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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 $g(II Tenant Name: Pefot Ntil Laa!" ('i , t",kt'. d ' to 1V- t .. at; - Property Owners Name: �; +..; � , EL a �� t t ' t'� _. Mailing Address: Z e) C i*e). :, e •'A a / l., ; ., Name: f� (/ Lid )� f/e r' Mailing Address: �r '•'•f i:• /�'+ E -Mail Address: _4 + Company Name: � , <i.kt < , �e�l � Gt( . t.lt" : .� i�,1c Mailing Address: ' _ ;el 4 )4t r t& L.t1,11 149ere r~ 4:3A -1 , r" w s Contact Person: w8" r 5 f �C r - " t 11 ff E -Mail Address: ' ;,l i r1�n''Ahq,t l� tr,f.:T e. rn� Contractor Registration Number: O . i 1 l` e o , 7 '/.. K 2.. Contact Person: E -Mail Address: Company Name: (1.)74 dJ t I a 5 t,t,1( i r; Mailing Address: 1 16t -t 1 t e. f Contact Person: �iN Wa 1a - E -Mail Address: last me Lc A.) 2r)bl t ' ; , f rt. et +, Q:\Applications \Forms - Applications CR Line t3 -2ii(k Permit Application.doe Revised: 9.2006 bh Building Permit No. vu - ( l? Mechanical Permit No. J, Plumbing/Gas Permit No. 2 0 - - i t Public Works Permit No. Project No. ' p01 (For office use only) King Co Assessor's Tax No.: ISZ Suite Number: Floor: New Tenant: ❑ Yes lt..No City City CONTACT PERSON - who do we contact when your permit is ready to be issued Day Telephone: (cl4) 1.3''4 "' 73 Sc < `( Fax Number: C City Day Telephone: C. Fax Number: Expiration Date: () e. -'lot State Zip State Zip GENERAL CONTRACTOR INFORMATION — (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) • ft IL/ State Zip ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record -. Company Name: /Oil& Mailing Address: City Day Telephone: Fax Number: ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record City State Zip Day Telephone: '4' S) HOB - ci Z. 7 Fax Number: C4LS WS$' / — 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 bh 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 bh 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