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Home My WebLink AboutPermit PG07-164 - REHABITAT NORTHWEST - LOT 4REHABITAT NORTHWEST LOT4 3201 S 132 LN PGO7-1 64 Parcel No.: 1523049308 Address: Suite No: Tenant: Name: Address: Owner: Name: Address: 3201 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 4 3201 S 132 LN , TUKWILA WA REHABITAT NORTHWEST 3601 WEST MARGINAL WY S , SEATTLE WA Contact Person: Name: CHAD DETWILLER Address: 3601 WEST MARGINAL WAY SW , SEATTLE WA Contractor: Name: T & j PLUMBING /MECHANICAL Address: 317 153 ST E , TACOMA WA Contractor License No: TJPLUJP974MU DESCRIPTION OF WORK: PLUMBING AND GAS PIPING FOR NEW SINGLE FAMILY RESIDENCE Value of Plumbing /Gas Piping: Fees Collected: Plumbing Bathtub or combination bath/shower 2 Bidet 0 Clothes washer, domestic 1 Dental unit, cuspidor 0 Dishwasher, domestic, with independent drain Drinking fountain or water cooler (per head) 0 Food -waste grinder, commercial 1 Floor drain 0 Shower, single head trap 1 Lavatory Wash fountain Receptor, indirect waste Sinks Urinals Water Closet doc: UPC-10 /06 $10,000.00 $413.50 FIXTURE TYPE AND OUANTITY * *continued on next page ** PLUMBING /GAS PIPING PERMIT 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 -164 08/07/2007 02/03/2008 Plumbing (cont.) Building sewer and each trailer park sewer 1 Rain water system - per drain (inside bldg) 0 Water heater and/or vent 1 Industrial waste treatment interceptor, including 1 its trap and vent, except for kitchen type grease interceptors 0 Repair or alteration of water piping and/or water treatment equipment 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 1 Gas Pipina 0 Gas piping outlets (0 -5) 4 3 Gas piping outlets (6 +) 0 PG07 -164 Printed: 08-07 -2007 Permit Center Authorized Signature I hereby certify that I have read and governing this work will be complie 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 Permit Number: PG07 - 164 Issue Date: 08/07/2007 Permit Expires On: 02/03/2008 Steven M Mullet, Mayor Steve Lancaster, Director Date: otitoD-4- s permit and know the same to be true and correct. All provisions of law and ordinances er 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 performance of work. I am authorized to sign and obtain this plumbing /gas piping permit. Signature: 6j c,/ Date: 8/7/ Print Name: t' i //. 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 -164 Printed: 08 -07 -2007 Parcel No.: 1523049308 Address: Suite No: Tenant: 3201 S 132 LN TUICW REHABITAT NORTHWEST - LOT 4 1: ** *PLUMBING AND GAS PIPING * ** 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 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. doc: Cond -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 PERMIT CONDITIONS * *continued on next page ** Permit Number: Status: Applied Date: Issue Date: PG07 -164 ISSUED 06/08/2007 08/07/2007 PG07 -164 Printed: 08 -07 -2007 Signature: ,..za Print Name: Gi /k/ / %, doc: Cond -10/06 ss 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: q / -T PG07 -164 Printed: 08 -07 -2007 Name: &ad Company Name: krit Mailing Address: CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., SittleyarjEU Tukwila, WA 98188 http: / /www.ci.tukwila.wpa.us JUN - 8 2001 `ir Company Name: lo& . �a Mailing Address: PI /g$ p or Contact Person: Alas E -Mail Address: isi:oo k,.At 1oolQ4 Q:wppiic.tione Fmm.- Applicationr On line \3 1 - Permit Applicetiondoc Reviled: 9 -2006 bh PERMIT CENTER 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 Prints: 1. King Co Assessor's Tax No.: Site Address:_ '�l -S / 1 :2 .L � l e So -' Tenant Name: U,.L.:4-.1 ,t, The New Tenant: ID Yes ❑ ..No Property Owners Name: 13 LaJ 4.4 i levacdts t ri � /// Mailing Address: -.'l i 2 /'Jc.- :..1 1.0„, S Sva le b )/ti city state C NTA T PERSON - who do we contact When yourpertnins ready to be Mailing Address: --.3/(00'' ( lJ. /�a f & ( l • S id E -Mail Address: C�ata"tfl a b,��'h:.lor� L.Y..SF. eoe`t Company Name: Pr lu h, 11f e S( Z 9r Mailing Address: ...MO k). 1Kat- ; rua ( /� Sf � Contact Person: N J hoL he l �� / E -Mail Address: A�►.a( ere l I .13 Zar�D f � teS7 Contractor Registration Number: +- i - 1 A Atli 9 7.3 Contact Person: E -Mail Address: Suite Number: L& 3O ~g10 Floor: 98/06 zip Day Telephone: 06)/3.2 - City // :tee ZiP Fax Number: () 5'33 ` GENERAL CONTRACTOR INFORMATI : (Contractor..lnformation for Mechanical (pg 4) for: Plambing end Gas Piping s.(14 4)4 wiz city State zip Day Telephone: Fax Number: ,) 933 7 3.43- Expiration Date: ini*ej City Day Telephone: Fax Number: State .......................... err> Rei cd .......................... .......................... - brn�.•u /% LOA- 1.51Divl•-- City State ZiP Day Telephone(S) i n9 -Ora7 Fax Number: (I25) y 8 4— o 4e:P 7 Page l of 6 )Fixture Type ;' Qts' Fixture lope; .. Qty> Fixture'I'Xpet Qty : >tl'isi e: `ype Bathtub or combination bath/shower 2 Drinking fountain or water cooler (per head) Wash fountain Gas piping outlets Bidet Food -waste grinder, commercial Receptor, indirect waste Clothes washer, domestic 1 Floor drain Sinks Dental unit, cuspidor Shower, single head trap Urinals Dishwasher, domestic, with independent drain Lavatory 3 Water Closet Building sewer or trailer park sewer Rain water system - per drain (inside building) Water heater and/or vent I Additional medical gas inlets/outlets - six or more Industrial waste pretreatment interceptor, including its trap and vent except forkitchen 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 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: -°F A Pt Jo Mailing Address: 317 / S V F Contact Person: TAo E -Mail Address: Fax Number: Contractor Registration Number: -RI-act-yip 9 7 tL- Expiration Date: 7 73t/t77 Valuation of Plumbing work (contractor's bid price): $ /f OOO Valuation of Gas Piping work (contractor's bid price): $ rr'' // (/ ��++ C re Scope of Work (please provide detailed information): 4U tit f Jlekt /3:6-5 5er'v� e_ C? ' - ' � Building Use (per Int'1 Building Code): a Occupancy (per Int'1 Building Code): R 3 Utility Purveyor: Water: 024.)Q -,t• 15 Q: Application \Forma- Application On line'3 -2006 - Permit Apptication.doc Revised: 9 -2006 bh Tula City Sewer: it / Yu e Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: k.,14 grg - state zp Day Telephone: (S-; >e269 -990/ 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 — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. 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 A,UT RIZED AGENT: Signature: !d Print Name: (h) .640, ` r Mailing Address: I Date Application Accepted: Q: Applications \Fom s- Applications On liner -2006 - Permit Application.doe Revised 9 -2006 bh 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). Date: ¶/W07 Day Telephone: ) 9-3 ; — 7355 City e_ Le) V OG Date Application Expires: Staff Initials: ( Page 6 of 6 RECEIPT NO: R07 -01621 Initials: WER User ID: 1655 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:/lwww.ci.tulcwila.wa.us Payee: REHABITAT NORTHWEST, INC. SET RECEIPT SET ID: 0806A SET NAME: REHABITAT NW, LOT2 SET TRANSACTIONS: Set Member Amount D07 -194 3,681.34 D07 -206 3,188.60 M07 -123 235.00 M07 -133 194.00 PG07 -154 401.00 PG07 -164 349.50 TOTAL: 8,049.44 TRANSACTION LIST: Type Method Description Amount Payment Check 2389 ACCOUNT ITEM LIST: Description TOTAL: Account Code Current Pmts BUILDING - RES 000/322.100 4,636.18 GAS - RES 000/322.100 176.00 MECHANICAL - RES 000/322.100 388.00 PLAN CHECK - RES 000/345.830 127.50 PLUMBING - RES 000/322.100 488.00 PW LAND ALT PERMIT FEE 000/342.400 47.00 PW PERMIT /INSPECTION FEE 000/342.400 150.00 STATE BUILDING SURCHARGE 000/386.904 9.00 TRAFFIC MITIGATION FEES 104.367.120 2,027.76 TOTAL: 8,049.44 Payment Date: 08/07/2007 Total Payment: 8,049.44 8,049.44 8,049.44 TO1AL 8049.44 nrrerme na RECEIPT NO: R07 -01080 Initials: VVER User ID: 1655 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. SET ID: S000000786 SET NAME: REHABITAT SET TRANSACTIONS: Set Member Amount D07 -205 1,874.61 D07 -206 1,671.62 D07 -207 1,874.61 D07 -208 1,874.61 M07 -132 41.00 M07 -133 41.00 M07 -134 41.00 M07 -135 41.00 PG07 -163 42.00 PG07 -164 64.00 PG07 -165 64.00 PG07 -166 64.00 TOTAL: 7,693.45 TRANSACTION LIST: Type Method Description Payment Check 2241 ACCOUNT ITEM LIST: Description PLAN CHECK - RES PW BASE APPLICATION FEE PW PLAN REVIEW SET RECEIPT TOTAL: Account Code Current Pmts 000/345.830 6,393.45 000/322.100 1,000.00 000/345.830 300.00 TOTAL: 7,693.45 Payment Date: 06/08/2007 Total Payment: 7,693.45 Amount 7,693.45 7,693.45 9143 06/08 9 716 TOTAL.. 7693.45 kL Type of lj spectiop: P Proj(zt: Address: 320 I S 13 Z Lt Date Called: Special Instructions: — Date Wanted: ` ) - ? a r a,m, p.m. Requester: Phone No: Approved per applicable codes. P6 or? INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION r 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 El Corrections required prior to approval. COMMENTS: CA P Date: s - ? k Li $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. 1 Receipt No.: 'Date: COMMENTS: ' Dj4i ( C.) r ? e ;P N J A. C L,J ef -a 14 i AL -.\ 4 /4 •I, e J cr - ( ` AeJ e Kiel 6c -, N - (')/-\ /UV ,.'kSileE`l i- (,A.>> n elk4 `-_ 0-AL1 k +.cf r -1),_, ,J ' ..r i . m 5 ,•� S e - 3, c-4 : - 1 — 1 f .S r i - - e for 1,-J.I II b e.. bi -J , , PM - f a ,4).0 60: I .' Af .".4 _ f-F1tvL ml e /ti '.T1 -- ,A\J A.,` ( ,4,-1 I e (m r A . 1 Pr t: Typ Inspection: 4- ) t/rtA 10 (&),-- -.\ 4 Address: '7 /� J l s (3-- Date Called: .t Special Instructions: (� 5 ,�� D ate Wanted: _z - O ,rfn. �p : Requester: P1 42— .. — Z7 e INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 1206)431 -3670 El Approved per applicable codes. 1 Inspe:toi7. 4./.__„ ^,^ PG0 PERMIT NO. IZ ro sections required prior to approval. Date: 5 ( 0 $58.00 REINSPECTION FEE REQUIRED. Prior to inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. 'Receipt No.: 'Date: — - --- - - - - _ Project. h Type of Inspection: N...J Address: 320/ 5 /32 Z A / Date Called: Special Instructions: Date Wanted:, /61( P.m. Requester: Phone No: 2�- 3 1--75 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION r- AA Srnithcenter lvd. #100 Tukwila, WA 98188 (206)431- Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector: I 74 1 Dat:3_ El $58. 0 REINSPECTION FEE REQ ED. Pe r to inspection. fee must be pai at 6300 Southcenter Blvd.. Su e 10 Call the schedule reinspection. r eceip No.: IDate: COMMENTS: Typ of Inspe tion: \ P' P Ad ` 1 c ` , t _ c2_ Dpte Called: Special Instructions: L � 4 Date Wanted: (c - SLik ei,( f ry / ) *1 - -�' - Requester: Phone No: ?.cats �j 3 + � _ - 7 S3 Project: R C. 5:rtn - t r\ . lAi ,. Typ of Inspe tion: \ P' P Ad ` 1 c ` , t _ c2_ Dpte Called: Special Instructions: L � 4 Date Wanted: — 12, ' a. . O� p.m. Requester: Phone No: ?.cats �j 3 + � _ - 7 S3 INSPECTION NO. INSPECTION RECORD Retain a copy with permit P6 v ?" PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 9- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -367 ❑ Approved per applicable codes. ❑ Corrections required prior to approval. ❑ $58.00 REINSPECTION FEE REtl Prior to inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. 'Receipt No.: 'Date: COMMENTS: Type of Inspection: \ Ad 3 e 7-6 I SUtA, 13 Z ( /�/ Date Called: r)tom r — Sk int Flex ;s W kece TOO M41 ci r (.1 0 L Alie A,) IA o /P 2N4 j ( � s c.,& ( a?7 n / G45 _A fljJ - p tkdh i i4 - rU U/ Pro'ect Type of Inspection: \ Ad 3 e 7-6 I SUtA, 13 Z ( /�/ Date Called: Special Instructions: t., Date Wanted: __--'� ny 2 -22 `O p.m. Requester: Phone No: 7,r. — 311 - 7573 N INSPECTIO NO. CITY OF TUKWILA BUILDING DIVISION tZ 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36 ❑ Approved per applicable codes. Inspect gf: l $58.00 REINSPECTION FEE REQUIRED. Prior to inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. (Receipt No.: 'Date: INSPECTION RECORD Retain a copy with permit B Corrections required prior to approval. PERMIT Date: - r COMMENTS: 06 r j -r — (,Art ( : -k wk , 2_4 1, )6- s , f J/ Address: t 2.-A1 S� 3 2Z � Date Called: �- -fit'( C../`—e____ • '7:..L , , !! 1 - '/ � L ii-<^ ( L J 4�'<I �(o te-! ?v �r 0 /LcA1tir 64¢- ft ide L , A) /,,a ,; c_ wee i/C Sfz, /-C 7 `E7 E— S-ef _ ()A k , sL !�1.; •-c}( /., i w A- ' CJ L,J, /( Phone No: /533 Project: Type of Inspection Address: t 2.-A1 S� 3 2Z � Date Called: / J Special Instructions: Date Wanted: 2 '22 r - p.m. Requester: Phone No: /533 I 4:t3 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION K. El Approved per applicable codes. Inspect: � 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36 orrections required prior to approval. Date: 2 , z _ de _ $58.00 REINSPECTION FEE REQUIRED. Prior to inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. 'Receipt No.: 'Date: Pro� jj // // 1 L 4, L.41 7 Type of Inspection: Address: 5 3 ,20 i Date Called: # Special Instructions: Date Wanted: /D -.2 9- D C aair.- P.m. Requester: Phone No: 2(‘ - 39/- 75 INSPECTION NO. INSPECTION RECORD pc- 07 Retain a copy with permi PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #10 Tukwila, WA 98188 (206)431 -3 COMMENTS: proved per applicable codes. El Corrections required prior to approval. $58.00 REIN CTION FEE REQUIRED. Prior to inspection, fee must be paid at 630 Southcenter Blvd., Suite 100. Call the schedule reinspection. (Receipt No.: 'Date: *3' b #:-�so ya -s _ Pro' t: r h� 4 ;L - / Type of Insp ion: '/ / & r( 1 „ : (AJdve Address: 32GJ S J'7 / Date Called: Special Instructions: Date Wanted: d / /”, /c37 . Requester: Phone No: 26 7 ›.? 3 El Approved per applicable codes. 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 Corrections required prior to approval. COMMENTS: fvr fT ( (Inspector , Date: 1 El REINSPECTION FEE REQUIRED. for to inspection, fee must be rigid at 6300 Southcenter Blvd., Suite 10 . Call the schedule reinspection. 'Receipt No.: 'Date: 3 Proj r14-16, II __ I Type of1n n: � Address: 32 0 \x,13 2 LA) Date Called: Special Instructions: Date Wanted: m Requester: Phone No: 2-(De - s -3V / COMMENTS: (V V? (A— 3 roV(2 - A '.`"-• - IFriv <- , Inspec • r: _ $58.00 R - NSPECTION FEE REQUI tED. Prior j6 inspection, fee must be paid_O 300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. 1 Rec t No.: 'Date: Date: j INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 12- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 ITIApproved per applicable codes. INSPECTION RECORD Retain a copy with permit ❑ Corrections required prior to approval. p66 PERMIT NO. (206)431 -3670 ACTIVITY NUMBER: PG07 -164 DATE: 06 -08 -07 PROJECT NAME: REHABITAT NW LOT #4 SITE ADDRESS: _ A _ P2T- (Aid Response to Incomplete Letter # Revision # After Permit Issued X Original Plan Submittal Response to Correction Letter # DEPARTMENTS: �I� G Bui • �' • Di vision Complete Comments: TUES/THURS RObTING: Please Route Documents/routing slip.doc 2 -28.02 PLAN REVIEW /ROUTING SLIP APPROVALS OR CORRECTIONS: Fire Prevention Structural Review Required bli Woriit 1 ;f 0 DE ERMINATION OF COMPLETENESS: (Tues., Thurs.) Incomplete ❑ Planning Division Structural ❑ Permit Coordinator DUE DATE: 06 -12 -07 Not Applicable Permit Center Use Only INCOMPLETE LETTER MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:_ LETTER OF COMPLETENESS MAILED: ❑ No further Review Required REVIEWER'S INITIALS: DATE: DUE DATE: 07 -10 -07 Approved ❑ Approved with Conditions [ Not Approved (attach comments) ❑ Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ 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 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= TJPLUJP974MU 08/07/2007