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HomeMy WebLinkAboutPermit PG07-190 - SOUTHCENTER SQUARE - BUILIDNG SSOUTHCENTER SQUARE BUILDING S 17250 SOUTHCENTER PY PGO7-190 Parcel No.: 2623049117 Address: Suite No: Tenant: Name: Address: Value of Plumbing /Gas Piping: Fees Collected: doc: UPC -10/06 Cityf 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 17250 SOUTHCENTER PY TUKW SOUTHCENTER SQUARE - BUILDING S 17250 SOUTHCENTER PY , TUKWILA WA Owner: Name: WIG PROPERTIES LLC -SS Address: 4811 134TH PL SE , BELLEVUE WA Contact Person: Name: BRENT ADKISSON Address: 2020 S 320 ST #C -90 , FEDERAL WAY WA Contractor: Name: D1S MECHANICAL Address: 2020 S 320 ST #C -90 , FEDERAL WAY WA Contractor License No: D 15MEM *930BT DESCRIPTION OF WORK: INSTALL (14) GAS LINES TO FUTURE TENANT SPACES $5,000.00 $188.75 Plumbing Bathtub or combination bath/shower 0 Bidet 0 Clothes washer, domestic 0 Dental unit, cuspidor 0 Dishwasher, domestic, with independent drain 0 Drinking fountain or water cooler (per head) 0 Food -waste grinder, commercial 0 Floor drain 0 Shower, single head trap 0 Lavatory 0 Wash fountain Receptor, indirect waste 0 Sinks 0 Urinals 0 Water Closet 0 PLUMBING /GAS PIPING PERMIT FIXTURE TYPE AND OUANTITY 0 * *continued on next page ** Permit Number: Issue Date: Permit Expires On: Phone: Phone: 360 888 -5433 Phone: 360 888 -5433 Expiration Date: 01/30/2009 PG07 -190 08/15/2007 02/11/2008 Uniform Plumbing Code Edition: 2006 International Fuel Gas Code Edition: 2006 Plumbing (cont.) Building sewer and each trailer park sewer 0 Rain water system - per drain (inside bldg) 0 Water heater and/or vent 0 Industrial waste treatment interceptor, including 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 Medical gas piping system serving (1 -5) inlets /outlets for a specific gas 0 Medical gas piping (6 +) inlets /outlets 0 Gas Piping Gas piping outlets (0 -5) 5 Gas piping outlets (6 +) 9 PG07 -190 Printed: 08-15 -2007 Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complied doc: UPC -10/06 City &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 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 pe • rmance of w • k. am au _• • - • . • and obtain this plumbing /gas piping permit. Q Ai Signature: / ._J / , Date: V /� G Print Name: Permit Number: PG07 -190 Issue Date: 08/15/2007 Permit Expires On: 02/11/2008 Date: (Al IC W permit and know the same to be true and correct. All provisions of law and ordinances er specified herein or not. 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 -190 Printed: 08 -15 -2007 Parcel No.: 2623049117 Address: Suite No: Tenant: 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 17250 SOUTHCENTER PY TUKW SOUTHCENTER SQUARE - BUILDING S 1: ** *PLUMBING AND GAS PIPING * ** PERMIT CONDITIONS * *continued on next page ** Permit Number: Status: Applied Date: Issue Date: 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. PG07 -190 ISSUED 07/18/2007 08/15/2007 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: 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. PG07 -190 Printed: 08-15 -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: // / 7 / v Date: 5-0 Print Name: doc: Cond -10/06 PG07 -190 Printed: 08 -15 -2007 King Co Assessor's Tax No.: 241/,,,,t 1( Site Address: / 7,256 5 1 kCe t,d el Pc. v/k& c' y Suite Number: Floor: Tenant Name: S.L o( t5 " Property Owners Name: W 1 �j / re5 L Mailing Address: qv/ /34'7 pL . $ E ge //e V to e CONTACT PERSON'' —Who do we contact when your permit is ready to be issued Name: Mailing Address: 2fp20 5' 3? 71 ' ,sf L ( ) / fed e vaA w c y L14 } ,Foc 3 City / State Zip E -Mail Address: PLUMBING / GAS PIPING CONTRACTOR INFORMATION Company Name: J)I� J i e r Cc Mailing Address: •6026 5 / 3,20 Ilk 51 . C- -0 Contact Person: JR fN T - E -Mail Address: Contractor Registration Number: 2) /S / EM W 930,7 ARCHITECT OF RECORD — All plans must be wet stamped by. Architect of Record Company Name: Mailing Address: Contact Person: E -Mail Address: Company Name: Mailing Address: Contact Person: E -Mail Address: CITY OF TUKWIL= Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us PLUMBING / GAS PIPING PERMIT APPLICATION 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** ,E7jQ rA/T /4O1 k /ff C4' Day Telephone: 36 — o 'g- S 'j3 Q: Applications\Forms- Applications On Line\3 -2006 - Plumbing -Gas Piping Permit Application.doc Revised: 42006 bh City Fax Number: New Tenant: .... Yes JJ ..No w4- 98' State Zip Fedeira.( w cJ4- 98110 City State Zip 360 - 888 - 5y33 Day Telephone: Fax Number: Expiration Date: 0 / /.-3'/ 2007 City Day Telephone: Fax Number: State Zip City Day Telephone: Fax Number: State Zip Page 1 of 2 Fixture Type: ", Qt3' Fixture Type Qty Fixture Type: " ' Qty , Fixture Type: Qty Bathtub or combination bath/shower Drinking fountain or water cooler (per head) Wash fountain Gas piping outlets l 4L Bidet Food -waste grinder, commercial Receptor, indirect waste Clothes washer, domestic Floor drain Sinks Dental unit, cuspidor Shower, single 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 Valuation of Project (contractor's bid price): $ . j 0 Scope of Work (please provide detailed information): :T3v5 1-4d I / E4 6s L-i iveS to 1 Re Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: BUILDING OWN Signature: OR AUTHORIZED AGENT: Q:\Applications\Fonns- Applications On Line\3 -2006 - Plumbing -Gas Piping Penni Applieation.doc Revised: 4 -2006 bh Date: Ti v, - , »c c5, Building Use (per Mel Building Code): Occupancy (per Intl Building Code): Utility Purveyor: Water: Sewer: 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. The Building Official may grant one extension of time for an additional period not to exceed 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 International 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. 7 - 1r O7 Print Name: 9/ f/1 T 4) k SSw, Day Telephone: 360 — 8'o I s 933 Mailing Address: 20 .Z0 S, .v.0 5 #c , c Fed�&.i wa �„ �i 4 - r T �'cCcJ- city / State Zip Date Application Accepted: Date Application Expires: O D t 1 Q /c Staff Initials: Page 2 of 2 Payee: Parcel No.: Address: Suite No: Applicant: Receipt No.: R07 -02097 Initials: WER User ID: 1655 doc: Receiot -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 2623049117 17250 SOUTHCENTER PY TUKW SOUTHCENTER SQUARE - BUILDING S BRENT ADIKISSON TRANSACTION LIST: Type Method Description Payment Cash ACCOUNT ITEM LIST: Description Account Code GAS - NONRES 000/322.100 PLAN CHECK - NONRES 000/345.830 RECEIPT Permit Number: Status: Applied Date: Issue Date: Payment Amount: $26.25 Payment Date: 09/26/2007 11:42 AM Balance: $0.00 Amount 26.25 Current Pmts 21.00 5.25 Total: $26.25 PG07 -190 ISSUED 07/18/2007 08/15/2007 Printed: 09 -26 -2007 RECEIPT NO: R07 -01419 Initials: JEM User ID: 1165 Payee: BRENT ADKISSON City of Tukwila SET TRANSACTIONS: Set Member Amount 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: 0718 SET NAME: D15 MECHANICAL PG07 -189 180.00 PG07 -190 188.75 TOTAL: 368.75 TRANSACTION LIST: Type Method Description Payment Cash 368.75 TOTAL: 368.75 ACCOUNT ITEM LIST: Description GAS - NONRES PLAN CHECK - NONRES SET RECEIPT Payment Date: 07/18/2007 Total Payment: 368.75 Amount Account Code Current Pmts 000/322.100 295.00 000/345.830 73.75 TOTAL: 368.75 •O D7/20 9716 - NTAE 368.75 Project: ,.' Jr' it /i�1 ,-,���i �7/ < / "Type of Inspection: _ 4 1-S . /�< S Address: C / / 72 ., o S cr)/ /h (1' it 1/ Date Palled: / Special Instructions: Date Wanted: (_ a.mt: / l /2 /Cn ph. Requester: Phone C'o - r -.S c( 3 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERM CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 proved per applicable codes. El Corrections required prior to approval. COMMENTS: I El $58.00 REIN ECTION FEE REQUIRED. Prior to inspection, fee must be paid at 63 Southcenter Blvd., Suite 100. Call the schedule reinspection. 'Receipt No.: 'Date: Project: S c r, rill / Sc :, -, e (3, / t 1 T pe of Inspection: / s r' ,nrz,h- i' t� Address: D P / 2- 50 5" / 9j Date Called: Special Instructions: Date Wanted: 7, /(7 /// /cr7 •Cm.- p.m. Requester: Phone No. 5 y 3 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 COMMENTS: Approved per applicable codes. El Corrections required prior to approval. Inspec Dates /f /r7 $58.00 REINSPEC`T(ON FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. 'Receipt No.: 'Date: Pr ect: �l cf4J $ Typ f Inction: � spe � i�- /4/ 6.4#7 S Ad ress / n ?Z 7 o ca., th@a 9 Y pate Calle Special Instructions: Date Wanted: _j /,- d - 7 • p.m. 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 VI - Approved per applicable codes. COMMENTS: tI5 /` �, ;t G - (Ins v ector: al Date REINSPECTION FEE EQUIRED. Pp to inspection, fee must be at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. (Recei• No.: 'Date: El Corrections required prior to approval. PG-6 7 -i S"cl July 30, 2007 Brent Adkisson 2020 S 320 St, #C -90 Federal Way WA 98003 RE: CORRECTION LETTER #1 PIumbing/Gas Piping Permit Application Number PG07 -190 Southcenter Square Building S —17250 Southcenter Py Dear Mr. Adkisson: This letter is to inform you of corrections that must be addressed before your plumbing/gas piping permit(s) can be approved. All correction requests from each department must be addressed at the same time and reflected on your drawings. I have enclosed comments from the Building Department. Building Department: Allen Johannesen, at 206 433 -7163, if you have questions regarding the attached memo. Please address the attached comments in an itemized format with applicable revised plans, specifications, and/or other documentation. The City requires that two (2) complete sets of revised plans, specifications and/or other documentation be resubmitted with the appropriate revision block. In order to better expedite your resubmittal, a `Revision Submittal Sheet' must accompany every resubmittal. I have enclosed one for your convenience. Corrections/revisions must be made in person and will not be accepted through the mail or by a messenger service. If you have any questions, please contact me at (206) 433 -7165. Sincerely encl arshall hnician xc: File No. PG07 -190 City of Tukwila P:\Pem* Centcr\Correction Letters\2007\PG07 -190 Correction Ltr #1.DOC jem 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 Building Division Review Memo Date: July 27, 2007 Project Name: Southcenter Square - Bldg S Permit #: PG07 -190 Plan Review: Allen Johannessen, Plans Examiner Tukwila Building Division Allen Johannessen, Plan Examiner The Building Division conducted a plan review on the subject permit application. Please address the following comments in an itemized format with revised plans, specifications and /or other applicable documentation. (GENERAL NOTE) PLAN SUBMITTALS: (Min. size 11x17 to maximum size of 24x36; all sheets shall be the same size). (If applicable) Structural Drawings and structural calculations sheets shall be original sinned wet stamped, not copied.) 1. Please provide specific location as to where the pipes shall be installed and identify with a detail how the pipes shall be supported. Should there be questions concerning the above requirements, contact the Building Division at 206-431- 3670. No further comments at this time. ACTIVITY NUMBER: PG07 -190 DATE: 09 -20 -07 PROJECT NAME: SOUTHCENTER SQUARE - BLDG S SITE ADDRESS: 17250 SOUTHCENTER PY Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # X Revision # 1 After Permit Issued DEPARTMENTS: Bu Id g DMsion Plihlir Wnrkc Complete Comments: Please Route TUES/THURS ROUTING: REVIEWER'S INITIALS: APPROVALS R CORRECTIONS: Documents/routing slip.doc 2 -28 -02 PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP Fire Prevention Structural I •• W DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Incomplete ❑ Structural Review Required ❑ Permit Coordinator n DUE DATE: 09-5-07 Not Applicable ❑ DATE: Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: No further Review Required DATE: Planning Division n DUE DATE: 10-23-07 Approved Approved with Conditions n Not Approved (attach comments) n Notation: REVIEWER'S INITIALS: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG07 -190 DATE: 08 -13 -07 PROJECT NAME: SOUTHCENTER SQUARE, BLDG S SITE ADDRESS: 17250 SOUTHCENTER PY Original Plan Submittal Response to Incomplete Letter # X Response to Correction Letter # 1 Revision # After Permit Issued DEPARTMENTS: S: 6 -AO But rig uivision Public Works ❑ Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Please Route TUES/THURS ROUTING: APPROVALS OR CORRECTIONS: Fire Prevention n Planning Division Incomplete Comments: Structural Review Required ❑ Permit Coordinator X DUE DATE: 08 -14 -07 Not Applicable Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: ❑ No further Review Required REVIEWER'S INITIALS: DATE: DUE DATE: 09 -11 -07 Approved ❑ Approved with Conditions Not Approved (attach comments) C Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents/routing slip.doc 2 -28 -02 ACTIVITY NUMBER: PG07 -190 DATE: 07 -18 -07 PROJECT NAME: SOUTHCENTER SQUARE - BLDG S SITE ADDRESS: 17250 SOUTHCENTER PY X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Issued DEPART ENTS: e A -1•21.0 Bui ing D ion MI Public Works ❑ Complete Comments: Documents/routing slip.doc 2 -28 -02 PERMIT COORD COPY `•- PLAN REVIEW /ROUTING SLIP APPROVALS OR CORRECTIONS: Fire Prevention Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Incomplete n TUES/THURS ROU ING: Please Route Structural Review Required REVIEWER'S INITIALS: DATE: Planning Division Permit Coordinator No further Review Required ❑ DUE DATE: 07-19-07 Not Applicable ❑ Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: n DUE DATE: 08-16-07 Approved ❑ Approved with Conditions ❑ Not Approved (attach comments) Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: °410I°1' Departments issued corrections: Bldg] Fire ❑ Ping ❑ PW ❑ Staff Initials: REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS 1 0 129 01— 10 9 `) -ce-o 1 Summary of Revision: froot9 ( 6-A astir 'S - 6/0 Yet, 4 1..1 K/f1Z Summary of Revision: Received by: Al £.v r 44 16-5 So h Received by: REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS 1 0 129 01— 10 9 `) -ce-o 1 Summary of Revision: froot9 ( 6-A astir 'S - 6/0 Yet, 4 1..1 K/f1Z Summary of Revision: Received by: Al £.v r 44 16-5 So h Received by: Received by: REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS 1 0 129 01— 10 9 `) -ce-o 1 Summary of Revision: froot9 ( 6-A astir 'S - 6/0 Yet, 4 1..1 K/f1Z Summary of Revision: Received by: Al £.v r 44 16-5 So h Received by: REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS 1 0 129 01— 10 9 `) -ce-o 1 Summary of Revision: froot9 ( 6-A astir 'S - 6/0 Yet, 4 1..1 K/f1Z Summary of Revision: Received by: Al £.v r 44 16-5 So h Received by: REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS 1 0 129 01— 10 9 `) -ce-o 1 Summary of Revision: froot9 ( 6-A astir 'S - 6/0 Yet, 4 1..1 K/f1Z Summary of Revision: Received by: Al £.v r 44 16-5 So h Received by: REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INIITJALS 1 0 129 01— 10 9 `) -ce-o 1 Summary of Revision: froot9 ( 6-A astir 'S - 6/0 Yet, 4 1..1 K/f1Z Received by: Al £.v r 44 16-5 So h PROJECT NAME: C - _ PERMIT NO: SITE ADDRESS: ` P ORIGINAL ISSUE DATE: REVISION LOG (please print) (please print) (please print) (please print) (please print) Date: / - ,2o -- d 7 (, /1 tS . Entered in Permits Plus on \applications\forms- applications on line\revision submittal Created: 8 -13 -2004 Revised: 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 Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the marl, fax, etc. Plan Check/Permit Number: 1 — 1 ° I, 0 ❑ Response to Incomplete Letter # ❑ Response to Correction Letter # ▪ Revision # I after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: SD [A. ti Ce r.. fel SQ Itia ft_ / Pte 5 5 1i¢ieN Project Address: / 7 2 $C //(wV // Contact Person: RQ EA. r /,►d4 k,'$ 5cr Phone Number: 360 or S 33 Summary of Revision: 4 s c t, - /ef s r /7.Q ..4.¢,e,() 174/Ac Sheet Number(s): "Cloud" or highlight all areas of revision including date o Received at the City of Tukwila Permit Center by: Ij revision RF CC NCD CITY ofrU iL4 5E P 2 0 2007 Date: City of Tukwila REVISION SUBMITTAL Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Response to Incomplete Letter # • Response to Correction Letter # ❑ Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: Southcenter Square, Bldg S Project Address: 17250 Southcenter Py Contact Person: 8� � K 1 S�o� Phone Number: : 5V33 Summary of Revision: V "(S Sheet Number(s): "Cloud" or highlight all areas of revision including date of revvis'on Received at the City of Tukwila Permit Center by: Si Entered in Permits Plus on 8-k 7 \applications\forms- applications on line\revision submittal Created: 8 -13 -2004 Revised: 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 Plan Check/Permit Number: PG07-190 Steven M. Mullet, Mayor Steve Lancaster, Director R ECE/VED CITY of TUM AUS 13 2001+ a E i i7 CFNT E — p License Information License D15MEM *930BT Licensee Name D15 MECHANICAL Licensee Type CONSTRUCTION CONTRACTOR UBI 601841514 Ind. Ins. Account Id Business Type INDIVIDUAL Address 1 2020 S 320TH ST #C -90 Address 2 City FEDERAL WAY County KING State WA Zip 98003 Phone 3608885433 Status ACTIVE Specialty 1 AIR HEAT,VENTILATION,EVAPORAT Specialty 2 SHEET METAL Effective Date 1/30/2007 Expiration Date 1/30/2009 Suspend Date Separation Date Parent Company Previous License Next License Associated License Business Owner Information Name Role Effective Date Expiration Date ADKISSON, BRENT OWNER 01/30/2007 Look Up a Contractor, Electrician or Plumber License Detail 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. 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