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HomeMy WebLinkAboutPermit PG06-194 - R HOUSE CONSTRUCTIONR HOUSE CONSTRUCTION 4135 S 130 ST PG06 -194 Parcel No.: 7340600846 Address: Suite No: w City of 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: http: / /www.ci.tukwila.wa.us 4135 5 130 ST TUKW PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: Steve Lancaster, Director PGO6 -194 02/28/2007 08/27/2007 Tenant: Name: R HOUSE CONSTRUCTION Address: 4135 S 130 ST , TURWILA WA Owner: Name: R HOUSE CONSTRUCTION INC Address: 2108 N 29 ST , TACOMA WA Contact Person: Name: RICH ROWLEY Address: 1001 N TACOMA AV , TACOMA WA Contractor: Name: PUGET SOUND MECHANICAL INC Address: 1818 99 ST E , TACOMA WA Contractor License No: PUGETI *271LQ Phone: Phone: 253 377 -2079 Phone: 253 537 -8900 Expiration Date: 12/31/2007 DESCRIPTION OF WORK: PLUMBING AND GAS PIPING FOR NEW 2667 SF SFR Value of Plumbing /Gas Piping: $7,000.00 Fees Collected: $367.80 Uniform Plumbing Code Edition: 2003 International Fuel Gas Code Edition: 2003 }'IRTURE TYPE AND OUANTITY 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 4 Wash fountain Receptor, indirect waste 0 Sinks 1 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 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 Repair or alteration of drainage or vent piping 0 Medical gas piping system serving (1 -6) inlets /outlets for a specific gas 0 Medical gas piping (6 +) inlets/outlets Gas Piping Gas piping outlets (0-5) 2 Gas piping outlets (6 +) 0 * *continued on next page ** 0 doc: UPC -10/06 PG06.194 Printed: 02 -28 -2007 v City of 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: http: / /www.ci.tukwila.wa.us Steve Lancaster, Director Permit Number: PG06 -194 Issue Date: 02/28/2007 Permit Expires On: 08/27/2007 Permit Center Authorized Signature: I hereby certify that I have read and an ned this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied 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 ge{formapce pf-wgrk. I authorized to sign and obtain this plumbing /gas piping permit. Date: z48'%r Signature: Print Name: / zttf Qwt 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 -10/06 PG06.194 Printed: 02 -28 -2007 Parcel No.: 7340600846 Address: Suite No: Tenant: w 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.cttukwila.wa.us 9135 5130 ST TUHW R HOUSE CONSTRUCTION PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: PGO6 -194 ISSUED 10 /18 /2008 02/28/200/ 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 bacichlled 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 Orel Gas Code or any other ordinance of the jurisdiction. * *continued on next page ** doc: Cond -10/06 PGO6 -194 Printed: 02 -28 -2007 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 1 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: i(� ! 4 Date: ! G r 4/7 Print Name: (f0-1 i-1 JZsw G t5`j doc: Cond -10/06 PG06.194 Printed: 02 -28 -2007 (.11Y OF I L/KWILA W Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.u$ Site Address: /30 X k -- Tenant Name: Property Owners Name: Mailing Address: /(jd ( $uiltlineR *.t Mecbania=P Plumb Pub l c PrdjecC 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** ��// -- King Co Assessor's Tax No.: 71`10 `O -" U j(9 J /`1ilthesi 4 Auoto/A4 (l) r4' 5 /3jiuite Number: Floor: New Tenant: D .... Yes ❑..No f( tic:•T-rek/ iA/L. Al- ;71-C/ryh /1- wr ri- Ge-,-71 A— in N¢ City Name: rik l(rst.t.4 Mailing Address: /co/ S! /• E -Mail Address: �St3T y1SY/? u C wr.i �� nr/ M /HL �t ]max Number: GSi (3 j c; S"3 7 State Day Telephone: Zf i 377 2(79' 4--+i1"-- 7y4 -Crt A- CAM- rri �fN City State Zip TOE RAie CONTRACTOR iNFORMA7CION r t (GontreetarletioriSatlon ter Mechanical (pg {):for plum'iing And bras Piping (pg Company Name: /ts v-S t (kiS 7-72 t rc Mailing Address: / i - '171- -C ren n- n t/C T3'-Cern ,4- city Contact Person: ; &t+ S e La1 t E -Mail Address: p $.metre„ er- 2.,c�;e -.vt Q —. Contractor Registration Number: g (-io U SNl cpo 0 M ' \ Company Name: JfszGlwit rift -rr (711C- Mailing Address: l ? (' 1' /"IC m S r- Contact Person: .' £ JC t ki E -Mail Address: (( 5ri—t^Zi ? State Day Telephone: 2rCy 37 ZO 7 l Fax Number: ZT3 / h,3 C 7 Expiration Date: B / o 7 City 44 A State Zip Day Telephone: Z3 z- 5-3 riZ. Fax Number. Y5-'3 S-3 / ENGINEER OERECORD All plan's must be wet *Biped by Engheer of Record Company Name: Mailing Address: I21 1 o C C.Cf (R .5 n/rr,J N3oC ye, 5r; S. Contact Person: Oj c i i F /.A) r' C.i E -Mail Address: Q: Appticetiseslrams- Applatioro On Lieeu -3006 - Pena Appliestion.doe Revised: 4-2006 bh T t e-r4 r4 City Day Telephone: Fax Number: 6— ?CV 9V State Zip :S -7 -/Z? S"3/ r2gS Page 1 of 6 YL6r IC4rUMM,wySaVly LVq -431,° — Valuation of Project (contractor's bid price): $ /` Existing Building Valuation: $ Scope of lilaric (please provide detailed information): 5t#c D awe:— S,lrzr i L1 r- I um/ 4A Will there be new rack storage? ❑ .. Yes .. No (If yes, a separate permit and plan submittal will be required) Provide A11 110ditig Areas Square Footage Below . tour _Addition to Existing . a Sttutxure`'' Type of 1. Occupaneyper 2"°.Floor 3`° Floor , , 19t/!tt Floors 'i3asemEdt .;'. zreicy Attach °Maga Detached attic AnachedCarpurt: .Detaa4 w Carport- Covered Deek . Discovered ck 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: ? p Lot Area (sq ft): 11. 'Q Floor area of principal dwelling: L/ -4't 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: S Compact: Will there be a change in use? ❑ ....Yes [ ..No If "yes ", explain: Handicap: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑.. Sprinklers ❑..Automatic Fire Alarm $j..None ❑ . Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑..Yes tyq. No If "yes", attach list of materials and storage location on a separate 8 -1/2 x I I paper indicating quantities and Material Safety 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: Appliwim,Wanu- Applications On Line'4006 - Permit Appaatina.doc awing: 42006 bh Page of f ` UBLIC WORKS PERMIT INWRMATION 206433 -0179. ,x. Scope of Work (please provide detailed information): J NS Ta^r c rt-N er--7 C C Vim / teem Water District ..Tukwila ..Water Availability Provid Call before you Dig: 1- 800 - 424-5555 Please refer to Public Works Bulletin #1 for fees and estimate sheet. Sewer District :. Tukwila Sewer Use Certificate Water District # 125 wer Availability Provided ❑ .. Highline ❑...Renton ❑ .. Renton ❑ ...Seattle ❑ .. Approved Septic Plans Provided Submitted with Application (mark boxes which movie): Civil Plans (Maximum Paper Size — 22" it 34 ") ..Technical Information Report (Storm Drainage) (] .. Geotechnical Report 3...Bond [.. Insurance fl .. Easement(s) .. Maintenance Agreement(s) ❑...Traffic Impact Analysis ❑...Hold Harmless —(SAO) CI ...Hold Harmless — (ROW) Proposed Activities (mark boxes that applrl: ❑ ...Right -of -way Use - Nonprofit for Tess than 72 hours ❑ .. Right-of-way Use - Profit for Tess than 72 hours ❑...Rightof -way Use - No Disturbance ❑ .. Right-of-way Use — Potential Disturbance ¢ ...Construction/Excavation/FiII - Right-of-way Non Right-of-way ❑ ...Total Cut cubic yards ❑ ...Total Fill cubic yards Sanitary Side Sewer In ...Cap or Remove Utilities ❑...Frontage Improvements ❑—Traffic Control ❑ ...Backflow Prevention - Fire Protection Irrigation _ Domestic Water �j'....Permanent Water Meter Size... `y " ❑...Temporary Water Meter Size.. ❑—Water Only Meter Size ❑ ...Sewer Main Extension Public o ...Water Main Extension Public o .. Work in Flood Zone '. Storm Drainage .. Abandon Septic Tank .. Curb Cut .. Pavement Cut .. Looped Fire Line lt lit Private Private ❑ .. Grease Interceptor ❑ .. Channelization ❑ .. Trench Excavation ❑ .. Utility Undergrounding ❑...Deduct Water Meter Size FINANCE INFORMATION Fire Line Size at Property Line Number of Public Fire Hydrant(s) ❑ ...Water ❑ ...Sewer ❑ ...Sewage Treatment Monthly Service Billing to: Name: Day Telephone: Mailing Address: City State Zip Water Meter Refund/Billing: Name: Day Telephone: Mailing Address: City State Lp O■Applicaimmwbmu- Applications On Lin4V- 2106 - Pernik Application 60c aerind 4-2006 bit Page 3 of 6 MECHANICAL CGITFtACTOR INFORMATION Company Name: -r? sv"4 Mailing Address:, I -1 , • c; wtt t t mc'-to LAffri te- Contact Person: E -Mail Address: t e Contractor Registration Number: 'V r, 9, g. 0 (' -( , r3 City Day Telephone: Fax Number: State Zip 115-5 6'z 15-111 '`r 572 t?(6, Expiration Date: Valuation of Project (contractor's bid price): $ IC Scope of Work (please provide detailed information): ►�s Ar< S a) aA-4 Goo�ieP / t0 4I1-5 cvrJ / 67's iggip4n3T Use: Residential: New ....of, Replacement .... 0 Commercial: New ....0 Replacement ....0 Fuel Type: Electric 0 Gas Other: Indicate type of mechanical work being installed and the quantity below: - TlnitType: =:: fir. QtT; Unit Type: ;, °'- Qty, Unit Typed Qty Boiler/Compressor: Qty Fumace<100KBTU I 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 Thermostat 15 -30 HP /1,000,000 BTU Suspended/Wall/Floor Mounted Heater Ventilation System Wood/Gas Stove 30 -50 HP /1,750,000 BTU Appliance Vent / Hood and Duct f Water Heater t 50+ HP /1,750,000 BTU Repair or Addition to Heat/Refrig/Cooling System Incinerator • Domestic Emergency Generator Air Handling Unit <10,000 CFM Incinerator - Comm/Ind Other Mechanical Equipment Q: ApplietlioasWome- Applianiom On Libel- 2006 - PermitApplication.doc Revised: 4-2006 be Page4 of6 PLUMBING AND GAS WING CONTRACTOR INFORMATION R` Company Name: Vv4CT Cav-&n s IY% � GI JGA--(-- Mailing Address: (g (4s coq sp-- g / Gary 7 11/44 State Zip Contact Person: 1' `C r S en 1 erif'� Day Telephone: < 3 7 rite E -Mail Address: Fax Number: Z(3 <34 °f!6•4 Contractor Registration Number; Qt14 fi j Z t 2('i L Q Expiration Date: /ra 7 r Valuation of Project (contractor's bid price): $ 7 K n I Scope of Work (please provide detailed information): Petr tic 1" ,t- 'Q 4'? 9GJ(- �et( 4 z"r Ffiewr t 4»1 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 2 Drinking fountain or water cooler (per head) Wash fountain Gas piping outlets 2 Bidet Food -waste grinder, commercial Receptor, indirect waste Clothes washer, domestic ) Floor drain Sinks j Dental unit, cuspidor Shower, single head trap Urinals Dishwasher, domestic, with independent drain ' Lavatory K 1 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: AppliuOamSFoma- Applieniou On Line3-7006 • Pamit ApplicnionAoc Revised. 4-2006 bh Page 5 of 6 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). 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. BUILDING OWNIk���6R A" Z O E AGENT: Signature: IIJJ`` Date: Print Name: P\ /G11-' gawurri Day Telephone: z 377 2e7 Mailing Address: /6n1 /J 0 Y)l lnart�}- AM— 7 (Y03 AM—City Stile Zip Date Application Accepted: ID -le -0& Date Application Expires: 1/-/8 -dl Staff I als: Q:Upplioadone\Fo Applicatio On Line \3 -2006 - Permit Application.doc Revised: 4-2006 b6 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 SET RECEIPT RECEIPT NO: 1107 -00293 Initials: BLH User ID: ADMIN Payee: R ROUSE CONSTRUCTION, INC. Payment Date: 02/28/2007 Total Payment: 7,190.74 SET ID: 0218 SET NAME: R HOUSE CONST SET TRANSACTIONS: Set Member Amount D06 -395 6,670.74 M06 -233 194.00 PG06 -194 4 326.00 TOTAL: 7,190.79 TRANSACTION LIST: Type Method Description Amount Payment Check 7207 7,190.74 TOTAL: 7,190.74 ACCOUNT ITEM LIST: Description Doc: REGSETS -08 Account Code Current Pmts BONDS /DEPOSITS 000/386.908 3,000.00 BUILDING - RES 000/322.100 2,467.30 GAS - RES 000/322.100 88.00 MECHANICAL - RES 000/322.100 194.00 PLAN CHECK - RES 000/345.830 30.00 PLUMBING - RES 000/322.100 208.00 PW LAND ALT PERMIT FEE 000/342.400 37.00 PW PERMIT /INSPECTION FEE 000/342.400 138.00 STATE BUILDING SURCHARGE 000/386.904 4.50 TRAFFIC MITIGATION FEES 104.367.120 1,023.94 TOTAL: 7,190.74 City of Tukwila Department of Community Development 6300 SouthcenterBoulevard, Suite #100 Tukwila, Washington 98188 Phone: 206- 431 -3670 Fax: 206 - 431 -3665 SET RECEIPT Steven M. Mullet, Mayor Steve Lancaster, Director Copy Reprinted on 10 -18 -2006 at 13:37:07 10/18/2006 RECEIPT NO: R06 -01663 Initiats: .BLH User ID: AMAIN Payee: R HOUSE CONSTRUCTION INC Payment Date: 10/18/2006 Total Payment: 2,097.75 SET ID: S000000591 SET NAME: Tmp set/Initialized Activities SET TRANSACTIONS: Set Member Amount D06 -395 M06 -233 PG06 -194 TOTAL: 2,015.25 42.00 41.50 41.50 TRANSACTION LIST: Type Method Description Amount Payment Check 7056 2,097.75 TOTAL: 2,097.75 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 1,686.25 000/322.100 250.00 000/345.830 23.50 000/345.830 138.00 TOTAL: 2,097.75 0854 /0/18 9716 TOTAL 2097.75 INSPECTI`')N N0. INSPECTION RECORD Retain a copy with permit P666.- /:'L/ PERMIT NO. CITY OF TUKWILA BUILDING DIVISION O. 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3670 Ply: Type of Inspection: Add s:_ .41/.55 S /3o. Date Called: Special Instructions: Date 61- Wanted: � 07 a Requester: Phone Z5 -,377- 2079 Approved per applicable codes. Corrections required prior to approval. COMMENTS: (1„,... / 1-7,fr (Date: (' — .00 REINSPE ON FiE REQUIRED. Prior o inspection. fee must be paid at 6300 Southcenter 'Blvd.. Suite 100. Cal the schedule reinspection. Receipt No.: (Date: �..' mow. + +Y .`.T�Ips!...��_,.... y,(.1.._yQ,y INSPECTION RECORD Retain a copy with permit INSPECT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PERMIT NO. I[. (206)431 -3670 Project: heitivsra Type of IDection: / Address: c/ /35 S -/30 SI Date Called: Special Instructions: Date Wanted: � j 7507 a.m. Requester. Phone No: 7 7�7 2.53`3 / Approved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: PL ILf pw �/6� ('„1„4/ ie / IRe IDa5- o 00 REINSPECTION FEE REO!i)IRED. Prior o inspection. fee must be d at 6300 Southcenter Blvd., SSppite 100. Call the schedule reinspection. eipt No.: rate: INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (2 INSPECTION RECORD Retain a copy with permit Projec . // // Type of Inspectio 1 Address: N(35 s / 0 c Date Called: S e is Instructions: Date Wanted: C� 7— t7— l Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspec (I`t,.h /TA -� i IDat7 _2 7-67 .00 REINSPECTION FEE REQUIRE . Prior o inspection, fee must be d at 6300 Southcenter Blvd., Suite 00. Call the schedule reinspection. Re pt No.: 'Date: INSPECTION RECORD Retain a copy with permit t INSPE ION NO. 7260 IT O. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PE (206)431 -3 Project: ,Q — SSe (ohrrrt I'r7lm . Type of Inspection: �2m4fi -.N �9 S Address: '//35 S i 'Ja ci Date Called: Special Instructions: Date Wan : ed a.ml �y -!Z o^� Requester: Phone No: 0253- 377 -Zd75 Approved per applicable codes. Corrections required prior to approval. COM NTS: Ens — 400 fc4Ald spect. Dat -IOW> h �..�.. 4 L I z — :_11 REINSPECTION FEE REQUIRED. Pri dr o inspection, fee must be at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. Receipt No.: 'Date: INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 INSPECTION RECORD Retain a copy with permit JIL Project: ,e - /0 /5P Type of Inspectio : X267 /? - /A) Address: 4/ /J 5 716 Date Called: Special Instructions: Date Wanted: 51� b-7 a.m. S Requester: Phone No: c 1.5-3--3 7 7 -7 °7�i NV Approved per applicable codes. COMMENTS: Corrections required prior to approval. 2fn�jl a /r-/?AJ k 5 r A-5 /7lt r� nspecto, f /AN1.t`7 / p .00 REINSPECTION FEE F p d at 6300 Southcenter Blv )0, Date: QUIRED. Prio o inspection, fee must be Suite 100. 1I the schedule reinspection. R ipt No.: (Date: he PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG06 -194 DATE: 10 -18 -06 PROJECT NAME: R HOUSE CONSTRUCTION SITE ADDRESS: X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Issued DEPARTMENTS: q tZ 11 L Builc ing Division Public Works Fire Prevention Structural Planning Division ❑ Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 10-19-06 Complete g Incomplete ❑ Comments: 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 Structural Review Required REVIEWER'S INITIALS: No further Review Required DATE: APPROVALS OR CORRECTIONS: Approved ❑ Notation: Approved with Conditions DUE DATE: 11-16-06 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 %Fri 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 PUGETI.217LQ Licensee Name PUGET SOUND MECHANICAL INC Licensee Type CONSTRUCTION CONTRACTOR UBI 600331483 Ind. Ins. Account Id VICE PRESIDENT Business Type CORPORATION Address I 1818 99TH ST E Address 2 01/01/1980 City TACOMA County PIERCE State WA Zip 984455446 Phone 2535378900 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 6/18/1979 Expiration Date 12/31/2007 Suspend Date Separation Date Parent Company Previous License CORNEHD973MG Next License Associated License Business Owner Information Name Role Effective Date Expiration Date ALLISON, DANIEL L Cancel Date 01/01/1980 Bond Amount MCWILLIS, MARTIN VICE PRESIDENT 01/01/1980 06/30 /2004 HAHN, LONNI f Until Cancelled 01/01/1980 01/01/1980 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date #5 CBIC 655865 12/31/2001 Until Cancelled 512,000.00 12/18/2001 https: / /fortress .wa.gov /lni/bbip /printer.aspx ?License= PUGETI *217LQ 02/28/2007