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Permit PG14-0180 - POP GOURMET POPCORN - TENANT IMPROVEMENT
POP GOURMET POPCORN 13400 INTERURBAN AVE S PG14-0180 )Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206-438-9350 Web site: http://www.TukwilaWA.gov Parcel No: Address: City of Tukwila PLUMBING/GAS PIPING PERMIT 0003000115 Permit Number: 13400 INTERURBAN AVE S Project Name: POP GOURMET POPCORN Issue Date: Permit Expires On: PG 14-0180 12/22/2014 6/20/2015 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: HIC I LLC PO BOX 700, MERCER ISLAND, WA, 98040 NOREEN SWEETING 1300 SW CAMPUS DR #59-4 , FEDERAL WAY, WA, 98023 AFFORTABLE WEST COAST PLBG Address: PO BOX 26061 , FEDERAL WAY, WA, 98093 License No: AFFORWC883J3 Lender: Name: Address: Phone: (253) 353-0356 Phone: (253) 353-0356 Expiration Date: 6/26/2016 DESCRIPTION OF WORK: ROUGH IN (2) TANKLESS WATER HEATERS, ROUGH -IN 100' TRENCH DRAIN, INSTALL 25-50 GALLON GREASE TRAP, FLOOR SINK, EYE WASH STATION, HAND SINK, (2) 3-COMPARTMENT SINKS, PREP SINK, MOP SINK, AND HOSE BIB. Valuation of Work: $53,000.00 Water District: TUKWILA Sewer District: TUKWILA SEWER SERVICE Fees Collected: $345.16 Current Codes adopted by the City of Tukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: International Fuel Gas Code: Permit Center Authorized Signature 2012 2012 2012 2012 2012 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: Date: I2-, 2014 2014 2014 2012 I hearby 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 development permit and agree to the conditions attached to this permit. Signature: Print Name: 7 Date: This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. PERMIT CONDITIONS: 1: ***PLUMBING/GAS PIPING PERMIT CONDITIONS*** 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: The applicant agrees that he or she will hire a licensed plumber to perform the work outlined in this permit. 14: All new plumbing fixtures installed in new construction and all remodeling involving replacement of plumbing fixtures in all residential, hotel, motel, school, industrial, commercial use or other occupancies that use significant quantities of water shall comply with Washington States Water Efficiency ad Conservation Standards in accordance with RCW 19.27.170 and the 2006 Uniform Plumbing Code Section 402 of Washington State Amendments PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 1900 PLUMBING FINAL 8005 ROUGH -IN PLUMBING 9001 UNI ERGROUND CITY OF TUK' 'A Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Plumbing/6as Permit No. P& It4 PM- Nil Project No. Date Application Accepted: 121D291I�1 Date Application Expires: 1 (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 1 3 `f d 0 { e r Q vet, 5 Tv k w l 1" Loft King Co Assessor's Tax No.: O D© —3 00X / 1 r Site Address: l no .4-4-env bannnA V� 5 Tukw;li 1. uite Number: Floor: , Tenant Name: Po P GoUr nA&1 PQPGQQAJ New Tenant: ER Yes ❑.. No PROPERTY OWNER Name: k 1/ 1 _ 1 j j l Address: �GLv `0'v6 y60 kit c City: Ti-ileivvt lState: \ /L Zip:/ t(o CONTACT PERSON — person receiving all project communication 1 Name: %) /ita A&id.-f', nf Address:13 OD ,514) CaWf t pie _'Y' City:,jJ/ viq! tate: w 4 Zip: n6)3 Phone 3) 3S-3 -v� 4 Fax: 4 Ov -1-//c1/4b\e—L c- I\LAN ,,>\4 a.l 4 ► lee:t, Cow PLUMBING CONTRACTOR INFORMATION j Company Name: a� qVl litAi_ ! ( tUWlt�lt'L4 Address: n_ 7 , �e, 0.q�6O/ ��pj7 City: c:dortotr State: kit Zip: G/7 Phony ) 353 -o35"4 Fax: I Contr Reg No.: k ( It 1,069gal, Date: (141.01 14 Tukwila Business License No.: Valuation of Project (contractor's bid price): $ 5 3) O 0 D Scope of Work (please provide det filed information): kle6 — — r la0` %re vcf4 0� fr A', e ✓`� SV yam./ of 5' i�� &ye 19 4-a 67) J 51'�1k (3) tom, SI;1k %r,�a SY2 mo .S) 7i Hose 6 h I � Building Use (per Int'l Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: Seger: w i /► b iy—O334 H:\Applications\Porms-Applications On Line\2011 Applications\Plumbing Permit Application Revised 8-9-11.docx Revised: August 2011 bh Page 1 of 2 Indicate type of plumbing fixtures anc ;as piping outlets being installed and the quai below: Fixture Type Qty Bathtub or combination bath/shower Dishwasher, domestic with independent drain Shower, single head trap 1 Sinks I ivy/ 0' Rain water system - per drain (inside building) Grease interceptor for commercial kitchen (>750 A gallon capacity) 2S-0 'al(O11 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) Laxatory (If) Urinal Water heater and/or vent O 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 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 Vr drai J J ) ��/ 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 O iNER OR AUTH9RIZED GENT: Signature: /V P i% y t .d-i n Date: Print Name: /1/Dr. 4 5 k//dd//%` Day Telephone: 2.53--� �/ 0 3.56 Mailing Address:1444A 1e ��S\ RA) w-b‘ p- D' P3DX 2 ,o '/ - Fe-+- 1 Gv 123093 M City State / Zip H:\Applications\Forms-Applications On Line\2011 Applications\Plumbing Permit Application Revised 8-9-11.docx Revised: August 2011 bh Page 2 of 2 DESCRIPTIONS PermitTRAK Cash Register Receipt City of Tukwila ACCOUNT QUANTITY PAID $345.16 PG14-0180 Address: 13400 INTERURBAN AVE S Apn: 0003000115 345.16 PLUMBING $331.88 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $32.50 PERMIT FEE R000.322.100.00.00 0.00 $233.00 PLAN CHECK FEE R000.322.103.00.00 0.00 $66.38 TECHNOLOGY FEE $13.28 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R3689 R000.322.900.04.00 0.00 $13.28 $345.16 Date Paid: Wednesday, December 03, 2014 Paid By: AFFORDABLE WEST COAST PLUMBING Pay Method: CREDIT CARD 000823 Printed: Wednesday, December 03, 2014 11:54 1 of 1 AM CEIWSYSTEMS INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 5outhcenter Blvd., #100, Tukwila, WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 iti4 —060 Project:‘ r, ---- 'Type r6ou iitivei Papto/n/ of Inspection: pi.] mc) . Address: r / 3 O 6 ..7...k.rei„) I _. i A /V Date Called: Special Instructions: Date Wanted: j ( .' l. f - i Requester: - 03 5(0 ,,- Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS F REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Cali 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) 431-3670 Permit Inspection Request Line (206) 438-9350 °c Project-, 'r't JP co? k i11 t R Type_of Inspection: , -I- i I) A C._ Address: Date Called: Special instructions: Date Wanted: ern".) Requester_ Phone No: _ �S 3 � & _ Li .? 5 C ED Approved r applicable codes. © Corrections required prior to approval. COMMENTS: "Date• 1 </ (EINSPECTION FEE REQUIRE\D. Prior to, ext inspection, fee must be paid at 6300 5outhcenter Blvd.. Suite 100. Call to schedule reinspection. tnspec r: �,4', i is INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431.3670 Permit inspection Request Line (206) 438-9350 Project: PUC> (00V--4 4a -f T of inspection: h - o 1J PIt v'1 ' ,n Address: t 3 4-‘42J'v-J 40►018-J Date hallo Special instructions: Date Wanted: Requester: Phone No: App.oved per applkable codes. Corrections required prior to approval. COMMENTS: - ti Date: PEC11ON REQUIRED. Pifior to next inspection. fee must at 6300 Southcenter Blvd.. Suite 100. Calf to schedule reinspaecl Ex►'sih? '! tom{ - .► REVIEWED FOR CODE COMPLIANCE APPROVED DEC 17 2014 City of Tukwila BUILDING DIVISION RECEIVE DEC 16 2014 TU KVviu-. PUBLIC WOW CORRECTION LTR# PD P C7ouRMENr PoPcoiV �ka�►P. wvCoc - `fit uwA b ic Mrce, 400 LaLs W at Lc/1 FILE COPY Permit No. f / )/` r/ % ' / ) , ) f Nos. +-b n1 Hof )46 r 4 mop 1 J 3cori Rod 304 w1,h 1 B 5i'f k s) Ck, sok 34 S1‘0k 51nI AO RECEIVED CITY OF TUKWILA PERMIT CENTER i l FILECOPY � r � � 4 I r 1 1 /vow. f /Me t rreHGh 1-Tff 3'1 Ors . i5t 1 divii;1 f t < I IN tA, ivi(Ah , 1, RECEIVE!) DCC, }6 2014 REVIEWED FOR 4ODE COMPLIA E APPROVED DEC 17 2014 City of Tukwila BUILDING DIVISI 4400 OP 6-UU(ziil1c r POPtoggi LTR# 1 V Noe GPCial---01jai r�.bl�ew� P1u��,� �� � Crm� �l cord 2to ECEIVED Vb OF TUKWILA' DEC I.5 2014 I PERMIT CENTER 50 povv4 loo gdIon Crre4S ir►+ N PUBL WORKS rl wQstc i 4' .ter FILE COPY Connection Iron PipeS'ize` '(Solvent,weld); A C -Permit -li.o..- *Diffuser baffle only used in 35 and 50 GPM models RECEIVE DEC 16 M014 ra® TU cW(uk pUBLIC WORKS Grease Interceptor Contractor shall install a Canplas Endure Grease Interceptor, Part No. (fill in). A flow control with a rate of gpm will also be installed in accordance to manufacturer's instructions. The unit shall be comprised of engineered thermoplastics to withstand operational temperatures up to 220°F (104°C) and incorporate a lid with the capability of supporting 440 lbs. (200 Kgs). The unit will be supported by a 10 year manufacturer's extended warranty. The grease interceptor shall be certified to the current version of the PDI-G101standard and where locally a to ASME112.14.3 or have UPC listing. Contractor shall provide mechanical connectors to conn grease interceptor. TANK DIMENSIONS GPNI/Ibs f 15/330 �= 20/40` 25/5010 25Ma0 ' � °35170 ` `5 A 14.5" (368mm) 23.6" (600mm) 31.0" (787mm) 23.6"(600mm) 31.0"(787mm) 31.0" (787mm) B 17.5"(444mm) 17.5"(444mm) 235" (597mm) 17.5"(444mm) 235"(597mm) 23.5" (597mm) C 3.5" (89mm) 3.5" (89mm) 4" (102mm) 4.1"(104mm) 5.0"(127mm) 5.0" (127mm) D 12.8" (325mm) 12.8" (325mm) 7" (178mm) 11.2"(31 ii 1111 ' ! .•" ) E 16.3" (414mm) 16.3" (414mm) 11" (279mm) 16.3"(41 mm) R5i4 D23.5 "� ) FLOW CONTROL DIMENSIONS 3.0" (76.2mm) :384„ (97 5mm) 4.23" (107.4mm) 6.13" (155.7mm) (173.7MM) CAPACITIES AIR INTAKE DIMENSIONS 2.91" (73.9mm) 2.24" (56mm) 2.67" (67.8mm) (1019mm) e, 2.27" (57.7mm) 3.19" (81 mm) 2.72" (69.1mm) APPROVED FLOW CO OL AIR INTAKE TEE DEC 1 2g14 --A-*I 3°VERSION ILL US Gallons Per Minute (GPM) 15 ' 20 25 LO 25 35 CAPACITY- Pounds 30 40 50 50 70 100 Litres Per Second ( CAPACITY- Kilograms 13.6 18.1 22.68 22.7 31.8 45.4 Average Efficiency % (ASME 112.4.3) 92.0% 95.4% 97.1% 92.5% 98.6% 93.9% Part Number _ 3935A02C 3920A02 925A0210 3925A02 (3 3925A03,(33 s 3935A03 (3") «'': : x .3935ik04 4"1, -3950A03 (3"),__. 3950A04(4) Grease Capacity lbs (Kg) actual 34.8 (18.4) 76.4 (34.65) 53.4 (24.22) 74 (33 6) * 138 5 (62 8) 122 (55 3) * operating emperatureCapabilttes 220 F(104'C) ..; 720 F1104`C) ,. 220 ¢I04"C).. ` .x-• 220 F(104'C) - = 220 F;(fiO4 ).. 220`,F(104 G)°° Surface Load Capadty 440 Ibs (200 kgs) 440 Ibs (200 kgs) 440 Ibs (200-kgs) 440 Ibs (200 kgs) 440 Ibs (200 kgs) 440 Ibs (200 kgs) 11n t9lleight(Einpty) . 15 81bs (717 kgs) , 23 Ibs 1t 4 kgs) 239)bs (10 85 kgs) t23 lbs (10 4 kgs) 451t)s(2Q 4 kgs); 601bs (27 2 kgs) > , ::; Liquid Capacity 12.96 gal (49.06L) 21.6 gal (81.8 L) 18.9 gal (71.541) 21.6 gal (81.8 L) 39.4 gal (149.1 L) 52.0 gal (197 L) Connecflonsize(mechamcal) (110mm available on request) 2 2" , 2" �rt 3 2 3925A02 ( 1 3" 3923: 'fE.0 3 (395A03)jj C '4 9. OI di CORRE LTR# T i O * Max capacity calculated based on data at PDI 6101 test approval. All other mode s/data quote figures at ASME 112.14.3 Bre n. UtL.1.'52014 PERMIT CENTER - MIX I ustries Lt PGi e e,On io, Cana LL t ve. r, CO, USA 80239 City of Tukwila Department of Community Development December 08, 2014 NOREEN SWEETING 1300 SW CAMPUS DR #59-4 FEDERAL WAY, WA 98023 RE: Correction Letter # 1 PLUMBING/GAS PIPING Permit Application Number PG14-0180 POP GOURMET POPCORN - 13400 INTERURBAN AVE S Dear NOREEN SWEETING, Jim Haggerton, Mayor Jack Pace, Director 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 following departments: PW DEPARTMENT: Dave McPherson at 206-431-2448 if you have questions regarding these comments. • CITY OF TUKWILA PUBLIC WORKS DEPARTMENT REVIEW COMMENTS www.tukwila@tukwilawa.gov Development Guidelines and Design and Construction Standards DATE: December 5, 2014 PROJECT: Pop Gourmet Popcorn at 13400 Interurban Ave. South TL no. 000300-0115 1st Review Comments PERMIT NO: PG14-0180 PLAN REVIEWER: Contact David McPherson at (206) 431-2448, if you have any questions/comments regarding the following comments. David.McPherson@TukwilaWA.gov 1. All gray water from sinks, floor drains, etc. to be routed through a grease interceptor. Show clearly and label on a plan sheet fixtures and piping to grease interceptor. 2. Provide grease interceptor sizing calculations and maintenance requirements. 3. Plan sheet A-2.0 (submitted) does not appear to show all trench drains being routed to a grease interceptor. Justify having only one 50 gallon grease interceptor for all wash down areas and sinks. 4. If you have questions regarding the grease trap/interceptor requirements please contact Mike Cusick, P.E., Senior Water & Sanitary Sewer Engineer at (206) 431-2441. michael.cusick@tukwilawa.gov Please address the comments above 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. Bann c.,;t, inn . 1u,...1.;.,, ,,,,, 021QR _na1_2f7n . z7,,,. lnK 421_2KKs 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 206-431-3655. Sincerely, "WS Bill Rambo Permit Technician File No. PG14-0180 Bann c,,„a„,.„rt„, Jrnn . T„ar,.,;r„ Tai,,..ts;In„*„sq oQ /QQ 111As_,12 1_a,7n . e', - 111K.Aa r. a��s PERMIT COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: PG14-0180 DATE: PROJECT NAME: POP GOURMET POPCORN SITE ADDRESS: 13400 INTERURBAN AVE S Original Plan Submittal Revision # 12/15/14 X Response to Correction Letter # 1 Revision # before Permit Issued after Permit Issued DEPARTMENTS: Building Division Public Works Fire Prevention Structural Planning Division Permit Coordinator n PRELIMINARY REVIEW: Not Applicable (no approval/review required) REVIEWER'S INITIALS: DATE: 12/16/14 Structural Review Required DATE: n APPROVALS OR CORRECTIONS: DUE DATE: 01/13/15 Approved Approved with Conditions;g1 Corrections Required Denied (corrections entered in Reviews) (ie: Zoning Issues) Notation: S Qv\ P✓l�C�_ REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: 12/18/2013 ?ERMIT COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: PG14-0180 DATE: 12/03/14 PROJECT NAME: POP GOURMET POPCORN SITE ADDRESS: 13400 INTERURBAN AVE S X Original Plan Submittal Response to Correction Letter # Revision # Revision # before Permit Issued after Permit Issued DEPARTMENTS: kr AV Building Division k.b1 c vt I✓` lic Works Fire Prevention Structural n Planning Division Permit Coordinator n PRELIMINARY REVIEW: Not Applicable (no approval/review required) DATE: 12/04/14 Structural Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved Corrections Required n (corrections entered in Reviews) Notation: Approved with Conditions Denied (ie: Zoning Issues) r\O k (}v\ 061A) DUE DATE: 01/01/15 n REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: 12--- Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW Staff Initials: w( 12/18/2013 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.ci.tukwila.wa.us Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: l 01--' I Plan Check/Permit Number: PG 14-0180 ❑ 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: POP Gourmet Popcorn Project Address: 13400 Interurban Ave S Contact Person: £b(cl/ SGIBCC /77 Phone Number: 053) 35-3 -03 5- Summary of Revision: 14. ei,vItt AI br o 11/ 41-e'r f, CITY OF TtotWILA ID€C'i 5. 2014 Sheet Number(s): PEPMrr CENTER "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by: fg— Entered in TRAKiT on \applications\forms-applications on Iine\revision submittal Created: 8-13-2004 Revised: AFFORTABLE WEST COAST PL'' T Page 1 of 2 41111114Washington State Department of / Labor & Industries AFFORTABLE WEST COAST PLBG Owner or tradesperson SWEETING, NOREEN ESMALA Principals SWEETING, NOREEN ESMALA, OWNER WA UBI No. 603 200 889 PO BOX 26061 FEDERAL WAY, WA98093 253-353-0356 KING County Business type Individual License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Construction Contractor License specialties PLUMBING License no. AFFORWC883J3 Effective — expiration 04/23/2012— 06/26/2016 Bond Wesco Insurance Co Bond account no. 46WB023699 Received by L&I 04/24/2013 Bond history Insurance Security National Insurance Policy no. NA105617602 Received by L&I 04/22/2014 Insurance history Savings No savings accounts during the previous 6 year period. Active. Meets current requirements. $6,000.00 Effective date 04/23/2013 Expiration date Until Canceled $1, 000, 000.00 Effective date 04/23/2014 Expiration date 04/23/2015 https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603200889&LIC=AFFORWC883J3&SAW= 12/22/2014