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HomeMy WebLinkAboutPermit D2000-262 - ORCHID MANOR - REPLACED STAIRS AND GUARDRAILorchid manor d2000-262 City of Tukwila Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 WARNING: IF CONSTRUCTION BEGINS BEFORE APPEAL PERIOD EXPIRES, APPLICANT IS PROCEEDING AT THEIR OWN RISK. Parcel No: ]61000 -0325 Address: 14224 37 AV Suite No: Location: Category: ACM Type: DEVPERM Zoning: NCC Const Type: Gas /Elec.: Units: 001 Setbacks: North: Water: N/A Wetlands: S Contractor License N : CENTRFI055JC OCCUPANT ORCHID MANOR Phone: 14224 37 AV S', TUKWILA WA 98188 OWNER RUDOLPH RON Phone: (206)644 -1241 PO BOX 68220, SEATTLE WA 98168 CONTACT JEROME SCHWINDT Phone: 253- 859 -8050 4140;8 PLACE NW, AUBURN WA 98001 CONTRACTOR CENTRAL FABRICATION INC 4140 B PLACE NW, AUBURN WA 980012 1 k' k****** k* * * *A*k * ** ** * :k**k **k *** * *k*k *** k'k * *•k** k• k• k• k• kkk*** •ti• *Iv* **k * *•k * *k***'kk** * * * *; Permit Description REPLACE EXISTING STAIRS AND GUARDRAIL WITH NEW MATERIAL - 5 LOCATIONS. , **** 9t****• k* 11******** k**** k* * *** **** ***k** *•k*** * *k *•k•k: * * * ** *k :k* ** *•k *kkkkk** **k ** * *k* Construction Valuation: $ 9,632.00 PUBLIC WORK PERMITS *(Water Meter Permits Listed Separate) Eng. Appr: Curb Cut /Access /Sidewalk /CSS N Fire Loop Hydrant: N No Sizetin): .00 Flood Control Zone: N Hauling: N Start Time End Time Land Altering: N Cut: Fill: Landscape Irrigation: N Moving`Oversized Load: N Start Time End Time Sanitary Side Sewer: N No Sewer Main Extension: N Private: N Public: N Storm Drainage: N Street Use N Water Main Extension: N Private: N Public: N * k**** k* k*• k******• k• k• k• k*• k*****• k• k• k**• kk**• k*** k****• k: k• kk*• k***• k*• k• k*• k• k * * * **•k•k *•k *k•k* * *•k*k * *•k•k, TOTAL DEVELOPMENT PERMIT FEES: $ 303.56 * k***k** k**• k*******• k** * * *•k* * ** * * * * ** * * * * **•k * *k• y a k *** k k***• k*• k * **k **•k* ***** * *•k *•k* * *•k *•k Permit Center Authorized Signature: The granting of this permit cancel the provision of any or the performance of work. development permit. Signature: Print Nam: __�x -�Q� -- DEVELOPMENT PERMIT Occupancy: UBC: Fire Protection: .0 South: .0 East: .0 West: Sewer: N/A Slopes: Y Streams: 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. does not presume to give authority to violate or other state or local laws regulating construction I am authorized to sign for and obtain this • Permit No: Status: Issued: Expires: Date (206) 431 -3670 D2000 -262 ISSUED 08/21/2000 02/17/2001 APARTMENT HOUSE 1997 .0 Date&4 21 - 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. t ; t w , HO z �, 111 a D O. O H; w w U! v— kit) z' _. _ crH • CITY OF TUf(WII_A Address: 14224 37 AV S Permit No: D2000--262 Suite: Tenant Status: ISSUED Type: DEVPERM Applied: 08/08 /2000 Parcel # 16.10(10- -032 ► Issued: 08/21/2000 * ** *kyl *•k* * * * *** * ***'k * *'k * *•k•k ** * * *•A•k* Eck*- A*****• k**• h *•A* * *A *'k * * * * * *A * *** * * * *•A•AS Permit Conditions: 1. No changes will be made to the plans unless approved by the. Engineer and the Tukwila Ruil:din,g D union. 2 All ; construction t;o be done 'in •.conform • with approved plans and requirements of the Uniform Building Code `(199 ,Edition) as amended, Uniform Mechanical, Code "•.(1997 Edition) and Washington -state" Energy , Code ,(1997 Edition) 3 :Validity of: Permit The issuance of a permit or approval of speci'fications, and computations shall not be • con- stri(ed to ;be a' °permit for Or an approval of,' any '"violation of any,,Zof the provisions of the bu i 1 d i ng code " or of any ,other ;ordinance of, the jurisdiction. No permit "presuming to give authority to , violate or cancel the provisions- of ;,this` code dial f ;be val 4 ;All . permita.,,> inspection records, and approved plans -dial l ,available at the job site prior to -.the start of any con- struction These documents are to be maintained and avai alile until final inspection;approval� i,s granted; - N § ' 9 u. W 0 ` Z W 0, 'W LLI> , 0 0 I - W W u. ; Z; V 0 Project Name/Tenant: C912 C*U b M/ - NOR -. Value of Co s ru ttiion: Proposed use: ❑ Retail ❑ Restaurant ❑ Multi- family ❑ Warehouse Hospital ❑ Church ❑ Manufacturing ❑ Motel /Hotel ❑ Office ❑ School /College /University ❑ Other Site Add ess: -t� City State/Zip:. 11 4 37 k116 s . , Tt.c�et ),'l.1!- w1 9c9 Tax Parc Nu be p 9 � I el s' Will there be rack storage? ❑ yes ra no Property Owner: 5FAIv a ,LEA/ A- TA- T Phone: Area of Construction: (sq. ft.) Street Address: City State /Zip: O. 80X ,.273.x- SCR - Tree ws- c"YRI, — Fax #: Contractor: & -i- FA43/e CA - Tian/ ,7,1\ Phone: Street Addreso g City State /Zip: PL, N W , A203 ORA) wA 9'fop/ Fax #: Architect: Phone: Street Address: City State /Zip: Fax #: Engineer: Phone: Street Address: City State /Zip: Fax #: Contact Person: --:-^ P ya' .e. ma c_ 1 ,di , n c 1� P hone : �,� z �J ? - T 1 Streel gddr ss: city %ate /Zip: a - i At� fS' l� 1 , Al tiv AU or^ n �, ;Tc)C) Fax #: Description of work to be done: — - , ��r - u lu ,, 6 — � ' r � tes 9s Grr A 12,4 - i 4 w: r/./ /Uut/ Existing use: ❑ Retail ❑ Restaurant 'Multi- family ❑ Warehouse ❑Hospital ❑ Church ❑ Manufacturing ❑ Motel /Hotel ❑ Office ❑ School /College /University ❑ Other Proposed use: ❑ Retail ❑ Restaurant ❑ Multi- family ❑ Warehouse Hospital ❑ Church ❑ Manufacturing ❑ Motel /Hotel ❑ Office ❑ School /College /University ❑ Other Will there be a change of use? ❑ yes PI no If yes, extent of change: (Attach additional sheet if necessary) Will there be rack storage? ❑ yes ra no Existing fire protection features: ❑ sprinklers Kn automatic fire alarm ❑ none ❑ other (specify) Building Square Feet: / 2 9 - p existing Area of Construction: (sq. ft.) Will there be storage of flammable /combustible hazardous material in the building? ❑ yes ,r no Attach list of materials and storage location on separate 8 1/2 X 11 paper indicating quantities & Material Safety Data Sheets CITY OF TUKVutA Permit Center 6300 Southcenter Blvd., Suite 100, Tukwila, WA 98188 (206) 431 -3670 Commercial / Multi - Family Tenant Improvement / Alteration Permit Application Application and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mall or facsimile. CTPERMIT.DOC 1/29/97 R STAFF USE O LY Project Number: Permit Number: 172&O APPLICANT. REQUESTFOR PUBLIC WORKS; SITE /CIVIL PLAN REVIEW OF THE FOLLOWIN (Additional reviews may determined ; bythe Public Works Department) ❑ Channelization /Striping ❑ Curb cut/Access /Sidewalk ❑ Fire Loop /Hydrant (main to vault) #: Size(s): ❑ Land Altering 0 Cut cubic yds. 0 Fill cubic yds. ❑ Sanitary Side Sewer #: ❑ Sewer Main Extension ❑ Storm Drainage ❑ Street Use ❑ Water Main Extension ❑ Water Meter /Exempt #: Size(s): 0 Deduct ❑ Water Meter /Permanent # Size(s): ❑ Water Meter Temp # Size(s): Est. quantity: ❑ Miscellaneous ❑ Flood Control Zone ❑ Hauling ❑ Landscape Irrigation O Private 0 Public O Private 0 Public 0 Water Only gal Schedule: 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 extend the time for action by the applicant for a period not exceeding 180 days upon written request by the applicant as defined in Section 107.4 of the Uniform Building Code (current edition). No application shall be extended more than once. Date application accepted: S -0O Date application expires: Applicati_ taken by: (initials) PLEASE SIGN BACK OF APPLICATION FORM Z ~ w re 2 UO J • = W O U OD O 1- W E I u. W Z U= O 1 ' Z BUILDING QWNER OR AUTH AGENT: Signature: ( 9 % / /t n � , l, Date: y l / c, `J Print name ti t' f-cPm -e �( � ∎,A7 l' n (ti ' I f P hon :. r %' / /!','(,ii m t `� �� Address 1,/,/ G/_ (`i !� - p / m..., i,� , A 1., 1, Y' ,...,� \p/.1 City /State /Zip �� 9 yC / s; ALL CO MERCIAUMULTI MILY TENANT IMPROVEMENThaTERATION PERMIT APPLICATIONS ST BE SUBMITTED WITH THE F OWING: D ALL DRAWINGS TO BE STAMPED BY WASHINGTON STATE LICENSED ARCHITECT, STRUCTURAL ENGINEER OR CIVIL ENGINEER ➢ ALL DRAWINGS SHALL BE AT A LEGIBLE SCALE AND NEATLY DRAWN ➢ BUILDING SITE PLANS AND UTILITY PLANS ARE TO BE COMBINED NIA SUBMITTED IT Complete Legal Description ❑ 'Floor plan: show location of tenant space with proposed use of each room labeled Metro: Non - Residential Sewer Use Certification if there is a change in the amount of plumbing fixtures (Form H -13). Business Declaration required (Form H -10). ' Fou44fsetaol working drawings (five(5) sets for structural work), which include : Site Plan (including existing fire hydrant location(s) 1. North arrow and scale 2. Property lines, dimensions, setbacks, names of adjacent roads, any proposed or existing easements 3. Parking Analysis of existing and proposed capacity; proposed stalls with dimensions 4. Location of driveways, parking, loading & service areas 5. Recycle collection location and area calculations (change of use only) 6. Location and screening of outdoor storage (change of use only) 7. Limits of clearing /grading with existing and proposed topography at 2' intervals extending 5' beyond property's boundaries 8. Identify location of sensitive area slopes 20% or greater, wetlands, watercourses and their buffers (change of use only) 9. Identify location and size of existing trees that are located in sensitive areas and buffer (TMC 18.45.040), of those, identify by size and species which are to be removed and saved 10. Landscape plan with irrigation and existing trees to be saved by size and species (exterior changes or change of use only) 11. Location and gross floor area of existing structure with dimensions and setback 12. Lowest finished floor elevation (if in flood control zone) 13. See Public Works Checklist for detailed civil /site plan information required for Public Works Review (Form H- 9). ❑ t A' Overall building floor plan with adjacent tenant use; identify tenant space use and location of storage of any hazardous materials; dimensions of proposed tenant space. ❑ d P w,oi +9 Vicinity Map showing location of site ❑ Rack Storage: If adding new racks or altering existing rack storage, provide a floor plan identifying rack layout and all exit doors. Show dimensions of aisles, include dimensions of height, length, and width of rack. Structural calculations are required for rack storage eight feet and over. Indicate proposed construction of tenant space or addition and walls being demolished Construction details ❑ Sprinkler details - details of sprinkler hangers, specifically penetrations in structure, i.e., roof; size of water supply to sprinkler vault with documentation from contractor stating supply line will meet or exceed sprinkler system design criteria as identified by the Fire Department. ❑ Washington State Non - Residential Energy Code Data shall be noted on the construction drawings. i tgwm ❑ SEPA Checklist - if intensification of use (check with Planning Department for thresholds). ❑ Attach plans, reports or other documentation required to comply with Sensitive Area Ordinance or other land use or SEPA decisions. ❑ Food service establishments require two (2) sets of stamped approved plans by the Seattle -King County Department of Public Health prior to submitting for building permit application. The Department of Public Health is located at 201 Smith Tower, Seattle, WA or call (206) 296 -4787. (Form H -5) ❑ `' Copy of Washington State Department of Labor and Industries Valid Contractor's License. If no J contractor has been selected at time of application a copy of this license will be required before the permit is issued OR submit Form H -4, "Affidavit in Lieu of Contractor Registration ". Building Owner /Authorized Agent If the applicant is other than the owner, registered architect/engineer, or contractor licensed by the State of Washington, a notarized letter from the property owner authorizing the agent to submit this permit application and obtain the permit will be required as part of this submittal 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. CTPERMIT.DOC 1 /29/97 Vi ky1'Ink! z w CL 6 00 W= t U) w w L j w _ z �. zI- LL! w U ❑ to 0 t— w W 9 - - O w z • = O • ~ z AIM amp I N'7 rr1.`fr S ' *A ls kA* k* A•* A* A*. k�*** A**I ei* h• kA. 4* A•* AA*+. 4..1 *44.*** * *..k:****A.•. *AAVA. •*A. CITY f1F. T.1IK�II L 1, WA z (ux,. 6 TRANSMIT *AkA•+k * -.44 * *A ** ** * *. 3 *A .k.ks 9 A4-. *A *'*A*kd• **.A *: *A *4*.s.**.h. ** *A.A:k 1 l Ei fi ;ii~1IT' Mlumbt r: R98003 Fitl!otir:t: 185.75 08/21/00 . 15:41 [ . Payment lie t;hoil z ' CHIi•Ci■ 14o ;eir: ion: CENT FAR R ICA In i t: WIili No ": 262 Type: DEVPE121.1 DEVE1.Ol 1?la2ti'i Parcel ` No: 161000. -0 :125 Site'Addr'ess.« '.14224 3? 1W 5 Total Fers c 303.. 6 This Pavment 185.75 Total ALL Pints: '303.56 nal anee« .00 * *A1k *A'•k4'* - * * *.4k *akh1SA * * *4 *.4. * *.1#fi * *>5 *i *. 4. k *A * * **l **d*A4• ? *.k.4ii.A.4* Account, Code • Descr i pt; in Airman G 000/:122.1OU' HUI:LEO:NG - NfitlRES 181.25 0 001386.904 STATE ,BUILD.ING 8W1CHAl18E 4.5() 251 08/23'97,10, TO IM. 5.75 CPI 7 <RM1 :1ix�`. ilp',l�l' .':!"�att',�xad.liro�lrl t'+ t���'` �i {"!f'.'�kf,,. `.{'Tz c 'IGjj]T•.c �. �5. :Xh is Payment 11 7.81 Total AL.L Pmts: 117.81 Etalance: 185 * * * * * ** * * ** * ** k****************** * * * * * * * * * * * * ** * ** * ** * * * * * * * * ** Account Code : Desc r i pt i on Amount 000/345.830 PLAN CHECK - NONRES Total Fees: 303.56 6746 08/0J 9717 TOTAL . 1j.7.81 � . .•� it a p arr �. y.-. R'^Ty 4 '° }} vj7'� " i c, t4 �� r � r'vrmr V..M(f jT .".r 1,117.7;c70,.. +, � j �,f V' � {. ' *t * *Af�f1k7� : *** 7k'�f1k�C** * ***** * *** *** *lA�f�C C ** C7k1k�C�f�t7�f *1k�C1k1Yt'�(*7Y1k**** CITY OF + T'UKW] LA, WA � .; ; / Th . ' * RANSMIT ************************,-- 1****** * * * * * * * * * * * * * * * * * ** " * * * * * * * * ** TRANSMIT, Number: R9800339 ;Amount: 117.81 08 /08/00 14:38 paymcibV method: CASH Nc tilti on: : J F ROME SC HW1NDT 7 rii t.: BLH Pe'r'mit No: D2000 -262 Type DEVPERM DEVELOPMENT PERMIT Parcel No: 161000 -0325 it•B. Addr•ess: 14224 37 AV S r t h/ d 41 /lA16L- spe . I 44 J &u Id ( t4 s Da e called: x1/ i tion/s: /J �^' a S ecial 7 I I y��� '�� i 0 O71 ' ' Door ,. I. c e H AL A) � 0 Date wanted:( / ) a ' tr �l / .m.. -Requester: 1nn ,$) " �. ` Ph S — R�59 8050 Inspector: Li pproved per applicable cods# ' INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 98188 COMMENT a` O k 1hot I (30/1- Corrections required prior to approval. Date: PER IT NO. (20 •)431 -3670 0 $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No: Date: : t�Ltk�ritt�'�,'�I �..a!,J':; r�..:5�n:,.wylw3o:a:P:z..�wd i�C i•:� �. t•..- w,:.,. .5,- >J«eittd}a. ,wr....ry:»r. Y�;:t Project: or c_v - ∎∎ck Ailew -\o ' Type of Inspection: 1 (i1ct I �ut�� Date coiled: c i ~ - c. Address: 1 - - .) - 1 Acv S Special instructions: 1 ► ,:, r4 L..3% 1� 1'�u �.±c c( rt+ pit` 2 01 t...�:�rC. 51 t r S r t r c.... . Date wanted © c'( —� _ C C P.m. Requester: .. k Ir Ca ' e. Phone: 22,3 - k--, 1 - BOC ;L El Approved per applicable codes. �h. �.;. �. .. a , •r',.a - :,�;'lf;;.: INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 98188 (206)431 -36 7Ctr - 3 ll 10 - u3'4C Ce Corrections required prior to approval. COMMENTS: ogai , t AcO (i.4746&- t a-e 41�.4/.t / Inspect/ Dat $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No: Date: u` #:,.ar. t c.. .....A6' a t ..ci.,,, r d• a -<. �i:.. Fi LE COPY I understand the Plan ChF,ci subject to errors and OMiS'Sit3115 plans does not authorize the adopted code or ordinance, Receipt o; cc tractor's copy of approved plans acknowledged. Permit No. g Cr( OF TUKWILA ApppnV ED AUG 1 2.00t1 BUILDING DIVISION S RECENED CITY OF TUKWILA AUG ZOO PERMIT CENTER 4, IA. D ZOW111.2112 1 Nor 5: /i -F r 1 r e o. 5 Tof view ---e- 01.:3 REZAR Mans& UP TO +L O (..4') t 3 PEW- U -k MS I. R E1 o ern - ca•m.RCT� Fit ,. 2.n oo R S J . 4 I L5 B jS Pc& vac 4 Act 's1 . 7L (. L SK•K ti Otd14N. Z. REIN Fa ' PEC- AST t a•LIS r•g-•b Pc It 3. DESIGN LNE LDADS : too P.. ct 3c3 poi$O PEg UEAD MIi4. it t� J 111•N 1. It -.I0 - l r Fc3- iaor -T� coo S s s IL' - r-DS (iti S h40Tl�27) - • I'fna &ai) K0 - 1' a w ►4S tteq 1 ' --•�`' 1 u I�` cJ1 r 5 L 'Ls z s e415' (wocr) WG 1 d e cl i-rD - moo Wf. To G anhe ' b.151711014 t‘› RsQut � t� N At•1 15 No-r BRtca'roQS gp Fes• cERC— s1-kowe LA W. b..B,D I�tED WELOE2S ', ' g WA STATE• PAEtt4p m Es •S . JUL -10 -00 08:36 AM CENTRAL FABRICATION 253 850 7181 P.02 t• NOTICE: IF THE DOCUMENT IN THIS FRAME IS LESS CLEAR THAN THIS NOTICE IT IS DUE TO THE QUALITY OF THE DOCUMENT. • • E. E. ; Re.5 5. ,f5t7f l. r42forY r,vb L Cbit sC 6r/lb * Ore *Filer x *' %re . rco />hv e,121..! ! �4� .. a � • : : .;sue \. n��ifiEir`�fciv C. ;' ' C1 � . 's r � .' .!C DIY � "��:• ".': ' c,v `: �� _ . AUG -- 8 2000 a.T "tnrw r yyy ;mn. -c r 03- 29-66 06;46 FROM-FIDELITY NATIONAL TITLE ESCROW /257716016 T -105 P.00/14 F -460 Return Address STAN TAT and LENA TAT P.O. SOX 27324 SEATTLE, WA 98125 ESCROW NO. 05- 581300 Assessor's Tax Parcel Number(e): 161000 - 0325 - 08 FILED FOR RECORD AT REQUEST OF FIDELITY NATIONAL TITLE CO OF WA, INC. Statutory Warranty Deed TEE GRANTOR ROUND JOSEPH SUDOLPH, a single person for and in consideration of ten dollars and other good and valuable consideration and as Part of a Section 1031 tax deferred exchange in hand paid, conveys and warrants to BEAN TAT and LESA TAT, husband and wife the following described real estate, situated in the County of XING, State of Washington: LOT 10 BLOCK 3, JAMES CLARK GARDEN, ACCORDING TO THE PLAT THEREOF RECORDED Ill VOLOMt 13 OF PLATS, PAGE 12, IN KING COUNTY, WASHINGTON. SITUATE IN THE COUNTY OF KING, STATE OF WASHINGTON. SUBJECT 1D: ANT DIIECOIDED LEASESBOIDS, l cerS OF VENDORS AID HOLDERS OF =MITT INTERESTS ON PERSONAL PJROPEUT! INSTALLED UPON SAID P10PZE1T. AID TENANTS TO BTIOVE TRADE FIXTURE AT TIE RE?IRATION OF TEE TIEN. DATED : waerm 77, lime AND SUBJECT TO U IBIT "A" ATTACHED HERETO. STATE T OF lib Err COUNTY OF On this day personally appeared before me RONALD JOSEPH RUDOLPH to me known to be the individual described in and who executed the within and foregoing instrument, and. acknowledged that he /she /they signed the same as his /her /their free and voluntary act and deed, for the uses and purposes therein mentioned. ��jj ,, GIVEN under my hand official seal this .2240 /,/ lay of , I J, ,/ - IF Public in and for the State of Na •• ngton reeiding at h &LP4i. CITY OF UKWIL AUG -- 8 2000 PERMIT CENTER D2000-21,2, ACTIVITY NUMBER: D2000 -262 PROJECT NAME: ORCHID MANOR SITE ADDRESS: 14224 37 AV S XX Original Plan Submittal Response to Correction Letter # Response to Incomplete Letter # Revision # DATE: 8 -8- 2000 After Permit is issued DEPARTMENTS: ing Divjsio� Public Works 1/k b -ro- r�, PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Incomplete ❑ Comments: TUES /THURS ROUTING: Please Route Fr Structural Review Required REVIEWER'S INITIALS: APPROVALS OR CORRECTIONS: (ten days) Approved n Approved with Conditions REVIEWER'S INITIALS: Fire Pr J>K1 lit& 8- P-0 Structural n CORRECTION DETERMINATION: Approved n Approved with Conditions ❑ REVIEWER'S INITIALS: Planning Permit Coordinator DUE DATE: 8 -10 -2000 Not Applicable n No further Review Required DUE DATE 9- 7-2000 DATE: Not Approved (attach comments) n DATE: 5 -I I-W DUE DATE Not Approved (attach comments) ❑ DATE: LICENSE DETAIL INFORMATION Form eot STATE OF WASHINGTON DEPARTMENT OF LABOR AND INDUSTRIES Specialty Compliance Services Division P. O. Box 44000 Olympia, WA 98504 -4000 THE RESULT OF YOUR INQUIRY FOR LICENSE NUMBER SELECTED IS: LICENSE DETAIL INFORMATION Current Filter: None Registration# or License CENTRFI055JC Name CENTRAL FABRICATION INC Address 4140 B PLACE NW Address City AUBURN State WA Zip 980012446 Phone Number 2538598050 Effective Date 4/3/95 Expiration Date 12/1/00 Registration Status ACTIVE Type CONSTRUCTION CONTRACTOR Entity CORPORATION Specialty Code ORNAMENTAUMETALS Other Specialties FENCING UBI Number 601526376 * * *VIEW PRINCIPAL OWNER(S) FOR THIS LICENSE* * * * * *VIEW CONTRACTOR BOND /SAVINGS INFORMATION * * * 'CHECK *CHECK INQUIRY FOR SUMMONS AND COMPLAINTS* * * * * * VIEW CONTRACTOR INSURANCE INFORMATION * * * Page 1 of 1 New inquiry by CITY, NAME, PRINCIPAL OWNER NAME, NUMBER, UBI NUMBER or return to the L &I Construction Compliance Home Page http: / /www.lni.wa.gov /CONTRACTORS /TF2Form .asp ?License= CENTRFI055JC 8/21/00 2