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Home My WebLink AboutPermit PG11-014 - ANGOLKAR 4 SMILESANGOLKAR 4 SMILES 13530 53 AV S EXPIRED OS -31 -11 PG1 1 -014 City olikukwila • Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Inspection Request Line: 206 - 431 -2451 Web site: http: //www.ci.tukwila.wa.us Parcel No.: 0003000038 Address: 13530 53 AV S TIIKW Project Name: ANGOLKAR 4 SMILES PLUMBING /GAS PIPING PERMIT Permit Number: PG11 -014 Issue Date: 02/09/2011 Permit Expires On: 08/08/2011 Owner: Name: PRATEJ LLC Address: 17000 SE 65TH PL , BELLEVUE WA 98006 Contact Person: Name: MARK CRAY Address: 7116 220 ST SW #B , MOUNT LAKE TERRACE WA 98043 Email: MARKCRAYI @HOTMAIL.COM Phone: 206 295 -3193 Contractor: Name: METALSMITHS INC Phone: 206362 -3430 Address: 7116 220TH SW 10 , MOUNTLAIO TERRACE, WA 98043 Contractor License No: METALI *141CG Expiration Date: 09/11/2011 DESCRIPTION OF WORK: GAS PIPING FOR (6) ROOF TOP UNITS Value of Plumbing /Gas Piping: Fees Collected: Permit Center Authorized Signature: $2,000.00 $137.81 Uniform Plumbing Code Edition: International Fuel Gas Code Edition: 2009 2009 Date: I hereby certify that I have read and : x • ed 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 pres •.• e 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 audio ' ed to sign and obtain this plumbing /gas piping permit and agree to the conditions on the back of this permit. Signature: Date: � /q f Print Name: �� ( e 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 -4/10 PG11 -014 Printed: 02 -09 -2011 PERMIT CONDITIONS Permit No. PG11 -014 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 PG 11 -014 Printed: 02 -09 -2011 CITY OF TUKWIS Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Plumbing/Ga•ermit No. pG--[(--0,11-1 Project No. G li 11' (For office 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 King Co Assessor's Tax No.: Site Address: 13 530 0 3 LZ t) 13-v'e S Suite Number: Floor: 3 Tenant Name: go ( la Iv U t-- 14-rL New Tenant: 0 Yes ❑..No W970 --w$ Property Owners Name: $14- 0.'4e Mailing Address: 617ZO -E- 0.e v we 1.-14 iL tba iu City 4te 4f3 (EPA' Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: kit>Rk C.21°f Day Telephone: 2/ Y - 2.°1 X 3) 93 Mailing Address: 11 l (fl --2:Z �- — 5‘T S. ,`N N/1, t r w c ∎ v �i '7 City State Zip Fax Number: k2 S —77 S G 6.2)-?_ E -Mail Address: UV` VV2bc MAI(1 t 4- ' - Li 1 i ey,•, PLUMBING / GAS PIPING CONTRACTOR INFORMATION Company Name: ¶} tE vv. --CJ C Wi C AA S X vk-i - Mailing Address: 11 t to Z20 i S w a3 13 itiL cr. tom. ek CI ,(51{3 City State Zip Contact Person: YOCAA-- l /n� _ fl_t4. ' 1 Day Telephone: 20 6, -2s -31 °,.3 E -Mail Address: OAcl.n_ CARC�....i i 14rSA- t lam; t or etiy Fax Number: u '2.S '% %(.o S So) Contractor Registration Number: 1^ /1 A-L1 1 L i C G, Expiration Date: Si " 11 ARCHITECT OF RECORD - All plans must be stamped by Architect of Record Company Name: Mailing Address: City Day Telephone: E -Mail Address: Fax Number: Contact Person: State Zip ENGINEER OF RECORD - All plans must be stamped by Engineer of Record Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: State Zip H:\Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Plumbing -Gas Piping Permit Application.doc Revised: 7 -2010 bh Page 1 of 2 do) Valuation of Project (contractor's bid prig. $ a(90(-, Cdo Scope of Work (please provide detailed information): 1A'S P FP re-enr- F j'P'- -' 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 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 Gas piping outlets (1;:, t� mo r L to p /J n S (�1 r PERMIT APPLICATION NOTES - . ,� Rocs �,r ' ux` 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 OW,1�E O v `^+I�I�ZED AGENT: Signature: U Print Name: t v1, 4 n. v_ A LVZv" Mailing Address: 1 >> ( 2Z FT- S fi S Date Application Accepted: Date: l ZU lI Day Telephone: 20G ` z �5�3 713 City State Zip odvoH Date Application Expires: DI H:1Applications\Forms- Applications On Line12010 Applications\7-2010 - Plumbing -Gas Piping Permit Application.doc Revised: 7 -2010 bh 7� Staff Initials: Page 2 of 2 r City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web si te: http: / /www.ci.tukwila.wa.us Parcel No.: 0003000038 Address: 13530 53 AV S TUKW Suite No: Applicant: ANGOLKAR 4 SMILES RECEIPT Permit Number: PG11 -014 Status: PENDING Applied Date: 01/20/2011 Issue Date: Receipt No.: R11 -00108 Initials: User ID: Payee: JEM 1165 Payment Amount: $137.81 Payment Date: 01/20/2011 12:19 PM Balance: $0.00 THE METALSMITHS INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 23631 137.81 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts GAS - NONRES PLAN CHECK - NONRES 000.322.103.00.00 110.25 000.345.830 27.56 Total: $137.81 doc: Receiot -06 Printed: 01 -20 -2011 ❑Tell INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 • P61 011 Cam_/ Project: /AVGoLI -� -S Type of Inspection: �,u6tf Address: 13 S3 O 53.A--S Date Called: _.. Special Instructions: ' t (0 P7" yes cf Date Wanted: �.mj, p.m. Requester: Phone No: (0-3 ft92 -3-430 Approved per applicable codes. Corrections required prior to approval. COMMENTS: t Of\ ,. P�t D ` , , ��i �f *4`4`� 0 -3 rD D j , ik S (p(nG, ''S FQ • O ■ (0 .3 i A- '7-9 tU � J P J A <T ra , ' ` i / 3. t P Inspectdr: J ok n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Dater _ 1 / • r, I+ 4 • INSPECTION RECORD Retain a copy with permit INSPECTION O. PERMIT NO CITY OF TUKWILA BUILDING DIVISION ' . 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: r Type of Inspection: Address: /353() . Al.1 �- Date Called: Special Instructions: Date Wanted: .2 2 --/ 0 . .n , (p °m Requester: 4JJ Ai - L.- I/ G S: a Phone No: e10 -s,5' --; /'3 _ ❑ Approved per applicable codes. . Corrections required prior to approval. COMMENTS: r t,j: i 1,1A Sb• J11 nj"T:r - r—,'iJ J./ ... Ile 051.4 4JJ Ai - L.- I/ G S: a c.•. /C7. r'1 . e1 r, 1( ` P lo' k ' aJ 2._A e...Jca°- -fi'e c, 7-;) m e C. , u) r U► ' A- eSJ . p )-1-0111.c, `T?) ; P S` ,.T j A ,r L r (? /�.t J.�.. 4(' ,1. • Inspecf r: Ite - ' 1( REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be • paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. 06 -30 -2011 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director MARK CRAY 7116 220 ST SW #B MOUNT LAKE TERRACE WA 98043 RE: Permit No. PG11 -014 13530 53 AV S TUKW Dear Permit Holder: 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 08/31/2011. Based on the above, you are hereby advised to: 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, , provided the inspection shows progress. -or- 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 08/31/2011, 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. Sincerely, 'WI '-V-..L Bill Rambo Permit Technician File: Permit File No. PG11 -014 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 14ERN11T COOK /COPY PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG11 -014 DATE: 01/20/11 PROJECT NAME: ANGOLKAR 4 SMILES SITE ADDRESS: 13530 53 AV S X Original Plan Submittal Response to Correction Letter # Response to Incomplete Letter # Revision # after Permit Issued DEPARTMENTS: iA.Li (- 9-1 -GI uildingt7vision Public Works Fire Prevention Structural Planning Division n Permit Coordinator n DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: Incomplete DUE DATE: 01 /25/11 Not Applicable Permit Center Use Only INCOMPLETE LETTER MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: LETTER OF COMPLETENESS MAILED: TUES /THURS ROUTING: Please Route REVIEWER'S INITIALS: Structural Review Required n No further Review Required DATE: APPROVALS OR CORRECTIONS: Approved n Approved with Conditions Notation: REVIEWER'S INITIALS: DUE DATE: 02/22/11 Not Approved (attach comments) n DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents/routing slip.doc 2 -28 -02 Contractors or Tradespeople liter Friendly Page • General /Specialty Contractor A business registered as a construction contractor with LEI 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 METALSMITHS INC, THE UBI No. 600208326 Phone 2063623430 Status Active Address 7116 220Th 5 W 10 License No. METALI'141CG Suite /Apt. License Type Construction Contractor City Mountlake Terrac Effective Date 2/7/1986 State WA Expiration Date 9/11/2011 Zip 98043 Suspend Date County Snohomish Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status METALI.234N9 METALSMITHS INC, THE Construction Contractor Air Heat,Ventilation,Evaporat Metal Fabrication 8/29/19778/31/1986 Archived THEMEI '231N9METALSMITHS THE ,Contractor INC Construction Air Heat,Ventilation,Evaporat 660308 8/29/1977 8/29/1984 Archived Business Owner Information Name Role Effective Date Expiration Date CRAY, MARK A Cancel Date 01/01/1980 Bond Amount CRAY, DEBBIE A 6 01/01/1980 100132108 Bond Information Page 1 of 2 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 6 American Contractors Indem CO 100132108 08/10/2010 Until Cancelled $12,000.0007/21 /2010 5 CBIC 660308 08/10/2001 Until Cancelled 08/10/2010 $12,000.00 07/20/2001 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 16 WEST AMERICAN INS CO BKW1154541862 08/10/2010 08/10/2011 $1,000,000.0008 /04/2010 15 Ironshore Specialty Ins Co 00NUA0905001 08/10/2009 08/10/2010 $1,000,000.00 08/10/2009 14 UNITED SPECIALTY INSURNACE COM IRHOONUA0805001 08/10/2008 08/10/2009 $1,000,000.00 08 /11/2008 13 FIRST MERCURY INS CO FMMA0007052 08/10/2007 08/10/2008 $1,000,000.00 08/09/2007 12 FIRST MERCURY INS CO FMMA000705 08/10/2006 08/10/2007 $1,000,000.0008 /09/2006 11 NATIONAL FIRE &MARINE INS CO 72LP168584 08/10/2005 08/10/2006 $1,000,000.00 08/09/2005 https://fortress.wa.gov/lni/bbip/Print.aspx 02/09/2011