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.
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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