The URL can be used to link to this page

Home My WebLink AboutPermit PG09-015 - CARBOLINECARBOLINE 12117 EAST MARGINAL WAY S PGO9-015 Parcel No.: 1023049041 Address: Suite No: Tenant: Name: Address: Value of Plumbing /Gas Piping: Fees Collected: doc: UPC -10/06 Citylf 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 12117 EAST MARGINAL WY S TUKW CARBOLINE 12117 EAST MARGINAL WY S , TUKWILA WA Owner: Name: TRAVERSO PROP LLC Address: 11025 SE 60TH , BELLEVUE WA Contact Person: Name: KEG TORRE Address: 727 S KENYON ST , SEATTLE WA Contractor: Name: EVERGREEN REFRIGERATION LLC Address: 727 S KENYON ST , SEATTLE WA Contractor License No: EVERGRL954R2 DESCRIPTION OF WORK: NEW GAS PIPING FOR (3) RELOCATED UNIT HEATERS $1,400.00 $92.00 Plumbing Bathtub or combination bath/shower Bidet Clothes washer, domestic Dental unit, cuspidor Dishwasher, domestic, with independent dram 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 PLUMBING /GAS PIPING PERMIT FIXTURE TYPE AND QUANTITY * *continued on next page ** Permit Number: Issue Date: Permit Expires On: Phone: Phone: 206 763 -1744 Phone: 206 763 -1744 Expiration Date: 01/06/2010 PG09 -015 03/19/2009 09/15/2009 Uniform Plumbing Code Edition: 2006 International Fuel Gas Code Edition: 2006 Plumbing (cont.) 0 Building sewer and each trailer park sewer 0 0 Rain water system - per dram (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) 3 0 Gas piping outlets (6 +) 0 PG09 -015 Printed: 03 -19 -2009 Permit Center Authorized Signature: City of'I'ukwila 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 2,,eLr,\L • Permit Number: PG09 - 015 Issue Date: 03/19/2009 Permit Expires On: 09/15/2009 Date: 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 performance of work. I am authorized to sign and obtain this plumbing /gas piping permit. K10— ' — Signature: Print Name: Date: 1//i 7 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 PG09 -015 Printed: 03 -19 -2009 Parcel No.: 1023049041 Address: Suite No: Tenant: CARBOLINE 1: ** *PLUMBING AND GAS PIPING * ** doc: Cond -10/06 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 12117 EAST MARGINAL WY S TUKW PERMIT CONDITIONS * * continued on next page ** Permit Number: Status: Applied Date: Issue Date: PG09 -015 ISSUED 02/06/2009 03/19/2009 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. PG09 -015 Printed: 03 -19 -2009 Signature: 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 I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and 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 provision of any other work construction or the performance of work. Print Name: �Le 0 I W doc: Cond -10/06 PG09 -015 • Date: ordinances governing or local laws regulating Printed: 03 -19 -2009 LUMBII Company Name: M iling Address: ntact Person: E -Mail Address: Contact Person: E -Mail Address: Company Name: Mailing Address: • ontact Person: E -Mail Address: CITY OF TUKWIL Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us 1 z-u `� V -.1( ) r PIumbing/Gas Permit No. � � �[� Project NG. 1 0 b _ ' 011 (For gfJice 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 Site Address: (:f / E J -4 L-1A1 Tenant Name: Cm laa ` Property Owners Name: Mut V4T( G 1Y / P L t- - Mailing Address: 116' CONTACT PERSQN Who do we contact when your permit; is ready to be lssti ,b. 7 ( Name: L. Mailing Address: 7Z S - �vh f f Mail Address: te-t k �v -P/!� ►'C�1 f /vP c Fvtcal I' ' r " 1 l 2 7 S Lt e S-/ Q:IApplications\Porms- Applications On Line 3 -2006 - Plumbing -Gas Piping Permit Application.doc Revised: 4 -2006 bh c� King Co Assessor's Tax No.: I G Z C 4 1 6 ti Suite Number: City State State State Floor: New Tenant: ❑ .... Yes Fax Number: 'j-7 3 - 2-3 el ti1cvfr Zip Day Telephone: 7' - 7 -N7 V/ y - 9 r( g City State Zip City Day Telephone: Fax Number: Contractor Registration Number: Expiration Date: State Zip 0 ARCHITECT QF RFCO. Company Name: Mailing Address: city Day Telephone: Fax Number: Zip ENGINEER OF RECORD -` Alt puns must be wet stamped by Engineer of Record city Day Telephone: Fax Number: Zip Page 1 of 2 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 3 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 Valuation of Project (contractor's bid price): $ 1 1 4 �U Scope of Work (please provide detailed information): ft- -' -' 4 `T f e P" t(14/ (31 r -c ( f c . L ! un it- k c 1 S Building Use (per Int'l Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: 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 OW4 R O.R -,4U ORIZED AGENT: Signature: Print Name: Mailing Address: 'Z Z-Z S . (DWI Date Application Expires: Date Application Accepted: n2-141 Q:\Applications\Fonns- Applications On Line. -2006 - Plumbing -Gas Piping Permi Application.doc Revised: 4 -2006 bh Sewer: Day Telephone: City Date: ( / 1 zcAd, c6? v ti Lo9- yd / State Zip Staff Initials: Page 2 of 2 RECEIPT NO: R09 -00213 Initials: JEM SET TRANSACTIONS: Set Member M09 -014 PG09 -015 TOTAL: TRANSACTION LIST: ACCOUNT ITEM LIST: Description GAS - NONRES MECHANICAL - NONRES PLAN CHECK - NONRES Cifi, 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 Payee: EVERGREEN REFRIGERATION, LLC Amount 242.81 92.00 242.81 SET RECEIPT Payment Date: 02/06/2009 User ID: 1165 Total Payment: 334.81 SET ID: S000001172 SET NAME: Tmp set/Initialized Activities Type Method Description Amount Payment Check 003636 334.81 TOTAL: 334.81 Account Code Current Pmts 000.322.103.00.0 92.00 000.322.102.00.0 194.25 000/345.830 48.56 TOTAL: 334.81 PAYMENT RECEIVED Project: 0 NNc5 LI145: Type of Inspection: FINI AL — G AS Address: ? MAR(o,N4 ( Date Called: p1211 Special Instructions: Date Wanted: 3 — )._(.0 ` f7 5 m. p.m Requester: Phone No: 7 <((- (r7S 3 1 t37 Approved per applicable codes. INSPECTION RECORD a in a copy with permit R05 - o1 S PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 8- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 El Corrections required prior to approval. CO NTS: °rrov4 (Lil Date: 3 -z 4.- ns 0 10 REINSPECTION FEE RED ED. ° rior to inspection, fee must be a at 6300 Southcenter Blvd., Suit: 1 t0. Call to schedule reinspection. Rec-Ipt No.: !Date: COMMENTS: - 1'`y 1 l S zk-- . 51-J 1 01) , -) r A _ A cypt - ( 4 EL`i_ _ J 1 pS_ I �_--. Special Instructions: 3 z 5-4`f - 4 . O !C ti' CT — ( % Date Wanted: I '� C U � . !I L- p .m. Requester: %1 Project: Type of spectiop: Address: 1 C•tA 1 Date Called: I �_--. Special Instructions: 3 z 5-4`f - 4 . O !C ti' CT — ( % Date Wanted: I '� C U � . !I L- p .m. Requester: Phone ND ' &O i —3( O -# f INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION p-- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Approved per applicable codes. Corrections required prior to approval. Inspe tor: ❑ $60.00 REINSPECTION FEE REOUIREb, Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: 7 _ 2, Receipt No.: Date: 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 01/06/2006 Date $12,000.00 01/03/2006 Name Role Effective Date Expiration Date EVERGREEN REFRIGERATION LLC PARTNER /MEMBER 12/22/2005 PATTON, DAVID PARTNER /MEMBER 01/06/2006 Number PATTON, RODGER PARTNER /MEMBER 01/06/2006 Date PATTON, MATTHEW PARTNER /MEMBER 01/06/2006 CONTINENTALCWP2640663 Untitled Page General /Specialty Contractor A business registered as a construction contractor with LEtJ 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 EVERGREEN REFRIGERATION LLC 2067631744 727 S KENYON ST SEATTLE WA 98108 KING Business Type Limited Liability Company Parent 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 Bond Information Insurance Information • • Page 1 of 2 https: // fortress .wa.gov /lni/bbip/Detai1.aspx ?License= EVERGRL954R2 03/20/2009 Company Policy Effective Expiration Cancel Impaired Received Insurance Name Number Date Date Date Date Amount Date 2 CONTINENTALCWP2640663 07/31/2006 07/31/2009 $1,000,000.0006 /30/2007 WESTERN INS Untitled Page General /Specialty Contractor A business registered as a construction contractor with LEtJ 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 EVERGREEN REFRIGERATION LLC 2067631744 727 S KENYON ST SEATTLE WA 98108 KING Business Type Limited Liability Company Parent 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 Bond Information Insurance Information • • Page 1 of 2 https: // fortress .wa.gov /lni/bbip/Detai1.aspx ?License= EVERGRL954R2 03/20/2009