HomeMy WebLinkAboutPermit M07-012 - PEDERSON HOMES - LOT 3PEDERSON HOMES
LOT 3
4238 S 150 ST
M07 -012
Parcel No.: 0042000097
Address:
Suite No:
doc: IMC -10/06
4238 S 150 ST TUKW
Tenant:
Name: PEDERSON HOMES, LOT 3
Address: 4238 S 150 ST , TUI{WILA WA
Owner:
Name: PEDERSON TED
Address: 27148 12 AV S , DES MOINES WA
Contact Person:
Name: TED PEDERSON
Address: 14459 25 AV S , SEA -TAC WA
Contractor:
Name: CREATIVE HEATING INC
Address: 19012 29 AV E , TACOMA WA
Contractor License No: CREATHI066PC
DESCRIPTION OF WORK:
MECHANICAL FOR NEW 3324 SF SFR
Value of Mechanical: $5,000.00
Type of Fire Protection: SPRINKLERS
Cityf Tukwila
Furnace: <100K BTU
>100K BTU
Floor Furnace
Suspended/Wall/Floor Mounted Heater
Appliance Vent
Repair or Addition to Heat/Refrig /Cooling System....
Air Handling Unit <10,000 CFM
>10,000 CFM
Evaporator Cooler
Ventilation Fan connected to single duct
Ventilation System
Hood and Duct
Incinerator: Domestic
Commercial/Industrial
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 -431 -3665
Web site: http: / /www.ci.tukwila.wa.us
MECHANICAL PERMIT
EOUIPMENT TYPE AND QUANTITY
1
0
0
0
1
0
0
0
0
6
0
1
0
0
* *continued on next page **
M07 -012
Permit Number:
Issue Date:
Permit Expires On:
Expiration Date:
Phone:
Phone: 206 947 -0638
Phone:
M07 -012
05/21/2007
11/17/2007
Fees Collected: $211.95
International Mechanical Code Edition: 2003
Boiler Compressor:
0-3 HP /100,000 BTU 0
3 -15 HP /500,000 BTU 0
15-30 HP /1,000,000 BTU.. 0
30 -50 HP/1,750,000 BTU.. 0
50+ HP /1,750,000 BTU 0
Fire Damper 0
Diffuser 0
Thermostat 1
Wood/Gas Stove 1
Water Heater 1
Emergency Generator 0
Other Mechanical Equipment 0
Printed: 05-21 -2007
Permit Center Authorized Signature:
Print Name: /1.-.1.) 72:eJs
doc: IMC - 10/06
err'
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.ci.tukwila.wa.us
Loa
Permit Number: M07 -012
Issue Date: 05/21/2007
Permit Expires On: 11/17/2007
Date:
:c--D-1 - 07
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 ordinance:
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 regulatinc
construction or the work. I am authorized to sign and obtain this mechanical permit.
Signature: Date: 5 -2/'"0
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 suspende
or abandoned for a period of 180 days from the last inspection.
M07 -012 Printed: 05-21 -2007
Parcel No.: 0042000097
Address:
Suite No:
Tenant:
4238 S 150 ST TUKW
1: ** *BUILDING DEPARTMENT CONDITIONS * **
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.ci.tukwila.wa.us
PEDERSON HOMES, LOT 3
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
M07 -012
ISSUED
01/30/2007
05/21/2007
2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the
Building Official.
3: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center
(206/431 - 3670).
4: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to
start of any construction. These documents shall be maintained and made available until final inspection approval is
granted.
5: All construction shall be done in conformance with the approved plans and the requirements of the International
Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code.
6: There shall be no occupancy of a building until final inspection has been completed and approved by Tukwila building
inspector. No exception.
7: Manufacturers installation instructions shall be available on the job site at the time of inspection.
8: All construction noise to be in compliance with Chapter 8.22 of the City of Tukwila Municipal Code. A copy can be
obtained at City Hall in the office of the City Clerk.
9: Ventilation is required for all new rooms and spaces of new or existing buildings and shall be in conformance with the
International Building Code and the Washington State Ventilation and Indoor Air Quality Code.
10: Except for direct-vent appliances that obtain all combustion air directly from the outdoors; fuel -fired appliances
shall not be located in, or obtain combustion air from, any of the following rooms or spaces: Sleeping rooms,
bathrooms, toilet rooms, storage closets, surgical rooms.
11: Water heaters shall be anchored or strapped to resist horizontal displacement due to earthquake motion. Strapping shall
be at points within the upper one -third and lower one -third of the water heater's vertical dimension. A minimum
distance of 4- inches shall be maintained above the controls with the strapping.
12: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Cityof Tukwila
Permit Center.
13: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building
Department (206 - 431 - 3670).
14: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of,
any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits
presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila
shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the
Building Official from requiring the correction of errors in the construction documents and other data.
doc: Cond -10/06 M07 -012 Printed: 05-21 -2007
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.ci.tukwila.wa.us
I hereby certify that I have read these conditions and will comply with them as outlined. 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 provision of any other work or local laws regulating
construction or the performance of work.
Signature:
doc: Cond -10/06
Print Name:
g :f 2 )ei l Ora 4- -. 1
Date: 2" �p 7
M07 -012 Printed: 05-21 -2007
SITt LOCATI!
-t- King Co Assessor's Tax No.: (X. ( 120t) - - rk'
Site Address: q Z 4 3 8 Sr) [ So t, 3 Suite Number: Floor:
Tenant Name:
Property Owners Name: o� LSOL S C.-Le c- \AO IAA 6 ITQC -
Mailing Address: 14 it S9 2.- 1. -- 4 ' A L' Sc r -TitC / tti A . q t' l4, 8
City
Name:
Company Name:
Mailing Address:
Community Develop Department
Public Works Departmerir
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.citukwila.wa.us
l L� aot• i�12sc�rJ
Mailing Address: 1 ZS'
E -Mail Address:
GENE CONTRACTOR INFORMATION
(Contra Information for 11ec�hanical (pg 4) for Plumbing and Gas Piping (pg
Company Name: 1 k
G � P t - ‘-ko
Mailing Address: !pis - 9 So
Contact Person: k C.%
E - Mail Address: Fax Number: '2 t'-II • 4.;S 1
Contractor Registration Number: V elac Q1 3 .b L■
A RCRITECT OF RECORD Al! plans must" be wet stamped by Arehitec o
t✓_ vi I kuc W A- qgo
City State Zip
Day Telephone: L-2. 4 { >3 00.
Fax Number: 4 45 - ` 7 ' ) S 2-0/ S
Contact Person: Mk V-6
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 **
we contactwben your permit is ready to bed
Company Name: A-P_CAA.A S
Mailing Address: gg 1 ` - 1 -ZN
Contact Person:
E -Mail Address: W1,3 W. A Y C ' E 6 f VsL COW.
ENGINEER`OF RE CORD A l l plans must be wet stamped by Engineer` of 1<t
n....... .,.... .. ,.ter, � .._.. ,,,_, ,�.. ...
1V \ ACIhe
City .
E -Mail Address: Fax Number:
Q:\Applications.Forms- Applications On Line\3 -2006 - Permit Application.doc
Revised: 9 -2006
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New Tenant: . .... Yes
State Zip
..No
Day .Telephone:' * ' 9 y 7 - ego 3 6
(- vA a t to g-
State Zip
Fax Number: ZO&- ZL&(- c $ - 7
City
City
tuA- ? 16.4
State Zip
Day Telephone: 746 ' q t 7 Db 3 e
Expiration Date: 3~ 2 y- '?..o O 7
1 g2,1 t (, % t A ? g
State Zip
Day Telephone: L4 " 7 LP " 15-0v
Page 1 of 6
�llt lJKtvIj ` - "il
Y k�
� 43t 3f
0•oo
Existing Building Valuation: $
Scope of Work (please provide detailed information): Ai ( - 3 S (4 (_ 1' Ac( . ) , ( CS..
Valuation of Project (contractor's bid price): $
Will there be new rack storage?
PLANNING DIVISION:
FIRE PROTECTION
Sprinkle
Wil ere be storage
If "yes', attach
.... Yes
n
rovid A
In Sr'
tiara F ootage ; •
elo
o If yes, a separate permit and plan submittal wi 1 be required.
Single family building footprint (area of the undation of all structures, plus any decks over 18 inches an •verhangs greater than 18 inches)
*For an Accessory dwelling, provide the flowing:
Lot Area (sq ft): Floor area of principal dwelling: Floor are f accessory dwelling:
*Provide documentation tha ows that the principal owner lives in one of the dwellings as his or her prima .. residence.
Number of Parking Stalls Provid .: Standard: Compact: H: 'cap:
Will there be a change in use? ❑ Yes ❑ No If "yes ", explain:
ZARDOUS MATERIALS:
❑ Automatic Fire Alarm None ❑ Other (specify)
use of flammable, combustible or hazardous mates tats in the building? ❑ Yes
ist of materials and storage locations on a separate 8-1/2" x 11 " paper including quantities and Material
No •
tfData Sheets.
SEPTIC SYSTEM
❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health
Department.
Q:\Applications\Forms- Applications On Line \3-2006 - Permit Application.doc
Revised: 9 -2006
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Page 2 of 6
Unit Type;
Qty „
.Unit Type`. , . _ ,. M
�i
-Unit Type: , ,...
Qty
; 'Boller/Compressor: ;,
: "Qty
Fumace< OtK BTU
g
i
1
Air Handling Unit >10,000
CFM
Fire Damper
0 -3 HP /100,000 BTU
Fumace>100K BTU
Evaporator Cooler
Diffuser
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan Connected
to Single Duct
Thermostat
15 -30 HP /1,000,000 BTU
Suspended/Wall/Floor
Mounted Heater
Ventilation System
Wood/Gas Stove
30 -50 HP /1,750,000 BTU
Appliance Vent
Hood and Duct
Emergency .
Generator
50+ HP/1,750,000 BTU
Repair or Addition to
Heat/Refrig/Cooling
System
Incinerator - Domestic
Other Mechanical
Equipment
Air Handling Unit
<10,000 CFM
Incinerator — Comm/Ind
tibia Elttvui rL' 9yx. t • tine() IATI 206- 431367
MECHANICAL CONTRACTOR INFORMATIC
Company Name: G1�-7 U� f 41 t-I N C�
Mailing Address: kg 01 Z 2, t tl Ate, L. ,
Contact Person: SCtS'T`
E -Mail Address:
Contractor Registration Number: 412_6141 pG
Valuation of Mechanical work (contractor's bid price): $
Scope of Work (please provide detailed information):
Use: Residential:
Commercial:
New ::.. [ Replacement ....
New .... ❑ Replacement .... 0
Fuel Type: Electric 0 Gas _16 Other:
Indicate type of mechanical work being installed and the quantity below:
Q:Uppliations\Forns- Applications On Line\3 -2006 - Permit Application.doe
Revised: 9 -2006
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C-
i otm -
City
state
Day Telephone: 0 SR3 /• 3g3
Fax Number: Z S 3 `j 31- ' 23 1
Expiration Date: g' 3 Q- Z00 7
Page 4 of 6
Sewer District
❑ ...Tukwila
❑...Sewer Use Certificat
) 4St„ . xL' ZtW1,11 1
❑ ...Total Cut cubic yards
❑ ...Total Fill cubic yards
❑ ...Sanitary Side Sewer
❑ ...Cap or Remove Utilities
❑`:..Frontage Improvements
❑ ...Traffic Control
❑ ...Backflow Prevention - Fire Protection
Irrigation
Domestic Wate
❑ ...Permanent Water Meter Size...
❑ ...Temporary Water Meter Size..
❑ ...Water Only Meter Size
❑ ...Sewer Main Extension Public
❑ ...Water Main Extension. Public
IS
If
Q: Applications\Forms•Applications On Lined -2006 - Permit Applieation.doc
Revised: 9 -2006
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Scope of Work (please provide detailed information):
Please refer to Public Works Bulletin" #1 for fees and estimate sheet.
Water District
❑ ...Tukwila • Water District #125
❑ ...Water Availability Provided
Submitted with A t • Iication mark b es which a • . 1
❑...Civil Plans (Maximum Paper Size 22" x 34")
❑ ...Technical Information Report (Storm . inage)
Q ...Bond ❑ .. Insurance Easement(s)
Proposed Activities (mark boxes that apply):
❑ ...Right -of -way Use - Nonprofit for less than 72 hour
❑ ...Right -of -way Use - No Disturbance
0 ...Construction /Excavation/Fill - Right -of -way
Non Right -of -way
Call before you Dig: 1 800 - 424 - 5555
❑ .. Highline
...
ValVue ❑ .. Renton
0... Sewer Availability Provided
Septic System:
❑ On -site Septic System — For : -site septic system, provide 2 copies of a current septic design appr d by King County Health Department.
❑ .. Aban ' , Septic T
❑ .. Cur ut
❑ .. P ement Cut
ooped Fire Line
WO #
WO #
WO #
Private
Private
❑ .. Geotechnical ' .ort ❑...Traffic Impact Analysis
❑ ..
Maintenanc greement(s) ❑...Hold Harmless — (SAO)
0... Hold Harmless — (ROW)
❑..
❑ •
4
R , t-of-way Use - Profit for less than 72 hours
fight -of -way Use — Potential Disturbance
❑ .. Work in Flood Zone
.. Storm Drainage
❑ ...Renton
Q ...Seattle
❑ .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
❑...Deduct . ater Meter Size
FINANCE INFORMATION
Fire Line Size at Property Line
❑...Water ❑...Sewer ❑...Sewage Treatment
Monthly Service Billing to:
Water Meter Refund/Billing:
Name:
Mailing Address:
Number of Public Fire Hydrant(s)
Name: Day Telephone:
Mailing Address:
City
State
Zip
Day Telephone:
City
State
Zip
Page 3 of 6
RMIT A.PPLIC .TION NOT
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.
Building and Mechanical Permit
The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be
requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition).
Plumbing Permit
The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested
in writing and justifiable cause demonstrated. Section 103.4.3 Uniform 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 BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OW 4 •• • ORIZED AGENT:
Signature: , �
Print Name: / 42) / 2• Sbl(,
Mailing Address: .z.111-1 j Z 1 SC De hill! /(r5 WA ./
City State Zip
Date Application Expires:
Date Application Accepted:
Q: Applicstions\Forms- Applications On LineU -2006 - Permit Application.doc
Revised. 9 -2006
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Date: f — 3 0- (`7
Day Teleph 6 7 196
Staff Initials:
Page 6 of 6
iuun aL a7Y Y ° a
e
Fixture Type: � =
�� `
ixtut'e Type
ty ,s
F ixture Type::-
Qty ,
Fixture; Ty
Gas
krI
= y
Bathtub or combination
/Id
Drinking fountain or water
cooler (per head)
Wash fountain
piping
P p i g outlets
bath/shower
Bidet
Food -waste grinder,
commercial
Receptor, indirect
aste
Clothes washer, domestic
i
Floor drain
(
S '" < s
Uri '' s
Water loset
''l
Dental unit, cuspidor
Shower, single h . , trap
Dishwasher, domestic,
independent drain
1
Lavatory
with
Building sewer or trailer
Rain water stem — per
drain (in ' e building)
Water hea • and/or
vent
Additional
s e dit og more
park sewer
Industrial waste
pretreatment interceptor,
including its trap and vent,
except for kitchen type
grease interceptors
Repair alteration of water
P
pip' - and/or water treating
eq ament
Repair or alter. on
of drainage or v "
piping
Medical gas piping system
serving one to five
inlets/outlets for specific gas
PLUMBING AND GAS PIPING CONT
Company Name:
Address:
CTOR INFORMATION
Contact Person:
E -Mail Address:
Contractor Registration Number:
Valuation of Plumbing (contractor's bid price): $
Valuation of Gas Piping wor contractor's bid price): $
Scope of Work (please provide . , ailed information):
Building Use (per Int'l Building Code):
Occupancy (per Int'l Building Code):
Utility Purveyor: Water:
r as piping outle
Sewer:
installed and the quantity below:
State
Zip
City
Day Telephone:
Fax Number:
Expiration Date:
Q:WpplicationsForms- Application On Line\ -2006 - Permit Application.doc
Revised: 9 -2006
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Page 5 of 6
n....• arrcrr¢_ru
RECEIPT NO: R07 -00904
Initials: JEM
User ID: 1165
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. ci. tukwila. wa. us
Payee: PEDERSON'S CLASSIC HOME, INC.
SET ID: 0521 SET NAME: PEDERSON, LOT 3
SET TRANSACTIONS:
Set Member Amount
D07 -026 2,864.16
D07 -027 3,760.54
M07 -012 175.56
M07 -013 175.56
PG07 -029 357.00
PG07 -030 327.00
TOTAL: 7,659.82
TRANSACTION LIST:
Type Method Description
Payment Check 4570
ACCOUNT ITEM LIST:
Description
BUILDING - RES
GAS - RES
MECHANICAL - RES
PLUMBING - RES
PW LAND ALT PERMIT FEE
PW PERMIT /INSPECTION FEE
PW PLAN REVIEW
STATE BUILDING SURCHARGE
TRAFFIC MITIGATION FEES
SET RECEIPT
TOTAL:
Payment Date: 05/21/2007
Total Payment: 7,659.82
Amount
7,659.82
7,659.82
Account Code Current Pmts
000/322.100 5,378.76
000/322.100 176.00
000/322.100 351.12
000/322.100 508.00
000/342.400 37.00
000/342.400 138.00
000/345.830 38.00
000/386.904 9.00
104.367.120 1,023.94
TOTAL: 7,659.82
8446 05/21 9716 TOTAL 7659.82
)oc: RECSETS -06
RECEIPT NO: R07 -00132
Initials: JEM
User ID: 1165
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.cLtukwila.wa.us
Payee: PEDERSON'S CLASSIC HOME, INC.
SET ID: S000000672 SET NAME: PEDERSON, LOT 3
SET TRANSACTIONS:
Set Member Amount
D07 -026 2,125.73
D07 -027 2,017.47
1407 -012 36.39
M07 -013 36.39
PG07 -029 81.50
PG07 -030 74.00
TOTAL: 4,371.48
TRANSACTION LIST:
Type Method Description
Payment Check 4454
ACCOUNT ITEM LIST:
Description
PLAN CHECK - RES
PW BASE APPLICATION FEE
PW LAND ALT PLAN REVIEW
PW PLAN REVIEW
SET RECEIPT
TOTAL:
Payment Date: 01/30/2007
Total Payment: 4,371.48
Amount
4,371.48
4,371.48
Account Code Current Pmts
000/345.830 3,724.48
000/322.100 500.00
000/345.830 47.00
000/345.830 100.00
TOTAL: 4,371.48
Project!)
/ gl / ecSOnV / -10mmS
Type of Inspection:
L D /i - FiNe /
Address:
x /23° 5 /1/45 -/
Called:
Special Instructions:
Date Wanted: l
�/Ql49 P.m.
Requester:
Phone No:
EJ Corrections required prior to approval.
Approved per applicable codes.
COMMENTS:
1-)t°, / / / /
/hrl it r� !� f�/
,-----71 -...._
INSP ION NO.
INSPECTION RECORD
Retain a copy with permit fV7d /2-
P RMIT NO.
CITY OF TUKWILA BUILDING DIVISION K
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)43 1 -3670
'Receipt No.:
Dates b /
.00 REINSPECTION FEE D. Prior to inspection, fee must be
aid at 6300 Southcenter Blv Ite 100. Call the schedule reinspection.
'Date:
Proj
( - �� �P iSOn)
Type of Inspection:
GitS 1.7k)5eAf
N.
Address:
4 23v ° s
1-u s--}-
Date Called:
Special Instructions:
Date Wan d: /
U !
P.m.
Request r:
Phone No:
26 - CI'? -d6
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)43 1 -3
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Ispec or
{ tithe'
P
'Receipt No.:
1
4 A ie. 4_
D,t0 / ( 6 J)
.00 REINSPECTION FEE REQUIRED. Prior to inspection. fee must be
id at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection.
IDate:
mD -7-0/Z
Proje
Typ f inspection:
Addre s:
?_X71J
1
I U �sl
Date Called:
Special Instructions:
Date Wanted:
/
I D (1Ca 1
(
. ,,
Requester:
Phone No:
'Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PERMIT NO.
(206)431-
El Corrections required prior to approval.
COMMENTS:
El $580 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
pai at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection.
'Receipt No.:
'Date:
Pr ' ct:
/T°l /4 CGS 49
Type of Inspection:
h - /
Address:
, //2...-3(5 5 /.
Date Called:
Special Instructions:
Date Wanted:
Requester:
Phone No:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-
pproved per applicable codes. Corrections required prior to approval.
COM TS:
Inspector p1M
$58. t REIN CTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 outhcenter Blvd., Suite 100. Call the schedule reinspection.
'Receipt No.:
'Date:
03 -05 -2008
TED PEDERSON
27148 12 AV S
DES MOINES WA 98198
RE: Permit No. M07 -012
4238 S 150 ST TUKW
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
Dear Permit Holder:
In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila Building Division.
Per the International Building Code and/or the International Mechanical Code, every permit issued by the Building Division under the
provisions of this code shall expire by limitation and become null and void if the building or work authorized by such permit is not
commenced within 180 days from the date of such permit, or if the building or work authorized by such permit is suspended or
abandoned at any time after the work is commenced for a period of 180 days.
Based on the above, you are hereby advised to:
Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection.
This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if
the project should be considered abandoned.
If such determination is made, the Building Code does allow the Building Official to approve one or more extensions of time for
additional periods not exceeding 90 days each. Extension requests must be in writing and provide satisfactory reasons why
circumstances beyond the applicants control have prevented action from being taken.
In the event you do not call for the above inspection and receive an extension prior to 04/13/2008 , your permit will become null and
void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
(e Marshall,
Permit Technician
xc: Permit File No. M07 -012
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206- 431 -3665
ACTIVITY NUMBER: M07 -012 DATE: 01 -30 -07
PROJECT NAME: PEDERSON'S CLASSIC HOMES, LOT 3
SITE ADDRESS:
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter #
0
• S150ST
Revision # After Permit Issued
DEPARTMENTS: `L
Builuivg Division
Public Works ❑
PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
O
Fire p revention
Structural
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete F Incomplete ❑
Comments:
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES/THURS ROUT NG:
Please Route Structural Review Required
REVIEWER'S INITIALS:
APPROVALS OR CORRECTIONS:
Approved ❑ Approved with Conditions
Notation:
REVIEWER'S INITIALS:
Documents/routing slip.doc
2 -28 -02
Planning Division
❑ Permit Coordinator
DUE DATE: 02 -01 -07
Not Applicable ❑
No further Review Required
DATE:
DUE DATE: 03-01 -07
Not Approved (attach comments) n
DATE:
n
n
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
License Information
License
CREATHI066PC
Licensee Name
CREATIVE HEATING INC
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
601575175
Ind. Ins. Account Id
#2
Business Type
CORPORATION
Address 1
19012 29TH AVE E
Address 2
01/01/1980
City
TACOMA
County
PIERCE
State
WA
Zip
98445
Phone
2535318383
Status
ACTIVE
Specialty 1
GENERAL
Specialty 2
UNUSED
Effective Date
10/3/1994
Expiration Date
9/30/2007
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
#2
CBIC
638320
09/30/2001
Until
Cancelled
01/01/1980
01/01/1980
$12,000.00
07/24/2001
Business Owner Information
Name
Role
Effective Date
Expiration Date
SLOAN, CHRISTINE
01/01/1980
BLADO, JOHN
AGENT
01/01/1980
EDDY, CHRISTINE
01/01/1980
01/01/1980
Washington State Department of Labor and Industries
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.
https:// fortress .wa.gov /lni/bbip /printer.aspx ?License= CREATHI066PC 05/21/2007