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CITY OF ARLINGTON
238 N.OLYMPIC AVE.-ARLINGTON,WA.98223
PHONE:(360)403-3421
Permit#: BLD20080195
BUILDING PERMIT
Project Address: 18222 SMOKE POINT BLVD, ARLINGTON
Parcel No: 00472500000501
PROPERTY O.
STILLAGUAMISH SENIOR CENTER STILLAGUAMISH SENIOR CENTER HIMALAYA HOMES
18308 SMOKEY POINT BLVD 18308 SMOKEY POINT BLVD 9633 MARKET PL#201
ARLINGTON,WA 98223 ARLINGTON,WA 98223 LAKE STEVENS,WA 98258
Phone: Phone: LICENSE#:HIMALHI161DE EXP:10/22/2008
Email: Email:
PLUMBING CONTRACTOR MECHANICAL CONTRACTOR
Lic#: G Lick Lx
DESCRIPTIONJOB
UNDERGROUND FIRE LINE
VALUATION: $0
PERMIT TYPE:Commercial PERMIT GROUP:Fire Sprinkler
NUMBER OF STORIES:0 TYPE OF CONSTRUCTION:
NUMBER OF DWELLING UNITS:0 OCCUPANT GROUP.
CODE:2006 OCCUPANT LOAD:
PROPOSEDEXISTING AREA
BASEMENT:0 1ST FLOOR:0 2ND FLOOR:0 BASEMENT:0 1 ST FLOOR:0 2ND FLOOR:0
3RD FLOOR:0 GARAGE:0 DECK:0 OTHER:0 13RD FLOOR:0 GARAGE:0 DECK:0 OTHER:0
FRONTSETBACK SIDESETBACK
REQUIRED: PROPOSED: RE UIRED: PROPOSED: RE UIRED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED REQUIRED: PROPOSED:
SETBACK NOTES:
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 1S NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL R ISlFII:R DEPUTY AND ALL FEES ARE PAID
• � p
Signature Print Name Dale eleased By to
ATTENTION
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,UBC109/IBC110/IRCI 10.
ARCHIVE APPLICANT = ASSESSOR Q OTHER
M �
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t
1
BLD20080195
CONDITIONS
• None
PERMIT FEES
Description Fee Amount Paid Balance Due
C-Plumbing Permit Fee $0.00 $0.00 $0.00
C-Mechanical Permit Fee $0.00 $0.00 $0.00
Hydr/Flush $346.80 $0.00 $346.80
Inspection $346.80 $0.00 $346.80
C-Building Plan Review Fee $498.71 $0.00 $498.71
Total Due: $1,192.31 $0.00 $1,192.31
INSPECTIONS
THIS PERMIT AUTHORIZES 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.
CALL 1 ' INSPECTIONS
BUILDING/ENGINEERING/PARKS/UTILITIES/FINAL(360)435-0674
FIRE(360)403-3607
When calling for an inspection please leave the following information: Permit Number,Job Site Address,Type of Inspection
being requested,Contact Name and Phone Number,Date Prefereed,and whether you prefer morning or afternoon.
• None
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Washington State Patrol
Fire Protection Bureau
Office of the State Fire Marshal
Fire Sprinkler
Certificate of Competenc
:�� •L�Rl ��t/� ;�t
Kenneth H.Robinson-Elmslie
i' t}ni Issued-To
Level
L•L'�Y�•J.'• �•hjt� �L,
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l :y. Number: 1 I t • r
EmPlOYer Robinson-Pli.imbing,Inc.
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I
'r FIRE SPRINIIKLLR
PERMIT APPLICATION
Department of Community Development
City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3551 • FAX(360)403 3447
THIS APPLICATION MUST BE ACCOMPANIED BY FIVE(5) SETS OF COMPLETE AND SCALED PLANS, FIVE(5)
SETS OF HYDRALIC CALCULATIONS, FIVE(5) SETS OF EQUIPMENT SPECIFICATIONS FOR EACH FIRE
SPRINKLER PERMIT APPLICATION. INCLUDE ELECTRICAL PLANS WHERE APPLICABLE.ALSO INCLUDE
SPECIFICATION SHEETS, WIRING DIAGRAMS(POINT TO POINT WIRING),AND ALL OTHER INFORMATION ON
ALL EQUIPMENT TO BE INSTALLED PRIOR 7*0 INSTALLATION.
Type of Permit: New Fire Sprinkler ( ) Fire Sprinkler Add/Alt Underground Fire Line
Project Address:1 2 Z-, S % P+'• ZI\3a Parcel ID#: 0�ZEQ�000Q1• sb Z
Project Valuation 5o, Coo Number of Heads: �� Building Area(Scl Ft): r l CA_
Owner:LQ��_SST 1.;��1in_q a" � 5 I i✓�c s ` I,� C Phone tN/u1mber: qZS -3-7���
Address:"�Wpi C.l�'f PI. SWIZDI City:IAU t>y J State: WA_ Zip Code: "":MZG1
Contact Person: M L L CA S�0+011 Phone Number: 41-5-377'"WcM JC7_C_9
Cell Phone: ��,rE (�,(Daj 3 ! ax (47- 3 1^1 7—�p� E-mail: I •CQ))'�
dress: ffUAlt&P K wL City 1 rAi k SIUMS State: Zip Code: `O z
,=h�pntractor:�/ P ^ , ,Y1 _^,t, ` 1 Who ie er: �Vd1a- ` 6( -� ,o
address:2- L ��v- L2'`�v`�A V t 0 6 City: State: A Zip Code: 1 S22✓
�13 e0s 1 1� Tarr 2.72G Z.
ntractar's License Number: Expiration:
US
1"hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above-
descr' p rty will be in accordance with the laws, rules and regulation of the State of Washington.
_ -7 aL4 /0
Applicants Signature Date
Print Applicants Name
FOR STAFF USE ONLY
h
Permit# Accepted By Amount Received Receipt# Date Received
WEB Forms—131 Page 1 of 1 04108 sb
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Untitled Page Page 1 of 2
General/Specialty Contractor
A business registered as a construction contractor with LEtI 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.
ROBINSON PLUMBING INC
Business and Licensing Information
Name ROBINSON PLUMBING UBI No. 600008716
INC
Phone 4253556171 Status ACTIVE
Address 29330 124TH AVE NE License No. ROBINP*272C2
Suite/Apt. License Type CONSTRUCTION
CONTRACTOR
City ARLINGTON Effective Date 2/22/1973
State WA Expiration Date 9/1/2009
Zip 982238683 Suspend Date
County SNOHOMISH Separation Date
Business Type CORPORATION Previous License
Parent Next License ROBINMI0360E
Company
Associated
License
Specialty 1 GENERAL
Specialty 2 UNUSED
Business Owner Information
Name Role Effective Date Expiration Date
ROBINSON-ELMSLIE, REGINA L 01/01/1980
ROBINSON-ELMSLIE, KENNETH H 01/01/1980
LEGLER, RICHARD L 01/01/1980
Assignment of Savings Information
Assignment of
Savings Effective Release Assignment Impaired Received
Savings Account Date Date Type Date Amount Date
Number
2 3213070448 08/29/2007 Until Bond $12,000.00 8/29/2007
Released
1 3214628285 03/12/1979 Until Bond $6,000.00
Released
Insurance Information
Effective Expiration Cancel Impaired Received
Insurance Company Name Policy Number Date Date Date Date Amount Date
30 FIRST MERCURY IFMFL002172 11/01/200711/01/2008I $1,000,000.0010/29/2007
INS CO 1 —I
https://fortress.wa.gov/lni/bbip/Detail.aspx?License=ROBINP*272C2 8/11/2008
' _ r
o'
Untitled Page Page 2 of 2
29 FIRST MERCURY FMFL001260 11/01/200611/01/2007 $1,000,000.0010/25/2006
INS CO
28 FIRST MERCURY FMFL009390045 11/01/2005 11/01/2006 $1,000,000.0010/27/2005
INS CO I i
27 NATIONAL FIRE Et 72LPN269588 111/01/2004111/01/2005 $1,000,000.0010/28/2004
MARINE INS CO
26 NATIONAL FIRE Et 4481757 11/01/200311/01/2004 $1,000,000.0010/30/2003
MARINE INS CO
'25 GEMINI INS CO VCGP002598 111/0 1/2001 11/01/2003 $1,000,000.00 10/31/2002
24 GEMINI INS CO TBA 111/01/200110/01/2002 10/31/2001
23 VALLEY FORGE 1036455350 09/01/200011/01/2001 08/30/2001
INS CO
22 GLOBE INDEMNITY CO GSP201057 11/16/1998 Until
Cancelled
21 CNA INS CO 1036455350 09/01/1999 09/01/2000
20 CNA INS CO 36455431 09/01/1998 09/01/1999
19 CNA 1036455350 04/01/1998 04/01/1999
18 TRANSPORTATION 103645535009/01/199509/01/1997
INS CO
17 NORTH PACIFIC CO2125702 09/01/199409/01/1995
INS CO
16 NORTH PACIFIC C01125702 09/01/1993109/01/1994
HOME BUILDERS
15 INS SERVICES EPA14184387 L/01/199209/01/1993
14 MARYLAND EPA14184387 �09/01/199+9/01/1993
CASUALTY CO
13 AMERICAN 02CCO22004 �09 09/01/1992
ECONOMY INS CO
INDUSTRIAL
12 INDEMNITY INS BC8948172 09/01/198909/01/1990
CO
11 CO BE INDEM INS GSP067101 I
09/01/1988I09/01/1989
10 THE ROYAL GSP004315 09/01/1987 Until
Cancelled
9 THE ROYAL GYA9500165 09/01/198709/01/1988
8 FIREMANS FUND MXG80160094 09/01/1986 Until
Cancelled
17 FIREMANS FUND 46024730 109/01/198609/01/1987
6 FIRE Et CASUALTY SMP886463 04/01/1986 04/01/1987
INS CO
5 AETNA CASUALTY 81 SM916881 04/01/1985 04/01/1986
Et SURETY CO
4 NORTH PACIFIC CP27332 04/01/1984 04/01/1986
INS CO
UNDERWRITERS
3 AT LLOYD'S T10403WR74 04/01/198404/01/1985
LONDON
2 WORTH PACIFIC CP27332 02/23/198404/01/1985
INS CO
1 AMERICAN AP20985 04/07/198004/01/1984
STATES INS CO
https://fortress.wa.gov/lni/bbip/Detail.aspx?License=ROBINP*272C2 8/11/2008
i
07/24/2008 08:56 425377� HIMALAYA HOMES PAGE 01/02
HiM.N6%1A
1-11 cs
-433'MarkJ--.—Pla Lake Stevens, WA 98258
9 1 825.8 Fa.x,...(4Z..5)...37.7-864..4 __....__.Phone...(4.25) 377 8 6 0 0
Attention: Launa
RE: ..R..c.viscd Fire Pernnit .App-I.-icat.io-ii
Fax Ntimbcr: 360-403-3418
From: Dawnielle Shea
.1 fi-nRIEly,1 I 101110S, Inc,
Total Pages Including Cover: --2 Date: 7/24/08
Message:
Here is the revised fire sprinkler application for the underground fire lines to be installed.
Please let me know if you need anything else.
Thanks,
Dawnielle
Office Manager
Ext 229
C:10ocumenfis and Settings1downicife1W DorrimentSlForrna-Labols-Mo,-;tersiFnx Form(Blanfo.doc
FIRE SPRINKLER
t , PERMIT APPLICATION
Department of Community Development
City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3551 • FAX(360)403 3447
THIS APPLICATION MUST BE ACCOMPANIED BY FIVE(5) SETS OF COMPLETE AND SCALED PLANS, FIVE(5)
SETS OF HYDRALIC CALCULATIONS, FIVE(5) SETS OF EQUIPMENT SPECIFICATIONS FOR EACH FIRE
SPRINKLER PERMIT APPLICATION. INCLUDE ELECTRICAL PLANS WHERE APPLICABLE.ALSO INCLUDE
V SPECIFICATION SHEETS, WIRING DIAGRAMS(POINT TO POINT WIRING), AND ALL OTHER INFORMATION ON
ALL EQUIPMENT TO BE INSTALLED PRIOR TO INSTALLATION.
Type of Permit: ( )CNew Fire Sprinkler ( ) Fire Sprinkler Add/Alt (Underground Fire Line
Project Address:L�2� Jmoluq Parcel ID/i#:`(Zy1��W5DJ ;
Project Valuation- 000 Number of Heads: _ Building Area(Sq Ft):
Owner: MCC 1 0— in C-1 Phone Number: y25 ^307 • d- U
'Address: (Q33 615lk U t- S W I City:l L�.ILQ SRI). State: W A Zip Code: q 3 Z5
Contact Person:Ml ke- 6l25114(no Phone Number:
Cell Phone: 'CR'4(o- f;� Fax: qVS •3T7-�blOL4 E-mail: �l I��� Vk1 YY1 6S.C"
Address:g0a JJaXL� t'1,5 2i! City �f Wei State: Zip Code: ZS
Contractor: cz Phone Number:
Z.Q O(o(o
'N d�-i Qca
Address: (Z ity:sy)1) ts.� State: �pC;de: D
Contractor's License Number: Expiration: Z 00S
( I hereby certify that the above information is correct and that a construction on, and the occupancy and the use of the above-
described property will be in accordance with the laws, rules and regulation of the State of Washington.
a
-7/1 /a8'
Applicants Signature Date
Print Applicants Name eld (_) CQ
FOR STAFF USE ONLY
Permit# Accepted By Amount Received Receipt# Date Received
WEB Forms—24 Page 1 of 1 02/08 sb
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07/18/2008 12:40 4253778644 HIMALAYA HOMES,—) PAGE 02102
FIRE SPRINKLER
PERMIT APPLICATION
Department of Community Development
City of Arlington -238 N Olympic Ave. •Arlington, WA 98223 • Phone (360) 403 3551 • FAX(360)403 3447
THIS APPLICATION MUST BE ACCOMPANIED BY FIVE(5)SETS OF COMPLETE AND SCALED PLANS,,FIVE(5)
SETS OF HYDRALIC CALCULATIONS,FIVE(5)SETS OF EQUIPMENT SPECIFICATIONS FOR EACH FIRE
SPRINKLER PERMIT APPLICATION.INCLUDE ELECTRICAL PLANS WHERE APPLICABLE.ALSO INCLUDE
SPECIFICA TION SHEETS, WIRING DIAGRAMS(POINT TO POINT WIRING),AND ALL OTHER INFORMATION ON
ALL EQUIPMENT TO BE INSTALLED PRIOR TO INSTALLATION,
Type of Permit.�-f( ) New Fire Sprinkler . ( ) Fire Sprinkler Add/Alt (j(S Underground Fire Line
Project Address:ls 4"42" Q`M 0J PE. PON& Parcel 10#: 1141216 Spi;�5()-22;
Project Valuation: I I0,�0,,, Number of Heads; _ Building Area(Sq Ft), r) l.t.
Owner:�1m—._ � �.Q..t�cT t.� _��� Phone Number: 4 r•I" � "
Address:41b2a.3 Mly-k,eA .SIt2m L city:( Olt 2 State, zip Code,
Contact Persoon:MI k4e_ Sh-ktat Phone Number; 41-5�-311WM -A 7-0%
Cell Phoneer�42 -q 2-3a Fax:t'f-LrV'31-7-CdC14`I Ew-mail: t kZ.-
Addres 21.5W2QI Ci Stato: ,Zip Code: Z
Contractor:U Phone Number.
Address: A "TI�Q�t � City:� i}YY1t�h State: UJA Zip Code:
Contractor's License Number. �•' - Expiration:
I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above-
described property will be in accordance with the laws,rules'and regulation of the State of Washington.
Applicants Signature Date N
Print Applicants Name
C�/J (a ..
1 je
FOR STAFF USE ONLY
Permit# Accepted lay Amount Received Receipt# Date Received
WEB Forms—24 Page i of 1 02108 sb
07/18/2008 12:40 4253778R44 HIMALAYA HOMES PAGE 01/02
H ot"cs'
- - , '-'-
#701 Lake Stevens, W §8 58 (425) 377-8644 0�one- (4-
25) 77600 Attention:
RE: Fire Sprinkler Permit Application
Fax Numbu.. 360-403-3418
From: Dawnielle Shea
liinuflaya I lornus. Inc,
Total Pages Including Cover: 2 7/18/0.8--
Message:
Here is the fire sprinkler application for the underground fire lines to be installed.
Please let me know if you need anything else.
Thanks,
Dawnielle
Office Manager
Ext 229
aiDocurrients and Settingsldawniollvl*DoctirTrGflt51Fr,)rms-Labols-Mq,,iterslFax Form(819nk)xfoc
�:
I
Page 1 of 1
Brenda Fecht
From: Brenda Fecht
Sent: Friday, August 08, 2008 5:01 PM
To: 'dawnielle@himalayahomes.com,
Subject: RE: Permit for Fire Sprinkler Underground BLD20080195
Hi,
I understand from the guys that we have the application and information of the contractor for the underground fire
sprinkler, but Scott said we still need a copy of his certification Level U.
Happy Friday,
Brenda Fecht
City of Arlington
Permit Center
8/8/2008
e
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FIRE SPRINKLER
PERMIT APPLICATION
Department of Community Development
City of Arlington•238 N Olympic Ave. •Arlington,WA QB223•Phone(360)403 3551 •FAX(360)403 3447
THIS APPLICATION MUST SE ACCOMPANIED SY FIVE(5) SETS OF COMPLETE AND SCALED PLANS, FIVE(5)
SETS OF HYDRALIC CALCULATIONS,FIVE(5) SETS OF EQUIPMENT SPECIFICATIONS FOR EACH FIRE
SPRINKLER PERMIT APPLICATION.INCLUDE ELECTRICAL FLANS WHO'RE APPLICABLE.ALSO INCLUDE
SPECIFICA TION SHEETS, WIRING DIAGRAMS(POINT TO POINT WIRING),AND A_L OTHER INFORMATION ON
ALL EQUIPMENT'7'O BE INSTALLED PRIOR TO INS TALLA TION.
Type of Permit: : New Fire Sprinkler ( ) Fire Sprinkler Add/Alt )6.1nderground Fire Line
Project Address: f U12.2- SYM4" Pk. 'k3W d Parcel la#: � �250a4t�b 1'. c`�Z.�5b�
VProject Valuation: Number of Heads; I Building Area(Sci Ft):
Owner �mal.�.-� t van ``,..ia-..�r�! f� ► r 1es) Il t�' �n�," �� Phone Number 42-5-3-LI- dt_0
Address:Jam_ �[�:�.3 P1. SK-20) Cityl() 0- 4�t.tcl f 1S State: W d'1 Zip Cade-, �a
Contact Person: ml �_� ifk�-lrt-1 Oy) Phone Number: 4 -6-In —SkM_ K,2P
Cell Phone: Fax: (-�
Address: 1� ,S � Cltyt rA - ai S#a#e: W Pr Zip Cade:
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ntractor: e er:
dress:��30 1' _*3;At P V City: Stake: Wk ZipCode:
ntractor's License Number: ' I-11C 2� Expiration: 9J 1
I hereby certify that the above information is carrpCt and that the construction on, and the occupancy and the use of the above-
des cr' n Fwrty will be in accordance with the laws, rules and regulation of the State of Washington.
-7 1 g[� 1
Applicants Signature Date
_ wl' V I f-,%, Eff
t'�'
Print Applicants Name
POR STAFF us€of 18222 SMOKEY POINT BLVD
6 BLD20080195 FIREUNDERGRND
Permit# Accepted Hy Amount Received
VVE13 Forms-131 PagF 1 Of 1 44108 sb --
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07/24/2008 08:56 425377BP44 HIMALAYA HOMES _,l PAGE 02/02
(FIRE SPRINKLER
PERMIT APPLICATION
Department of Community Development
City of Arlington •238 N Olympic Ave, -Arlington,WA 98223• Phone(360)403 3551 •FAX(360)403 3447
THIS APPLICATION MUST BE ACCOMPANIED BY FIVE(5) SETS OF COMPLETE AND SCALED PLANS, FIVE(5)
SETS OF HYDRALIC CALCULATIONS,FIVE(5)SETS OF EQUIPMENT SPE'CII=ICATIONS FOR EACH FIDE
SPRINKLER PERMIT APPLICATION.INCLUDE ELECTRICAL FLANS WHORE APPLICABLE.ALSO INCLUDE
SPECIFICATION SHEETS, WIRING DIAGRAMS(POINT TO POINT{HIRING),AND ALL OTHER INFORMATION ON
ALL EQUIPMENT rO BE INSTALLED PRIOR TO INSTALLATION.
Type of Permit: , New Fire Sprinkler ( ) Fire Sprinkler Add/Alt �Underground Fire Line
Project Address; 12222_ mo d Parcel ID
Project Valuation: ,, ' , ., Number of Heads; Building Area(Sq Ft).
,�1a
Owner, l cu Aa- 4{ ,�.JP C es., �t c ,ff ww �t t+ Phone Number,
"Idles. J SW.20l city:L L.U..c?t�MS State: W+l� Zip Cade:
Address: p
Contact Person:., �'[Ska4VIel Phone Number. 14 -1—%M tC,409
Cell Phone: 49:5 �+y' Fax: E-mail: 011
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Address:`{l0 �Q�L `nI,SKML clty) (ter ILL ()OVfQ State! VJ A ,Zip Code;
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I Address:2�t3 30 L1-44JJ yL 0 G City 1 Zip Code:
State;
Contractor's License Number: ' Z 2+ Expiration: I ( _.. I"
I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above-
descr P. 'rty will be in accordance with the laws, rules and regulation of the State of Washington.
-7 1 DLI
Applicants Signature Date REVISED
Print Applicants Name
POR STAFF USE ONLY
18222 SMOKEY POINT BLVD
Permit Accepted Ely Amount Recelved BLD20080195 FIREUNDERGRND
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