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Home My WebLink AboutPermit PG11-141 - ANGOLKAR 4 SMILESANGOLKAR 4 SMILES 13530 53 AV S PG1 1 -141 City API' ukwila a 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.TukwilaWA.gov Parcel No.: 0003000038 Address: 13530 53 AV S TUKW Project Name: ANGOLKAR 4 SMILES PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: PG11 -141 10/06/2011 08/31/2011 Owner: Name: Address: Contact Person: Name: Address: Email: Contractor: Name: PRATE) LLC 17000 SE 65TH PL , BELLEVUE WA 98006 RON JOHNSON 716 220 ST SW , MOUNT LAKE TERRACE WA 98043 N/A Phone: 206 295 -5616 METALSMITHS INC Phone: 206362 -3430 Address: 7116 220TH SW 10 , MOUNTLAKE TERRACE, WA 98043 Contractor License No: METALI* 141 CG Expiration Date: 09/11/2013 DESCRIPTION OF WORK: GAS PIPING FOR ROOFTOP UNITS (SEE EXPIRED PERMIT PG 11 -014) Value of Plumbing /Gas Piping: Fees Collected: Electrical Service Provided by: Permit Center Authorized Signature: I hereby certify that I have read an governing this work will be oomph $2,000.00 Uniform Plumbing Code Edition: 2009 $110.25 International Fuel Gas Code Edition: 2009 Date: lold1/40 ed 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 p construction or the performance of work. on the back of this permit. c Signature: Print Name: 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 Date: / CJ --/i 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 -141 Printed: 10 -06 -2011 • PERMIT CONDITIONS Permit No. PG11 -141 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 PG11 -141 Printed: 10 -06 -2011 CITY OF TUKWS Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: / /www.TukwilaWA.gov Plumbing/Gas Permit No. 0 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 6--a 6 - 6-3 e� AA, £ S Site Address: i 3 S dl - 6-'i3 r+d)4 ✓t S Tenant Name: King Co Assessor's Tax No.: b05 3bel pp 3 I Suite Number: Property Owners Nam =: R14T 1 J L. L.G. Mailing Address: / %DOQ %E t er1472. City Floor: 4441_ New Tenant: ❑ Yes ❑ .. No State liwG Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: W S J 6 dfr/sa I/ Mailing Address: ? // • Z Z CI "if s S �J Day Telephone: Zee. • Z tS ' 6.—d / G 1414."7" I.4J14 k 3 E -Mail Address: City State Zip Fax Number: 4f4 C 774-- 445z_ PLUMBING / GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: M. 714 .6/1/ 1'145" / 11JC //4 • 2 Zd 70157-..54rJ /4JL i City State Zip c� Contact Person: f� a4.1 jet /I hirC3 u Day Telephone: E -Mail Address: Fax Number: 97 S` . 77S-: 44 3 7_,.. Contractor Registration Number: f/E7,4L r it PI/ I C Cr Expiration Date: 9` - /1-- /Z w cna ZoL•Zcy 5 ^G /L 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: 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: May 2011 bh Page 1 of 2 Valuation of Project (contractor's bid pi, $ Z000 Scope of Work (please provide detailed information): CA S 'PIPE A)O� O P G A117-5 FXTFM> PORN I i P4 !/ - o / Building Use (per Intl 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 . P Il(,9 •i 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 B 1.1 LAWS OF STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUItrOWNER s ' UTHORI Signa E GENT: Print Name: 'WO A _ J rd.tJ Mailing Address: 7 /1 C 22.0 rol . Date: 9' Zq /i Day Telephone: zo ` -v7S "jL 1 City W-✓ 98a493 State r Zip Date Application Accepted: 091 \1\\ Date Application Expires: o23lYl�v Staff Initials: H' :\Applications\Forms- Applications On Line'2010 Applications17 -2010 - Plumbing -Gas Piping Permit Application.doc Revised: May 201! bh ge 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.TukwilaWA.gov RECEIPT Parcel No.: 0003000038 Permit Number: PG11 -141 Address: 13530 53 AV S TUKW Status: PENDING Suite No: Applied Date: 09/29/2011 Applicant: ANGOLKAR 4 SMILES Issue Date: Receipt No.: R11 -02140 Payment Amount: $63.00 Initials: JEM Payment Date: 09/29/2011 01:26 PM User ID: 1165 Balance: $0.00 Payee: THE METALSMITHS INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 24407 63.00 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts GAS - NONRES 000.322.103.00.00 63.00 Total: $63.00 doc: Receiot -06 Printed: 09 -29 -2011 INSPECTION NO. INSPECTION RECORD Retain a copy with permit P6.11- (q1 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 n (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 �G Project: A M C� a t- A R. 3 .10-4, Type of Inspection: 1— I N A ) Address: 13 30 -6 3 AV S Date Called: Special Instructions: i'. E 1 0..SUF p611--011 Date Wanted: Itn/a1 1r ca-r. r"x- Requester: Phone No: Approved per applicable codes. D Corrections required prior to approval. COMMENTS: dwciI%- jA) At PANA-cL ?arw•;•% (L 16i1.9 Date: 1a fc.fi NSPECTION FEE REQ IRED. Pr' r to next inspection. fee must be id at 6300 Southcenter Blvd.. Sui a 100. Call to schedule reinspection. OPERMIT COORD CORV PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG11 -141 PROJECT NAME: ANGOLKAR 4 SMILES DATE: 09/29/11 SITE ADDRESS: 13530 53 AV S X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # after Permit Issued DEPARTMENTS: P&C "61 Bu' ng Division Public Works Fire Prevention ❑ Structural Planning Division nPermit Coordinator ❑ DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Incomplete n DUE DATE: 10/04/11 Not Applicable n Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES/THURS ROUTING: Please Route Structural Review Required n No further Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved ❑ Approved with Conditions Not Approved (attach comments) n Notation: REVIEWER'S INITIALS: DUE DATE: 11 /01 /11 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- ter Friendly Page a 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'141 CG Suite /Apt. License Type Construction Contractor City Mountlake Terrac Effective Date 2/7/1986 State WA Expiration Date 9/11/2013 Zip 98043 Suspend Date County Snohomish Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company ther 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 8/29/1977 8/31/1986 Archived THEMEI '231N9METALSMITHS THE ,Contractor INC Construction Air Heat,Ventilation,Evaporat 100132108 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 7 01/01/1980 9806917 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 7 Lexon Ins Co 9806917 08/10/2011 Until Cancelled $12,000.0008/09 /2011 6 American Contractors Indem CO 100132108 08/10/2010 Until Cancelled 09/26/2011 $12,000.00 07/21/2010 5 CBIC 660308 08/10/2001 Until Cancelled 08/10/2010 $12,000.0007/20 /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 08/10/2012 $1,000,000.0008 /03/2011 15 Ironshore Specialty Ins Co 00NUA0905001 08/10/2009 08/10/2010 $1,000,000.0008 /10/2009 14 UNITED SPECIALTY INSURNACE COM IRHOONUA0805001 08/10/2008 08/10/2009 $1,000,000.0008 /11/2008 13 FIRST MERCURY INS CO FMMA0007052 08/10/2007 08/10/2008 $1,000,000.0008 /09/2007 12 FIRST MERCURY INS CO FMMA000705 08/10/2006 08/10/2007 $1,000,000.00 08/09/2006 11 NATIONAL FIRE Et MARINE INS CO 72LP168584 08/10/2005 08/10/2006 $1,000,000.0008 /09/2005 https://fortress.wa.gov/lni/bbip/Print.aspx 10/06/2011