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Home My WebLink AboutPermit PG08-212 - THOELKE RESIDENCETHOELKE RESIDENCE 14915 62 AV S PGO8-212 Parcel No.: 3597000102 Address: Suite No: CitAf 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 14915 62 AV S TUKW PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: PG08 -212 08/26/2008 02/22/2009 Tenant: Name: THOELKE RESIDENCE Address: 14915 62 AV S , TUKWILA WA Owner: Name: THOELKE JEFFREY P Address: 14915 62ND AVE S , TUKWILA WA Contact Person: Name: JON THOELKE Address: 14915 62 AV S , TUKWILA WA Contractor: Name: PROCIW CONSTRUCTION Address: 1156 GRIFFIN AV STE 206 , ENUMCLAW WA Contractor License No: PROCIC *941DT Phone: Phone: 206 242 -8994 Phone: 253 468 -0005 Expiration Date: 03/30/2010 DESCRIPTION OF WORK: PLUMBING FOR NEW BATHROOM AND CHANGES TO EXISTING Value of Plumbing /Gas Piping: Fees Collected: $10,000.00 $190.00 Plumbing Bathtub or combination bath/shower Bidet Clothes washer, domestic Dental unit, cuspidor 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 Uniform Plumbing Code Edition: 2006 International Fuel Gas Code Edition: 2006 FIXTURE TYPE AND QUANTITY Plumbing (cont.) 0 Building sewer and each trailer park sewer 0 0 Ram water system - per drain (inside bldg) 0 0 Water heater and/or vent 0 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 2 Repair or alteration of drainage or vent piping 0 2 Medical gas piping system serving (1 -5) 0 inlets /outlets for a specific gas 0 0 Medical gas piping (6 +) inlets /outlets 0 0 Gas Piping 0 Gas piping outlets (0 -5) 0 2 Gas piping outlets (6 +) 0 * *continued on next page ** doc: UPC -10/06 PG08 -212 Printed: 08-26 -2008 City olt 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: Issue Date: Permit Expires On: PG08 -212 08/26/2008 02/22/2009 Permit Center Authorized Signature: / Date: I hereby certify that I have read and governing this work will be complied VU ed this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. The granting of this permit does not pres construction or the perfo ce of .tk j Signature: o give authority to violate or cancel the provisions of any other state or local laws regulating authorized to sign and obtain this plumbing /gas piping permit. Print Name: Date: 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 -212 Printed: 08 -26 -2008 Parcel No.: 3597000102 Address: Suite No: Tenant: • 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 14915 62 AV S TUKW THOELKE RESIDENCE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: PG08 -212 ISSUED 07/21/2008 08/26/2008 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 -212 Printed: 08 -26 -2008 1 0 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 ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give . uthority to violate or cancel the provision of any other work or local laws regulating construction or the performance of wor Signature: Print Name: 1071 a al/( r -e /42 Date: doc: Cond -10/06 PG08 -212 Printed: 08-26 -2008 I • CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 hitp.: //i i'wi v. ci. tulavila. tva. us Building Permit No. Mechanical Permit No. 1 Plumbing/Gas Permit No. 1)&111$ 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 / —.4(14-, - /Q King Co Assessor's Tax No.: '3 � ?coo /Ud] - Site Address: ' '9 /S tad" S° • / )XL &4, (u 28/63 Suite Number: Floor: Tenant Name: Property Owners Name: Mailing Address: /4 1/6- New Tenant: ❑ Yes /uecc)/ City State Zip CONTACT PERSON — who do we contact when your permit is ready to be issued Name: Day Telephone: C P, o2Y2- '79 99 V Mailing Address:` / S )- Vc . O 4- /gl e ?G City State zip E -Mail Address: il(OiL- �j/o7TW/9V' Co'1 Fax Number: 4)6.0E- GENERAL CONTRACTOR INFORMATION — (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: ARCHITECT OF RECORD — All plans must be wet stamped by Architect of Record Company Name: CO �q , - ! l Mailing Address: 9 O - & )X �v l S / 4%4' /r/0 lr/ y 4,(/ 6 City State In I ! Day Telephone: 42 ) V33 : E -Mail Address: .41,6eke,4,144 ,47's7a4- (�'k Fax Number: cG / 90/-6 64. r 27V/L) 4g/210 774E Contact Person: Zge ENGINEER OF RECORD — All plans must be wet stamped by Engineer of Record Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: umber. Q: Applimtimu\Fonno- Applications On LineO -2006 - Permit Applicationdoc Revised: 9 -2006 bb Page 1 of 6 BUILDING PERMIT INFORM&TION - 206- 431 -3670 Valuation of Project (contractor's bid price): $ 1/0 6•4b Existing Building Valuation: $ Scope of Work (please provide detailed information): ..27tiSTe`I cerio.c.) Of 07 �ezc) /9P-Pccrt ' - r- l /cli 'iiFQ fil 1 a iitaede� L)a //S 710 Ceb rAtin . Y1 -PIt..) f/lyd 994 ,vt Will there be new rack storage? ❑.....Yes /No if yes, a separate permit and plan submittal will be required. Provide All Building Areas in Square Footage Below PLANNING DIVISION: / Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) 3 vL p For an Accessory dwelling, provide the following: Lot Area (sq 11): /3, a S-O Floor area of principal dwelling: 7(e0 Floor area of accessory dwelling:1 _ '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: Will there be a change in use? ❑ Yes No Compact If `yes ", explain: Handicap: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑ Sprinklers ❑ Automatic Fire Alarm None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes .No If `yes , attach list of materials and storage locations on a separate 8 -1/2 "x 11 " paper including quantities and Material ty Data Sheets. SEPTIC SYSTEM 0.. ..... On -site Septic System - For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. Q:VApplicationsWomn- Applications On Line13 -2006 - Permit Application.doc Revised: 9 -2006 bb Page 2 of 6 Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC let Floor 9 0 0 omit/ ,b 2nd Floor y�o -- / - / ✓ 4-) 3`d Floor Floors thru \-... Basement J ` Accessory Stricture' Attached Garage Detached Garage Q 6i U V` — Attached Carport Detached Carport ,-- `. Covered Deck r: 0 v vv 1 Uncovered Deck 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) 3 vL p For an Accessory dwelling, provide the following: Lot Area (sq 11): /3, a S-O Floor area of principal dwelling: 7(e0 Floor area of accessory dwelling:1 _ '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: Will there be a change in use? ❑ Yes No Compact If `yes ", explain: Handicap: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑ Sprinklers ❑ Automatic Fire Alarm None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes .No If `yes , attach list of materials and storage locations on a separate 8 -1/2 "x 11 " paper including quantities and Material ty Data Sheets. SEPTIC SYSTEM 0.. ..... On -site Septic System - For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. Q:VApplicationsWomn- Applications On Line13 -2006 - Permit Application.doc Revised: 9 -2006 bb Page 2 of 6 • • • PUBLIC WORKS PERMIT INFORMATION - 206 -433 -0179 Scope of Work (please provide detailed information): Ca0 before you Dig: 1- 800 - 424-5555 Please refer to Public Works Bulletin #1 for fees and estimate sheet. Water District ❑ ...Tukwila ❑...Water District #125 ❑ ...Water Availability Provided Sewer District ❑ ...Tukwila ❑ ...Sewer Use Certificate ❑ .. Highline ❑...ValVue ❑ .. Renton 0... Sewer Availability Provided ❑ .. Renton ❑ .. Seattle 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. Submitted with Application (mark boxes which apply): ❑ ...Civil Plans (Maximum Paper Size — 22" x 34") ❑ ...Technical Information Report (Storm Drainage) ❑ .. Geotechnical Report ❑ ...Traffic Impact Analysis ❑ ...Bond ❑ .. Insurance ❑ .. Easement(s) ❑ .. Maintenance Agreement(s) ❑ ...Hold Harmless — (SAO) ❑ ... Hold Harmless — (ROW) Proposed Activities (mark boxes that apply): ❑ ...Right -of -way Use - Nonprofit for less than 72 hours ❑ ...Right -of -way Use - No Disturbance ❑ ...Construction/Excavation/Fill - Right -of -way Non Right -of -way ❑ ...Total Cut cubic yards ❑ ...Total Fill cubic yards ❑ ...Sanitary Side Sewer ❑ ...Cap or Remove Utilities ❑ ...Frontage Improvements ❑ ...Traffic Control ❑ ...Backflow Prevention - Fire Protection Irrigation Domestic Water ❑ .. Right -of -way Use - Profit for less than 72 hours ❑ .. Right -of -way Use — Potential Disturbance ❑ .. Work in Flood Zone ❑ .. Storm Drainage ❑ .. Abandon Septic Tank ❑ .. Curb Cut ❑ .. Pavement Cut ❑ .. Looped Fire Line IV ❑ .. Grease Interceptor ❑ .. Channelization ❑ .. Trench Excavation ❑ .. Utility Undergrounding ❑ ...Permanent Water Meter Size... " WO # ❑ ...Temporary Water Meter Size .. WO # ❑ ...Water Only Meter Size II WO # ❑...Deduct Water Meter Size ❑ ...Sewer Main Extension Public Private ❑ ...Water Main Extension Public Private 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: Water Meter Refund/Billing: Name: Mailing Address: City State Zip Day Telephone: City State Zip Q:Wpplicalions\Forms- Applications On Line33 -2006 - Permit Applicadon.doc Revised: 9 -2006 bh Page 3 of 6 MECHANICAL PERMIT INFORMATION — 206 -431 -3670 MECHANICAL CONTRACTOR INFORMATION Company Name: 13 Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: Valuation of Mechanical work (contractor's bid price): $ T r %O O„ 41) Scope of Work (please provide detailed information): A OA it-P; ca4 r ( 9 f Q1C i l k f, 7 Mitt l 41 t p)vw11 44 -ttCG Caf C7Sk ma 6e f' tiM.o9.*v a((Din elgk nv o✓ t�,� Imo, Use: Residential: New .... ❑ Replacement .... ❑ Commercial: New .... ❑ Replacement .... 0 Fuel Tvpe: Electric ❑ Gas .... [ Other: Indicate type of mechanical work being installed and the quantity below: Unit Type: Qty Unit Type: Qty Unit Type: Qty Boiler /Compressor: Qty Furnace<100K BTU Air Handling Unit >10,000 CFM Fire Damper 0-3 HP /100,000 BTU Furnace> 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 Emergency Generator 50+ HP /1,750,000 BTU Repair or Addition to Heat/Refrig/Cooling System Incinerator - Domestic Other Mechanical Equipment Air Handling Unit <10,000 CFM Incinerator — Comm/Ind Q:VApplicanonsWonns- Apphcaaons On Lme0-2006 - Pemm AppLcanon.doc Revised: 9-2006 bb Page 4 of 6 • PLUMBING AND GAS PIPING PERMIT INFORMATION - 206 - 431 -3670 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: Valuation of Plumbing work (contractor's bid price): $ 76! 0 60 Valuation of Gas Piping work (contractor's bid price): $ Scope of Work (please provide detailed information): 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: Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Bathtub or combination bath/shower '7� ,(/ 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 — Dental unit, cuspidor -- Shower, single head trap A 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 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 , / V Medical gas piping system serving one to five inlets/outlets for specific gas Q:tAppliaticnsWonm- Applications On Line\3 -2006 - Permit Applicationdoc Revised: 9-2006 nn Page5of6 • 1 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 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 O R OR AUTH ZED AGENT: Signature: 7#2 � ff Print Name: t r t `r ko e � Ke Mailing Address: / k'1 1 602, n& A e - S • Day Telephone: City Date: . ;4 / 7 °Z I r 2015V' ` 015 ' 9-C)(D S 75 3D...S State Zip Date Application Accepted: *VIA Date Application Expires: D (1 VI Staff Initials: jryvki Q: IApplicatioms\Form- Applications On L ne13.2006 - Permit Applieetion.doc Revised: 9 -2006 bh 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: R08 -03056 Initials: JEM Payment Date: 08/26/2008 User ID: 1165 Payee: JONATHAN S. THOELKE Total Payment: 1,157.00 SET ID: 0825 SET NAME: THOELKE RESIDENCE SET TRANSACTIONS: Set Member Amount DO8 -382 858.50 M08 -191 146.50 APG0Erz2-1.2n, 152.00 TOTAL: 1,157.00 TRANSACTION LIST: Type Method Description Amount Payment Check 4377 1,157.00 TOTAL: 1,157.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts BUILDING - RES MECHANICAL - RES PLUMBING - RES STATE BUILDING SURCHARGE 000/322.100 854.00 000.322.102.00.0 146.50 000.322.103.00.0 152.00 000/386.904 4.50 TOTAL: 1,157.00 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.11www.dtukwila.wa.us SET RECEIPT RECEIPT NO: R08 -02676 Initials: JEM User ID: 1165 Payee: JONATHAN S. THOELKE Payment Date: 07/21/2008 Total Payment: 629.73 SET ID: S000001084 SET NAME: Tmp set/Initialized Activities SET TRANSACTIONS: Set Member Amount D08 -382 555.10 M08 -191 36.63 WPG08?21ti2�i 38.00 TOTAL: 629.73 TRANSACTION LIST: Type Method Description Amount Payment Check 4370 629.73 TOTAL: 629.73 ACCOUNT ITEM LIST: Description Account Code Current Pmts PLAN CHECK - RES 000/345.830 TOTAL: 629.73 629.73 5103 07/21 ?710 TOTAL 629.73 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 Parcel No.: 3597000102 Address: 14915 62 AV S TUKW Suite No: Applicant: THOELKE RESIDENCE RECEIPT Permit Number: Status: Applied Date: Issue Date: PG08 -212 ISSUED 07/21/2008 08/26/2008 Receipt No.: R08 -03480 Initials: WER User ID: 1655 Payment Amount: Payment Date: Balance: $44.00 10/09/2008 02:11 PM $0.00 Payee: JON THOELKE TRANSACTION LIST: Type Method Descriptio Amount Payment Check ACCOUNT ITEM LIST: Description 4383 44.00 Account Code Current Pmts GAS - RES PLUMBING - RES 000.322.103.00.0 000.322.103.00.0 32.00 12.00 Total: $44.00 doc: Receiot -06 Printed: 10 -09 -2008 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit PERMIT NO. R- (206)431-36 PrpjPrt l?'s Type of I pection: t- /i1/4 /— X'/747744 /,aeL /ZE c7 /5 n Date Called: Special Instructions: r-2e, Date W ed: // Q q affirm p.m. Requester: Phone No . -2'/2 '/ pproved per applicable codes. Corrections required prior to approval. COMMENTS: Dat 4 E.00 REINSPEC ION FEE ' EDUIRED. Pri • r to inspection, fee must be aid at 6300 Southcenter Blv'., Suite 100. C =ll to schedule reinspection. Receipt No.: Date: PGA -2.It- INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Pro'ec : v�� K� �e1 �� Type of Inspection: ��aL).k .i J P( --A x-d :, Addr ss• Date Called: Special Instructions: ../' Date Wanted: �a c rJ :�r. /1) _. (' Jd p.m. Requester: Phone No: Ufa - s171 —76 OZ.— pproved per applicable codes. cti oval. COMMENTS: ' fQ U.J J 1 h_.) -st-.4 pfJeJ r S• S i /%t%- d p_e_.? — 01/..— t S is �Pr 8 f �7e DJ re InspectC.N Date: / J - q Z r El $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: 1 _ A Mme= - d- ..i.r�ama[.. -..� .- Yaw0.i�. _ City of Tukwila Department of Community Development JON THOELKE 1491562AVS TUKWILA WA 98168 RE: Permit No. PG08 -212 14915 62 AV S TUKW Dear Permit Holder: Jim Haggerton, Mayor Jack Pace, Director In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 09/18/2009. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection. Each inspection creates a new 180 day period. -or- 2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 09/18/2009, 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, fer M. shall t Technician File: Permit File No. PG08 -212 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phnno• 2nf -A21 July 20, 2009 City o, f 7u.:. ; ,la Jim Haggerton, Mayor Department of Community Development Jack Pace, Director Jon Thoelke 14915 62 Avenue S Tukwila, WA 98168 RE: Request for Extensions #2 Permit Nos D08 -382, M08 -191, & PG08 -212 Thoelke Residence —14915 62 Ave S Dear Mr. Thoelke, This letter is in response to your written request for an extension to Permit Numbers D08 -382, M08 -191, and PG08 -212. The Building Official has reviewed your letter and considered your request to extend the above referenced permits. The City of Tukwila Building Division will be extending your permits an additional 60 days from the date of expiration, through September 18, 2009, as requested. If you should have any questions, please contact our office at (206) 431 -3670. Sincerely, ifer M. rshall it Technician File: Permit No. D08 -382, M08 -191, & PG08 -212 WAPermit CenterkExtension Letters\Permits\2008\D08 -382 Permit Extension #2.doc jem 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 City of Tukwila Dept of Community Development Tukwila, WA 98188 Attn: Bob Benedicto Reference Permits: D08 -382 M08 -191 PG08 -212 Dear Bob, CIi1�OFT rt.A /JUL 14 2009 PERMIT CENTER I am continuing to make progress on projects covered under the referenced permits. Two things delayed completion that may not allow enough time to complete the inspections prior to expiration. (1) My Contractor went out of business so I am having to finish the tasks he was supposed to do and (2) I was not aware the related Electrical Permit EL08- 1364 expired as the permit contact person was from the contractor so I am having to get a new Electrical Permit for that final inspection prior to the final building inspection. I am within days of calling for the remaining inspections. Please extend the above permits for 60 days to avoid the risk of having them expire should the inspectors require any rework. Thank you, Jon Thoelke, 7/14/2009 .0,14. -46 • o1-I1.4 Ian 06 -03 -2009 JON THOELKE 14915 62 AV S TUKWILA WA 98168 City of f Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director RE: Permit No. PG08 -212 14915 62 AV S TUKW Dear Permit Holder: In reviewing our current records the above noted permit has not received a fmal 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 writing 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 07/21/2009 , 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, Bill Rambo Permit Technician xc: Permit File No. PGO8 -212 6300 Southcenter Boulevard, Suite #100 0 Tukwila, Washington 98188 6 Phone: 206 - 431 -3670 a Fax: 206 - 431 -3665 April 3, 2009 Cary of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director Jon Thoelke 14915 62 Avenue S Tukwila, WA 98168 RE: Request for Extensions Permit Nos D08 -382, M08 -191, & PG08 -212 Thoelke Residence —14915 62 Ave S Dear Mr. Thoelke, This letter is in response to your written request for an extension to Permit Numbers D08 -382, M08 -191, and PG08 -212. The Building Official has reviewed your letter and considered your request to extend the above referenced permits. The City of Tukwila Building Division will be extending your permits an additional 90 days from the date of expiration, through July 21, 2009. If you should have any questions, please contact our office at (206) 431 -3670. Sincerely, File: fer Marshall it Technician Permit No. D08 -382, M08 -191, & PG08 -212 P:V'ermit Center\Extension Letters\Permits\2008\D08 -442 Permit Extension.doc jem 6300 Southcenter Boulevard. Suite #100 • Tukwila- Washington 98188 a Phone: 206 - 4.31 -. 7670 • Fax 20h- 4. ?1 -.7hMS City of Tukwila Dept of Community Development Tukwila, WA 98188 Attn: Bob Benedicto Reference Permits: rnno ^o) UV V-:, oh, MOR -191 PG08 -212 _T_ 1 JG41 nvv, 1 am continuing to make progress on projects covered under the referenced permits. The remaining contractor effort is minimal but is awaiting some finish work that I, as the homeowner, am completing_ Please extend the above permits for 90 days. aK r oexir-NvAte 4roXP Fee ,410411e- 10 -Car C1/001 ell); tvs 4 -1-0 q -ktkvk ! tseeIre_ »1 octoN 1, Q1 RECEIVED crry of Tub MAR 312009 03 -02 -2008 JON THOELKE 14915 62 AV S TUKWILA WA 98168 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director RE: Permit No. PG08 -212 14915 62 AV S TUKW Dear Permit Holder: In reviewing our current records the above noted permit has not received a fmal 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 fmal 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 writing 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 04/07/2009 , 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, fer Marshall, Permit Technician xc: Permit File No. PG08 -212 firm .Cnnthnontvr Rn»lovard .Cnito Jima o Tukwila Wachinotnn OR1RR o Phnnv• 91M_A21.2A7/) a P,v• A_A21_2/ C • PERMIT COORD COPY if PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG08 -212 DATE: 07 -21 -08 PROJECT NAME: THOELKE RESIDENCE SITE ADDRESS: 14915 62 AV S X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # after Permit Issued DEPARTMENTS: �i,iG Di Building Division * ublic'WIot Fire Prevention Structural Planning Division Permit Coordinator n DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: Incomplete DUE DATE: 07 -24 -08 Not Applicable Permit Center Use Only INCOMPLETE LETTER MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: LETTER OF COMPLETENESS MAILED: TUES/THURS ROU ING: Please Route Structural Review Required REVIEWER'S INITIALS: No further Review Required DATE: n APPROVALS OR CORRECTIONS: DUE DATE: 08 -21-08 Approved n Approved with Conditions Not Approved (attach comments) n Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents/routing slip.doc 2 -28 -02 1 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206-43 1 -3665 Web site: hltp: //ivww.ci.iukwila.wa.us 1 REVISION SUBMITTAL Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: /0/9/08 ❑ Response to Incomplete Letter # ❑ Response to Correction Letter # • Revision # / after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Plan Check/Permit Number: PG eg - a 102. Project Name: -nap) ke i es;Olen ce _ Project Address: / /5' 2,d Ave S t 7,'G,Jj% W/9 9 (PA g Contact Person: J0r7 The erne__ Phone Number: 0206 162 -6'99 Summary of Revision: (yep lacy ho-I-Wed+er fan k f'it/ San 10e5 wa'ter A eerie r RECEIVED eirvoF Kwu OCT 0 9 Ma PERMIT CENTER Sheet Number(s): "Cloud" or highlight all areas of revision including date of revi 'o Received at the City of Tukwila Permit Center Qby: Er Entered in Permits Plus on 10 9 -0 0 lapplicationsfonns- applications on linelrevision submittal Created: 8-13 -2004 Revised: Untitled Page • • General /Specialty Contractor A business registered as a construction contractor with LEtl 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. Business and Licensing Information Name Phone Address Suite /Apt. City State Zip County Business Type Parent Company PROCIW CONSTRUCTION 2534680005 1156 GRIFFIN AVENUE SUITE 206 ENUMCLAW WA 98022 KING CORPORATION PROCIW HOLDING Et DEV CORP UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Previous License Next License Associated License Specialty 1 Specialty 2 602596049 ACTIVE PROCI "941 DT CONSTRUCTION CONTRACTOR 3/30/2006 3/30/2010 PROCIC*074N3 GENERAL UNUSED Business Owner Information Name Role Effective Date Expiration Date PROCIW, TRACEY ANN AGENT 03/30/2006 Bond Amount PROCIW, DON L JR PRESIDENT 03/30/2006 52BSBDA1406 PROCIW, TRACEY ANN VICE PRESIDENT 03/30/2006 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 HARTFORD FIRE INS CO 52BSBDA1406 03/26/2006 Until Cancelled $12,000.0003/30 /2006 Insurance Information Page 1 of 2 Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 4 CENTURY SURETY CO CCP542551 04/23/200804/23 /2009 $1,000,000.0004 /24/2008 https: // fortress .wa.gov /lni/bbip/Detail. aspx ?License= PROCIC *941 DT 08/26/2008