HomeMy WebLinkAboutPermit PG07-304 - PHAN RESIDENCE¶OLODd
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Parcel No.: 0041000596
Address:
Suite No:
Tenant:
Name:
Address:
15117 42 AV S TUKW
Value of Plumbing /Gas Piping:
Fees Collected:
doc: UPC -10/06
Cityf Tukwila
Owner:
Name: PHAN DIEN +NGUYEN TIEN
Address: 15117 42ND AVE S , SEATTLE WA
Contact Person:
Name: NAIDA KHAN
Address: 1345 GULF RD , POINT ROBERTS WA
DESCRIPTION OF WORK:
REPLACE A RHEEM ELECTRIC TO GAS WATER HEATER
REVISION NO 1 - ADD (3) GAS PIPING OUTLETS
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
PHAN RESIDENCE
15117 42 AV S , TUKWILA WA
Contractor:
Name: WASHINGTON ENERGY SERVICES CO
Address: 2800 THORNDYKE AVE W , SEATTLE, WA
Contractor License No: WASHIES9710B
$6,440.00
$198.00
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 OUANTITY
* *continued on next page **
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 360- 945 -2787
Phone: 206 282 -4200
Expiration Date: 09/02/2009
PG07 -304
11/15/2007
05/13/2008
Uniform Plumbing Code Edition: 2006
International Fuel Gas Code Edition: 2006
Plumbing (cont.)
O Building sewer and each trailer park sewer 0
0 Rain water system - per drain (inside bldg) 0
0 Water heater and/or vent 1
0 Industrial waste treatment interceptor, including
0 its trap and vent, except for kitchen type
0 grease interceptors 0
0 Repair or alteration of water piping and/or water
0 treatment equipment 0
0 Repair or alteration of drainage or vent piping 0
O Medical gas piping system serving (1 -5)
0 inlets /outlets for a specific gas 0
0 Medical gas piping (6 +) inlets /outlets 0
0 Gas Piping
0 Gas piping outlets (0 -5) 0
O Gas piping outlets (6 +) 0
PG07 -304 Printed: 11 -19 -2007
Permit Center Authorized Signature:
Signature:
doc: UPC -10/06
City o't' 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 -304
Issue Date: 11/15/2007
Permit Expires On: 05/13/2008
Date:
I hereby certify that I have read and x ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be compile wi , 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 performance of work. I am authorized to sign and obtain this plumbing /gas piping permit.
Date: ii/ 11 / 0 7
Print Name: — 1 -0 "- i(Ct 30 h., r 4- w lam/ Pb v vv` t 4
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 -304 Printed: 11 -19 -2007
Parcel No.: 0041000596
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
1511742AVSTUKW
Cityf Tukwila
PHAN RESIDENCE
1511742AVS,TUKWILAWA
PHAN DIEN +NGUYEN TIEN
15117 42ND AVE S , SEATTLE WA
Contact Person:
Name: NAIDA KHAN
Address: 1345 GULF RD , POINT ROBERTS WA
Contractor:
Name: WASHINGTON ENERGY SERVICES CO
Address: 2800 THORNDYKE AVE W , SEATTLE, WA
Contractor License No: WASHIES9710B
DESCRIPTION OF WORK:
REPLACE A RHEEM ELECTRIC TO GAS WATER HEATER
Value of Plumbing /Gas Piping:
Fees Collected:
Plumbing
Bathtub or combination bath/shower 0
Bidet 0
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
doc: UPC -10/06
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
$5,440.00
$88.00
FIXTURE TYPE AND OUANTITY
* *continued on next page **
PLUMBING /GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 360- 945 -2787
Phone: 206 282 -4200
Expiration Date: 09/02/2009
PG07 -304
11/15/2007
05/13/2008
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
0 Water heater and/or vent 1
0 Industrial waste treatment interceptor, including
0 its trap and vent, except for kitchen type
0 grease interceptors 0
0 Repair or alteration of water piping and/or water
O treatment equipment 0
0 Repair or alteration of drainage or vent piping 0
0 Medical gas piping system serving (1 -5)
0 inlets /outlets for a specific gas 0
0 Medical gas piping (6 +) inlets /outlets 0
O Gas Piping
O Gas piping outlets (0 -5) 0
0 Gas piping outlets (6 +) 0
PG07 -304 Printed: 11 -15 -2007
Permit Center Authorized Signature:
doc: UPC -10/06
City orTukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 -431 -3665
Web site: http: / /www.ci.tukwila.wa.us
I hereby certify that I have read and 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 n • • - sume to give authority to violate or cancel the provisions of any other state or local law • regulating
constructi • • or the perfor�nanc - of w • rk. - auth • ,' r " to si •r. _ obtain this plumbing /gas piping permit.
Signature: � , _Cr I -4 L �— • •O, / t // Date: /
Print Name:) " 1 O 4 (rU ///1,SW.e
Permit Number: PG07 - 304
Issue Date: 11/15/2007
Permit Expires On: 05/13/2008
Date:
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 -304 Printed: 11 -15 -2007
Parcel No.: 0041000596
Address: 15117 42 AV S TUK
Suite No:
Tenant: PHAN RESIDENCE
1: ** *PLUMBING AND GAS PIPING * **
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
5: No portion of any plumbing system or gas piping shall be concealed until inspected and approved.
* *continued on next page **
Permit Number:
Status:
Applied Date:
Issue Date:
PG07 -304
ISSUED
11/15/2007
11/15/2007
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.
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.
PG07 -304 Printed: 11 -15 -2007
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
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: !'/ l U
PG07 -304 Printed: 11 -15 -2007
Contact Person:
E -Mail Address:
Contact Person:
E -Mail Address:
Company Name: \J S Cd
Contact Person:
E -Mail Address:
CITY OF TUKWILI
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Plumbing/Gas Permit No 1 1
Project, No.
(Far ice use only
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**
SITE LOCATION
Site Address: ! SI ( 42vnd/e S
Tenant Name: �n
Property Owners Name 0 ‘ EN Pi-tit; LS
Mailing Address: 1 s
City
King Co Assessor's Tax No.: CX-
Suite Number:
New Tenant:
Floor:
❑ .... Yes ❑ ..No
State
Zip
CONTACT PERSON Who do w e contact when your perm i s ready to be issued
Name: /LGfXd ?4 7 J7 /l/1AI Perry) i 2 ( O - k Day Telephoned (v - - 21 51
Mailing Address: t (E u (.�' I) (V1 r f 'w cic
City State Zip
E -Mail Address: Fax Number:
PLUMBING / GAS PIPING CONTRACTOR INFORMATIO
Mailing Address: l VCVA Ke kJe VU
/tin Cu,liF
Contractor Registration Number: V l ESQ 01
Q: Applications\Porms- Applications On Line\3 -2006 - Plumbing -Gas Piping Permit Application.doc
Revised: 4 -2006
bh
o9
City
Day Telephone2Ct 0- S7 c5 - lP ( O)
Fax Number:
Expiration Date: d G)
ARCHITECT OF RECORD — All plans must be wet stamped by Architect of Record
Company Name:
Mailing Address:
city
Day Telephone:
Fax Number:
State
Zip
ENGINEER OF RECORD - All plans must be wet stamped by Engineer of
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
State
Zip
Page 1 of 2
Fixture Type:
Qty :
, Fixture Type:
Qty
Fix ture. Type:
Qty , -
Fixture Type.
Qty
Bathtub or combination
bath/shower
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, 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)
i
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): $ E /'4" t" n , t
Scope of Work (please provide detailed information): p \ Ctr ,� , 1� G� e2 e�2C t 1 C
r
Building Use (per Intl Building Code):
Occupancy (per Int'l Building Code):
Utility Purveyor: Water: - Sewer:
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
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.
BUILDING OW E R AUTHORIZED AGEN
Signature:
Date: /r /.S U 1
Day Telephone: . eleephone: . s2-0 ^ W S • 7 � g7
Mailing Address: C7 c{( t !/ 7r 1T C T " i7 V' 1/' c1 �ZJ I
City State Zip
Print Name:
Date Application Expires:
Date Application Accepted:
Q:\Applications\Fonns- Applications On Line\3 -2006 - Plumbing -Gas Piping Penni Application.doc
Revised: 4 -2006
bh
Staff Initials:
Page 2 of 2
i
Parcel No.: 0041000596
Address: 15117 42 AV S TUICW
Suite No:
Applicant: PHAN RESIDENCE
Receipt No.:
Initials:
User ID:
R07 -02541
JEM
1165
Payee: WASHINGTON ENERGY SERVICES COMPANY
TRANSACTION LIST:
Type Method
Payment Check
ACCOUNT ITEM LIST:
Description
GAS - RES
PLAN CHECK - RES
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
Description
2167
Account Code
000/322.100
000/345.830
RECEIPT
Permit Number:
Status:
Applied Date:
Issue Date:
Payment Amount: 3110.00
Payment Date: 11/19/2007 10:59 AM
Balance: 30.00
Amount
110.00
Current Pmts
88.00
22.00
Total: $110.00
PG07 -304
ISSUED
11/15/2007
11/15/2007
51.28 11/19 9710 TOTAL 110.00
doc: Receiot -06 Printed: 11 -19 -2007
Receipt No.: R07 -02514
Payee: WASHINGTON ENERGY SERVICES
TRANSACTION LIST:
Type Method Description
ACCOUNT ITEM LIST:
Description
doc: Receiot -06
PLUMBING - RES
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
RECEIPT
Parcel No.: 0041000596 Permit Number: PG07 -304
Address: 15117 42 AV S TUKW Status: PENDING
Suite No: Applied Date: 11/15/2007
Applicant: PHAN RESIDENCE Issue Date:
Initials: WER Payment Date: 11/15/2007 11:10 AM
User ID: 1655 Balance: $0.00
Amount
Payment Check 2064 88.00
Account Code Current Pmts
000/322.100 88.00
Total: $88.00
Payment Amount: $88.00
5023 11/15 9710 TOTAL
00
Printed: 11 -15 -2007
Project:
1 NA/4 12“.
Typ,c of Inspection \ I
Ko. op, s e. ei..kc
Address:
151 f 1 H 2- AV
5
Date Called:
k \ 7.44 0'1
Special Instructions:
Date Wanted:
am)
11 1 Zl (0-1 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 3 r 0
Approved per applicable codes. ❑ Corrections required prior to approval.
COMMENTS:
'lnspector:T � ail% p , n
Date:
$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:
10 -01 -2008
NAIDA KHAN
1345 GULF RD
POINT ROBERTS WA 98281
RE: Permit No. PG07 -304
1511742AVSTUKW
Dear Permit Holder:
In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila Building Division.
Per the International Codes, Uniform Plumbing/Fuel Gas Code and/or the National Electrical Code, every permit issued by the
Building Division under the provisions of the code shall expire by limitation and become null and void if the building or work
authorized by such permit is not commenced within 180 days from the date of such permit issuance, or if the building or work
authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days.
Based on the above, you are hereby advised to:
Call the City of Tukwila Inspection Request Line at 206 -431 -2451 to schedule for the next or final inspection.
This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if
the project should be considered abandoned.
If such determination is made, the International Codes, Uniform Plumbing/Fuel Gas Code and/or the National Electrical Code does
allow the Building Official to approve one extension of time for an additional period not exceeding 180 days. Extension requests
must be in writing and provide satisfactory reasons why circumstances beyond the applicants control have prevented action from
being taken.
In the event you do not call for the above inspection and receive an extension prior to 11/22/2008 , your permit will become null and
void and any further work on the project will require a new permit application and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
xc:
er Marshall
't Technician
Permit File No. PG07 -304
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
96 /19 /zuvn THv ll:ju FAX zV6 .17U 6600 waenington Energy 6VCe.
Washington
Energy Services —
June 19, 2008
Phu Dien Phan
15117 42 Ave S.
Tukwila. WA 9
RE: P
Issu =• /07
Expires: 11/28/08
Dear Mr. Phan,
., aa— ■
RECeIVe.
o
I am contacting you pertaining to the furnace installation that took place at your residence
on 11/26/06. The final plumbing inspection needs to be scheduled with the City of
Tukwila. Washington Energy Services has made several attempts to contact you via
telephone to schedule the inspection with no response. It is imperative that the inspection
takes place to ensure the safety of your home. Please contact me at your earliest
convenience and I will be more than happy to assist you with scheduling the final
electrical inspection.
The city of Tukwila performs inspections Monday through Friday and needs a
representative of the age of 18 years or older at the residence to allow access between the
hours of 8:30am - 4:00pm.
Thank you in advance for your prompt response to this request.
Sincerely,
Andrea G. Slattery
Operations
206- 378 -6714
CC: City of Tukwila
Dept of Community Development
viQQ1 /QQ1
May 23, 2008
Andrea G. Slattery
1345 Gulf Rd
Point Roberts WA 98281
RE: Request for Extension
Plumbing Permit No. PG07 -304
Phan Residence —15117 42 Av S
Dear Ms. Slattery,
This letter is in response to your written request for an extension to Permit Number PG07 -304.
The Building Official has reviewed your letter and considered your request to extend the above
referenced permit. The City of Tukwila Building Division will be extending your permits a
additional 180 days from the date of expiration (through November 28, 2008) as requested.
If you should have any questions, please contact our office at (206) 431 - 3670.
Sincerely,
Jell]
'fer Marshall
it Technician
File: Permit No. PG07 -304
City of Tukwila
Department of Community Development Jack Pace, Director
P:\Perm t Centerkatension Letters\Pemuts\2007\PG07 -304 Pemdt Extension.doc
Page 1 of 1
Jim Haggerton, Mayor
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
05/14/2008 WED 15 :02 FAX 206 378 6600 Weehington Energy Svcs.
Washington
Energy Services
May 14, 2008
City of Tukwila
Department of Community Development
RE: Permit No. PG07 -304
15117 42 Ave S,
Whom It May Concern:
Washington Energy Services has made multiple attempts to schedule the final mechanical
inspection with the home owner of the above referenced permit.
Please approve an extension for 180days as we will continue to attempt scheduling the
inspection.
Thank you in advance for your help and please feel free to contact me if you have any
questions at 206-378-6714.
Resp - i y,
Andrea Slatte
P ' s & Inspections Manager
°click
-611 : 1117.210%
144002 /002
04 -04 -2008
NAIDA KHAN
1345 GULF RD
POINT ROBERTS WA 98281
RE: Permit No. PG07 -304
15117 42 AV S TUKW
Dear Permit Holder:
In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila Building Division.
Per the International Codes, Uniform Plumbing/Fuel Gas Code and/or the National Electrical Code, every permit issued by the
Building Division under the provisions of the code shall expire by limitation and become null and void if the building or work
authorized by such permit is not commenced within 180 days from the date of such permit issuance, or if the building or work
authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days.
Based on the above, you are hereby advised to:
Call the City of Tukwila Inspection Request Line at 206 -431 -2451 to schedule for the next or final inspection.
This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if
the project should be considered abandoned.
If such determination is made, the International Codes, Uniform Plumbing/Fuel Gas Code and/or the National Electrical Code does
allow the Building Official to approve one extension of time for an additional period not exceeding 180 days. Extension requests
must be in writine and provide satisfactory reasons why circumstances beyond the applicants control have prevented action from
being taken.
In the event you do not call for the above inspection and receive an extension prior to 05/25/2008 , your permit will become null and
void and any further work on the project will require a new permit application and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
M ,
er Marshall
P Technician
xc:
Permit File No. PG07 -304
Guy of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
City of Tukwila
Sheet Number(s):
"Cloud" or highlight all areas of revision including date of revision
Received at the City of Tukwila Permit Center by: U4'5 f JQJ�
IA Entered in Permits Plus on it 1(1 10
1appliationsVorms-applications an tinelceviston submittal
Created: 8-13 -2004
Revised:
Department of Community Development
6300 Sou hcenter Boulevard, Suite #100
Tukwila, Washington 98188
Photo 206 -431 -3670
Fax: 206- 431 -3665
Web site: kitty: //www.cttuk,wila wa.
Steven M. Mullet Mayor
Steve Lancaster, Director
Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through
the mall, fax; etc.
Date: Plan Check/Permit Number: PE`s -30+
❑ Response to Incomplete Letter
❑ Response to Correction Letter # RECEIVED
Revision # 1 after Permit is Issued TLI1tA
❑ Revision requested by a City Building Inspector or Plans Examiner NOV 1 9 2007
PL-�� eI es t t) J `�E M� r CENTER
Project Name: UC�.
Project Address: I S t lam- 1 4-2_ M'1 S . 414-Y.—Zit—I—
_.
Contact Person: Vi Df - K-t:' "tJ Phone Number: ( 3 (PO
Summary of Revision:
k dact,s C (y! b eta + .: i rao.e
FT -e-p t6t.c:2
t vvae.,r-t- .
License Information
License
WASHIES971OB
Licensee Name
WASHINGTON ENERGY SERVICES CO
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
602320560
Ind. Ins. Account Id
SECRETARY
Business Type
CORPORATION
Address 1
2800 THORNDYKE AVE W
Address 2
City
SEATTLE
County
KING
State
WA
Zip
98199
Phone
2062824700
Status
ACTIVE
Specialty 1
GENERAL
Specialty 2
UNUSED
Effective Date
9/2/2003
Expiration Date
9/2/2009
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
Business Owner Information
Name
Role
Effective
Date
Expiration
Date
OLSON, CRAIG
PRESIDENT
09/02/2003
BEAGLE, RANDY
SECRETARY
09/02/2003
CHRISTIANSON,
STEVE
TREASURER
09/02/2003
OLSON, VERN
VICE
PRESIDENT
09/02/2003
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.
Bond Information
Bond I Bond I
https:// fortress .wa.gov /Ini/bbip /printer.aspx ?License= WASHIES971 OB 11/15/2007