HomeMy WebLinkAboutPermit M05-016 - PITZER HOMESPITZER HOMES
4651 S 150 ST
EXPIRED
M05-016
Parcel No.:
Address:
Suite No:
0042000384
City 6 Tukwila
Tenant:
Name: PITZER HOMES
Address: 4651 S 150 ST, TUKWILA WA
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 - 431 -3665
Web site: ci.tukwila.wa.us
Owner:
Name: ZEIGER C EDWARD
Address: 11828 120TH AVE E, PUYALLUP WA
Contact Person:
Name: JOHN TAMBURELLI
Address: 1201 MONSTER RD SW, STE 230, RENTON WA
Contractor:
Name: PITZER HOMES INC
Address: 46533 84 AV SE, ENUMCLAW WA
Contractor License No: PITZEHI978Q4
DESCRIPTION OF WORK:
SUPPLY AND ISNTALL 80% EFFICIENT FURNACE AND DUCT WORK, HOT WATER HEATER AND
THERMOSTAT.
Value of Mechanical: $4,200.00
Type of Fire Protection: NONE
Furnace: <100K BTU 1
>100K BTU 0
Floor Furnace 0
Suspended /Wall /Floor Mounted Heater 0
Appliance Vent 3
Repair or Addition to Heat/Refrig /Cooling System.... 0
Air Handling Unit <10,000 CFM 0
>10,000 CFM 0
Evaporator Cooler 0
Ventilation Fan connected to single duct 0
Ventilation System 0
Hood and Duct 1
Incinerator: Domestic 0
Commercial /Industrial 0
doc: IMC- Permit
MECHANICAL PERMIT
EQUIPMENT TYPE AND QUANTITY
Fees Collected: $211.95
International Mechanical Code Edition: 2003
* *continued on next page **
M05 -016
Permit Number:
Issue Date:
Permit Expires On:
Expiration Date:11 /24/2005
Steven M. Mullet, Mayor
Steve Lancaster, Director
M05 -016
09/26/2005
03/25/2006
Phone:
Phone: 425 228 -5959 ext 226
Phone: 253 - 632 -9159
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 0
Water Heater 0
Emergency Generator 0
Other Mechanical Equipment
Printed: 09 -26 -2005
Permit Center Authorized Signature:
doc: 'MC-Permit
City 67: Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: ci.tukwila.iva.us
iii-JAA/444
Print Name: 11/R4-5 / 1 Y 07?— /f5 004
M05 -016
Steven M. Mullet, Mayor
Steve Lancaster, Director
2
Permit Number: M05 -016 1 t.
Issue Date: 09/26/2005 re 2'
Permit Expires On: 03/25/2006 B.
0
I hereby certify that I have read and mL cYthis 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 truction or the performance of work. I am authorized to sign and obtain this mechanical permit.
Signature: 11 i 4e4 it Date: 7%//05
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
suspended or abandoned for a period of 180 days from the last inspection.
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Printed: 09 -26 -2005
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
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Parcel No.: 0042000384 Permit Number: M05-016 il
Address: Status: ISSUED
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Suite No: Applied Date: 02/10/2005 6 m
Tenant: PITZER HOMES Issue Date: 09/26/2005 v O
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2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the 2
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3: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to i 0
start of any construction. These documents shall be maintained and made available until final inspection approval is I_ _
g ranted. z 1.-
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4: Insulating materials, where exposed as installed in buildings of any type of construction, shall have a flame spread IJJ ui
index of not more than 25 and a smoke development index of not more than 450. Where facings are installed in concealed m p
spaces in buildings of Type III, IV, or V construction, the flame spread and smoke - developed limitations do not apply 0 cn
to facings, that are installed behind and in substantial contact with the unexposed surface of the ceiling, wall or 0 H
floor finish. = v
5: All construction shall be done in conformance with the approved plans and the requirements of the International - Z
Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code. w
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6: Manufacturers installation instructions shall be available on the job site at the time of inspection. ~ O F-
1: ** *BUILDING DEPARTMENT CONDITIONS * **
Building Official.
PERMIT CONDITIONS
7: 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.
8: 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.
9: 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.
10: 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.
11: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Department of
Public Health - Seattle and King County (206/296- 4932).
12: All electrical work shall be inspected and approved under a separate permit issued by the Washington State Department
of Labor and Industries (206/248- 6630).
13: 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
doc: Conditions
M05 -016
Printed: 09 -26 -2005
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doc: Conditions
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
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 **
M05 -016
Printed: 09 -26 -2005
City of Tukwila
Department of Community Cevelopment / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
I hereby certify that I have read these conditions and will comply with them as outlined. All provisions
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
regulating construction or the performance of work.
Signature:
doc: Conditions
Print Nam J4 15 eXt
M05 -016
of law and ordinances
Date: 9/20 5
other work or local laws
Printed: 09 -26 -2005
SITE LOCATION
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
Site Address: 05/ 50 rO
Tenant Name:
Property Owners Name: / ! tui / r 7 / OO1'IGS,C
Mailing Address: / ) 56eeeT S£ ' Crar✓e+'1
City
CONTACT PERSON .
Applications and plans must be complete in order to be accepted for_plan review.
Applications willno,be accepted through them_ ail',or by fax
* *Please Print **
Name: 3 i4,'t 7;tinivi.a.c.41, `- Day 1 Telephone/20 // ?eo- 2.2_2_0 Mailing Address: / D/ /!lsNJ/e id Sty/ S e 320 /G MM %O Os�
/ City State Zip
E -Mail Address: 1/4 Oile tbc4✓1Ste9. C.00 Fax Numbe(y > Zb - 9 e
GENERAL CONTRACTOR INFORMATION - (Mechanical Contractor information on back page)
Company Name: / ' Melt /40/e.5, ZNG
Mailing Address/OW /t s VIZee SC- 41 8
Contact Person: 57
Pt�'tut.
E -Mail Address: ix+z tom. 52.6e 44"/. Carl
Contractor Registration Number: \i e LC 9 ! 3e
* *An original or notarized copy of current Washington State
ARCHITECT OF RECORD - AU plans must be wet stamped by Architect of Record
Company Name: j.k$IfN app /implied
Mailing Address: / 9 6 / 3 8/ $4 a ve ....Crvik Site
Contact Person:ten ,02 "0A*'1
E -Mail Address:
ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record
Company Name: C 'M1 h0+9 � ✓! d,! G
Mailing Address; /�4 / � /� S te
Contact Person: /e 'h X
E -Mail Address:
\applications\petmit application (7.2604)
Pace 1
1111 0 /II A
7J
Building Permit No. 105 0 Vdy
Mechanical Permit No. /e
Public Works Permit No.
Project No.
(For office use onl
King Co Assessor's Tax No.: eikT z 38'
Suite Number: /✓ /4 Floor: Hfr
New Tenant: ❑ Yes ❑ .. No
kVA
State
Zip
agiutel YAM',
City State p Zi
Day Telephor �S3) ' 3 L 9 / .s�
Fax Numbe ZS 3 ) 333-7433
Expiration Date: /2 -OS
Contractor License must be presented at the time of permit issuance **
City / tate Zi
Day Telephone(�3�
Fax Number:
462- 4o9 Be / //ve pal- 1� ° 40pv_r"
City Day Telephone 1 > ' % O '' 0 15 P
Fax Number:
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Unit Type:
Qty
Unit Type:
Qty
Unit Type:
Qty
Boiler /Compressor:
Qty
Furnace<100K BTU
I
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
1
Thermostat
I
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
I
Water Heater
1
50+ HP /1,750,000 BTU
Heat/Refrig/Cooling
System
Incinerator - Domestic
Emergency
Generator
Air Handling Unit
<10,000 CFM
Incinerator — Comm/Ind
Other Mechanical
Equipment
MECHANICAL PERMIT INFORMATION — 206 -431 -3670
MECHANICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
City
State
Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
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Scope of Work (please provide detailed information):
. Z) ,/y a �h �� 80 // �iN��GL Ai
arr4 Dyck map-g— 7- ,�- ors- -
1� �
Valuation of Project (contractor's bid price): $
Lit; Residential: New kr Replacement ❑
Commercial: New ❑ Replacement ❑
Fuel Type: Electric ❑ Gas....1' Other:
Indicate type of mechanical work being installed and the quantity below:
PERMIT APPLICATION NOTES — Applicable to all permits in this application
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.
The Building Official may extend the time for action by the applicant for a period not exceeding 180 days upon written request by the applicant as
defined in Section 107.4 of the Uniform Building Code (current edition). No application shall be extended more than once.
E ' HORI D
I HEREBY CERTIFY TH I HAVE ' A ND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERDU Y B THE LA S • � HE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDIN
Signature:
Print Nam f ` 1 �NP /aenk4 // / ` �/-
Mailing Address: /Ol 000..Sia- Liad SW 3zO
Date Application Expires:
fr--iD-a
Date Application Accepted:
tapplicationstpertnit application (7.2004)
tsIT
Pace 4
Da Telephoned
City State
Date:
Staff Initials:
Zip
i
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
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Permit Number: M05-016 0 o `
Status: APPROVED u) o'
Applied Date: 02/10/2005
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Issue Date: rn LL
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Receipt No.: R05- 01424 Payment Amount: 175.56 W .c
Initials: 7EM Payment Date: 09/26/2005 10:20 AM W
User ID: 1165 Balance: $0.00 ' z `
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Amount W t'
175.56 W N `
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Parcel No.: 0042000384
Address:
Suite No:
Applicant: PITZER HOMES
Payee: PITZER HOMES, INC.
TRANSACTION LIST:
Type Method Description
Payment Check 2082
ACCOUNT ITEM LIST:
Description
MECHANICAL - RES
doc: Receipt
RECEIPT
Account Code Current Pmts
000/322.100 175.56
Total: 175.56
7557 09/26 9716 TOTAL 2771.53
Printed: 09 -26 -2005
Parcel No.: 0042000384
Address:
Suite No:
Applicant: PITZER HOMES
Receipt No.:
Initials:
User ID:
Payee:
doc: Receipt
R05 -00182
SKS
1165
ACCOUNT ITEM LIST:
Description.
PITZER HOMES INC
PLAN CHECK - RES
.- 1
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
TRANSACTION LIST:
Type Method Description
Payment Check 1072 .
Account Code
000/345.830
RECEIPT
Permit Number:
Status:
Applied Date:
Issue Date:
Payment Amount: 36.39
Payment Date: 02/10/2005 01:53 PM
Balance: $175.56
Amount
36.39
Current Pmts
36.39
Total: 36.39
M05 -016
PENDING
02/10/2005
9809 02/10 9716 TOTAL 1655.96
Printed: 02 -10 -2005
Project: L
7
Type of Inspection:
Addres .
' 4t7
/ ce 1747-
Date Called:
Special Instructions:
Date Wanted:
"7---g---6‘ .m.
Requester:
Phone No:
2-t51.3-2 G92e
77 77.S.77 17" 7
INSPECTION RECORD
Retain .a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3670
/
Corrections required prior to approval. /
COMMENTS:
Approved per applicable codes.
$58.00 REINSPECTION FEk REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
'Date:
Project: n ,
11 f
goii/z40
Type of Inspection:
7(9/ .e- - /
Address:
Date Called:
Special Instructions:
Date Wanted:
Requester:
Phone No:
'V •
INSPECTION RECORD
Retain a copy with permit
INSPEC/ON NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 981 88
"
Approved per applicable codes.
COMMENTS:
A40.5-c
O Corrections required prior to approval.
$SEbO REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
'Receipt No.:
'Date:
Project Name:
Site Address:
I. WASHINGTON STATE ENERGY CODE HEATING DESIGN METHOD (select A, B or C blow): -
A.
B.
C.
❑ Heating System Installed, (check system type below):
1. ❑
2. ❑
PERMIT CENTER
II. WASHINGTON STATE VENTILATION AND INDOOR AIR QUALITY CODE (select A or B below):
A.
B.
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
Permit Center /Building Division:
206 - 431 -3670
Public Works Department:
206 - 433 -0179
Planning Division:
206 -431 -3670
❑ System Analysis — W.S.E.C. Chapter 4 (submit documentation) City
❑ Component Performance Approach — W.S.E.C. Chapter 5 (submit documentation)! IT;
Prescriptive Option — W.S.E.C. Chapter 6 (for prescriptive, complete the following calculation):
House Square Footage (heated space): 2010
X 20 BTU/h
3.
RESIDENTIAL HEATING AND VENTILATION COMPLIANCE FORM
(Complete Sections I and II for Group R Occupancies 4 Stories or Less)
MECHANICAL PERMIT APPLICATION NO.: / 5 040
b10
/gee_ /�cvxcs
Electric Resistance
Electric (forced air)
Other Fuels, heat pump)
BUILDING PERMIT APPLICATION NO.:
O
FILE COPY
_ 4! MCI Maximum BTU of Heating System Output
Ventilation by Performance or Design Method - W.S.V.I.A.Q. Section 302 (submit documentation).
. 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' Y2"
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:
2. House Number of Bedrooms:
3. Required Outdoor Air Table 3 -2: Minimum - /UU cfm
Maximum - /5 cfm
Effective: 7/1/02
applicalionslheatinp and ventilation system - form h6 (7.2002)
REV :TT -1 1--3R
CODE CC ?EuPL-IANCE
SFP-- Q I1105
RECEIVED
CITY OF TUKWILA
FEB 1 0 2005
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Maximum Length
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Max
Min
Max
Min
Max
Min
Max
Min
I Max
Min
Max
<500
50
75
65
9880
80
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95
143
110
165
125
188
140
210
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•i. 6:incti';.. :P:
-,':, :" , : .,.. . 45,. ''
.. .;'6 inch' ''''
. No<Limit .t ..
' ' r3 . `.... "
125
6 inch
15
6 inch
No Limit
3
y: . i .,i. °,?
:v -125 -,
. r ; a � `:T t :;.r
7".r.�7a rlch:;y'.
n ,t - *.�i i
y:.
: �';`70<' _.._•�`
:Kt tt•;ji
,. .. ).r 7.tII1Ci1'.'_.
' ' 2•'..
_`�v &:rNOaimit:', ..
at• +:: L[ s`
. � �'3 :.,;i:= t.'
TABLE 3 -2
VENTILATION RATES FOR ALL GROUP R OCCUPANCIES FOUR STORIES OR LESS
Minimum and Maximum Ventilation Rates: Cubic Feet Per Minute (CFM)
For resid ences that exceed 8 bedrooms, increase the minimum requirement listed for 8 bedrooms by an additional 15 CFM per
bedroom. The maximum CFM is equal to 1.5 times the minimum.
1. For each additional elbow subtract 10 feet from length.
2. Flex ducts of this diameter are not permitted with fans of this size.
TABLE 3 -3
PRESCRIPTIVE EXHAUST DUCT SIZING
12 -06 -2006
JOHN TAMBURELLI
1201 MONSTER RD SW, STE 230
RENTON WA 98055
RE: Permit No. M05 -016
4651 S 150 ST TUKW
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 i
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 01/02/2007, 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,
xc:
shall,
t Tbch ician
Permit File No. M05 -016
City of Tukwila
Steven M. Mullet, Mayor
Department of Community Development Steve Lancaster, Director
•
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
02 -08 -2006
JOHN TAMBURELLI
1201 MONSTER RD SW, STE 230
RENTON WA 98055
Permit No. M05 -016
4651 S 150 ST TUKW
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 a one or more extension of time for
additiona perios not exceeding 90 days each. Extension requests must be in writiuji 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 03/25/2006, 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,
Jennifer Marshall,
Permit Technician
A okA4 gig
xc; Permit File No. M05 -016
City of Tukwila
Steven M. Mullet, Mayor
Department of Community Development Steve Lancaster, Director
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206-431-3665
COORD COPY •
Documents /routing slIp.doc
2-28-02
DEPARTMENTS: i8'05
Buildirtib D(Jsion
Public Works ❑
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: M05 -016 DATE: 02 -10 -05
PROJECT NAME: PITZER HOMES, INC.
SITE ADDRESS: XXXX SOUTH 150 STREET
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter #
Revision # after /before permit is issued
Fire Prevention
Structural ❑
Complete Incomplete ❑
REVIEWER'S INITIALS:
RM T COORD COPY
Planning Division
Permit Coordinator
DETERMIN ON OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 02 -15 -05
Not Applicable ❑
Comments:
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES /THURS R TING:
Please Route Structural Review Required ❑ No further Review Required ❑
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS: DUE DATE: 03 -15 -05
Approved ❑ Approved with Conditions Not Approved (attach comments) ❑
Notation:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
License Information
License
PITZEHI978Q4
Licensee Name
PITZER HOMES INC
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
602313880
Ind. Ins. Account Id
#2
Business Type
CORPORATION
Address 1
46533 284TH AVE SE
Address 2
City
ENUMCLAW
County
KING
State
WA
Zip
98022
Phone
2536329159
Status
ACTIVE
Specialty I
GENERAL
Specialty 2
UNUSED
Effective Date
11/24/2003
Expiration Date
11/24/2005
Suspend Date
Separation Date
Parent Company
Previous License
PITZECC993R6
Next License
Associated License
Business Owner Information
Name
Role
Effective Date
Expiration Date
PITZER, JAMES M
PRESIDENT
11/24/2003
Bond
Amount
Bond Information
Bond
Bond Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
#2
DEVELOPERS
SURETY &
INDEM CO
544074C
11/05/2004
Until
Cancelled
512,000.00
10/20/2004
CUMBERLAND
Look Up a Contractor, Electrician or Plumber License Detail ,., Page 1 of 2
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= PITZEHI978Q4
09/26/2005