HomeMy WebLinkAboutPermit PG09-073 - SOUTHGATE MOBILE HOME PARK #15SOUTHGATE MOBILE
HOME PARK
14005 42 AV S
SPACE 15
EXPIRED
O1 -10 -11
PGO9-073
Parcel No.:
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
1523049008
14005 42 AV S TUKW
SOUTHGATE MOBILE HOME PARK
1400542 AV S SPACE 15 , TUKWILA WA
STEPPING STONE VENTURES L L
20303 10TH AVE W , LYNNWOOD WA
MICHAERL TSCHOHL
• PO BOX 634 , LYNNWOOD WA
Contractor:
Name: EAGLE GAS MECHANICAL INC
Address: 7503 228 ST SW , EDMONDS WA
Contractor License No: EAGLEGM077DT
DESCRIPTION OF WORK:
GAS PIPING TO RELOCATED GAS METER
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
doc: UPC -7/07
Cityyef 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
PLUMBING /GAS PIPING PERMIT
FIXTURE TYPE AND OUANTITY
* *continued on next page **
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 425 - 750 -7764
Phone: 425 776 - 9689
Expiration Date: 06/16/2010
Value of Plumbing /Gas Piping: $250.00
Fees Collected: $92.00 International Fuel Gas Code Edition:
PG09 -073
07/07/2009
01/03/2010
Uniform Plumbing Code Edition: 2006
2006
Plumbing (cont.)
0 Building sewer and each trailer park sewer 0
0 Rain 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
0 Repair or alteration of drainage or vent piping 0
0 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) 5
0 Gas piping outlets (6 +) 0
PG09 -073 Printed: 07 -07 -2009
Permit Center Authorized Signature:
Print Name:
doc: UPC -7/07
o ta.
City o?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.tulwila.wa.us
v GU_
•
Permit Number: PG09 -073
Issue Date: 07/07/2009
Permit Expires On: 01/03/2010
Date:
I hereby certify that I have read and examined this permit and know the same to be true and correct. 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 provisions of any other state or local laws regulating
constructio or t e rfo ce of rk. I am authorized to si and obtain this plumbing /gas piping permit. — /
Signature: +� G[.t L/ h/ Date: l ` 1439
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.
PG09 -073 Printed: 07 -07 -2009
Parcel No.: 1523049008
Address:
Suite No:
Tenant:
1: ** *PLUMBING AND GAS PIPING * **
doc: Cond -10/06
14005 42 AV S TUKW
• •
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
SOUTHGATE MOBILE HOME PARK
PERMIT CONDITIONS
* *continued on next page **
Permit Number:
Status:
Applied Date:
Issue Date:
PG09 -073
ISSUED
07/07/2009
07/07/2009
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.
PG09 -073 Printed: 07 -07 -2009
Signature:
Print Name:
doc: Cond-10/06
•
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.tulcwila.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.
v
:J licJet-o
Date:
PG09 -073 Printed: 07 -07 -2009
Name: Michael Tschohl
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.citulavila.wa.us
E -Mail Address: MTSCHOHL @LIVE.COM
Building Permit No.
Mechanical Permit No.
Plumbing/Gas Permit No. `' 0 73
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
Mailing Address: Box 634, Lynnwood, WA 98046
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
H:\Applications\Fortns- Applications On Line12009 Applications \1 -2009 - Permit Application.doc
Revised: 1.2009
bh
King Co Assessor's Tax No.: 15 7 008
Site Address: 14005 42nd A v S Suite Number: Floor:
Tenant Name: #50, 55, 32, 33, *, 59 60, 15, 24, 25, 9, 10, 20 1 r n New Tenant:
Property Owners Name: S1'C— Pp a Not saw E U eNTIO ILES L.L. C. •
Mailing Address: Zo SO 'b 10 A4.) tr) L a04Jesti
City
State
CONTACT PERSON - who do we contact when your permit is ready to be issued
Day Telephone: (425) 750 -7764
City State
Fax Number: (425) 967 - 5983
GENERAL CONTRACTOR INFORMATION —
(Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5))
Company Name:
Mailing Address:
Zip
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
State
ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record
Company Name:
Mailing Address:
Zip
State
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record
Company Name:
Mailing Address:
State
Yes ..No
'1oo3
Zip
Zip
Zip
Page 1 of 6
Fixture Type:
Qty
Fixture Type:
Qty
Fixture Type:
Qty
Fixture Type:
Qty
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
Building sewer and each
trailer park sewer
Rain water system — per
drain (inside building)
Water heater and/or vent
Industrial waste treatment
interceptor, including trap
and vent, except for kitchen
type grease interceptors
Each grease trap
(connected to not more
than 4 fixtures - <750
gallon capacity)
Grease interceptor for
commercial kitchen ( >750
gallon capacity)
Repair or alteration of
water piping and/or water
treatment equipment
Repair or alteration of
drainage or vent piping
Medical gas piping
system serving 1 -5
inlets /outlets for a
specific gas
Each additional medical
gas inlets /outlets greater
than 5
Backflow protective
device other than
atmospheric -type vacuum
breakers 2 inch (51 mm)
diameter or smaller
Backflow protective device
other than atmospheric -type
vacuum breakers over 2
inch (51 mm) diameter
Each lawn sprinkler
system on any one meter
including backflow
protection devices
Atmospheric -type vacuum
breakers not included in
lawn sprinkler backflow
protections (1 -5)
Atmospheric -type
vacuum breakers not
included in lawn
sprinkler backflow
protections over 5
Gas piping outlets
• •
PLUMBING AND GAS PIPING PERMIT INFORMATION — 206 - 431 -3670
PLUMBING AND GAS PIPING CONTRACTOR INFORMATION
Company Name:
Mailing Address:
EAGLE GAS MECHANICAL
Box ins 434
Contact Person: MICHAEL TSCHOHL
E -Mail Address: MTSCHOHL @LIVE.COM
Contractor Registration Number: 601454859
Valuation of Project (contractor's bid price): $ 250
Scope of Work (please provide detailed information): GAS PIPE TO RELOCATED GAS METERS
Building Use (per Int'l Building Code):
Occupancy (per Int'l Building Code):
Utility Purveyor: Water:
WA 98046
State Zip
(425) 750 -7764
(425) 967 -5983
Expiration Date: 03/31/2010
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
H:\Applications \Forms - Applications On- Line\2009 Applications \ I -2009 Permit Application.doc
Revised: 1 -2009
bh
LYNNWOOD
City
Day Telephone:
Fax Number:
Sewer:
Page 5 of 6
Print Name: !"1' 191A-Ec. V 775C-140h,L—
BUILDING WN OR UTHOR E •
Signature: V
Mailing Address: 130X (23i4
Date Application Accepted:
H:\Applications\Forms- Applications On Line12009 Applications \1 -2009 - Permit Application.doc
Revised: 1-2009
bh
APPLI
erm�ts��ii'hi �"ap�' 1><ea
44 ,.75
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.
Date: /� 0
Day Telephone: y ZS "750^-2-7Gei
City State Zip
Date Application Expires:
Staff Initials:
Page 6 of 6
Parcel No.: 1523049008 Permit Number: PG09 -073
Address: 14005 42 AV S TUKW Status: PENDING
Suite No: Applied Date: 07/07/2009
Applicant: SOUTHGATE MOBILE HOME PARK Issue Date:
Receipt No.: R09 -01035
Initials:
User ID:
Payee:
WER
1655
ACCOUNT ITEM LIST:
Description
GAS - RES
•
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
EAGLE GAS MECHANICAL
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 5182 92.00
Authorization No.
RECEIPT
Account Code Current Pmts
000.322.103.00.0 92.00
Total: $92.00
Payment Amount: $92.00
Payment Date: 07/07/2009 11:22 AM
Balance: $0.00
YMENT
RECEIVED
doc: Receiot -06 Printed: 07 -07 -2009
COMMENTS:
6444- 1
Type of Inspect
Address: t' °C 4 �
r,41k
Special Instructions:
B r b Je
Date Wanted: 1,1_
Phone No:
` S`
15
S
A
c--",0
1\ J, s (
RI- A2,..1----
I _
Project: --CG
6444- 1
Type of Inspect
Address: t' °C 4 �
Date Called:
Special Instructions:
t
Date Wanted: 1,1_
Requester:
Phone No:
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
f 6 6 1
PERMIT NO.
(206)431 -3670 ri
Approved per applicable codes. Corrections required prior to approval.
Inspector:
Date
L1 $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:
12 -01 -2010
MICHAEL TSCHOHL
PO BOX 634
LYNNWOOD WA 98046
RE: Permit No. PG09 -073
14005 42 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 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 01/10/2011.
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, , provided the inspection shows progress.
-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 01/10/2011, 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
File: Permit File No. PG09 -073
U d I s A I ?
i 4 c% Jim Haggerton, Mayor
epartrn - nt of Co r; ; 'fluidity Develop , ent Jack Pace, Director
6300 Southcenter Boulevard, Suite #100 o Tukwila, Washington 98188 o Phone: 206 - 431 -3670 o Fax: 206 - 431 -3665
June 17, 2010
Cheryl Wallace
Eagle Gas Mechanical Inc
PO Box 634
Lynnwood, WA 98046
RE: Request for Extension #2
Permit Nos. PG09 -067 through PG09 -079
Southgate Mobile Home Park
Dear Ms. Wallace,
This letter is in response to your written request for extension to Permit Numbers PG09 -067
through PG09 -079. The Building Official has reviewed your letter and considered your request
to extend the above referenced permits. The City
if Tukwila
a Building will be
extending your permits an additional 180 days, through
If you should have any questions, please contact our office at (206) 431 -3670.
City of Tukvvila Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
File: Permit No. PG09 -067 through 079
W;\Permit Center\Extension Letters\Pennits\2009\PG09 -067 Pennit Extension 112.doc
Rn„ /vvarti_ Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
06/10/10
City of Tukwila
Dept of Community Development
Email: brambo@ ci.tukwila.wa.us
Dear Building Official,
We would like 6 month extensions, if possible.
Permit #'s
PG09 -067
PG09 -068
PG09 -069
PG09 -070
PG09 -071
PG09 -072
PG09 -073
PG09 -074
PG09 -075
PG09 -076
PG09 -077
PG09 -078
PG09 -079
Thank you for your consideration.
Sincerely,
Cheryl Wallace, Office Manager
Eagle Gas Mechanical Inc
PO Box 634
Lynnwood WA 98046 -0634
425 - 776 -9689 office
425 - 967 -5983 fax
Eagle Gas Mechanical, Inc.
General Contractor License: EAGLEGM077DT
PO Box 634, Lynnwood, WA 98046
Phone: 425- 776 -6989 Fax: 425- 967 -5983
Email: officePeagle- gas.com website: www.eagle- gas.com
Fax: 206 - 431 -3665 Attn: Bill Rambo
We would like to request extensions on the following permits as they are scheduled to expire on 7/2/10.
It is now warm enough for the residents to withstand the day while we shut off the gas in their area.
We will be sending out letters in the mail both in English and Spanish to let them know we will be
shutting off their gas for 1 day. We were given 6 mo extensions in Dec 2009 as we were unable to gain
access due to language barriers during the winter months and it was too cold to turn off gas.
ea//i/20°
al V
RECEIVED
JUN 10 2010
PERMIT CENTER
tN\ AA 121/1110
MICHAEL TSCHOHL
PO BOX 634
LYNNWOOD WA 98046
RE: Permit No. PG09 -073
14005 42 AV S TUKW
Dear Permit Holder:
Sincerely,
-or-
Bill Rambo
Permit Technician
File: Permit File No. PG09 -073
ityof Tukwila
Department of Community Development
Thank you for your cooperation in this matter.
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 01/03/2010.
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.
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 01/03/2010, your permit will
become null and void and any further work on the project will require a new permit and associated fees.
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
December 24, 2009
Cheryl Wallace
Eagle Gas Mechanical Inc
PO Box 634
Lynnwood, WA 98046
Dear Ms. Wallace,
Sincerely,
Jenn
erm
er Mar
t Technician
epartment of C•'mmunity ii evelopment Jack Pace, Director
RE: Request for Extension
Permit Nos. PG09 -067 through PG09 -079
Southgate Mobile Home Park
This letter is in response to your written request for extension to Permit Numbers PG09 -067
through PG09 -079. 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 permit an additional 180 days, through July 2, 2010.
If you should have any questions, please contact our office at (206) 431 -3670.
File: Permit No. PG09 -067 through 079
W:\Permit Center\Extension Letters \Permits\2009\PG09 -079 Permit Extension.doc
Jim Haggerton, Mayor
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 0 Fax: 206 - 431 -3665
ueu UV UV UV. IUF1 CGIJ. IC L, Ivl CIiIIGIIIUGI
12/9/2009
City of Tukwila
Dept of Community Development
Dear Building Official,
We would like to request extensions on the following permits as we have been unable to gain access
due to language barriers and now it is winter months and too cold to turn off gas.
We would like 6 month extensions, if possible.
Permit #'s
PG09 -067
PG09 -068
PG09 -069
PG09 -070
PG09 -071
PG09 -072
PG09 -073
PG09 -074
PG 09 -075
PG09 -076
PG09 -077
PG09 -078
PG09 -079
Thank you for your consideration.
Sincerely,
Cheryl Wallace, Office Manager
Eagle Gas Mechanical Inc
PO Box 634
Lynnwood WA 98046 -0634
425- 776 -9689 office
425- 967 -5983 fax
office@eagle- gas.com
Eagle Gas Mechanical, Inc.
General Contractor License: EAGLEGM077DT
PO Box 634, Lynnwood, WA 98046
Phone: 425- 776 -6989 Fax: 425- 967 -5983
Email: office@eagle- gas.com Website: www.eagle - gas.com
Fax:206- 431 -3665 Attn: Bill Rambo
DEC 0 9 2009
COMivium C
DENELOPIeIEN
N• I
aK40/4 64,-64 Dli,)10
/go c1'
11W
12_ z3 - oY
MICHAERL TSCHOHL
PO BOX 634
LYNNWOOD WA 98046
RE: Permit No. PG09 -073
14005 42 AV S TUKW
Dear Permit Holder:
Sincerely,
1 ' Jim Haggerton, Mayor
Department of Community Development
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 01/03/2010.
Based on the above, you are hereby advised to:
Jack Pace, Director
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 01/03/2010, 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.
Bill Rambo
Permit Technician
,_ -- ),,,,,i
File: Permit File No. PG09 -073
6300 Southcenter Boulevard, Suite #100 ® Tukwila, Washington 98188 0 Phone: 206 - 431 -3670 o Fax: 206 - 431 -3665
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
3
STATE
FARM FIRE
a CAS CO
980911089
03/23/2002
Until
Cancelled
$6,000.00
04/15/2002
2
STATE
FARM FIRE
Et CAS CO
980911089
03/23/1998
03/23/2002
$4,000.00
1
STATE
FARM FIRE
a
CASUALTY
CO
980911089
03/23/1993
03/23/1998
$4,000.00
Name
Role
Effective Date
Expiration Date
TSCHOHL, MICHAEL V
01/01/1980
DUKES, SUSAN
01/01/1980
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
EAGLE GAS MECHANICAL
INC
4257769689
7503 228TH ST SW
EDMONDS
WA
98026
SNOHOMISH
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration
Date
Suspend Date
Specialty 1
Specialty 2
601454859
ACTIVE
EAGLEGM077DT
CONSTRUCTION
CONTRACTOR
3/30/1993
6/16/2010
PLUMBING
UNUSED
Business Owner Information
Bond Information
Insurance Information
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https: // fortress .wa.gov /lni/bbip/Detail.aspx 07/07/2009