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Home My WebLink AboutPermit PG06-079 - PAZ RESIDENCEPAZ RESIDENCE 13952 56 AV S PG06 -079 City of Tukwila Steve 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 Parcel No.: 0002800020 Address: 13952 56 AV S TUKW Suite No: PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: PG06 -079 07/10/2006 03/31/2007 Tenant: Name: PAZ RESIDENCE Address: 13952 56 AV S, TUKWILA WA Owner: Name: PAZ FERNANDO & EELEDA Address: 1918 E ALDER ST, SEATTLE WA Contact Person: Name: BRIAN L. LARSON Address: 2400 NW 80 ST #286, SEATTLE WA Contractor: Name: LOYAL MECHANICAL INC Address: 6747 15 AV NW, SEATTLE WA Contractor License No: LOYALMI141 OK Phone: Phone: 206 789 -8029 Phone: 206 - 789 -8029 Expiration Date: 01/06/2007 DESCRIPTION OF WORK: PLUMBING FOR NEW 1600 SF SFR Value of Plumbing/Gas Piping: $0.00 Uniform Plumbing Code Edition: Fees Collected: $232.50 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 Shower, single head trap Lavatory Wash fountain Receptor, indirect waste Sinks Urinals Water Closet Plumbing (cont.) 1 Building sewer and each trailer park sewer 0 O Rain water system - per drain (inside bldg) 0 1 Water heater and /or vent 1 O Industrial waste treatment interceptor, including 1 its trap and vent, except for kitchen type O grease interceptors 0 1 Repair or alteration of water piping and /or water O treatment equipment 0 1 Repair or alteration of drainage or vent piping0 2 Medical gas piping system serving one to five 0 inlests/outlets for specific gas 0 O Medical gas piping (6 +) inlets/outlets 0 1 Gas Piping 0 Gas piping outlets (0 -5) 2 2 Gas piping outlets (6 +) 0 Steve. doc: UPC -10/06 PG06 -079 Printed: 03 -27 -2007 City of Tukwila Steve Department of Community Development Steve. 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: PGO6 -079 Issue Date: 07/10/2006 Permit Expires On: 03/31/2007 Permit Center Authorized Signature: Date: Oj ?A hit I hereby certify that I have read and ined this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will b mplied with, whether specified herein or not. The granting of does not presume to giv uthority to violate or cancel the provisions of any other state or local laws regulating con ction or the perform nce of work I am authorized to sign and obtain this ps pipin per it. Signature: i�" Date: plumbing/g 2 7 Print Name: Fe! n G P �O V I Z 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. doe: UPC -10/06 PG06 -079 Printed: 03 -27 -2007 City bpi' 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 Parcel No.: 0002800020 Address' 13952 56 AV S TUKW Suite No: PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: Steve Lancaster, Director PG06 -079 07/10/2006 01/06/2007 Tenant: Name: PAZ RESIDENCE Address: 13952 56 AV S, TUKWILA WA Owner: Name: PAZ FERNANDO & EFLEDA Address: 1918 E ALDER ST, SEATTLE WA Contact Person: Name: BRIAN L. LARSON Address* 2400 NW 80 ST #286, SEATTLE WA Contractor: Name: LOYAL MECHANICAL INC Address: 6747 15 AV NW, SEATTLE WA Contractor License No: LOYALMI141 OK Phone: Phone: 206 789 -8029 Phone: 206 - 789 -8029 Expiration Date:01 /06/2007 DESCRIPTION OF WORK: PLUMBING FOR NEW 1600 SF SFR Value of Plumbing /Gas Piping: $0.00 Fees Collected: $232.50 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 Shower, single head trap Lavatory Wash fountain Receptor, indirect waste Sinks 1 Urinals 0 Water Closet 2 1 0 1 0 1 0 1 0 1 2 0 0 Plumbing (cont.) Building sewer and each trailer park sewer 0 Rain water system - per drain (inside bldg) 0 Water heater and /or vent 1 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 Medical gas piping system serving one to five inlets /outlets for a specific gas 0 Gas Piping Gas piping outlets (0 -5) 2 Gas piping outlets (6 +) 0 * *continued on next page ** doc: UPC - Permit PG06 -079 Printed: 07 -10 -2006 City in 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 f G06 -079 Issue Date: 07/10/2006 Permit Expires On: 01/06/2007 Permit Center Authorized Signature: ova 112,e/ Date: -740 --(76) 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 permi does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construe r or the performance of work. I am authorized to sign and obtain this plumbing /gas piping permit. Signature: Print Name: Date: C 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. doe: UPC - Permit PGO6 -079 Printed: 07-10-2006 CITY C 11E,i »'A DEPT. OF CC; ` :U.;. i 1' D._': _r n DlT "'" 6300 S..UTNJ :W i LP CLVD. TUKWILA, WA 90188 Parcel No.: 0002800020 Address: 13952 56 AV S TUKW Suite No: Tenant: PAZ RESIDENCE `PERMIT CENTER PERMIT CONDITIONS Permit Number: PG06 -079 Status: ISSUED Applied Date: 06/29/2006 Issue Date: 07/10/2006 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: 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. * *continued on next page ** doc: Conditions PG06 -079 Printed: 03-27-2007 Cif? r.= T11• t7'i A DE1T.C��.'. i::;iY'G__:; w.e CrrY !?F TUKPf:iA DEFT CF CC.'..... ^;TY DEVELOPMENT 6300 SOUTHCENTER BLVD. TUKWItA, WA 88188 PERMIT CONDITIONS PERMIT CENTER Parcel No.: 0002800020 Permit Number: PG06 -079 Address: 13952 56 AV S TUKW Status: ISSUED Suite No: Applied Date: 06/29/2006 Tenant: PAZ RESIDENCE Issue Date: 07/10/2006 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: 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. * *continued on next page ** doc: Conditions PGO6 -079 Printed: 07-10-2006 CITY OF TUKWI A NIIPO DEPT CF CC'.::: Lt; ;;T1' DE :VELOPMENT 63G0 CCUTHO::NTER CLVD. TUKWILA, WA 93188 New PERMIT CENTER 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 taws regulating constru . r he performance of work. Signature: Print Name: Fejri. » Date: —1/407.0‘ doc: Conditions PG06 -079 Printed: 07-10-2006 CITY OF TUKWILA Community Development Department Public Works Department Pennit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.citukwila.wa. us i 4irq. venvu 'moS - 3S25 Building Permit No. Mechanical Permit No. Plumbing/Gas Permit No. Public Works Permit No. Project No. W a r - ( (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 Ave. King Co Assessor's Tax No.: 6002 9U(p 2-0 Site Address: I.7SZ 5(OH A S Suite Number: Floor: Tenant Name: ?QZ I FcA Ylt7-11.c1a New Tenant: ❑ Yes ❑..No Property Owners Name: Pat, Fcxnm&a 1- E.- Cs Mailing Address: 19 I$ E. AI a p r St See-WU . OA 9$122 City State Zip CONTACT PERSON Name: Brt oA L Larsen (Ot.Y ffOpe abr) Telephone: 24' --1 $Q- 9302 - Mailing Address: 2.400 WNW €30-44- . Ze:O ScJ-re_ LA ' 991%1 City State Zip E -Mail Address: 1.-vie..1M,e..c-F vticP-1/4 PtS►n•c-ovk Fax Number: 201,-1V) -$ItC GENERAL CONTRACTOR INFORMATION - (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5) ) Company Name: - Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: State Zip ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record Company Name: Mailing Address: city Day Telephone: Fax Number: Contact Person: E -Mail Address: State Zip ENGINEER OF RECORD — All plans must be wet stamped by Engineer of Record Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: State Zip Q.ApplicatiensWomu- Applications On Line 3 -2006 - Permit Application doe Revised. 4 -2006 bb Page 1 of 6 PLUMBING AND GAS PIPING PERMIT INFORMATION - 206 - 431 -3670 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: Lotial Me a_nICol t'=YIC.• SR: 9ionccr P1U.MlOinc1 i- ilea -6119 Mailing Address: 2-400 NLJ 9041 Sk'.SZ9LD Wlk q$)(l J Contact Person: BflaA L • 1.-a SOn E -Mail Address: L-0903 Mel-Wank alemJ` A. coin Contractor Registration Number: RYA -t 1 0 K City State Zip Day Telephone: 20(O - 7 $9 - 80Z9 Fax Number: 2 0 ( . - 8 1 1 C 0 Expiration Date: 0 /O l¢ / z.cx -7 o Valuation of Project (contractor's bid price): $ 3! COQ Scope of Work (please provide detailed information): Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Bathtub or combination bath/shower n L Drinking fountain or water cooler (per head) Wash fountain Gas piping outlets Bidet Food -waste grinder, commercial Receptor, indirect waste Clothes washer, domestic T Floor drain Sinks Dental unit, cuspidor Shower, single head trap Urinals Dishwasher, domestic, with independent drain i Lavatory �'7 Z 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 Q:Applicanau\Foris- Applications On Line \3 -2006 - Permit Application doe Revised: 4-2006 bh Page 5 of 6 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 lnternational Building Code (current edition). Plumbing Permit The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 Uniform Plumbing code (current edition). 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILD �ROIZ"A�IORIZE AGENT: Signature: Print Name: pp� �- ^ �j G✓� Day Telephone: Mailing AddressaT( / �s Ce34 ' s�i City Date: 6 06 -ant? 4- a? State Zip Date Application Accepted: 611 Di Id, Date Application Expires: 12.4rni ^ staff Initials: , ` Q: ApplicationsWonr- Applications On Line\ -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.: 0002800020 Address. 13952 56 AV S TUKW Suite No: Applicant: PAZ RESIDENCE Permit Number: PG06 -079 Status: APPROVED Applied Date: 06/2912006 Issue Date: Receipt No.: R06 -01003 Payment Amount: 12.50 Initials: BLH Payment Date: 07/10/2006 01:13 PM User ID: ADMIN Balance: $0.00 Payee: FERNANDO C PAZ TRANSACTION UST: Type Method Description Amount Payment Check 1329 12.50 ACCOUNT ITE MUST: Description Current Pmts Account Code PLAN CHECK - RES PLUMBING - RES 000/345.830 2.50 000/322.100 10.00 Total: 12.50 7241 07/11. 9710 TOTAL. 12.50 doc: Receipt Printed: 07 -10 -2006 City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 RECEIPT Parcel No.: 0002800020 Address: 13952 56 AV S TUKW Suite No: Applicant: PAZ RESIDENCE Permit Number: PGO6 -079 Status: PENDING Applied Date: 06/29/2006 Issue Date: Receipt No.: R06 -00958 Payment Amount: 220.00 Initials: JEM Payment Date: 06/29/2006 02:45 PM User ID: 1165 Balance: 50.00 Payee: LOYAL MECHANICAL, INC. TRANSACTION UST: Type Method Description Amount Payment Check 33669 220.00 ACCOUNT ITEM LIST: Description Current Pmts Account Code PLAN CHECK - RES PLUMBING - RES 000/345.830 000/322.100 42.00 178.00 Total: 220.00 6734 06/29 9716 TOTAL doc: Receipt Printed: 06-29-2006 INSPECTION RECORD Retain a copy with permit PERMIT NO. INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431'3 70 Proj t: /492 1.?,®s , Type of Inspection: J- - //V "? / V Address: /3 a 6'ri% Date Called: . _ Special instructions: Date Wanted: ! 71- Z 6- ^� / p.m. Requester: Phone No: ' (Approved per applicable codes. Corrections required prior to approval. COMMENTS: ildiete is NA uo tva 5 PZd �-- ;a, Oil /1�r,/ , / stX)e,„ $58.00 REINSPECTIO 'FEE REQ (RED. Prior to inspection, fee must be paid at 6300 Southc ter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: INSPLCTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit P6o6 -obi PER NO 4777 (2 ' 6)431 -3¢7 Project: S5A7. -eS , Type of Inspection: F. I iv0 1 `f Address: - - 13c+e52 °Tic, Au 5 Date Called: Special Instructions: D'Av/ Date Wanted. : a.m: y Requester: Phone No a06o 1-1 iz-4Le yq Approved per applicable codes. 14 Corrections required prior to approval. COMMENTS: S 4 7 3 t$- tekt 1r 4z o e S-- 2-4-07 12 6,eryh Inspector 1tp. Date: LI $58. REINSPECT UQN FEE REQUIRED. Prior to inspection, fee muff be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: teS ;14 r INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit Project: Po 7 Type of Inspection /WA) p/wn1 Gb Address: /395z -SG if „ - Date Called: Special Instructions: 'Date Wante :� a.m —V m. �� ^� Requester: Phone No: 2o— Q/Z -4v$ JApproved per applicable codes. Corrections required prior to approval. COMMENTS: )> �� j 1"�it vg/ 7 1.1,!/0 / u pee_ ✓ 4n S lj-r ./ J 4J� I 4 t c C- 3 PR' n'et-� A)4 U c,. i'G �✓!i` 1412/L. A,-, IT S bra /2- i e-``' , Date: 3 ✓� b -07 ri ❑ $58.00 REINSPECTIOPt'FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: INSPECTION NO. INSPECTION RECORD I� �4��7 Retain a copy with permit 9 P t IT N' CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (2 *6)431 -367 Pro /-'4 r- !7 PS Type Inspectioq (y I; — / ti Pal q /376-2 sl! 4i. 5 Date Caller Special Instructions: 02 0 6, ......ezi z_zgic3 6^ Date Waatnted:, ‘7---€7 ` Requester: Pcre NG —yrz — y9,44.y. 174,Approved per applicable codes. Corrections required prior to approval. COMMENTS: p or: / Date: . 1 .t(ct.ts. %— /C/"DZ $58.00 REINSPEC ION FEE REOUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: 12-06-2006 BRIAN L. LARSON 2400 NW 80 ST #286 SEATTLE WA 98117 City of Tukwila Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director xc: RE: Permit No. PG06 -079 13952 56 AV S TUKW Dear Pennit 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 Uniform Plumbing Code and/or International Fuel Gas Code, every permit issued by the Building Division under the provisions of this 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, 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 inspectidh. 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 Plumbing and/or Gas 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 wrltinp 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 01/15/2007 , your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Pennit File No. PG06 -079 • 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206- 431 -3670 • Fax: 206 -431 -3665 .PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG06 -079 DATE: 06 -29 -06 PROJECT NAME: PAZ RESIDENCE SITE ADDRESS: 13952 56 AV S X Original Nan Submittal Response to incomplete Letter # Response to Correction Letter # Revision # After Permit Issued DEPARTMENTS: -tc i B ng rolsion Public Works WPM Y AL 6/40 Fire Prevention Structural Planning Division 1-1 Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: Incomplete DUE DATE: 07-06-06 Not Applicable ❑ Permit Center Use Only INCOMPLETE LETTER MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: LETTER OF COMPLETENESS MAILED: TUES/THURS ROUTING: Please Route REVIEWER'S INITIALS: Structural Review Required E No further Review Required DATE: APPROVALS OR CORRECTIONS: Approved ❑ Notation: Approved with Conditions DUE DATE: 08-03-06 Not Approved (attach comments) ❑ 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 LOOK up a Contractor, Electrician or Plumber License Detail Page 1 of 3 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 LOYALMI141OK Licensee Name LOYAL MECHANICAL INC Licensee Type CONSTRUCTION CONTRACTOR UBI 600636538 Ind. Ins. Account Id 50796500 Business Type CORPORATION Address 1 6747 15TH AVE NW Address 2 City SEATTLE County KING State WA Zip 98117 Phone 2067898029 Status ACTIVE Specialty 1 PLUMBING Specialty 2 AIR CONDITIONING Effective Date 9/12/1986 Expiration Date 1/6/2007 Suspend Date Separation Date Parent Company Previous License Next License Associated License Business Owner Information Name Role Effective Date Expiration Date LARSON, BRIAN L 01/01 /1980 LARSON, SONIA K 01/01/1980 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date #7 RLI INS CO SRS1017122 05/26/2005 Until Cancelled $6,000.00 05/26/2005 CUMBERLAND https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= LOYALMI141 OK 07/10/2006