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HomeMy WebLinkAboutPermit PG06-114 - REHABITAT NORTHWEST - LOT 2REHABITAT NW, INC 14742 59 AV S LOT 2 PG06 -114 CITY 0:: T w`. ;P AOPPo;ENi ez03 C _ U(t:":.idl LI1 CLVD. TUKWILA, WA 93180 Parcel No.: 3597000077 Address: 14742 59 AV S TUKW Suite No: PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: PG06 -114 10/1912006 u- 1'1-01 Tenant: Name: REHABITAT NORTHWEST, LOT 2 Address: 14742 59 AV S, TUKWILA WA Owner: Name: DEVLIN DIANNA +WETZLER CHUCK Address: PO BOX 68148, SEATTLE WA Contact Person: Name: CHAD DETWILLER Address' 3601 W MARGINAL WY SW, SEATTLE WA Contractor: Name: REHABITAT NORTHWEST INC Address: 5639 16TH AVE SW, SEATTLE WA Contractor License No: REHABNI973KZ Phone: Phone: 206 932 -7355 Phone: (206)255 -3474 Expiration Date:05 /09/2007 DESCRIPTION OF WORK: PLUMBING FOR NEW 3025 SF SFR Value of Plumbing /Gas Piping: $0.00 Fees Collected: $198.00 Uniform Plumbing Code Edition: 2003 International Fuel Gas Code Edition: 2003 FIXTURE TYPE AND QUANTITY Plumbing Bathtub or combination bath /shower 2 Bidet 0 Clothes washer, domestic 1 Dental unit, cuspidor 0 Dishwasher, domestic, with independent drain.. 1 Drinking fountain or water cooler (per head) 0 Food -waste grinder, commercial 0 Floor drain 0 Shower, single head trap 0 Lavatory 0 Wash fountain Receptor, indirect waste 0 Sinks 5 Urinals 0 Water Closet 3 0 Plumbing (cont.) Building sewer and each trailer park sewer 0 Rain water system - per drain (inside bldg) 0 Water heater and /or vent 0 Industrial waste treatment interceptor, including its trap and vent, except for kitchen type grease interceptors 0 Repair or alteration of water piping and /or water treatment equipment 0 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 -114 Printed: 10 -19 -2006 Permit Number: PGO6 -114 Issue Date: 10119/2006 Permit Expires On: Permit Center Authorized Signature: Date: 11%'"1 -0 C/ 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 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. Signature: �,/ Date: Ol Print Name: ac71171i- 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 -114 Printed: 10-19-2006 CITY O IUKVJPA CO ' :uncr f DaVELOPMENT evvTUKWILA, WA tiTH3L'INTER PERMIT CONDITIONS PE c rJlT CENTER Parcel No.: 3597000077 Permit Number: PGO6 -114 Address: 14742 59 AV S TUKW Status: ISSUED Suite No: Applied Date: 08/09/2006 Tenant: REHABITAT NORTHWEST, LOT 2 Issue Date: 10/19/2006 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: 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. 11: The issuance of a permit or approval of plans and specifications shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the Plumbing Code or Fuel Gas Code or any other ordinance of the jurisdiction. **continued on next page** doc: Conditions PG06 -114 Printed: 10 -19 -2006 I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provision of any other work or local laws regulating construction or the performance of work. Signature: Print Name: Date: A V, Gt.' doc: Conditions PGO6 -114 Printed: 10-19 -2006 V( CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http:% /www. cr.tukwila tva, its Building Permit No. w TUKWILA w "Di Mechanical Permit No. Mike Plumbing/Gas Permit No. Prok Public Works Permit No. ProjecSaticit t No. Ma- (Iv or of tce use on 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 �, iy King Co Assessor's Tax No.: 35-1 700 -00 7 7 Site Address: iy7 K Y S9I6 A 5 Val Suite Number: Floor: Tenant Name: Property Owners Name: Ketokta4 lVud- otStt c- Mailing Address: 360 / /,J /GIerC,:.c New Tenant: ❑ Yes ❑..No City ,IAA 57rfe State Zip CONTACT PERSON Name: Ad &11klAr Mailing Address: SS//.) (0''/ E -Mail Address: eh) Day Telephone:[ O1) 13a-- 73S5- Sail/ .4* 9.9416 QrcF.th,"'Far_t ,uort:a6f. Carr, City State Zip Fax Number: (306) 933.73SS GENERAL CONTRACTOR INFORMATION - (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5) ) Company Name: Keto L 774 Itar'i(Calesi MC — / Address: '3'%O/I /eft3.. lar5. a.c I /lt�ay sfi Contact Person: (�i.t.d Atli'& Wen E -Mail Address: daitE f eLa L404- Alor44 &lest(. tont_ Contractor Registration Number: REYPR $Jrg73ILZ 9.1 /0 City State Zip Day Telephone:: (%) VP-- 7353-- Fax Number: 6o�) 9_3z- 73 SS Expiration Date: ARCHITECT OF RECORD - Ail plans must be wet stamped by Architect of Record Company Name: K1,A Mailing Address: Zip Contact Person: E -Mail Address: City Day Telephone: Fax Number: State ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record Company Name: ail- t Mailing Address: PIU3S LI -, to /M sic Ave NF_ usede,lale 04 98073— Contact Person: Minn LJtw� / E -Mail Address: Ma.A4Wa iS ,O/ €9901-06 co# Q.AAppll cNlons\Fo,n6.AppIICNIq% On line }`uie. Penn Application doe Re, Ised J rypv, bb City State Zip Day Telephone: (tjs) if89 -64x7 Fax Number: (Stan 4'n-0F37 Page 1 of 6 BUILDING PERMIT INFORMATION - 206 - 431 -3670 Valuation of Project (contractor's bid price): $ ISO 000 Scope of Work (please provide detailed information): • Existing Building Valuation: $ ^25 CtonSd't-u.�{' 3 —6Q.Jroon,. iui.J 5 FR.. pp,— - i�ni:e cct0rd 4- Will there be new rack storage? ❑..Yes ❑...No (If yes, a separate permit and plan submittal will be required) Provide All Building Areas in Square Footage Below PLANNING DIVISION: Single- family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area for accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard. Compact: Handicap: Will there be a change in use? ❑....Yes ❑..No If "yes ",explain. FIRE PROTECTION /HAZARDOUS MATERIALS: ❑..Sprinklers ❑..Automatic Fire Alarm Cg ..None El _Other (specify) Will there be storage or use of Flammable, combustible or hazardous materials in the building? ❑.. Yes ..No If 'Ives". attach list of materials and storage locations on a separate 8 -1/2 x 11 paper indicating quantities and Material fety Data Sheets. SEPTIC SYSTEM: ❑ On -site Septic System - For on -site septic system. provide 2 copies of a current septic design approved by King County Health Department. Q, ApplaanonoEomu- Applmalons nn Line - Pamml APilicnlwn d< Rey ised 4-21,14. bl Page 2 of 6 Existin• Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC I" Floor r /1- Q VB K-3 27la Floor sal0 G V96 Floor imicaN 0 Floors thru �__W —e� _all__ 3 Oa-s Basement Accessory Structure ° 1 A P A Attached Garage IMP ' 1/78 Detached Garage . WE N/, Attached Carport -__ all Detached Carport _-_Era Covered Deck Uncovered Deckniallinill iLj it rL PLANNING DIVISION: Single- family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area for accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard. Compact: Handicap: Will there be a change in use? ❑....Yes ❑..No If "yes ",explain. FIRE PROTECTION /HAZARDOUS MATERIALS: ❑..Sprinklers ❑..Automatic Fire Alarm Cg ..None El _Other (specify) Will there be storage or use of Flammable, combustible or hazardous materials in the building? ❑.. Yes ..No If 'Ives". attach list of materials and storage locations on a separate 8 -1/2 x 11 paper indicating quantities and Material fety Data Sheets. SEPTIC SYSTEM: ❑ On -site Septic System - For on -site septic system. provide 2 copies of a current septic design approved by King County Health Department. Q, ApplaanonoEomu- Applmalons nn Line - Pamml APilicnlwn d< Rey ised 4-21,14. bl Page 2 of 6 PUBLIC WORKS PERMIT INFORMATION — 206 - 433 -0179 Scope of Work (please provide detailed information): Pstdrat/ /&)et.0 3 - Leirzsot+x. S... /e f; An eestie0.7e -t 'Der Waal Call before you Dig: 1 -800- 424 -5555 Please refer to Public Works Bulletin #I for fees and estimate sheet. Water District Da ...Tukwila 0... Water District #125 ❑...Water Availability Provided Sewer District ...Tukwila ❑...ValVue ❑ ...Sewer Use Certificate ❑...Sewer Availability Provided ❑ .. Approved Septic Plans Provided ❑ .. Highline ❑ .. Renton ❑ .. Renton ❑ .. Seattle Submitted with Application (mark boxes which apply): ❑ ...Civil Plans (Maximum Paper Size — 22" x 34 ") ❑...Technical Information Report (Storm Drainage) ❑...Bond ❑ .. Insurance ❑ .. Easement(s) Proposed Activities (mark boxes that apply): ❑ ...Right -of -way Use - Nonprofit for less than 72 hours ❑ ...Right -of -way Use - No Disturbance ❑ ...Construction/Excavation /Fill - Right -of -way Non Right -of -way ® ...Total Cut 75- p ...Total Fill SV $...Sanitary Side Sewer ❑...Cap or Remove Utilities ❑ ...Frontage Improvements ❑ ...Traffic Control ❑...Backflow Prevention - Fire Protection Irrigation Domestic Water cubic ‘ards cubic y ards ❑ .. Geotechnical Report ❑ .. Maintenance Agreement(s) ❑...Traffic Impact Analysis ❑ ... Hold Harmless — (SAO) ❑...Hold Harmless — (ROW) ❑ .. Right -of -way Use - Profit for less than 72 hours ❑ .. Right-of-way Use — Potential Disturbance ❑ .. Work in Flood Zone ❑ .. Storm Drainage ❑ .. Abandon Septic Tank ❑ .. Curb Cut ❑ .. Pavement Cut ❑ .. Looped Fire Line g...Permanent Water Meter Size... * ❑...Temporary Water Meter Size .. ❑ ...Water Only Meter Size ❑...Sewer Main Extension Public Private ❑ ...Water Main Extension Public Private ❑ .. Grease Interceptor ❑ .. Channelization ❑ .. Trench Excavation ❑ .. Utility Undergrounding ❑ ...Deduct Water Meter Size FINANCE INFORMATION Fire Line Size at Property Line ❑...Water ❑...Sewer Monthly Service Billing, to: Nance: Mailing Address: Water Meter Refund /Billing: Name: Mailing Address: Number of Public Fire Hydrant(s) ❑ ...Sewage Treatment Day Telephone: City State Zip Day Telephone: City State Zip Q 1ApptucationSFarms- Applications On Line) _'' - Pernnl APPpcaoon doe Reused. 4 -2oin tat Page 3 of 6 MECHANICAL PERMIT INFORMATION - 206 - 431 -3670 MECHANICAL CONTRACTOR INFORMATION Company Name: e.- r//e /41 41 Mailing Address: fb got., 6 g Contact Person: Tern E -Mail Address: l Contractor Registration Number: C45- f1-14A 06, at.? •r • oK IR/' s Lh LJA lugs Ciry State Zip Day Telephone: 1!360, $9 7- t4 94 Fax Number: (360\ ti — $$ 73 Expiration Date: -`S j$ e� Valuation of Project (contractor's bid price): $ X5000 —/ a � � p Scope of Work (please provide detailed information): 1 S & Iceo' Qtr" /"W.cl •'L - Sits h tt Use: Residential: Commercial: Fuel Type: New Replacement ....0 New .... ❑ Replacement .... ❑ Electric ❑ Gas.... Other: Indicate type of mechanical work being installed and the quantity below: Unit Type: Qty Unit Type: Qty Unit Type: Qty Boiler /Compressor: Qty Fumace <100K BTU 1 Air Handling Unit >10,000 CFM Fire Damper 0-3 HP /100,000 BTU Fumace >100K BTU Evaporator Cooler Diffuser 3 -15 HP /500,000 BTU Floor Furnace Ventilation Fan Connected to Single Duct / J Thermostat 1 15 -30 HP/I,000,000 BTU Suspended /Wall /Floor Mounted Heater Ventilation System Wood/Gas Stove 30 -50 HP /1,750,000 BTU Appliance Vent Hood and Duct Water Heater 1 50+ HP/I,750,000 BTU Repair or Addition to Heat/Refrig /Cooling Incinerator - Domestic Emergency Generator _System Air Handling Unit <10.000 CFM - Incinerator – Comm/Ind Other Mechanical Equipment Q lAN)1' Forms- Ara'pamlons 0. Line 3 -.En- Poimn APIthcat, ml doc Re. sod 4-2non - M Page 4 of 6 PLUMBING AND GAS PIPING PERMIT INFORMATION - 206 -431 -3670 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: Suount ✓S Punch. 6 Mailing Address: tl/e7 9 /7 a03 S Asir Contact Person: ryots E -Mail Address: Contractor Registration Number: SUP/RE Ptt OPSPS_ se Monroe 41 A 97? 7a- City State Zip Day Telephone: 6(4 Wit -.3134 Fax Number: C346)7 /y — 3/os9 Expiration Date: V.4t4 7 Valuation of Project (contractor's bid price): $ /acorn // / / Sr ( p Scope of Work (please provide detailed information): 2e..tt Meta Rant 6ti -} S`4M• S J FR._ Per platitc 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 a- Drinking fountain or water cooler (per head) Wash fountain Gas piping outlets oZ Bidet Food -waste grinder, commercial Receptor, indirect waste Clothes washer. domestic 1 Floor drain Sinks Dental unit. cuspidor Shower, single head trap Urinals Dishwasher, domestic. with independent drain ( Lavatory Water Closet 3 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 IApihcniions, Fomrs- AppL<aFons On Lme 9,]mrt.- Pei mil 1pphnnon dor Res ised 4 -2ox ✓• hh Page 5 of 6 PERMIT APPLICATION NOTES — Applicable to all permits in this application Value of Construction — In all cases. a aalue of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Perri it 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). 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). 1 HEREBY CER Fl FY THAT 1 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 OWNER OR AUTHORIZED AGENT: �� Signature: SAW Print Name: tU.4 Ades !/er Mailing Address: 3CO I 63. Mtri;nc 1 /Jay 54J 1 Date Application Accepted: ori i©' to, Date Application Expires: Q 1App0uaeons!Fbnns- Applicnumu On Lon i -`ime- Pe mnr i;pi Res Ised 1-2510e. M1F Day Telephone: City Date: 1.1* (94 93 a -735'S w4 9864 State Zip u2-101114- Staff Initials: Page 6 of 6 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.: 3597000077 Address: 14742 59 AV S TUKW Suite No: Applicant: REHABITAT NORTHWEST, LOT 2 Permit Number: PG06 -114 Status: ISSUED Applied Date: 08/09/2006 Issue Date: 10/19/2006 Receipt No.: R07 -00023 Payment Amount: $58.00 Initials: SB Payment Date: 01/05/2007 01:39 PM User ID: 1670 Balance: $0.00 Payee: REHABITAT NORTHWEST INC TRANSACTION LIST: Type Method Description Amount Payment Check 1417 58.00 ACCOUNT ITEMtIST: Description Account Code Current Pmts PLUMBING - RES 000/322.100 58.00 Total: $58.00 3491 01/05 9710 TOTAL 58.00 doc: Receipt -06 Printed: 01.05 -2007 Cityof Tura Steven M Mullet Mayor Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 SET RECEIPT Steve Lancaster, Director RECEIPT NO: R06-01675 Initials: JEM User ID: 1165 Payee: REHABITAT NORTHWEST Payment Date: 10/19/2006 Total Payment: 465.76 SET ID: 1016 SET NAME: Rehabitat Lot 2 SET TRANSACTIONS: Set Member Amount M06 -175 PG06 -114 TOTAL: 267.76 198.00 267.76 TRANSACTION LIST: Type Method Description Amount Payment Check 5108 465.76 TOTAL: 465.76 ACCOUNT ITEM LIST: Description Account Code Current Pmts MECHANICAL - RES PLUMBING - RES 000/322.100 267.76 000/322.100 198.00 TOTAL: 465.76 0891 10/19 9716 TOTAL 9660.1; City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 - 431 -3665 SET RECEIPT Steven M. Mullet, Mayor Steve Lancaster, Director RECEIPT NO: R06 -01227 Intttats: JEM UserlD: 1165 Payee: REHABITAT NORTHWEST, INC. Payment Date: 08/09/2006 Total Payment: 2,054.84 SET ID: S000000539 SET NAME: Tmp set/Initialized Activities SET TRANSACTIONS: Set Member Amount D06 -308 M06 -175 TOTAL: 1,995.40 59.44 2,054.84 TRANSACTION LIST: Type Method Description Amount Payment Check 5952 2,054.84 TOTAL: 2,054.84 ACCOUNT ITEM LIST: Description Account Code Current Pmts PLAN CHECK - RES PW BASE APPLICATION FEE PW LAND ALT PLAN REVIEW PW PLAN REVIEW 000/345.830 1,726.34 000/322.100 250.00 000/345.830 23.50 000/345.830 55.00 TOTAL: 2,054.84 � .09 i r)054.94 ,,'_ i*i,; a)y ?15 TAT"_ 1 INSPECPON NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit PER 206)431 -3670 Pro ct: 2)1°A/01,; —/ 2_— Type of Inspection: l=7/1/4 /- 1)ke -1L Address: _59 rn/_5 Date Called: pecial Instructions: Special Date Wanted: d: /b re7 . p.m Requester: Phone No: JO Approved per applicable codes. COMMENTS: `�eC' ✓nit (a,..fljl%tk nspec Corrections required prior to approval. Date: 5 -1u -c7 .00 REINSPECTION FEE REQUIRED. Prior o inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. Receipt No.: 'Date: 1 INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 2 r 6)431.3670 Project: rchil) ) ;CI i ,IMJ Type of Ins ction: A 74/19 7- (o4s Address: 1/ 7//2 Se7 4, Date Called: Special Instructions: Date Wanted:`D_� 5 - / a.m. p. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: pr,Vi; /(Q„� 1,4' Insp t : Date: 5 -/o - d 2 I J N S P E C T I O N E REQUIRED. Prior o inspection, fee must be aid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. re eipt No.: (Date: INSPECTION NO. CITY OF TUKWILA BUILDING DIVISIO 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit (2 r 6)431- Projec%} // r Type of Inspection 49 c ,� Addiess Date Called) ((JJ Special Instructions: Date Wanted: .m: Requester Phone No: Approved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: Inspector: J/ /1 Date:` 7 ❑$58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: 5 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a ropy with permit /6,%z — / /c/ Project: �Type /7f /E J i /e7-7 Z,l / 7 of Inspection: f,/r/-// I- ?)' $ -1 Address: /`/74/I 57 ti✓ Date Called: Special Instructions: 0f3 /( (27 Date Wanted: /-5 -b7 a.nn Requester: Phone No: ttINApproved per applicable codes. Corrections required prior to approval. COMMENTS: tdotd,k p U -,) 7 A'4 Inspector: Date:: $58. EINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Cali to sechedute reinspection. Receipt No.: Date: 7 INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PER (206)431 Project: / ?PhA i, /thi 1--d 7 Type of nspecti 67 /1s ?i,),�.i c tJ Address: /1/7`71 � .S' / 5 Date Called: _ '' Special Instructions: Date Wanted: / — o — O ntr lrtF Requester: Phone No: �i�� -i Ji - r / JvC5 Approved per applicable codes. Corrections required prior to approval. COMMENTS: /24 ciftS i,f /c..? cP vas t t- kip )C 2 C/h *:A1 /79,7 kotrzej nspector; Date:/ a _697 t/ ❑$58.00 REINSPECTIOM'EE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: INSPEC IO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISIO 6300 Southcenter Blvd., #100, Tukwila, WA 98188 6)431 -36 Project: /2 /,M /,//4/ Niu (21 Type of Inspection: /26;)/94 - ,h/ ..' Address: /'/7`/Z SS 415 Date Called: Special Instructions: Date Wanted: �2 -z6-°G m. Er: Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: � /�, 4,/, Ai`/ l/ i"' y nii/(/ 0 / it ' itoti✓spe7 /.0 AS P, *iAs Date: U 58.00 REINSPECTIO FEE REQUIRED. Pri• to inspection, fee must be paid at 6300 Southce ter Blvd., Suite 10'- Call to sechedule reinspection. Receipt No.: Date: INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (2 INSPECTION RECORD Retain a copy with permit Project: /� rh4 //I / NA) (z1 Type of Inspection: G .baTr, Address: /' /7YZ 5 5 AID S Date Called: Special Instructions: Date Wanted: /2 -2 4 -eC �t m. C p.� Requester: Phone No: Approved per applicable codes. COMMENTS: Rtarrections required prior to approval. Date/ Z may. _ZG. i 8.00 REINSPECTION - E REQUIRED. Prior o inspection, fee must be aid at 6300 Southcenter Blvd., Suite 100. all to sechedule reinspection. Receipt No.: Date: INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit PER (206 431.387 Project: fir'fA/ /nJ �t/hi(4 Type of Inspection: N.. J AJ L/ A dress: 1779? 5-5 4v5 Date Called: Special Instructions: Date Wanted: (a.m. /2.-te- aL LP.m. Requester: Phone No ,0t- 35/ -5 ,657 ❑ Approved per applicable codes. Corrections required prior to approval. COMMENTS: l a/) i mol L - -,L r°4 ect awl/ A J grA 8.00 REINSPECTIONIFEE aUIRED. Pripf to inspection, fee must be .aid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. tor: Date: 2—?‘ Receipt No.: Date: 7 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit Project: /?rhea b/ /4-f �i/' .Id /L Type of Ins ection: �� /1ea;.�h - .:v Address: /V7z /Z J 9AU --s- Date Called: Special Instructions: Date Wanted: a.m. /?- zo -oG p Requester: 0 Zi vf•e Phone No: 02c -397 - sec/ ElApproved per applicable codes.rrections required prior to approval. COMMENTS: Ab- /a, Date /2 — $58.00 R�,,'. ECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6 i t Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit (206)431 -36 Project: 6 / . //� fit /7Af ✓V Type of Inspection: �, /- Y ✓ Address: /4 /7VZ 594v Date Called: Special Instructions: Date Wanted: a.m. Requester: Phone No: .Z 0 - 357 -Yes/ Approved per applicable codes. COMMENTS: r/t Corrections required prior to approval. d)//' l"' Inspector Dat„ 0 $58.00 REINSP TION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 outhcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: INSPECTION RECORD Retain a copy with permit PER INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -367 Project: Type of Inspection: Address: /C/74/2 5'9,44./_.5 Date Called: - Special Instructions: Date Wanted: /2 -zo -aG a.m. r Requester: Phone No: .,Zo6 -3C /_ 98c/ fApproved per applicable codes. .c 2 erections required prior to approval. "" COMMENTS: Date: /) 58.00 REIN ION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: 'Date: PERMIT COORD COPT-- - PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG06 -114 DATE: 08 -09 -06 PROJECT NAME: REHABITAT NORTHWEST, INC. SITE ADDRESS: 1470.59 AV S, LOT 2 X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Issued DEPARTMENTS: Mn ildini�o t Public Works Fire Prevention Structural Planning Division ❑ Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: Incomplete ❑ DUE DATE: 0840-06 Not Applicable ❑ Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES/THURS ROU]ING: Please Route u( Structural Review Required REVIEWER'S INITIALS: ❑ No further Review Required DATE: APPROVALS OR CORRECTIONS: DUE DATE: 09-07-06 Approved ❑ Approved with Conditions Not Approved (attach comments)❑ Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents/routing slip.doc 2 -28-02 Look Up a Contractor, Elects in 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. License Information License REHABNI973KZ Licensee Name REHABITAT NORTHWEST INC Licensee Type CONSTRUCTION CONTRACTOR UBI 602241649 Ind. Ins. Account Id TREASURER Business Type CORPORATION Address 1 5639 16TH AVE SW Address 2 City SEATTLE County KING State WA Zip 98106 Phone 2062553474 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 5/9/2003 Expiration Date 5/9/2007 Suspend Date Separation Date Parent Company Previous License REHABN *0I6MA Next License Associated License Business Owner Information Name Role Effective Date Expiration Date DETWILLER, STEVE PRESIDENT 05/09/2003 Bond Amount FROST, PHILLIP TREASURER 05/09/2003 919249 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date #3 CAPITOL INDEMNITY CORP 919249 03/07/2006 Until Cancelled $12,000.00 03/14/2006 https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= REHABNI9731C 10/19/2006