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Home My WebLink AboutPermit PG06-061 - BOEING #9-101BOEING #9 -101 9725 EAST MARGINAL WY S PG06 -061 City Tukwila Steven M. Mullet, Mayor 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 PLUMBING /GAS PIPING PERMIT Parcel No.: 0003400018 Address: 9725 EAST MARGINAL WY S TUKW Suite No: Permit Number: Issue Date: Permit Expires On: Steve Lancaster, Director PGO6 -061 06/13/2006 12/10/2006 Tenant: Name: BOEING #9 -101 Address* 9725 EAST MARGINAL WY S, TUKWILA WA Owner: Name: THE BOEING COMPANY Address: PO BOX 3703 M/S #1 F -09, SEATTLE WA Contact Person: Name: RICK WISEMAN Address: 11611 49 PL W, MUKILTEO WA Contractor. Name: UNIVERSITY MECHANICAL CONTRACTOR Address* 1300 N 130, PO BOX 33723 Contractor License No: UNIVMC *343N9 Phone: Phone: 206 356 -1200 Phone: 206 - 364 -9900 Expiration Date:10 /03/2006 DESCRIPTION OF WORK: ROUTE COMPRESSED AIR FROM EXISTING PIPING TO AIR DRYER. ROUTE AIR TO DUPLEX OUTLETS. NEW 3/4" CW LINE TO NEW SINK. PROVIDE 1 NEW INSTANTANEOUS WATER HEATER. ROUTE WASTE FROM SINK TO EXISTING SANITARY SEWER. INSTALL NEW BACKFLOW PREVENTER IN PROCESS WATER LINE. Value of Plumbing /Gas Piping: $0.00 Fees Collected: $118.00 Uniform Plumbing Code Edition: 2003 International Fuel Gas Code Edition: 2003 FIXTURE TYPE AND QUANTITY 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 0 Shower, single head trap 0 Lavatory 0 Wash fountain Receptor, indirect waste 0 Sinks 1 Urinals 0 Water Closet 0 Plumbing (cont.) 0 Building sewer and each trailer park sewer 0 0 Rain water system - per drain (inside bldg) 0 0 Water heater and /or vent 0 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 treatment equipment 2 Medical gas piping system serving one to five inlets /outlets for a specific gas 1 0 Gas Piping Gas piping outlets (0 -5) 0 Gas piping outlets (6 +) 0 * *continued on next page ** doc: UPC - Permit PGO6 -061 Pdnted: 07 -24 -2006 City t Tukwila Steven M. Mullet, Mayor 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 Steve Lancaster, Director Permit Number: PGO6 -061 Issue Date: 06/13/2006 Permit Expires On: 12/10/2006 Permit Center Authorized Signature: I hereby certify that I have read and ordinances governing this work will Date: C14t - t a, is permit and know the same to be true and correct. All provisions of law and with, whether specified herein or not. The granting of this . ermit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating constr23'on or the performance of work. I am authorized to sign and obtain this plumbing /gas piping permit. Signature: • /��!/j/i�.�j�.�ti� Print Name: /ter L . (n/ /.(Pi1?9Gt , Date: 7 29 /pb 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. doc: UPC - Permit PG06 -061 Printed: 07 -24 -2006 City &' Tukwila Steven M. Mullet, Mayor 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 PLUMBING /GAS PIPING PERMIT Parcel No.: 0003400018 Address: 9725 EAST MARGINAL WY 5 TUKW Suite No: Permit Number: Issue Date: Permit Expires On: Steve Lancaster, Director PG06 -061 06/13/2006 12/10/2006 Tenant: Name: BOEING #9 -101 Address: 9725 EAST MARGINAL WY S, TUKWILA WA Owner: Name: THE BOEING COMPANY Address: PO BOX 3703 MIS #1F -09, SEATTLE WA Contact Pelson: Name: RICK WISEMAN Address: 11611 49 PL W, MUKILTEO WA Contractor: Name: UNIVERSITY MECHANICAL CONTRACTOR Address: 1300 N 130, PO BOX 33723 Contractor License No: UNIVMC *343N9 Phone: Phone: 206 356 -1200 Phone: 206 - 364 -9900 Expiration Date:10 /03 /2006 DESCRIPTION OF WORK: ROUTE COMPRESSED AIR FROM EXISTING PIPING TO AIR DRYER. ROUTE AIR TO DUPLEX OUTLETS. NEW 3/4" CW LINE TO NEW SINK. PROVIDE 1 NEW INSTANTANEOUS WATER HEATER. ROUTE WASTE FROM SINK TO EXISTING SANITARY SEWER. INSTALL NEW BACKFLOW PREVENTER IN PROCESS WATER LINE (BACKFLOW PREVENTER UNDER PW PERMIT) Value of Plumbing /Gas Piping: $0.00 Fees Collected: $108.00 Plumbing Bathtub or combination bath /shower sewer 0 Bidet Clothes washer, domestic Dental unit, cuspidor Dishwasher, domestic, with independent drain Drinking fountain or water cooler (per head) Uniform Plumbing Code Edition: 2003 International Fuel Gas Code Edition: 2003 FIXTURE TYPE AND QUANTITY 0 0 0 0 Food -waste grinder, commercial 0 Floor drain 0 Shower, single head trap Lavatory 0 Wash fountain 0 Receptor, indirect waste 0 Sinks 1 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 1 0 Medical gas piping system serving one to five inlets /outlets for a specific gas 1 Gas Piping doc: UPC - Permit PG06-061 Printed: 06 -13 -2006 City &t Tukwila Steven M. Mullet, Mayor 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 Steve Lancaster, Director Urinals 0 Gas piping outlets (0 -5) 0 Water Closet 0 Gas piping outlets (6 +) 0 * *continued on next page ** doc: UPC - Permit PG06 -061 Printed: 06 -13 -2006 City t Tukwila Steven M. Mullet, Mayor 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 Steve Lancaster, Director Permit Number: PG06-061 Issue Date: 06/13/2006 Permit Expires On: 12/10/2006 Permit Center Authorized Signature: Date: atII.31 I hereby certify that I have read and min t is permit and know the same to be true and correct. All provisions of law and ordinances governing this work will b- .mpli ith, 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 constpe ion or the performance of work. I am authorized to sign and obtain this plumbing /gas piping permit. Signature: �l'aP�t2r e _ Date: 00,6 Print Name: M -L L • L .241 ad-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. doc: UPC - Permit PGO6 -061 Printed: 06 -13 -2006 City or Tukwila Steven M Mullet, Mayor 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 PERMIT CONDITIONS Parcel No.: 0003400018 Address: 9725 EAST MARGINAL WY S TUKW Suite No: Tenant: BOEING #9 -101 Steve Lancaster, Director Permit Number: PG06 -061 Status: ISSUED Applied Date: 06/13/2006 Issue Date: 06/13/2006 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: 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. * *continued on next page ** doc: Conditions PG06 -061 Printed: 06 -13 -2006 City o rTukwila Steven M. Mullet, Mayor 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 Steve Lancaster, Director I hereby certify that I have read these conditions and will comply with them as outlined. All provisions 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 regulating construction or the performance of work. Signature: of law and ordinances other work or local laws it-24... Date: 04346 Print Name: ,ea L • ZI.Afejener f9 doc: Conditions PG06 -061 Printed: 06 -13 -2006 CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us Building Permit No. Mechanical Permit No. �� Plumbing/Gas Permit No. F& b(P - QL1 ( Public Works Permit No. Project No. (For office use only) 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 *01_1 p / I / King Co Assessor's Tax No.: COD , 0 —i.271 1) Site Address: 9�•ZS E • �1✓��l 4/Q// .Solo Suite Number: Floor: Tenant Name: BOe,iH2 / New Tenant: ❑ Yes ❑..No Property Owners Name: BO %1Q Mailing Address: City State Zip CONTACT PERSON Name: AE.lc. L.c. %oG c .11 /Day Telephone: 206 • ?r6. /Zoo Mailing Address: //4 /1 47 ' y �L Lien' }%atki/7P0, 1424 %�7.r City State Zip E -Mail Address: nek.A.rC.114a• (. tkrict . CD41 Fax Number: 2-elm • 3 b¢ PI7Io GENERAL CONTRACTOR INFORMATION - (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5) ) Company Name: Mailing Address: Contact Person: E -Mail Address: Contractor Registration Number: City Day Telephone: Fax Number: Expiration Date: State Zip ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record Company Name: Mailing Address: Zip City Contact Person: Day Telephone: E -Mail Address: Fax Number: State Q:\Applications\Porms- Applications On Line\3- 2006 - Permit Application.doc Revised: 4-2006 bh Page 1 of 6 rr bee- PLUMBING AND GAS PIPING PERMIT INFORMATION - 206 - 431 -3670 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION 1 Company Name: l,C/7t ✓e,'ti4LJ i1' ee 4,yi /[1( rejn -A .r ,t� Mailing Address: // 61/ 714 Rae- L1/c/ W2sk/c J •CO / �/'r 90027S— oL City State Zip Contact Person: /��-• bAf » Day Telephone: 2-CL • 3st , /200 E -Mail Address: ir(n/i rP/Yraa LLYYICI . Cerro Fax Number: 2-it . 3 6 -. CPY7h Contractor Registration Number: %eai// V/Y! c-Ite 34.3i/9 Expiration Date: Valuation of Project (contractor's bid price): $ 2-41 / Qp9/ �l y Scope of Work (please provide detailed information): FOu.� CO if P.) e fv�'1 tc, s1/r19 �iP/ Nq "10 th✓yer Roo air lb bvyolese Oui/e s- /lkw '4" au Mile ity Av./ 1/14. f4 ',de. 1 4,,ea_ 4-f; �,.14 ; g• . - e lm, rLk 2 i SfaI vtoi 12aark / /d4- t fetal er ti, i roc.e -sr L.iai r /int. • Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quan ity below: 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 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 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 1 Repair, or alteration of drainage or vent piping 1 Medical gas piping system serving one to five inlets/outlets for specific gas Additional medical gas inlets/outlets — six or more Q: \Applications \Forms - Applicalions On LineO- 2006 - Perms Applicati ..doc Revised: 4-2006 bh Page 5 of 6 Nine PERMIT APPLICATION NOTES — Applicable to all permits in this application Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. Building and Mechanical Permit The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition). Phunbing Permit The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 Uniform Plumbing code (current edition). I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING O ER OR AUTHORIZED AGENT: Signature: ZLidao 4CA—. Print Name: E <CJC L. 14.4r.44,24," Mailing Address: // 6 l/ 49 9) "l LAS Date: &0/4/06 Day Telephone: 706. 7 $ 6 . /2,00 iOtiki /fe r 4/.4. 9,270 City State Zip Date Application Accepted: �.(� CUi li Date Application Expires: 1211 Staff Initials: Q UPPlicaiionsWorns- Applications On Linet3- 2006 - Permit APPlication.doc Revised'. 4-2006 bh Page 6 of 6 City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 RECEIPT Parcel No.: 0003400018 Permit Number: PGO6 -061 Address: 9725 EAST MARGINAL WY S TUKW Status: ISSUED Suite No: Applied Date: 06/13/2006 Applicant: BOEING #9 -101 Issue Date: 06/13/2006 Receipt No.: R06 -01104 Payment Amount: 10.00 Initials: JEM Payment Date: 07/24/2006 02:58 PM User ID: 1165 Balance: $0.00 Payee: RICK WISEMAN TRANSACT►ON-UST: Type Method Description Amount Payment Cash 10.00 ACCOUNT ITEM LIST: Description Current Pmts Account Code PLUMBING - NONRES 000/322.100 10.00 Total: 10.00 7711 07/25 9716 TOTAL 10.00 doc: Receipt Printed: 07 -24 -2006 City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 RECEIPT Parcel No.: 0003400018 Permit Number: PG06 -061 Address: 9725 EAST MARGINAL WY S TUKW Status: APPROVED Suite No: Applied Date: 06/13/2006 Applicant: BOEING #9 -101 Issue Date: Receipt No.: R06 -00853 Payment Amount: 108.00 Initials: ]EM Payment Date: 06/13/2006 11:10 AM User ID: 1165 Balance: $0.00 Payee: UNIVERSITY MECHANICAL CONTRACTORS, INC. TRANSAt`tION YSfl Type Method Description Amount Payment Check 251402 108.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts PLUMBING - NONRES 000/322.100 108.00 Total: 108.00 5322 06/13 17.16 TOTAL 364.83 doc: Receipt Printed: 06 -13 -2006 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, $VA 98188 INSPECTION RECORD Retain a copy with permit Project: Type of Inspection: Address: V Date Called: Special Instructions: Date Wanted: h 10 C / S. Requester: S� Phone No: fXlApproved per applicable codes.. D Corrections required prior to approval. COMMENTS: (9L 5,Q-40 Inspect • (.0 58.0 Date: a ❑$ PECTION FE REQUIRED. Prior to inspection, fee must be paid at 6300`Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: INSPECiON NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit Project:� //..f��, C rzj 2- /0/ Type of /I,nsio tion: �/ �� //2:9-1.7/3 Address: Date Called: ( Jca Special Instructions: /7A /1 / S I P / t / Date Wanted- �i -� c. Requestef� 777 in Phone No: ?96-0i A Sy s-6 Approved per applicable codes. El Corrections required prior to approval. COMMENTS: bTh p_ ic nspector: Date: n 2I ,.,/ ❑ $58.0 INSPECTION FEE'REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: TRANSMITTAL COVER SHEET ► UNIVERSITY bate: 06 -sep -06 MECHANICAL CONTRACTORS, INC. Attn: Dave Larson Send To: City of Tukwila Address: 6300 Southcenter Blvd. Suite 100 Tukwila, WA 98188 -2544 Phone: 206 -431 -3678 Fax: 206 -431 -3665 Project: Boeing 9 -101 We Build Value RECE� ` 0 SEP 0 R 200g ethwieviu O &ELopz N Job No: 4161 No. of Fax Pages: 4 SUBJECT: Comments: VIA: Fax Transmitted: He 11611 4901 Place West Mukilleo, Washington 982754255 Phone (206) 3649900 Fax (206) 365-1580 019- 013 -0(0 Transmittal ID: Boeing Bldg 9 -101 Closeout - Permit Numb4r PG06.061 Dave, Enclosed is the backflow assembly test report done for -the new equipment at the facility. Also included is a cut sheet for the instantaneous hot water heater. On the second page of the cut sheet is the UL test number for the specific model we used on the project. If you require additional documentation, please let me know. Thanks, Quantity Description 1 Backflow test report 1 Water Heater Cut sheet w/ UL test number Signed: Page 1 of 1 of this transmittal cover Date 1 23- Aug -06 1 06- Sep-06 (wn cam) S75/ee BACKFLOW PREVENTION ASSEMBLY TEST REPORT tiUNIVERSITY MECHANICAL CONTRACTORS. INC. Service Group Wo 9uad Valve University Mechanical Contractors, Inc. Service Group 1161149"' Place West Mukihco, WA 98275 -4255 206- 364-9910 ACCOUNT • NAME OF PREMISE go c; •J, Commercial, Residential ❑ SERVICE ADDRESS !3 (13 tasf M9/yi.✓4 1441 SkAtt CITY c-3•4421/4 ZIP 96 /0t COI\TACT PERSON /14 z ?i1•✓.s oce DGj PHONE ( ) 2 FAX ( ) LOCATION OF ASSEMBLY 42�i> I /V / �un, ✓ Ste✓ J �e�. DOWNSTREAM PROCESS 44t- jet( /00/1/2 DCVA ❑ RPBA%. PVBA ❑ OTHER NEW INSTALL.: EXISTING ❑ REPLACEMENT ❑ OLD SER. • PROPER INSTALLATION? YES.&NO ❑ MAKE OF ASSEMBLY 14.2•41S MODEL CJ 0 9 ar SERIAL NO. /00 6 3&3 SIZE / �c INITIAL TEST PASSED a FAILED • DCVA /RPB DCVA 1RPBA RPBA PVBA /SVBA CHECK VALVE NO.1 CHECK VALVE N0.2 OPENED AT 3. cf PSID AIR INLET OPENED AT PSID LEAKED • 7. V PSID LEAKED • 4 ' S PSID #1 CHECK PSID DID NOT OPEN • AIR GAP OK? �� NEW PANDTS REPAIRS CLEAN REPLACE PART CLEAN REPLACE PART CLEAN REPLACE. PART CHECK VALVE HELD AT PSID ❑ • ❑ • la ■ LEAKED • ❑ • • • • ❑ • • • • • • CLEANED • • ❑ • • • • REPAIRED • TEST AFTER REPAIRS LEAKED ❑ PSID LEAKED ❑ •SID OPENED AT _PSID AIR INLET PSID •1 CHECK PSID CHK VALVE PSID PASSED • FAILED • AIR GAP INSPECTION: Required minimmn air gap separation provided? Yes a No ❑ Detector Meter Reading REMARKS: Negy i. -S /a1 LINE PRESSURE 90 PSI // �s CONFINED SPACE? Air, TESTERS SIGNATURE: yrl� 7 CERT. NO. ,e /S-rr DATE 8, ZJ - a 6 TESTERS NAME PRINTED: TESTERS PHONE if ( ,90 ) f .S'S -0 6 2S� REPAIRED BY: DATE FINAL TEST BY: CERT. NO. DATE advberie CALIBRATION DATE 1 /3o /.66GAUGE 102esioyp ( MODEL 10 -Poo 77.F/SERVICE RESTORED? YES.E NO ❑ 1 certify that this report is accurate, and I have used WAC 246- 290 -490 approved rear methods and test equipment. PROJECT NAME: MA Site Address: 1F "1 _�01 FERMI— NO:. min IJt - OrigintIssue Date: REVISION LOG Revision No. Date Received 1 I Staff i Date Initials 1 Issued I Date Issued - "Staff Initials i 01— 14401F Summary of Revision: i CV-TA, ! 01-424-1: fAo Summary of Revision: 1 ! , Summary of Revision: A ...� • • t A k n. A ' ► ' r ..- • 4,, _114 D1A -C ht Ms it Received By: eceived By: 12 W I9nnov1 (please print) Revision I No.. Date Received 1 I Staff Initials I Date Issued ( Staff Initials Summary of Revision: Summary of Revision: 1 Summary of Revision: Received By: (please print) Revision No. Date Received I Staff Initials I Date Issued I Staff Initials I Staff Initials 1 Summary of Revision: Summary of Revision: 1 Received By: 1Revision No. Date ( Received Staff I Initials I Date Issued I Staff Initials Summary of Revision: 1 Received By: (please print) Revision N o. ( Date Received IStaff I Date Initials • Issued Staff Initials Summary of Revision: Received By: (please print) City of Tukwila Steven M. Mullet Mayor Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206431 -3670 Fax: 206431 -3665 Web site: http: /hvww.ci.tukwila.wa.us Steve Lancaster, Director Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: (H 100 Plan Check/Permit Number: ❑ Response to Incomplete Letter # O Response to Correction Letter # CITY Revision # I after Permit is Issued JUL 1 4 2006 ❑ Revision requested by a City Building Inspector or Plans Examiner RMITCER Project Name: goeims d 9.-/o Project Address: ��1�� / v VGA Contact Person: . j Jc 't€07arl lJl � uQC, Mime 2-°& 33—x, /ZOO Summary of Revision: Ala/ tQ MM1fh B@/e/& Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by: Entered in Permits Plus on taipi \applications\forms- applications on Ime4evision submittal Created: 8-13-2004 Revised: Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 4 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. License Information License UNIVMC *343N9 Licensee Name UNIV MECHANCL CONTRS INC Licensee Type CONSTRUCTION CONTRACTOR UBI 578025176 Ind. Ins. Account Id SECRETARY Business Type CORPORATION Address 1 11611 49TH PL W Address 2 City MUKILTEO County SNOHOMISH State WA Zip 982754255 Phone 2063649900 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 8/29/1966 Expiration Date 10/3/2006 Suspend Date Separation Date Parent Company Previous License Next License GRANSML982R3 Associated License Business Owner Information Name Role Effective Date Expiration Date BUSH, GERALD D PRESIDENT 03/13/2002 GRANSTON, EDWARD B SECRETARY 03/13/2002 PETTERSON, DEAN M TREASURER 03/13/2002 SMITH, DOUG VICE PRESIDENT 03/18/2002 KOMMERS, EDWARD D VICE PRESIDENT 03/13/2002 09/13/2004 VICE https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= UNIVMC *343N9 06/13/2006