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HomeMy WebLinkAboutPermit PG15-0092 - PIZZA HUT - GAS LINE FOR FRYERPIZZA HUT 14638 TUKWILA INTERNATIONAL BLVD PG15-0092 City of Tukwila • 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.Rov PLUMBING/GAS PIPING PERMIT Parcel No: 0040000902 Permit Number: PG15-0092 Address: 14638 TUKWILA INTERNATIONAL Issue Date: 9/2/2015 BLVD Permit Expires On: 2/29/2016 Project Name: PIZZA HUT Owner: Name: POLETTI DAVE Address: 1200 WESTLAKE AVE N #1001, SEATTLE, WA, 98109 Contact Person: Name: NISHA TAYLOR Phone: (360) 755-5444 Address: PO BOX 265, BURLINGTON, WA, 98233 Contractor: Name: ALPINE FIRE & SAFETY SYS INC Phone: (360) 755-5444 Address: PO BOX 265 735 E FAIRHAVEN AVE, BURLINGTON, WA, 98233 License No: ALPINFS077RP Expiration Date: Lender: Name: Address: DESCRIPTION OF WORK: Valuation of Work: $125.00 Fees Collected: $126.76 Water District: 125 Sewer District: VALLEY VIEW SEWER SERVICE Current Codes adopted by the City of Tukwila: International Building Code Edition: 2012 National Electrical Code: 2014 International Residential Code Edition: 2012 WA Cities Electrical Code: 2014 International Mechanical Code Edition: 2012 WAC 296-46B: 2014 Uniform Plumbing Code Edition: 2012 WA State Energy Code: 2012 International Fuel Gas Code: 2012 Permit Center Authorized Signature: w Date: 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 aggreeetto the conditions attached to this permit. Signature: 4W&W'_ -- Date: Print Name: CtA (cA-,— Fleope�z6,ot 1 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: <NONE> PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 2000 GAS PIPING FINAL 9002 ROUGH -IN GAS PIPING CITY OF TUKWILA • , .I Community Development Department Plumbing/Gas Permit No. . ` Permit Center • 6300 Southcenter Blvd.; Suite 100 Project No. Tukwila, WA 98188 Date Application Accepted: http://www.TukwilaWA.eov Date Application Expires: ---1 ((� (a (For office use only) PLUMBING / GAS PIPING PERMIT APPLICATION SITE LOCATION 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" Z I King Co Assessor's Tax No.: 00A-DCQ —Oq 02 _ Site Address: I'Al-05C.) �1yy Suite Number: Floor: Tenant Name: �)% 7 _� H (J` T New Tenant: ❑ .....Yes No PROPERTY OWNER Name: , lC Address: �I City: State: Zip: CONTACT PERSON — person receiving all project communication Name: Address: Po City; State: Zip p) 7 ax: Phone: 7 SY4 Email:s 11 1...on PLUMBING CONTRACTOR INFORMATION Company Name: I1(� ) E Address: On City: U12,L.1 -T�State: `1 Phone: - ax: S-SM Cont Re No.: ` , t Exp Date: 11 120 I Tukwila Business License No.: Valuation of Project (contractor's bid price): $ 1, Scope of Work (please provide detailed information): 1NS L�. NCB L pS C-A NE ry 2 -rf,—�C — �.C��N C�1►��`Z ll: LI N)E m\s \ O E or, S 1k 11_(J Building Use (per Int'l Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: . Sewer: H:\Applications\Forms-Applications On Line\2011 Applications\PlumbingPernut Application Revised 8-9-11.docx Revised: August2011 Page 1 of2 bh Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: Fixture Type Qty Bathtub or combination bath/shower ' Dishwasher, domestic with independent drain Shower, single head trap Sinks Rain water system — per drain (inside building) 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 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 PERMIT APPLICATION NOTES - Fixture Type Qty Clothes washer, . domestic Food -waste grinder, commercial Wash fountain Water closet Industrial waste treatment interceptor, including trap and vent, except for kitchen type grease interceptors Repair or alteration of drainage or vent piping Backflow protective device other than atmospheric -type vacuum breakers over 2 inch (51 mm) diameter Gas piping outlets Fixture Type Qty Dental unit, cuspidor Floor drain Receptor, indirect waste Building sewer and each trailer park sewer Each grease trap (connected to not more than 4 fixtures - <750 gallon capacity Medical gas piping system serving 1-5 inlets/outlets for a specific gas ' Each lawn sprinkler system on any one meter including backflow protection devices Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation The Building Official may grant one extension of time for an additional period not to exceed 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 International Plumbing Code (current edition). I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING AGENT: Print Name: 1p�L��7� Day Telephor Mailing Address:_ 1" L) City H:Wpplications\For Applications On Line\2011 ApplicationsVI mbing Pemdt Application Revised 8-9-Il.docx Revised: August2011 bh Date: a L' t �( Id') ,-I SS • y CI State Zip Page 2 of2 DESCRIPTIONS• PermitTRAK QUANTITY PAID $126.76 PG15-0092 Address: 14638 TUKWILA INTERNATIONAL BLVD Apn: 0040000902 $126.76 GAS $121.88 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $32.50 PERMIT FEE R000.322.100.00.00 0.00 $65.00 PLAN CHECK FEE R000.322.103.00.00 0.00 $24.38 TECHNOLOGY FEE $4.88 TECHNOLOGY FEE TOTAL. 1 R000.322.900.04.00 0.00 $4.88 Date Paid: Monday, August 10, 2015 Paid By: CHUCK HENDERSON Pay Method: CREDIT CARD 06339D Printed: Monday, August 10, 2015 11:12 AM 1 of 1 CFSYS7EM5 a INSPECTION RECORD Retain a copy with permit r� 00 Z INSPEZMN N0. PERMIT N0. �� CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Proj Type In pection: -11 C (, Aldriisn0 ate C ;f led: Special Instructions: Date Wanted: a.m. p.m. lRequetter: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: c6 Ilnspector: � IDate�v_ *— rr ❑ REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. LA INSPECTION RECORD Retain a copy with permit PQ5. Ud er 2— IN7ECTION 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 Pro'ej;t: Type of Inspection: C 1 r4� Address: �(kr � t ` ��✓ ( Date Called: Special Instructions: 4tic ( Date Wanted.-a.m. — V`(5— p.m. f&' 3 o Reques �Odter: Phone N*60 T ?O 7 _ SL(© f Inspector: Date: REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. I. No changes shall almade to the sc opp Of work without prior anrimi oft, „* Revisions will require a nets plan submittel may include additional plan rev,^'w f2e:; m m 4 m ZD M Mj �1 3 � 3 0 � FILE COPY Permit No. Approval of construction documents does not aL the violabon of any adopted'code or ordinance. Of approved Field Copy and conditions is acknow By: Date: }a= s 04 o D PROJECT o PIZZA HUT N 14638 PACIFIC HWY S, TUKWILA, WA 98168 Cll ' City of Tukvvila ILDING DIVISION Cam. EQUIR.'D FC is Mechanical Electrical Plumbing Q Gas Piping C ;k'y of T ukkp it 131,4`�'.1"10 P!11lS ON REVI-WED FOR CODE COMPLIANC APPROVED AUG 14 2015 City Of Tukwila . BUILDING DIVISIO WlPffl,E ME a 735 E FAIRHAVEN, BURLINGTON WA 48233 360-755-5444 CONTRACTOR LIC# ALPINFS077RP IV King County • .u.. -mpcnc .ac nm —p.surrap——S—Yunrrm. I A—KCpen rrmu•ropern UCraa Assessments 500 Fourth Avenue, Sufte ADM - AS 0708, Seattle, WA 98104 J Office Hours: � Mon - Fri 8:3D a.m. to 4:30 P.M. PARCELDATA Parcel 004000-0902 Jurisdiction TUKWILA Name POLETTI DAVE Levy Code Property Type 2413 C 14638 TUKWILA Site Address INTERNATIONAL BLVD 98168 Plat Block I Building Number Plat Lot I Unit Number Quarter -Section -Township. Range 7 9-10 & 25-26 NW-22-23-0 Geo Area 50-65 Spec Area Property Name Pizza Hut (excess land) I TEL: 206- Legal Description t 296-7300 ADAMS HOME TRS FOR OF 9.10 & 25-26 BEG AT NXN OF ELY MGN OF ST RD # 1 WITH N LN OF S 30 FT OF 9 FAX 206- TH E ALG SO N LN OF S 30 FT OF 9.10 120 FT TH SWLY PLW ELY RD MGN OF ST RD 200 FT TH W PLW S W 296.5107 OF 9-10 120 FT TO SD ELY MGN TH NELY ALG ELY RD MGN 200 FT TO POB TTY, P0r, PLat Block: 7 296-7888 Plat Lot: 9-10 & 25-26 Send us mail 1 OISIAIa ONlallne el!N►Mnl jo �4!0 SIOZ Z 9nd a3AOWddb )NVIldWOa 3a0o 8o:1 a3M31A3N Highest & Best Use As If Vacant COMMERCIAL SERVICE Highest & Best Use As PRESENT USE Improved Present Use Retail Store Land SgFt 22.825 Acres 0.52 Views Rainier Territorial Olympics Cascades Seattle Skyline Puget Sound Lake Washington Lake Sammamish LakelRiverlCreek- Other View Deslanations Historic Site Current Use (none) Nbr Bldg Sites ' Adjacent to Gol( Fairway NO Adjacent to Greenbelt Percentage Unusable Cl Unbuildable NO Restrictive Size Shape NO Zoning NCC Water WATER DISTRICT Sewer/Septic PUBLIC Road Access PUBLIC Parking ADEQUATE Street Surface I PAVED vvaterrrnnt Waterfront Location Waterfront Footage 0 Lot Depth Factor 0 Waterfront Bank TidelShone Waterfront Restricted Access Waterfront Access Rights NO Poor Quality IND Proximity Influence NO Nuisa Topography Traffic Noise Airport Noise Power Lines NO Other Nuisances NO Problems Environmental Environmental NO Water Problems NO Transportation Concurrency NO Other Problems NO Building Numher • 1 Picture of Bugding 1 Building Description Retail Number Of Buildings Aggregated 1 Predominant Use RETAIL STORE I (353)I�•1. 1 NO. Other Designation �GIs -oogz Links: Vino County Tax t Links n Prooerty Tax Advisor o Washington State ' Department of Revenue (F)temal link) Washington State ' Board of Tax Apoeals (External link) o Board o ' t Aooeals/Eaualization Districts Reporf o !Map . . Recorders Office i Scanned images of I SONBVS and a}hef � map documents Scanned imaaesof � Notice mailing date: 0713012015 ( t RECEIVED CITY OF TUKWILA AUG 10 2015 PERMIT CENTER PERMIT COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: PG15-0092 DATE: 08/10/15 PROJECT NAME: PIZZA HUT SITE ADDRESS: 14638 TUKWILA INTERNATIONAL BLVD X Original Plan Submittal Revision # before Permit Issued Response to Correction Letter # Revision # after Permit Issued DEPARTMENTS: K& Ajj�jq A-3 Building Division go Fire Prevention ❑ Planning Division ❑ Public Works ❑ Structural ❑ Permit Coordinator PRELIMINARY REVIEW: DATE: 08/11/15 Not Applicable ❑ Structural Review Required ❑ (no approval/review required) REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: DUE DATE: 09/08/15 Approved ❑ Approved with Conditions ❑ Corrections Required ❑ Denied ❑ (corrections entered in Reviews) (ie: Zoning Issues) Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: 12/18/2013 ALPINE FIRE & SAFETY SYS INC Page 1 of 2 Search L&I Home lnicio en I:Spafiol Contact Safety Washington State Department of Labor & Industries ALPINE FIRE & SAFETY SYS INC A-G Index Help My Secure L&I Claims & Insurance Workplace Rights Trades & Licensing Owner or tradesperson PO BOX 265 735 E FAIRHAVEN AVE Principals BURLINGTON, WA BOUNDS, STEPHEN LEROY, PRESIDENT 360-755-6444 SKAGIT County BOUNDS, TAMI, SECRETARY BOUNDS, STEPHEN, AGENT BOUNDS, WILLIAM, VICE PRESIDENT (End: 04/30/1998) BOUNDS, JUNE, TREASURER (End: 04/30/1998) Doing business as ALPINE FIRE & SAFETY SYS INC WA UBI No. Business type 601 218 336 Corporation Governing persons STEPHEN LEROY BOUNDS WILLIAM E BOUNDS; License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Construction Contractor Active. ..................._...................................................... Meets current requirements. License specialties GENERAL License no. ALPINFS077RP Effective — expiration 1211711993-1111912016 Bond ................ NATIONWIDE MUTUAL INS CO $12,000.00 Bond account no. BD7900600142 Received by L&I Effective date 11/08/2001 10/1812001 Expiration date Until Canceled Insura.......nce ........................ Kinsale Insurance Company $1,000,000.00 Policy no. 01000167931 Received by L&I Effective date 11/25/2014 12/01/2014 Expiration date https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601218336&LIC=ALPINFS077RP&SAW= 9/2/2015