HomeMy WebLinkAboutPermit PG08-241 - DOAK HOMES - LOT ADOAK HOMES
LOT A
12709 50 AV S
PGO8-24 1
Parcel No.:
Address:
Suite No:
Citylif 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
0179001755
12209 50 AV S TUKW
PLUMBING /GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On:
PG08 -241
02/26/2009
08/25/2009
Tenant:
Name: DOAK HOMES INC - LOT A
Address: 12209 50 AV S , TUKWILA WA
Owner:
Name: DOAK HOMES INC
Address: 11812 26TH AVE SW , BURIEN WA
Contact Person:
Name: DARRYL DOAK JR
Address: 11812 26 AV SW , BURIEN WA
Contractor:
Name: MONARCH PLUMBING
Address: 2415 INTER AV , PUYALLUP WA
Contractor License No: MONARP *062D8
Phone:
Phone: 206 - 403 -3611
Phone: 253 770 -2400
Expiration Date: 03/23/2009
DESCRIPTION OF WORK:
PROVIDE NEW HOME WITH SEWER, WATER PIPING, NATURAL GAS PIPING TO RANGE,
FIREPLACE AND HOT WATER TANK.
Value of Plumbing /Gas Piping:
Fees Collected:
$7,800.00
$374.00
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.)
2 Building sewer and each trailer park sewer 1
0 Rain water system - per drain (inside bldg) 0
1 Water heater and /or vent 1
0 Industrial waste treatment interceptor, including
1 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
1 Repair or alteration of drainage or vent piping 0
4 Medical gas piping system serving (1 -5)
0 inlets /outlets for a specific gas 0
0 Medical gas piping (6 +) inlets /outlets 0
2 Gas Piping
0 Gas piping outlets (0 -5) 5
3 Gas piping outlets (6 +) 0
* *continued on next page **
doc: UPC -10/06
PG08 -241 Printed: 02 -26 -2009
City olliTukwila
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 -241
Issue Date: 02/26/2009
Permit Expires On: 08/25/2009
Permit Center Authorized Signature:
I hereby certify that I have read and ex
governing this work will be complied
th,
Date: B ,-i !/(g
d this permit and know the same to be true and correct. All provisions of law and ordinances
ether specified herein or not.
The granting of this permit does not pres e to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or tt perforjpance of work. I am authorized to sign and obtain this plumbing /gas piping permit.
Signature:
Date: 2 oD,9
Print Name: le,"/ . .D4¢4 / .3- ,
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 -241 Printed: 02 -26 -2009
Parcel No.: 0179001755
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
12209 50 AV S TUKW
DOAK HOMES INC - LOT A
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
PG08 -241
ISSUED
09/05/2008
02/26/2009
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 -241 Printed: 02 -26 -2009
•
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 authority to violate or cancel the provision of any other work or local laws regulating
construction or the performance of work.
Signature:
Aa-,
Print Name: �/9,QjQL� /, , /l191 M �i
Date: 2 • -2 to :2 0(07
doc: Cond -10/06
PG08 -241 Printed: 02 -26 -2009
SIT
CITY OF TUKWIL4
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
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 Address:
Tenant Name:
z 01 3724-4
Property Owners Name: '-�C�� (4t Mailing Address: 1 1E 2- Z6;1-'4
ItJ v'tC
e 0
King Co Assessor's Tax No.:
Suite Number:
New Tenant:
0)-g�� �s
Floor:
❑ .... Yes
�..No
or 9
ty
State Zip
Name: ( U, (L
Mailing Address: 1 ( Z I
E -Mail Address: ``UCtIC °Y
c- 1k..
Day Telephone: ZC)
>\ ri e4/
City
Fax Number: C
State Zip
Company Name: ►yc,Cae- -- " 'c
Mailing Address: I g I 7_ >n J1,la,'
<�
Contact Person:
E -Mail Address:
al
tc
C.1( (C II cof17 ��C'J Yl ;1 s C
.e.�C
Contractor Registration Number: Dc7,4
Company Name:
Mailing Address:
Contact Person: !1Gf11)- gi.? —1
E -Mail Address: 1 1 .Lx,?
City
Day Telephone:
Fax Number:
Expiration Date:
State
Zip
2 067
? -'Z* 54e //
y� 1 -7Z
City Statep
Day Telephone: g 77 7B3 7 7
Fax Number: t 77 2-5 7 5127
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Q:\Applications\Forms- Applications On Line\3 -2006 - Permit Application.doc
Revised: 9 -2006
bh
L Sriui(t
City
Day Telephone:
Fax Number:
Le•i 44207?
_ Zip
_� S State C �� ? t' 6
Page 1 of 6
BUILDING PERMIT INFORN►TION — 206 -431 -3670
Valuation of Project (contractor's bid price): $ L-- /OW
Scope of Work (please provide detailed information):
Existing Building Valuation: $
Will there be new rack storage? ❑.... Yes
�.. No If yes, a separate permit and plan submittal will be required.
ovid
All Bun ilinig .A
in Square
'ootag
elc
106
36-S
Li l
itycy per
:BC
PLANNING DIVISION:
Single family building footprin ea of the foundation of all structures, plus any decks over 1 t t ches and overhangs greater than 18 inches)
*For an Accessory dwelling, ovide the following:
Lot Area (sq ft): Floor area of principal dwelling: loor area of accessory dwelling:
*Provide docum ation that shows that the principal owner lives in one of the dwellings as his er primary residence.
Number of Parking St s Provided: Standard: 2 Compact: Handicap:
Will there be a than in use? p Yes Qc No If "yes ", explain:
FIRE PROT TION/HAZARDOUS MATERIALS:
❑ prinklers ❑ Automatic Fire Alarm Pa 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 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:\Applications\Fonns- Applications On Linel3 -2006 - Permit Application.doc
Revised: 9 -2006
bh
Page 2 of 6
PLUMBING AND GAS PIPING CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Contact Person:
E -Mail Address: �n �,�
Contractor Registration Number: IAN 1��1�' -1-�G V 62.1) 8
"Ater to mit.
C1y
IAA E
State Zip
Day Telephone: 232 `7 7 L� L C(C
Fax Number: ac-73 7C 66 'E
Expiration Date: O31 -3/C
Valuation of Plumbing work (contractor's bid price): $
Valuation of Gas Piping work (contractor's bid price): $
Scope of Work (please provide detailed information):
Pi`t)V,Cle„ /1&W LI,Cy le 5cttler i 1 i
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.
BUILDIN
Signature:
• .,.
AUTHO
GENT:
Print Name: .
Mailing Address: 1 V2,(2_
Date:
63 3 6 C
Day Telephone: c 1
City
State
Zip
I Date Application Accepted:
Date Application Expires:
Staff Initials•
1
Q:\Applications\Fonns- Applications On Line \3 -2006 - Permit Application.doc
Revised: 9 -2006
bh
Page 6 of 6
City of Tukwila,
0905801 -1 0010 02/27/2009 001 till
DCD Permits Plus - Other Funds $300.00
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206-431-3665
Web site: http: //www. ci. tukwila. wa. us
SET RECEIPT
RECEIPT NO: R09 -00334
Initials: BLH
Payment Date: 02/26/2009
User ID: ADMIN Total Payment: 864.00
Payee: DOAK HOMES, INC.
SET ID:
01 -22A SET NAME: DOAK LOT A
SET TRANSACTIONS:
Set Member
C09 -001
M08 -220
aPG O'8 ?"2;41
TOTAL:
Amount
300.00
190.00
374.00
300.00
TRANSACTION LIST:
Type Method Description
Amount
Payment Check 5821 864.00
TOTAL: 864.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
GAS - RES
MECHANICAL - RES
PLUMBING - RES
TRAFFIC CONCURRENCY
000.322.103.00.0 92.00
000.322.102.00.0 190.00
000.322.103.00.0 282.00
104.367.121.00 300.00
TOTAL: 864.00
T 0)
IL 1_I
VI 0
1-•• H
.t
cn
01
+;
INSPE ON NO.
INSPECTION RECORD
Retain a copy with permit
P6O$
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION Y7--
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project:
DOA04 40141€5
_live •
Type of Inspection:
zNoFizc.eallA►o
._) `GAS
- Th/rif/O / -v 1
Address:
I2Ze)c1 '50 vat
S
Date Called:
Special Instructions:
Date Wanted:
I1 /is Ioc
a.m.
Requester:
„....---„,„ / \
Phone No:
.cD(, —u03- 36'l 1
Approved per applicable codes. D Corrections required prior to approval.
I
COMMENTS:
2/4//o,,,./4/..7 7 – .l,// •ive,
r),,i,r✓z_ c ,rt q /
._) `GAS
- Th/rif/O / -v 1
„....---„,„ / \
spectoti
61.00 REINSPECTIOP6 FEE R IRED. Prior to inspection, fee must be
.Id at 6300 Southcenter Blv ., Suite 100. Call to schedule reinspection.
eipt No.:
1
Date:
•
INSPECTION RECORD
Retain a copy with permit
INSPECTI N NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION -
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (2 -06)431 -3670
Projj�eect:
Type of Inspection:
Address: _
/22p ..SU
44j
Called.
Special Instructions:
Date Wanted: >� vC
/a
(��j
Requester:
Phone No
02 & 37 ?—Z2
9
Approved per applicable codes. 0 Corrections required prior to approval.
CO MENTS:
— C/
i
Date:
0.00 REINSPECTION FE Prior to inspection, fee must be
aid at 6300 Southcenter B d., SuiV100. Call to schedule reinspection.
Receipt No.:
Date:
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
p6oY --24r
PERMIT NO.
(206)431 -3
Project:
�v — / D k{ S
i .
Type of Inspec ion: r^ / /t�
1(D `^ !� ( l'`
Address: C� y
/ Z A f Ca
Ai
'S -
Date Called:
Special Instructions:
J.;--(---
c`
iJ.-Jc -r%� A) (7p
Date Wanted: a.m.
p.m.
Requester:
Phone .4 0? ` 3c. (
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
i .
A (S Tr
c`
iJ.-Jc -r%� A) (7p
S7
II
DA ' ( r)
\A \J e G A ,6 r
„A, P-,r- i -
f
1!
IN
Inspegfor:
Date:
- D
ri Q
$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:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION I�
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 70
Project:._
AoR1`-" t {�J'c -e T
Type of Inspection:
%
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
P 68 -24(
Project: Q/
Type of Insp ction: 4,,k 1,- A p
Ad ess:
`1.-Tog co
,Jo
Date Called
Special Instructions:
�. ��
1 J�
I
Date Wanted:
5 1 `l • • J
a_rri,
,..-15:m.._.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval. 7
COMMENTS:
Inspe
rate: j- 2 -z1�=
$60.001tEINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
Pae.5 2V/
PERMIT NO. F-
I
(206)431 -3670
Project:
1) 64 /-'t:1' 1
Type o Inspection:
�/ GJ i%\/
.
Address:
/2.2O OfaAv -5
Date Called:
Special Instructions:
f '
/In .'
Date Wanted:
r�i.
Requester:
R --1, n vu i
Phone No:
.0(23 72-22256
FIA
ro
c
Corrections required prior to approval.
COMMENTS:
A
j) l\, A) t n
.
2 �5porT j 1 r. t ?a1
<J A L,1 (- A..) /dcwre i tfev\ 4
1 .1..J. .Q T)) ()J P
G-r"--1,ii t � D I f % A 6 . ( , C .,41.J?
R --1, n vu i
A 1 i
Inspe or: 04_4.
Date:, / 0
LI $60.00 REINSPECTION FEE REQUIRE . Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
1
Date:
L
DARRYL DOAK JR
1181226 AV SW
BURIEN WA 98146
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development
RE: Permit No. PG08 -241
12209 50 AV S TUKW
Dear Permit Holder:
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 12/14/2009.
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 12/14/2009, 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,
(-ZaArt-dL
Bill Rambo
Permit Technician
File: Permit File No. PG08 -241
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
02 -02 -2009
DARRYL DOAK JR
1181226 AV SW
BURIEN WA 98146
•
Cizy of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
RE: Permit Application No. PG08 -241
12209 50 AV S TUKW
Dear Permit Applicant:
In reviewing our current permit application files, it appears that your permit application applied for on 09/05/2008 , has not been
issued by the City of Tukwila Permit Center. Per the Uniform Plumbing Code and/or International Fuel Gas Code, every permit
application not issued within 180 days from the date of application shall expire by limitation and become null and void. Your permit
application expires on 03/04/2009 .
If you choose to pursue your project, a written request for extension of your application addressed to the Building Official,
demonstrating justifiable cause, will need to be received at the Permit Center prior to your expiration date of 03/04/2009. If it is
determined that an extension is granted, your application will be extended one time only, for an additional 180 days from the
expiration date.
In the event we do not receive your written request for extension, your permit application will become null and void and your project
will require a new permit application, plans and specifications, and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
V,A
fer Ma shall
it Technician
xc:
Permit File No. PG08 -241
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
•
•
Jim Haggerton, Mayor
Department of Community /`evelopment Jack Pace, Director
NOTICE OF COMPLETE APPLICATION
September 11, 2008
Darryl Doak Jr
11812 — 26f1i Avenue SW
Burien, WA 98146
Subject: Doak Homes — Lot A
D08 -421, M08 -220 and PG08 -241
Dear Mr. Doak:
Your permit application received on September 5, 2008 for the construction of a new single family
residence proposed in the 12200 block on 50th Avenue S, Tukwila, Washington is considered complete on
September 11, 2008 for the purposes of meeting settlement agreement dated July 2, 2008.
This determination of complete application does not preclude the ability of the City to require that you
submit additional plans or information, if in our estimation such information is necessary to ensure the
project meets the substantive requirements of the City or to complete the review process.
This notice of complete application applies only to the permits identified above. It is your responsibility to
apply for and obtain all necessary permits issued by other agencies.
If you should have any questions, please contact me at (206) 431 -3670.
Sincerely,
/,-
Brenda Holt,
Permit Coordinator
Xc: Permit File No. D08-421, M08 -220 and PG08 -241
H:\Notice Application- Decision\D08 -421 - Notice of Complete Application.DOC
bh
6300 Southcenter Boulevard, Suite #100 0 Tukwila, Washington 98188 0 Phone: 206 - 431 -3670 m Fax: 206 - 431 -3665
� PERMIT COORD COPY El
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: PG08 -241 DATE: 09 -05 -08
PROJECT NAME: DOAK HOMES INC, LOT A
SITE ADDRESS: 12204 50 AV S
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter # Revision # after Permit Issued
DEPARTMENTS:
AUL 11401
Bui ingDivision
h
Public Works
N�vv�
Fire Prevention
Structural
n
Planning Division
Permit Coordinator
n
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
Comments:
Incomplete
DUE DATE: 09-09-08
Not Applicable n
Permit Center Use Only
INCOMPLETE LETTER MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
LETTER OF COMPLETENESS MAILED:
Db
TUES/THURS ROU ING:
Please Route Structural Review Required
REVIEWER'S INITIALS:
No further Review Required
DATE:
APPROVALS OR CORRECTIONS:
Approved Approved with Conditions
Notation:
REVIEWER'S INITIALS:
DUE DATE: 10-03-08
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
Untitled Page
•
•
General /Specialty Contractor
A business registered as a construction contractor with LEtI 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
MONARCH
PLUMBING
2537702400
2415 INTER AVE
PUYALLUP
WA
98372
PIERCE
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Previous License
Next License
Associated
License
Specialty 1
Specialty 2
601531614
ACTIVE
MONARP *062D8
CONSTRUCTION
CONTRACTOR
3/28/1994
3/23/2011
PLUMBING
UNUSED
Business Owner Information
Name
Role
Effective Date
Expiration Date
SVEDARSKY, STEVEN M
PRESIDENT
01/01/1980
Bond
Amount
Bond Information
Page 1 of 2
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
7
WESTERN
SURETY
CO
70247293
03/23/2007
Until
Cancelled
$6,000.00
04/06/2007
6
AMERICAN
STATES
INS CO
6091462
03/23/2002
Until
Cancelled
04/06/2007
$6,000.00
01/29/2002
5
AMERICAN
STATES
INS CO
6091492
03/23/2001
03/23/2002
.
$4,000.00
02/21/2001
4
COLONIAL
AM CAS
SURETY
OF MD
LPM4050547
03/23/2000
Until
Cancelled
03/23/2001
$4,000.00
STAR INS
Until
https: // fortress. wa. gov /lni/bbip /Detai1.aspx ?License= MONARP *062D8
02/26/2009