HomeMy WebLinkAboutPermit PG09-120 - ZAM ZAM PRODUCE MARKETZAM ZAM PRODUCE
15006 MILITARY RD S
EXPIRED
04 -27 -10
PGO9-120
Parcel No.:
Address:
Suite No:
doc: UPC -7/07
Tenant:
Name:
Address:
Owner:
Name:
Address:
Value of Plumbing /Gas Piping:
Fees Collected:
CityOf 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
0041000514
15006 MILITARY RD S TUKW
ZAM ZAM PRODUCE MARKET
15006 MILITARY RD , TUKWILA WA
KERN GERARD J +CAROL A
2402 80TH AVE NE , MEDINA WA
Contact Person:
Name: GREG EDWARDS
Address: 1519 W VALLEY HY N, STE 102 , AUBURN WA
Contractor:
Name: ERICKSON REFRIGERATION LLC
Address: 1519 W VALLEY HWY N STE 102 , AUBURN WA
Contractor License No: ERICKRL922QE
DESCRIPTION OF WORK:
RUN NEW GAS LINE FROM EXISTING TO NEW REZNOR HEATER
$2,120.00
$92.00
Plumbing
Bathtub or combination bath/shower 0
Bidet 0
Clothes washer, domestic 0
Dental unit, cuspidor 0
Dishwasher, domestic, with independent drain 0
Drinking fountain or water cooler (per head) 0
Food -waste grinder, commercial 0
Floor drain 0
Shower, single head trap 0
Lavatory 0
Wash fountain
Receptor, indirect waste 0
Sinks 0
Urinals 0
Water Closet 0
S
PLUMBING /GAS PIPING PERMIT
FIXTURE TYPE AND QUANTITY
0
* * continued on next page **
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 206 510 -3458
Phone: 253 - 333 -7294
Expiration Date: 03/21/2010
PG09 -120
10/12/2009
04/10/2010
Uniform Plumbing Code Edition: 2006
International Fuel Gas Code Edition: 2006
Plumbing (cont.)
Building sewer and each trailer park sewer 0
Rain water system - per drain (inside bldg) 0
Water heater and /or vent 0
Industrial waste treatment interceptor, including
its trap and vent, except for kitchen type
grease interceptors 0
Repair or alteration of water piping and/or water
treatment equipment 0
Repair or alteration of drainage or vent piping 0
Medical gas piping system serving (1 -5)
inlets /outlets for a specific gas 0
Medical gas piping (6 +) inlets /outlets 0
Gas Piping
Gas piping outlets (0 -5) 1
Gas piping outlets (6 +) 0
PG09 -120 Printed: 10 -12 -2009
Permit Center Authorized Signature:
I hereby certify that I have read and e
governing this work will be complied
The granting of this permit does not pres
construction or the performance of w, r
Signature:
Print Name:
doc: UPC -7/07
City oPTukwila
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
C� rz G LAA,Aatj S
0
Permit Number:
Issue Date:
Permit Expires On:
PG09 -120
10/12/2009
04/10/2010
Date: 1,00
- 1o C )
d this permit and know the same to be true and correct. All provisions of law and ordinances
hether specified herein or not.
e to give authority to violate or cancel the provisions of any other state or local laws regulating
m authorized to sign and obtain this plumbing /gas piping permit.
Date:
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.
PG09 -120 Printed: 10 -12 -2009
Parcel No.: 0041000514
Address:
Suite No:
Tenant:
doc: Cond -10/06
r �
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite 1#100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.ci.tukwila.wa.us
15006 MILITARY RD S TUKW
ZAM ZAM PRODUCE MARKET
1: ** *PLUMBING AND GAS PIPING * **
PERMIT CONDITIONS
* *continued on next page **
Permit Number:
Status:
Applied Date:
Issue Date:
PG09 -120
ISSUED
10/12/2009
10/12/2009
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 -120 Printed: 10 -12 -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 p ormance of work.
Print Name: v' W ti � '1^'"v"` N/03
doc: Cond -10/06 PG09 -120
Date: (CD —«rCJ
ordinances governing
or local laws regulating
Printed: 10 -12 -2009
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
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
r ,, lti I— King Co Assessor's Tax No.:
Site Address: � .,t
1M1 "1 \OOU All(
Tenant Name: InN6 t= A)
Plumbing /Gas Permit No. %V ' 12-o
Project No.
(For office use only)
c Suite Number:
Floor:
New Tenant: ❑ Yes
1:1
0
Property Owners Name:
Mailing Address: /S 6 1% 9 °It I r 1A ( i
Name:
A-0 - 7()
Mailing Address: /S e9e /Mr 1 '4 ICIQ S
E -Mail Address:
Company Name:
Mailing Addre
Cont. Person:
-Mail Address:
Company Name:
Mailing Address:
H:Wpplications \Forms - Applications On Line \2009 Applications \I -2009 - Plumbing -Gas Piping Permit Application.doc
Revised: 1 -2009
bh
City
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Day Telephone: 2C d- O s r7-
City
Fax Number:
PLUMBING / GAS PIPING CONTRACTOR. INFORMATION
Company Name: �Rle -iiSOK) 1- 036'r(rw LL C,
Mailing Address: (5 l7 (,< U 04-LLctr Vt.-i`' /0 S 10 )- AviDuc Y1 try gtYG /
� City State Zip
�1,rs
Contact Person: 640-61 4:- 1 9ws"i1.73 Day Telephone: ' fc ID '- 3 /5 S-
E -Mail Address: Fax Number: ,2--S 2 33 12
Contractor Registration Number: pi C& IR L c l �&-- Expiration Date: 3'; 4 — 0 0
ti-J
State
State Zip
ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record
State
C rticKr -
Zip
Zip
City
Day Telephone:
Fax Number:
ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record
State
Zip
City
Contact P on: Day Telephone:
E- Address: Fax Number:
Page 1 of 2
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
4',
Gas piping outlets
L). (0,U
Iv M r rve, 1
•
) Uel
Valuation of Project (contractor's bid price): $ al
Scope of Work (please provide detailed information):
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:
PERMIT `APPLICATION NOTE
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 Iimitatio
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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT
BUILDING OWNE OR AUTHORIZE AGE
Signature:
Print Name:
Date Application Accepted:
IoI l2(
H AApplications\Forms- Applications On Iine12009 Appli aeons \1 -2009 - Plumbing -Gas Piping Permit Application,doc
Revised: 1 -2009
bh
Sewer:
Date: ((- -- 17 - - -1 0
• Y S1
Day Telephone:
Mailing Address: (57/ (.J IJtA,!f� { (G ✓/Y .C} 109- A-him
( Ci
0-AA— ‘Ma 1
State
Zip
n.
Date Application Expires:
Staff Initials:
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://wwwci.tukwila.wa.us
RECEIPT
0
Parcel No.: 0041000514 Permit Number: PG09 -120
Address: 15006 MILITARY RD S TUKW Status: PENDING
Suite No: Applied Date: 10/12/2009
Applicant: ZAM ZAM PRODUCE MARKET Issue Date:
Receipt No.: R09 -01577
Initials: JEM Payment Date: 10/12/2009 10:35 AM
User ID: 1165 Balance: $0.00
Payee: ERICKSON REFRIGERATION LLC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA -
Authorization No. 103216
ACCOUNT ITEM LIST:
Description
GAS - NONRES
92.00
Account Code Current Pmts
000.322.103.00.00 92.00
Total: $92.00
Payment Amount: $92.00
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 10 -12 -2009
COMMENTS:
�r .
L IIi2 ! A 6 4 S p: p .' /L e) e L
J
2r)
7_,_0 r / r) 1. ,i /, D .41 .. S n ;r he I
i..) f./.kj ( 1 I N -k j. ref` ,/\ ICS 1)-?_
Special Instructions:
----- &-s' r."..) ail OM Air i---,A4
..S p e/ rt ; c :A tC1 : I A ,-\
( C. ! c.. k ( p .A.1 .T k ` S 6 e -e.. A
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X J,) /Uo( uSL JA, < vA�'
'. ( e—< r Af_ D (.J C .
R A
Project:
2 , ' i — 26Y0 as oN0uc°t
Type of Inspection:
i'Ai 4 ( — G A-5
Address:
I // 0O lD YY1ILIf 1Qt./
2r)
Date Called:
---
Special Instructions:
Date Wanted:
t/ b 2 if
/ .m
•
Requester:
Phone No:
_ -2-000 - S 1 O - 3 ki �
#�3
INSPECTION NO.
El Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
orrections required prior to approval.
Inspector:
ti
Date: / 6
T1$60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
Project:
Z A'!r? 261r77 7- f0,,b,/ }`
Type of Inspection:
/ (-
5 IA .-‘7 dK-- ' 2e1 zvt ba,t- --- 't _ _
Address:
/5(k) 6 fu, I. e - 471
Date Called:
/ 1
Special Instructions:
206.5 ro --34 s�
6 lei Phone
Date Wanted:
/d -25 -0 C
a.m
Requester:
No
6 OI - 5ID -1=7i/ '
" S P j , 1) A .
COMMENTS:
kite■ i S of : /
5 IA .-‘7 dK-- ' 2e1 zvt ba,t- --- 't _ _
- ?&Jv ` j SE.- —
�/2L �f
JJ n ` (( r c- e -tYr< < /" 1 pJ r t
/ 1
(lamr_ -- A ( i,(3rK /L'/l
a : i7" ),TT d ¢- . h-.( -
' 14 - 1 fi A t 1 6 .A,A A ( ,2 , v n
A-_ C",_51 i C., ,t,_ 6.} ( e
C (I r /i L I -J e [) Ar
" S P j , 1) A .
Go Pr 11V-__ - p,r
Insp c' tor:
Date:
trz-
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Approved per applicable codes.
PERMIT NO.
orrections required prior to approval.
$60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
• 'Date:
/ 2L
(t
COMMENTS:
Type of I specti n:
. k - Nit
K.XG
(.9A5
Address:
iu;(,
IS p_f
it/ 7 -P
Special Instructions:
AP 1)ov(
� -kS 1:4
A e - fur 1 (,F., -re
Coot
W 6r `r '- oo
Requester:
Phone No:, — 5 f 0 -3.41 s
A ifook
' R -(t
- r
c_-A-4(
r
Project:
2 .� 7- A1 P ro 4 e
Type of I specti n:
. k - Nit
K.XG
(.9A5
Address:
iu;(,
Date Called -�
Special Instructions:
AP 1)ov(
� -kS 1:4
A e - fur 1 (,F., -re
Date Wanted:
P O ` 14.
p.m.
Requester:
Phone No:, — 5 f 0 -3.41 s
INSPECTION RECORD
Retain a copy with permit
p &0q-
PERMIT NO.
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Approved per applicable codes. ❑ Corrections required prior to approval..
Inspe tor:
Date: 0 . 1 4 f 0 9
$60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
'Date:
GREG EDWARDS
1519 W VALLEY HY N, STE 102
AUBURN WA 98001
RE: Permit No. PG09 -120
15006 MILITARY RD S TUKW
Dear Permit Holder:
Sincerely,
-or-
Bill Rambo
Permit Technician
File: Permit File No. PG09 -120
City of f TuPla
Jim Haggerton, Mayor
Department of Community Development
Based on the above, you are hereby advised to:
Jack Pace, Director
In reviewing our current records, the above noted permit has not received a final inspection by the City of
Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform
Plumbing Code and /or the National Electric Code, every permit issued by the Building Division under the
provisions of these codes shall expire by limitation and become null and void if the building or work authorized
by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work
authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 04/27/2010.
1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final
inspection. Each inspection creates a new 180 day period.
2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is
due to expire. Address your extension request to the Building Official and state your reason(s) for
the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is
determined that your extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and /or receive an extension prior to 04/27/2010, your permit will
become null and void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
License
Name
Type
Specialty 1
Specialty 2
Effective
Date
Expiration
Date
Status
ATEKAHA943U1
ATEKA
HEATING
& AIR
LLC
CONSTRUCTION
CONTRACTOR
HTG /VENT /AIR
CONDITIONING
UNUSE
3/21/2006
11 /5/2008
INACTIVE
ATEKAHA956K5
ATEKA
HEATING
& AIR
CONSTRUCTION
CONTRACTOR
AIR
CONDITIONING
AIR
HEAT,VENTILATION,EVAPORAT
5/25/2005
5/25/2007
OUT OF
BUSINESS
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
1
AMERICAN
STATES INS
CO
6478746
11/05/2008
Until
Cancelled
$6,000.00
04/06/2007
Insurance
Company
Name
Policy
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Amount
Received
Date
1
OHIO CAS
INS CO
BR05357641911/05/200803/20/2010
$1,000,000.0002
/24/2009
Name
Role
Effective Date
Expiration Date
EDWARDS, GREGORY J
PARTNER /MEMBER
11/05/2008
Untitled Page
•
S
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
Erickson Refrigeration LLC UBI No.
2533337294 Status
1519 W VALLEY HWY N STE
102
License No.
License Type
AUBURN
WA
98001
KING
Limited Liability Company Specialty 2
Effective Date
Expiration
Date
Suspend Date
Specialty 1
602592091
ACTIVE
ERICKRL922QE
CONSTRUCTION
CONTRACTOR
11/5/2008
3/21/2010
HTG /VENT /AIR
CONDITIONING
UNUSED
Other Associated Licenses
Page 1 of 1
Business Owner Information
Bond Information
Insurance Information
https: // fortress .wa.gov /lni /bbip /Detail.aspx 10/12/2009