HomeMy WebLinkAboutPermit PG13-042 - INNOVASIAN CUISINE - GAS PIPINGINNOVASIAN CUISINE
18251 CASCADE AV S
PG1 3-042
City oil/Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-431-2451
Web site: httn://www.TukwilaWA.gov
PLUMBING/GAS PIPING PERMIT
Parcel No.: 7888900150
Address: 18251 CASCADE AV S TUKW
Project Name: INNOVASIAN CUISINE
Permit Number: PG13-042
Issue Date: 04/11/2013
Permit Expires On: 10/08/2013
Owner:
Name: CASCADE TUKWILA LLC
Address: 7900 SE 28TH ST #200 , MERCER ISLAND WA 98040
Contact Person:
Name: ALEX BURKHART
Address: 727 S KENYON ST , SEATTLE WA 98108
Email: ALEXB@EVERGREENHVAC.COM
Contractor:
Name: EVERGREEN REFRIGERATION LLC
Address: 727 S KENYON ST , SEATTLE WA 98108
Contractor License No: EVERGRL954R2
Phone: 206 763-1744 x 247
Phone: 206 763-1744
Expiration Date: 01/06/2014
DESCRIPTION OF WORK:
INSTALLATION OF GAS PIPING FROM EXISTING GAS LINE TO REPLACEMENT ROOFTOP UNIT.
Value of Plumbing/Gas Piping:
Fees Collected:
Electrical Service Provided by:
Permit Center Authorized Signature:
$700.00 Uniform Plumbing Code Edition: 2009
$96.60 International Fuel Gas Code Edition: 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 and agree to the conditions
on the back of this
permit.
Signature: " U Date: / �' /I
Print Name:
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.
PERMIT CONDITIONS
Permit No. PG 13-042
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: 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.
doc: UPC -4/10
PG13-042 Printed: 04-11-2013
CITY OF TUKW
Community Development Department
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Plumbing/Gas ' ermit No. P&'t'? 1L1'L
Project No.
Date Application Accepted:
Date Application Expires:
(For o we use onl
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: 1%2-5 { ,Ac ��-
King Co Assessor's Tax No.: -7 n 1, D7D 15 c,)
Tenant Name: Tv1Vwv/5.C4v'
Suite Number:
PROPERTY OWNER
Name: A-(4,1_)3(),(0,,,0,51/4—
Address: --7(2:1 Sov'{"11 1e - . ,5k 5*--
Name: C/e� uk.„ I,4. l� f�C
Phone: .7/0 ie- ref 4 �l� Fax: uk,-1cs _2,3 .3 t
Email: 4/(0.4Ije o ,c„..vkvo--c.,15,-n.
Address: -7 ci/U-D $� vg-f-1_,s+.17.(j-D
City: -r_5(4,r„ A State:
-p
Zip: v ottp
CONTACT PERSON — person receiving all project
communication
Name: A-(4,1_)3(),(0,,,0,51/4—
Address: --7(2:1 Sov'{"11 1e - . ,5k 5*--
City:se.A..A...-ce_ State: W Zip: IA boi
Phone: .7/0 ie- ref 4 �l� Fax: uk,-1cs _2,3 .3 t
Email: 4/(0.4Ije o ,c„..vkvo--c.,15,-n.
Floor:
New Tenant: ❑ Yes ❑..No
PLUMBING CONTRACTOR INFORMATION
Company Name:
v�q ttiu.>1
Address:./2--1 50A -..\J 144,466_,., s (' ,
City: 5 State:>�i� Zip: ti (,UA
Phone: ?A c= l la3 — l-lqci Fax: .74go....-1;--,- 23 vi
Contr Reg No.: t) 64_0, 5,{)2:2 Exp Date: 1 I c. /L4
Tukwila Business License No.: [5vs _ o .v i.r
Valuation of Project (contractor's bid price): $ "767) . c
Scope of Work (please provide detailed information):
Building Use (per Int'l Building Code):
Occupancy (per Int'1 Building Code):
Utility Purveyor: Water:
H:Wpplications\Forms-Applications On Line \2011 Applications\Plumbing Permit Application Revised 8-9-1 t.docx
Revised: August 2011
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Sewer:
Page 1 of 2
IIIndicate type of plumbing fixtures and/u piping outlets being installed and the quantiteow:
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
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
grease 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
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
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 OWNER OR AUTHORIZED AGENT:
Signature:
Print Name:
Date:
Day Telephone: Z° X763 ^ l2� 2�
Mailing Address: 7T7 5s 5t✓tk,
CiA
City State Zip
H:\Applications\Forms-Applications On Lme\201 I Apphcations\Plumbing Permit Application Revised 8.9.11.docx
Revised: August 2011
bh
Page 2 of 2
C� 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
SET RECEIPT
Copy Reprinted on 03-22-2013 at 12:34:37 03/22/2013
RECEIPT NO: R13-01113
Initials: JEM
Payment Date: 03/22/2013
User ID: 1165 Total Payment: 1,006.22
Payee: EVERGREEN REFRIGERATION, LLC
SET ID: S000001944 SET NAME: EVERGREEN MECHANICAL
SET TRANSACTIONS:
Set Member Amount
EL13-0288 63.00
EL13-0289 63.00
M13-001 489.81
M13-059 293.81
PG13-042 96.60
TOTAL: 484:81
TRANSACTION LIST:
Type Method Description Amount
Payment Check 005860 1,006.22
TOTAL: 1,006.22
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
GAS - NONRES
MECHANICAL - NONRES
PLAN CHECK - NONRES
000.322.101.00.0
000.322.103.00.0
000.322.102.00.0
000.345.830
TOTAL:
126.00
96.60
626.90
156.72
1,006.22
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO:
CITY OF TUKWILA BUILDING DIVISION .-
6300 Southcenter Blvd., #100, Tukwila. WA 98188 p (20.6)--431-3670
Permit Inspection Request Line (206) 431-2451
P - -AL1
Project:
SNNOUASiPtN �Atr1
Type of Inspection•
N1. 111")�10 �-
6, S
Address:
i X375) CPtSO At c n
Date Called: -
S
Special Instructions:
Date Wanted:.
L_J_ 1.6 -- (3
p.m.
Requester:
Phone No:
`�( Approved per applicable codes. Corrections required prior to'approval.
COMMENTS:
ri REINSPECTION FEE REQUIRED. Prior tl next inspection, fee Must -be.
(aid at 6300 Southcenter Blvd., Suite 100. Call to schedule` reinspection.:...
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 gab(206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project:
1+io\JP IIP1
•
Cllei1S„-
Type o Inspection:
kV 040E\--�.1...Li
Add ess:
11)-.S t CPtC...AD
AU c•
Date Called:
Special Instructions:
Date Wanted:.
Li -12--13
p.m.
Requester:
Phone No:
20 t—ZSR 3z' Y
pproved per applicable codes. LJ Corrections required prior to approval.
COMMENTS:
/
` � bGtA.m 1 � ▪ � Da 1 — f t�
Z
r
NSPECTION FEE REQUIRED. Prior tg next inspection. fee must be
id at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople PPter 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 EVERGREEN REFRIGERATION LLC UBI No. 602512953
Phone 2067631744 Status Active
Address 727 5 Kenyon St License No. EVERGRL954R2
Suite/Apt. License Type Construction Contractor
City Seattle Effective Date 1/6/2006
State WA Expiration Date 1/6/2014
Zip 98108 Suspend Date
County King Specialty 1 General
Business Type Limited Liability Company Specialty 2 Unused
Parent Company
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
EVERGHH910J0
EVERGREEN HOME
HEATING & ENGY
Construction
Contractor
General
Unused
4/20/2009
4/20/2015
Active
EVERGI"201D7
EVERGREEN
REFRIGERATION INC
Construction
Contractor
General
Unused
3/27/1980
7/31/2006
Re
Licensed
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
WA15097
PATTON, RODGER
Partner/Member
01/06/2006
PATTON, MATTHEW
Partner/Member
01/06/2006
TRAVELERS CAS &
SURETY CO
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
2
Merchants Bonding Co
(Mutual)
WA15097
01/01/2012
Until Cancelled
$12,000.00
12/15/2011
1
TRAVELERS CAS &
SURETY CO
104667361
01/01/2006
Until Cancelled
$12,000.00
01/03/2006
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
3
AMERICAN FIRE
AND CASUALTY
COM
BAW54192293
07/31/2010
07/31/2013
$1,000,000.00
07/29/2012
2
Continental
Western Ins Co
CWP2640663
07/31/2006
07/31/2010
$1,000,000.00
03/23/2009
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
Infractions/Citations Information No records found for the previous 6 year period
httns://fortress.wa. eov/lni/bbin/Print.asnx
04/11/2013