HomeMy WebLinkAboutPermit PG07-116 - REHABITAT NORTHWEST - LOT 5REHABITAT NW -LOT 5
3203 S 132 LN
PGO7-1 16
Parcel No.:
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
doc: UPC /06
1523049309
3203 5 132 LN TUKW
DESCRIPTION OF WORK:
PLUMBING FOR NEW 2744 SF SFR
Value of Plumbing /Gas Piping:
Fees Collected:
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
REHABITAT NORTHWEST - LOT 5
3203 S 132 LN , TUKWILA WA
REHABITAT NORTHWEST
3601 WEST MARGINAL WY S , TUKWILA WA
CHAD DETWILLER
3601 WEST MARGINAL WY SW , SEATTLE WA
Contractor:
Name: T & J PLUMBING /MECHANICAL
Address: 317 153 ST E , TACOMA WA
Contractor License No: TJPLUJP974MU
$13,000.00
$416.00
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 QUANTITY
* *continued on next page **
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 206 932 -7355
Phone: 253 535 -0176
Expiration Date: 07/31/2009
Uniform Plumbing Code Edition: 2003
International Fuel Gas Code Edition: 2003
Steven M Mullet, Mayor
Steve Lancaster, Director
PG07 -116
10/01/2007
03/29/2008
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 0
o 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
1 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 Pipin
0 Gas piping outlets (0 -5) 3
3 Gas piping outlets (6 +) 0
PG07 -116 Printed: 10 -01 -2007
Permit Center Authorized Signature:
Signature:
Print Name:
doc: UPC -10/06
�lac//�eViJ;/le�
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
(it
Permit Number: PG07 -116
Issue Date: 10/01/2007
Permit Expires On: 03/29/2008
Steven M Mullet, Mayor
Steve Lancaster, Director
Date:
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
construction or the perfonnSance of work. I am authorized to sign and obtain this plumbing /gas piping permit.
Date:
10 - N 0 7
> 0 /1/ 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.
PG07 -116 Printed: 10 -01 -2007
Parcel No.: 1523049309
Address:
Suite No:
Tenant:
1: ** *PLUMBING AND GAS PIPING * **
doc: Cond - 10/06
3203 S 132 LN 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
REHABITAT NORTHWEST - LOT 5
PERMIT CONDITIONS
* *continued on next page **
Permit Number:
Status:
Applied Date:
Issue Date:
PG07 -116
ISSUED
05/02/2007
10/01/2007
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.
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 bacicfilled 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.
PGO7 -116 Printed: 10 -01 -2007
Signature:
Print Name:
doc: Cond -10/06
7,exiiii
aAdAlltolig
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.
Date:
/o /i 7
PG07 -116 Printed: 10 -01 -2007
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
hrtp_; irui '11_. C1.111I rile r i 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 **
SITE LOCATION
Site Address: c- .44,04- ktf.t OA $g(II
Tenant Name: Pefot Ntil Laa!" ('i ,
t",kt'. d ' to 1V- t .. at; -
Property Owners Name: �; +..; � , EL a
�� t t ' t'� _.
Mailing Address: Z e) C i*e). :, e •'A a / l., ; .,
Name: f� (/ Lid )� f/e r'
Mailing Address: �r '•'•f i:• /�'+
E -Mail Address: _4 +
Company Name: � , <i.kt < , �e�l � Gt( . t.lt" : .� i�,1c
Mailing Address: '
_ ;el 4 )4t r t&
L.t1,11 149ere r~ 4:3A -1
, r" w s
Contact Person: w8" r 5 f �C r - "
t 11 ff
E -Mail Address: ' ;,l i r1�n''Ahq,t l� tr,f.:T e. rn�
Contractor Registration Number: O . i 1 l` e o , 7 '/.. K 2..
Contact Person:
E -Mail Address:
Company Name: (1.)74 dJ t I a 5 t,t,1( i r;
Mailing Address: 1 16t -t 1 t e. f
Contact Person: �iN Wa 1a -
E -Mail Address: last me Lc A.) 2r)bl t ' ; , f rt. et +,
Q:\Applications \Forms - Applications CR Line t3 -2ii(k Permit Application.doe
Revised: 9.2006
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Building Permit No. vu - ( l?
Mechanical Permit No. J,
Plumbing/Gas Permit No. 2 0 -
- i t
Public Works Permit No.
Project No. ' p01
(For office use only)
King Co Assessor's Tax No.: ISZ
Suite Number: Floor:
New Tenant: ❑ Yes lt..No
City
City
CONTACT PERSON - who do we contact when your permit is ready to be issued
Day Telephone: (cl4) 1.3''4 "' 73 Sc
< `(
Fax Number: C
City
Day Telephone: C.
Fax Number:
Expiration Date: () e.
-'lot
State Zip
State Zip
GENERAL CONTRACTOR INFORMATION —
(Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5))
•
ft IL/
State Zip
ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record -.
Company Name: /Oil&
Mailing Address:
City
Day Telephone:
Fax Number:
ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record
City State Zip
Day Telephone: '4' S) HOB - ci Z. 7
Fax Number: C4LS WS$' / — 6
- r -
cgIe "° 7
State
Zip
Page 1 of 6
BUILDING PERMIT INFORMATION - 206 - 431 -3670
Valuation of Project (contractor's bid price): $ / 0
Scope of Work (please provide detailed information): ,76'
Will there be new rack storage? ❑ Yes
Q: \Applications \Fortes - Applications On Line \3 -2006 - Pemtit Applicalion.don
Revised: 9 -2006
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Existing Building Valuation: $
0 3P. No If yes, a separate permit and plan submittal will be required.
Provide All Building Areas in. Square Footage Below
P Floor
2 Floor
3rd Floor
Floors l thru
Basement
Accessory Structure*
Attached Garage
Detached Garage
Attached Carport
Detached Carport
Covered Deck
Uncovered Deck
Interior Remodel
Addition to
Existing
Structure
0
1 /
2 ,70
LICS
NIA
32,
C IA
Type of
Construction per
IBC
Type of
Occupancy per
IBC
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): a 18 S Floor area of principal dwelling: 413E 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: 2-- Compact: 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 IX 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.
Page 2 of 6
PUBLIC WORKS PERMIT INFORMATION - 206 -433 -0179
Scope of Work (please provide detailed information): E .-n J( rr ‘,:ft
SFi2. — . re:-tT', f. t t" ;4104,4 e0) +1,Jo_CfI A5 4
Sewer District
❑ — Tukwila
❑ ...Sewer Use Certificate
....Total Cut
NI ...Total Fill
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
Water District
❑ ...Tukwila K... Water District #125
❑ ...Water Availability Provided
4, ; tia`;Z) cubic yards
2_ 5 cubic yards
al Sanitary Side Sewer
...Cap or Remove Utilities
❑ ...Frontage Improvements
❑ ...Traffic Control
❑ ...Backflow Prevention - Fire Protection
Irrigation
Domestic Water
,...Permanent Water Meter Size... k nit "
❑ ...Temporary Water Meter Size ..
❑ ...Water Only Meter Size
❑ ...Sewer Main Extension Public
❑ ...Water Main Extension Public _
�... ValVue
0... 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) ❑ .. Geotechnical Report
❑ ...Bond ❑ .. Insurance ❑ .. 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 Z=
Non Right -of -way SC)
❑
❑ •
❑ -
❑
Q:UpplicationsWorms- Applications On Line13 -2006 - Permit Applicetion.doc
Revised: 9-2006
bh
. Abandon Septic Tank
. Curb Cut
. Pavement Cut
. Looped Fire Line
Call before you Dig: 1 800 - 424 - 5555
❑ .. Highline
❑ .. Renton
WO #
WO #
WO #
Private
Private
❑.. Work in Flood Zone
❑ .. Storm Drainage
E Yoci!JG4 r r
❑ .. 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
❑...Deduct Water Meter Size
ft
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
Page 3 of 6
Unit Type:
Qty
Unit Type:
Qty
Unit Type:
Qty
Boiler /Compressor:
Qty
Furnace <100K BTU
+
1
Air Handling Unit >10,000
CFM
Fire Damper
0 -3 HP /100,000 BTU
Furnace>100K BTU
Evaporator Cooler
Diffuser
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan Connected
to Single Duct
c'''
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
I
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 PERMIT INFORMATION -- 206 - 431 - 3670
MECHANICAL CONTRACTOR INFORMATION
Company Name: C. it i `'. A/C--
Mailing Address:
Contact Person: ' R rr
E -Mail Address:
Contractor Registration Number: 64S TL- 14 III C ts 14
Valuation of Mechanical work (contractor's bid price): $ l
Use: Residential: New ....at
Commercial: New .... ❑
Fuel Type:
Scope of Work (please provide detailed information): e... *, s j S . st° e•be. - - 1 " w?
Replacement .... ❑
Replacement .... ❑
0C)
Electric ❑ Gas Other:
Indicate type of mechanical work being installed and the quantity below:
Q:\Applications \Fortes- Applications On Line\3 -2006 - Permit Application.doc
Revised: 9 -2006
bh
City State Zip
Day Telephone: ( o) 'ii 7 -s G 2,
Fax Number: e is v71- 7 31.3
Expiration Date: 2 /3/''
Page 4 of 6
Fixture T t e:
Bathtub or combination
bath/shower
_ �L
Fixture Type:
Qty
Fixture Type:
Qty
Fixture Type:
Qty
Drinking fountain or water
cooler (per head)
Wash fountain
Gas piping outlets
Bidet
Food -waste grinder,
commercial
Receptor, indirect
waste
Clothes washer, domestic
(
Floor drain
Sinks
Dental unit, cus 8 idor
Shower, sin • le head trap
Urinals
Dishwasher, domestic,
with independent drain
Lavatory
Water Closet
Building sewer or trailer
park sewer
Rain 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
lb
PLUMBING AND GAS PIPING PERMIT INFORMATION — 206 -431- 3670
PLUMBING AND GAS PIPING CONTRACTOR INFORMATION
Company Name: 1� " � :<E.tnn .+ tto r /titre 114 /./ C t
Mailing Address: 3)7 Kg '""` S.rer :4 E
State Zip
Contact Person: "1: =,tbt , Day Telephone: (2 6v‘ k.0 90
E -Mail Address: Fax Number:
Contractor Registration Number: T5`Pl. `l r.! Ma Expiration Date: 1 '4 1 '1/0 7
Valuation of Plumbing work (contractor's bid price): $ >, = :'f"..•
Valuation of Gas Piping work (contractor's bid price): $ 31 000
Scope of Work (please provide detailed information): .7.37,41,k._ 6( mac_ tt k v . ; � A , F k •
Building Use (per Int'l Building Code): G1
Occupancy (per Int'l Building Code):
Utility Purveyor: Water: Ad. 1.43 2c
Q: \ApplicationsWorms-Applications On Line3-21116 - Permit Application.doc
Revised: 9-2006
bh
yaw« 114
City
Sewer: V .! f�
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
Page 5 of 6
Signature:
Print Name:
d/ 6AA,-
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.
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 v UTH ZED AGENT:
e
Mailing Address: 0/ dJ• 14e. i ,thf I kii;
Date Application Accepted: Date Application Expires: n10 01-
Oak
Q: \Applications \Forms - Applications On Line\3 -2IX6 - Permit Application. doe
Revised: 9-2006
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Date: % '7
Da Telephone: ) `7 z "`
City State Zip
Staff Initials:
Page 6 of 6
Doc: RECSETS -06
RECEIPT NO: R07 -00728
Initials: JEM
User ID: 1165
ACCOUNT ITEM LIST:
Description
SET TRANSACTIONS:
Set Member Amount
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: http: //www.ci.tukwila.wa.us
Payee: REHABITAT NORTHWEST, INC.
D07 -160 2,021.41
M07 -099 41.00
PG07 -116 44.50
TOTAL: 2,106.91
PLAN CHECK - RES
PW BASE APPLICATION FEE
PW PLAN REVIEW
SET RECEIPT
Payment Date: 05/02/2007
Total Payment: 2,106.91
SET ID: S000000743 SET NAME: Tmp set/Initialized Activities
TRANSACTION LIST:
Type Method Description Amount
Payment Check 1897 2,106.91
TOTAL: 2,106.91
Account Code Current Pmts
000/345.830 1,756.91
000/322.100 250.00
000/345.830 100.00
TOTAL: 2,106.91
7718 05/02 9716 TOTAL 2106.91
Parcel No.: 1523049309
Address: 3203 S 132 LN TUKW
Suite No:
Applicant: REHABITAT NORTHWEST - LOT 5
Receipt No.: R07 -02142
Initials: WER
User ID: 1655
Payee:
TRANSACTION LIST:
Type Method
doc: Receipt -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
REHABITAT NORTHWEST
Payment Check
GAS - RES
PLAN CHECK - RES
PLUMBING - RES
Description
2385
ACCOUNT ITEM LIST:
Description Account Code
000/322.100
000/345.830
000/322.100
RECEIPT
Permit Number:
Status:
Applied Date:
Issue Date:
Payment Amount: $371.50
Payment Date:
Balance:
Amount
371.50
Current Pmts
88.00
34.50
249.00
Total: $371.50
PG07 -116
ISSUED
05/02/2007
10/01/2007
10/01/2007 03:07 PM
$0.00
Printed: 10 -01 -2007
Pro' t
Type section:
Address:
3203,
Date Called:
Special Instructions:
Date Wanted:
a.m.
Requester:
Phone No:
INSPE ION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY • F TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3
µ-
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
,- /1 /" 7(4
Inspector
❑ s
8.
I Rece at No.:
Date:
- / - / - 4 '
REINSPECTION FEE RE i UIRED. Prior to inspection, fee must be
at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection.
'Date:
Pro'
J
Type of Ins ection.
Address:
x.3 c ' 3 s / L rJ
Date Called:
Special Instructions:
Date . V •
/ �
`
Vi
` p �
ster:
Requester:
Phone No:
/
- -3
INSPECTION RECORD
Retain a copy with permit
&If 7-/
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION e-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (20¢)431 -3
INSPECTION NO.
El Approved per applicable codes. X� Corrections required prior to approval.
COMMENTS:
7o J t w4 L /
Inspect [Date: / 7 J'
8.00 REINSPECTION FEE R QUIRE . Prior to inspection fee must be
aid at 6300 Southcenter Blvd Suit 100. Call the schedule reinspection.
'Date:
J R-ceipt No.:
Projecp,
Type of Wspection: , ,
6
Aess:
Date Called:
Special Instructions:
Date Wanted:
/2 - 4- / - 07
/
Requester:
Phone No:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3670
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
nspector:
414t#7
'Receipt No.: !Date:
P6a7--/t4
Dam_ 9
.00 REINSPECTION EE RE IRED. Prior to inspection, fee must be
id at 6300 Southcenter Blvd.. uite 100. Call the schedule reinspection.
Proje
/17,7 b- _ /vc,4.
Type of Inspection: /
�
f� h - / A ) �i T
Address:
Date Called:
Special Instructions:
Date Wanted:
Requester:
Phone No:
-206 z53
3
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
/ Q7 - / c,
PERMIT NO.
F
(206)431 -3670
COMMENTS:
I
pproved per applicable codes. ❑ Corrections required prior to approval.
8.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
aid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection.
'Receipt No.:
1Date:
08 -30 -2007
CHAD DETWILLER
3601 WEST MARGINAL WY SW
SEATTLE WA 98106
RE: Permit Application No. PG07 -116
3203 S 132 LN TUKW
Dear Permit Applicant:
In reviewing our current permit application files, it appears that your permit application applied for on 05/02/2007 , has not been
issued by the City of Tukwila Permit Center. Per the Uniform Plumbing Code and/or International Fuel Gas Code, every permit
application not issued within 180 days from the date of application shall expire by limitation and become null and void. Your permit
application expires on 10/29/2007 .
If you choose to pursue your project, a written request for extension of your application addressed to the Building Official,
demonstrating justifiable cause, will need to be received at the Permit Center prior to your expiration date of 10/29/2007. If it is
determined that an extension is granted, your application will be extended one time only, for an additional 180 days from the
expiration date.
In the event we do not receive your written request for extension, your permit application will become null and void and your project
will require a new permit application, plans and specifications, and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
xc:
SAG
Ter Marshall
it Technician
Permit File No. PG07 -116
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
DEPARTMENTS:
Bui g livision
Public Works
Complete
Comments:
Documents/routing sl ip.doc
2-28-02
PERMIT COORD COPY ` 4--
PLAN REVIEW/ROUTING SLIP
ACTIVITY NUMBER: PG07-116 DATE: 05-02-07
PROJECT NAME:
SITE ADDRESS:
REHABITAT NORTHWEST, LOT 5
172O (9
LA
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter # Revision # After Permit Issued
LI
Fire Prevention
Structural
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Incomplete El
TUES/THURS ROUT G:
Please Route Structural Review Required
REVIEWER'S INITIALS:
APPROVALS OR CORRECTIONS:
Approved LI Approved with Conditions
Notation:
REVIEWER'S INITIALS:
E1
LI
Planning Division
Permit Coordinator
DUE DATE: 05-03-07
Not Applicable E
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg 0 Fire 0 Ping 0 PW 0 Staff Initials:
No further Review Required
DATE:
DUE DATE: 05-31-07
Not Approved (attach comments) n
DATE:
LI
LI
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg 0 Fire rj Ping 0 PW 0 Staff Initials:
License Information
License
TJPLUJP974MU
Licensee Name
T & J PLUMBING/MECHANICAL
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
602314444
Ind. Ins. Account Id
#2
Business Type
INDIVIDUAL
Address 1
317 153RD ST E
Address 2
City
TACOMA
County
PIERCE
State
WA
Zip
98445
Phone
2535350176
Status
ACTIVE
Specialty 1
PLUMBING
Specialty 2
BOILER/STEAM FIT/PROC PIPING
Effective Date
7/31/2003
Expiration Date
7/31/2009
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
Business Owner Information
Name
Role
Effective Date
Expiration Date
GUIRSCH, TODD
OWNER
07/31/2003
Bond
Amount
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
#2
CBIC
SG2156
07/31/2006
Until
Cancelled
$6,000.00
05/17/2006
COLONIAL
AM CAS &
Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 2
Washington State Department of Labor and Industries
GenerallSpecialty 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= TJPLUJP974MU 10/01/2007