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HomeMy WebLinkAboutPermit PG06-012 - BRADLEY RESIDENCEBRADLEY RESIDENCE 4012 S 158 ST, 3 -29 PG06 -012 CITY OF Tuba ": ^i A DEFT. OF 6300 L,JJ i ; Vp. low/ TUKWiLA, V/A Parcel No.: 1508000000 Address: 4012 S 158 ST TUKW Suite No: Tenant: Name: BRADLEY RESIDENCE Address' 4012 S 158 ST, 3 -29, TUKWILA WA PLUMBING /GAS PIPING PERMIT Owner: Name: CHALET SOUTH CONDO COMPLEX Address: C/O PHILLIPS RE SVCES, 312 FAIRVIEW AVE N Contact Person: Name: JANET WRIGHT Address: 11831 SE 32 ST, BELLEVUE WA Contractor: Name: PIPELINE PLUMBING & CONSULTING, INC. Address' 11831 SE 32 ST, BELLEVUE WA Contractor License No: PIPELPC101BW DESCRIPTION OF WORK: ROUGH -IN (1) KITCHEN SINK, (1) WATER HEATER, AND (1) CLOTHES WASHER Value of Plumbing /Gas Piping: $0.00 Fees Collected: $168.00 Plumbing Bathtub or combination bath /shower 0 Bidet 0 Clothes washer, domestic 1 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 0 Receptor, indirect waste 0 Sinks 1 Urinals 0 Water Closet 0 doc: UPC - Permit FIXTURE TYPE AND QUANTITY " *continued on next page " Permit Number: Issue Date: Permit Expires On: PERMIT CENTER Phone: (206)282 -8600 Phone: 425 644 -2622 Phone: 425 644 -2622 Expiration Date:09 /11/2006 PGO6 -012 04/26/2006 11/12/2006 Uniform Plumbing Code Edition: 2003 International Fuel Gas Code Edition: 2003 Plumbing (cont.) Building sewer and each trailer park sewer 0 Rain water system - per drain (inside bldg) 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 Medical gas piping system serving one to five 0 inlets /outlets for a specific gas 0 Gas Pioinq Gas piping outlets (0 -5) 0 Gas piping outlets (6 +) 0 PG06 -012 Printed: 07 -27 -2006 CITY OF TUKV.RIA - - "PT. CF 63C0 C TUKWILA, WA L) 1Us Permit Center Authorized Signature: An ¥\4 tHAt C 1 hereby certify that I have read and xa I ed t is permit and know the same to be true and correct. All provisions of law and ordinances governing this work will b m d 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 performance of work. I am authorized to sign and obtain this plumbing /gas piping permit. Date: `_t 0770 G Signature: b -0 A - 2 Print Name: 5e b,(9 € doe: UPC - Permit Permit Number: PGO6 -012 Issue Date: 04/26/2006 Permit Expires On: 11/12/2006 PFP.M!T CFNTFP Date: CP 1Cte 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. PG06 -012 Printed: 07-27-2006 Parcel No.: 1508000000 Address' 4012 S 158 ST TUKW Suite No: City tn Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: ct.tukwila.wa.us Tenant: Name: BRADLEY RESIDENCE Address: 4012 S 158 ST, 3 -29, TUKWILA WA Owner: Name: CHALET SOUTH CONDO COMPLEX Address' C/O PHILLIPS RE SVCES, 312 FAIRVIEW AVE N Contact Person: Name: JANET WRIGHT Address: 11831 SE 32 ST, BELLEVUE WA Contractor: Name: PIPELINE PLUMBING & CONSULTING, INC. Address: 11831 SE 32 ST, BELLEVUE WA Contractor License No: PIPELPC101BW DESCRIPTION OF WORK: ROUGH -IN (1) KITCHEN SINK Value of Plumbing /Gas Piping: $0.00 Fees Collected: $168.00 Plumbing Bathtub or combination bath /shower sewer 0 Bidet 0 Clothes washer, domestic 0 Dental unit, cuspidor 0 Dishwasher, domestic, with independent drain Drinking fountain or water cooler (per head) 0 Food -waste grinder, commercial 0 Floor drain 0 Shower, single head trap Lavatory 0 Wash fountain 0 Receptor, indirect waste 0 Sinks 1 Urinals 0 Water Closet 0 doc: UPC - Permit PLUMBING /GAS PIPING PERMIT FIXTURE TYPE AND QUANTITY Permit Number: Issue Date: Permit Expires On: Phone: (206)282 -8600 Phone: 425 644 -2622 Phone: 425 644 -2622 Expiration Date:09 /11/2006 Uniform Plumbing Code Edition: International Fuel Gas Code Edition: Steven M. Mullet, Mayor Steve Lancaster, Director PG06 -012 04/26/2006 11/12/2006 2003 2003 Plumbing (cont.) 0 Building sewer and each trailer park Rain water system - per drain (inside bldg) 0 Water heater and /or vent 0 Industrial waste treatment interceptor, including 0 its trap and vent, except for kitchen type 0 grease interceptors Repair or alteration of water piping and /or water treatment equipment 0 0 Medical gas piping system serving one to five inlets /outlets for a specific gas 0 Gas Pining Gas piping outlets (0 -5) 0 Gas piping outlets (6 +) 0 PGO6 -012 Printed: 05 -19 -2006 doc: UPC - Permit City to Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 - 431 -3665 Web site: ci.tukwila.wa.us * *continued on next page ** Steven M. Mullet, Mayor Steve Lancaster, Director PG06 -012 Printed: 05 -19 -2006 Permit Center Authorized Signature: I hereby certify that I have read an ordinances governing this work will b The granting regulating con Signature: Print Name: doc: UPC - Permit City o Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: ci.tukwila.wa.us 4AAA51pAdu Steven M. Mullet, Mayor Steve Lancaster, Director Permit Number: PG06-012 Issue Date: 04/26/2006 Permit Expires On: 11/12/2006 Date: nc' VII to this permit and know the same to be true and correct. All provisions of law and mp iied with, whether specified herein or not. his permit does not presume to give authority to violate or cancel the provisions of any other state or local laws ction or t, performance of work. I am authorized to sign and obtain this plumbing /gas piping permit. Date: 'IOC 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. PG06 -012 Printed: 05 -19 -2006 Parcel No.: Address: Suite No: Value of Plumbing /Gas Piping: $0.00 Fees Collected: $168.00 City in Tukwila Contact Person: Name: JANET WRIGHT Address: 11831 SE 32 ST, BELLEVUE WA Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 - 431 -3665 Web site: cttukwila.wa.us 1508000000 4012 5 158 ST TUKW Tenant: Name: BRADLEY RESIDENCE Address: 4012 S 158 ST, 3 -29, TUKWILA WA plumbing Bathtub or combination bath /shower sewer 0 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 0 Floor drain 0 Shower, single head trap Lavatory 2 Wash fountain 0 Receptor, indirect waste 0 Sinks 1 Urinals 0 Water Closet 2 PLUMBING /GAS PIPING PERMIT Owner: Name: CHALET SOUTH CONDO COMPLEX Address: C/O PHILLIPS RE SVCES, 312 FAIRVIEW AVE N Contractor: Name: PIPELINE PLUMBING & CONSULTING, INC. Address 11831 SE 32 ST, BELLEVUE WA Contractor License No: PIPELPC101BW DESCRIPTION OF WORK: ROUGH -IN TWO WATER CLOSETS, 2 LAV, 1 KITCHEN SINK, 1 WATER HEATER, 1 DISHWASHER, AND 1 AUTO WASHER Uniform Plumbing Code Edition: 2003 International Fuel Gas Code Edition: 2003 FIXTURE TYPE AND QUANTITY Permit Number: Issue Date: Permit Expires On: Phone: (206)282 -8600 Phone: 425 644 -2622 Phone: 425 644 -2622 Expiration Date:09 /11/2006 Steven M. Mullet, Mayor Steve Lancaster, Director PG06 -012 04/26/2006 10/23/2006 plumbing (cont.) 1 Building sewer and each trailer park 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 0 grease interceptors Repair or alteration of water piping and /or water treatment equipment 0 1 Medical gas piping system serving one to five Inlets /outlets for a specific gas 0 Gas Piping Gas piping outlets (0 -5) 0 Gas piping outlets (6 +) 0 doe: UPC - Permit PG06 -012 Printed: 04 -26 -2006 City tit Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Fax: 206 -431 -3665 Web site: ci.tukwila.wa.us * *continued on next page ** Steven M. Mullet, Mayor Steve Lancaster, Director doc: UPC - Permit PG06 -012 Printed: 04 -26 -2006 Permit Center Authorized Signature: City & Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 - 431 -3665 Web site: ci.tukwila.wa.us VIA iv Steven M. Mullet, Mayor Steve Lancaster, Director Permit Number: PG06 -012 Issue Date: 04/26/2006 Permit Expires On: 10/23/2006 Date:S i d, I hereby certify that I have read an eraminetl 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 perm of presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction rformance of work. I am authorized to sign and obtain this plumbing /gas piping permit. Signature: Date: /mil De doc: UPC - Permit Print Name: S 1/ 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. PG06 -012 Printed: 04 -26 -2006 City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 1508000000 Address: 4012 S 158 ST TUKW Suite No: Tenant: BRADLEY RESIDENCE 1: ** *BUILDING DEPARTMENT CONDITIONS * ** 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. PERMIT CONDITIONS 4: All plumbing and gas piping systems shall be installed in compliance with the Uniform Plumbing Code and the Fuel Gas Code. 5: 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. 6: No portion of any plumbing system or gas piping shall be concealed until inspected and approved. 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: The issuance of a permit or approval of plans and speciflcations 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: Conditions * *continued on next page ** Permit Number: PG06-012 Status: ISSUED Applied Date: 04/26/2006 Issue Date: 04/26/2006 PGO6 -012 Printed: 04 -26 -2006 City of Tukwila S Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 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 pe ; • ce of work. Signature: Print Name: _a __ doc: Conditions Date: (i: — YJ6 PG06 -012 Printed: 04 -26 -2006 Name: Company Name: Mailing Address: Company Name: Mailing Address: Company Name: Mailing Address: bh CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98168 htto://www.ci.tukwila.wa.us Building Permit No. Mechanical Permit No Plumbing/Gas Permit No. reycti-ov2 Public Works Permit No, - -- - {For office use only) Applications and plans must be complete in order to be accepted for plan review. Applications will not be accepted hrough the mail or by fax. **Please Pent** King Co Assessor's Tax No.: /O00 2C4 0 Site Address: HO/ 2- I S • / `/F - P A -- 54- - -.2,9 Suite Number: Floor: Tenant Name: rancid; New Tenant: 1111 Yes Property Owners Namn; VIA/ Mailing Address: Mailing Address: 119 " 3 S4- E-Mail Address: Contractor Registration Number: Contact Person: E-Mail Address: City State Zip — Day Telephone: ei t I Is CL— __Wrp City State Zip Fax Number: GENERAL CONTRACTOR INFORMATION- (Contractor Information Tor Mechanical (pg for Plumbing and Gas Piping (pg 5)) State State State Zip City Contact Person: Day Telephone: E Address: Fax Number: Expiration Date: ARCHITECT OF RECORD -All plans must be wet stamped by Architect of Record Zip City Day Telephone: Fax Number: ENGINEER OF ?.EcoRp unlit be wet stamped bylugiteer;OftteciMitH Zip City Contact Person: Day Telephone: E-Mail Address: Fax Number: QAApplicationsWorms-Applications On lan63-2006 • Permit Application.doc Revised: 4-2006 Page 1 of 6 Fixture Type: Qty 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 Bidet Food -waste grinder, commercial Receptor, indirect waste Clothes washer, domestic 1 Floor drain Sinks 1 Dental unit, cuspidor Shower, single head trap Urinals Dishwasher, domestic, with independent drain ) Lavatory n (-- Water Closet Building sewer or trailer park sewer Rain water system — per drain (inside building) Water heater and/or vent / 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 Additional medical gas inlets /outlets — six or more At-tsito LtZ Q VtpplicationsWonns- Applications On LineU -2006 - Remit Application:doc Revised: 42006 bh PLUMBING AND GAS PIPING ItOilt11%frOltS = 206- 431 -3670 PLUMBING AN G S PIPING CONTR INFORMATION Company Nan; Ct t1% sn Gl1 Mailing Address: 1 Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: \ / Ci State Zip Contact Person: t JCL /Lr+ V 1 /I C� IA: )7 Day Telephone: 0, ?-1/4?-, E -Mail Address: Fax Number: Contractor Registration Numbed ) rC ie4,13 LA/ S Expiration Date: Ct • 1 1 - CD( I1 Valuation of Project (contractor's bid price): $ i S7C,943-`C, ..- ) QC, q 1 Scope of Work (please provide detailed information).140( ✓Y' Z [ C---) / a 3 ISh Page 5 of 6 L 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. 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 Signature: Print Name Mailing Address: Buildinp 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). Plumbin Pg ennit 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). WNER OR A HORIZED A - ENT: Day Telephone: City Date: / -2L •oC q A aCtS Zip State Staff Initials: � Date Application Expires: lvt I Date Application Accepted: Q:lApplicadonswomu- Applications On Iine3-2006 -Permit APPlicadon.doc Revised: 4-2006 bh Page 6 of 6 ACCOUNT ITEM LIST: Description doc: Receipt City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 981881(206) 431 -3670 Parcel No.: 1508000000 Address: 4012 S 158 ST TUKW Suite No: Applicant: BRADLEY RESIDENCE Receipt No.: R06 -00565 Payment Amount: 168.00 Initials: ]EM Payment Date: 04/26/2006 10:46 AM User ID: 1165 Balance: $0.00 Payee: PIPELINE PLUMBING & CONSULTING, INC. TRAN57 CE] ON:LI5T4 Type Method Description Amount Payment Check 31004 168.00 PLUMBING - RES RECEIPT Account Code Current Pmts 000/322.100 168.00 Permit Number: PG06-012 Status: APPROVED Applied Date: 04/26/2006 Issue Date: Total: 168.00 4874 34/26 0716 TOTAL 346.00 Printed: 04-26-2006 Proje t: /3 ✓�c.l /F y a e- S. Type of Inspection: `) ,G, n/%4 / Address: Z /0 /1 5 /55.3 s—/ Date Called: Special Instructions: Date Wanted: / / — / — o L a.tm. Requester: Phone No: 4'2-5 8 5/ 25 3 INSPECTION RECORD Retain a copy with permit P 60‘-4 / 2_ INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)43 -3670 PERMIT N c. Approved per applicable codes. 0Corrections required prior to approval. COMMENTS: Date: ©‘ $58.00 REINS CTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: Proj t: iriR )2rS Type o spectioq: t9 h - #N \. A ress: 0/2 S . ,C t 3 Srt Date Called: / Special Instructions: Date Wanted: /�-- �+ r - Requester: Phone No: INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 20•)431 -36170 a pproved per applicable codes. Corrections required prior to approval. COMMENTS: Date: G c /G td A 8.00 REINSPECTION F REQUIRED. 51"ior to inspection, fee must be r paid at 6300 Southcenter elvd., Suite 100. Call to sechedule reinspection. Receipt No.: Dat Pro' ct: ,ZA(y_£9/ R £s. Type of Inspection: f z .1, A1,rtgsTE,t� Date Called: Address: 1/b / 5 . U S s,L Special Instructions: Date Wanted: /b ^ OG am Requester: Phone No: A 53- G8C - 2- INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PE (206)431 -3f 7 Approved per applicable codes. Corrections required prior to approval. COMMENTS: 1 Date ° O rk s H 8.00 REINSPECTION FE REQUIRED. or to inspection, fee4st be paid at 6300 Southcenter •lvd., Suite 100. Call to sechedule reinspection. Receipt No.: !Date: Projecct / /� ��/( /'� �� T ype of IInns ,.., ,. / Address: , Date Called: Special Instructions: Date Wanted: ,— l: c cn. Requester: Phone No: INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 J Approved per applicable codes. PER (206)431 -3670 COMMENTS: / /, ` //, A 42 COMMENTS: ,..- s aid � crr.L_- ` 0 fAlA -40 0' s 4.4 • L S #4,,1 </ . At,/ Corrections required prior to approval. 17 $58.00 REINSPECTION FE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Cali to sechedule reinspection. Receipt No.: Date: • Prpject: r -PcULt 101 Type of Inspecti n: Rd.�� -- ; N NJ Address: Li 0tZ S % Date Called: Special Instructions: Date Wanted: 5 It -OCs a.m. nip. Requester: Phone No: INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION NO. °Approved per applicable codes. (206)431 - 36 Corrections required prior to approval. COMMENTS: r'^ C oo-N 5: 1\ F $58. 0 REINSPECTIOF! FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: U 14. 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 mail, fax, etc. Date: 1 /77 / 000 ❑ 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: ( A/.FX S c'x'C 4- W I•bo CO Lia.x Project Address: 4( ) Z 5. ( SF5 5t Contact Person: - -1(A We. 6 Ott' Phone Number: 415 6'(/ 0622_ Summary of Revision: - ro pis - ro c tst i t.sC4 W `n ti t - ( tr rvu2.. i-k est - ct% 12_ l� e Lo - r - HAS s W? Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by: kik &J Entered in Permits Plus on2 \applications\forms- applications on line4evision submittal Created: 8 -13 -2004 Revised: Steven M Mullet, Mayor Steve Lancaster, Director Plan Check/PermitNumber: C 6oG2 01 t FtECEIVED crry OF YUKWIIA JUL 2 7 2006 PERMIT CENTER Date: oy (1 Project Name: City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206431 -3670 Fax: 206431 -3665 Web site: hup: / /www.ci.tukwila.wa.us 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 # f Revision # I after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner C h.ot I ti- Sac*YA Co✓tc-QO (owl.( e/s Project Address: '`/o / s ' S'j"- / 3 -, S f ` 7,k t.,- h (c, Contact Person: acv't e -f Wei 5tt — Phone Number: i t Z 5 - Summary of Revision: tint c S in 1 y / Lt Xl Jr (q / /S sit/ s the, tc , tt 0 t& ti-kn l t` 5 p uav- 1 } 4— ` %' &cF Lr oat, 1:)014 e . i v. 0 (0 1 -Vt e_.,_ f i z. c . r e. U✓cv -r . lJ to in C-g Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by: t /ta 2Q ig Entered in Permits Plus on (4411 tw C \appliceuons\t 'ones - applications on (inekevtsion submittal Created: 8 -13 -2004 Revised: Plan Checlr/Permit Number: - P(- -th -oi Steven M. Mullet, Mayor Steve Lancaster, Director i MAY 1 9 2006 PEROT CENTER LnJ/a, 94-(- 2_6 at License Information License PIPELPC101BW Licensee Name PIPELINE PLUMBNG /CONSULTNG INC Licensee Type CONSTRUCTION CONTRACTOR UBI 601189310 Ind. Ins. Account Id 1a Business Type CORPORATION Address 1 11831 SE 32ND ST. Address 2 City BELLEVUE County KING State WA Zip 98005 Phone 4256442622 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 1/16 /1990 Expiration Date 9/11/2006 Suspend Date Separation Date Parent Company Previous License PIPELP• 1 59NT Next License Associated License Business Owner Information Name Role Effective Date Expiration Date FOWLER, STEVEN T B Cancel Date 01/01/1980 Bond Amount Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1a CBIC 658195 08/30/2001 Until Cancelled $12,000.00 09/10/2001 #3 CBIC 658195 08/30/1990 08/30/2001 $6,000.00 DEPENDABLE Look Up a Contractor, Electri'' n or Plumber License Detail 'tS Washington State Department of Labor and Industries GeneraVSpecialty 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. Page 1 of 2 https. // fortress .wa.gov /Ini/bbip /printer.aspx ?License= PIPELPC10 04/26/2006