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HomeMy WebLinkAboutPermit PG11-028 - JET INN MOTELThis record contains information which is exempt from public disclosure pursuant to the Washington State Public Records Act, Chapter 42.56 RCW as identified on the Digital Records Exemption Log shown below. PG11 -028 Jet Inn Motel 3747 South 142nd Street RECORDS DIGITAL D- ) EXEMPTIO THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION Page # tode Exemption = 8rlef Explanatory DeSclriptiop �t�tutel ule The Privacy Act of 1974 evinces Congress' intent that social security numbers are a private concern. As such, individuals' social security Personal Information — numbers are redacted to protect those Social Security Numbers individuals' privacy pursuant to 5 U.S.C. sec. 5 U.S.C. sec. DR1 Generally — 5 U.S.C. sec. 552(a), and are also exempt from disclosure 552(a); RCW 552(a); RCW under section 42.56.070(1) of the Washington 42.56.070(1) 42.56.070(1) State Public Records Act, which exempts under the PRA records or information exempt or prohibited from disclosure under any other statute. Redactions contain Credit card numbers, debit card numbers, electronic check numbers, credit Personal Information — expiration dates, or bank or other financial RCW 9 DR2 Financial Information — account numbers, which are exempt from 42.56.230(5) RCW 42.56.230(4 5) disclosure pursuant to RCW 42.56.230(5), except when disclosure is expressly required by or governed by other law. JET INN MOTEL 3747 S 142 ST PG1 1 -028 City ()Wu kwila �� \Z 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.: 1610000270 Address: 3747 S 142 ST TUKW Project Name: JET INN MOTEL PLUMBING /GAS PIPING PERMIT Permit Number: PG11 -028 Issue Date: 02/09/2011 Permit Expires On: 08/08/2011 Owner: Name: ZORA INC Address: JET INN MOTEL , 3747 S 142ND ST 98168 Contact Person: Name: Address: Email: Contractor: Name: PACIFIC PLUMBING Address: PO BOX 5278 , KENT WA 98064 Contractor License No: PACIFP *981CK Phone: Phone: 253 850 -1536 Expiration Date: 02/12/2012 DESCRIPTION OF WORK: REPLACE BAD COPPER IN LAUNDRY ROOM, ROOM NEXT TO LAUNDRY ROOM AND IN OFFICE Value of Plumbing /Gas Piping: $2,500.00 Uniform Plumbing Code Edition: 2009 Fees Collected: $47.25 International Fuel Gas Code Edition: 2009 Permit Center Authorized Signature: Date: )7-9 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 tl plumbing /gas piping permit and agree to the conditions on the back of this permit. Signature: Print Name: 7',..3* /ne Date: 2 `7 " 2b / 1 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 PG 11 -028 Printed: 02 -09 -2011 • • PERMIT CONDITIONS Permit No. PG 11 -028 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. 13: The applicant agrees that he or she will hire a licensed plumber to perform the work outlined in this permit. doc: UPC -4/10 PG 11 -028 Printed: 02 -09 -2011 CITY OF TUKWIldi Community DevelopmAW Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Plumbing/Gairmit No. 1)G ,(1)r —0.2 D Project No. (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 1.42 f T King Co Assessor's Tax No.: 1(44.000— 0)-70 Site Address: 3797 t5 ? S ? [ Jtt4 444 76215,- Suite Number: Floor: Tenant Name: Property Owners Name ,4 I ti C Mailing Address: New Tenant: ❑ Yes .. No City State Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: Mailing Address: E -Mail Address: Sct Day Telephone: 206 ZZf; - 97,1i City Fax Number: State Zip PLUMBING / GAS PIPING CONTRACTOR INFORMATION Company Name: - C,t (.4' i cY P` Ovvk r of Mailing Address: Q 'O to f S27 k- Contact Person: 13.1 E -Mail Address: (� P Q Contractor Registration Number: rCt(- ` P i foc. K- City t4 ' State c.°6 6�� Day Telephone: 2-06 • 31G -2 f © G Fax Number: (42....5-- 2-s-7- 6 s-J-6 Expiration Date: ARCHITECT OF RECORD — All plans must be stamped by Architect of Record Company Name: Mailing Address: Contact Person: E -Mail Address: City Day Telephone: Fax Number: State Zip ENGINEER OF RECORD — All plans must be stamped by Engineer of Record Company Name: Mailing Address: Zip Contact Person: E -Mail Address: H:\Applications\Porms- Applications On Line\2010 Applications \7 -2010 - Plumbing -Gas Piping Permit Application.doc Revised: 7 -2010 bh City Day Telephone: Fax Number: State Page 1 of 2 Valuation of Project (contractor's bid pre $ 2,S-00 1 1 Scope of Work (please provide detailed information): �24p L �4 d . cop G( • ©rte Building Use (per Int'1 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 i i 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 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 O / /^=— HORIZED A Signature: 1 Q Print Name: T-6 1 h1 S Mailing Address: 37 f 7 Date Application Accepted: )4; J 17 S /L(7 S-4- De- I_ Date: Z-- Ci - 20 ( ( Day Telephone: 2U 6 (--On S 3 -� City State Zip Date Application Expires: Staff Initials: HAApplications\Forms- Applications On Line12010 Applications17.20l0 - Plumbing -Gas Piping Permit Application.doc Revised. 7 -2010 bh Page 2 of 2 1 • 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 Parcel No.: 1610000270 Address: 3747 S 142 ST TUKW Suite No: Applicant: JET INN MOTEL RECEIPT Permit Number: PG11 -028 Status: PENDING Applied Date: 02/09/2011 Issue Date: Receipt No.: R11 -00251 Initials: User ID: Payee: WER 1655 Payment Amount: $47.25 Payment Date: 02/09/2011 02:43 PM Balance: $0.00 JET INN MOTEL TRANSACTION LIST: Type Method Descriptio Amount Payment Check 5496 47.25 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts PLUMBING - NONRES 000.322.103.00.00 47.25 Total: $47.25 doc: Receiot -06 Printed: 02 -09 -2011 • G INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. • (206) 431 -3670 Project: Cci.e. i"` "/te / e/ Type of Inspection: ,/tt)e>/6 A! G 2 f) /lime; Address: Date C lied {� y„/ • DID �. t Special Instructions: • Date Wanted: ---// — • m. Requester: Phone No: Approved per.applicable codes. COMMENTS: r-• Corrections required prior to approval. ? b v JM t i Ins . 'ctor: Date„, ri REINSPECTION FEE R_QUIRED. Prior to next inspection, fee must be L paid at 6300 Southcenter Blvd.; Suite 100. Call to schedule reinspection. • '.'.:'• Contractors or Tradespeople Pr ter Friendly Page 1 General /Specialty Contractor A business registered as a construction contractor with Lal 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 PACIFIC PLUMBING UBI No. 602175816 Phone 2538501536 Status Active Address Po Box 5278 License No. PACIFP *981CK Suite /Apt. License Type Construction Contractor City Kent Effective Date 2/12/2002 State WA Expiration Date 2/12/2012 Zip 98064 Suspend Date County King Specialty 1 Plumbing Business Type Corporation Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date SINGH, TEJBIR President 02/12/2002 Received Date SINGH, HARMINDER Secretary 02/12/2002 Until Released SINGH, BALVIR Vice President 02/12/2002 Bond Information No records found for the previous 6 year period Assignment of Savings Information Page 1 of 1 Savings Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 2 2/6/2002 6/16/2009 Bond 02/12/2010 $6,000.002/12/2002 Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 10 STATE FARM FIRE & CAS CO 98BJF9732 02/12/2011 02/12/2012 $1,000,000.00 01/10/2011 9 STATE FARM FIRE & CAS CO 98BDX2912 02/12/2010 02/12/2011 $1,000,000.0001 /21/2010 8 STATE FARM FIRE & CAS CO 98BDY1277 02/12/2009 02/12/2010 $1,000,000.0001 /23/2009 7 STATE FARM FIRE & CAS CO 98G431885 01/12/2008 02/12/2009 $1,000,000.0001 /16/2008 6 STATE FARM FIRE f& CAS CO 98GY44689F 02/12/2007 02/12/2008 $1,000,000.00 02/09/2007 5 STATE FARM FIRE f& CAS CO 98E242526F 02/12/2006 02/12/2007 $1,000,000.0002 /06/2006 4 FARM FIRET& CAS CO 98GD24334 02/12/2005 02/12/2006 $1,000,000.0002 /01/2005 3 STATE FARM FIRE & CAS CO 98ER18812 02/12/2004 02/12/2005 $300,000.00 01/20/2004 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 https:// fortress .wa.gov /lni/bbip/Print.aspx 02/09/2011