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.'
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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
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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
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❑ .. 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
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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
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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
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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