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HomeMy WebLinkAboutPermit D10-189 - NORTH HILL APARTMENTS - UNITS E102, E202 AND E302 - DECKSNORTH HILL APTS UNITS E102, E202, E302 5860 SOUTHCENTER BL D10 -189 City eoPTukwila Department of Community Development velo P ment 0 6300 Southcenter Boulevard, Suite #100 0 Tukwila, Washington 98188 ill Phone: 206-431-3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila.wa.us Parcel No.: 1157200351 Address: 5860 SOUTHCENTER BL TUKW Suite No: DEVELOPMENT PERMIT Project Name: NORTH HILL APARTMENTS - UNITS E102, E202, E302 Permit Number: D10 -189 Issue Date: 08/11/2010 Permit Expires On: 02/07/2011 Owner: Name: NORTH HILL APTS INC Address: 85 S WASHINGTON #308 , SEATTLE WA 98104 Contact Person: Name: GARY ANDERSON Address: 5010 S TACOMA WY , TACOMA WA 98409 Contractor: Name: G P ANDERSON CONSTRUCTION INC Address: 121 BELLA BELLA DR , FOX ISLAND WA 98333 Contractor License No: GPANDCI033RP Phone: 253 - 377 -4491 Phone: Expiration Date: 12/16/2011 DESCRIPTION OF WORK: REPLACE ROTTED DECKS WITH NEW Value of Construction: Type of Fire Protection: Type of Construction: $10,000.00 Fees Collected: $464.52 International Building Code Edition: 2009 Occupancy per IBC: 0021 * *continued on next page ** doc: IBC -10/06 D10 -189 Printed: 08 -11 -2010 City diTukwila 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 Number: D10 -189 Issue Date: 08/11/2010 Permit Expires On: 02/07/2011 Public Works Activities: Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS: N Fire Loop Hydrant: Flood Control Zone: Hauling: Land Altering: Landscape Irrigation: Moving Oversize Load: N N Number: 0 Size (Inches): 0 Start Time: Volumes: Cut 0 c.y. End Time: Fill 0 c.y. Start Time: End Time: 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: Date: I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the pe o ance of work. I am authorized to sign and obtain this development permit. Signature: Date: a--//-/D Print Name: 'A 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: IBC -10/06 D10 -189 Printed: 08 -11 -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: htq,..//www.ci.tukwila.wa.us PERMIT CONDITIONS Parcel No.: 1157200351 Permit Number: D10-189 Address: 5860 SOUTHCENTER BL TUKW Status: ISSUED Suite No: Applied Date: 07/22/2010 Tenant: NORTH HILL APARTMENTS - UNITS E102, E202, E302 Issue Date: 08/11/2010 1: ** *BUILDING DEPARTMENT CONDITIONS * ** 2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the Building Official. 3: 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. 4: All construction shall be done in conformance with the approved plans and the requirements of the International Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code. 5: 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. 6: 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. 7: 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 Building Official from requiring the correction of errors in the construction documents and other data. * *continued on next page ** doc: Cond -10/06 D10-189 Printed: 08 -11 -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. tukwi la. wa. us I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provision of any other work or local laws regulating construction or the performance of work. Signature: Date: v 1/—to o Print Name: 41 519 ✓∎ doc: Cond -10/06 D10 -189 Printed: 08 -11 -2010 CITY OF TUKWILJ4 Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 hltp.//www.ci.tukwila. Iva. us SITE LOCATION Site Address: Building Permit No. till) Mechanical Permit No. Plumbing /Gas Permit No. Public Works Permit No. Project No. i89 (For office use only) Applications and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or by fax. * *Please Print ** Ur-1-5 ' 0). �� 2-- b l'4 King Co Assessor's Tax No.: 50L'f'(eF4ef f3/) Tenant Name: !" (� � t` ;l '1 // Alo Ay I3 Property Owners Name: 0 yw�/Jtc— / ' 1r:.c Mailing Address: I (1 S-7 )-0 - O 33 ( Suite Number: Floor: New Tenant: ❑ Yes ..No City State Zip CONTACT PERSON - who do we contact when your permit is ready to be issued Name: be r7 Mailing Address: 4) 7) /C 1 Day Telephone: City E -Mail Address: Fax Number: _3 377 6/ 4/7/ LAJ „ 8--cf G ? State Zip 53 O/ GENERAL CONTRACTOR INFORMATION (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) Company Name: C j)�`J't�lrs:54, �� "•F�> Mailing Address: Contact Person: E -Mail Address: Contractor Registration Number: Sc{iO y 2j1 L I • '.'t7 n,,),, City )) State Zip Day TelephoneX�S -33 2 / 4/ 41 7 Fax Number: -K5 3 3 t' / e° 5 / Expiration Date: ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record Company Name: Mailing Address: i City Day Telephone: Fax ,Number: Contact Person: E -Mail Address: State Zip ENGINEER OF RECORD All plan n must be wet stamped by Engineer of Record Company Name: Mailing Address: Contact Person: E -Mail Address: H:\Applications\Porms- Applications On Line\2009 Applications \1-2009 - Permit Application.doc Revised: 1 -2009 bh City Day Telephone: Fax Number: Page() of 6 State Zip BUILDING PERMIT INFO Valuation of Project (contractor's bid price): $ I' -ood Existing Building Valuation: $ Scope of Work (please provide detailed information): Of vw k3 (c b01 id Will there be new rack storage? ❑ Yes ❑.. No If yes, a separate permit and plan submittal will be required. Provide Ali Building Areas in .Square Footage:Below; 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 11): 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 Line12009 Applications \I -2009 - Permit Application.doc Revised: 1 -2009 bh Pak) 7 of 6 Existing" Interior Remodel , • Addition.to - : -Existing; Structure:;. . New . , " :,-Type;of •' , ' - Construction per,` .:.,IBC ' ' ' ; TYI :.of -, .:' . Occupancy: per .IBC t % :.. 1st Floor • _ 20 Floor . ;.3rd Floor . . .Floors -' Bascinent. .Accessory ..Structure* . �,.:, • ''Attached Garage 'Detached Garage Attached Carport •DetachedCarpgit . - Covered Deck Uncovered Deck 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 11): 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 Line12009 Applications \I -2009 - Permit Application.doc Revised: 1 -2009 bh Pak) 7 of 6 • • .PERMIT APPLICATION NOTES Apgircalile to alhpermits Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. Building and Mechanical Permit The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition). Plumbing Permit The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 Uniform Plumbing Code (current edition). I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER 0 ORIZED AGENT: Signature: Date: 7 -- - -- `U Print Name: Lee. A K erS° ^ Day Telephone: 1 rn 0-0 ..ten, City Mailing Address: 50 to ,50 Taw 7 25-3 3'77 q z/ . w� ? PO, State Zip Date Application Accepted: V Date Application Expires: 1 Staff Initials: H:\ Applications\Forms- Applications On Lin62009 Applications \I-2009 - Permit Application.doc Revised: 1.2009 bh Page 6 ot PLUMBING AND G AAS PIPING twit INF`OR, :1VIA 1 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): Building Use (per Int'l Building Code): Occupancy (per Int'1 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 H,,Applications\Forms- Applications On- Line12009 Applications\1-2009 Permit Application.doc Revised: 1-2009 bh Page 5 of 6 City of Tukwila Department of Community Development G1 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.: 1157200351 Permit Number: D10-189 Address: 5860 SOUTHCENTER BL TUKW Status: PENDING Suite No: Applied Date: 07/22/2010 Applicant: NORTH HILL APTS - BLDG E UNITS 102, Issue Date: Receipt No.: R10 -01386 Initials: User ID: WER 1655 Payment Amount: $464.52 Payment Date: 07/22/2010 11:51 AM Balance: $0.00 Payee: LEE ANDERSON TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 05503D ACCOUNT ITEM LIST: Description 464.52 Account Code Current Pmts BUILDING - RES PLAN CHECK - RES STATE BUILDING SURCHARGE 000.322.100 000.345.830 640.237.114 Total: $464.52 278.80 181.22 4.50 AYME T RFCEIVFJ doc: Receiot -06 Printed: 07 -22 -2010 01::-• • . . • : • .-• L. INSPECTION RECORD • di Retain a 'copy with permit INSPECTION NO. PERMIT No. CITY•OF TUKWILA 'BUILDING DIVISION. 6300 Southcenter Blvd., #100, TukVila..WA 981.88. ' (206) 431 3670 Permit IrispectiOn Request Line (206) 431=245.1 . 4 . • • • ,1 f I • Type o nspection: • •. Address: :,:.- f, /J .S6._ Li_vit Date Called: • . • .. • . _ • • • .. 5' ecial Instructions: :' _ - 413 41191. 3 .1"Z". Date Wanted: ° *-. t. a:nil ( E. / 0 2, ( cr." 0 Per4MoVr._ e.........,brv-, 4-c,.... . _ r 1.64‘44.'ivi DA-. Requester: - Phone No:_ - 7 s-a---4k7 ri 44 ApprOyed-Or .applicable codes!..: • • Corrections required prior to app4val.: . • A. COMMENTS: ..... • ,TS;Al ., (be 1.- it Ahem thi4 • •. , . . . Al s ."' . . • • \ . . . . % . . " • • - -.—..-._. . t . . VP•• - . . . .. . . . ••■ • . . • • ".• • \.. • Inspecto Date: #94d 4 Jem t_ PECTION FEE ,RE IRED..Pe t to hext.insiiectibn. fee must be at 6300 'Southcenter Blvd.. e 100. Callio.sthedule reinspection. • „„2,,,,i,02.ccomumnpr.;mcv laNgZ%cln;.5113s..:*•07 C:rerm3Q:DR=3M,11 • • v) tkiel To 4 a) To am ca) .r c > —'5 dItC oQ� 3c co �o c� z, `co cm co z, G E — c c a at" Erg o _ °c al . .� -0 ? N (I c -ci. p a Y.O c E me Agb - cam= rE No I L: 0 .a �. O a REVIEwt D FOR CO[ ECM/ PLIANCE p� .:.-VIED AUb 05 2010 Ars-City of Tlikwila114 BULDING Ivlslnnl 1 0111111111P ET1 ACC FILE CI FY Permet No., 'AIa— 169 ian review approval is subject to e prove! of construction document; One violation of any adopted code o (If approved Field C . y , n • conditio By Date: (— // / D RECEIVED JUL 2 2 2010 PERMIT CENTER City Of Tukw BUILDING DP/I 'ors and c'missions . does not authorize ordinanc Receipt s is acknowledged' ;MN BId E 304 303 302 301 204 203 202 201 104 103 102 101 Studios 1 5 tie BId D 303 302 301 203 202 201 103 102 101 1x1 Std w C 8301 c To N7 Ofii U( 3 Cm Z N D a QOM --o ° z . rn ZI /P( -(S. fQr'�Q (i4 (Ni lr cf tA i-, -t , BId C 304 303 302 301 204 203 202 201 104 103 102 101 1x1 cis 303 302 301 203 202 201 103 102 101 I Studios I 5S3o 304 303 x 302 301 204 203 202 201 104 103 102 101 1x1 -lb Q A Century of Performance + Integrity 253.752.7000 fax 253.759.7560 graylumber.com To "h1 7X11 ifs f `` d 2 3 5i t'4 CL C/ftl& it From I" AU0-450/1 (0/151- Date G 4� 9•53 317 y11q( bet °ed, d,, ut5,o z5 /0 tJ Sb �!I 4►a: / t5 Q -raft. led/ C.e.-tnO r f' L /1 61 h vrr-g arc._ Z - /fait. r i roM 31ay3 2.X3 C c- k11 5o/ J 4 4.0 3(" //r ,L 6 c/a post 0 1 r, V5-e- 3C Ys- a// Use_ gc y. 2, F0 - / W4 n Lc - iioAs use_ L u s a L... c 4/ Jo, IC" obi., Use Rok/o Try j.- l-er)qc Lott-ti 1.e. f>s�oc Lcp.S 4/f h, //d 12"o Walt 4-0 c / CUB / FM 44 4 4 9.,,(3 64/v %y .x y raUiv's edfc d , /oar All / im 4 ;i t;L / 4rr- sffsi t_ as ;e,Ahi5ji. I no c_ji , fast RECEIVED JUL SOLIDSTAR ENGINEERED WOOD PRODUCTS 00 20` y,. iv 'Mike Harwick ft CENTS, Sales Representative Office: 253.752.7000 mobile: 253.973.4419 harwick @graylumber.com 901, 1 1 1 11 1 1 1' t. (,v(l i‘4P ,S l c 1 1 1 1. 1 1 1 1 1' REVIEWED FOR CODE COMPLIANCE APPFfVED Auu 05 MO 1 1 1 1 1 1 1 1 1 City of Tukwila BUILDING DIVIRION L _1 To "h1 7X11 ifs f `` d 2 3 5i t'4 CL C/ftl& it From I" AU0-450/1 (0/151- Date G 4� 9•53 317 y11q( bet °ed, d,, ut5,o z5 /0 tJ Sb �!I 4►a: / t5 Q -raft. led/ C.e.-tnO r f' L /1 61 h vrr-g arc._ Z - /fait. r i roM 31ay3 2.X3 C c- k11 5o/ J 4 4.0 3(" //r ,L 6 c/a post 0 1 r, V5-e- 3C Ys- a// Use_ gc y. 2, F0 - / W4 n Lc - iioAs use_ L u s a L... c 4/ Jo, IC" obi., Use Rok/o Try j.- l-er)qc Lott-ti 1.e. f>s�oc Lcp.S 4/f h, //d 12"o Walt 4-0 c / CUB / FM 44 4 4 9.,,(3 64/v %y .x y raUiv's edfc d , /oar All / im 4 ;i t;L / 4rr- sffsi t_ as ;e,Ahi5ji. I no c_ji , fast RECEIVED JUL SOLIDSTAR ENGINEERED WOOD PRODUCTS 00 20` y,. iv 'Mike Harwick ft CENTS, Sales Representative Office: 253.752.7000 mobile: 253.973.4419 harwick @graylumber.com gray lumber cornpany A Century of Performance + integrity 253.752.7000 fax 253.759.7560 graylumb r.com 4/c. Ocak 1 E1) h- 5 bidtr To /1/ r\ k 11111 /s 5— (00 33:) tel Cessh From 6 i',4 dL45Y\ 11�•1 Date 5-9,o 10 L%r '53 377yH9/ Lap 5 +dri5 V to CA ibp To ►A, , law of non drv" I Hard; L ., 51 ;'5 c( We 4f 1J i ik I, M ch.( a� 410 ‘1441,4.5 -' Oirt tcdyt.- . I !1„4ret;1 41-kdied w, 51` Ie4[Fr- Loc. 'fD c,/c.4 ENGINEERED WOOD PRODUCTS REVIEWED FOR CODE COMPLIANC E AP anvE Akio 052010 City of Tukwila BUILDING DIVISInN ECEIVED JUL 22 2010 PERMIT CENTER 7 Mike Harwick Sales Representative Office: 253.752.7000 mobile: 253.973.4419 harwick @graylumber.com ft IL9'Vt PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D10 -189 DATE: 07 -22 -10 PROJECT NAME: NORTH HILL APTS - UNITS E102, E202, E302 SITE ADDRESS: 5860 SOUTHCENTER BL X Original Plan Submittal Response to Correction Letter # Response to Incomplete Letter # Revision # After Permit Issued DEPARTMENTS: � �, ilding Division D1/L�. Ilc Works �\p( Q1 - ' P ire Prevention Structural NIA' Dill Planning Division ❑ Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Incomplete n DUE DATE: 07 -27 -10 Not Applicable 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 Structural Review Required n No further Review Required n REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: DUE DATE: 08-24 -10 Approved Approved with Conditions 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 Contractors or Tradespeople Prynter 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 G P ANDERSON CONSTRUCTION INC UBI No. 601838669 Phone 2535497450 Status Active Address 121 Bella Bella Dr License No. GPANDCI033RP Suite /Apt. License Type Construction Contractor City Fox Island Effective Date 12/17/1997 State WA Expiration Date 12/16/2011 Zip 98333 Suspend Date County Pierce 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 APEXCL'024B0 APEX CONSTRUCTION LLC Construction Contractor General Unused 1/20/1998 1/4/2003 Archived OLYMPVC055MP OLYMPIC VIEW CONSTRUCTION INC Construction Contractor General Unused 7/17/1995 9/30/1998 Archived OLYMPVC054R9 OLYMPIC VIEW CONSTRUCTION Construction Contractor General Unused 12/29/1994 9/30/1995 Archived ANDERC*086B2 ANDERSON CONSTRUCTION Construction Contractor General Unused 1/22/1992 1/22/1995 Archived Business Owner Information Name Role Effective Date Expiration Date ANDERSON, GARY Cancel Date 01/01/1980 Bond Amount ANDERSON, PEGEEN 3 01/01/1980 6382694 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 3 AM STATES INS 6382694 12/16/2005 Until Cancelled $12,000.0011/01/2005 11/06/2009 2 DEVELOPERS SURETY & INDEM CO 445696C 12/16/2001 Until Cancelled 02/06/2006 $12,000.00 12/22/2005 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 0010 CAS INS BH053575320 12/16/2008 12/16/2010 $1,000,000.00 11/06/2009 10 C010 CAS INS BH053575320 12/16/2007 12/16/2008 $1,000,000.00 12/12/2007 9 FIRST SPECIALTY INS CORP FGL22900572600 12/16/2005 12/16/2007 $1,000,000.00 12/15/2006 8 FIRST MERCURY INS CO FMIL000270 12/16/2004 12/16/2005 $1,000,000.00 12/23/2004 7 AMERICAN STATES INS CO 010E3166877 12/16/2003 12/16/2004 $1,000,000.0011 /26/2003 https://fortress.wa.gov/lni/bbip/Print.aspx 08/11/2010