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Home My WebLink About1200 E Fifth Street_BLD1677_2026 `t1 l OF. _. RESIDENTIAL MECHANICAL f • PERMIT APPLICATION Department of Community& Economic Development City of Arlington • 18204 59th Ave NE• Arlington,WA 98223 • Phone(360) 403-3551 THIS APPLICATION IS TO BE USED WHEN APPLYING FOR NEW MECHANICAL INSTALLATION AND OR GAS PIPING FOR EXISTING RESIDENCES. PLEASE FILL OUT ALL PAGES OF THIS APPLICATION AND INCLUDE ALL INFORMATION. Project Address: 1206 _ 5th Streeter Arlington, WA 9a223 Project Description: Installation of Propane tank for Residential Cooking Corporation of Catholic Archbishop of Seattle (CCAS) Owner: QhA Immaculate Conception Church 710 9th Avenue, Seattle, WA 98104-2017 Address: 1200 E 5th Street City: Arlington State:WA Zip Code: 98223 Phone: 360-435-8565 Email: icc-sjv@comcast.net Applicant: Rectory of Inmiaculate Conception Church (Pastor° s Residence) Address: 1206 E 5th Street City: Arlington State: WA Zip Code: 98223 Phone: 360-435-8565 Email: icc-sjv@comcast.net CONTRACTOR INFORMATION Contractor Name: Ka_1_4_;� Spruce i�LndRep-iX Address: 144,3, 132ud street NE City: A,, i naton State:WA Zip Code: 98223 License Number: RALAFSR101DN Expiration: _3/15/2 018 Phone: 425-308-6803 Email: njkalaf@gmail._com STAFF USE ONLY Received Permit #: �(p1� Accepted by: Date: 4 2017 6/16LP Page 1 of 2 RESIDENTIAL MECHANICAL PERMIT APPLICATION Department of Community& Economic Development City of Arlington • 18204 59th Ave NE• Arlington, WA 98223- Phone(360) 403-3551 SELECT ALL PROPOSED APPLIANCES ❑ Furnace (80+) Model # AFUE [) Heat Pump Model # AFUE HSPE ❑ AC Unit Model # SEER [] Freestanding Stove 0 Fire Place Insert Outdoor BBQ Gas Piping Q Solid-Fuel Appliance [ Other �� Gas Piping Information Not Applicable: [� Ic Pipe Material: ��5%� It Pipe Size: Distance from Meter to Furthest Appliance:/,(-'_9 l r� ,� _ 66 , �✓ �' Total BTU's of all Appliances • New gas piping requires a pressure test hooking to any appliance • Sediment traps (drips) are required on all gas lines • Gas lines are required to be supported/secured every 6 to 8 feet • Proper Combustion air and venting required for all appliances • A shut-off valve is required within 6 feet of all appliances Applicant Signature: Date:uctol-)er 4 , 2017 Applicant Printed Name:_ Barb Leder, Pastoral Assistant for Administration (PAA) Immaculate Conception Church Rectory (Pastor' s Residence) I hereby certify that the above information is correct and that the construction, installation for the above mentioned property will be in accordance with the applicable laws of the City of Arlington and the State of WashingtL. 6/16LP Page 2 of 2 COMMERCIAL MECHANICAL 0, PRESSURE PIPING INFORMATION Department of Community& Economic Development City of Arlington •.18204 59th Ave NE• Arlington, WA 98223• Phone (360)403-3551 If gas piping will be installed, this form is required in addition to a Commercial Mechanical Permit Application Pipe Material: l A S,Zl S'///'%� �r Inlet Pressure: �l Pressure Drop: Specific Gravity: Pressure Piping Schematic Show Pipe Size(s) and Length(s) from meter to all appliances. ❑ Scale or [ Not to Scale NOTE: any interior pressure regulators must be indicated NOTE: drip legs/sediment traps are required at all appliances unless integrated in the listed appliance k I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above- desc� propert�will be in accordance with the laws,rules and regulation of the State of Washington. ' October 4, 2017 Applicants Signature Date Barb Leder, Pastoral Asst. for Administration Iramacp,i,i3Ait ;�gg6;%ption Church 1200 E 5t St / PO Box 69 Arlington, WA 98223-0069 CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:1200 E Fifth Street Permit#:1677 Parcel M 31050100300500 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:IMMACULATE CONCEPTION PARISH- Name:Immaculate Conception Church Name:KALAF'S SERVICE&REPAIR ARL Address:710 NINTH AVENUE Address:1206 E Fifth Street Address: 14431 132ND ST NE City,State Zip:SEATTLE,WA 98104 City,State Zip:Arlington,WA 98223 City,State Zip:ARLINGTON,WA 98223 Phone: Phone:360-435-8565 Phone:800-901-7245 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:KALAF'S SERVICE&REPAIR Name: Address: 14431 132ND ST NE Address: City,State,Zip:ARLINGTON,WA 98223 City,State,Zip: Phone:800-901-7245 Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: ] CONST.TYPE: DWELLING UNITS: 1 OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL 1 AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBCI 10/IRCl10. 0T10E:Sales tax relating to construction and construction materials in the City of Arlin to rte on your sales tax return form c ded Sty in on#3101. 3a4l 6 / n �\- Signature Print Name Date Date l 0'T�T)� �r dd-� C �nu CONDITIONS APPROVED AS SUBMITTED. THIS PERMIT AUTHORIZS ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION, PERMIT FEES Date Description Fee Amount 10/5/2017 Gas Outlets Base Fee 1 to 5 $10.00 1 0/512 01 7 Mechanical Fee(Enter Fixture Fee) $25.00 10/5/2017 Mechanical Permit Base Fee $25.00 10/5/2017 Processing/Technology Fee $25.00 Total Due: $85.00 Total Payment: $85.00 Balance Due: $0.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 ` PHONE; (360)403-3551 BUILDING PERMIT Address:1200 E Fifth Street Permit#:1677 Parcel#:31050100300500 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:IMMACULATE CONCEPTION PARISH- Name:Immaculate Conception Church Name:KALAF'S SERVICE&REPAIR ARL Address:710 NINTH AVENUE Address:1206 E Fifth Street Address: 14431 132ND ST NE City,State Zip:SEATTLE,WA 98104 City,State Zip:Arlington,WA 98223 City,State Zip:ARLINGTON,WA 98223 Phone: Phone:360-435-8565 Phone:800-901-7245 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:KALAF'S SERVICE&REPAIR Name: Address: 14431 132ND ST NE Address: City,State,Zip:ARLINGTON,WA 98223 City,State,Zip: Phone:800-901-7245 Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: 1 CONST.TYPE: DWELLING UNITS: 1 OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC 110/IRC i 10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlin to 1r ne on your sales tax return form and coded City of Arlington#3101. �on Signature Print Name Date a Date CONDITIONS APPROVED AS SUBMITTED. THIS PERMIT AUTHORIZS ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION. PERMIT FEES Date Description Fee Amount 10/5/2017 Gas Outlets Base Fee 1 to 5 $10.00 10/5/2017 Mechanical Fee(Enter Fixture Fee) $25.00 10/5/2017 Mechanical Permit Base Fee $25.00 10/5/2017 Processing/Technology Fee $25.00 Total Due: $85.00 Total Payment: $85.00 Balance Due: $0.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon o CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:1200 E Fifth Street Permitl/:1677 Parcel#:31050100300500 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:IMMACULATE CONCEPTION PARISH- ARL Name;Immaculate Conception Church Name:KALAF'S SERVICE&REPAIR Address:710 NINTH AVENUE Address:1206 E Fifth Street Address:14431 132ND ST NE City,State Zip:SEATTLE,WA 99104 City,State Zip:Arlington,WA 98223 City,State Zip:ARLINGTON,WA 98223 Phone: Phone:360-435-8565 Phone:800-901-7245 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:KALAF'S SERVICE&REPAIR Name: Address:14431 132ND ST NE Address: City,State,Zip:ARLINGTON,WA 98223 City,State,Zip: Phone:800-901-7245 Phone: LIC N: EXP: LIC sr: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: 1 CONST.TYPE: DWELLING UNITS: ] OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL 1 AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALI.FEES ARE PAID. IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBCI10/IRC110. •Sales tax relating 10 construction and construction materials in the City of Arlin to rte on your salcs tax return form a I ptoddedclity'(WMinglon#3101. , t � +gnature Print Name Date Date cwc -?� �E yu� CONDITIONS c�.�� L �% APPROVED AS SUBMITTED. THIS PERMIT AUTHORIZS ONLY THE WORK NOTED,THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION, PERMIT FEES Date Description Fee Amount 1 0/5120 1 7 Gas Outlets Base Fee 1 to 5 $10.00 10/5/2017 Mechanical Fee(Enter Fixture Fee) $25.00 10/5/2017 Mechanical Permit Base Fee $25.00 10/5/2017 Processingfrachnology Fee $25.00 Total Due: $85.00 Total Payment: $85.00 Balance Due: $0.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: i CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:1200 E Fifth Street Permit#:1677 ' Parcel#:31050100300500 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:IMMACULATE CONCEPTION PARISH- Name:Immaculate Conception Church Name:KALAF'S SERVICE&REPAIR ARL Address:710 NINTH AVENUE Address:1206 E Fifth Street Address: 14431 132ND ST NE City,State Zip:SEATTLE,WA 98104 City,State Zip:Arlington,WA 98223 City,State Zip:ARLINGTON,WA 98223 Phone: Phone:360-435-8565 Phone:800-901-7245 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:KALAF'S SERVICE&REPAIR Name: Address: 14431 132ND ST NE Address: City,State,Zip:ARLINGTON,WA 98223 City,State,Zip: Phone:800-901-7245 Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: I CONST.TYPE: DWELLING UNITS: I OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC110/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlin to rtc on your sales tax return form and coded City of Arlington#3101. Signature Print Name Date a Date CONDITIONS CY APPROVED AS SUBMITTED. THIS PERMIT AUTHORIZS ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION. PERMIT FEES Date Description Fee Amount 10/5/2017 Gas Outlets Base Fee 1 to 5 $10.00 10/5/2017 Mechanical Fee(Enter Fixture Fee) $25.00 10/5/2017 Mechanical Permit Base Fee $25.00 10/5/2017 Processing/Technology Fee $25.00 Total Due: $85.00 Total Payment: $85.00 Balance Due: $0.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon Permit Information Date 10/5/2017 Permit Number 1677 Project Name Immaculate Conception Church Applicant Name Immaculate Conception Church Applicant Address 1206 E Fifth Street City, State,Zip Arlington,WA 98223 Contact Barb Leder Phone 360-435-8565 Email icc-sjv@comcast.net Permit Type Residential Mechanical Site Address 1200 E Fifth Street Valuation 0.00 Status Applied Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Number of Stories 0 Proposed Use Install propane tank at Pastor's residence Assigned To Kristin Foster Property Owner Parcel Address Legal Owner Phone Zoning 31050100300500 1200 E Fifth IMMACULATE CONCEPTION 691 Religious Activities(Churches Street PARISH-ARL Synagogues Etc. Contractors Contractor Name Primary Contact Phone Email Contractor Type License License# KALAF'S SERVICE&REPAIR 300-901-7245 1 1CONTRACTOR 1-abor and Industries Jkalafsr101dn Fees Fee Description Notes Amount Gas Outlets Base Fee 1 to 5 322.10.00.00 $10.00 Mechanical Fee(Enter Fixture Fee) 322.10.00.00 $25.0 Mechanical Permit Base Fee 322.10.00.00 $25.0 Processing/Technology Fee 341.43.00.02 $25.0 Total $85.0 Uploaded Files Upload File Date File Uploaded By 1 10/5/2017 9:21:44 AM 11677 Application.pdf Foster,Kristin I x RESIDENTIAL MECHANICAL PERMIT APPLICATION Department of Community& Economic Development City of Arlington • 18204 59th Ave NE• Arlington, WA 98223 • Phone(360) 403-3551 THIS APPLICATION IS TO BE USED WHEN APPLYING FOR NEW MECHANICAL INSTALLATION AND OR GAS PIPING FOR EXISTING RESIDENCES. PLEASE FILL OUT ALL PAGES OF THIS APPLICATION AND INCLUDE ALL INFORMATION. Project Address: 12L16 i�) 5th Street, Arli naton WA 98223 Project Description: Installation of Propane tank for Residential Cooking Corporation of Catholic Archbishop of Seattle (CCAS) Owner: D-LA Immac-ulate Concept i9-a-Church 710 9th Avenue, Seattle, WA 98104-2017 Address: 1200 E 5th Street City: Arlington State:WA Zip Code: 98223 Phone: 360-435-8565 Email: icc-slv@comcast.net Applicant: Rectory of Inmiaculate Conception Church (Pastor° s Residence) Address: 1206 E 5th Street City: Arlington State: WA Zip Code: 98223 Phone: 360-435-8565 Email: icc-sjv@comcast.net CONTRACTOR INFORMATION Contractor Name: Kalaf Service and Repair Address: 1443, 13211d Street Nk_ City: Arlington State:WA Zip Code: 98223 License Number: KALAFSR101DN Expiration: 3/1 L2018 Phone: Email: njkalaf@gmail .com STAFF USE ONLY RecelVed Permit #: ��'�� Accepted by: _ Date:0 2017 6/16LP Page 1 of 2 It '. RcSIDENTIAL MECHANICAL PERMIT APPLICATION Department of Community & Economic Development City of Arlington • 18204 59th Ave NE• Arlington, WA 98223 • Phone(360) 403-3551 SELECT ALL PROPOSED APPLIANCES ❑ Furnace (80+) Model # AFUE Heat Pump Model #_ AFUE HSPE ❑ AC Unit Model # SEER Freestanding Stove ll Fire Place Insert Outdoor BBQ ❑ Gas Piping Solid-Fuel Appliance Other 14A)Z-1� [Gas Piping Information Not Applicable: ❑ fc Pipe Material: ).6 ��i�/L/l� 4 Yz C,�eK�r'� Pipe Size: -71 Distance from Meter to Furthest Appliance:/— Total BTU's of all Appliances: • New gas piping requires a pressure test hooking to any appliance • Sediment traps (drips) are required on all gas lines • Gas lines are required to be supported/secured every 6 to 8 feet • Proper Combustion air and venting required for all appliances • A shut-off valve is required within 6 feet of all appliances Applicant Signatu e: Date:October 4, 2017 Applicant Printed Name: Barb Leder, Pastoral Assistant for Administration (PAA) Immaculate Conception Church Rectory (Pastor' s Residence) I hereby certify that the above information is correct and that the construction, installation for the above mentioned property will be in accordance with the applicable laws of the City of Arlington and the State of Washington. 6/16LP Page 2 of 2 CGiA M ERCI AL M ECH N I CAL o, PRESSURE PIPING INFORMATION Department of Community& Economic Development City of Arlington •.18204 59th Ave NE•Arlington, WA 98223• Phone (360) 403-3551 If gas piping will be installed, this form is required in addition to a Commercial Mechanical Permit Application Pipe Material: Inlet Pressure: Pressure Drop: Specific Gravity: & P4,t)c_.: Pressure Piping Schematic Show Pipe Size(s) and Length(s) from meter to all appliances. ❑ Scale or Not to Scale NOTE: any interior pressure regulators must be indicated NOTE: drip legs/sediment `Y traps are required at all appliances unless integrated in the listed appliance I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above- descr'be)d property will be in accordance with the laws,rules and regulation of the State of Washington. ' October 4, 2017 Applicants Signature Date Barb Leder, Pastoral Asst. for Administration ImmacKjk� �fRK ,option Clzurcn 1200 B 5t St / PO Box 69 Arlington, WA 98223-0069 1 r .� .� r � r 10/5/2017 KALAF'S SERVICE&REPAIR Search L&I Washington State Department of " Labor & Industries KALAF'S SERVICE & REPAIR Owner or tradesperson 1"31 132ND ST NE Principals ARLINGTON,WA 98223 360-691-7245 KALAF,NATHAN JOHN,OWNER SNOHOMISH County Doing business as KALAF'S SERVICE&REPAIR WA UBI No. Business type 601 033 974 Individual Governing persons DORIS JANET KALAF NATHAN J KALAF; License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active. Meets current requirements. License specialties APPLIANCES/EQUIPMENT License no. KALAFSR101DN Effective—expiration 03/15/1990—02/27/2019 Bond Wesco Insurance Co $6,000.00 Bond account no. 46WBO17981 Received by L&I Effective date 02/28/2013 03/15/2013 Expiration date Until Canceled Bond history Insurance Ohio Security Ins Co $1,000,000.00 Policy no. BKS56566905 Received by L&I Effective date 03/01/2017 03/15/2015 Expiration date 03/15/2018 Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings hftps:/Isecure.Ini.wa.gov/verify/Detail.aspx?UBI=601033974&LIC=KALAFSR101 DN&SAW= 1/2 10/5/2017 KALAF'S SERVICE&REPAIR No lawsuits against the bond or savings accot ~luring the previous 6 year period. f L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period,but some debts may be recorded by other agencies. License Violations No license violations during the previous 6 year period. Workers' comp Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. L&I Account ID Account is current. 579,831-00 Doing business as KALAFS SERVICE&REPAIR Estimated workers reported Quarter 2 of Year 2017"Less than 1 Workers" L&I account contact T5/JAVIER PAREDES(360)902-4639-Email:PAJB235@lni.wa.gov Public Works Strikes and Debarments Verify the contractor is eligible to perform work on public works projects. Contractor Strikes No strikes have been issued against this contractor. Contractors not allowed to bid No debarments have been issued against this contractor. Workplace safety and health No inspections during the previous 6 year period. Washington State Dept.of Labor&Industries.Use of this Site is subject to the laws of the state of Washington. https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=601033974&LIC=KALAFSR101 DN&SAW= 2/2 Permit#: 1677 Permit Date: 10/05/17 Permit Type: RESIDENTIAL MECHANICAL Project Name: Immaculate Conception Church Applicant Name: Immaculate Conception Church Applicant Address: 1206 E Fifth Street Applicant, City, State, Zip: Arlington,WA 98223 Contact: Barb Leder Phone: 360-435-8565 Email: icc-sjv@comcast.net Scope of Work: Install propane tank at Pastor's residence with gas line Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 10/05/2017 Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning IMMACULATE 691 Religious 31050100300500 1200 E Fifth Street CONCEPTION Activities(Churches PARISH-ARL Synagogues Etc. Contractors Contractor Primary Contact Phone Address Contractor Type License License# KALAF'S SERVICE& 800-901-7245 14431 132ND ST CONSTRUCTION Labor d KALAFSR10IDN REPAIR NE CONTRACTOR Industri anes Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status 10/06/2017 R09.GAS PIPING 10/05/2017 BUILDING Approved ROUGH-IN Fees Fee Description Notes Amount Mechanical Fee(Enter Fixture Fee) $25.00 Mechanical Base Permit Fee $25.00 Processing/Technology $25.00 Gas Piping/Units Enter#of units $10.00 Total $85.00 Attached Letters Date Letter Description 10/05/2017 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 10/05/2017 Immaculate Conception 66750386 cc $85.00 Outstanding Balance $0.00 Uploaded Files Date File Name 10/05/2017 2676630-1677 Application.pdf