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Home My WebLink AboutPermit PG06-133 - THALES AVIONICSTHALES AVIONICS 2811 S 102 ST PG06 -133 Parcel No.: Address: Suite No: City 61' 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 0423049190 2811 S 102 ST TUKW PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: Steve Lancaster, Director PG06 -133 08/30/2006 02/26/2007 Tenant: Name: Address: Owner: Name: Address: THALES AVIONICS 2811 S 102 ST, SABEY CORPORATION 12201 TUKWILA INTERN'L BLVD, FOURTH FLOOR Contact Person: Name: JARED SHEEKS Address: 7717 DETROIT AV SW, SEATTLE WA Contractor: Name: MACDONALD /MILLER FAC SOL INC Address' PO BOX 47983, SEATTLE, WA Contractor License No: MACDOFS980RU Phone: Phone: 206 768 -3806 Phone: 206 - 763 -9400 Expiration Date: 12/31/2006 DESCRIPTION OF WORK: ADD (1) NEW INTERIOR BACKFLOW PREVENTER FOR HUMIDIFIER AND ASSOCIATED PIPING. Value of Plumbing /Gas Piping: $0.00 Fees Collected: $88.00 Uniform Plumbing Code Edition: 2003 International Fuel Gas Code Edition: 2003 FIXTURE TYPE AND QUANTITY Plumbing Bathtub or combination bath /shower 0 Bidet 0 Clothes washer, domestic 0 Dental unit, cuspidor 0 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.) 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 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 1 0 0 0 Gas Piping 0 Gas piping outlets (0 -5) 0 0 Gas piping outlets (6 +) 0 "continued on next page** doc: UPC - Permit PGO6 -133 Printed: 08 -30 -2006 City 611 Tukwila seri 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 -133 Issue Date: 08/30/2006 Permit Expires On: 02/26/2007 Permit Center Authorized Signature: VIA kflAcy4 11 Date: 04 wDCilo I hereby certify that I have read and this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will b om 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. Signature: �OJ Lt.a, tc GL(LL Date: 0(9/0 6' Print Name: VC )4tzt ) 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 -133 Printed: 08 -30 -2006 6300 Sldin I.:11 t.-. • TUKVVILA, WA 913188 PERMIT CONDITIONS PERMIT CENTER Parcel No.: 0423049190 Permit Number: PGO6 -133 Address' 2811 S 102 ST TUKW Status: ISSUED Suite No: Applied Date: 08/25/2006 Tenant: THALES AVIONICS Issue Date: 08/30/2006 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 -133 Printed: 08 -30 -2006 CITY OF TUKVID A DEFT. OF CC' .' :: fti' G: Lr "C °wT 63C0 UHF;. %. J u; L_. J. TUKWILA, WA Sul L.3 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 laws regulating construction or the performance of work. Signature: _ J Print Name: C&S(C■- kei9 Date: 8/20/t340 dm: Conditions PGO6 -133 Pdnted: 08 -30 -2006 CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 SouthcenterBlvd., Suite 100 Tukwila, WA 98188 httn: //www. c4-. tukwila. wa. us Building Permit No. Mechanical Permit No. Plumbing/Gas Permit No. / t� 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 King Co Assessor's Tax No.: Site Address: .21 i i S. !Da."d S—F, /� !/L� Tenant Name: �ha C- S A i / O n t C S U`IYerre -ant � A9t1 Tenant: Property Owners Name: So.. C Mailing Address: A )/A Suite Number: Floor: ❑ Yes N No City Stale Zip CONTACT PERSON -Name: CO-re -& ,i�t e,. KS Mailing Address: ) "] l '1 't-- re Tt- f�� 7 a E -Mail Address: Day Telephone: C ) `7 6 - 3 roe SeRi e- L., A g y l o(o City State Zip Fax Number: GENERAL CONTRACTOR INFORMATION - (Contractor Information Mechanical (pg 4) for Plumbing and Gas Piping (pg S) ) Company Name: Mailing Address: Contact Person: Q Q,ncc $ld fr r � Irby Sal d a4 E -Mail Address: Contractor Registration Number: City State Zip Day Telephone: Fax Number: xpiration Date: '. ARCHITECT OF RE'EA. 2�D — All plans must be wet stamped by Architect of Record Company Name: Mailing Address: Contact Person: E -Mail Address: City State Zip Day Telephone: Pax Number: ENGINEER OF RECORD — All s must be wet stamped by Engineer of Record Company Name: Mailing Address: Contact Person: E -Mail Address: Q:Updicatims'omm- Applicatiatu On Une\3 -3006- Pemtit Applicaticn.doc Revised: 4-2006 bh City State Zip Day Telephone: Fax Number: Page 1 of 6 PLUMBING AND GAS PIPING PERMIT INFORMATION - 206- 431 -3670 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: MoxcCb ! S ✓ 1 t (1.R/ Mailing Address: -% -) 'VD—eke—Olt /4-042_ Contact Person: Tare SI/Lai -kr E -Mail Address: Contractor Registration Number: VOA ter) r S cl VC) i u Se 4-1-(4 wA 9Y1o6 City State Zip Day Telephone: � } -%(o Y' STQ' Fax Number: Expiration Date: / 2 3, - b L Valuation of Project (contractor's bid price): S % 500 — Scope of Work (please provide detailed information): Ad rO d n Q., i /char l O bLO ( � c,ck 4 /o�, ,r � o + c, rt- Ts&LfFiOAK, Wt.Ve+O , FO iL(NritJ,G.Fe! O.rck O.550cJ0 t el , in n3 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 Drinking fountain or water cooler (per head) Wash fountain Gas piping outlets Bidet Food -waste grinder, commercial Receptor, indirect waste .EP k rT / p! 7 .�'or 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 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 QMppiicadonaWonns- Appliceu.0 On IineU- 2006 - Permit Apdiuucrtdoc 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 perrnit 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). 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. BUI t G OWNER OR A 1 RIZEDQ AGENT: Si Print Name: ',Ag -lam Mailing Address: 11 ! 7 Othra cr S LQ? Day Telephon SPA Date: Sr' atl.- o %62r`4117 ri eq /06 City State Zip Date Application Accepted: nta 1DL Date Application Expires: oa-lailo7 Staff Ini 'als: Acci Q \ApplicatimN+onm- Applimtima On line\ -2006- Permit Applicatim.doc Revised: 4-2006 M Page 6 of 6 City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 RECEIPT Parcel No.: 0423049190 Address: 2811 S 102 ST TUKW Suite No: Applicant: THALES AVIONICS Permit Number: PG06 -133 Status: APPROVED Applied Date: 08/25/2006 Issue Date: Receipt No.: R06 -01368 Payment Amount: 88.00 Initials: JEM Payment Date: 08/30/2006 03:40 PM User ID: 1165 Balance: $0.00 Payee: MACDONALD- MILLER FACILITY SOLUTIONS, INC. TRANSACTION LIST: Type Method Description Amount Payment Check 983757 88.00 ACCOUNT ITEM LIST: Description Current Pmts Account Code PLUMBING - NONRES 000/322.100 88.00 Total: 88.00 9152 08/30 9710 TOTAL 258.40 doc: Receipt Printed: 08 -30 -2006 INSPECTION RECORD INSP TION N0. Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (20 . )431-3 70 Project: 1 V11 1e3 (\USOkl‘r -C Type of Inspection: .?it4nu3fm C=. Address: 2 2 11 S (07 S—k Date Called: Special Instructions: Date Wanted: Z - 2 1 -o 7 ('spin, P.m. Requester: Phone No:, Cr-571 -232 'pproved per applicable codes. Corrections required prior to approval. COMMENTS: I Per in; 4- a 1!! •'l A- I 0 REINSPECTION FE EQUIRED. or to Inspection, fee must be at 6300 Southcenter . Call to sechedule reinspection. ipt No.: 'Date: INSPECTION RECORD ��/ Retain a copy with permit i3 INSPEC ION NO. PE •y ITNI. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 31x36 Project;---7- /�u14 ,4ti, h/J) Type of Inspection: /7 ,5,,f /q/L Address: • 2:3// .O Date Cal ed: Special Instructions: Date Wanted: a. �Aae m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. 9 COMMENTS: h a A 41.-0oi% j4 -a) 4" 4 ,4, �Ou-rst (O1T i��i Date: ri $58.00 REINSPECTION F'EE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: • nr, ti.. -.. .:t "+tY ^.+yriauitara-.a..msas'r#P*04, w r City of Tukwila — Public Works Maintenance Department 600 Minkler Blvd,ltlkwila, WA 98188 • •Backflow Assembly Test Report Form Q 60 CI— ) 53 NAME US Pos4I Service SERVICE ADDRESS 10700 27th Ave South CITY TLkwi1; ACCOUNT I/ J2 -0403 METER M 01734114 STATE WA ZIP CODE 98168 -1899 ASSEMBLY LOCATION NW comer stPkine lot outside chain Zink fender CROSSCONNECTIOH CONTROL FORT Fire System Evnass MEE •par MAKE Wilkins LINE PRESSURE AT TIME OF TEST! INITIAL TEST RESULTS 1 PSI DROP ACROSS Pl CHECK VALVE RELIEF VALVE OPENED MI CHECK VALVE CLOSED TICRT! MI CHECK VALVE LEAKED? M3 CHECK VALVE CLOSED TIGHT? M2 CHECK VALVE LEAKED? APPROVF) AIR GAP PROVIDED? RPEA PASSED TEST? USA MOoE4 950XL TYPE DCVA_ ( 2 5 PSI taws ❑ EXISTING? TESTS AFTER REPAIR OR CLEANING? PSI DROP ACROSS Ml CHECK VALVE RELIEF VALVE OPENED M1 CHECK VALVE CLOSED TIGHT? 01 CHECK VALVE LEAKED! M2 CHECK VALVE CLOSED TIGHT? I2 CHECK VALVE LEAKED? APPROVED AIR CAP PROVIDED? RDA PASSED TEST? Yae ❑ - Pie Vas❑ — TSlD PSID *IS Ne ❑ SN 420136 REPLACEMENT? 0 PSID I 1 PSID 1 1 11 CHECK VALVE CLOSED TICHT? DCVA Al CHECK VALVE LEAKED? 02 CHECK VALVE CLOSED TIGHT? M2 CHECK VALVE LEAKED? DCVA PASSED TEST? Yes Ns PSID MI CHECK VALVE CLOSED TICIFr? 2..5.° PSID ' M1 CHECK VALVE LEAKED? ❑ U2 CHECK VALVE CLOSED TIGHT? 4Z PSID M2 CHECK VALVE LEAKED? ❑ DCVA PASSED TEST? YesNe ❑ AIR INLET OPENED AT AIR INLET FAILED TO OPEN? 1PVBA CHECK VALVE HELD TICHT AT CHECK VALVE LEAKED! PVBA PASSED TEST? APPROVED ASSEMBLY! REMARKS fikILZ•isl TEST COMPANY aunarnray.1 TEST KIT MAKE Pn ee,ycSr Yea ❑ PSID PSID No ❑ AIR INLET OPENED AT AIR INLET FAILED 11) OPEN? CHECK VALVE HELD TIGHT AT CHECK VALVELEAKED? PYBA PASSED TEST? PROPER INSTALLATION? clems Yes ❑ INSPECTED BY CCs? ❑ r, PHONE taAis) 150 MODEL -3G SN 2-1•5i5j CALIBRATION DATE 410& fargil that /used WAC3 •IDO -19 ap roved Tat Methods mut Differential Pressure Test EquOment TESTER'S NAME (HUNT iNvsi I s.1 Weis 5 CERTIFICATION M 47 33e SIGNATURE 1 DATE TESTED REPAIRED BY - w � REPAIR DATE RETESTED BY CERTM 3IG DATE unto TOTAL P.04 Jebco Horticultural Service. Inc. PO Box 2558 Redmond, WA 98073 ce (425) 861 -7610 A425) 861 -7620 Water District: U isy r / Fax Number. Contact Name: BACKFLOW PREVENTION ASSEMBLY TEST REPORT ACCOUNT 0 NAME OF PREMISE Pr ., cw4v� ..'1' � a. �A . t l Ta. L Commercial & Residential 3 SERVICE ADDRESS 2sf t] *ea St• CITY Se-tits- ZIP % I I: tt CONTACT PERSON 5.J1+. G.r p PHONE (ZCt ) 2S/ 6700 FAX ('V ) Z-52. LOCATION OF ASSEMBLY Sn..ii. 1 ALA % t.. sJ ,.,qS rp..41 ov. Las. Li_ . 0 "..4' DOWNSTREAM PROCESS - -1 ,._ c DCVA 8 RPBA 0 PVBA 0 OTHER _ NEW INSTALL 0 EXISTING REPLACEMENT 0 OLD SER. 0 PROPER INSTALLATION: YES K NO MAKE OF ASSEMBLY W%ild..S MODEL °r'SV XL. SERIAL NO. 9311 ro SIZE 11 )/7 INITIAL TEST PASSED III e° AILED u DCVA / RPBA DCVA / RPBA CHECK VALVE NO.2 LEAKED C 3.0 PSID MB OPENED AT_ PSID PVBA /SVGA CHECK VALVE 140.1 AIR INLET OPENED AT PSID LEAKED : i 3. 2— PSID 01 CHECK _PSID AIR GAP OK? DID NOT OPEN NEW PARTS AND REPAIRS CLEAN REPLACE u C U I. CLEAN REPLACE h ] D 1 CLEAN REPLACE LI I] CHECK VALVE HELD AT PSID LEAKED 0 V 0 1 1__ 1 0 0 CLEANED . REPAIRED :I 0 I 1 1 D [1 TEST AFTER REPAIRS PASSED J FAILED fl LEAKED 0 PSID LEAKED 0 'SID OPENED AT __PSID 01 CHECK_PS1D AIR INLET PSID _ CHK VALVE PSID REMARKS: /T55erl&lb /7...S4A. 4. -vlu. KS"tveA LINE PRESSURE / 35 PS1D J- CONFINED SPACE? _Alai_ TESTERS SIGNATURE: 4 . CERT. NO: 2 4123 DATE 41;$16 (s TESTERS NAME PRINTED: JIM BARTH TESTERS PHONE N (425) 766.2968 REPAIRED BY FINAL TEST BY: DATE CERT. NO DATE `41.IBRATION DATE: 01/30/06 GAUGE 0 02030046 MODEL Midwest 830 SERVICE RESTORED? YESIc.NO I csnijy that this report is accurate. and I have used WAC 246 - 290490 approved test methods and test equipment. City of Tukwila — Public Works Maintenance Department 600 Minkler Blvd, Tukwila, WA 98138 Backflow Assembly Test Report Form NANIE Atoterricrerf. rechnic,T.Aa-k,_ SERVICE ADDRESS'S/1 1 110,211"St METER 4 _ CITY _ _ _— ___ _. __ Tukwila STATE WA ZIP CODE .981 38- ASSEMBLY LOCATION 4144,0 aechat 7;491 Rery4 Z1124:700.17-.. . CROSS-CONNECTION CONTROL FOR , licanid, etc • ACCOUNT X SIZE a 7S NIAKE iti.A.7775 LINE PRESSURE AT TIME OF FEST? INITIAL TEST RESULTS RPBA PSI DROP ACROSS NI CHECK VALVE RELIEF VALVE OPENED *1 CHECK VALVE CLOSED TIGHT? 4! CHECK VALVE LEAKED? 42 CHECK VALVE CLOSED TIGHT? *2 CHECK VALVE LEAKED? APPROVED AIR GAP PROVIDED? moDEL °evil -3 TYPE n4 SN A oavve PSI NEW? A EXISTING? 0 REPLACENIENT? 0 .__ TESTS AFTER REPAIR OR CLEANING 7.5- _ PSID PSI DROP ACROSS NI CHECK VALVE PSID _ . _ PSID RELIEF VALVE OPENED PSID 4! CHECK VALVE CLOSED TIGHT7 NI CHECK VALVE LEAKED? 0 [27 02 CHECK VALVE CLOSED TIGHT? 0 42 CHECK VALVE LEAKED? Xi APPROVED AIR GAP PROVIDED? 0 0 RPBA PASSED TEST? YesA No 0 RPBA PASSED TEST? Yes 0 NO 0 4! CHECK VALVE CLOSED TIGHT? DCVA NI CHECK VALVE LEAKED? N2 CHECK VALVE CLOSED TIGHT? N2 CHECK VALVE LEAKED? DCVA PASSED TEST? Yes - _ A/R INLET OPENED AT 0 PSID 4! CHECK VALVE CLOSED TIGHT? PSID 42 CHECK VALVE CLOSED TIGHT? PSID 0 N2 CHECK VALVE LEAKED? No DCVA PASSED TEST? Yes 0 No 0 NI CHECK VALVE LEAKED? PSID PSID AIR INLET OPENED AT PSID _ _ 0 AIR INLET FAILED TO Ol'EN? PSID CHECK VALVE HELD TIGHT AT AIR INLET FAILED TO OPEN? 0 PVBA CHECK VALVE IIELD TIGHT AT PSID CHECK VALVE LEAKED? Ei CHECK VALVE LEAKED? PVDA PASSED TEST? Yes D No 0 PVBA PASSED TEST? Yes 0 No 0 _ . APPROVED ASSENIBLV? PROPER INSTALLATION? X INSPECTED BY CCS? REMARKS TEST COMPANYAK4bc Aq/ Mir er7.... TEST KIT MAKE PHONE (244 iztAn-s___ NIGUEL c 74_ s.N en v9:3 CC11111' that I :tsed 11-1-1 244-290-491) approved Tesr Methods and Differential Pressure Test Equipment TESTER'S NANIE (PRINTED) r- 1,77p __CERTIFICATION to 2<lif _ 5IGNATUEc4?Jr DATE TESTED REPAIRED BY REPAIR DATE CERT s DATE TESTED CALIBRATION DATE _51:1)-et RETESTED BY City of Tukwila • Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director • 01-02 -2007 JARED SHEERS 7717 DETROIT AV SW SEATTLE WA 98106 RE: Permit No. PG06 -133 2811 S 102 ST TUKW Dear Permit Holder: In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the 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 ot`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 inspection. This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if the project should be considered abandoned. If such determination is made, the 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 [Host be in wrltlnr 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 02/ 28/2007 , 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. • Sincerely, Permit Technician xc: Permit Pile No. PG06 -133 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206-431-3670 • Fax: 206-431-3665 LVVI\ VIl a 1.V11t1aGtU1, li1GGUU '611 Vl r 1U111UG1 L1GG11JG LGtall 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 MACDOFS980RU Licensee Name MACDONALD/MILLER FAC SOL INC Licensee Type CONSTRUCTION CONTRACTOR UBI 602254260 Ind. Ins. Account Id SECRETARY Business Type CORPORATION Address 1 PO BOX 47983 Address 2 City SEATTLE County KING State WA Zip 98106 Phone 2067684180 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 12/31/2002 Expiration Date 12/31/2006 Suspend Date Separation Date Parent Company Previous License DIVCOI *988RC Next License Associated License Business Owner Information Name Role Effective Date Expiration Date SIGMUND, FREDRIC PRESIDENT 12/31/2002 KOPET, TYLER SECRETARY 12/31/2002 KOPET, TYLER TREASURER 12/31/2002 LOVELY, STEVE C VICE PRESIDENT 12/31/2002 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date rase 1 V1 L https: // fortress. wa. gov /]ni/bbip /printer.aspx ?License= MACDOFS980RU 08/30/2006