90
Bond(s): 100092713
Date:
Amount: $0.00
Dismissed
Date:
Amount:
https://fortress.wa.gov/lni/bbip/Print.aspx
09/18/2013