HomeMy WebLinkAboutPermit PG10-158 - 6840 BUILDING - VACANT SPACEVACANT SPACE
6840 FORT DENT WY
PG1O-158
City oilkukwila
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
PLUMBING /GAS PIPING PERMIT
Parcel No.: 2954900425
Address: 6840 FORT DENT WY TUKW
Project Name: VACANT SPACE
Permit Number: PG10 -158
Issue Date: 12/03/2010
Permit Expires On: 06/01/2011
Owner:
Name: PEPPERWOOD HOLDINGS LLC
Address: 2835 82ND AVE SE #300 , MERCER ISLAND WA 98040
Contact Person:
Name: RICK MOORE
Address: 7501 2 AV S , SEATTLE WA 98108
Email: RICKM @FOXPH.COM
Contractor:
Name:
Address:
Contractor License No:
Phone: 206 - 767 -3311
Phone:
Expiration Date:
DESCRIPTION OF WORK:
INSTALL WASTE, WATER & VENT FOR A BREAK ROOM KITCHEN SINK. INSTALL A 25 GALLON
120V ELECTRIC WATER HEATER. INSTALL A TRAP PRIMER WITH FUNNEL CUP DRAIN -
INDIRECT FORT & P OF NEW WATER HEATER.
Value of Plumbing /Gas Piping: $5,700.00 Uniform Plumbing Code Edition: 2009
Fees Collected: $154.88 International Fuel Gas Code Edition: 2009
Permit Center Authorized Signature:
Ltxx;
Date: I
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
construction or the perf
on the back of this p
Signature:
Print Name:
presume to give a ority to violate or cancel the provisions of any other state or local laws regulating
I am a tho d to si and obtain this plumbing /gas piping permit and agree to the conditions
Date: 4? _3 _ .2oL
This permit shall become null and void if the work is not commenced within ldays 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 -158 Printed: 12 -03 -2010
• •
PERMIT CONDITIONS
Permit No. PG10 -158
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.
doc: UPC -4/10
PG 10 -158 Printed: 12 -03 -2010
CITY OF TUKWILA Department
Developm epartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Plumbing/GasQrmit No. l 10 '1 sr
Project No.
"" "(For office use only)
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
Site Address: Co 0 �/ j)1�%- Gtl%ty
King Co Assessor's Tax No.: )4s q' t' v 6 14)
Floor:
Suite Number:
Tenant Name: New Tenant: ❑ Yes 4.. No
Property Owners Name: ,. J /Z
Mailing Address: A / d / k
City
State
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: ,/< /C, /92074-7- �j
Mailing Address: /(=7/ �4 E �'
E -Mail Address: /S /C/L //'% 6) J /3L COP91
Day Telephone: '2 ' /— 33/1
City n t� State Zip
Fax Number: o� t� /� - 4.5-6217/
PLUMBING / GAS PIPING CONTRACTOR INFORMATION
Company Name: L K �G%�iyY16'4 ter
Mailing Address: �75 O/ � L� L)F S .
Contact Person: 7'QL /0/904-C--
E -Mail Address: /C/2/91 ' X'Q'1• Q��J
Contractor Registration Number: FOXP'f6 /11.37
Gt%2 - S!
City/
Day Telephone: t/;&--
State Zip
Fax Number: - r7 6 E - 56 v
Expiration Date:
ARCHITECT OF RECORD - All plans must be stamped by Architect of Record
Company Name:
Mailing Address:
city
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
State
Zip
ENGINEER OF RECORD - All plans must be stamped by Engineer of Record
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: 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 0
Valuation of Project (contractor's bid prig" $ (51709 ` O�
Scope of Work (please provide detailed information): //) GC -.A-4 - 57? J ‘1997-47
/20 �! G�Z�� �e 70A.. �;v,5j2 %'W 0 //nL-,2
Gt1 /?/ F2- .01W- - O //)),t) F972- % t- 2 OF AX-z-J 4515W-
110.95-27r
S
Building Use (per Int'l Building Code):
Occupancy (per Int'l Building Code):
Utility Purveyor: Water: Sewer:
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
Fixture Type:
Qty
Fixture Type:
Qty
Fixture Type:
Qty
Fixture Type:
Qty
Bathtub or.combination
bath/shower
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
PERMIT APPLICATION NOTES -
Value of Construction — In all cases, ayalue of construction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Ceder to comply with current fee schedules.
Expiration of Plan Review 7 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.
BUI NG OWN , ' OR AUTHOR D AGENT:
Signatur
Print Name: C / C/2
Mailing Address: 1-7‘.67/ ' A 9, & - 5 917 _cJ 9 ?
/6,5)
City / State Zip
Date: // /a9
Day Telephone: o-5�
Date Application Accepted:
11-1-7-rd
Date Application Expires:
H:Wpplications\Forms- Applications On Line\2010 Applications \7 -2010 - Plumbing -Gas Piping Permit Application.doc
Revised: 7 -2010
bh
Staff Initials: I4fi
Page 2 of 2
i
•
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.: 2954900425
Address: 6840 FORT DENT WY TUKW
Suite No:
Applicant: VACANT SPACE
RECEIPT
Permit Number: PG10 -158
Status: APPROVED
Applied Date: 11/17/2010
Issue Date:
Receipt No.: R10 -02428
Initials: WER
User ID: 1655
Payment Amount: $123.90
Payment Date: 12/03/2010 01:09 PM
Balance: $0.00
Payee: FOX PLUMBING & HEATING
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 47947 123.90
Authorization No.
ACCOUNT ITEM LIST:
Description Account Code Current Pmts
PLUMBING - NONRES
000.322.103.00.00 123.90
Total: $123.90
doc: Receiot -06 Printed: 12 -03 -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.tulcwila.wa.us
Parcel No.: 2954900425
Address: 6840 FORT DENT WY TUKW
Suite No:
Applicant: VACANT SPACE
RECEIPT
Permit Number: PG10 -188
Status: PENDING
Applied Date: 11/17/2010
Issue Date:
Receipt No.: R10 -02338
Initials: WER
User ID: 1655
Payment Amount: $30.98
Payment Date: 11/17/2010 03:59 PM
Balance: $123.90
Payee: FOX PLUMBING & HEATING
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 47918 30.98
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
PLAN CHECK - NONRES
000.345.830 30.98
Total: $30.98
doe: Receipt -06 Printed: 11 -17 -2010
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
F6t0 -l.
Project:
Type of Inspection:
Address:
0 (314 0 FOR T
►..r1-- U.
Date Called:
L
Special Instructions:
Da Wanted:
—t,— i \
/�r�
•pill.
Requester:
Phone No:
_ a b l, - 355-17 & t
Approved per applicable codes.
ElCorrections required prior to approval.
Date:
n R ItISPECTION FEE EQUIR Prior to n xt inspection, fee must be
p jd at 6300 Southcenter Blvd uite 100. Da 11 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
Pro ect.: `
j
i JPA-Ge
Type of Inspection: A , �t
g J J G it -t-P-' I °�-
Address:
Date Iled:
Special Instructions:
0.'1.33 - cJ('
- � � 0 �
Date Wanted: a.m.
i2--f-7-10
(7
Requester:
Phone No:
f -- � ���
'?8tio rO_ 1
Approved per applicable codes. El Corrections required prior to- approval.
COMMENTS:
Inspetor:
Date: ! 1/0
n REINSP CTION FEE REQOIRED. Priorto next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
•
City of f 7'uPwila
Jim Haggerton, Mayor
Department of Community evelopment Jack Pace, Director
November 19, 2010
Rick Moore
Fox Plumbing
75012 "1AvS
Seattle, WA 98108
RE: Letter of Incomplete Application # 1
Plumbing /Gas Piping Permit Application PG10 -158
Vacant Space — 6840 Fort Dent Wy
Dear Mr. Moore,
This letter is to inform you that your permit application received at the City of Tukwila Permit Center on
November 17, 2010 is determined to be incomplete. Before your application can continue the plan
review process the attached /following items from the following department(s) need(s) to be addressed:
Public Works Department: Dave McPherson at 206 431 -2448 if you have any questions
concerning the attached comment.
Please address the comment above in an itemized format with applicable revised plans, specifications,
and /or other documentation. The City requires that two (2) sets of revised plans, specifications and /or
other documentation be resubmitted with the appropriate revision block.
In order to better expedite your resubmittal a Revision Submittal Sheet must accompany every
resubmittal. I have enclosed one for your convenience. Revisions must be made in person and will
not be accepted through the mail or by a messenger service.
If you have any questions, please contact me at the Permit Center at (206) 431 -3670.
Bill Rambo
Permit Technician
Enclosures
File: PG10 -158
W:\Permit Center \Incomplete Letters\20I0\PG10 -158 Incomplete Ltr #1.DOC
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
DATE:
PROJECT:
PERMIT NO:
CITY OF TUKWILA
PUBLIC WORKS DEPARTMENT /
REVIEW COMMENTS
www.ci.tukwila.wa.us
Development Guidelines and Design and Construction Standards
November 18, 2010
Vacant Space
6840 Fort Dent Way
PG10 -158
PLAN REVIEWER: Contact David McPherson at (206) 431 -2448, if you have any questions /comments regarding
the following comment. dmcpherson(ci.tukwila.wa.us
1. Please provide a completed King County Metro Non - Residential Sewer Use Certificate form,
listing only the new plumbing fixtures and not any existing or those being replaced -in -kind. (See
enclosed form)
41PERMITCOORDCOPY
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: PG10 -158 DATE: 11/22/10
PROJECT NAME: VACANT SPACE
SITE ADDRESS: 6840 FORT DENT WY
Original Plan Submittal X Response to Incomplete Letter # 1
Response to Correction Letter #
Revision # after Permit Issued
DEPARTMENTS:
Building Division
NN�►_
%\-;1--1,0
Pudic WA/irks
Fire Prevention
Structural
Planning Division
n
UPermit Coordinator ❑
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete Ei
Comments:
Incomplete ❑
DUE DATE: 11/23/10
Not Applicable ❑
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES /THURS ROUTING:
Building
Please Route k Structural Review Required ❑ No further Review Required
REVIEWER'S INITIALS:
DATE:
APPROVALS OR CORRECTIONS:
Approved ❑ Approved with Conditions
Notation:
REVIEWER'S INITIALS:
DUE DATE: 12/21/10
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
• •
K . (4, OCOPY
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: PG10 -158 DATE: 11 -17 -10
PROJECT NAME: VACANT SPACE
SITE ADDRESS: 6840 FORT DENT WY
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter # Revision #
After Permit Issued
DEPARTMENTS:
fS c * \`9-D
Building Division
igro
ublic 1, orks
Fire Prevention
Structural
Planning Division
Permit Coordinator
U
DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 11-18-10
Complete
n
Incomplete
Not Applicable
n
Comments:
Permit Center Use Only
INCOMPLETE LETTER MAILED: I 1-19— — LETTER OF COMPLETENESS - MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW.cStaff Initials: �`^���ir[/�
TUES /THURS ROUTING:
Please Route
Structural Review Required
REVIEWER'S INITIALS:
❑ No further Review Required
DATE:
n
APPROVALS OR CORRECTIONS:
DUE DATE: 12 -16 -10
Approved n Approved with Conditions n Not Approved (attach comments) n
Notation:
REVIEWER'S INITIALS:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Documents /routing slip.doc
2 -28 -02
S
City of Tukwila
Steven M. Mullet, Mayor
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
REVISION SUBMITTAL
Steve Lancaster, Director
Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through
the mail, fax, etc.
Plan Check/Permit Number: PG 10-15 8
® Response to Incomplete Letter # 1
❑ Response to Correction Letter #
❑ Revision # after Permit is Issued
❑ Revision requested by a City Building Inspector or Plans Examiner
Project Name: Vacant Space
Project Address: 6840 Fort Dent Wy
n �F� to
NOV 22 2010
PERMIT CENTER
Contact Person: igi ME�7 MEW* Phone Number: 2 126'7- 33/
Summary of Revision:
Sheet Number(s):
"Cloud" or highlight all areas of revision including date of revision
Received at the City of Tukwila Permit Center by:
[ Entered in Permits Plus on V2--1 1
\applications \forms- applications on line\revision submittal
Created: 8 -13 -2004
Revised:
IA King County
Department of Natural Resources and Parks
Wastewater Treatment Division
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
Pr ert Street Address
' Fr uot
City State ZIP
t/4:4- 610- 9 &/ F'Y
Owner's Name
For King County. Only
Account #
No. of RCEs
Monthly Rate
Property Tax ID # P` /5 v20 04
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? Q Yes rANo
( ) Was building on Sanitary Sewer? Yes . ❑ No
Property Contact Phone Number (with Area Code) Was Sewer connected before 2/1/90? 'Yes ❑ No
Owner's Mailing Address
Sewer disconnect date:
Type of building demolished?
Request to apply demolition credit to multiple buildings? ❑ 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
Clotheswasher or laundry tub
4
2
Sink, bar or lavatory
2
1
Sink, Clinic flushing
8
8
Sink, kitchen
3
2
3
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
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
•25
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 EquivaR OEIVED
(add A & B) CITY OF TUKWILA
NOV 2 2 2010
PERMIT CENTER
RCE
AcTho �sg
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 • - • ed data for deter ination of a revised capacity charge.
Signature of Owner /Representative �i� Date %'
Print Name of Owner /Representative /` /C /2 /310496.-
1058 (Rev. 9/07) White — Kino County Yellow — Local Sewer Aoencv Pink — Sewer Customer
INCOMPLETE
LTR# � ®'�
Contractors or Tradespeople Peter 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 FOX PLUMBING & HEATING UBI No. 578073402
Phone 2067673311 Status Active
Address 7501 2Nd Ave S License No. FOXPLH`163L0
Suite /Apt. License Type Construction Contractor
City Seattle Effective Date 6/20/1984
State WA Expiration Date 11/16/2011
Zip 98108 Suspend Date
County King Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
FOXCUI'163L0
FOX CUSTOM
INTERIORS
Construction
Contractor
General
Unused
6/20/1984
9/1/1999
Archived
FOXSPR'161L0
FOX SPEEDY ROOTER
Construction
Contractor
Other
(Specify)
Plumbing
6/20/1984
5/15/1986
Archived
FOXPLI'242NT
FOX
PLUMBING /HEATING,
INC
Construction
Contractor
General
Unused
8/30/1976
5/15/1984
Archived
FOXPLH "946Q7
FOX PLUMBING &
HEATING
Construction
Contractor
General
Domestic
Pump
11 /27/2006
1/1/2011
Out Of
Business
Business Owner Information
Name
Role
Effective Date
Expiration Date
BROWN, DAVID N
President
06/20/1984
01/02/2007
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
10
CBIC
P00980
09/01/2001
Until Cancelled
$12,000.00
08/07/2001
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
30
TRUCK INS
EXCHANGE
604760788
09/01/2009
09/01/2011
$2,000,000.00
09/01/2010
29
CONTINENTAL
WESTERN INS
CO
CNP247400228
09/01/2006
09/01/2007
$1,000,000.00
08/29/2006
28
CONTINENTAL
WESTERN
CNP247400227
09/01/2005
09/01/2006
$1,000,000.00
08/31/2005
27
CONTINENTAL
WESTERN INS
CO
CNP247002
09/01/2004
09/01/2005
$1,000,000.00
09/03/2004
26
CONTINENTAL
WESTERN INS
CO
CNP2474002
09/01/2004
09/01/2005
$1,000,000.00
09/03/2004
Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period
https://fortress.wa.gov/lni/bbip/Print.aspx
12/03/2010
/ I r (L���( v ICI
u
Cotiplyryr
a Ma
)fP
t
REVISIONS
No cP anges shall be made to the scope
of work without prior approval of
Tukwila Building Division.
NOTE: Revisions will require a new plan submittal
and may include additional plan review fees. 1
LPret'
SEPARATE PERMIT
tREOUiRED FOR:
Er Mechanical
0 Electrical
EPiumbing
:Jonas Piping
of Tukwila
_DIVISION
o/u)
1-1-11-)r: cze-57ir TA*
/V G- _ A )12--• GO--P
Tie PP-01
do
I-
I
51t--
FILE COPY � /0-8,./y1
ermtt No. 10 ' 1S$
,____Pianieviewipprcwal4s st to e
Approval of construction documents does not author7ze
tt,L violation of any as • • ed code or ordinan . Receipt
of approved F': �': �; �n�:�ns is I • I ,'r±•
By .c i
Date:
—REVIEWED FOR-
PLIA E
NC
APDDfVED
NUV6U2010
City of Tukwila
BUILDING nlvi4lnN
• •
City Of Tukwila
BUILDING DIVISION
P&o is'S
RECEIVED
NOV [ 7 2.0 10
PERMIT CENTEF