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Home My WebLink AboutPermit M07-051 - HABITAT FOR HUMANITYHABITAT FOR HUMANITY 12230 43 AV S M07 -051 Parcel No.: 0179000270 Address: Suite No: 12230 43 AV S TUKW Tenant: Name: HABITAT FOR HUMANITY Address: 12230 43 AV S , TUKWILA WA DESCRIPTION OF WORK: MECHANICAL FOR NEW SFR Value of Mechanical: $3,600.00 Type of Fire Protection: NONE 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 doc: IMC -10/06 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 Owner: Name: CITY OF TUKWILA Address: 6200 SOUTHCENTER BLVD , TUKWILA WA Contact Person: Name: KELLY MORGAN Address: 15439 53 AV S, STE B , TUKVVILA WA Contractor: Name: HABITAT FOR HUMANITY /SEA/SO KC Address: 15439 53 AV 5, STE B , TUKWILA WA Contractor License No: HAB1TFH972LD MECHANICAL PERMIT EOUIPMENT TYPE AND OUANTITY 0 0 1 0 1 0 0 0 0 2 1 1 0 0 * *continued on next page ** M07 -051 Permit Number: Issue Date: Permit Expires On: M07 -051 07/13/2007 01/09/2008 Phone: Phone: 206 292 -5240 X 107 Phone: 206 292 -5240 Expiration Date: 05/04/2008 Fees Collected: $201.56 International Mechanical Code Edition: 2003 Boiler Compressor: 0-3 HP /100,000 BTU 1 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 0 Water Heater 1 Emergency Generator 0 Other Mechanical Equipment 0 Printed: 07 -13 -2007 Permit Center Authorized Signature: doc: I MC -10/06 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 -051 Issue Date: 07/13/2007 Permit Expires On: 01/09/2008 :GGLI , U)t 4 Date: 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 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 provisions of any other state or local laws regulating constru - + - pe - • - ce of work. I am u orized to sign and obtain this mechanical permit. Signature: ` L� —`4' Date: ■ (/Lr / e27 Print Name: /919/`74 474 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 suspendec or abandoned for a period of 180 days from the last inspection. M07 - 051 Printed: 07 -13 -2007 Parcel No.: 0179000270 Address: Suite No: Tenant: doc: Cond -10/06 1223043AVS'FUMY 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 HABITAT FOR HUMANITY 1: ** *BUILDING DEPARTMENT CONDITIONS * ** PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: M07 -051 ISSUED 03/19/2007 07/13/2007 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: 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. 9: 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. 10: 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. 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. M07 -051 Printed: 07 -13 -2007 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: Dates, ///47 �3 07 Print Name: /4Z -fA* Z `- 4-10 doc: Cond -10/06 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 M07 -051 Printed: 07 -13 -2007 1 ... 0 Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us King Co Assessor's Tax No.: 0717 q bt)29 t7 Suite Number: Floor: New Tenant: (] .... Yes 0 ..No Property Owners Name: 44t h, +0 4- fir - -ec *k- , l 5o , ✓t 63 Co Mailing Address: 15459 O rd .4J/e � emu., fr. Tuku? i (� CON q$ 1 g C� City Site Address: 1 43' Ave C J Tenant Name: Name: ((.,1 Mar q 4 h c t / Day Telephone: 20 (2 - 2Ct2 -- 52.40 &s4 to Mailing Address: J 15 43 C J 53r 4 A V� .� u.i 1 / 5 -rote- t 1 d `tea ! �' ( City State Zip E -Mail Address: k mnr9a n C? Sea1+Ie. - Ilabi 4- . orej Fax Number: 20(o'2g2- 57..4 1 �2A E?�1TT A TOB INFOBMA ` f n forrmaMechanical (pg (( aping Company Name: � TCLt For HA rr1 CZn I � — S eQ. 'l "f e. � o , l: .t n G, 60 • Mailing Address: 1 � ,�{- 3 r c A S — .« f+ truk t t o OA 9 %1 Contact Person: J l�or a h / '1 r e s Day Telephone . ?p 1) t/.7 -- it) Km�r 5eccttte, — bttu -1c Or E -Mail Address: bh t+ne`?t Ev, 5Q-Ca4Fto — lrla eke�-F , otro% Fax Number: XX, - o�qa 5Q4- 1 Contractor Registration Number: -PI\ ITFH 1 � Expiration Date: Company Name: Ko p.e / W cd c e,r Mailing Address: RI 1 19- l 4tIL cSt u l - 1.01 Contact Person: J (l(1 h Vo pp e- E -Mail Address: L Ko p pe- P e.xv Olt c k , (O Company Name: see Ardni 4 c* Mailing Address: Contact Person: E -Mail Address: Q:1Applicatiomlpo ns- Applications On Linen -2006 - Permit Application.doc Revised: 4 -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 ** State Zip wA q (0 y S tate Zip Day Telephone: (20(o) c3Lf L — 51 $g Fax Number. Sao b'3 qL4 — 57 759 city Day Telephone: Fax Number: State Zip Page I of 6 Valuation of Project (contractor's bid p : S (4Q 000 Existin tilding Valuation: $ 1 ()DO Scope of Work (please provide detailed information): e�xG CcV « t 110 uD Q: Appliations\Fmm.- Applications On Linen -2006 - Permit Application.doc Revised: 4-2006 bh 2— SATYV ti 4- toertv-0 Will there be new rack storage? ❑ ..Yes No (If yes, a separate permit and plan submittal will be required) tare Foot2g rovide sending BUS'. 685 (75S 0554 612i.tp L PLANNING DIVISION: /I-- Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) ICJ g 5 *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area for 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: 1 Handicap: Will there be a change in use? ❑ ....Yes .No If "yes", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑.. Sprinklers ❑ ..Automatic Fire Alarm .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 indicating 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. Page 2 of 6 Scope of Work (please provide detailed _, rmation): Water District Tukwila 0... Water District #125 01...Water Availability Provided Sewer District X.-Tukwila ❑ ...Sewer Use Certificate Submitted with Application (mark boxes which apply): ❑ ...Civil Plans (Maximum Paper Size — 22" x 34 ") 0 ...Technical Information Report (Storm Drainage) ❑ ...Bond ❑ .. 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 Total ...Total Fill t) ❑ ...Water Only Meter Size (...Sewer Main Extension Public _ D ...Water Main Extension Public ❑..- ValVue 0... Sewer Availability Provided cubic yards cubic yards ...Sanitary Side Sewer ❑ ...Cap or Remove Utilities ❑ ...Fro ntage Improvements (] ...Traffic Control IX...Backflow Prevention - Fire Protection Irrigation Domestic Waters •' .Permanent Water Meter Size... E)L( ✓�� ❑...Temporary Water Meter Size.. 92 It Q: Applieations \Forms- Applications On Line3-2006 • Permit Application.doc Revised: 4-2006 bh Call before you Dig: 1- 800 -424 -5555 Please refer to Public Works Bulletin #1 for fees and ,estimate sheet. id.. Abandon Septic Tank ❑ .. Curb Cut ❑ .. Pavement Cut ❑ .. Looped Fire Line ❑ .. Highline ❑ .. Renton ❑ ...Seattle ❑ .. Approved Septic Plans Provided ❑ .. Geotechnical Report ❑ .. Maintenance Agreement(s) ❑ .. Right -of -way Use - Profit for less than 72 hours ❑ .. Right -of -way Use — Potential Disturbance ❑ .. Work in Flood Zone ❑ .. Storm Drainage ❑ ...Renton ❑ .. Grease Interceptor ❑ .. Channelization ❑ .. Trench Excavation ❑ .. Utility Undergrounding ❑ ...Deduct Water Meter Size Private X Private Z*5110 ❑ ...Traffic Impact Analysis ❑ ...Hold Harmless — (SAO) ❑ ...Hold Harmless — (ROW) FINANCE INFORMATION Fire Line Size at Property Line Number of Public Fire Hydrant(s) ti ...Water ...Sewer 0...Sewage Treatment Monthly Service Billing to: Name: 4- b bi +a* ��f (YK,( - .fit ,Q f U o CO Day Telephone: - 2- a t 2 J2,.40 f " 1o1 Mailing Address: Ir -I � 9ard Ave s & -vg, � City (A)a State a ? 1 Zip Water Meter Refund/Billing: Name: na,ove as A too 'I ' Day Telephone: Mailing Address: City State Zip Page 3 of 6 Ulttt ea ` . ,. <:'. `QtY,. Iltttt 1 e a�,. ,- ...." !` LFnit T ti-: . . y� 'Qt- y -.; tler ,.. Tess r • : - P.... �. i Furnace<100K BTU Air Handling Unit >10,000 CFM Fire Damper ,,( 0-3 HP /100,000 BTU ` Fumace>100K BTU Evaporator Cooler (g) Diffuser ) 3 -15 HP/500,000 BTU Floor Furnace Ventilation Fan Connected to Single Duct Thermostat I 15 -30 HP /1,000,000 BTU Suspended/Wall/Floor Mounted Heater Ventilation System c „( Wood/Gas Stove 0 30 -50 HP /1,750,000 BTU Appliance Vent Hood and Duct i Water Heater t 50+ HP /1,750,000 BTU Repair or Addition to Heat/Refrig /Cooling System 0 Incinerator - Domestic � Emergency Generator �" Air Handling Unit <10,000 CFM Incinerator — Comm/Ind Other Mechanical Equipment 0 ;U, ,..., . P ;s =.., -.; , «a,.;- ..N.., 4:i -. _ ;at MECHANICAL CONTRACTOR INTIMATION Company Name: k a to t -}-r -A -erpr ''t,C MO O tr l — Via. .e, t So i, i i c,. Cc`) Mailing Address: 15 S 3rd Prk.P. 5 t .)i L.a kr S - RA kw r Ict WA 6 M (Z? City State Zip Day Telephone: (2040)14z,73 _-" o r E -Mail Address: On n i 4 CS V rA Ff fe -t 4i rfr . a r q Fax Number: t e t 7- S, Expiration Date: Contact Person: 27e t�h frpc Contractor Registration Number: -M 8 r F [-E 'LLD Valuation of Project (contractor's bid price): $ � 1 bD Scope of Work (please provide detailed information): I 1 f-i ( 1 Plc Inr2 U 5k - crA w. E ►t t C� Use: Residential: New ... Replacement .... ❑ Commercial: New .... Replacement .... Fuel Type: Electric ❑ Gas ... Other: Indicate type of mechanical work being installed and the quantity below: Q:\Applieations\Forms- Applications On Line3-2006 - Permit Applieation.doc Revised: 4-2006 bb Page 4 of 6 Future Type QIy Firt1r0 .. Qty .. Fixture Type -Qty ,. TIOgre Type. HI Bathtub or combination bath/shower n 4 .- - Drinking fountain or water cooler (per head) 4 5 Wash fountain ,�+� r" Gas piping outlets Bidet Food -waste grinder, commercial J Receptor, indirect waste b Clothes washer, domestic i Floor drain Sinks 5. Dental unit, cuspidor yt1 Shower, single head trap Urinals 4 Dishwasher, domestic, with independent drain 1 Lavatory Z Water Closet Building sewer or trailer park sewer 0 Rain. water system— per drain (inside building) e ll r Water heater and/or vent Industrial waste pretreatment interceptor, including its trap and vent, except for kitchen type grease interceptors 0 Repair or alteration of water piping and/or water treating equipment i b Repair or alteration of drainage or vent piping Medical gas piping system serving one to five inlets/outlets for specific gas Additional medical gas — six or more PLUMBING AND GAS PIPING CON INFORMATION Company Name: Mailing Address: city state Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: Valuation of Project (contractor's bid price): $ t Scope of Work (please provide detailed information): 1 vi floor h elk W i t h on cto Y i in G CCJ Int tJatvr voc k Fe; 4cJe Qas c\n r Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: Q :IAppliationsWorms-Applications On Lina13 -2006 - Permit Appliation.doc Revised: 4 -2006 bh Page 5 of 6 Value of Construction — In all cases, a vaf construction amount should be entered by the spi 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. BUILDIN ' OR AUTHO • .7 I AGENT: Signa e: / , 1.i/', 41.6 sires{ / %A- yt.6te Q 7 Mailing Address: /5 63• City State Zip Print Name: Date: 3//9/o Day Telephone: 7,I)6 2.g Z - 3 - 2-960 X71 Date Application Expires: 01 1i6 Date Application Accepted oq dot 1 01— Q:Applications \Forms - Applications On Line\3- 2006 - Permit Appliation.doc Revised: 4 -2006 bh Staff Initials: u Page 6 of 6 City of Tukwila Parcel No.: 0179000270 Permit Number: M07 -051 Address: 12230 43 AV S TUKW Status: APPROVED Suite No: Applied Date: 03/19/2007 Applicant: HABITAT FOR HUMANITY Issue Date: Receipt No.: R07 -01385 Initials: LAW User ID: 1632 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: HABITAT FOR HUMANITY OF SEA/SKC TRANSACTION LIST: Type Method Description ACCOUNT ITEM LIST: Description MECHANICAL - RES RECEIPT Payment Amount: $ 167.25 Payment Date: 07/13/2007 12:19 PM Balance: $0.00 Amount Payment Check 1120 167.25 Account Code Current Pmts 000/322.100 167.25 Total: $167.25 doc: Receiot -06 Printed: 07 -13 -2007 Doc: RECSETS -06 RECEIPT NO: R07 -00391 SET TRANSACTIONS: Set Member Amount ACCOUNT ITEM LIST: Description City ` Tukwila Initials: JEM User ID: 1165 Payee: HABITAT FOR HUMANITY Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: http: /fww .ci.tukwila.wa.us SET ID: S000000708 SET NAME: HABITAT FOR HUMANITY D07 -090 1,438.67 M07 -051 34.31 PG07 -067 64.00 TOTAL: 1,536.98 TRANSACTION LIST: Type Method Description Payment Check 23571 1,536.98 TOTAL: 1,536.98 PLAN CHECK - RES PW BASE APPLICATION FEE PW PLAN REVIEW SET RECEIPT Payment Date: 03/19/2007 Total Payment: 1,536.98 Account Code Current Pmts 000/345.830 1,056.98 000/322.100 250.00 000/345.830 230.00 TOTAL: 1,536.98 Amount Project: Type of Inspection: Address: Date Called: m Special Instructions: Date Wante :a / 2 /Yd /i"? p.m. Requester: - - ; )1� / - ��'`ver Ze9- Phone No: f) ric Approved per applicable codes. Corrections required prior to approval. COMMENTS: AM /F.' /5l�S, ;k", - ' , ,/ �l�' ,^) Id -,),, n_,,,,,t -/e. - - ; )1� / - ��'`ver Ze9- %y f) ,p 41,7,65 A INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 ecto p INSPECTION RECORD Retain a copy with permit 0 REINSPECTION E REQUIREB. Prior to inspection. fee must be d at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. Date: I ,J`�� / Z /?ey CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 FILE COPY Pen r !t No. RESIDENTIAL HCTING AND VENTILATION_COMPLIANCE FORM (Complete Sectipns I and II for Group R Occupancies` ' t fes or Less) c � MECHANICAL PERMIT APPLICATION NO.: Js.J ''ll BUILDING PERMIT APPLICATION NO.: �v Project Name: '�,(�1 �i'G1 f iry Site Address: j 4S Avt S I. WASHINGTON STATE ENERGY CODE HEATING DESIGN METHOD (select A, B or C below): A. ❑ System Analysis - W.S.E.C. Chapter 4 (submit documentation) B. ❑ Component Performance Approach — W.S.E.C. Chapter 5 (submit documentation) C. Prescriptive Option W.S.E.C. Chapter 6 (for prescriptive, complete the House Square Footage (heated space): 136 X 20 BTU/h ❑ Heating System Installed, (check system type below): Effective: 711102 teppiicationatheatin0 and ventilation system —form h-6 (7 -2002) kAdti al4it Tukta i I a / LOA Permit Center/Building Division: 206 -431 -3670 Public Works Department: 206433 -0179 Planning Division: 206 - 431 -3670 98 17-8 C � R E COM PLIANCE APPROVED Qg Maximum BT I of HeAtig Systrfftriput Of Tukwila IL LD NG DIwSIp w o.A o� dLma 1. Electric Resistance 2. Electric (forced air) 3. Other Fuels (gas, heat pump) incio r cacLtct 1 1k I1. WASHINGTON STATE VENTILATION AND INDOOR AIR QUALITY CODE (select A or B below): A. ❑ Ventilation by Performance or Design Method - W.S.V.I.A.Q. Section 302 (submit documentation). B. ❑ Prescriptive Ventilation Options - W.S.V.I.A.Q. Section 303 (select one of the following): 1. ❑ Ventilation using Exhaust Fans (Section 303.4.1.) ❑ Exception for outdoor air inlets Forced air heating system w /interior doors undercut 12' 2. ❑ Ventilation integrated with Forced Air System (Section 303.4.2.) 3. ❑ Ventilation using Supply Fan (Section 303.4.3.) 4. ❑ Ventilation using Heat Recovery System (Section 303.4.4.) Prescriptive Minimum/Maximum Outdoor Air Calculation specified in Table 3 -2 (see reverse side of form). 1. House Square Footage: 155 0 2. House Number of Bedrooms: 4 3. Required Outdoor Air Table 3 -2: Minimum - 1O cfm Maximum - 11 5 J cfm CITYOFTUj MAR 19 2007 PERMITCENR 12 -11 -2007 KELLY MORGAN 15439 53 AV S, STE B TUKWILA WA 98188 RE: Permit No. M07 -051 12230 43 AV S TUKW Dear Permit Holder: Thank you for your cooperation in this matter. Sincerely, �M xc: Ter Marshall, it Technician Permit File No. M07 -051 City of Tukwila Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director 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 01/09/2008, your permit will become null and void and any further work on the project will require a new permit and associated fees. 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 ACTIVITY NUMBER: M07 - 051 DATE: 03 - - PROJECT NAME: HABITAT FOR HUMANITY SITE ADDRESS: 12230 43 AV S X Original Plan Submittal Response to Correction Letter # Response to Incomplete Letter # Revision # After Permit Issued DEP RTMENTS: 4 , C Buil. 9 g Division Public Works DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: PLAN REVIEW /ROUTING SLIP z ° Fire Prevention Structural Incomplete ❑ Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: 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 PERMIT COORD COPY Approved with Conditions n ❑ Permit Coordinator n Planning Division DUE DATE: 03-20-07 Not Applicable E No further Review Required DATE: DUE DATE: 04-1 7-07 Not Approved (attach comments) n DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: License Information License HABITFH972LD Licensee Name HABITAT FOR HUMANITY /SEA/SO KC Licensee Type CONSTRUCTION CONTRACTOR UBI 601059723 Ind. Ins. Account Id 82709900 Business Type CORPORATION Address 1 15439 53RD AVE SO SUITE B Address 2 City TUKWILA County KING State WA Zip 98188 Phone 2062925240 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 6/4/2003 Expiration Date 4/5/2008 Suspend Date PRESIDENT Separation Date 03/09/2006 Parent Company Previous License SEATTHF055MJ Next License Associated License Business Owner Information Name Role Effective Date Expiration Date HADALLER, DONNA TREASURER 06 /04/2003 GALLEGOS, DIANE VICE PRESIDENT 06 /04/2003 CROSON, KATHLEEN VICE PRESIDENT 03/09/2006 GAYLORD, TOM VICE PRESIDENT 03/09/2006 EPP, BRYON M VICE PRESIDENT 03/09/2006 HINES, BENTON VICE PRESIDENT 10/30/2006 LARSON, ALLEN VICE PRESIDENT 10/30/2006 WILSON, ALICE VICE PRESIDENT 03/09/2006 10/30/2006 HOWLAND, TIMOTHY PRESIDENT 06 /04/2003 03/09/2006 LVVLL Lip Q VV11L10.VIV1, L.1VV1.11%'"' 11 Vl 1 11LL11VV1 L+1VV110■ LJVL(ill a 445v a vi Le 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. httns:// fortress .wa.¢nv /lni/hhin /nrinter.asnx ?License= HABITFH972LD 06/29/2007