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Home My WebLink AboutPermit D09-171 - WELLS TRUCKING - ROOFThis record contains information which is exempt from public disclosure pursuant to the Washington State Public Records Act, Chapter 42.56 RCW as identified on the Digital Records Exemption Log shown below. D09 -171 Wells Trucking 12677 East Marginal Way South RECORDS DIGITAL D- ) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION Page # tode Exemption = Brief Explanatory DeSctiptiop �t�tutel ule The Privacy Act of 1974 evinces Congress' intent that Personal Information — social security numbers are a private concern. As such, individuals' social security numbers are Social Security Numbers redacted to protect those individuals' privacy pursuant 5 U.S.C. sec. DR1 Generally — 5 U.S.C. sec. to 5 U.S.C. sec. 552(a), and are also exempt from 552(a); RCW 552(a); RCW disclosure under section 42.56.070(1) of the 42.56.070(1) 42.56.070(1) Washington State Public Records Act, which exempts under the PRA records or information exempt or prohibited from disclosure under any other statute. Redactions contain Credit card numbers, debit card Personal Information — numbers, electronic check numbers, credit expiration 21 DR2 Financial Information — dates, or bank or other financial account numbers, RCW RCW 42.56.230(4 5) which are exempt from disclosure pursuant to RCW 42.56.230(5) 42.56.230(5), except when disclosure is expressly required by or governed by other law. ELLS TRUCKING &2677 EAST MARGINAL WYS EXPIRED 04 -18 -10 D09 -171 Parcel No.: 7345600685 Address: 12677 EAST MARGINAL WY S TUKW Suite No: Department of immunity Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /wwwci.tukwila.wa.us Tenant: Name: WELLS TRUCKING Address: 12677 EAST MARGINAL WY S , TUKWILA WA Owner: Name: C & D WELLS LLC Address: 7265 2ND AVE S , SEATTLE WA 98108 Phone: City a Tukwila 0 Contact Person: Name: CHARLES GROSS Address: 12677 EAST MARGINAL WY S , TUKWILA WA 98168 Phone: DEVELOPMENT PERMIT Contractor: Name: HOUSECRAFT SERVICE CO Address: 19263 NORMANDY PARK DR SW , SEATTLE WA 98166 Phone: 206 870 -8780 Contractor License No: HOUSESCO55JF Value of Construction: Type of Fire Protection: Type of Construction: doc: IBC-10/06 $8,000.00 * *continued on next page ** Permit Number: D09 -171 Issue Date: 08/19/2009 Permit Expires On: 02/15/2010 Expiration Date: 12/17/2010 DESCRIPTION OF WORK: TEAR OFF OLD TORCH DOWN AND HAUL AWAY. INSTALL NEW TORCH DOWN FOR COMPLETE ROOF. sualecr 43, NsPe erzo iv Fees Collected: $462.90 International Building Code Edition: 2006 Occupancy per IBC: D09 -171 Printed: 08 -19 -2009 Public Works Activities: Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS: N City (*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 Fire Loop Hydrant: N Number: 0 Size (Inches): 0 Flood Control Zone: Hauling: N Start Time: End Time: Land Altering: ..- Volumes: Cut 0 c.y. Fill 0 c.y. Landscape Irrigation: 4' Moving Oversize Load: Start Time: End Time: 4R-1} .. Sanitary Side Sewer: Sewer Main Extension: Private: Public: Storm Drainage: Street Use: Profit: N Non- Profit: N Water Main Extension: Private: Public: Water Meter: N Permit Center Authorized Signature: doc: IBC -10/06 Permit Number: D09 -171 Issue Date: 08/19/2009 Permit Expires On: 02/15/2010 Date: I hereby certify that I have read and = ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied t , whether specified herein or not. The granting of this permit doe • • = esume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the perfo •• • ^ : rk. I am authorized to sign and obtain this development permit. (� Signature: Date: Print Name: Y I I J 6X.O_S 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. D09 -171 Printed: 08 -19 -2009 Parcel No.: 7345600685 Address: 12677 EAST MARGINAL WY S TUKW Suite No: Tenant: WELLS TRUCKING 1: ** *BUILDING DEPARTMENT CONDITIONS * ** 0 0 (City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #1100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: Nip / /www ci.lukwila.wa.us PERMIT CONDITIONS Permit Number: D09 -171 Status: ISSUED Applied Date: 08/19/2009 Issue Date: 08/19/2009 2: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to start of any construction. These documents shall be maintained and made available until final inspection approval is granted. 3: Structrual Observations in accordance with I.B.C. Section 1709 is required. At the conclusion of the work included in the permit, the structural observer shall submit to the Building Official a written statement that the site visits have been made and identify any reported deficiencies which, to the best of the structural observer's knowledge, have not been resolved. 4: Fire retardant treated wood shall have a flame spread of not greater than 25. All materials shall bear identification showing the fire performance rating thereof. Such identification shall be issued by an approved agency having a service for inspection at the factory. 5: Special inspection for sprayed fire - resistant materials applied to structural elements and decks is required. Special inspections shall be based on the fire - resistance design as designated in the approved construction documents. 6: All wood to remain in placed concrete shall be treated wood. 7: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap the sanitary sewer connections, and properly fill or otherwise protect all basements, cellars, septic tanks, wells, and other excavations. Final inspection approval will be determined by the building inspector based on satisfactory completion of this requirement. 8: Manufacturers installation instructions shall be available on the job site at the time of inspection. 9: All construction noise to be in compliance with Chapter 8.22 of the City of Tukwila Municipal Code. A copy can be obtained at City Hall in the office of the City Clerk. 10: Ventilation is required for all new rooms and spaces of new or existing buildings and shall be in conformance with the International Building Code and the Washington State Ventilation and Indoor Air Quality Code. 11: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Cityof Tukwila Permit Center. 12: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206- 431 - 3670). 13: Prior to final inspection for this building permit, a copy of the roof membrane manufacturer's warranty certificate shall be provided to the building inspector. 14: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the doc: Cond -10/06 D09 -171 Printed: 08 -19 -2009 Building Official from requiring the correction of errors in the construction documents and other data. 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.tukwila.wa.us * *continued on next page ** D09 -171 Printed: 08 -19 -2009 Signature: Print Name: 0 0 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite 4100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206- 431 -3665 Web site: http: / /www.ci.tiikwila.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. 6gn-si doc: Cond -10/06 D09 -171 Date: S ordinances governing or local laws regulating Printed: 08 -19 -2009 (Company NameiLL, Mailing Address: Mail Address: -- C-1771 7 OF rUKTWILA iu Depailfriefit Ws jthM PerTnit C-e rite (6300'Sblithe61316tiBlvd, Suite 100 5 WA '984(81 0//,‘" SITE LOCATION Site AddrEss:_,/ Tenant Nam: [Ho pa ners Name /1/(..(=_-.._, „ Mailing /Address: __ CONTACT PERSON = who do we contact when your permit is ready to be issued - ----/ / , 10.3) iling Addressieji±laJtil) E=Mail Add6S /*v±k (App I i Galion s be 'complete ta (be acce Tdr151111 Appliatiori3 wTUnt be tbitiii,gb 41* lin by i'a Prii 106iripany Name: 1\4al GENERAL CONTRACTOR INFORMATION = (Contractor !nformajoii for Mechanical (pg 4) for Plultbingrand Gas PipinglOg '5)) J (di 5 0 tomaet Person:_ 1C ? [Contractor Registration Nit ILC_05 Pi 5f Ae ;12009 hh King to Assessor s Tax No,:___ Srt EMT. 'Co [Pe Mil /Ail "Company Name: Miliiig AddreSg' City Contact Person: _ _ [Day reTept E-Mail Address Flax Nurnbe Building 1Pdfrii it NO. _ Mechanical , Pdttriit Nuitibing PO it No, Ptib tit Works IPermit NO, Pf6j06t NO, _ For o ice use on! ( New Tenant: 11:1„Ne Zip r) V2 0 Fax Nunib&: • T ?9_,/ ( f0 . 64 ip DdY Hit. JtC4 ( , NL5 ° / E. -- .a) ARCHITECT OF RECORD - All plans ;must lbe'wet,stamped by Architect of Record Pay TiEtribon ax N umber iSlate ENGINEER OF RECORD = All plans must be wet stamped by Engineer of Record State ip Zip 1% vi-r6 Valuation of Project (contractor's bid price): $ � � Q ta, W l,( Sc of Work (please provide de ailenformmaation): / Lam, Will there be new rack storage? ❑ Yes PLANNING DIVISION: Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ Yes ❑ No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑ Sprinklers ❑ Automatic Fire Alarm ❑ None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes ❑ No If `yes', attach list of materials and storage locations on a separate 8 -1/2" x 11 " paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM ❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. H: Applications\Forms- Applications On Line\2009 Applications \1 -2009 - Permit Application.doc Revised: 1 -2009 bh Building yal ation: $ 0.. No If yes, a separate permit and plan submittal will be required. Page 2 of 6 PERMIT APPLICATION NOTES — Applicable to all permits in this application `A',alue (o ostnoction - Iiiall teases;, ia= value rotconstruction- !amountshould lbeienterel by die applicant, This gure iantl;is subject io i po ssible freuision by the'Permit iti, enter Ito rcompi.y th "curren't fee Se edulcs- iExpi Plan Review =Au Ications Thr which nopermtt -'is issued Within l80 rdays llowing,ithelilateuof applicationfshalliexpire Ilimitation- Building,andVlechanicalt Permit �Ilhe, Bu itainglO, ffictal; may(grantunelor�morelextcnsions of �litrie ,tiir,�adililional,�j�cnods;iY ticxeecil relays' :eaeh- iI11ie dien sionshallibe requcsYedlinwnling�rand onstratal, Secuon -2 �lnternafiuna113uilding l(ude'(uurrcnlledr4ion;j't Plumbing Permit 11 be, Building- !U1ticial may grant (one ieztcnsionlol time,iorutiiadditional,peciod not - exceeding days, `1,heiez4ensionishal Tey ucstCdi inwrit ng and_justrftabl"e.cause 8ctnonstcatcil- iScctiun 1111 1 ,:3 Uititi�rni d'dumbin;g,.l ode tcurrent rr n) I TITAILBY ,CE'R'I'l'EY "I'ItAT 1 f'IAVE'REA'D'\N1):E AMINLI) "AI'S'APPLIC-ATION AN'D'K.NOW l'IIE S'AMEN)'B'E'l'R'UE'tOO.ER' IBEN1tALTY 'OF PERJURY BY fl IF LAW .',01: IIL S I A I,i 01 WASHINGTON, AND I AM Ali LI 1 RI/LI) ,1 t_i APPLi FiJR TIdIS PER'NliI) Bt:1'LDIN(; (OWNER 'OR ' CENT:' 'Signature: Print Nam e' /� // 61 Mailing Address . j A ""F . Date A;pplication,A'cccpted IrSv�pph�atwn's ;Porno- :�ppit ionsOn�.. ne �00'a:Appl on_,AI O09r -Pmm,i npt ttonidoc evised i 1-2009 hli Day ielcphone:_ 7 Date: / ;State Date App ltcation' x Aires= ' II 1 „Staff Inilias: fit; IPage Irfot 1ti it City of TukwilLa Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Fax: 206- 431 -3665 Web site: http: / /wuw_ci.tukwila.wa.us RECIEIOPT Parcel No.: 7345600685 Permit Number: D09 -171 Address: 12677 EAST MARGINAL WY S TUKW Status: ISSUED Suite No: Applied Date: 08/19/2009 Applicant: WELLS TRUCKING Issue Date: 08/19/2009 Receipt No.: R09 -01335 Initials: User ID: Payee: LAW 1632 HOUSECRAFT TRANSACTION LIST: Type Method Descriptio Amount Payment Cash Authorization No. ACCOUNT ITEM LIST: Description PLAN CHECK - NONRES 60.00 Account Code Current Pmts 000/345.830 60.00 Total: $60.00 Payment Amount: $60.00 Payment Date: 08/25/2009 02:10 PM Balance: $0.00 PAYMENT RECEIVED doc: Receipt -06 Printed: 08 -25 -2009 Receipt No.: R09 -01294 Initials: User ID: Payee: JEM 1165 ACCOUNT ITEM LIST: Description BUILDING - NONRES STATE BUILDING SURCHARGE • 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 Payment Check 6644 462.90 Authorization No. HOUSECRAFT SERVICE CO. TRANSACTION LIST: Type Method Descriptio Amount RECEIPT PFJE Parcel No.: 7345600685 Permit Number: D09 -171 Address: 12677 EAST MARGINAL WY S TUK■ Status: PENDING Suite No: Applied Date: 08/19/2009 Applicant: WELLS TRUCKING Issue Date: Account Code Current Pmts 000/322.100 458.40 640.237.114 4.50 Total: $462.90 Payment Amount: $462.90 Payment Date: 08/19/2009 12:30 PM Balance: $0.00 PAYMENT RECEIVED doc Receiot -06 Printed: 08 -19 -2009 Project: We r 1 t r, (e q... l Ai r, Type of Inspection: F I A t Address: C3..f,7"7 7 F t vv iRGIrV A l Date Called: Special Instructions: It Date Wanted: ► e2 --20- Oc p.m. Requester: Phone No: INSPECTIQN NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 proved per applicable codes. PERMIT NO. (206)431 -367 CO MENTS: U r'iD lrco - ! Inspector Date: D u o $6 ° .00 REINSPECTION FEE R QUIRED. Pr or to inspection, fee must be pa • a ' 6300 Southcenter Blvd., Suite 100. ' ,all to schedule reinspection. Recei • t o.: 'Date: Corrections required prior to approval. Project: c:-.f .4V/.5 i �? »ref vc Type of Inspectio /. ac1d1.54 ,', y j . Address: /26, 77 "..;12e//v/9--/ Date Called: r .� - - S Special Instructions: / Date Wanted: -- /--- 05 p.m. Requester: Phone No: dl L7 / -GSoLf INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION V-- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Approved per applicable codes. El Corrections required prior to approval. COMMENTS: Inspector: Date: oq El $60.00 REINSPE T {ON FEE REQUIRED. Prior to inspection, fee must be paid at 6300 So hcenter Blvd., Suite 100. Calk to schedule reinspection. Receipt No.: Date: COMMENTS: 7 // /414, Type of Inspection: f / / /,V.r-/ / — Address: 7.2 77 ' . AP � Date Called: /` b3/" 5 r A y , "1( 1\15 4,,A , Date Wanted: A 7 0? p.m. Requester: Phone No. p Q (0✓ 0 4) i\J 6.-1 \JA.1 r e:[ 1 --\> r /\,. pP (7 n O r ) ` C /c_.) 3-_ T C n t A Project: (; ,.// '/' /.S 7 // /414, Type of Inspection: f / / /,V.r-/ / — Address: 7.2 77 ' . AP � Date Called: /` b3/" 5 r A y , "1( Special Instructions: Date Wanted: A 7 0? p.m. Requester: Phone No. p Q (0✓ �r�- 7 - J `7 ? t/ INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Approved per applicable codes. INSPECTION RECORD Retain a copy with permit PERMIT NO. (206)431 -3670 ,}C orrections required prior to approval. Inspect Date: i El $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. ; as a najnaJ M uoisin2 ue d i euoi i lepuNns ueld meu eaiinbei m a suop pue . uoisinrp Buiplin mm !o f enoadde Joud ino M in j adops eta. oi apew a 4l. �I�onn a pip §abiueyo oN SNOlSIA M03 311,4 CHARLES GROSS 12677 EAST MARGINAL WY S TUKWILA WA 98168 RE: Permit No. D09 - 171 12677 EAST MARGINAL WY 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 04/18/2010. 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. -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 04/18/2010, 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. Sincerely, Bill Rambo Permit Technician File: Permit File No. D09 -171 Department of Community Development - R;:,s,' R-.,1, Jim Haggerton, Mayor Jack Pace, Director 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 o Phone: 206 -431 -3670 • Fax: 206 - 431 -3665 ACTIVITY NUMBER: D09 -171 DATE: 08 -20 -09 PROJECT NAME: WELLS TRUCKING SITE ADDRESS: 12677 EAST MARGINAL WAY S Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # X Revision # 1 After Permit Issued DEPARTMENTS: ding E Public Works DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete 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 • PERMIT PLAN REVI Structural Incomplete Structural Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved ❑ Approved with Conditions Notation: REVIEWER'S INITIALS: Documents /routing slip.doc 2 -28 -02 j /1)/4-' Fire Preve tion • • Y TING SLIP Planning Division ❑ Permit Coordinator DUE DATE: 08 -25 -09 DATE: Not Applicable ❑ No further Review Required DUE DATE: 09-22 -09 Not Approved (attach comments) ❑ Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg El Fire ❑ Ping ❑ PW ❑ Staff Initials: REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS l i3" U d ff lasio tip✓ Summary of Revision: r eve-641, .- S� t 4, It' C � os . +mac' 7 Received by: 4P '%`!'i REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS Summary of Revision: Received by: REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS Summary of Revision: Received by: REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS Summary of Revision: Received by: REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS Summary of Revision: Received by: REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS S ummary of Revision: Received b : • PROJECT NAME LI S T V Y-t PERMIT NO: J ) SITE ADDRESS: NAME: Y c, �,� -(07 kbfi S ORIGINAL ISSUE DATE: E 11-0 REVISION LOG • 9— t7 (please print) (please print) (please print) (please print) • • 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:/lwww.ci.tukwila.wa.us Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: 9--e7 Plan Check/Permit Number: 94L 1.7 I ❑ Response to Incomplete Letter # ❑ Response to Correction Letter # Revision # after Permit is Issued Revision requested by a City Building Inspector or Plans Examiner Project Name: fr1.1 r ` ) 77 7 U C / Project Address: / ' 7 7 C / / /' �/� k l/ t�L 7 C Contact Person: ) ,, 0� �'L /e) / G 0 S �'�X '739 59 3 y � / J l `�GL � Phone Number: Summary of Revision: t)ao (A-dx_ / 4i4e-ic &Atr- 5/c) (16/2 _ SQ-1 / ct) - n 7 /.) . 7 - 2& (7 /9/ C-i_9 r=3 Sheet Number(s): "Cloud" or highlight all areas of revision including date o rev • si f C U Received at the City of Tukwila Permit Center by: - Entered in Permits Plus on a applications\forms- applications on line\revision submittal Created: 8 -13 -2004 Gaf`�,r`i cm OF TUKWILA AUG 2 a 2009 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 4 WESTERN SURETY CO 70592912 09/27/2008 Until Cancelled Amount Received Date $12,000.00 10/08/2008 3 OHIO CAS INS CO 53724157 03/11/2008 09/27 /2008 2 $6,000.00 03/21/2008 2 CBIC SH7613 03/11/200803/11/2008 12/17/2001 1 02/15/1996 12/17/2001 Bond $4,000.00 12/17/2001 Name Role Effective Date Expiration Date GROSS, CHARLES W OWNER 04/06/1995 Untitled Page General /Specialty Contractor A business registered as a construction contractor with Lftl 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 HOUSECRAFT SERVICE CO UBI No. 2068708780 Status 19263 NORMANDY PARK DR SW SEATTLE WA 98166 KING Individual License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601598426 ACTIVE HOUSESCO55JF CONSTRUCTION CONTRACTOR 4/6/1995 12/17/2010 GENERAL UNUSED Business Owner Information Bond Information Assignment of Savings Information Insurance Information 1 1 I • I I I • Page 1 of 2 I I https: // fortress .wa.gov /lni/bbip /Detail.aspx 08/19/2009