HomeMy WebLinkAboutPermit PG10-085 - BELFOR PROPERTY RESTORATIONBELFOR PROPERTY
RESTORATION
4320 S 131 PL
PG1 0-085
Parcel No.:
Address:
City oikukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Inspection Request Line: 206 - 431 -2451
Web site: http: / /www.ci.tukwila.wa.us
7349200095
4320 S 131 PL TUKW
PLUMBING /GAS PIPING PERMIT
Project Name: BELFOR PROPERTY RESTORATION
Permit Number:
Issue Date:
Permit Expires On:
PG 10 -085
07/28/2010
01/24/2011
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Email:
Contractor:
Name:
Address:
Contractor
NORMED SHAW PTN
PO BOX 3644 , SEATTLE WA 98124
MATT FARRELL
31622 130 AV SE , AUBURN WA 98092
SOUNDMEC HANICAL @C OMCAST.NET
SOUND MECHANICAL SOLUTIONS
2326 121 AV SE , EVERETT WA 98205
License No: SOUNDMS957RR
Phone: 206 - 915 -6410
Phone: 425 397 -0971
Expiration Date: 11/12/2011
DESCRIPTION OF WORK:
PLUMBING TENANT IMPROVEMENT: ADD 4 WATER CLOSETS, 4 LAVATORIES, 2 SINKS AND 1
WATER HEA TER. ALSO RUN GAS PIPING FOR 1 NEW UNIT HEATER.
Value of Plumbing /Gas Piping:
Fees Collected:
$12,000.00
$350.44
Permit Center Authorized Signature:
Uniform Plumbing Code Edition: 2009
International Fuel Gas Code Edition: 2009
Date: -1-.7— 6 " t Q
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 . uthority to violate or cancel the provisions of any other state or local laws regulating
construction or the performance •f work. I au ized to sign and obtain this plumbing /gas piping permit.
Signature: II! / ' Date: 705-- /O
Print Name: j ; % / YY9 /1
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 -4/10
PG10 -085 Printed: 07 -28 -2010
•
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.: 7349200095
Address:
Suite No:
Tenant:
4320 S 131 PL TUKW
BELFOR PROPERTY RESTORATION
Permit Number:
Status:
Applied Date:
Issue Date:
PG 10 -085
ISSUED
07/21/2010
07/28/2010
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: All new plumbing fixtures installed in new construction and all remodeling involving replacement of plumbing fixtures
and fittings in all residential, hotel, motel, school, industrial, commercial use or other occupancies that use
significant quantities of water shall comply with Washington States Water Efficiency and Conservation Standards in
accordance with RCW 19.27.170 and the 2006 Uniform Plumbing Code Section 402 of Washington State Amendments.
13: 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
PG10 -085 Printed: 07 -28 -2010
•
�J��I�LA ►vqs City of Tukwila
" 2 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: 11111;60 //
Date:
ordinances governing
or local laws regulating
doc: Cond -10/06 PG10 -085
Printed: 07 -28 -2010
•
w4� CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
httn://www.ci.tukwila.wa.us
Plumbing /Gas Permit No. ; 1,0— v g
Project No.
PLUMBING / GAS PIPING PERMIT APPLICATION
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
l't3?-63 _
Site Address: 44 S, 13 Is* Platt % i1 (' 14'
Tenant Name: & /P,
King Co Assessor's Tax No.: 1 Zo9 l 20— 00 /5— S
Suite Number:
New Tenant:
Floor:
Yes
❑ ..No
Property Owners Name:
Mailing Address:
Zip
City
State
CONTACT PERSON - Who do we contact! when your permit is ready to be issued
Name:
Mailing Address: 3I6ZZ /30/4.1A1/0 SF , AN6if + �1�
E -Mail Address: S'OV71Llnh thQ)71 CV? -COAT ref /t1
mfry- ra�1
Day Telephone:
City State
Fax Number: t20�Q
Zip
PLUMBING / GAS PIPING CONTRACTOR INFORMATION
Company Name: Se and in l tAQri) oat qmat6/40, l ,,LEI
Mailing Address: 31 CZZ. /3 V'I'`I A✓9 sr
Contact Person: Off-/ (ra /
E -Mail Address: 5174 ?fl e �IQy'L
Contractor Registration Number:SQI//VDI'1170'l4 0 t
L
w�4 4EsO�
City State Zip
Day Telephone: ZQ €- 9 /s- 7(4/6
Fax Number: Aiovte
Expiration Date: /1- /- ZO!)
ARCHITECT OF RECORD — All plans must be stamped' by Architect of Record
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
City
Day Telephone:
Fax Number:
State
Zip
ENGINEER OF RECORD - All plans must be stamped by Engineer of Record
Company Name:
__.....„,..,.7,,,
Mailing Address:
Contact Person:
E -Mail Address:
City
Day Telephone:
Fax Number:
State
Zip
H:\Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Plumbing -Gas Piping Permit Application.doc
Revised: 7 -2010
bh
Page 1 of 2
Valuation of Project (contractor's bid pnce): $ l? GOO
•
Scope of Work (please provide detailed information):
Qtb 1 p.1-7 t, 'elil `l -'Pif-
Building Use (per [nt'I Building Code):
Occupancy (per Int'I 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
Bidet
Clothes washer, domestic
Dental unit, cuspidor
Dishwasher, domestic,
with independent drain
Drinking fountain or
water cooler (per head)
Food -waste grinder, 1
commercial
Floor Drain
Shower, single head trap
Lavatory
4
Wash fountain
Receptor, indirect waste
Sinks
Urinals
Water Closet
i/
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
/
PERMIT APPLICATION NOTES -
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.
The Building Official may grant one extension of time for an additional period not to exceed 180 days. The extension shall be requested in writing
and justifiable cause demonstrated. Section 103.4.3 International 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 OWNER OR AUT ! ' IZED AGENT:
Signature: / / /�
Print Name:
Mailing Address:.
Date: 7—Z 1—a0/6
Day Telephone: Z Oe-- 9L -61d/
IDate Application Accepted: � ,y 1—_1
City
State
Zip
Date Application Expires:
Staff Initials:
H:\Applications\Forms- Applications On Line \2010 Applications \7 -2010 - Plumbing -Gas Piping Permit Application.doc
Revised: 7 -2010
bh
Page 2 of 2
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
RECEIPT
Parcel No.: 7349200095 Permit Number: PG 10 -085
Address: 4320 S 131 PL TUKW Status: APPROVED
Suite No: Applied Date: 07/21/2010
Applicant: BELFOR PROPERTY RESTORATION Issue Date:
Receipt No.: R10 -01424
Initials:
User ID:
WER
1655
Payment Amount: $280.35
Payment Date: 07/28/2010 09:53 AM
Balance: $0.00
Payee: MATTHEW FARRELL
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd MC
Authorization No. B53396
ACCOUNT ITEM LIST:
Description
280.35
Account Code Current Pmts
GAS - NONRES
PLUMBING - NONRES
000.322.103.00.00 96.60
000.322.103.00.00 183.75
Total: $280.35
PAYMENT
RFCFIVFr,
doc: Receiot -06 Printed: 07 -28 -2010
•
C 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.: 7349200095
Address: 4320 S 131 PL TURIN
Suite No:
Applicant: BELFOR
RECEIPT
Permit Number: PG10 -085
Status: PENDING
Applied Date: 07/21/2010
Issue Date:
Receipt No.: R10 -01363
Initials:
User ID:
Payee:
WER
1655
Payment Amount: $70.09
Payment Date: 07/21/2010 09:23 AM
Balance: $280.35
MATTHEW FARRELL
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd MC
Authorization No. B29224
ACCOUNT ITEM LIST:
Description
70.09
Account Code Current Pmts
PLAN CHECK - NONRES
000.345.830 70.09
Total: $70.09
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 07 -21 -2010
INSPECTION RECORD
Retain a copy with permit
INSPE TION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION 44'
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project:
6eePole R.5.,51, i M -1/
Type of Inspection:
r i AjP"
Address:
'd32..E S.
131
PL.-
Date Called:
Special Instructions:
,, e 1- Jam- - ,‘./ �-I
Date Wante
// /: /6/1/0
Vim:,
p.m.
Requester:
Phone No:
Approved perapplicable. codes.
Corrections required prior to approval.
COMMENTS:
A'rA71 ' -/ r
,, e 1- Jam- - ,‘./ �-I
N
(11:spec
.Drs J
INSPECTION FEE REQ
IRED. Prior
Date:
/,b
o next inspection. fee must be
-7- •aid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION NO.
INSPECTION RECORD P��� �dg�
Retain a copy with permit
PERMIT N0.
CITY OF TUKWILA BUILDING DIVISION Ik
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project:
pe of Ingection7c..,Aakpt
k_
a1 s
Date Called:
A
.A Ai �
Address:
-41. 23 S- 13( pl---
Special Instructions:
Date Wanted:
)
Requester:
,Th
Phone
I S — 6-1
(0
Approved per applicable codes.
orrections required prior to approval. /e
COMMENTS:
J-�" F _
j\5A
S 41 A 1 Cam-', S'rd(r,
/Le (�� (
,Th
rJe (
10-11 6 r A-L
64- - / 5-
3) Aieek
A< <_ -e i`
/z.cf)(Nc b
1 3
pector:
Date:' I 3 1r
l 1
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
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
Permit Inspection Request Line (206) 431 -2451
P6/0-065.
Project:
r�cL Foie
Pimio 7--c-/ -/
2 �
Type of In3spection:
/i)� /S b - i'.
v ?-4,,,,,,,a- cwi S
Address:
.e/3A0 .3-
/3 / r'i.-
Date Called:
=41
Special Instructions:
.ice _5,,
Date Wanted:
c7 — 1`1
` /O
`" a.m.
Requester:
Phone No:
,Q0 6 - 9'
'//
6
EjApproved per applicable codes.
❑ Corrections required prior to approval.
COMMENTS: 73, 4,
�./ _
7,17 --.:A/ 6 S ;? ko • AIL, — /c/', 4 ,.r p /live �.�--
„% ) A u I 0 hill iel
/
1 /d✓ /cF mri � Vti S VV� /
l /
=41
.ice _5,,
.?,C #vt/
�rl)- PefiP( !A/ / A /%C,c,4/
1
Inspector:
Prior to
Date:
'- (-5 —I /)
ECTION FEE REQUIRED. next inspection. fee must be
paid , 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
6 1 f't,\D
PERMIT NO.
T-
(206)431 -3670
P ojec :
Pry petr
o Inspection:
Type or .- a FL.
Address: 1
Date. Called:
Special Instructions:
/
Date Wanted: ,1 aJy
�s� v p.m.
Requester:
PhonU 61 ` / i5 -64/t
Approved per applicable codes.
ElCorrections required prior to approval.
COMMENTS:
A
i
kfu rOJ
"P �
1v ,,,,,A.()
(� 0.--Ii-X--
'
//,1,.
t
L—i\-g
iv p-P
1
%
%
i
Inspectlbr:
okul-k
Date: /
❑ $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:
�,,,...�..... �.. \--... �. _ _... %.�.?4rv.^a �F='* .s`..�.�r-- �..o,wrti,�h- �,.�4 - ^• �..._,..., rr.,.... ._�.:,r'•'..a.......�- .�r.S'n'r . .-r.-
INSPECTION NO.
INSPECTION RECORD r, ,S
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION `R
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
project:
e� oP . ,
orC
Type a Inspection: ^
Cr U u�t u:sork
Address:
A' 3 ?() S •
if."--
r 3( %L1t-te
Date Called:
Special Instructions:
t (a
I
_
Date Wanted: ! /O.
p.m.
Requester:
Phone N
%/03-1 /S'ejit0
Approved per applicable codes.
Corrections required prior to approval. ,
COMMENTS:
//
(.7_1 / 1 �
C..M1 -1. r---
2-e-- ; 3
e-0--- N) /.
t (a
) -&
/, li/ ti`k`'
3 Ct ui P
LS r i L0a
/,fie. /\ a
,
�_ - --
Insp'c� tor:
Date: — /; , `
❑ $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:
>rar^^..: a .--a.. i. -' - =i N.;' '�2.0+� ^'^. ^'.ni, , c'<.S..�y_ '"c:-' '= `�- !'•'��� r_-� ; -• -_ �<Sao- - o. 1`-: . a.. h ,...R#'T. .;� .tea. _
• •
PE' . "s T i ,11 a D C 5, Y
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: PG10 -085 DATE: 07 -21 -10
PROJECT NAME: BELFOR PROPERTY RESTORATION
SITE ADDRESS: 4320 S 13 PL
X Original Plan Submittal
Response to Correction Letter #
Response to Incomplete Letter #
Revision # After Permit Issued
DEPARTMENTS:
S kwc,
uilding Division �J
4S5 N /A- Irk°
Public Wor s
Fire Prevention
Structural
n
Planning Division
Permit Coordinator
•
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
Incomplete
❑
DUE DATE: 07 -22-10
Not Applicable
n
Comments:
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 N. Structural Review Required ❑ No further Review Required
REVIEWER'S INITIALS:
DATE:
APPROVALS OR CORRECTIONS:
DUE DATE: 08-19-10
Approved ❑ Approved with Conditions 71 Not Approved (attach comments) ❑
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
kAlKing County
Department of Natural Resources and Parks
Wastewater Treatment Division •
P40- 085
Non - Residential
Sewer Use Certification
• To be completed for all new sewer connections, reconnections or
change of use of existing connections.
• This form does not apply to repairs or replacements of existing
sewer connections within five years of disconnect.
Please Print or Type
Property Street Address
City 14.1/4h.�c/ //f /state 7g/47-4:/ ZIP
Owner's Name
For King County Use Only
Account #
No. of RCEs
Monthly Rate
Property Tax ID #
Party to be Billed (if different from owner)
Subdivision Name Lot #
City or Sewer District
Subdiv. # Block # Date of Connection
Building Name Side Sewer Permit #
(if applicable)
Please report any demolitions of pre - existing building on this property.
Owner's Phone Number (with Area Code) Credit for a demolition may be given under some circumstances.
Demolition of pre- existing building? D Yes 2 No
( ) Was building on Sanitary Sewer? 57,1 Yes 0 No
Property Contact Phone Number (with Area Code)
Owner's Mailing Address Was Sewer connected before 2/1/90? ❑ Yes NrNo
Sewer disconnect date:
Type of building demolished?
Request to apply demolition credit to multiple buildings? 0 Yes ❑ No
A. Fixture Units
Fixture Units x Number of Fixtures = Total Fixture Units
Kind of Fixture
Fixture Units
No. of Fixtures
Total
Fixture Units
Public
Private
Public
Private
Bathtub and Shower
4
4
Shower, per head
2
2
Dishwasher
2
2
Drinking fountain (each head)
1
.5
Hose bibb (interior)
2.5
2.5
/
z , .
Clotheswasher or laundry tub
4
2
/
4
Sink, bar or lavatory
2
1
4
5'
Sink, Clinic flushing
8
8
Sink, kitchen
3
2
,.5
Sink, other (service)
3
1.5
/
Sink, wash fountain, circle spray
4
3
Urinal, flush valve, 1 GPF
5
2
Urinal, flush valve, >1 GPF
6
2
Urinal, waterless
0
0
Water closet, tank or valve, 1.6 GPF
6
3
4
'L4
Water closet, tank or valve, >1.6 GPF
8
4
Total Fixture Units
Residential Customer Equivalent (RCE)
20 fixture units equal 1.0 RCE
Total No. of Fixture Units _
20
RCE
B. Other Wastewater Flow
(in addition to Fixture Units identified in Section A)
Type of Facility /Process:
Estimated Wastewater Discharge:
Gallons /days
Residential Customer Equivalents (RCE):
187 gallons per day equals 1.0 RCE
Total Discharge (gal /day)
187
C. Total Residential Customer Equivalents:
(add A & B)
A
B
Z.0 ?�
RCE
RECEIVED
JUL 20 2010
RCE PERMIT CENTER
Pursuant to King County Code 28.84, all sewer customers who establish a new service which uses metropolitan sewage facilities shall be subject to a capacity charge.
The amount of the charge is established annually by the King County Council at a rate per month per residential customer or residential customer equivalent for a
period of fifteen years. The purpose of the charge is to recover costs of providing sewage treatment capacity for new sewer customers. All future billings can be
prepaid at a discounted amount. All future billings can be prepaid at a discounted amount.
Questions regarding the capacity charge or this form should be referred to King County's Wastewater Treatment Division at 206 - 684 -1740.
I certify that the information given is correct. I understand that the capacity charge levied will be based on this information and any
deviation will require resubmission of corrected data for determinati . revised capacity charge.
Signature of Owner /Representative Date 77-% f - %_0r (-)
Print Name of Owner /Representative c/7,1,64", A-3-4/ft') /1
i na■ (D ,, oim\ Whjth _ utnn me., vii.,.. _' ..,..., e,:,..... �.,,...,...
Contractors or Tradespeople Priter Friendly Page
General /Specialty Contractor
A business registered as a construction contractor with L &I to perform construction work within the scope of
its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of
account and carry general liability insurance.
Business and Licensing Information
Name SOUND MECHANICAL & IND INC UBI No. 601605822
Phone 2537351857 Status Active
Address 31622 130Th Ave Ne License No. SOUNDMI044BE
Suite /Apt. License Type Construction Contractor
City Auburn Effective Date 1/5/1996
State WA Expiration Date 11/12/2011
Zip 98092 Suspend Date
County King Specialty 1 Plumbing
Business Type Corporation Specialty 2 Unused
Parent Company
Other Associated Licenses
License
Name
Type
Specialty
Specialty 2
Effective
Expiration at n
Status
SOUNDMI0716F
SOUND MECHANICAL
& INDUSTRIAL
Construction
Contractor
Plumbing
Other
(Specify)
1/6/1993
1/5/1996
Archived
Business Owner Information
Name
Role
Effective Date
Expiration Date
FARRELL, MATTHEW W
Cancel Date
01/01/1980
Amount
FARRELL, TRACEY
11
01/01/1980
01CG2803668
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
4
RLI INSURANCE CO
SRS10003483
01/24/2002
Until Cancelled
$6,000.00
01/23/2002
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information
Insurance
Company Name
Policy Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Amount
Received Date
11
AMERICAN
STATES INS CO
01CG2803668
12/18/2009
12/18/2010
$1,000,000.00
12/29/2009
10
AMERICAN
STATES INS CO
01CG2803667
12/18/2008
12/18/2009
$1,000,000.00
12/30/2008
9
AMERICAN
STATES INS CO
01CG280366 -6
12/18/2007
12/18/2008
$1,000,000.00
01/29/2008
8
AMERICAN
STATES INS CO
01CG2803665
12/18/2007
12/18/2008
$1,000,000.00
12/20/2006
7
AMERICAN
STATES INS CO
01CG2803664
12/18/2005
12/18/2006
$1,000,000.00
12/16/2005
6
AMERICAN
STATES INS CO
01-CG-280366-
3
12/18/2004
12/18/2005
$1,000,000.00
12/17/2004
5
AMERICAN
STATES INS CO
01CG2803662
12/18/2003
12/18/2004
$1,000,000.00
12/02/2003
2
MUTUAL OF
ENUMCLAW INS
PK67956
08/16/1997
Until Cancelled
Summons /Complaint Information
Cause
County
Complaint
Judgment
Status
Payment
Paid By
06 -2- 09661 -4
KING
Date: 03/21/2006
https://fortress.wa.gov/lni/bbip/Print.aspx
Date:
Dismissed
Date:
07/28/2010
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FILE COPY
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Permit No.T6
Plan review approval is subject to errors and omissions.
ApDraval of construction documents does not authorize
the violation of any adopted code or ordinance. Receipt
o approved Field Copy and conditions is acknowledged:
.//
By
Date: 7----ecr-zeov
?if City Of Tulcwila
BUILDING DIVISION
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CODE COMPLIANCE
APPPOVED
REVISIONS
No changes shall be made to -the-scope
of work without prior approval of
e Tukwila Building Division.
NOTE: Revisions will require a new plan submittal
and may include additional plan review fees.
2" S from 15
18 X 24
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REVIEWED FOR
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JUL 2 321110
City of Tukwila
BUILDING DIVISION
RECEIVED
JUL 212010
PERMIT CENTER
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SCALE:
DATE : 7 -'z [ zZ 1
APPROVED BY:
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