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Home My WebLink About123 E Burke Ave_BLD893_2025 CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 Bt)ILJ>JN"G,Â·PERMIT Addrt!ss: 12.J E Durke Ave Permit II: 893 Parcel II: 00461803000100 Valuation: 500.00 O:WNE~; CONTRACTOR Name: SHOPPING CENTER PROP OF Name: Plumb Line Plumbing & Remodeling, Inc. Name: Plumb Line Plumbing and Remodeling, Inc. ARLINGTON Ll.C Address: PO BOX 271 Addrcss:P.O. Box 2105 Address: P.O. Box 2105 City, State Zip: BURLINGTON, WA 98233 City, State Zip: Olympia, WA 98507 City, State Zip.Olympia, WA 98507 Phone: Phone: 425-740-4776 Phone: 360-791-5654 MECH.ANICALCONTR,ACTOR PLUMBING CONTRACTOR Name: Name: Plumb Line Plumbing and Remodeling, Inc Address: Address: P.O. Box 2105 City, Stale, Zip: City, Stare.Zip: Olympia, WA 98507 Phone: Phone: 360-791-5654 LIC/1: EXP: LIC II: EXP: JOB DESCRIPTION PERMIT TYPE: Commercial Plumbing CODE YEAR: 2012 STORIES: I CONST. TYPE: DWELLING UNITS: OCCGROUP: BUILDINGS: OCCLOAD: PERMIT APPROVAl,,, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOINO THE WORK AUTHORIZED THEREBY; NO PERSON WILL BE EMPLOYED IN VIOLATION Of THE I.ABORCODEOFTHESTATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE RUII .. DING OFFICIAL OR HIS/IIER DEPUTY AND ALL FEES ARE PAID. IT IS UNLAWFUL TO USE ORO CUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBCI 10/IRCI 10. ""-':""'-"~~.....,_,~~Â·..,Â· Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form lngto 01. ., CONDITIONS Must have RPBA on supply line for installation of this unit and current test for connection of this unit to city water. TWS PERMIT AUTHORIZS ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES. ETC,) WILL REQUIRESEl'ARATE PERMISSION. :PERMIT FEES Date Descrlpllon Fee Amount 2/4/2016 Backflow Device $25.00 214/2016 Plumbing Permit Base Fee $25.00 2/4/2016 Plumbing Permit Fee (Enter Fixture Fee) $12.00 2/4/2016 Plumbing Plan Review Fees $150.00 Total Due: $212.00 Total Paymrnl: $212.00 Balanre Dur: so.oo CALL FOR INSPECTIONS Â· IJlllLDING (360) 403-3417 When calling for 11n Inspection please leave the following information: PLCS'=o BA.~ '25. CJO t=?--' ~ Fu,(....) Z':S.oo ,.,h _,e,,. eQut-.o l z.oo lZeUlelu F~ /S-o.oo Permit Information Date 1/28/2016 Permit Number 893 Project Name Grogery Outlet Applicant Name Plumb Line Plumbing & Remodeling, Inc. Applicant Address P.O. Box 2105 City, State, Zip Olympia, WA 98507 Contact Mike Simpson Phone 425-740-4776 Email service@plumblinewa.com Permit Type Commercial Plumbing Site Address 123 E Burke Ave Valuation 500.00 Status Applied Permit Issued Permit Expires Square Feet O Type of Construction/Occupancy Load Number of Stories 0 Proposed Use Assigned To Kristin Foster Property Information Owner Information Parcel#: 00461803000100 SHOPPING CENTER PROP OF ARLINGTON LLC SHOPPING CENTER PROP OF ARLINGTON LLC PO BOX 271 123 E BURKE AVENUE BURLINGTON, WA 98233 Contractors Primary Contractor Name Phone Email Contractor Type License License# Contact Plumb Line Plumbing and 360-791- PLUMBING Labor and Gregory Fox service@plumblinewa.com PLUMBLP998NU Remodeling, Inc. 5654 CONTRACTOR Industries Review Date I Type I Description I Target Date I Completed Date I Assigned To I Status 1/28/2016 IBLD I 12/4/2016 I !Kevin Olander lln Review Uploaded Files I Upload File I Date I File I 1/28/2016 4:34:55 PM 1893 Soecs.odf IX I I 1/28/2016 4:32:19 PM !893 Application.pdf I X I COMMERCIAL PLUMBING PERMIT APPLICATION Department of Community & Economic Development City of Arlington â€¢ 18204 59th Ave NE â€¢ Arlington, WA 98223 â€¢ Phone (360) 403-3551 THIS APPLICATION MUST BE ACCOMPANIED BY THREE (3) SETS OF CONSTRUCTION DRAWINGS, AND THREE (3) SETS OF FIXTURE SPECIFICATIONS (CUT SHEETS). CALCULATIONS ARE REQUIRED FOR GREASE INTERCEPTOR IF APPLICABLE. Type of Permit: ~ New Installation 0 Addition/Alteration 0 Industrial Project Address:123 E Burke Ave., Arlington, Wa. 98223 Store# 287 Parcel ID#: 00461-803-000-100 Lot #: 1-1 O Subdivision: -Hall-er -Cit-----y B-loc-k 0-30 -D-0-0 ---------------- Project Description:Run water and drain lines for Glacier Water Machine Valuation:..:,_$5_0_0_.0_0 _ Owner: Shopping Centers Properties LLC Phone Number:3_6_0_- 7_5_7_-3_8_8_8 _ Address: PO Box Burlington CityÂ·Burlington State:_W_a __ Zip Code:_9_82_3_3 _ Contact Person: M_ik-'-e-'S'-im-.cc..ps"--'o'-n Phone Numberi3_6_0_-3_2_2_-6_1_7_2 _ Cell Phone :425- 7 40-4 776 E-mail: arlington@groceryoutlet.com Address: 123 Burke Ave. City: Arlington State:...:.W..;..:a=--- Zip Code_.9_8_22_3 _ Contractor: Plumb Line Plumbing & Remodeling, lnc.(Gregory R. Phone Number: _3_60_-_4_56_-_3_2_31 _ Cell Phone: 360-791-5654 E-mail: service@plumblinewa.com Address:PO Box 2105 City: Olympia State:_W_a __ Zip Codec: 9_8_5_o_7 _ Contractor License Num ber:_5_02~_3_12_-_01_~Â£~\=.J,)~M~():}.P ......... ~qq~Â·-~~~V __ Expiration Date: ~0=8/~3~1 /~2~0~17 _ 1 Please indicate number of fixtures: Water Closet Floor Sink Sump Hose Bibb Miscellaneous Lavatory Laundry Tub Washer Water Heater Grease Trap Urinal Interceptor Sink Med Gas Drinking Fountain 1 Floor Drain Dishwasher Backflow Shower Other Page 2 of 3 COMMERCIAL PLUMBING PERMIT APPLICATIOt-J Department of Community & Economic Development City of Arlington â€¢ 18204 59th Ave NE â€¢ Arlington, WA 98223 â€¢ Phone (360) 403-3551 WHEN is a PLUMBING PERMIT REQUIRED? The City of Arlington requires a plumbing permit before a plumbing system or fixture is installed, altered, or remodeled. This also includes replacement of a Hot Water Tank. The City of Arlington does not require a permit to stop leaks or clear stoppages, unless the piping being repaired is altered or replaced. PLUMBING PLAN REVIEW IS REQUIRED FOR THE FOLLOWING PROJECTS 1. New Commercial Buildings 2. New Multi-Family Buildings 3. Roof Drains and Overflow Systems 4. Tenant Improvements 5. Installation of Medical Gas Systems 6. Installation of Commercial Kitchen's and Deli's 7. Installation of Grease Traps 8. Installation of Grease Interceptors 9. Installation of Sumps 10. Installation of Cross Connection Backflow Devices SUBMIT THREE (3) COPIES OF THE FOLLOWING FOR PLUMBING PLAN REVIEW: D Plumbing plans or drawings. (Minimum plan size is 18" X 24" scale, Â¼" scale for details.) D Provide one set of plumbing drawings maximum size 11" X 17" D Size of sanitary and potable water systems. D Location, type and specifications (cut sheets) of proposed fixtures and equipment. D Riser diagram of waste and vent, potable water and rain water systems, including sizes. D Medical gas piping riser diagram indicating type of gas, storage room and size of piping. D Location and type of all backflow assemblies for each fixture. I hereby certify that I have read and examined this application and know the same to be true and correct and I am authorized to apply for this permit. Page 1 of 3 COMMERCIAL PLUMBING PERMIT APPLICATION Department of Community & Economic Development City of Arlington â€¢ 18204 59th Ave NEâ€¢ Arlington, WA 98223 â€¢ Phone (360) 403-3551 PROPOSED BUILDING USE D Commercial Addition/ Alteration D Restaurant D Medical D Automotive Based D New Commercial D Office D Industrial D Machine Shop D Other: ---------- CROSS CONNECTION Please check all appliances that are proposed or are permanently connected to the water supply. â–¡ Ice Maker â–¡ Dialysis Equip. â–¡ Air washers â–¡ Swimming Pools â–¡ Fire Sprinkler Steam Sprinkler Espresso Mach. Hydrotherapy Equip. Hot Tub/Spa â–¡ â–¡ â–¡ Generators â–¡ â–¡ w/chemicals â–¡ Carbonated Bev. â–¡ Dental Equip. â–¡ Dye Vats â–¡ Ice Machine â–¡ Lawn Irrigation Pressure Coffee Well on Fume Hoods Laboratory Equip. â–¡ â–¡ â–¡ Washers â–¡ Urn/Espresso â–¡ property Decorative Degreasers Autoclave/Sterilizers Cooling Towers Aquarium â–¡ â–¡ â–¡ â–¡ â–¡ Fountain â–¡ Other: WASTEWATER DISCHARGE 1. Does the plumbing system currently have a grease interceptor? D Yes â–¡ No @ Don't Know Date grease trap/interceptor was last cleaned (provide service record): 2. Does the plumbing system currently have an oil/water separator? D Yes â–¡ No 0 Don't Know 3. Date oil/water separator was last cleaned (provide service record): 4. Is water used in the business process (washing, rinsing, cooling)? D Yes â–¡ No 0 Don't Know 5. Does your business require a NPDES permit? D Yes â–¡ No 0 Don't Know I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above- describyd propP~tv .wiH~P0 in sccordance with the laws, rules and regulation of the State of Washington. [_~:-::Z:~'.::%~~'.Z:.0 ~ _ j _0_1_12_8_12_0_1_6 _ Applicants Signature Date Gregory R Fox Print Applicants Name Receive FOR STAFF USE ONLY -- JAN 2 R 2016 Amount Received Receipt # Date Received Page 3 of 3 .. G2 COIN â€¢ OUTSIDE/INSIDE â€¢ FIBERGLASS CABINET WITH STAINLESS STEEL VEND COMPARTMENT â€¢ CUSTOMER CONVENIENCE: COINS AND BILLS* â€¢ STATE-OF-THE-ART FILTRATION SYSTEM WITH REVERSE OSMOSIS WATER PROCESSING. â€¢ SHELVES ALLOW CONVENIENT FILLING OF DIVERSE BOTTLES. â€¢ F'ULLY SELF-CONTAINED, LESS THAN 4-FEET-WIDE, NO ADDITIONAL SPACE NEEDED. â€¢ PURITY GUARDâ„¢: AUTOMATIC SENSOR TAKES MACHINE OUT OF SERVICE IF WATER QUALITY FALLS BELOW GLACIER STANDARDS. â€¢ ALL GLACIER MACHINES ARE SERVICED REGULARLY. TO ASSURE J CONSISTENT QUALITY OF GLACIER'S WATER, EVERY SERVICE TECHNICIAN IS TRAINED AND EMPLOYED BY GLACIER WATER SERVICES, INC. â€¢ LISTED WITH NAMA, A THIRD-PARTY ASSOCIATION, NATIONALLY RECOGNIZED BY MANY PUBLIC HEALTH OFFICIALS. Sophisticated Filtration Process FRONT VIEW r 43.25 â€¢ ACTIVATED CARBON FILTER - FOR CHLORINE AND ODORS â€¢ MICRON FILTER-FOR DIRT, RUST, AND OTHER PARTICLES â€¢ REVERSE OSMOSIS - FOR SALTS AND IMPURITIES â€¢ POST CARBON FILTER - IMPROVES TASTE OF WATER â€¢ ULTRA VIOLET LIGHT -TO ENSURE SAFE, HIGH QUALITY WATER TOP VIEW G2 43.25 Requirements i i l ,..---- ~â–¡ _) â€¢ ALL MACHINES ARE INSTALLED IN ACCORDANCE WITH LOCAL, ST A TE OR ~ 0 FEDERALLY MANDATED PLUMBING CODES. 0 00 q q â€¢ EACH MACHINE REQUIRES A WATER SUPPLY AND A SANITARY DRAIN. N o::t" F== CX) â€¢ WATER SUPPLIED MUST BE FROM A LOCAL, STATE OR FEDERALLY M APPROVED WATER SUPPLY SYSTEM. D *BILLS WHERE AVAILABLE ~~~ j ---- D ~,~~'M!JkET _20081008.DOC GLACIER WATER - PROPRIETARY AND CONFIDENTIAL Jtrr2 i2201s All material is strictly confidential and proprietary unless otherwise stated. I / \ fblD gq~ G21B INSTALL REQUIREMENTS- POWER/ INLET WATER/ DRAIN G21B INSTALL REQUIRMENTS - CONFIGURATION NOTE: UTILITY, WATER AND DRAIN HOOK-UPS ARE RUN THROUGH THE â€¢ WATER AND DRAIN LINES MUST BE PROPERLY . TOP OR TOP REAR OF MACHINE. â€¢ MACHINE(S) MUST BE LEVELED. â€¢ DRAIN LINE MUST HA VE PROPER AIR GAP. (2" AIR GAP) POWER â€¢ UTILITIES SHOULD NOT BE VISIBLE FROM FRONT OF MACHINE. â€¢ 1-1 lOVOLT 20 AMP CIRCUIT, 12-GAUGE DEDICATED LINE PER MACHINE WITH WEATHERPROOF DUPLEX OUTLET IF THE RUN IS WITHIN 100 FT. RUNS LONGER THAN 100 FT. REQUIRE 10-GAUGE LINE. lgouGH-IN I â€¢ BREAKER PANEL AND BREAKER NUMBER MUST BE MARKED ON THE PANEL, "GLACIER WATER MACHINE,#_." THE BELL BOX MUST ALSO BE MARKED, "PANEL __ & #_." Top View Rear View INLET WATER â€¢ Â½" COPPER LINE (L-HARD) OR AQUAPEX TUBING FOR ONE TO THREE i 43.25 i 43.2 MACHINES. THIS MAY VARY, DEPENDING ON THE CITY PRESSURE. EACH r MACHINE REQUIRES A MINIMUM OF 15 PSI, MAXIMUM OF 50PSI. â€¢ INCREASE LINE SIZE BY Â¼" FOR EACH ADDITIONAL MACHINE . 6' .00 l â€¢ GATE VALVE AT THE WATER SOURCE . No Utilities __Â±__[UJ 5.00 on top of G2 0 â€¢ BALL VALVE FOR EACH MACHINE NOT TO EXCEED 1 FOOT FROM THE 1,~ 0 MACHINE. ~ C"') â€¢ TERMINATE LINE WITHÂ½" MALE ADAPTER WHERE THE MACHINE IS TO BE PLACED. ~_ 7.00 I j m_ DRAIN LJ r Front â€¢ THE DRAIN IS AN INDIRECT DRAIN LINE . 82.00 _ 47.00 â€¢ THE DRAIN IS CONNECTED TO A 2.2 GPM ( OPEN-FLOW) DIAPHRAGM PUMP, WHICH CAN PUMP VERTICALLY AND HORIZONTALLY UP TO -7.00 LJ Shaded areas show possible APPROXIMATELY 400 FOOT IN TOTAL LENGTH. +-->I locations of utilities IJ Power outlet â€¢ DRAIN TO SANITARY SEWER SHALL BE AT MINIMUM THROUGH A 2" AIR o Water Inlet GAP. ~ T â€¢ Â½" COPPER LINE (L-HARD) OR AQUAPEX TUBING FOR ONE TO FOUR â€¢ Drain _ 26.00 MACHINES. 'Posttions of internal components will determine placement of utilities. All â€¢ INCREASE SIZE OF LINE BYÂ¼" FOR EACH ADDITIONAL MACHINE . utilities should be orderly and not \ visible. â€¢ TERMINATE LINE WITHÂ½" MALE ADAPTER WHERE MACHINE IS TO BE V PLACED. G21B_CUTSHEET_20081008.DOC GLACIER WATER - PROPRIETARY AND CONFIDENTIAL Page 2 of2 All material is strictly confidential and proprietary unless otherwise stated. Gl0cier 'vJ0ter PROCESSING AND DISPENSING SYSTEM UTILIZED IN MODEL, G21B ALL \IATER CONTACT câ–¡HPâ–¡NENTS NSF, FDA, â–¡R râ–¡â–¡D GRADE MATERIAL REVISED 05/11/10 - TUBING FITTINGS, NSF KENT METER VMTROOl VEND PUMP VPMPOOl CHECK VALVE VNOZ007 ATMOSPHERIC STORAGE TANK /~ --i; t TTNKOOl \ CHECK VALVE DSII SENSOR VNOZ007 ALL PUMPS ARE CDIS999A ' ' NSF APPROVED ~', UL TRAVIâ–¡LET FAILURE 'w'ILL CEASE VE' ~DING/PROCESSING OPERATION RINSE VALVE -- ' CSâ–¡~ PRESS, REG, NSF 18 ' ' PREG002\ ' ' DUAL CHECK VAL VE NSF 61 INLET SOLENOID NSF 61 ', 'w'ATTS CU-7 DCBP003 - CSOL004 HOUSING 'fIL TER NORMALLY CLOSED TO SUMP -------.... CFIL013 CF-lL006~ DUAL CHECK VALVE NSF 61 CITY 'w'ATE ... -f;! -- 'w'ATTS CU-7DCBPOO Vl cii INLET BALL VAL VE NSF 61 I .,..W~w ill w z v::Â£ â–¡ t .,.. Vl w CBAV004 t 0 oNâ–¡- __J~ ~ '.J ~â–¡ z '.J CHEVCNK OZV00A7 LVE ~>N ::Â£w Wv, Cl ~~<I:~ ~ t~ ::Â£~ ~ u ~<[ u ~w ~ DIAPHRAGM PUMP ) __J~ w > A ! TD SUMP ~Cl ~ w ~ â–¡~ DIAPMPOO.J,7' a.. TO SANITARY SE'w'- ER ~-------MI-N ~ 2' AIR GAP SUMP! PICKUP PRESSURE GAUGE RO 'w'------- ASTE RMAN004 MANIFOLD BLOCK RMANIB2 SUMP TANK Received FEB 02 2016 (h~() gq~ PROPRIETARY AND CONFIDENTIAL Permit #: 893 Permit Date: 01/28/16 Permit Type: COMMERCIAL PLUMBING Project Name: Grogery Outlet Applicant Name: Plumb Line Plumbing & Remodeling, Inc. Applicant Address: P.O. Box 2105 Applicant, City, State, Zip: Olympia, WA 98507 Contact: Mike Simpson Phone: 425-740-4776 Email: service@plumblinewa.com Scope of Work: Valuation: 500.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 02/08/2016 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Kristin Foster Property Parcel # Address Legal Description Owner Name Owner Phone Zoning SHOPPING 541 Groceries (With 00461803000100 123 E BURKE AVENUE CENTER PROP OF or Without Meat) ARLINGTON LLC Contractors Contractor Primary Contact Phone Address Contractor Type License License # Plumb Line Plumbing PLUMBING Labor and Gregory Fox 360-791-5654 P.O. Box 2105 PLUMBLP998NU and Remodeling, Inc. CONTRACTOR Industries Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status C19. PLUMBING 02/11/2016 02/11/2016 BUILDING Completed FINAL Plan Reviews Date Review Type Description Assigned To Review Status Must have RPBA on supply line for installation of this 01/28/2016 BLD BUILDING unit Fees Fee Description Notes Amount Backflow Assembly $25.00 Plumbing Base Permit Fee $25.00 Mechanical Commercial Permit Table 4-7; Per Unit $12.00 Plumbing Plan Review Fees $150.00 Total $212.00 Attached Letters Date Letter Description 02/04/2016 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 02/04/2016 Gregory Fox 58110078 cc $212.00 Outstanding Balance $0.00 Notes Date Note Created By: Must have RPBA and current test for connection of this unit to city water. Check Plumb Line 02/02/2016 Kevin Olander Plumbing for current Business license. Uploaded Files Date File Name 02/08/2016 1465398-Permit.pdf 02/02/2016 1457693-G21B Schematic 20100501.pdf 01/28/2016 1453195-893_Specs.pdf 01/28/2016 1453193-893_Application.pdf