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Permit PG07-030 - PEDERSON HOMES - LOT 1
PEDERSON'S CLASSIC HOMES 4246 S 150 ST PGO7-030 Parcel No.: 0042000095 Address: 4246 S 150 ST TUKW Suite No: Tenant: Name: PEDERSON HOMES, LOT 1 Address: 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 , TUKWILA WA Contractor: Name: MARATHON PLUMBING Address: 20901 SE 7 , REDMOND WA Contractor License No: MARATP* 101 OM DESCRIPTION OF WORK: PLUMBING AND GAS PIPING FOR NEW 2908 SF SFR Value of Plumbing /Gas Piping: Fees Collected: $401.00 City of Tukwila Plumbing Bathtub or combination bath/shower Bidet Clothes washer, domestic Dental unit, cuspidor Dishwasher, domestic, with independent drain Drinking fountain or water cooler (per head) Food -waste grinder, commercial Floor drain Shower, single head trap Lavatory Wash fountain Receptor, indirect waste Sinks Urinals Water Closet 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 PLUMBING /GAS PIPING PERMIT $0.00 Uniform Plumbing Code Edition: 2003 International Fuel Gas Code Edition: 2003 FIXTURE TYPE AND OUANTITY * *continued on next page ** Permit Number: Issue Date: Permit Expires On: Phone: Phone: 206 947 -0638 Phone: 425 -392 -4766 Expiration Date: 09/12/2007 Steven M Mullet, Mayor Steve Lancaster, Director PG07 -030 05/21/2007 11/17/2007 Plumbing (cont.) 2 Building sewer and each trailer park sewer 1 0 Rain water system - per drain (inside bldg) 0 1 Water heater and/or vent 1 0 Industrial waste treatment interceptor, including 1 its trap and vent, except for kitchen type 0 grease interceptors 0 0 Repair or alteration of water piping and/or water 0 treatment equipment 0 0 Repair or alteration of drainage or vent piping 0 4 Medical gas piping system serving (1 -5) 0 inlets /outlets for a specific gas 0 0 Medical gas piping (6 +) inlets /outlets 0 2 Gas Piping 0 Gas piping outlets (0-5) 5 3 Gas piping outlets (6 +) 0 doc: UPC-10 /06 PG07 -030 Printed: 05-21 -2007 Permit Center Authorized Signature I hereby certify that I have read and governing this work will be complie Signature: Print Name: 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 74W 477j2s&/) Permit Number: Issue Date: Permit Expires On: Steven M Mullet, Mayor Steve Lancaster, Director PG07 -030 05/21/2007 11/17/2007 Date: 2-ld ed this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. The granting of this p 't does n • t • •- sume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the -e erork. I am authorized to sign and obtain this plumbing /gas piping permit. Date: Z 1^ 0- 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 suspended or abandoned for a period of 180 days from the last inspection. doc: UPC-10 /06 PG07 -030 Printed: 05-21 -2007 Parcel No.: 0042000095 Address: Suite No: Tenant: 4246 5 150 ST TUKW PEDERSON HOMES, LOT 1 1: ** *PLUMBING AND GAS PIPING * ** 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 CONDITIONS Permit Number: Status: Applied Date: Issue Date: PG07 -030 ISSUED 01/30/2007 05/21/2007 2: No changes shall be made to applicable plans and specifications unless prior approval is obtained from the Tukwila Building Division. 3: All permits, inspection records and applicable plans shall be maintained at the job and available to the plumbing inspector. 4: All plumbing and gas piping systems shall be installed in compliance with the Uniform Plumbing Code and the Fuel Gas Code. S: No portion of any plumbing system or gas piping shall be concealed until inspected and approved. 6: All plumbing and gas piping systems shall be tested and approved as required by the Plumbing Code and Fuel Gas Code. Tests shall be conducted in the presence of the Plumbing Inspector. It shall be the duty of the holder of the permit to make sure that the work will stand the test prescribed before giving notification that the work is ready for inspection. 7: No water, soil, or waste pipe shall be installed or permitted outside of a building or in an exterior wall unless, adequate provision is made to protect such pipe from freezing. All hot and cold water pipes installed outside the conditioned space shall be insulated to minimum R-3. 8: Plastic and copper piping running through framing members to within one (1) inch of the exposed framing shall be protected by steel nail plates not less than 18 guage. 9: Piping through concrete or masonry walls shall not be subject to any load from building construction. No plumbing piping shall be directly embedded in concrete or masonry. 10: All pipes penetrating floor /ceiling assemblies and fire- resistance rated walls or partitions shall be protected in accordance with the requirements of the building code. 11: Piping in the ground shall be laid on a firm bed for its entire length. Trenches shall be backfilled in thin layers to twelve inches above the top of the piping with clean earth, which shall not contain stones, boulders, cinderfill, frozen earth, or construction debris. 12: The issuance of a permit or approval of plans and specifications shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the Plumbing Code or Fuel Gas Code or any other ordinance of the jurisdiction. * *continued on next page ** doc: Cond -10/06 PG07 -030 Printed: 05-21 -2007 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila.wa.us I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provision of any other work or local laws regulating construction or the performance of work. Signature: Date: Z f--(3 v Print Name: l ie' doc: Cond -10/06 PG07 -030 Printed: 05-21 -2007 Llt r Vr 1 U1[W ILA Community Developn'pnt Department Public Works Deparbr Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us 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 ** sitiP King Co Assessor's Tax No.: 0 0 14 16b -Caet DCo ` kk 4� 1 Site Address: OM _50 l �o '� Suite Number: Floor: Tenant Name: New Tenant: ❑ .... Yes 0 ..No Property Owners Name: PAD 2..S 0N S G � � Mailing Address: y q5 ei Ayr so E -Mail Address: Contractor Registration Number: t:HITEC'I' OF REC PEpL` 0 s C'4 i-ssic WO/41 =5 rN C • Q:MApplieationdFmrtu- Appliationf On Line\3 -2006 - Permit Applieation.doe Revised: 9 -2006 bit PLDwp 4413D II, plates m be wet stamped br Contact Person: W ENO - Kg et) 140(0 M I Oc City Es/ to State bp Day Telephone:ZO6 9 7 —O &38 Name: G- Mailing Address: , IS q Z5 A)* 5 - 7/ K (N i4- q � State Zip City . Fax Number: ?.! - Z ej?'k GENERAL CONTRACTOR INFORMATION (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg -1 Company Name: Mailing Address: / y L K 1 2 AVE S S� • . % � A . q V City State bp N� - O 63 g Contact Person: / L�� � %7,j �� 5 � 2UC - Day Telephone: y' E -Mail Address: Fax Number: '24* - 714 1 - 4'35'7 Expiration Date: 3 " 2 - 200 Arch €test 0 Company Name: (Z G 14. i T-GT s ij OCT K t( Mailing Address: ! kg/ S ! `f 2 400 Jt( /Jain NO' Ile_ AM- qR d 7 2 City State Zip Contact Person: Day Telephone: 1 /2S . 4 1 - LI C I t D E -Mail Address: Ili kItU c 4-0-C ti Mao N W . CO N& Fax Number: 4 4 SI 4,5 5 , ENGINE It OF, RECORD - All plans must be wet stamped by Engmr c Company Name: f E1) ar /.' e3 G l ArT g Mailing Address: 8Sit 2X2- Sr Sw f7 Wt. 01.)b S t IAA (I. Stoz( City State Zip Day Telephone: '425 -11 g - Z q. 3 E -Mail Address: Fax Number: 411 — /1s Z 47 7 Page 1 of 6 S 'A.,s�„�,j ,ro .,4' S.z%' �' 2a' °w -: r r' Yi+ ,f '. x auk(,,�,.T ' � `rt3' ? y/ ' , . ✓l .. �,`'k� 'y�' FS' S, �� 7 � k Flo tru_ ttacheG W (egg s R � Valuation of Project (contractor's bid pric ,$ Z 00 .00C)_ E" Existing piing Valuation: $ Scope of Work (please provide detailed information): Neu-, 5( Il i c;.L Will there be new rack storage? ❑.. Yes .t.“.. y gam. o If yes, a separate permit and plan submittal will be required. 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 ©--- No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑ Sprinklers ❑ Automatic Fire Alarm IF( None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes J 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: ApplicationsWonns- Applications On Line\3 -2006 - Permit Appliation.doc Revised: 9 -2006 bb Page 2 of 6 Sewer District ❑ ...Tukwila ❑ :..Sewer Use Certificate ♦ y vav�47 "1;iJl�}rjl 1 Scope of Work (please provide detaild,.,,.formation): tease refer to Public Works Bulletin : " #1" for fees and estimate sheet. Water District ❑ ...Tukwila Water District #125 ❑ ...Water 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) ❑ .. Geotechnical Report ❑ ...Bond 0 .. Insurance 0 .. Easement(s) . ❑ .. Maintenance Agreement(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 Cut D ...Total Fill ❑ ...Sanitary Side Sewer ❑ ...Cap or Remove Utilities ❑':..Frontage Improvements ❑ ...Traffic Control ❑ ...Backflow Prevention - Fire Protection _ Irrigation Domestic Water ValVue ❑ .. Renton ...Sewer Availability Provided cubic yards cubic yards ❑ ...Permanent Water Meter Size... ❑ ...Temporary Water Meter Size.. ❑ ...Water Only Meter Size ❑ ...Sewer Main Extension Public ❑ ...Water Main Extension Public 11 \ .P.xu .1 I'J4 4 — _QUO - x}33 -V.1 „ ❑ .. Abandon Septic Tank ❑ .. Curb Cut ❑ .. Pavement Cut ❑ .. Looped Fire Line Call before you Dig: 1 800 - 424 - 5555 WO # WO # WO# Private Private ❑ .. Highline ❑ ...Renton ❑ ...Seattle ❑ .. Right -of -way Use - Profit for less than 72 hours ❑ .. Right -of -way Use - Potential Disturbance ❑ .. Work in Flood Zone ❑ .. Storm Drainage ❑ .. Grease Interceptor ❑ .. Channelization ❑ :. Trench Excavation ❑ .. Utility Undergrounding ❑...Deduct Water Meter Size y> ❑ ...Traffic Impact Analysis ❑...Hold Harmless - (SAO) ❑...Hold Harmless - (ROW) FINANCE INFORMATION Fire Line Size at Property Line ❑ ...Water ❑ ...Sewer Monthly Service Billing to: Name: Mailing Address: Water Meter Refund/Billing: Name: Mailing Address: Number of Public Fire Hydrant(s) ❑ ...Sewage Treatment Day Telephone: City State Tap Day Telephone: City State Zip Q:MAppliesiionsWorms- Applications On LineU -2006 - permit Appliestion.doo Reviud: 9-2006 bh Page 3 of 6 'Unit TypeUn Qtyry t T e., ' ..... ; YP . ; : ; ....6 Qty Umt?ype Qh' _ Baile+G4nnpr±essa Fumace<100K BTU l Air Handling Unit >10,000 CFM Fire Damper 0 -3 HP /100,000 BTU Fumace>100K BTU Evaporator Cooler Diffuser 3 -15 HP /500,000 BTU Floor Furnace Ventilation Fan Connected to Single Duct Thermostat 15 -30 HP /1,000,000 BTU Suspended/Wall/Floor Mounted Heater Ventilation System Wood/Gas Stove 30 -50 HP /1,750,000 BTU Appliance Vent Hood and Duct Emergency Generator 50+ HP /1,750,000 BTU Repair or Addition to Heat/Refrig/Cooling System Incinerator - Domestic Other Mechanical Equipment Air Handling Unit <10,000 CFM Incinerator — Comm/Ind MECHANICAL CONTRACTOR INFTION G tt b 1 c e Itt ) i 1 3 D 12 z c 4 f%-v C � 01-cirnvt A- , wA Ci ty ' State Tap Contact Person: Se Day Telephone: 25a • S 31 — $ 3 S- E-Mail Address: Fax Number: 2.S 3 • 6'31 - 32 3 I Contractor Registration Number:C. P 'i4 -7', -i / 1) (p & P — Expiration Date: Q -3D " zoo Company Name: Mailing Address: Valuation of Mechanical work (contractor's bid price): $) Scope of Work (please provide detailed information): f , \4(- X' 2ellYS 4 7c Use: Residential: New ..:. Replacement .... Commercial: New .... 0 Replacement .... ❑ Fuel Type: Electric f Gas ..., Other: Indicate type of mechanical work being installed and the quantity below: Q:Nppliations\Forms-Applications On Linen -2006 - Permit Application.doc Revised: 9 -2006 bh Page 4 of 6 t 1111P, V F► Q:\AppliationstForms- Applications On Linet3 -2006 - Permit Appliation.doe Revised: 9 - 2006 bh ltl u grata ■tra:a a sic vlu ara ;vas t•s! --�,• PLUMBING AND GAS PIPING C O N'& TOR INFORMATION Company Name: ftT; r 7V lt` ' (LA4 L' ,l►11, Mailing Address: Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: State Zip city 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 Intl Building Code): Occupancy (per Intl Building Code): Utility Purveyor: Water: t Z S Sewer: a Page 5 of 6 I Exture Type .. , . Fixture Type« ',Qty ;,Fftare Type: , : , . .. : . .Qty : , Fixture Type : ,' „ Gas piping outlets Bathtub or combination bath/shower C • Drinking fountain or water cooler (per head) Wash fountain Bidet Food -waste grinder, commercial Receptor, ind waste Clothes washer, domestic I Floor drain Sinks (41 Dental unit, cuspidor Shower, single head trap Urinals Dishwasher, domestic, . with independent drain ' Lavatory Water Closet . 3 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 1111P, V F► Q:\AppliationstForms- Applications On Linet3 -2006 - Permit Appliation.doe Revised: 9 - 2006 bh ltl u grata ■tra:a a sic vlu ara ;vas t•s! --�,• PLUMBING AND GAS PIPING C O N'& TOR INFORMATION Company Name: ftT; r 7V lt` ' (LA4 L' ,l►11, Mailing Address: Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: State Zip city 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 Intl Building Code): Occupancy (per Intl Building Code): Utility Purveyor: Water: t Z S Sewer: a Page 5 of 6 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 — Applit:ations 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: RIZED AGENT: Print Name: A7) Mailing Address: Z71 4 g- virov, Date: ! t Day Te�lep re' 0 ' 5 tUe aces Lk, 4 ��' i City State Zip I Date Application Accepted: a1 I f l irk Date Application Expires: Staff Initials Q:\Applications\Forms- Applications On Line\3 -2006 - Permit Application.doc Revised: 9 -2006 bh Page 6 of 6 Doc: RECSEIS -O6 RECEIPT NO: R07 -00904 Initials: JEM User ID: 1165 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 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 -03d 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 - RES MECHANICAL - RES PLUMBING - RES PW LAND ALT PERMIT FEE PW PERMIT /INSPECTION FEE PW PLAN REVIEW STATE BUILDING SURCHARGE TRAFFIC MITIGATION FEES SET RECEIPT 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 Payment Date: 05/21/2007 Total Payment: 7,659.82 8446 05/21 9716 TOTAL 7659.€2 Doc: RECSETS -06 RECEIPT NO: R07 -00132 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../Iwww.ci.tukwila.wa.us Initials: JEM Payment Date: 01/30/2007 User ID: 1165 Payee: PEDERSON'S CLASSIC HOME, INC. SET ID: S000000672 SET NAME: PEDERSON, LOT 3 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 TRANSACTION LIST: Type Method Description SET RECEIPT Total Payment: 4,371.48 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 TWk 47 Proj t: i / - 7/,'rj■ 0 A 1 Type of Irtspection: , c//1/05 7"" 7`'<2//rt.6 Address: 4/2 1 /6 ,5 /-5 Date Called: Special Instructions: Date Wanted: IC Requester: Phone No: Fr2 - 6 4 5 1/ INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION g 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-36 Approved per applicable codes. El Corrections required prior to approval. COMMENTS: & //-77,t, Inspect rr *4- IDate: $58.00 REINSPECTION rEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. Receipt No.: 'Date: Projecn P/ ° 7cv /.5ef Type of Inspection: / v / -7 / /� / Cj 5 Addre vC S /� 6 `-<-71 Date Called: Special Instructions: Date Wan d: 2 774,° ` W: Reque ter: Phone No INSPECTION RECORD Retain a copy with permit of PERMIT NO. CITY OF TUKWILA BUILDING DIVISION '- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3 'p per applicable codes. El Corrections required prior to approval. COMMENTS: T" n rF �::t q / r: l Date: e-2-72 7 At, .00 REINSPECTION FEE R UIREO Prior to inspection, fee must b p be id at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. ipt No.: 'Date: Project; 1P 4i r — /- 7rvi 1 / Ty of Inspection* / a 2 ,� Ud,l1 ii- f Address: D ate Called: Special Instructions: Date Wanted , ,, , -V /1 o 7 p.m. Requester: Phone No: INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PGo PERMIT NO. (206)431 - COMMENTS: p proved per applicable codes. El Corrections required prior to approval. $58.00 REINSP ION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. 'Receipt No.: 'Date: '`11- t, - . �y _ --s •_ . J'.fi� Sr.z .''',..,;...... Project: / il---.7(.0,-.50A) 7-1 5 Type ofyispectiqn: , f----)te; /?- -- , ) Address: 4 /2- .5 / .5-/ Date Called: Special Instructions: Date Wanted: P.m. Requester: Phone No: f <=. P6o)-eso INSPECTION RECORD Retain a copy with permit INSPECTION NO. P RMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431- 6 13 .6proved per applicable codes. t El Corrections required prior to approval. COMMENTS: .00 REINS ECTION EEE REQUIRED Prior to inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. 'Receipt No.: IDate: 02 -12 -2008 TED PEDERSON 14459 25 AV S TUKWILA WA 98168 RE: Permit No. PG07 -030 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 Uniform Plumbing Code and/or International Fuel Gas 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 Plumbing and/or Gas Code does allow the Building Official to approve one extension of time for an additional period not exceeding 180 days. 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, Ter Marshall, Permit Technician xc: Permit File No. PG07 -030 City of Tukwila it 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: � G *' Bui in` Division Public Works Comments: PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG07 -030 DATE: 01 -30 -07 PROJECT NAME: PEDERSON'S CLASSIC HOMES, LOT 1 SITE ADDRESS: S 150 ST X Original Plan Submittal Response to Correction Letter # Response to Incomplete Letter # Revision # After Permit Issued Fire Prevention Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete 1 Incomplete Planning Division ❑ Permit Coordinator ❑ DUE DATE: 02 -01-07 Not Applicable ❑ Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES/THURS ROUTING: Please Route L' Structural Review Required REVIEWER'S INITIALS: APPROVALS OR CORRECTIONS: Approved ❑ Approved with Conditions Notation: REVIEWER'S INITIALS: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents/routing slip.doc 2 -28 -02 No further Review Required DATE: DATE: DUE DATE: 03-01 -07 Not Approved (attach comments) n License Information License MARATP *101OM Licensee Name MARATHON PLUMBING Licensee Type CONSTRUCTION CONTRACTOR UBI 601131166 Ind. Ins. Account Id #4 Business Type INDIVIDUAL Address 1 20901 SE 7TH Address 2 City REDMOND County KING State WA Zip 98053 Phone 4253924766 Status ACTIVE Specialty 1 PLUMBING Specialty 2 UNUSED Effective Date 9/14/1990 Expiration Date 9/12/2007 Suspend Date Separation Date Parent Company Previous License Next License Associated License Business Owner Information Name Role Effective Date Expiration Date GREEN, WILLIAM D OWNER 01/01/1980 Bond Amount Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date #4 AMERICAN STATES INS CO EX805125 08/21/2001 Until Cancelled $6,000.00 09/12/2001 AMERICAN Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 3 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= MARATP* 101 OM 05/21/2007