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Permit PG08-255 - WASHINGTON STATE LIQUOR CONTROL BOARD
WA STATE LIQUOR CONTROL BOARD 14227 TUKWILA INTERNATIONAL BL PGO8-255 Parcel No.: 1523049011 Address: Suite No: CitAkof 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 PLUMBING /GAS PIPING PERMIT 14227 TUKWILA INTERNATIONAL BL TUKW Permit Number: Issue Date: Permit Expires On: PG08 -255 09/24/2008 03/23/2009 Tenant: Name: WA STATE LIQUOR CONTROL BOARD Address: 14227 TUKVVILA INTERNATIONAL BL , TUKVVILA WA Owner: Name: SEG 56TH LLC Address: 845 106TH AVE SE #100 , BELLEVUE WA Contact Person: Name: KEO TORRE Address: 727 S KENYON , SEATTLE WA Contractor: Name: EVERGREEN REFRIGERATION LLC Address: 727 S KENYON ST , SEATTLE WA Contractor License No: EVERGRL954R2 Phone: Phone: 206 - 763 -1744 Phone: 206 763 -1744 Expiration Date: 01/06/2010 DESCRIPTION OF WORK: INSTALL GAS PIPING FROM GAS METER TO ROOFTOP UNIT Value of Plumbing /Gas Piping: Fees Collected: $400.00 $115.00 Plumbing 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 Uniform Plumbing Code Edition: 2006 International Fuel Gas Code Edition: 2006 FIXTURE TYPE AND QUANTITY Plumbing (cont.) 0 Building sewer and each trailer park sewer 0 0 Rain water system - per drain (inside bldg) 0 0 Water heater and/or vent 0 0 Industrial waste treatment interceptor, including 0 its trap and vent, except for kitchen type 0 grease interceptors 0 0 Repair or alteration of water piping and/or water 0 treatment equipment 0 0 Repair or alteration of drainage or vent piping 0 0 Medical gas piping system serving (1 -5) 0 inlets /outlets for a specific gas 0 0 Medical gas piping (6 +) inlets /outlets 0 0 Gas Piping 0 Gas piping outlets (0 -5) 1 0 Gas piping outlets (6 +) 0 * *continued on next page ** doc: UPC -10/06 PG08 -255 Printed: 09 -24 -2008 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 Permit Number: PG08 -255 Issue Date: 09/24/2008 Permit Expires On: 03/23/2009 Permit Center Authorized Signature: Date: 4 -01-11 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 pe rmance of work. I am uthorized to sign and obtain this plumbing /gas piping permit. p' U Signature: Date: / ' 2-c( "d Print Name: S4rr? 4/1/0e/2SO4/ 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 -10/06 PG08 -255 Printed: 09 -24 -2008 Parcel No.: 1523049011 Address: Suite No: Tenant: • 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 PERMIT CONDITIONS 14227 TUKWILA INTERNATIONAL BL TUKW WA STATE LIQUOR CONTROL BOARD Permit Number: Status: Applied Date: Issue Date: PG08 -255 ISSUED 09/19/2008 09/24/2008 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: 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. 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. * *continued on next page ** doc: Cond -10/06 PG08 -255 Printed: 09 -24 -2008 I hereby certify that I have this work will be complied The granting of this permit construction or the perfo Signature: Print Name: 0 • 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 read these conditions and will comply with them as outlined. All provisions of law and ordinances governing with, whether specified herein or not. does not presume to give authority to violate or cancel the provision of any other work or local laws regulating ance of work. c,,,4„, -AT/4 4Atbe4S0 /I/ Date: l 0 doc: Cond -10/06 PG08 -255 Printed: 09 -24 -2008 CITY OF TUKWIL " Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Plumbing/Gas Permit No. 6 d Project No,. 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 J King Co Assessor's Tax No.: Site Address: /'/ 7 / 11? T6)giA lcc 14,7e ToNa/ (3/UVuite Number: Tenant Name: 7-tie L /4 G-t'' (1i - S %vim Property Owners Name: S C7 56/ Mailing Address: 9 y , (06°-2.`17` .4 OE 516 * /CU 5.23o1-M- caL1 New Tenant: Floor: .... Yes 0 ..No Zip pie /IPvve City t,v cr State CONTACT PERSON -Who do we contact when your permit is ready to be issued Name: Keo To iRc... Mailing Address: 72_ 7 $' E -Mail Address: Ke0 dep C vt°g -'R eery W(//r Co dvl Day Telephone: City State Zip Fax Number: Zo / 7‘3 — L M Ljg S/og- PLUMBING / GAS .PIPING CONTRACTOR'INFORMATION Company Name: Mailing Address: • f'UE'2.i fi een/ f\c. F r 0 t- ?� /t70 ry S - Contact Person: KC'O 7? / C E -Mail Address: Contractor Registration Number: City Day Telephone: Fax Number: Expiration Date: State Zip ARCHITECT; OF RECORD - All plans must be wet stamped by Architect of Record Company Name: Mailing Address: Contact Person: E -Mail Address: City Day Telephone: Fax Number: State Zip ENGINEER OF: RECORD -Alt 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 - Plumbing -Gas Piping Permit Application.doc Revised: 4 -2006 bh City Day Telephone: Fax Number: State Zip Page 1 of 2 Date Application Accepted: /i C J Valuation of Project (contractor's bid price): $ 411 • Scope of Work (please provide detailed information): Tr f I f 91. c 19, Pict ,41 (i) Building Use (per Int'l Building Code): Occupancy (per Int'l 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 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 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 ERJURY :Y THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING 0 u R S R Signature: Print Name: OR ED AGENT: Mailing Address: °7 21 Vim-114n �{4 Date: Cl/ °3 Da Telephone: 2./11 i V27 k11.4 L1 lr( IITty City State Zip Date Application Expires: "?.--k.ct - ©j Staff Initials: ' , n Q:\ Applications\Forms - Applications On Line \3 -2006 - Plumbing -Gas Piping Permi Application.doc Revised: 4 -2006 bh 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.atukwi/a.wa.us RECEIPT Parcel No.: 1523049011 Permit Number: PG08 -255 Address: 14227 TUB:WILA INTERNATIONAL BL TUICW Status: PENDING Suite No: Applied Date: 09/19/2008 Applicant: WA STATE LIQUOR CONTROL BOARD Issue Date: Receipt No.: R08 -03300 Initials: WER User ID: 1655 Payment Amount: $115.00 Payment Date: 09/19/2008 10:48 AM Balance: $0.00 Payee: EVERGREEN REFRIGERATION TRANSACTION LIST: Type Method Descriptio Amount Payment Check 003304 115.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts GAS - NONRES PLAN CHECK - NONRES 000.322.103.00.0 92.00 000/345.830 23.00 Total: $115.00 -, ,' ' .„O? -OTA1. ....a.— v doc: Receipt -06 Printed: 09 -19 -2008 2 INSPECTION NO. INSPECTION RECORD Retain a copy with permit P618-25.S PERMIT NO. CITY OF TUKWILA BUILDING DIVISION F- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: 1 v S T 7E �..� eY— Type of Inspection: t—,h �— s Address: iti2 Z7 -177t 6 Date Called: , Special Instructions: t ` / 4 2_ AI ) Date Wanted: / O _ i _ (DP m p.m. Requester: Phone No: 95 .? -ate C1 -6 2/41 Approved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: 0 Y-41 "---/>-*( Date: , f/ 0 $6'. REINSPECTIQ FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: ., ..�._ . — — _ . - -- -- -- a ._u ,. , r•. ..i L INSPECTION RECORD ov�2s� Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 n(206)431i 3 7 P oje t: (i -TA c L, t � I I h1 t Type of Inspectio : (...104`. Ad1 122 7 -1"--r- • Date Called: Special Instructions: Date Wanted: _ c:� as -- p.m. Requester: Phone 2‘31_ -e is ,yLtoir, proved per applicable codes. E1 Corrections required prior to approval. COMMENTS: —A 100 Inspect >� 'Dan Z 5_65 ri $.0' I REINSPECTION FEE EQUIRED1Prior'to inspection, fee must be p id t 6300 Southcenter IR d., Suite 100. Call to schedule reinspection. Recei• No.: Date: RMBT COO RD COPY • PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG08 -255 DATE: 09 -19 -08 PROJECT NAME: WA STATE LIQUOR CONTROL BOARD SITE ADDRESS: 14227 TUKWILA INTERNATIONAL BL Original Plan Submittal Response to Correction Letter # Response to Incomplete Letter # Revision # After Permit Issued DEPARTMENTS: o� Builging Division Fire Prevention n Planning Division Public Works Structural ❑ Permit Coordinator � ' DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 09-23-08 Complete Comments: Incomplete U Not Applicable Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUESITHURS ROUTING: Please Route Structural Review Required REVIEWER'S INITIALS: ❑ No further Review Required DATE: APPROVALS OR CORRECTIONS: Approved Notation: n Approved with Conditions DUE DATE: 10-21-08 Not Approved (attach comments) n 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 Untitled Page • • General /Specialty Contractor A business registered as a construction contractor with LEtI 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 EVERGREEN REFRIGERATION LLC 2067631744 727 5 KENYON ST SEATTLE WA 98108 KING LIMITED LIABILITY COMPANY UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Previous License Next License Associated License Specialty 1 Specialty 2 602512953 ACTIVE EVERGRL954R2 CONSTRUCTION CONTRACTOR 1/6/2006 1/6/2010 EVERGI "201 D7 GENERAL UNUSED Business Owner Information Name Role Effective Date Expiration Date EVERGREEN REFRIGERATION LLC PARTNER /MEMBER 12/22/2005 Bond Amount PATTON, DAVID PARTNER /MEMBER 01/06/2006 104667361 PATTON, RODGER PARTNER /MEMBER 01/06/2006 PATTON, MATTHEW PARTNER /MEMBER 01/06/2006 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 TRAVELERS CAS Et SURETY CO 104667361 01/01/2006 Until Cancelled $12,000.00 01/03/2006 Insurance Information Page 1 of 2 Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date CONTINENTAL https: / /fortress.wa. gov /lni/bbip/Detail. aspx ?License= EVERGRL954R2 09/24/2008 RAHT -LL DRJCS SUITE "A" 15066 SF 7 LAU NO WORK TO BE DONE IN THIS SUITE \ DR EXIST EXIT v AT SUITE "B" 3714 SF OCCUPANCY 37 (ONE EXIT ALLOWED) HVAC FLOOR PLAN SCALE : 1/8" = 1 EXIT P1 DROPS FROM EXISTING 7.5 TON UNIT 10" P 400 CFM 350 CFM SU 400 CFM 375 CFM 10" 375 CFM 375 CFM 20" -TAIL SH 10" 10" 18 " AMA 1 375 CFM 10" 16" 400 CFM L L SUITE "C" 5000 SF 75 CFM SP. CEILING 16" 400 CFM 375 CFM 375 CFM r IZE VI m 350 CFM NO WORK TO BE DONE IN THIS SUITE )E0 m 0 SUITE "D' 5593 SF m TAB G STORAD- 3480 SF P1 Perm F lc r roview Or /,p Drovryl of cc the violation o v pproved Fi By Date: F JE'P /\ RATE PER REC UTAEU FO E echanical L Iectrical 6firIumbin 0 h as Piping i City of Tukwila I:TcrlLi3l "I -1 DI 'I, IC 1 aim L it No ! 4IT R: 0 0 0 iproval is subject to error and ornisclon3. , nstruction documents does not authorize r any adopted code or ordinance. Roc:Opt Ad Cfpy and conditi ns is acknowledged: City of Tukwila 3U DING DIVISION I ei!rO„t prior , p; - - .I �t j . rOK CODE COMPLIANCE' APPROVED SEP 7,. Ly OfTukw0c ro i'f 16' 111 1~: l 'rci E` RECEI /ED SEP 1 ,zJ 2000 PE 0.111T CENTER 1 P6o8zss w w C3) co C) NOT PUBLISHED. ALL RIGHTS RESERVED, THE DRAWING AND SPECIFICATIONS, IDEAS, DESIGNS AND ARRANGEMENTS REPRESENTED THEREBY ARE AND SHALL REMAIN THE PROPERTY OF EVE- RGREEN REFRIGERATION INC, NO PART THEREOF SHALL BE REPRODUCED, COPIED, ADAPTED, DISC- LOSED OR DISTRIBUTED TO OTHERS, SOLD, PUB- LISHED OR OTHERWISE USED WITHOUT THE PRIOR WRITTEN CONSENT OF AND APPROPRIATE COMPEN- SATION TO EVERGREEN REFRIGERATION INC. VISUAL CONTACT WITH THE ABOVE DRAWINGS OR SPECIFIC- ATIONS SHALL CONSTITUTE CONCLUSIVE EVIDENCE OP ACCEPTANCE or THESE RESTRICTIONS, 00 CD 00 CD CD n 0 0 (1) z ce 0 0 REVISIONS NO DATE 09/19/08 DWG. BY: CHK. BY: JOB NO.: DWG. FILE: SHEET: m2 ITEM GAS PIPING DRAWING DATE: 07108/0 GN DP 80306 80306M2— 2 O F � SHEETS