HomeMy WebLinkAboutPermit PG15-0118 - TOP POT DOUGHNUTS - EXTEND GAS LINETOP POT DOUGHNUTS
PG15-0118
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: 0223100085 Permit Number: PG15-0118
Address: 401 BAKER BLVD Issue Date: 10/7/2015
Permit Expires On: 4/4/2016
Project Name: TOP POT DOUGHNUTS
Owner:
Name: PEARL ALVIN S+CAROLE R
Address: 9741 E ESTANCIA WAY, SCOTTSDALE,
WA, 85262
Contact Person:
Name:
RICK PHILLIPS
Address:
234 FIFTH AVE S , EDMONDS, WA,
98020
Contractor:
Name:
WCI PLUMBING LLC
Address:
234 5TH AVE 5, EDMONDS, WA,
98020-3425
License No:
WCIPLPL891R3
Lender:
Name:
Address:
Phone: (206) 849-7453
Phone: (425) 774-4185
Expiration Date: 12/23/2015
DESCRIPTION OF WORK:
EXTEND 1 1/4" GAS LINE FROM EXISTING GAS REGULATOR, SUPPLY GAS TO THREE FRYERS
Valuation of Work: $2,000.00 Fees Collected: $126.76
Water District: TUKW►LA
Sewer District: TUKWILA 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 296-4613:
2014
Uniform Plumbing Code Edition:
2012
WA State Energy Code:
2012
International Fuel Gas Code:
2012
Permit Center Authorized Signature: VFW f w 1 Iw w, r WV 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 agree to the conditions attached to this permit.
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
2000 GAS PIPING FINAL
9002 ROUGH -IN GAS PIPING
9001 UNDERGROUND
CITY OF TUKWI
r Community Developmenr Department
�. Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.Tukwi]aWA.Rov
SITE LOCATION
Plumbing/Gas Permit No. TG is — % I (a
Project No.
Date Application Accepted: — -�
Date Application Expires: 3—�%►—� (a
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.:
Site Address:
14ol
K R B
U p
Suite Number:
Floor: I
Tenant Name:
T®�
nM
1' (J T Q O o
N U � 5
New Tenant:
❑ ..... Yes R. No
PROPERTY OWNER,(
Name: pf'Qr) I V1Ns t CcrOfP
Address: ii O 1 Y ER & V O
City: . t v u w r 1, State: Zip:
CONTACT :PERSO.N — person receiving all project
communication
Name:
R � cV,
Address: oZ 3 LA
yti Pv e 50 (�'4'^
City: J State: Zip: q cp )0
Phone: .2 G� i4 _ %y 5 ax:
Email:
.
PLUMBING CONTRACTOR INFORMATION
Company Name: W G L LO Y'-1 101. L G G
Address: 2 3 y - f h v e S 0 U -f-4
City: ): J MONa S State: to A Zip:cl'$O.�
Phone: �zS�?7�1-y/85 Fax: y2s�77y^�/1��
Contr Reg No.: WGI P,.t.89 t k3 Exp Date:
Tukwila Business License No.:
Valuation of Project (contractor's bid price): $ 2 , QO G.,,
Scope of Work (please provide detailed information): e x i- e Nd illy a a 5
_7cz� cenv iGF��, S� �i4 ree
Building Use (per Int'l Building Code):
Occupancy (per Int'l Building Code):
Utility Purveyor: Water:
Sewer:
H:\Applications\Forms-ApplimtionsOnLine\2011 Applications\Plumbing Permit Application Revised 8-9-1 l.docx
Revised: August 2011
bh
Page 1 of 2
Indicate type of plumbing fixtures andA s piping outlets being installed and the quan. )elow:
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
ease 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
3
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
rrY el's
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 OWNEWOR AUTHORIZED T:
Signature: y/2Lr'� Date:
Print Name: �� r�G � 'e�JS Day Telephone:
Mailing Address: �2 3 q `� �% �' P SG v y � -� � �"'Gy'"d 5 9YOzp
City State Zip
H:Wpplications\Forms-Applications On Line\2011 Applications\Plumbing Permit Application Revised 8-9-11.docx
Revised: August 2011 Page 2 of 2
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DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY
PAID
$126.76
PG15-0118 Address: 401 BAKER BLVD Apn: 0223100085
$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 FEES PAID'. :.
R000.322.900.04.00
0.00
$4.88
Date Paid: Tuesday, September 29, 2015
Paid By: RICK PHILLIPS
Pay Method: CREDIT CARD 519201
Printed: Tuesday, September 29, 2015 1:11 PM 1 of 1
SYSTEMS
T
INSPECTION RECORD
Retain a y cop 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
Project: (
Type off Inspect n:
Address:
&A r/ -
zle /
Date Called:
"h
Special Instructions:
Date Wanted: ,;
8P.M.
Requester: _
Phone Now ,g 4g
f-e! ?V 1 — 7f5
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Inspector: Date:
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedute reinspection.
INSPECTION RECORD
Retain a copy with permit P&(3 0 t1
CTION N0. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project: 1.
Type f Inspect'
&C(- 5 e-
7� s: � 9(tf �
Date Called:
Special instructions:
AM
Dat Wanted: a.m.
10 s? p.m.
Requester:
Phone No:
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
32,
INSPECTION RECORD
Retain a copy with permit P&jam Q 1 e
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
Pro'ect:
o t � S
Type of Inspection: t
k'-._�C
A d ess: /
If ®
Date Call .
I�4A
SpeciallnAructions:
Date anted: a.m.
0 — ((— p.m.
Reqst;er:L -
Ail CiV (q cflc 1
Phone ( 7
❑ REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Catt to schedule reinspection.
PERMIT COORQ COPY
PLAN REVIEW/ROUTING SLIP
PERMIT NUMBER: PG15-0118 DATE: 09/29/15
PROJECT NAME: TOP POT DOUGHNUTS
SITE ADDRESS: 401 BAKER BLVD
X Original Plan Submittal
Response to Correction Letter #,
Revision # before Permit Issued
Revision # after Permit Issued
DEPARTMENTS:
AS Mc, 10-1-I5-
Building Division a Fire Prevention ❑ Planning Division ❑
Public Works ❑ Structural ❑ Pen -nit Coordinator
PRELIMINARY REVIEW: DATE: 10/01/15
Not Applicable ❑ Structural Review Required ❑
(no approval/review required)
REVIEWER'S INITIALS:
APPROVALS OR CORRECTIONS:
Approved ❑
Corrections Required ❑
(corrections entered in Reviews)
Notation:
REVIEWER'S INITIALS:
DATE:
DUE DATE: 10/29/15
Approved with Conditions k
Denied ❑
(ie: Zoning Issues)
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
12/I812013
WCI PLUMBING LLC
Page 1 of 2
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Washington State Department of
Labor & Industries
WCI PLUMBING LLC
A-Z. Index = Help My Secure L&.I
Claims & Insurance Workplace Rights Trades & Licensing
Owner or tradesperson 234 5TH AVE SOUTH
EDMONDS, WA98020
Principals 425-774-4186
LESSARD, MATTHEW SNOHOMISH County
JAMES, PARTNER/MEMBER
HOLOBAUGH,TRENT
LEE, PARTNER/MEMBER
CARTER, PAUL FLYNN, PARTNER/MEMBER
LESSARD, MATTHEW JAMES, AGENT
Doing business as
WCI PLUMBING LLC
WA UBI No. Business type
603 166 416 Limited Liability Company
Governing persons
MATTHEW
JAMES
LESSARD
PAUL FLYNN CARTER;
TRENT LEE HOLOBAUGH;
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Construction Contractor Active.
..................................................................... .
Meets current requirements.
License specialties
PLUMBING
License no.
WCIPLPL891 R3
Effective — expiration
12/23/2011-1212312015
Bond
.................
Travelers Cas and Surety Co of America
$6,000.00
Bond account no.
105693076
Received by L&I
Effective date
12/23/2011
12/20/2011
Expiration date
Until Canceled
I.nsu.rance
...........................
Phoenix Insurance Company, The
$1,000,000.00
Policy no.
DTC0526D7304PHX14
Received by L&I
Effective date
05/19/2015
06/01 /2014
Expiration date
06/01/2016
https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=603166416&LIC=WCIPLPL891R3&SAW= 10/5/2015
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