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HomeMy WebLinkAboutPermit M07-013 - PEDERSON HOMES - LOT 1PEDERSON'S CLASSIC HOMES LOT 1 4246 S 150 ST M07 -013 Parcel No.: 0042000095 Address: Suite No: Tenant: Name: Address: 4246 S 150 ST TUKW PEDERSON HOMES, LOT 1 4246 S 150 ST , TUKWILA 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 2908 SF SFR Value of Mechanical: $5,000.00 Type of Fire Protection: NONE Furnace: <100K BTU > 100K BTU Floor Furnace Suspended/WaII/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 Cityf 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 MECHANICAL PERMIT EQUIPMENT TYPE AND OUANTITY 1 0 0 0 1 0 0 0 0 5 0 1 0 0 * *continued on next page ** Permit Number: Issue Date: Permit Expires On: Expiration Date: Phone: Phone: 206 947 -0638 Phone: M07 -013 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 doc: IMC-10 /06 M07 -013 Printed: 05-21 -2007 Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complie The granting of this . _ 't does construction or Print Name: Vr' 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 Permit Number: M07 -013 Issue Date: 05/21/2007 Permit Expires On: 11/17/2007 RAC-1 Date: tF5(21 1,4- ed this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. resume to give authority to violate or cancel the provisions of any other state or local laws regulating ork. I am authorized to sign and obtain this mechanical permit. Date: -1- Z/ � C3 7 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 suspender or abandoned for a period of 180 days from the last inspection. doc: IMC - 10/06 M07 -013 Printed: 05-21 -2007 Parcel No.: 0042000095 Address: Suite No: Tenant: 4246 S I50 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 1 PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: 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 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. 4: Manufacturers installation instructions shall be available on the job site at the time of inspection. 5: 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. 6: Equipment and appliances having an ignition source and located in hazardous locations and public garages, PRIVATE GARAGES, repair garages, automotive motor -fuel dispensing facilities and parking garages shall be elevated such that the source of ignition is not less than 18 inches above the floor surface on which the equipment or appliance rests. 7: 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. 8: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Cityof Tukwila Permit Center. 9: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206 - 431 - 3670). 10: 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. * *continued on next page ** M07 -013 ISSUED 01/30/2007 05/21/2007 doc: Cond - 10/06 M07 -013 Printed: 05-21 -2007 City of Tukwila 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. Print Name: Signature: 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 �� zl O'7 Date: Cj doc: Cond -10/06 M07 -013 Printed: 05-21 -2007 P ublic Works Departtr Permit Center mas 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.citukwila.wa.us 0 Site Address: f _51) ISO k4 Tenant Name: Property Owners Name: Po1D $ b M S G SA Mailing Address: (y 4511 Z'5" ,/4(j S b Mailing Address. t { YS Z f- Av Name: Company Name: Mailing Address: GINE CO k tD=� All A laps mus i1q Company Name: g � gr 5 5 b G t -Ti Mailing Address: 93 l U - 2. \� Sr' SW Contact Person: W 1�C7�L . C J�O Contact Person: E -Mail Address: W W W g A rre4r5 N W. row.. E -Mail Address: Q:�Applieatioos\Fo m - Applieatiom On Line\3 -2006 - Permit Appliation.doe Revised: 9 -2006 bh 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 ** King Co Assessor's Tax No.: DO gab() "IX Suite Number: Floor: New Tenant: 1:1 .... Yes ❑ ..No City State e contact whenyour ph is i ea .s. f ibUU Olwb S 1 City 49 fs/ co g' Zip . ( Day Telephone:206 ° 147 -0( ac S�3 • TgC 60A- 9 ltoe City State Zip E -Mail Address: Fax Number: 2 6 6 - 1 1 - Ia n,or Me c h till i cal,.(pg 41 T f o r tntt bing an Gas . Pipufg ( pg Company Name: P ei i �2S 0 Ai S Ce. 4-SS/e 140101.1 L f A) C' Mailing Address: / y LK J 2,c" Avg So - �k - 74' GU� 67 2/(-C City S tate Zip Contact Person: j) f i2D &7 S Day Telephone: Zfae - f %I - 06.-5 e E -Mail Address: Fax Number: 2W7b -' ZLl l ' '?3 '7 Contractor Registration Number: Pi t'a f- K ek 13 £ 4 Expiration Date: 3 ^ Z LI - Zoo'? e C k i TeG15 ) 00,21/1 to sT kgi.s /q 21422 r ■oebovotile- t i* 4U.07 Z City State Zip Day Telephone: 1 .124 .- `'1 K Fax Number: 425 Li t1 4,5 5 Wri Ct oz State Zip Day Telephone: '425 -11 g"Z7 q ' Fax Number: 1 41-c /15 V O 7 "3 Page 1 of ='p cx� x �_ �i ".i°x.' � '� �� t ¢q-� „ � '� .ys�+u .�• ,,E„E� h+s '$�,� �^i.� 3w".�: 1'3 � f -,aF�' Y 1 T Flood e >� Cogq 3� �� W,•'li�i 3', aa.:v`'^3a ."Yx„e ��kw�{E�. Valuation of Project (contractor's bid pric $ 2 Cie .000- 2 Existing Ec Valuation: $ Scope of Work (please provide detailed information): Neer., G . ¶.G.ti y Will there be new rack storage? ❑.. Yes PLANNING DIVISION: Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ Yes a No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑ Sprinklers ❑ Automatic Fire Alarm ti' None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes ] No If "yes', attach list of materials and storage locations on a separate 8-1/2" x 11 " paper including quantities and Material Safety Data 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:Wppliaiions\Fonns-Applications On Line\3 -2006 - Permit Appliation.doc Revised: 9-2006 bh o If yes, a separate permit and plan submittal will be required. Page 2 of 6 Scope of Work (please provide detail formation): Sewer District ❑ ...Tukwila ❑ ...Sewer Use Certificate Tease refer to Public Works #1:for fees end estiatatesheet:, Water District ❑ ...Tukwila V... Water District #125 ❑ ... Water Availability Provided Va1Vue ❑ .. Renton ... Sewer Availability Provided 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. Submitted with Application (mark boxes which apply): ❑ ...Civil Plans (Maximum Paper Size — 22" x 34 ") ❑ ...Technical Information Report (Storm Drainage) ❑ ...Bond 0 .. Insurance ❑ .. Easement(s) Proposed Activities (mark boxes that apply): ❑ ...Right -of -way Use - Nonprofit for less than 72 hours ❑ ...Right -of -way Use - No. Disturbance ❑ ...Construction/Excavation/Fill - Right -of -way Non Right -of -way cubic yards ❑ .. Work in Flood Zone cubic yards ❑ .. Storm Drainage ❑ ...Total Cut ❑ ...Total Fill ' ❑ ...Sanitary Side Sewer ❑ ...Cap or Remove Utilities ❑':..Frontage Improvements ❑ ...Traffic Control ❑ ...Backflow Prevention - Fire Protection _ Irrigation Domestic Water ❑ ...Permanent Water Meter Size... ❑ ...Temporary Water Meter Size .. ❑ ...Water Only Meter Size ❑ ...Sewer Main Extension Public ❑ ...Water Main Extension Public QMppliationsWorms-Applieataro On Line\3 -2006 - Permit Application.doc Revised: 9-2006 bh ❑ .. Abandon Septic Tank ❑ .. Curb Cut ❑ .. Pavement Cut ❑ .. Looped Fire Line . , WO # WO # WO # Private Private Call before you Dig: 1 800 - 424 - 5555 ❑ .. Highline ❑ • ❑ - Geotechnical Report .. Maintenance Agreement(s) ❑ ...Renton ❑ ...Seattle . Right -of -way Use - Profit for less than 72 hours . Right -of -way Use — Potential Disturbance ❑ .. Grease Interceptor ❑ .. Channelization ❑ :, Trench Excavation ❑ .. Utility Undergrounding ❑...Deduct Water Meter Size ❑...Traffic Impact Analysis ❑...Hold Harmless — (SAO) ❑...Hold Harmless — (ROW) FINANCE INFORMATION Fire Line Size at Property Line Number of Public Fire Hydrant(s) 0 ...Water ❑ ...Sewer ❑ ...Sewage Treatment Monthly Service Billing to: Name: Mailing Address: Water Meter RefundBilling: Name: Mailing Address: Day Telephone: City State Zip Day Telephone: City State Zip Page 3 of 6 ll tttt Tire' ,.. x ..i r2t ., it T ype: _' ..a ly ;1ET Type: .... ,Qty . o11er/Cgmptgssar ... .: Qty _` Fumace<100K BTU t Air Handling Unit >10,000 CFM Fire Damper 0 -3 HP /100,000 BTU Furnace>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 Fuel Type: Electric ❑ Gas ...,( MECHANICAL CONTRACTOR INFIITION Company Name: G n, sTih't i`o C ) VV ■1 1.9� - Mailin Address: 1 �' 012 Z q 44` p-u � , j "TA-cowl A- o W A City State Tip Contact Person: 5( Day Telephone: 7..54 • S 3 1 — E -Mail Address: Fax Number: as 3- S 3 i- 3• 3 Contractor Registration Number:C. ee#4-7 N / 2 (Q 6 Expiration Date: et - 30 7.4207 Valuation of Mechanical work (contractor's bid price): $ Q /)t Scope of Work (please provide detailed information): ,. V4 2, V}'S G' - Use: Residential: New .... Replacement .... ❑ Commercial: New .... ❑ Replacement .... ❑ Q:\ Appliation:\Forms- Applications On LineV -2006 - Permit Appliation.doc Revised: 9 -2006 bh Other: Indicate type of mechanical work being installed and the quantity below: Page 4 of 6 Fiztur Types Fi z are Typ _ reF7 Fi�ztttre Wash fountain 4 OtO Y P ' , I • Bathtub or combination bath/shower C Dr fountain or water cooler (per head) Gas piping outlets Bidet Food -waste grinder, commercial Receptor, indirect waste Clothes washer, domestic ► Floor drain Sinks cm Dental unit, cuspidor Shower, single head trap Urinals Dishwasher, domestic, . with independent drain 1 Lavatory Water Closet . Building sewer or trailer park sewer , water system — per ,. drain (inside building) Water heater and/or vent , Additional medical gas inlets/outlets — six or more Industrial waste pretreatment interceptor, including its trap and vent, except for kitchen type grease interceptors Repair or alteration of water piping and/or water treating equipment Repair or alteration of drainage or vent piping Medical gas piping system serving one to five inlets/outlets for specific gas PLUMBING AND GAS PIPING CONTL:;TOR INFORMATION Company Name: ` (A .A1111.1 Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: Valuation of Plumbing work (contractor's bid price): $ Valuation of Gas Piping work (contractor's bid price): $ Scope of Work (please provide detailed information): Building Use (per Int'l Building Code): Occupancy (per Int'l Building Code): ' y Utility Purveyor: Water: c' t Z 5 Sewer: Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: QAApplicstions\Ponns- Applications On Line'3 -2006 - Permit Appliestion.doc Revised: 9 -2006 bh Page 5 of 6 r << • 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 OWN Signature: Print Name: / 7) Mailing Address: g- Date Application Accepted: al RIZED AGENT: Date: ! 0 Day Telephone: 7y, Q cm- 5 _' _ X71 (z.t 44,0, $ _ < tv - 1845 5 A- Date Application Expires: 19) k- Q :\AppliationsWorms- Applications On Line\3 -2006 - Permit Appliation.doc Revised: 9 -2006 bh City State Zip Staff Initials Page 6 of 6 1 V re!CW RECEIPT NO: R07 -00904 SET TRANSACTIONS: Set Member Amount ACCOUNT ITEM LIST: Description 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 Initials: JEM Payment Date: 05/21/2007 User ID: 1165 Total Payment: 7,659.82 Payee: PEDERSON'S CLASSIC HOME, INC. SET ID: 0521 SET NAME: PEDERSON, LOT 3 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 Amount Payment Check 4570 7,659.82 TOTAL: 7,659.82 BUILDING - RES GAS - BES MECHANICAL - RES PLUMBING - RES PW LAND ALT PERMIT FEE PW PERMIT /INSPECTION FEE PW PLAN REVIEW STATE BUILDING SURCHARGE TRAFFIC MITIGATION FEES SET RECEIPT 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 8€46 05/21 4716 TOTAL 7659.82 oc: RECSETS -06 RECEIPT NO: R07 -00132 Initials: JEM User ID: 1165 Payee: PEDERSON'S CLASSIC HOME, INC. SET ID: S000000672 SET NAME: PEDERSON, LOT 3 SET TRANSACTIONS: Set Member Amount 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 D07 -026 2,125.73 D07 -027 2,017.47 M07 -012 36.39 M07 -013 36.39 PG07 -029 81.50 PG07 -030 74.00 TOTAL: 4,371.48 SET RECEIPT TRANSACTION LIST: Type Method Description Amount Payment Check 4454 4,371.48 TOTAL: 4,371.48 ACCOUNT ITEM LIST: Description PLAN CHECK - RES PW BASE APPLICATION FEE PW LAND ALT PLAN REVIEW PW PLAN REVIEW 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 Payment Date: 01/30/2007 Total Payment: 4,371.48 97::6 4771 Project: A c.OF esau 1/e0rifs Type of Inspsction: \..) , 6. Address: , , g..2.. z( 6, .s i 5 0 .5 - - / Date Called: Special Instructions: Date Wanted: i Gi.._. /2 7 /4,_ p.m. Requester: Phone No girl - 6 63P INSPECT NO. PERMIT NO. INSPECTION RECORD Retain a copy with permit MI 7 3 CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3 pproved per applicable codes. Ei Corrections required prior to approval. A COMMENTS: 4 'Date: z 7 7 REINSPECTION FEE REU!REI Prior to inspection, fee must be at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. r ece t No.: 'Date: Projec 1 °6- o, Type of Inspection: O4,lvFy 4, Date Called: Address: a Special Instructions: Dagan Z 7 , U Requester: Phone No INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION Ca- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Approved per applicable codes. El Corrections required prior to approval. COMMENTS: 42,07 /FT` /17 I r sh Inspe to Date: v E2,7 e2 Z� 00 REINSPECTIONJFEE REQJI ED. Prior to inspection. fee must be aid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. ceipt No.: 'Date: /21a7- -c/ (206)431 -3 : 7 Project.. Type ojJnspection: /-.-/ /e / f,i i \.. , /-°" 7 Address: 2 /2 g‘ S / 5 S Date Called: Special Instructions: Date Want d: D 2 . P.m. Requeste : ....._ ,e6o6 ...99 ....._ INSPECTION NO. ' pproved per applicable codes. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION F 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3 El Corrections required prior to approval. COMMENTS: a !fow l itled /,` /201.% - .-2t/ .00 REINSPECTION FEE RE UIRED • rior to inspection. fee must be aid at 6300 Southcenter Blvd.. uite SO. Call the schedule reinspection. Receipt No.: Date: -a, Proje / • .l'l / S 42 Type of Inspection: ��l _)i� / 7 - i ce. Address: 6' 29 b 5 / , 5 - 0 _ 5 - - _ , / Date Called: Special Instructions: Date W ted / , , / - 0 ca:Fn.- p.m. Requester: Phone No: 204- .77- 3e INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION f' 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3 ,7-Z/ a 'T'roved per applicable codes. Corrections required prior to approval. 7 COMMENTS: ❑ $58.00 REINSPEj ON FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. Receipt No.: 'Date: 02 -12 -2008 TED PEDERSON 14459 25 AV S SEA -TAC WA 98168 RE: Permit No. M07 -013 4246 S 150 ST TUKW Dear Permit Holder: In reviewing our current records the above noted permit has not received a fmal 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 fmal 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 03/12/2008, 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, 'fer Marshall, Permit Technician xc: Permit File No. M07 -013 Jim Haggerton, Mayor Department of Community Development Jack Pace, Director 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 DEPARTMENTS: if Bu ion Public Works ❑ PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: M07 -013 DATE: 01 -30 -07 PROJECT NAME: PEDERSON'S CLASSIC HOMES, LOT 1 SITE ADDRESS: •; % % S 150 ST X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Issued PI J #irrki Fire Prevention Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Incomplete n Comments: TUES/THURS ROU ING: Please Route Structural Review Required REVIEWER'S INITIALS: APPROVALS OR CORRECTIONS: Approved ❑ Notation: REVIEWER'S INITIALS: Documents/routing slip.doc 2 -28 -02 Approved with Conditions Planning Division ❑ Permit Coordinator DUE DATE: 02-01-07 Not Applicable n Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: No further Review Required DATE: DUE DATE: 03-01 -07 Not Approved (attach comments) ❑ DATE: 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