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
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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