HomeMy WebLinkAboutPermit PG08-122 - PEDERSON CLASSIC HOMES - LOT 2PEDERSON CLASSIC HOMES
LOT 2
14111 57 AV S
PGO8-122
Parcel No.: 3365900346
Address:
Suite No:
Cit,bf 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
14111 57 AV S TUKW
PLUMBING /GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On:
PG08 -122
06/23/2008
12/20/2008
Tenant:
Name: PEDERSON CLASSIC HOMES, LOT 2
Address: , TUKVVILA WA
Owner:
Name: DUNAWAY JAMES & MARY
Address: 14117 57TH AVE S , TUKW LA WA
Contact Person:
Name: TED PEDERSON
Address: 27148 12 AV S , DES MOINES WA
Contractor:
Name: MARATHON PLUMBING
Address: 20901 SE 7 , REDMOND WA
Contractor License No: MARATP* 101 OM
Phone:
Phone: 206 947 -0638
Phone: 425 - 392 -4766
Expiration Date: 09/12/2009
DESCRIPTION OF WORK:
PLUMBING AND GAS PIPING FOR 2813 SF SFR
Value of Plumbing /Gas Piping:
Fees Collected:
$8,000.00
$422.00
Uniform Plumbing Code Edition: 2006
International Fuel Gas Code Edition: 2006
FIXTURE 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 0
Wash fountain
Receptor, indirect waste 0
Sinks 6
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 -5)
inlets /outlets for a specific gas 0
Medical gas piping (6 +) inlets /outlets 0
Gas Piping
Gas piping outlets (0 -5) 4
Gas piping outlets (6 +) 0
* *continued on next page **
doc: UPC -10/06
PG08 -122 Printed: 06-23 -2008
City 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
Permit Number: PG08 -122
Issue Date: 06/23/2008
Permit Expires On: 12/20/2008
Permit Center Authorized Signature:
Date:
cut qA
I hereby certify that I have read and aned this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied h, whether specified herein or not.
The granting of this p
construction or the
Signature:
Print Name:
it does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
work. I am authorized to sign and obtain this plumbing /gas piping permit.
Date(/p"
e (/
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
PG08 -122 Printed: 06 -23 -2008
• •
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
PERMIT CONDITIONS
Parcel No.: 3365900346
Address:
Suite No:
Tenant:
14111 57 AV S TUKW
PEDERSON CLASSIC HOMES, LOT 2
Permit Number:
Status:
Applied Date:
Issue Date:
PG08 -122
ISSUED
04/18/2008
06/23/2008
1: ** *PLUMBING AND GAS PIPING * **
2: No changes shall be made to applicable plans and specifications unless prior approval is obtained from the Tukwila
Building Division.
3: All permits, inspection records and applicable plans shall be maintained at the job and available to the plumbing
inspector.
4: All plumbing and gas piping systems shall be installed in compliance with the Uniform Plumbing Code and the Fuel Gas
Code.
5: No portion of any plumbing system or gas piping shall be concealed until inspected and approved.
6: All plumbing and gas piping systems shall be tested and approved as required by the Plumbing Code and Fuel Gas Code.
Tests shall be conducted in the presence of the Plumbing Inspector. It shall be the duty of the holder of the permit to
make sure that the work will stand the test prescribed before giving notification that the work is ready for inspection.
7: No water, soil, or waste pipe shall be installed or permitted outside of a building or in an exterior wall unless,
adequate provision is made to protect such pipe from freezing. All hot and cold water pipes installed outside the
conditioned space shall be insulated to minimum R -3.
8: Plastic and copper piping running through framing members to within one (1) inch of the exposed framing shall be
protected by steel nail plates not less than 18 guage.
9: Piping through concrete or masonry walls shall not be subject to any load from building construction. No plumbing
piping shall be directly embedded in concrete or masonry.
10: All pipes penetrating floor /ceiling assemblies and fire- resistance rated walls or partitions shall be protected in
accordance with the requirements of the building code.
11: Piping in the ground shall be laid on a firm bed for its entire length. Trenches shall be backfilled in thin layers to
twelve inches above the top of the piping with clean earth, which shall not contain stones, boulders, cinderfill,
frozen earth, or construction debris.
12: The issuance of a permit or approval of plans and specifications shall not be construed to be a permit for, or an
approval of, any violation of any of the provisions of the Plumbing Code or Fuel Gas Code or any other ordinance of the
jurisdiction.
* *continued on next page **
doc: Cond -10/06
PG08 -122 Printed: 06-23 -2008
•
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
I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and
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
construction or the performance of work.
Signature:
Print Name:
z,_------- im,.5 ad
Date: fr-.23 -(>d-
ordinances governing
or local laws regulating
doc: Cond -10/06 PG08 -122
Printed: 06 -23 -2008
CITY OF TUKWIL
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Building
Mechanic l.Permit•No.
Playing /Gas Belt N
offs c nl3')
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.: 3-3 6,- <9 rr
Site Address: jJ ECs-% 114 Suite Number: L,t,' ' Floor: a
Tenant Name: f l6Ve t* ^01(irl��j
Property Owners Name: - A. e S 6 U f N.1/4.,0 A
Mailing Address: 1 (--111, 1 6 1` -.6 Aye.- 'So
New Tenant: ( .... Yes D ..No
Name: ‘--1-"FG-t)
Mailing Address: 10-1,S4 i 2- 5 0
City
4
State Zip
E -Mail Address:
Company Name:
Mailing Address:
Day Telephone: Cc, '(1 441 — & (a' 3
C).‹ s Ac 9. ig
City
State
Zip
Fax Number: 2. o L - (1 z.`? ° 2 %
Contact Person: s C-2:0
E -Mail Address:
Contractor Registration Number: Pe De.-, Qc (-t q -i 3 p 4k
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
City State Zip
Day Telephone: 24., k r Z L(7 06-4(
Fax Number:
Expiration Date: 3 - V - 0 ci
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
City
Day Telephone:
Fax Number:
State
Zip
Q:\Applications\Forms- Applications On Line\3 -2006 - Permit Application.doc
Reviled: 9 -2006
bh
City
Day Telephone:
Fax Number:
State
Zip
Page 1 of 6
L V 1LL11 • V -I 1:41%1Y11 1v1' — GU() -431-30 /U
Valuation of Project (contractor's bid price): $ [ (f • Cr , Existing building Valuation: $
Scope of Work (please provide detailed information): w p A' , s� i
ffw 6)
K
Will there be new rack storage? ❑.... Yes .. No
Provide All Building,..
If yes, a separate permit and . submittal will be required.
Foot
xis in
riu:
5 Li
autcy per.
BC
PLANNING DIVISIO :
Single family building f' atprint (area of the foundation of all structures, plus any decks over 18 inches and overhan _` reater than 18 inches)
*For an Accessory d ling, provide the following:
Lot Area (si ` ): Floor area of principal dwelling: Floor area of acc ssory dwelling:
*Provide a cumentation that shows that the principal owner lives in one of the dwellings as his or her primary residence.
Number of Park' g Stalls Provided: Standard: 7i Compact: Handicap:
Will there be a change in use?
❑ Yes
®. No If "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑ Sprinklers ❑ Automatic Fire Alarm .1a. None ❑ Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes No
1f `yes', attach list of materials and storage locations on a separate 8 -1 /2 "x 11" paper including quantities and Material Safe ata 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.
Of..4% �cenNem Focma- Applications On Line0 -2006 - Permit Applicstion.doe
Revised: 9 -2006
bh
Page 2 of 6
PLUMBING AND GAS :PIPIN ERMIT INFORMATION — 2
PLUMBING AND GAS PIPING CONT CTOR INFORMATION
�
Company Name: Met %f L t 1k) Lv..> 1 c
Mailing Address: Z.& 0 C � � 7
ST S ./IN-Vi t ■ %.c L.
City
Contact Person:
gt \1
E -Mail Address:
Contractor Registration Number:
I. isc.Pi ,T At4 i 0 i 0 W' Expiration Date:
- 3erte-
A- iC-e7cf
State Zip
Day Tele h LZ ?&3
p one: 5 - y
Fax Number:
Valuation of Plumbing work (contractor's bid price): $ 000.
Valuation of Gas Piping work (contractor's bid price): $ t c4 e.) .
Scope of Work (please provide detailed information):
Pitt PO1 (7i9 f1112 144.1 c--26(1-
Building Use (per Int'l Building Code):
Occupancy (per Int'l Building Code):
Utility Purveyor: Water:
Sewer:
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
:.: ix i:0 Ty*
:Qty ,
FtxtUre Tmype..:
QtY
Ftx(ttre Type
i9t'
SF !.,.. , Y.P.,
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
Clothes washer, domestic
(
Floor drain
Sinks
(oP
Dental unit, cuspidor
Shower, single head trap
Urinals
Dishwasher, domestic,
with independent drain
1
Lavatory
coli.
Water Closet
Building sewer or trailer
park sewer
Rain water system — per
drain (inside building)
Water heater and /or
vent
1
Additional medical gas
inlets /outlets — six or more
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
Q:\Applicationslporms- Applications On Line' -2006 - Permit Application.doc
Revised: 9 -2006
bh
Page 5 of 6
PERMIT APPL;ICATIQ,N ;NO
Applicable; to al permits; in this
is itign
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 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 A H ! 3 '; D AGENT:
Signature:
Print Name:
Mailing Address:
ad
Date: q—/
/ l r
Day Telephone: 'Zot, v Y--2 Q -
City State Zip
Date Application Accepted: ` t 1 141 n
Date Application Expires:
(
j 12,12
Staff Initials: %
Q:\Application\Forns- Application On Line'3.2006 - Permit Application.doc
Revised: 9 -2006
bh
Page 6 of 6
1
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: R08 -02219
Initials: JEM
User ID: 1165
Payee: PEDERSON'S CLASSIC HOME, INC.
Payment Date: 06/23/2008
Total Payment: 11,104.05
SET ID: 0623 SET NAME: PEDERSON CLASSIC HOMES
SET TRANSACTIONS:
Set Member Amount
D08 -196 10,405.42
EL08 -426 140.00
M08 -109 218.63
P298 122 340.00
TOTAL: 11,104.05
TRANSACTION LIST:
Type Method Description Amount
Payment Check 5058
ACCOUNT ITEM LIST:
Description
TOTAL:
11,104.05
11,104.05
Account Code Current Pmts
BUILDING - RES
CASCADE WATER ALLIANCE
ELECTRICAL PERMIT - RES
GAS - RES
MECHANICAL - RES
PLAN CHECK - RES
PLAN CHECK - WATER METER
PLUMBING - RES
PW LAND ALT PERMIT FEE
PW PERMIT /INSPECTION FEE
PW PLAN REVIEW
STATE BUILDING SURCHARGE
TRAFFIC MITIGATION FEES
000/322.100
401/386.550
000.322.101.00.0
000.322.103.00.0
000.322.102.00.0
000/345.830
000/345.830
000.322.103.00.0
000/342.400
000/342.400
000/345.830
000/386.904
104.367.120
2,681.20
5,674.00
140.00
92.00
180.90
37.73
10.00
248.00
23.50
100.00
25.00
4.50
1,297.22
3968 06/23 9710 TOTAL 11104.05
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
WATER CONNECTION
WATER INSPECTION FEE
WATER INSTALLATION (DEP)
WATER TURN -ON FEE
401/379.002 60.00
401/342.400 15.00
401/386.520 490.00
401/343.405 25.00
TOTAL: 11,104.05
r� .. ov•ecnr AO
•
City of Tukwila
•
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206131 -3665
Web site: http: //wwwci.tukwila.wa.us
SET RECEIPT
RECEIPT NO: R08 -01229
Initials: JEM Payment Date: 04/18/2008
User ID: 1165
Payee: PEDERSON'S CLASSIC HOME, INC.
Total Payment: 2,157.28
SET ID: S000001002 SET NAME: Tmp set /Initialized Activities
SET TRANSACTIONS:
Set Member Amount
D08 -196 2,067.78
M08 -109 7.50
��PG08^T22' 82.00
tY6 aW
TOTAL: 2,157.28
TRANSACTION LIST:
Type Method Description Amount
Payment Check 5005 2,157.28
TOTAL: 2,157.28
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
PLAN CHECK - RES
PW BASE APPLICATION FEE
PW PLAN REVIEW
000/345.830 1,832.28
000/322.100 250.00
000/345.830 75.00
TOTAL: 2,157.28
1324 04/18 9711 TOTAL 2157.28
Don: REC;SETS -OR
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Pro
Q6o
0 I CiAZI
Type ospection:
,— DIVA (
v
Address:
Igi)I
7Aa(e)
Date Called:
Special Instructions:
Date Wanted:
Id- a3--o9
a.m.
�.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval. Z
COMMENTS:
,h`1: 1
f►��+ ,A�� -�,� F�ti 1 /
NOVA
f.00 REINSPECTION F REQUIRE ' . Prior to inspection, fee must be
. aid at 6300 Southcenter :lvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
3
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
INSPECTION RECORD
Retain a copy with permit
Proje�c�t�j. �y
7"e"l /r -/5Qy✓ (,/AS.. /e
Type of Inspection: 1
�it 4 / -- l'
-016
Address:
/h/ //) 5--7
4d- Si)
Date Called:
Special Instructions:
Date Wanted:
_3_ /a -41-5
p
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval. 7
COMMENTS:
0
64/41-c-. Q IW£9s: / `''E G/ -,P /ov &I
✓i4s_, .'r r��(i.e- ,-� Ai Pg .j, cti
or:
Date:, iu
.00 REINSPECTION FE REQUIRED. Prior to inspection, fee must be
aid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
INSPECTION RECORD
Retain a copy with permit
r3Ges - /LZ
CITY OF TUKWILA BUILDING DIVISION \js('L
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
INSPECTION NO.
PERMIT NO.
Projec
j ,0//oVs64J
Type of Inspection:
/ " 4 /- ‘. 1f
Address: 7
'- % / / / .-.$ /
,
Ny u.
3
Date Called:
Special Instructions:
Date Wanted:
m.
Requester:
Phone No:
❑ Approved per applicable codes. ® Corrections required prior to approval. 7
COMMENTS:
(.J 6,s r)/Artie % f}m/ i1/ cdIT Ph/
$
b
A
I
or
Date:
0.00 REINSPECTION PREIJ. Priorto inspection, fee must be
aid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
-� .ILJauoaaa
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION ,.:f'
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36'0
\t-ip ce {.l ( S,
W Q.1/C7 k _I / ■.l ? MWPr Type of , `
Addresss:
Date Called:
Specil Instructions:
Date9'Wanted:
Requester:
Phone No:
— C/ Li7-a &3A'
INN4 Approved per applicable codes. Corrections required prior to approval. //
COM ENTS:
�.t
Inspect • r:
1
.w1
Dam 3 , vy�
0.00 REINSPECTION FEE RBUIRED. Pr or to inspection, fee must be
id at 6300 Southcenter Blvd., uite 100. all to schedule reinspection.
Receipt No.:
'Date:
INSPECTION RECORD
Retain a copy with permit
e6oe-tzz4-
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION 2--
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: ,p
Type oglnectioy�i
Addres -
/W// 5 7 4vS
Date Called: l
Special Instructions:
Date Wanted:
---/
67-42E
a!m.
Requester:
Phone No:
NApproved per applicable codes. fl Corrections required prior to approval.
COMMENTS:
0645 /P,, >2a - „l
or:
Aool
Dat! /t
0.00 REINSPECTIONIFEE R QUIRED. Prior to inspection, fee must be
id at 6300 Southcent r Blvd'., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
02 -02 -2009
City of f 7aa
Jim Haggerton, Mayor
TED PEDERSON
27148 12 AV S
DES MOINES WA 98198
Department of Community Development Jack Pace, Director
RE: Permit No. PG08 -122
14111 57 AV S 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 of such permit, or if the building or work authorized by such permit is suspended or
abandoned at any time after the work is commenced for a period of 180 days.
Based on the above, you are hereby advised to:
Call the City of Tukwila Inspection Request Line at 206 -431 -2451 to schedule for the next or final 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 must be in wrttink 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 03/22/2009 , 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,
TtQQ
Bill Rambo
Permit Technician
xc: Permit File No. PG08 -122
� PERMIT COORD COPY •
PLAN REVIEW/ROUTING SLIP
ACTIVITY NUMBER: PG08 -122
DATE: 04 -18 -08
PROJECT NAME: PEDERSON CLASSIC HOMES, LOT 2
SITE ADDRESS: 14111 57 AV S
X Original Plan Submittal
Response to Correction Letter #
Response to Incomplete Letter #
Revision # After Permit Issued
DEPARTMENTS:
Bu I ng Division n
Public Works N /
47V
Fire Prevention
Structural
Planning Division
nPermit Coordinator
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
Comments:
Incomplete n
DUE DATE: 04 -22 -08
Not Applicable n
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES/THURS ROUTING:
Please Route
dStructural Review Required n No further Review Required
REVIEWER'S INITIALS:
DATE:
APPROVALS OR CORRECTIONS:
Approved n Approved with Conditions
Notation:
REVIEWER'S INITIALS:
DUE DATE: 05-20-08
Not Approved (attach comments)
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, Elect ian or Plumber License Detail
Washington State Department of Labor and Industries
GenerallSpecialty 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
MARATP* 101 OM
Licensee Name
MARATHON PLUMBING
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
601131166
Ind. Ins. Account Id
Business Type
INDIVIDUAL
Address 1
20901 SE 7TH
Address 2
City
REDMOND
County
KING
State
WA
Zip
98053
Phone
4253924766
Status
ACTIVE
Specialty 1
PLUMBING
Specialty 2
UNUSED
Effective Date
9/14/1990
Expiration Date
9/12/2009
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
Business Owner Information
Name
Role
Effective Date
Expiration Date
GREEN, WILLIAM D
OWNER
01/01/1980
•
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
#4
AMERICAN
STATES
INS CO
EX805125
08/21/2001
Until
Cancelled
$6,000.00
09/12/2001
AMERICAN
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