HomeMy WebLinkAboutPermit PG07-039 - HOLLOWAY RESIDENCE - LOT 2HOLLOWAY RESIDENCE
11856 44 AV S
PGO7-.039
Parcel No.: 3347401029
Address:
Suite No:
11856 44 AV S TUKW
City of Tukwila
Tenant:
Name: HOLLOWAY RESIDENCE, LOT 2
Address: 11856 44 AV S , TUKWILA WA
Owner:
Name: HOLLOWAY DAWNA
Address: 134 S BRANDON ST , SEATTLE WA
Contact Person:
Name: DAWNA HOLLOWAY
Address: 134 S BRANDON ST , SEATTLE WA
Contractor:
Name: BABY CONSTRUCTION INC
Address: 134 S BRANDON ST , SEATTLE WA
Contractor License No: BABYCI *011RH
Value of Plumbing /Gas Piping:
Fees Collected:
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
DESCRIPTION OF WORK:
PLUMBING AND GAS PIPING FOR NEW 1537 SF SFR
REVISION #1: ADD ADDITIONAL GAS PIPING OUTLET (TOTAL OF 3)
$8,000.00
$421.50
PLUMBING /GAS PIPING PERMIT
* *continued on next page **
Uniform Plumbing Code Edition: 2003
International Fuel Gas Code Edition: 2003
FIXTURE TYPE AND QUANTITY
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 206 851 -3322
Phone: 206 762 -3322
Expiration Date: 02/19/2008
Steven M Mullet, Mayor
Steve Lancaster, Director
PG07 -039
05/09/2007
05/12/2009
Plumbing (cont.)
2 Building sewer and each trailer park sewer 1
O 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
1 Repair or alteration of water piping and/or water
0 treatment equipment 0
0 Repair or alteration of drainage or vent piping 0
2 Medical gas piping system serving (1 -5)
0 inlets /outlets for a specific gas 0
O Medical gas piping (6 +) inlets /outlets
1 Gas Piping
O Gas piping outlets (0-5) 3
2 Gas piping outlets (6 +) 0
0
doc: UPC-10 /06 PG07 -039 Printed: 11 -24 -2008
Permit Center Authorized Signature: /
I hereby certify that I have read an
governing this work will be compli
The grantin
constructio
Si
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
.6f this
or the pe
Print Name.
t does not p
ce of wor
ed this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
e to give authority to violate or cancel the provisions of any other state or local laws regulating
am authoriz • • , and obtain this plumbing /gas piping permit. 11
Date: l) Z9r'O
1
Permit Number: PG07 -039
Issue Date: 05/09/2007
Permit Expires On: 05/12/2009
Steven M Mullet, Mayor
Steve Lancaster, Director
Date: 14
This permit shall become null and void if the work is not commenced within 180 d #ys 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 -039 Printed: 11 -24 -2008
Parcel No.: 3347401029
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
11856 44 AV S TUKW
Value of Plumbing /Gas Piping:
Fees Collected:
doc: UPC-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
HOLLOWAY RESIDENCE, LOT 2
11856 44 AV S , TUKWILA WA
HOLLOWAY DAWNA
134 S BRANDON ST , SEATTLE WA
DAWNA HOLLOWAY
134 S BRANDON ST , SEATTLE WA
Contractor:
Name: BABY CONSTRUCTION INC
Address: 134 S BRANDON ST , SEATTLE WA
Contractor License No: BABYCI *011RH
DESCRIPTION OF WORK:
PLUMBING AND GAS PIPING FOR NEW 1537 SF SFR
$8,000.00
$363.50
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
PLUMBING /GAS PIPING PERMIT
FIXTURE TYPE AND OUANTITY
* *continued on next page **
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 206 851 -3322
Phone: 206 762 -3322
Expiration Date: 02/19/2008
Steven M Mullet, Mayor
Steve Lancaster, Director
PG07 -039
05/09/2007
11/05/2007
Uniform Plumbing Code Edition: 2003
International Fuel Gas Code Edition: 2003
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
1 Repair or alteration of water piping and/or water
0 treatment equipment 0
0 Repair or alteration of drainage or vent piping 0
2 Medical gas piping system serving (1 -5)
0 inlets /outlets for a specific gas 0
0 Medical gas piping (6 +) inlets /outlets 0
1 Gas Piping
0 Gas piping outlets (0 -5) 2
2 Gas piping outlets (6 +) 0
PG07 -039 Printed: 05-09 -2007
Permit Center Authorized Signature
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 and es • ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complie • , 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
construction or the • erformance of work. I am : • • • - • _ ' •, and obtain this plumbing /gas piping permit.
Signature:
Permit Number: PG07 -039
Issue Date: 05/09/2007
Permit Expires On: 11/05/2007
Steven M Mullet, Mayor
Steve Lancaster, Director
Date: O E4 l 1
Date:
Print Name:
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 -039 Printed: 05-09 -2007
Parcel No.: 3347401029
Address:
Suite No:
Tenant:
11856 44 AV S TUKW
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
HOLLOWAY RESIDENCE, LOT 2
1: ** *PLUMBING AND GAS PIPING * **
PERMIT CONDITIONS
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.
5: 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 bacldilled 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 **
Permit Number:
Status:
Applied Date:
Issue Date:
PG07 -039
ISSUED
02/06/2007
05/09/2007
doc: Cond -10/06 PG07 -039 Printed: 05 - 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:
Print Name:
doc: Cond -10/06
Date: 511 °�
PG07 -039 Printed: 05-09 -2007
Site Address: / f & 570
Tenant Name:
Property Owners Name:
Mailing Address:
Name:
Mailing Address:
E -Mail Address:
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Mailing Address:
CITY OF TUKWh!,
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
hap. //w ww.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 **
P4WWA 1-4 Le) V
DAuit A tit lt o W(1
1 tendon sk
B& ( Co" st u -i
134 S t mar. d on Sk
l rian C3ec -k.
Ni}
Contractor Registration Number: Z. O CA
Company Name: O PA L S D (a N 114 r.
Contact Person: PfI el A 131-1
E -Mail Address: •Ta..ACAlk Ol?,Ps>A(- _ t�
Company Name: C.)17 t T I COM rAN
Mailing Address: 7 I 4.L. Ave.
Contact Person: t >Ft4t Corn s t
E -Mail Address: C GC @ C.OD(4Pt t
Q:tApplications \forms - Applications On Line\3 -2006 - Permit Application.doc
Revised: 9 -2006
bh
Building Permit
Mechanical Permit,No {'
Plumbing/Gas Permit No.
Public Works Permit No:
Project No.
King Co Assessor's Tax No.: 33i "7 4 ck 0 30
Suite Number: Floor:
New Tenant: ❑ Yes El ..No
City
Ce v SI)LT(N(o
City
State
Zip
CONTACT PERSON — who dove contact when your permit is ready to be issued
Day Telephone: 20 (o g 51 3312.
Se oct--t-1 e t `3 l o r
State Zip
cit
claw nct.. ttotJto to eotenCaS4. €tFaxNumber: Zola -- /lo 2. 3372.
GENERAL CONTRACTOR INFORMATION
(Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5))
Sea+\ wA 9 g t o 8'
City State Zip
Day Telephone: 20 (o 8 $' 1 3323
Fax Number: Zoto 7(e' 2 33 ZZ
Expiration Date:
ARCHITECT OF RECORD — Alf plans must be wet stamped by Architect of Record
«s
City
Day Telephone: ZO(o — 6Z-lf - 153121:i
Fax Number: 2-0 G, - 6 4 - 8 4 Z9_
State
p
ENGINEER OF RECORD —All plans must be wet stamped by Engineer of Record
4I WKA1a'P kNA 9 tO33
State Zip
Day Telephone: 425 - $ZZ - 7 09
Fax Number:
Page 1 of 6
$111
DING PERMIT INFORr TION — 2O6 -431
Valuation of Project (contractor's bid price): $ Existing Building Valuation: $
Scope of Work (please provide detailed information):
Will there be new rack storage? ❑ Yes
Number of Parking Stalls Provided: Standard: 2 Compact:
Q:\Applications\Forms- Applications On Line\3 -2006 - Permit Application.doc
Revised 9 -2006
bh
•
L *
St
D. No If yes, a separate permit and plan submittal will be required.
rovide All Bulletin
Square Footage Selo
F
trd
F.
oor
Isen
taC
arage
etached C
:Detached
Covered
'vi
d Deck
153"
Vh
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.
Handicap:
Will there be a change in use? ❑ Yes ❑ No If "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑ Sprinklers ❑ Automatic Fire Alarm ❑ None Other (specify) VU I
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 Safrf 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
PUBLIC WORKS PERMIT lit.wORMATION- 206 - 433 -0178
Scope of Work (please provide detailed information):
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
Water District
... Tukwila ❑...Water District #125
❑ ...Water Availability Provided
Sewer District
a...Tukwila
❑ ...Sewer Use Certificate
❑ ...Permanent Water Meter Size...
❑ ...Temporary Water Meter Size..
❑ ...Water Only Meter Size
❑ ...Sewer Main Extension Public
❑ ...Water Main Extension Public
❑... ValVue
❑ ...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 ❑ .. 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 Cut cubic yards
❑...Total Fill cubic yards
❑...Sanitary Side Sewer
❑ ...Cap or Remove Utilities
❑ ...Frontage Improvements
❑ ...Traffic Control
❑ ...Backflow Prevention - Fire Protection
Irrigation
Domestic Water
„
,,
❑ .
❑ .
„
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
Zip
Day Telephone:
City
State
Zip
Q:1Applieations\Forms Applications On Linel3 - 2006 - Permit Application. doe
Revised: 9 -2006
bh
.. Abandon Septic Tank
.. Curb Cut
. Pavement Cut
. Looped Fire Line
„
Call before you Dig: 1400- 424 -5555
❑ .. Highline
❑ .. Renton
❑ .. Geotechnical Report
❑ .. Maintenance Agreement(s)
❑ .. Work in Flood Zone
❑ .. Storm Drainage
❑ .. Renton
❑ .. Seattle
❑ .. Right -of -way Use - Profit for less than 72 hours
❑ .. Right -of -way Use — Potential Disturbance
❑ ...Traffic Impact Analysis
❑ ...Hold Harmless — (SAO)
❑...Hold Harmless — (ROW)
❑ .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
WO #
WO #
WO # ❑...Deduct Water Meter Size
Private
Private
Page 3 of 6
Unit Type:
Qty
Unit Type:
Qty'
Unit Type:
ype:
Qty
Boiler /Compressor:
Qty
BTU
Air Handling Unit >10,000
CFM
v
Fire Damper
o
0 -3 HP /100,000 BTU
Furnace >100K BTU
Evaporator Cooler
v
Diffuser
0
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan Connected
to Single Duct
a
Thermostat
15 -30 HP /1,000,000 BTU
Suspended/Wall/Floor
Mounted Heater
Ventilation System
Wood/Gas Stove
a
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
a
Incinerator - Domestic
0
Other Mechanical
Equipment
Air Handling Unit
<10,000 CFM
Incinerator — Comm/1nd
a
: ECHAN PERMIT I N IMATION 2064 3136
MECHANICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
City State Zip
Day Telephone:
Fax Number:
Expiration Date:
Contact Person:
E -Mail Address:
Contractor Registration Number:
Valuation of Mechanical work (contractor's bid price): $
Scope of Work (please provide detailed information): re: t I E. (•r
Use: Residential: New .... Replacement .... ❑
Commercial: New .... ❑ Replacement .... ❑
Fuel Type: Electric ❑ Gas....[ Other:
Indicate type of mechanical work being installed and the quantity below:
Q:Upplications\Forms- Applications On Line 3 -2006 - Permit Application.doc
Revised: 9 -2006
bh
Page 4 of 6
t
Fixture Type:
Qty
' Fixture Type: `
Qty'
Fixture Type:
Qty
'Fixture Type:
Bathtub or combination
bath/shower
2
Drinking fountain or water
cooler (per head)
o
Wash fountain
h
Gas piping outlets
I
Bidet
o
Food -waste grinder
commercial
8
Receptor, indirect
waste
o
Clothes washer, domestic
i
Floor drain
o
Sinks
3
Dental unit, cuspidor
o
Shower, single head trap
0
Urinals
o
Dishwasher, domestic,
with independent drain
Lavatory
-
Water Closet
o
Building sewer or trailer
park sewer
o
Rain water system — per
drain (inside building)
p ,
Water heater and/or
vent
Additional medical gas
inlets/outlets — six or more
0
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
6
Repair or alteration
of drainage or vent
piping
b
Medical gas piping system
serving one to five
inlets /outlets for specific gas
a
PLUMBING AND GAS PIP PERNIIT INFORMATION - 206 -43
PLUMBING AND GAS PIPING CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Valuation of Plumbing work (contractor's bid price): $ i 0 0 c d'
Valuation of Gas Piping work (contractor's bid price): $ 1 0 Q 0 2 2-
Scope of Work (please provide detailed information):
Q: lAppliationsWonns- Applications On Line\3.2006 - Permit Application.doc
Revised: 9 -2006
bh
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
Building Use (per Int'l Building Code):
Occupancy (per Int'l Building Code):
Utility Purveyor: Water: Sewer:
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
Page 5 of 6
PERMIT APPLICATION N
�plicable to all permits in this "a�
llcatitn
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 OWNER OR AUTHORIZED AGENT:
Signature: R IA,
Print Name: Oct A Rotto ti
Mailing Address: I S C2{ ii'. oc+ -
Q: \Applications\Forns- Applications On L inel3 -2006 - Permit Application.doe
Revised: 9 -2006
bh
Date: 21(0 /
Day Telephone: 206 S S( 3 3 Z Z
S ffl� ( iS
City
State
Zip
Date Application Accepted:
cnl occ (A-
Date Application Expires: 01 t °-
Staff Initials:
J
Page 6 of 6
RECEIPT NO: R08 -03817
Initials: JEM
Payment Date: 11/24/2008
User ID: 1165 Total Payment: 116.00
Payee: DAWNA HOLLOWAY
SET ID: 1124 SET NAME: HOLLOWAY RES
SET TRANSACTIONS:
Set Member
M07 -025
PG07 -039
TOTAL:
TRANSACTION LIST:
Type Method Description Amount
Payment Check 1150 116.00
TOTAL: 116.00
ACCOUNT ITEM LIST:
Description
GAS - RES
MECHANICAL - RES
City of Tukwila,
Department of Community Developm en t
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 -431 -3665
Web site: httn: //www.ci.tukwila.wn.us
Amount
58.00
58.00
58.00
SET RECEIPT
Account Code Current Pmts
000/322.100 58.00
000/322.100 58.00
TOTAL: 116.00
9920 11/25 9707 TOTAL 116.00
r�..... nonoemc r
RECEIPT NO: R07 -00780
Payee: BRIAN A. BECK
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: 05/09/2007
User ID: 1165
SET ID: 0509 SET NAME: HOLLOWAY
D07 -041 8,575.68
D07 -042 8,596.50
M07 -025 175.56
M07 -026 175.56
PG07 -039 302.00
PG07 -040 302.00
TOTAL: 18,127.30
TRANSACTION LIST:
Type Method Description
Payment Check 105
BUILDING - RES
CASCADE WATER ALLIANCE
GAS - RES
MECHANICAL - RES
PLAN CHECK - RES
PLAN CHECK - WATER METER
PLUMBING - RES
PW LAND ALT PERMIT FEE
PW PERMIT /INSPECTION FEE
PW PLAN REVIEW
STATE BUILDING SURCHARGE
SET RECEIPT
TOTAL:
000/322.100
401/386.550
000/322.100
000/322.100
000/345.830
000/345.830
000/322.100
000/342.400
000/342.400
000/345.830
000/386.904
Total Payment: 18,127.30
Amount
18,127.30
18,127.30
Account Code Current Pmts
3,220.42
10,594.00
176.00
351.12
10.00
20.00
418.00
47.00
75.00
-1.00
9.00
8000 05/09 9716 TOTAL 18127.30
Doc: RECSETS -06
RECEIPT NO: R07 -00174
Initials: JEM
User ID: 1165
Payee: DAWNA HOLLOWAY
City tom' 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
SET ID: S000000686 SET NAME: HOLLOWAY
SET TRANSACTIONS:
Set Member Amount
D07 -041 1,327.87
D07 -042 1,341.40
M07 -025 36.39
M07 -026 36.39
PG07 -039 ! 61.50
PG07 -040 61.50
TOTAL: 2,865.05
TRANSACTION LIST:
Type Method Description Amount
Payment Check 3016
ACCOUNT ITEM LIST:
Description
PLAN CHECK - RES
PW BASE APPLICATION FEE
PW PLAN REVIEW
SET RECEIPT
TOTAL:
Payment Date: 02/06/2007
Total Payment: 2,865.05
2,865.05
2,865.05
Account Code Current Pmts
000/345.830 2,289.05
000/322.100 500.00
000/345.830 76.00
TOTAL: 2,865.05
)2/07 - 216 TGTAL
Project:
/ / /oGc-il-G wis'.
Type of Inspection:
/ Ci iv •? / r72"41 9
1
J
A// / y / q 4a
Date Called �� J K
Special Instructions:
Date Want d:
g_ 0
p .m.
Requester:
Phone No:
a 66-05/ - ?3Z2
COMMENTS:
0
/►
F
A (so
, ,7 ---
.` 64.1
—0;c-
Inspect
0,1/4,1Q
Date:
G, vq
INSPECTION RECORD
Retain a copy with permit
2 a7 63�'
INSPECTION NO. PEMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3
El
Approved per applicable codes. 0 Corrections required prior to approval.
El $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
'Receipt No.:
IDate:
Proj t:
1�J ,Pj
CJ� c�
o
Typ ( o U e1 f Inspe tion: ,� ?L M LC ,
Address: �
1IfC � — A
Sa
Date Calledt
.-.
Special Instructions:
Date Wanted: ' a�
��'(�'� p.m.
Requester:
Phon�No , Y51 _ 332i
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -367
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
�� �a►�yl� . 1 / (oes
e kikkif —4 immAci
1 lnsp-ctor:
-v
El $6 0 REINSPECTION FE EQUIREIS. Prior to inspection, fee must be
pa' at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
'Receipt No.:
'Date:
Proje t:
i
r
Typ . of Inspection: / J
�/_/�/ / ,
Address:
Date Calle•:
Special Instructions:
Date Wanted .
p.m.
Requeste�r�:
Phone N� °: 3.57J$/ 3
INSPECTION RECORD
Retain a copy with permit f
INSPECTION NO. PERMIT 0.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA, 98188 (206)431 -3670
Approved per applicable codes. Ej Corrections required prior to approval.
OMMENTS:
•
444 1 74
/u.
Date cl�
J �-
.00 REINSPECTION EE REQ Prior to inspection. fee must be
d at 6300 Southcente Blvd.. Suite 100. Call the schedule reinspection.
Receipt No.: 'Date:
-�
04 -02 -2009
DAWNA HOLLOWAY
134 S BRANDON ST
SEATTLE WA 98108
RE: Permit No. PG07 -039
11856 44 AV S 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 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 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 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 writint 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 05/12/2009 , 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,
'`
Bill Rambo
Permit Technician
xc: Permit File No. PG07 -039
City of Tukwila
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
September 15, 2008
Dawna Holloway
134 S Brandon St
Seattle WA 98108
RE: Request for Extension13
Mechanical Permit No. M07 -025
Plumbing Permit No. PG07 -039 t
Holloway Residence —11856 44 Av S
Dear Ms. Holloway,
This letter is in response to your written request for an extension to Permit Nos. M07 -025 and
PG07 -039. The Acting Building Official has reviewed your letter and considered your request to
extend the above referenced permits. The City of Tukwila Building Division will be extending
your permits an additional 180 days from the date of expiration (through March 17, 2009) as
requested.
If you should have any questions, please contact our office at (206) 431 -3670.
Sincerely,
)em
fifer Marshall
it Technician
City of Tukwila
Department of Community Development Jack Pace, Director
File: Permit No. M07 -025 & PG07 -039
P:1Permit CenteriExtension Letters\Perrnits\2007%407 -025 Permit Extension #3.doc
Page 1 of 1
Jim Haggerton, Mayor
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
Jennifer Marshall
Jennifer Marshall - letter to tukwila about permit extension PG07- 039 -2.doc
From: "Eastbay Sculpture & Lighting Inc"
To: "'Jennifer Marshall '
Date: 09/11/2008 1:36 PM
Subject: letter to tukwila about permit extension PG07- 039 -2.doc
Jennifer Marshall
City of Tukwila
6300 Southcenter Blvd. suite 100
Tukwila \, WA 98188
RE: permit # PG07 -039 9/11/08
Dear Jennifer,
Hello.
ciNOFT ut
SEp t 1 1Y108
PERMIT CENTER
Page 1 of 1
I am writing to request an extension on the above mentioned permit, at 11856 44 ave. We are ready to
have the house inspected but need to have the water connected first, so it should be soon, but just in case
I am requesting an extension.
Any questions you know how to find me. 206.851.3322
Thanks, Dawna Holloway
4H1 cie "Ad
/se sai
0008
tee: 01I1
641
file: / /C:\ Documents %20and %20Settings \j ennifer -m\ Local %20Settings \Temp\XPGrpWis... 09/11/2008
07 -29 -2008
DAWNA HOLLOWAY
134 S BRANDON ST
SEATTLE WA 98108
RE: Permit No. PG07 -039
11856 44 AV S 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 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 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 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 writine 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 09/19/2008 , 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,
xc:
fer Marshall,
it Technician
Permit File No. PG07 -039
City of Tukwila 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
March 11, 2008
Dawna Holloway
134 S Brandon Street
Seattle WA 98108
RE: Request for Extension
Development Permit No. D07 -041
Mechanical Permit No. M07 -025
Plumbing/Gas Piping Permit No. PG07 -039
Holloway Residence, Lot 2 —11856 44 Av S
Dear Ms. Holloway,
This letter is in response to your written request for an extension to Permit Nos. D07 -041, M07 -025, and
PG07 -039. The Building Official has reviewed your letter and considered your request to extend the
above referenced permit. The City of Tukwila Building Division will be extending the expiration date of
your permit an additional 180 days, through September 19, 2008.
If you should have any questions, please contact our office at (206) 431 -3670.
Sincerely,
ifer Marshall
it Technician
City of Tukwila
Department of Community Development Jack Pace, Director
File: Permit No. D07 -041, M07 -025, & PG07 -039
jem
PAPermit Centel Extension Letters\Pemuts\2007\D07 -041+ Permit Extension.doc
Page 1 of 1
Jim Haggerton, Mayor
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
Jennifer Marshall - extension request D07 -041
/f/1 °SbS^.[ »mow:1! '+ ".=:, t;'Yv !4."'k. F,..3;: S".:F,.K IF !IW.:.- C:;�:d:5:: .d.S �.,�•. r.., �Yv::T.
From: "D Holloway" <dawna.holloway @comcast.net>
To: "'Jennifer Marshall ' <jarshall @ci.tukwila.wa.us>
Date: 03/05/2008 10:00 AM
Subject: extension request D07 -041
Jennifer Marshall
City of Tukwila „(/
6300 Southcenter Blvd. suite 100 IiTT''
Tukwila \, WA 98188 Qj
RE: permit # D07 -041 Q v
3/5/08
Dear Jennifer,
Thanks, Dawna Holloway
Dawna Holloway
Eastbay Sculpture & Lighting Inc
206.851.3322
RE ...,
City OF iL
MAR 052008
PERMIT CENTER
Page 1of1
I am writing to request an extension on the above mentioned permit, at 11858 44 ave S.
We plan to finish the first house in a few weeks and start on the other house directly after.
Any questions you know how to find me. 206.851.3322
,4074i / eo dt v
5
6Ao pOcizi,
mit°1,16%
file: / /C:\ Documents %20and %20Settings \j ennifer -m\ Local %20Settings \Temp\XPGrpWis... 03/05/2008
01 -08 -2008
DAWNA HOLLOWAY
134 S BRANDON ST
SEATTLE WA 98108
RE: Permit No. PG07 -039
11856 44 AV S 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 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 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 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 02/17/2008 , 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,
er Marshall,
Permit Technician
xc: Permit File No. PG07 -039
City of Tukwila
Department of Community Development Jack Pace, Director
Jim Haggerton, Mayor
ACTIVITY NUMBER: PG07 -039 DATE: 02 - -
PROJECT NAME: HOLLOWAY RESIDENCE, LOT 2
SITE ADDRESS: 118XX 44 AV S
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter # Revision # After Permit Issued
DEPARTMENTS:
Bui di ' g D iA_100 ion
Publi��(V�orks
PERMIT COORDCOPY -
PLAN REVIEW /ROUTING SLIP
Fire Prevention
Structural
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete 1i Incomplete ❑
Comments:
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
Approved 0
Notation:
Documents/routing slip.doc
2 -28 -02
REVIEWER'S INITIALS:
APPROVALS OR CORRECTIONS:
REVIEWER'S INITIALS:
Structural Review Required
Approved with Conditions
❑ Permit Coordinator
DUE DATE: 02-08-07
Not Applicable ❑
No further Review Required
DATE:
DUE DATE: 03-08-07
Not Approved (attach comments) ❑
DATE:
Planning Division
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
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
Created: 8 -13 -2004
Revised:
±N,►h, Rte
N`
Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through
the mail, fax etc.
Date: 1 i /2- if /o
❑ Response to Incomplete Letter #
❑ Response to Correction Letter #
Revision # after Permit is Issued
❑ Revision requested by a City Building Inspector or Plans Examiner
Plan Check/Permit Number:
Steven M Mullet, Mayor
Steve Lancaster, Director
m'of r
AECENEp
t1 KWI
NOV 24 2008
pERM,T CENTER
Project Name:
Project Address: I t i(5 5 ( y N -jf° S
Contact Person: Phone Number: aob 1 •cs72.
Summary of Revision:
Wo1ld L4ZQ. - aidA
so w tc_ci5 O ff€
s - (lace_
kou s-e
Sheet Number(s):
"Cloud" or highlight all areas of revision including date of revision
Received at the City of Tukwila Permit Center by:
116 Entered in Permits Plus on I I I l-M Ian
lappplications\forms- applications on line\revisioa submittal
License Information
License
BABYCI *011RH
Licensee Name
BABY CONSTRUCTION INC
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
601993211
Ind. Ins. Account Id
#3
Business Type
CORPORATION
Address 1
134 S BRANDON ST
Address 2
City
SEATTLE
County
KING
State
WA
Zip
98108
Phone
2067623322
Status
ACTIVE
Specialty 1
GENERAL
Specialty 2
UNUSED
Effective Date
12/8/1999
Expiration Date
2/19 /2008
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
Business Owner Information
Name
Role
Effective Date
Expiration Date
BECK, BRIAN A
Cancel
Date
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
#3
CBIC
SE8079
02/01/2003
Until
Cancelled
$12,000.00
01/27/2003
#2
RLI INS
CO
SRS1003479
11/30/2001
Until
Cancelled
02/26/2003
$12,000.00
01/29/2003
Look Up a Contractor, Electric 'n 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= BABYCI *011RH 05/09/2007