HomeMy WebLinkAboutPermit PG13-113 - LIGHTHOUSE CONSULTING - GAS PIPING
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pursuant to the Washington State Public Records Act, Chapter 42.56 RCW
as identified on the Digital Records Exemption Log shown below.
PG13-113
Lighthouse Consulting
16234 42 Ave S
DIGITAL RECORDS (DR) EXEMPTION LOG
THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION
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social security numbers are a private concern. As
Personal Information –
such, individuals’ social security numbers are
Social Security Numbers 5 U.S.C. sec.
redacted to protect those individuals’ privacy pursuant
DR1 Generally – 5 U.S.C. sec. 552(a); RCW
to 5 U.S.C. sec. 552(a), and are also exempt from
disclosure under section 42.56.070(1) of the
552(a); RCW 42.56.070(1)
Washington State Public Records Act, which exempts
42.56.070(1)
under the PRA records or information exempt or
prohibited from disclosure under any other statute.
Redactions contain Credit card numbers, debit card
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Personal Information –
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dates, or bank or other financial account numbers,
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LIGHTHOUSE CONSULTING
16234 42 AV S
PG13-1 13
City o 2ukwila
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.: 5379800680
Address: 16234 42 AV S TUKW
PLUMBING/GAS PIPING PERMIT
Project Name: LIGHTHOUSE CONSULTING
Permit Number: PG13-113
Issue Date: 08/23/2013
Permit Expires On: 02/19/2014
Owner:
Name: MARTAY PROPERTIES L L C .
Address: 2810 206TH AVCT E , LAKE TAPPS WA 98391
Contact Person:
Name: RYAN KELLY
Address: 12462 DES MOINES MEMORIAL DR , SEATTLE WA 98168
Email: HELLO@GLENDALEHEATING.COM
Contractor:
Name: GLENDALE HEATING & A/C
Address: 12462 DES MOINES WY S , SEATTLE, WA 98168
Contractor License No: GLENDHA053Q2
Phone: 206-396-3418
Phone: 206-243-7700
Expiration Date: 11/02/2013
DESCRIPTION OF WORK:
INSTALL GAS PIPING FROM METER UP THE WALL AND ACROSS ROOF TO ACCESS OPENING TO
MECHANICAL ROOM. 1" PIPING
Value of Plumbing/Gas Piping:
Fees Collected:
Electrical Service Provided by:
Permit Center Authorized Signature:
$2,000.00
$121.88
Uniform Plumbing Code Edition: 2009
International Fuel Gas Code Edition: 2009
Date: g
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 this plumbing/gas piping permit and agree to the conditions
on the back of this pe it.
Signature:
Print Name:
Datcl -tIG /41
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.
DateC73
..1.... I101` A11fl
Pr:11_111 Printed OR -23-2013
i •
PERMIT CONDITIONS
Permit No. PG 13-113
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
PG13-113 Printed: 08-23-2013
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA. gov
Plumbing/Gas Permit No. b 13 13
Project No.
Date Application Accepted:
Date Application Expires: �� t
(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
/U , p p King Co Assessor's Tax No.: S 37 98-0 —0(2 8-6
Site Address: 1G 2.511 J �f Z ° A V6 C. i8I 8r Suite Number:
LS IPA- It•WeSilvieNr5LLC
Tenant Name:
PROPERTY OWNER
Name:
BiEr 4. CAge, ( L iii_sario
Address:, (2 3 t 1 c ' 1 f L Alo e s
City: W ILA State: w k Zip:, g f g.2
t.,
CONTACT PERSON — person receiving all project
communication
Name: e„ Y 1 `'
j
Address:
�zti6Z Dt3 !,401 5 iiiemo'L 1, o g
City: 5gw,u State: 1 1 a, Zip: 9 gi 63
Phone: (2_0(,) 316 '3Li1,Fax: ( -2,0c) 2U q (1 3
Email:
/4:L.l•-r? 64.4.,wartE,. f '7n/G' . co r+„,
Floor:
New Tenant: ❑ Yes
PLUMBING CONTRACTOR INFORMATION
Company Name: G L D-- I ,1_ _frniv�
Address: f2;4 (,7i DSS o
City: Cts State: 6\4_
Zip: q �b G
1
Phone:✓( ) 243,770Fax: 26,0 Zt%y/.-// 3L
Contr Reg No.:
CLc_ivo f/}0,.3aZ p Date:,? / 6L/ /3
' l
Tukwila Business License �sa9°1387
Valuation of Project (contractor's bid price): $ A0
d
Scope of Work (please provide detailed information):
jto5-4-a C4aS i to -'roni r 'kr; up7-AE
roo -iv Qcc.Fs5 3Pi"mFchamtca 1
Tu Id�gLPpe"r In71 Building Code):
I 1,1Occupancy (per lnt'I Building Code):
Utility Purveyor: Water:
H:\Applications\Forms-Applications On Line \2011 Applications\Plumbing Permit Application Revised 8-9-1 l.docx
Revised: August 2011
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Sewer:
Page 1 of 2
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
Fixture Type
Qty
Bathtub or combination
bath/shower
Dishwasher, domestic with
independent drain
Shower, single head trap
Sinks
Rain water system — per
drain (inside building)
Grease interceptor for
commercial kitchen (>750
gallon capacity)
Each additional medical
gas inlets/outlets greater
than 5
Atmospheric -type vacuum
breakers not included in
lawn sprinkler backflow
protections (1-5)
Fixture Type
Qty
Bidet
Drinking fountain or water
cooler (per head)
Lavatory
Urinal
Water heater and/or vent
Repair or alteration of
water piping and/or water
treatment equipment
Backflow protective device
other than atmospheric -
type vacuum breakers 2
inch (51 mm) diameter or
smaller
Atmospheric -type vacuum
breakers not included in
lawn sprinkler backflow
protections over 5
Fixture Type
Qty
Clothes washer,
domestic
Food -waste grinder,
commercial
Wash fountain
Water closet
Industrial waste
treatment interceptor,
including trap and vent,
except for kitchen type
grease interceptors
Repair or alteration of
drainage or vent piping
Backflow protective
device other than
atmospheric -type
vacuum breakers over 2
inch (51 mm) diameter
Gas/piping outlets
l FL/140A C. 5 )
Fixture Type
Qty
Dental unit, cuspidor
Floor drain
Receptor, indirect waste
Building sewer and each
trailer park sewer
Each grease trap
(connected to not more
than 4 fixtures - <750
gallon capacity
Medical gas piping
system serving 1-5
inlets/outlets for a specific
gas
Each lawn sprinkler
system on any one meter
including backflow
protection devices
PERMIT APPLICATIONVNOTES=
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 CER
PENALTY OF P
AT I HAVE RE • D EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
BY THS LAWS iF THE 'TA E OF WASHINGTON, AND 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING O, R A /'i' ORI,�AGE► -,
Signature:
Date: 6003
Print Name: 67M(4t (/[l_) )�^ Day Telephone: (21,6)u/ ,3- 77 a>
Mailing Address: / 7,� 2 0 .19 bwt_ n1 ,sj
City State Zip
H:\Applications\Forms-Applications On Line\201 I Applications\Plumbing Permit Application Revised 8.9-1 I.docx
Revised: August 2011
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Page 2 of 2
. •
wq� City of Tukwila
ti 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.2ov
Parcel No.: 5379800680
Address: 16234 42 AV S TUKW
Suite No:
Applicant: LIGHTHOUSE CONSULTING
RECEIPT
Permit Number: PG13-113
Status: PENDING
Applied Date: 08/15/2013
Issue Date:
Receipt No.: R13-02374 Payment Amount: $121.88
Initials: WER Payment Date: 08/15/2013 02:24 PM
User ID: 1655 Balance: $0.00
Payee: GLENDALE HEATING AND AIR CONDITIONING
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 68160 121.88
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
GAS - NONRES
PLAN CHECK - NONRES
000.322.103.00.00 97.50
000.345.830 24.38
Total: $121.88
a.,..• o e . +_na
Printed: 08-15-2013
INSPECTION RECORD
Retain a copy with permit PERMIT NO.
INSPECTION NO.
CITY OF TUKWILA BUILDING bIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project: ,
L c; \n ‘--\ouce
Type of Inspection:
rl '') — (.A.
Address: J
Cn2,2ii L)2 p 1/4.)�-^`
Date Called:
Special Instructions:
Date Wanted:
9 - --;j--- i 2,
p.m.
Requester:
Phone No:
nApprove i per applicable codes. D Corrections required prior to approval. 5
COMMENTS:
--1--?0/01 (1.0_,yvl r I jr'—� nt 1
Dat
3
SPECTION FEE REQUIRED. Pri�rr to next inspection, fee must be
paid at 6300Southcenterlvd.. Suite 100. Call to schedule reinspection.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
P03 -I1
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:
L I c t-1 i i-4 (11., F.
Type of Ins ection: .
I- r C. S
Address:
1 �a 3L! L. 2— A �.
Date Called:
�.
j
9 6i-� t kf
Special Instructions:
Date rated:
—Pm
Requester:
Phone No:
Tilfk.Tproved per applicable codes.
.Corrections required prior to approval._.
COMMENTS:
:t.
I pector
R
IN
PECTION FEE REQUIRE . Prior to next inspection, fee must
at 6300. Southcenter Blvd.. Suite 100. Call to schedule reinspection.
FILE COPY
Perim No. ` 'G\ \V .
PIen rev:ew approval is abject to errors and omissions.
,I of oanstnction doc unents doss nota ,items
tri; ..ration at any adopted code or off. Receipt
n, Lpproved Fie . Copyand , = iSedviiowled9 gid:
By
Date: a3 ael 0.2i7 >'
City Of Tukwila
SEpAR t'1� ' DIVISION
REQUIRED FOR:
Q'echani
drical
Plumbing
17.3 Gas Piping
of Tuk% i a
REVISIONS
No changes hall be made to the scope
of work jitho.ut prior approval of
a euiiding Division.
will requirea ne,wJ Wan submittal
2ciltional plan .re :pie. 7:7;
REVIEWED FOR
CODE COMPLIANCE
APPROVED .
AUG 21 2013
City of Tukwila .
BUILDING DIVISION
HECEIVED
CITY OF TUKWILA
AUG 1 5 2013
?EMIT CENTER
PERMIT COORD COPY
PLAN REVIEW/ROUTING SLIP
ACTIVITY NUMBER: PG13-113 DATE: 08-15-13
PROJECT NAME: LIGHTHOUSE CONSULTING
SITE ADDRESS: 16234 42 AV S
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter #
Revision # After Permit Issued
DEPARTMENTS
din !vision III
Public Works n
Fire Prevention
Structural
Planning Division
n Permit Coordinator
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
Comments:
Incomplete
DUE DATE: 08-20-13
Not Applicable
n
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire 0 Ping 0 PW 0 Staff Initials:
TUES/THURS ROUTING:
Please RouteIN- Structural Review Required ❑ No further Review Required ❑
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS:
Approved n Approved with Conditions
Notation:
REVIEWER'S INITIALS:
DUE DATE: 09-17-13
Not Approved (attach comments)
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg 0 Fire 0 Ping 0 PW 0 Staff Initials:
Documents/routing slip.doc
2-28-02
Contractors or Tradespeople Prier Friendly Page
•
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
Phone
Address
Suite/Apt.
City
State
Zip
County
Business Type
Parent Company
GLENDALE HEATING a A/C INC
2062437700
12462 Des Moines Memorial Dr
Seattle
WA
981682266
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
600003167
Active
GLENDHA053Q2
Construction Contractor
11/22/1995
11/2/2013
General
Unused
Other Associated Licenses
License
Name
Type
Specialty 1
Specialty 2
Effective
Date
Expiration
Date
Status
GLENDH0110PUHEATING
GLENDALE
a OIL CO
INC
Construction
Contractor
General
Unused
10/31/198911/2/1995
01/01/1980
Archived
GLENDO237DM
GLENDALE
OIL CO
INC
ConstructionAir
Contractor
Boiler/Steam
Fit/Prot
Piping
•
Heat,Ventilation,Evaporat3/14/1977
11/02/2010
11/2/1989
Archived
Business Owner Information
Name
Role
Effective Date
Expiration Date
HOEFER, GERALD ARTHUR
President
11/22/1995
Received Date
FULTON, DAVID CURTIS
Secretary
11/22/1995
Until
Released
ATWOOD, STANLEY
Agent
01/01/1980
06/26/2012
HOEFER, ARTHUR A
Treasurer
01/01/1980
09/30/2011
Bond Information No records found for the previous 6 year period
Assignment of Savings Information
Page 1 of 2
Savings
Assignment of Savings Account Number
Effective Date
Release Date
Assignment Type
Impaired Date
Amount
Received Date
3
CD499991236613
10/15/2001
Until
Released
Bond
11/02/2013
$12,000.00
10/15/2001
2
3/11/1977
1/20/2009
Bond
0715288
$1,000.001/20/2009
11/02/2011
Insurance Information
Insurance
Company Name
Policy Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Amount
Received Date
12
Continental
Western Ins Co
CDP2976203
11/02/2012
11/02/2013
$1,000,000.00
10/31/2012
11
WESCO
INSURANCE
COMPANY
WPP101953800
11/02/2010
11/02/2013
$1,000,000.00
10/17/2012
10
FEDERATED
MUTUAL INS CO
0715288
11/02/2004
11/02/2011
11/23/2010
$1,000,000.00
09/27/2010
Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period
httns •//fnrtress.wa. aov/l ni/bbin/Print.asnx
08/23/2013