HomeMy WebLinkAboutPermit PG10-157 - SHASTA BEVERAGESSHASTA BEVERAGES
1227 ANDOVER PK E
PG1O-157
City oilTukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Inspection Request Line: 206- 431 -2451
Web site: http: / /www.ci.tukwila.wa.us
PLUMBING /GAS PIPING PERMIT
Parcel No.: 3523049072
Address: 1227 ANDOVER PK E TUKW
Project Name: SHASTA BEVERAGES
Permit Number: PG10 -157
Issue Date: 12/02/2010
Permit Expires On: 05/31/2011
Owner:
Name: NATIONAL BEVERAGE CORP
Address: 8100 SW 10TH ST STE 4000 , PLANTATION FL 33324
Contact Person:
Name: BRYAN GALVIN
Address: PO BOX 614 , AUBURN WA 98071
Email: BRYAN @UNTVERSALREFRIG.COM
Contractor:
Name: UNIVERSAL REFRIGERATION INC
Address: PO BOX 614 , AUBURN WA 98071 -0614
Contractor License No: UNIVERI159RF
Phone: 253 - 393 -5501
Phone: 253 939 -5501
Expiration Date: 04/01/2012
DESCRIPTION OF WORK:
CONTINUE 1" GAS PIPE LINE FROM EXISTING SYSTEM (5 LBS) TO SUPPORT (2) UNIT
HEATERS.
Value of Plumbing /Gas Piping: $750.00 Uniform Plumbing Code Edition: 2009
Fees Collected: $120.75 International Fuel Gas Code Edition: 2009
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complie
OR, Date: 12_1(D2 -I 10
ed this permit and know the same to be true and correct. All provisions of law and ordinances
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: /��� Date: l7 7.
Print Name:
C4 / 4
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.
doc: UPC -4/10
PG10 -157 Printed: 12 -02 -2010
PERMIT CONDITIONS
Permit No. PG10 -157
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: 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.
9: 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.
10: 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.
doc: UPC -4/10
PG10 -157 Printed: 12 -02 -2010
•
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
Plumbing/Gas Permit No. `� G 10 /57
Project No.
(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
King Co Assessor's Tax No.: j, '/- 90 72-
Site Address: /2 27 /4 ie &e .- rkwzr &' Suite Number: Floor:
Tenant Name: s%Q57 �PiV /p,.rotg,P, / /1t G - New Tenant: ❑ Yes ❑ ..No
Property Owners Name: / Y47 4 ur ( /5 P.r'at q2_ Corp .—
Mailing Address: /2- 27 .�ta.4VG✓- t vtl / TuLcaea.12
City
lt/41¢
State
98 /RS
Zip
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name(ryan)erry, Heath, or Shane
Mailing Address:
PO Box 614
E -Mail Address: h94*.7@u Univ€rpr(r /). ccwr i
PLUMBING / GAS PIPING /CONTRACTOR INFORMATION
Day Telephone:
Auburn
City State
Fax Number: (253) 735 -3432
(253) 939 -5501
WA
98071
Zip
Company Name: Universal Refrigeration
Mailing Address:
PO Box 614
Contact Person: Bryan Galvin'
E -Mail Address: bryang @universalrefrig.com
Contractor Registration Number: UNIVERI 159RF
Auburn WA 98071
City State Zip
Day Telephone: (253) 939 -5501
Fax Number: (253) 735 -3432
Expiration Date: 04/01/2012
ARCHITECT OF RECORD — All plans must be stamped by Architect of Record
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
Contact Person:
E -Mail Address:
State
Zip
ENGINEER OF RECORD — All plans must be stamped by Engineer of Record
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
Contact Person:
E -Mail Address:
State
Zip
H:Wpplications\Ponns- Applications On Line\2010 Applications \7 -2010 - Plumbing -Gas Piping Permit Application.doc
Revised: 7 -2010
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Page 1of2
Valuation of Project (contractor's bid price): $ 7-70°
• l i
Scope of Work (please provide detailed information): • � —
2 X /S� • r 4 ( -745) �a 6Uj e»-f 2) im∎it ' Lfedpie 5( erSI
pt-aAttr i . / /, /
00
Building Use (per Int'l Building Code):
Occupancy (per Int'l Building Code): ware 6t4aSe S / 5404"e.
Utility Purveyor: Water: Sew er:
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
Bidet
Clothes washer, domestic
Dental unit, cuspidor
Dishwasher, domestic,
with independent drain
Drinking fountain or
water cooler (per head)
Food -waste grinder,
commercial
Floor Drain
Shower, single head trap
Lavatory
Wash fountain
Receptor, indirect waste
Sinks
Urinals
Water Closet
Building sewer and each
trailer park sewer
Rain water system — per
drain (inside building)
Water heater and/or vent
Industrial waste treatment
interceptor, including trap
and vent, except for kitchen
type grease interceptors
Each grease trap
(connected to not more
than 4 fixtures - <750
gallon capacity)
Grease interceptor for
commercial kitchen ( >750
gallon capacity)
Repair or alteration of
water piping and/or water
treatment equipment
Repair or alteration of
drainage or vent piping
Medical gas piping
system serving 1 -5
inlets/outlets for a
specific gas
Each additional medical
gas inlets /outlets greater
than 5
Backflow protective
device other than
atmospheric -type vacuum
breakers 2 inch (51 mm)
diameter or smaller
Backflow protective device
other than atmospheric -type
vacuum breakers over 2
inch (51 mm) diameter
Each lawn sprinkler
system on any one meter
including backflow
protection devices
Atmospheric -type vacuum
breakers not included in
lawn sprinkler backflow
protections (1 -5)
Atmospheric -type
vacuum breakers not
included in lawn
sprinkler backflow
protections over 5
Gas piping outlets
1
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
Signature.
Date: //— /s - /O
Day Telephone: 253- 939 -5501
Mailing Address: 4102 B Place NW Auburn WA 98001
State
City
Zip
Date Application Accepted: I I 1 S — ')
Date Application Expires: S. _ ! (� ^ j I
Staff Initials: ,,e
H:\Applications\Fonns- Applications On Line\2010 Applications \7 -2010 - Plumbing -Gas Piping Permit Application.doc
Revised: 7-2010
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Page 2 of 2
•
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
Parcel No.: 3523049072
Address: 1227 ANDOVER PK E TUKW
Suite No:
Applicant: SHASTA BEVERAGES
RECEIPT
Permit Number: PG10 -157
Status: PENDING
Applied Date: 11/15/2010
Issue Date:
Receipt No.: R10 -02305
Initials:
User ID:
Payee:
WER
1655
Payment Amount: $122.75
Payment Date: 11/15/2010 11:32 AM
Balance: $0.00
UNIVERSAL REFRIGERATION
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 42303 122.75
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
GAS - NONRES
PHOTOCOPIES /DUP SERVICES
PLAN CHECK - NONRES
000.322.103.00.00
000.341.690
000.345.830
Total: $122.75
96.60
2.00
24.15
doc: Receiot -06 Printed: 11 -15 -2010
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION 14'
-.4L\
b0 —t5 7
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 431 -2451
(206) 431 -3670
Project:
Type of Inspection:
4'
Address:
1 '12 -7 aa117>cVFJ
PIZ
Date Called:
•
Special Instructions:
Date Wanted:
12 — 22_ —1 v
a.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
INSPECTION FEE EQUIRED.
II at 6300 Southcent r Blvd., S
Date:
12-22° �Q
P fior to next inspection, fee must be
ite 100. Call to schedule reinspection.
,1/® -/57
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) 431 -2451
Project: //
...S- //,43 7 8 ,-�
Type of Inspection:
/ P /'//S/✓-6r9S
Address:
i 227 4/1/00vcg PA
Date Called:
Special Instructions:
Date Wanted:
/a .. l'... /0
,a!rt •
m.
Requester:
Phone No:
_,.2®‘ --6/®—
/60/g
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
El SPECTION FEE RE UIRED. Pr,.' • r to next inspection. fee must be
■ .
p 'd at 6300 Southcenter lvd.. Sul e 100. Call to schedule reins ection.
- P
Gt C
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: PG10 -157
PROJECT NAME: SHASTA BEVERAGES
SITE ADDRESS: 1227 ANDOVER PK E
X Original Plan Submittal Response to Incomplete Letter #
DATE: 11 -15 -10
Response to Correction Letter #
Revision # After Permit Issued
DEPART ENT S: f C0
uilding ivision
Public Works ❑
Fire Prevention
Structural
n
Planning Division
Permit Coordinator
DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 11 -16-10
Complete
Comments:
Incomplete
n
Not Applicable
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES/THURS ROUTING:
Please Route Structural Review Required ❑ No further Review Required
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS:
Approved
Notation:
Approved with Conditions
[x/
DUE DATE: 12 -14 -10
Not Approved (attach comments) ❑
REVIEWER'S INITIALS:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Documents /routing slip.doc
2 -28 -02
Contractors or Tradespeople Printer Friendly Page
•
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
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
UNIVERSAL REFRIGERATION INC
2539395501
Po Box 614
Auburn
WA
980710614
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
600599723
Active
UNIVERI159RF
Construction Contractor
12/6/1985
4/1/2012
Commercial /Industrial /Refrig
Unused
Business Owner Information
Name
Role
Effective Date
Expiration Date
RAEDER, STEVEN C
Cancel Date
01/01/1980
Amount
VERNON, GUY E
25
01/01/1980
01/01/1980
JACKSON, SHELDON G
04/01/2011
01/01/1980
01/01/1980
OSENBAUGH, CHARLES R
03/02/2010
01/01/1980
01/01/1980
Bond Information
Page 1 of 1
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
5
AMERICAN STATES INS
CO
EX903622
12/06/2001
Until Cancelled
$6,000.00
03/18/2002
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
25
AMERICAN
STATES INS CO
01CG7497626
04/01/2010
04/01/2011
$1,000,000.00
03/02/2010
24
AMERICAN
STATES INS CO
01CG7497625
04/01/2009
04/01/2010
$1,000,000.00
03/09/2009
23
AMERICAN
STATES INS CO
01CG7497624
04/01/2008
04/01/2009
$1,000,000.00
03/11/2008
22
FIRST NAT'LINS
CO OF AMERICA
01CG7497623
04/01/2007
04/01/2008
$1,000,000.00
03/01/2007
21
FIRST NATIONAL
INS. CO. OF AME
01CG7497622
04/01/2006
04/01/2007
$1,000,000.00
03/13/2006
20
FIRST NATIONAL
INSURANCE CO
OF
01CG749762
04/01/2006
04/01/2007
$1,000,000.00
03/10/2006
19
AMERICAN CAS
INS CO
C2026115262
04/01/2005
04/01/2006
$1,000,000.00
03/23/2005
18
AMERICAN CAS
CO OF READING
C2026115262
04/01/2004
04/01/2005
$1,000,000.00
04/12/2004
17
TRANSPORTATION
INS CO
C2026115262
04/01/2004
04/01/2005
$1,000,000.00
03/15/2004
Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period
Warrant Information No unsatisfied warrants on file within prior 6 year period
https://fortress.wa.gov/lni/bbip/Print.aspx
12/02/2010
( EF. -1.)
(EF -2.)
J-�
EQUI
FRO
° IEN PLACED EQUIP STANT
ALL E.S.F.R SPRINKLES - EATS
(' UN-1
I ". CAP•
5'0 13-VENT VrR
3/4 "4 -NAT. GAS
�I "IP- NAT. -GAS
FILE COPY
penult No,,' to- t S'7,
Plan review appwal to onus and elisions.
Approval of construction docunnents does not authorize
thy: violation of any adopted code or ordinance. Receipt
of approved Reid Copy and is acknowledged:
•y i ) �
City i
uILD Msz
EQUIPMENT FLA ED EQUIDISTANT
FROh1L E:SF.R SPRINKLER HEADS
0
r-�
r
NOTE: These plans are diagrammatical only.
Please verify all dimensions at job site
0
0
r-�
0
L]
0
.J
H -fV,AC FLAN AND NAT
SCALE: 3/32" = 1-0"
SEPARATE PERMIT
REQUIRED Mt
*I
Eitikowie
per.
City of "b
SIALDING DIV SI:'
n
0
CHAS "IFINC- FLAN
EVISIONS
No changes shall be made to the scope
of work without prior approval of
Tukwila Building Division.
NOTE Revisions will require a new plan submittal
and may include additional plan review fees.
C REVIEWED FOR
ODE COMPLIANCE
lioptuIVED
ru v 1 9 1U1O
k -.
City of Tukwila
BUILDING DIVISION
5' 4 5 -VENT
34 ". NAT. G S
II
NAT. GAS
1 -I/2 "+ NAT. GAS 1 5 LBS. PRES.URE
PG td
FREEZE PROTECTION ON CALCULATION
EQUIPMENT OUTPUT TOTAL
WAREHOUSE SQUARE_ FOOTAGE
BTUH /SQ. FT.
(2) UNIT HEATERS x (166000) STUN OUTPUT
42,195 SQ. FT.
332,000 :1:4 = 1.15 8TUi -I /SQ. FT.
STUN /SQ. FT.
IEDEENDING
CITY APPROVAL
-AIR CONDItIONIW - HEAT PIMPS - REFRIGERATION-
CONTRACTOR'S LICENSE NUMBER :. WIVERI SSW
AUeuI;14 (2$3) 939 -6 01 TACOMA= (2133) 922 -3141
SEATTLE: (2153) S31 -2126 FAX= (263) 13$ -3432
A. ®OX 814 - "SWAN, WASHINGTON 98'11
0 UNh,ER6AL 1REPIRI[�ERATION DRaw1141 -2®m1
P
PERMIT ISSUE
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CiD
CC
LLB.
LLl
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RECEIVEDc
NOV 15 2010 : "
PERMIT CENTER Cf
PRINT /PLOT DATE
11/2/10.
PROJECT START DATE:
11/2/10
PROJECT MANAGER: