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Home My WebLink AboutPermit PG11-073 - WESTFIELD SOUTHCENTER MALL - DOWNEAST OUTFITTERSDOWNEAST OUTFITTERS 1010 SOUTHCENTER MALL PG1 1 -073 Parcel No.: Address: City oPd'ukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -43 1 -3670 Inspection Request Line: 206 -431 -2451 Web site: http: / /www.TukwilaWA.gov PLUMBING /GAS PIPING PERMIT 9202470010 1010 SOUTHCENTER MALL TUKW Project Name: DOWNEAST OUTFITTERS Permit Number: Issue Date: Permit Expires On: PG11 -073 05/23/2011 11/19/2011 Owner: Name: Address: Contact Person: Name: Address: Email: WESTFIELD PROPERTY TAX DEPT PO BOX 130940 , CARLSBAD CA 92013 PHIL KROPELNICKI 8303 293 AV SE , ISSAQUAH WA 98027 PAPAKROP @HOTMAIL. C OM Contractor: Name: NEWPORT PLUMBING COMPANY Address: 8303 293 AV SE , ISSAQUAH WA 98027 Contractor License No: NEWPOPC990K4 Phone: 206 931 -5788 Phone: 206 931 -5788 Expiration Date: 09/24/2011 DESCRIPTION OF WORK: NEW WATER CLOSET, LAVATORY, FLOOR DRAIN, AND P.O.U. WATER HEATER Value of Plumbing /Gas Piping: Fees Collected: Electrical Service Provided by: $4,910.00 $123.90 PUGET SOUND ENERGY Permit Center Authorized Signature: I hereby certify that I have read an governing this work will be compli Uniform Plumbing Code Edition: 2009 International Fuel Gas Code Edition: 2009 Date: 'tied this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. The granting of this permit does not construction or the performance of wor on the back of this Signature: e to give authority to violate or cancel the provisions of any other state or local laws regulating am authorized to sign and obtain this plumbing /gas piping permit and agree to the conditions Print Name: 0L44061-5-1N)lcgi 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. doc: UPC -4/10 PG 11 -073 Printed: 05 -23 -2011 • PERMIT CONDITIONS Permit No. PG11 -073 1: ** *PLUMBING AND CAS 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 PG11 -073 Printed: 05 -23 -2011 CITY OF TUKWI Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us • Plumbing/Gas Permit No. p6-11- Project No. p 11. O L ) (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.: °2,40Z0 W' O Site Address: -tom SOc- 1 \ (N. u Suite Number: 3 14 Floor: Tenant Name: y 61s s (•-i New Tenant: R. Yes ❑..No Property Owners Name: Mailing Address: City State Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: ?t -t \L_ k ,P G«\ Day Telephone: ge6 - i 1 51 Sg Mailing Address: 30,3 -- a-ck. 3 <Rb AVl. 7g.. 'ssc - -- _)a-k-1 CrJ. clRCxl-_'7 City State Zip E -Mail Address: 'ik? ,V2,0'' 0 t- trYj1NN.Alll _ / CCC1-- Fax Number: ' 9-S .-' 2--a--2- -c Dg PLUMBING / GAS PIPING CONTRACTOR INFORMATION Company Name: LW�?C�l�"r ( L) Cs-'4) b --ZS Mailing Address: 2 /0 Q2 GL .SSW( it"Cf l0z,c c. Contact Person: t N (l — E -Mail Address: Contractor Registration Number: t L - ?b' C`3 oko p Day Telephone: Fax Number: Expiration Date: O ci r( l l ARCHITECT OF RECORD — All plans must be stamped by Architect of Record Company Name: Mailing Address: City Day Telephone: Fax Number: Contact Person: E -Mail Address: 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\Porms- Applications On Line \2010 Applications \7 -2010 - Plumbing-Gas Piping Permit Application.doc Revised: 7 -2010 bh Page 1 of 2 Valuation of Project (contractor's bid pt : $ `c? (0, o Scope of Work (please provide detailed information): • L- ) s. )ScST t c-av c wzy C^L 1)V 1,6 f, 0, u - w DTs L TL S Building Use (per Int'I Building Code): Occupancy (per Intl 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 / I Wash fountain Receptor, indirect waste Sinks Urinals Water Closet r t 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 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 PERJ ' , �: Y AWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OW Signature: Print Name: ORIZED AGENT: PKiL tq L �3 3 Avtr StE , sSq W `r 7 Mailing Address: Date: C)sfl0 -,g J I Day Telephone: .26,(— s 7 g IDate Application Accepted: /1�5 7 ( Date Application Expires: Staff Initials: H: \Applications\Forms- Application On Line ‘2010 Application \7 -2010 - Plumbing -Gas Piping Permit Application.doc Revised: 7 -2010 bh 0 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -43 1 -3670 Fax: 206-431-3665 Web site: http: / /www.TukwilaWA.gov RECEIPT Parcel No.: 9202470010 Permit Number: PG 11 -073 Address: 1010 SOUTHCENTER MALL TUKW Status: PENDING Suite No: Applied Date: 05/23/2011 Applicant: DOWNEAST OUTFITTERS Issue Date: Receipt No.: R11 -01038 Initials: User ID: JEM 1670 Payment Amount: $123.90 Payment Date: 05/23/2011 10:34 AM Balance: $0.00 Payee: NEWPORT PLUMBING CO. TRANSACTION LIST: Type Method Descriptio Amount Payment Check 5553 123.90 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts PLUMBING - NONRES 000.322.103.00.00 123.90 Total: $123.90 doc: Receipt -06 Printed: 05 -23 -2011 INSPECTION NO. INSPECTION RECORD Retain a copy with permit pci(-0-?,3 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION • 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 10010)A P Projects �� Type it rispec�ti`on s . r; AfAL Addr1 s01 0 Sc_ ! A- (' Date Called: Special Instructions: Date Wanted: ` j p.m. Requester: . Phone No: • Approved per applicable codes. IlCorrections required prior to approval. COMMENTS: PeIM''r lo,G, ?late Inspector: Date: ❑ REINSPECTION FEE REQ RED. Prior to next inspection, fee must be paid at 6300 Southcenter lvd.. Suite 100. Call to schedule reinspectioh. INSPECTION N'0. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 I„ (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Proj t: L)o ,) . f F' T% Type f Inspection: c: au -!__ f'L AA .6 Address: r o to 5 G A-04-LL. Date Called: Special Instructions: - Date Wanted a.m. i 2, Requester: 4, Pho N 6m _ si5. TO Approved per applicable codes. Corrections required prior to approval. COMMENTS: 4, - 0 ee si u e &S g P f 6. ,fb.A1- j•--' 4. actor: Dater __C( ri REINSPECTION FEE REQU RED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. ; - INSPECTION RECORD ({ y O Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION G 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 �C3 INSPECTION NO. Project: ,� �/ Type of Inspection: 1 p % cis 11 l al [ ` RCA -0 c� tA . 11k- J i c„) Address: Date Ca d� /`J— /� I D i c _5c._ kA-L(..--- --- 6.S ,o tic. Special Instructions: Date Wanted: Z --'a ms n (( p.m. CC per, Ay� Requester: l 1 / '7..• Phone No:, t(-7 --21.17 a El Approved p \rapl( able codes. Corrections required prior to approval. C] COMMENTS: .\.. - rte, A CXr kA[ DI PS(J 1 2 (C?• L (.1 kJ kk J- gZ -Fr', S to —Dp 3-r; okThi� .t) ? el -Sr 5.0 s ; OliPj ir2∎rt .hAS ObNA4Le. 4--b it ...,. �.va�s�\� 1 r.:�,,: J 5t . A.34k. tti • , „st.A -0o,Q li MS 0i S pbt 9 bt>p Z.,, r r ,--6/ \,...s p/ ) ktir. s.) bf"--( t i.i / 1, D ` .5 v -- `.' 1M I Q. • . El Approved p \rapl( able codes. Corrections required prior to approval. C] COMMENTS: .\.. - rte, A CXr kA[ DI PS(J 1 2 (C?• L (.1 kJ kk J- gZ -Fr', S to —Dp 3-r; okThi� .t) ? el -Sr 5.0 s ; OliPj ir2∎rt .hAS ObNA4Le. 4--b it ...,. �.va�s�\� 1 r.:�,,: J 5t . A.34k. tti • , „st.A -0o,Q li MS 0i S pbt 9 bt>p Z.,, r r ,--6/ \,...s p/ ) ktir. s.) bf"--( t i.i / 1, D ` .5 v -- `.' 1M I Q. • . Inspecto( Date: (9.:7 • ❑ REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be . paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection: :_• - _-..•■•,._... •• ..,_.� INSPECTION RECORD.:: INSPECTION NO. Retain a copy with permit PERMIT N0. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 pe4 t -017 3 Project: Pr�11, 0*' S T/ W rI� ? t TypA of Inspection: I L.IN..i eA'bF au 1t•(3' , Address: i n I n Sc AA L-L_ Date C led• jvJ��i /� Special Instructions: Date Wanted:, - �� / t( / d Requester: Phone No/: GIn— Zeirld Approved per applicable codes. Corrections required prior to approval. COMMENTS: !1' P p er AA ti Sr 8E'. i sW (AiATeii Ej 4-7e___ , 5 0 p f .' /14; A ,' itta xt S (.'P p( LI C..-0 / r ,` (3/ Aee.d j v�/e - U � ' P c1 • c .4-v A..d 7'-- tit :J-SS A, ;1 I' /4tn --(j- , . 3 @ 6/ 04.i.A.9 t"ibitC /tAvisr 1/ 4-(,,L. 4 J ✓ (,4- --, 1) 1 1,,// A ,l =-,?, -Ck /)A --tJr 11 4. fa J , G.JnCfJP ,av 1-0 'OVA. c_7(7. 13 A.--r taL r-... A ❑ REINSPECTION FEE i�EQUIR ` • rior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. ..�.- , INSPECTION RECORD Retain a copy with permit INSPEC ION N0. Kt(-0/3 PERMIT NO. CITY OF' TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 9A4188 Tz_ (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451. Project: 7oWNr�.A -Sr a,,f. s Typ of Inspection: (,,.-1U6t+ v Pc0" Address: f0(0 5.0 AM Date Called: Special Instructions: Date Wanted: CP Z 3 ' I / p.m. Requester: Phone No: ? ,0 (o- 61`1 -2q 70. ❑ Approved per applicable codes. aCorrections required prior to approval;'. •.. ; • • � COMMENTS: 4 - 1 j?i k -:to --Z t as vc.iduJ 40 ►M. 4 i I , ._ : V:31A14.' • 1, •L, 7'..\ i .. • .' .1 A • 1 Date: • REI paid U) • ECTION FEE REQUIRED. rior to net inspection: fee must•be•:.• 6300 Southcenter Blvd., Suite 100. Catl to schedule reinspection. '•'• • • Contractors or Tradespeople Peer 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 NEWPORT PLUMBING COMPANY UBI No. 601715595 Phone 2069315788 Status Active Address 8303 293Rd Ave Se License No. NEWPOPC990K4 Suite /Apt. License Type Construction Contractor City Issaquah Effective Date 9/7/2001 State WA Expiration Date 9/24/2011 Zip 98027 Suspend Date County King Specialty 1 Plumbing Business Type Partnership Specialty 2 Unused Parent Company Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status LMKCO "996PW L M K CONTRACTING Construction Contractor General Unused 10/16/2001 7/28/2012 Active NEWPOPC099RQNEWPORT PLUMBING CO Construction Contractor Plumbing Unused 12/18/1991 7/12/2001 Archived Business Owner Information Name Role Effective Date Expiration Date KROPELNICKI, PHIL SR Partner 09/07/2001 Amount KROPELNICKI, PHIL JR Partner 09/07/2001 C11S18145 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 1 FIRST NATIONAL INS CO OF AMER 6118582 09/05/2001 Until Cancelled $6,000.00 09/07/2001 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 10 CBIC C11S18145 11/17/2010 11/17/2011 $300,000.0012/14 /2010 9 FEDERATED MUTUAL INS CO 9085165 11/13/2008 11/13/2011 11/24/2010 $2,000,000.00 10/15/2010 8 FEDERATED MUTUAL INS CO 9085165 11/13/2007 11/13/2008 $1,000,000.00 10/22/2007 7 FEDERATED MUTUAL INS CO 5095106 11/13/2006 11/13/2007 $1,000,000.00 11/14/2006 6 AMERICAN STATES INS CO 01CG50375830 11/13/2005 11/13/2006 $1,000,000.0011 /17/2005 5 SAFECO INS CO OF AMERICA 01CG50375820 11/13/2004 11/13/2005 $1,000,000.00 11/12/2004 AMERICAN STATES INS CO 01CG503758 07/12/2004 07/12/2005 $1,000,000.0007 /12/2004 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 05/23/2011