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HomeMy WebLinkAboutPermit PG13-137 - JOLLIBEE - REPLACE WATER HEATERJOLUBEE 1372 SOUTHCENTER MALL PG13-137 City ofirukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206431-3670 Inspection Request Line: 206-431-2451 Web site: http://www.TukwilaWA.gov PLUMBING/GAS PIPING PERMIT Parcel No.: 9202470010 Address: 1372 SOUTHCENTER MALL TUKW Project Name: JOLLIBEE Permit Number: PG13-137 Issue Date: 10/04/2013 Permit Expires On: 04/02/2014 Owner: Name: WESTFIELD PROPERTY TAX DEPT Address: PO BOX 130940 , CARLSBAD CA 92013 Contact Person: Name: NAIDA KHAN/NORTHWEST PERMIT INC Address: 1345 GULF RD , POINT ROBERTS WA 98281 Email: naida@nwpermit.com Contractor: Name: WASHINGTON ENERGY SERVICES Address: 3909 196TH ST SW , LYNNWOOD WA 98036 Contractor License No: WASHIES971 OD Phone: (360) 945-2787 Phone: 206 282-4700 Expiration Date: 09/04/2015 DESCRIPTION OF WORK: REPLACE 75 GAL. GAS WATER HEATER IN KITCHEN Value of Plumbing/Gas Piping: Fees Collected: Electrical Service Provided by: Permit Center Authorized Signature: $3,500.00 Uniform Plumbing Code Edition: 2009 $46.50 International Fuel Gas Code Edition: 2009 Date: /0/((// 7 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, Print Name: Date:%ti//1 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. n,,, ,n, Drin,erl• 1!1_!ln_9MZ PERMIT CONDITIONS Permit No. PG13-137 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. don: UPC -4/10 PG 13-137 Printed: 10-04-2013 CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http:h'i ww.ci.ruMvila.wa.us Building Permit No. Mechanical Permit No. Plumbing/Gas Permit No. Public Works Permit No. Project No. P&/3- /37 (For office use only) 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: 1372 Southcenter Mall Tenant Name: Jollibee Property Owners Name: Jollibee King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: ❑ Yes ..No Mailing Address: 1372 Southcenter Mall TUKWILA City WA State 98188 Zip CONTACT PERSON- who do we contact when your permit is ready to be issued Name: Naida Khan/Northwest Permit IncDay Telephone: 360-945-2787 Mailing Address: 1345 GULF RD E -Mail Address: naida@nwpermit.com Point Roberts WA 98281 City State Zip Fax Number: 360-945-2091 GENERAL CONTRACTOR INFORMATION — (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) Company Name: WASHINGTON ENERGY SERVICES Mailing Address: 3909 196th St SW Contact Person: NAIDA KHAN Lynnwood WA 98036 E -Mail Address: Contractor Registration Number: WASHIES971 OB City State Day Telephone: 360-945-2787 Fax Number: Zip Expiration Date: 9/2/15 ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record Company Name: Mailing Address: Contact Person: E -Mail Address: City State Zip Day Telephone: Fax Number: ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record Company Name: Mailing Address: Contact Person: E -Mail Address: Q: Applications\Forms-Applications On Line.3-2006 - Permit Application.doc Revised: 9-2006 bh City State Zip Day Telephone: Fax Number: Page 1 of 6 LLTMBING AND GAS PIPI1NG PERMIT INFORMATION - 206-431-3670 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: WASHINGTON ENERGY SERVICES Mailing Address: 3909 196th St SW Lynnwood WA 98036 JASON BORG City State Zip Contact Person: Day Telephone: 800-398-4663 E -Mail Address: Fax Number: Contractor Registration Number: WAS H I ES971 O B Expiration Date: 09/02/15 Valuation of Plumbing work (contractor's bid price): $ 3500.00 Valuation of Gas Piping work (contractor's bid price): $ Scope of Work (please provide detailed information): REPLACE 75 GAL. GAS WATER HEATER IN KITCHEN Building Use (per Int'l Building Code): RESAUTARANT Occupancy (per Int'I Building Code): Utility Purveyor: Water: Sewer: Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: Fixture Type: •, ` Qty Fixture Type: Qty ' Fixture Type: Qty Fixture Type: ''Qty;; Bathtub or combination bath/shower Drinking fountain or water cooler (per head) Wash fountain Gas piping outlets Bidet Food -waste grinder, commercial Receptor, indirect waste Clothes washer, domestic Floor drain Sinks Dental unit, cuspidor Shower, single head trap Urinals Dishwasher, domestic, with independent drain Lavatory Water Closet Building sewer or trailer park sewer Rain water system — per drain (inside building) Water heater and/or vent 1 I Additional medical gas inlets/outlets — six or more Industrial waste pretreatment interceptor, including its trap and vent, except for kitchen type grease interceptors Repair or alteration of water piping and/or water treating equipment Repair or alteration of drainage or vent piping Medical gas piping system serving one to five inlets/outlets for specific gas Q:Wpplications\Forms-Applications On LineU-2006 - Permit Application.doc Revised: 9.2006 bh Page 5 of 6 PE`ItMIT APPLICATION, NOTES-AApplicabie to'all permits in this application 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. Building and Mechanical Permit The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition). Plumbing Permit The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 Uniform 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 R OR AUTHORIZED AGENT: Signature: qv/A- /,% :7.--- Print Name: N AKIN Kh in/No Lthw E P p I n LI, Day Telephone: 360-945-2787 Date: loA/13 Mailing Address: 1345 Go&d Po Tit Ro❑❑1tl❑ WA 98281 Zip City State Date Application Accepted: IOP( /3 Date Application Expires: Staff Initials: ti,Gu Q:\ApplicationsWorms-Applications On Line U-2006 - Permit Application.doc Revised: 9.2006 bh Page 6 of 6 • 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.Qov RECEIPT Parcel No.: 9202470010 Permit Number: PG13-137 Address: 1372 SOUTHCENTER MALL TUKW Status: APPROVED Suite No: Applied Date: 10/04/2013 Applicant: JOLLIBEE Issue Date: Receipt No.: R13-02815 Payment Amount: $46.50 Initials: LAW Payment Date: 10/04/2013 10:24 AM User ID: 1632 Balance: $0.00 Payee: WASHINGTON ENERGY SERVICES COMPANY TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1048 46.50 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts PLUMBING - NONRES 000.322.103.00.00 46.50 Total: $46.50 Prinfari• 10 -n4 -9n11 Lr INSPECTION RECORD Retain a copy with permit P613 -13 7 \\ 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 Pro'ect: • Ou—I GAEL Type of Inspection: r -Th &I L- - P 111_- u4t t Add ss -Date Called: Special Instructions: Date Wanted: 1(— 5 - tom lift. p.m. Requester: Ph ne 0G-,4 4 8- u.zu=ra Approved per applicable codes. LJ Corrections required prior to approval. COMMENTS: Rfitet h- — A pi+�/i / Ct)e. r Iii) O t3mp I fe C Pr -5 3 \\AjtDate: SPECTION FEE EQUIRED. Prior to next inspection, fee must be aid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople ler Friendly Page • • Page 1 of 2 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 WASHINGTON ENERGY SERVICES CO UBI No. 602320560 Phone 2062824700 Status Active Address 3909 196Th St Sw License No. WASHIES9710B Suite/Apt. License Type Construction Contractor City Lynnwood Effective Date 9/2/2003 State WA Expiration Date 9/2/2015 Zip 98036 Suspend Date County Snohomish Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status PLUMBWE888L0 PLUMBWORKS BY WA ENERGY SRVCS Construction Contractor General Unused 6/20/2012 6/20/2014 Active Business Owner Information Name Role Effective Date Expiration Date OLSON, CRAIG President 09/02/2003 Amount HEAGLE, RANDY Secretary 09/02/2003 VGL1342176 CHRISTIANSON, STEVE Treasurer 09/02/2003 OLSON, VERN Vice President 09/02/2003 Companion Specialty Ins Co Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 DEVELOPERS SURETY & INDEM CO 571389C 08/29/2003 Until Cancelled $12,000.00 09/02/2003 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 11 Companion Specialty Ins Co VGL1342176 05/01/2013 05/01/2014 $1,000,000.0004/30/2013 10 Companion Specialty Ins Co VGL1131637 05/01/2012 '05/01/2013 $1,000,000.00 04/30/2012 9 COMPAN ION SPECIALTY INSURANCE VGL1021215 05/01/2011 05/01/2012 $1,000,000.00 04/29/2011 8 IRONSHORE SPECIALTY INS CO 000259901 05/01/2010 05/01/2011 $1,000,000.00 04/30/2010 7 Ironshore Specialty Ins Co 00G4H0905001 05/01/2009 05/01/2010 $1,000,000.0004/29/2009 6 UNITED SPECIALTY INS AGL0810381 05/01/2008 05/01/2009 $1,000,000.00 04/30/2008 5 UNDERWRITERS AT LLOYDS CJ0749013 05/01/2007 05/01/2008 $1,000,000.00 04/27/2007 I Summons/Complaint Information I I httos://fortress.wa. s?ov/lni/bbip/Print.aspx I 10/04/2013