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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 3110 ,ue 3 (4e 3" LA/ C., 3" 3 Lot.) Lot 2115 C114 natty .1<- 5 3" tAi LAU. Ex is5i; 6 ite (70 /.0. 7'771r, So m Y. ISOMOrl C di 50 Ga//crh 44ely-le 6v/Y 41°52' ri Odtar at, ' 3 " 3uu, W C PO,C, ir r 1-- 3"tifrow1 1st WC, r oft, , S, rrort/I Z not Ffri .11,t4r meiVi C&4;/0 v 7So mak FILE COPY (00 085- 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 740 6e /04,T, e z,70 6raoft a4,41,,opipie 4e ,7...1,1:2e `me ctiqopv 744ide 77.22/064 6-ra.fri 7;1 .7)te 14EVIEWED FOR 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 .-- JUL 2 3 213113 Acl- City ot Tukwila ) BUILDING nivISION% PGto---o8g RECEIVED JUL 2 1 2010 PERMIT CENTER .90/4 4571/1 •sor SCALE: 47 :::71.;1,,d,1/ DATE : "7-z I zoio aff/P4""e1/P 7:10/fWt /t9P kfr6 dte/Z41 APPROVED BY: DRAWN BY 4.1.1 ivAr. REVISED /7,4,441.<;5 4,--aw#42.5.5 Sourafflethavileat vMotoir-g#1, DRAWING NUMBER �fl Co rliC+ izo,)003 erti anit Wier (By oikeDe, 300' ,qcrn rne�Qr 300 / T, O, Lk p& 1 Geis rilehti °! u!, Cs, Pr 54y REVIEWED FOR CODE COMPLIANCE APPROVED JUL 2 321110 City of Tukwila BUILDING DIVISION RECEIVED JUL 212010 PERMIT CENTER r AwvYe) 1 4.9 i z SCALE: DATE : 7 -'z [ zZ 1 APPROVED BY: DRAWN BY 9=, REVISED /2 O / ti;id1Y)ot antis